Connection supplemental articles and policies - January 2008

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Connection - January 2008 (pdf, 334 KB)

supplemental articles

Practice guideline: treatment of patients with major depressive disorder
National asthma guidelines updated
FCHP reimburses for hospice and palliative medicine consults
Commercial and Medicare formulary updates
Tips for Medicare coding
Tips for bilateral services and modifier -50 (+ code tables)
- 150% payment adjustment for bilateral procedures applies.
- 150% payment adjustment does not apply. RVU’s are already based on the procedure being performed as a bilateral procedure.
- The usual payment adjustment for bilateral procedures does not apply. Pay 100% of the fee schedule amount for each side or unit.

policies and forms

The following policy is new:

Hospice and palliative medicine consult payment policy

The following policies have been reviewed and have substantial changes. For more details, please see “policy changes” below.

The following policies have been reviewed and do not have substantial changes.

practice guideline: treatment of patients with major depressive disorder

by Toni P.Coughlin, R.N., B.S.N.,C.C.M.

Beacon Health Strategies, FCHP’s behavioral health partner, has adopted several clinical practice guidelines to assist providers in the assessment of treatment of behavioral health disorders among FCHP members. Prior to the adoption and dissemination of each guideline, the relevant scientific literature is reviewed by a multidisciplinary team that includes board-certified psychiatrists. Beacon reviews and approves clinical practice guidelines at least every two years and updates them as needed.

Beacon has adopted the American Psychiatric Association practice guideline for the treatment of patients with major depressive disorder. The purpose of the guideline is to assist the physician faced with the task of implementing specific antidepressant treatment(s).

This guideline summarizes the specific forms of somatic, psychotherapeutic, psychosocial and educational treatments that have been developed to deal with major depressive disorder. It begins at the point where the psychiatrist has diagnosed an adult patient who is older than 18 years as suffering from major depressive disorder, according to the criteria defined in DSM-IV, and has medically evaluated the patient to ascertain the presence of alcohol or substance use disorder or other somatic factors that may contribute to the disease process.

The five components for treating major depressive disorder included in the depression guideline are the following:

Psychiatric management
Acute-phase treatment
Continuation-phase treatment
Maintenance-phase treatment
Discontinuation of active treatment

The APA clinical practice guideline for the treatment of patients with major depressive disorder can be found at www.guideline.gov.

If you have any questions or comments about the use of practice guidelines, or would like to recommend a particular guideline, please contact Dr. B.J. Berk, Beacon’s newly named Medical Director at bjberk@beaconhs.com or 1-781-994.7589. More information can be found on Beacon’s Web site at www.beaconhealthstrategies.com.

national asthma guidelines updated

The National Asthma Education and Prevention Program recently issued comprehensive updates to its clinical guidelines for the diagnosis and management of asthma.

The Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Management of Asthma—Full Report, 2007, highlights the importance of asthma control and introduces novel strategies to monitor asthma symptoms. They also feature an expanded section on childhood asthma.

pharmacotherapy
The guidelines advocate for a stepwise approach to control asthma, which involves increasing medication dosages and types as needed, and decreasing them whenever possible, based on the level of asthma control. The stepwise asthma management charts are revised and expanded to specify treatment for three age groups: 0 to 4 years, 5 to 11 years and 12 years or older. The 5-to-11 age group was added because new evidence suggests that children in this age group may respond differently than adults to asthma medications.

Recommendations on medications are updated to reflect the latest evidence on effectiveness and safety. EPR-3 reaffirms that patients with persistent asthma need both long-term medications to control asthma and prevent exacerbations, as well as quick-relief medications for symptoms as needed. For all age groups, inhaled corticosteroids are recommended as the most effective medication for long-term control.

The guidelines are available at www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm.

fchp reimburses for hospice and palliative consultations

FCHP is delighted to provide reimbursement for “hospice and palliative medicine” consultations offered in our pilot program area of Worcester County. Provider reimbursement information is referenced below.

Who can provide a hospice and palliative medicine consultation?
“Hospice and palliative medicine” consultants are either physicians who are certified by the American Board of Hospice and Palliative Medicine or who are tenured as a hospice medical director, or are credentialed nurse practitioners or physician assistants working under the supervision of a physician specializing in “hospice and palliative medicine.” The American Board of Medical Specialties will grant board certification in “hospice and palliative medicine” in 2008.

What does FCHP cover for hospice and palliative medicine consultations?
As with any specialty consultation, FCHP will cover “hospice and palliative medicine” consultations provided by a credentialed “hospice and palliative medicine” physician and referred by the member’s PCP. The PCP will contact the specialist and provide his or her vendor number (National Provider Number) and name. The member may have a copayment consistent with his/her health plan option. Hospice and palliative medicine consultative services can be provided in a number of locations, including hospitals, skilled nursing facilities, a patient’s home or a physician’s office.

What are the coverage and reimbursement criteria?
Reimbursement for hospice and palliative medicine consultations will be made to the contracted hospice and palliative medicine physician on a fee-for-service basis. Reimbursement for consultations provided by the licensed and credentialed nurse practitioner or physician assistant will be conducted in accordance with the FCHP medical payment policy ADM0040, Nurse Practitioner/Physician Assistant Payment Policy.

The member is responsible for a copayment for this service.

During a hospice and palliative medicine consultation, no direct medical care is provided (such as ordering pain medication or laboratory or radiology services, etc.). FCHP will not cover related services when ordered by the hospice and palliative medicine physician. Rather, the hospice and palliative medicine physician will communicate back to the referring PCP the results of the consultation, with recommendations for pain management, symptom control and plan of care.

FCHP will credential the hospice and palliative medicine physician, as well as the nurse practitioner and physician assistant working under the supervision of a physician specializing in hospice and palliative medicine.

Are there billing/coding guidelines?
Hospice and palliative medicine consults should be billed with the appropriate CPT code, depending on the place of service (for example, office consults (99241-99245), inpatient consults (99251-99255) or home visit (99341-99345 and 99347-99350)). The ICD-9-CM code V66.7 should be billed as a secondary diagnosis in conjunction with the member’s primary diagnosis.

Services should be submitted using industry standard forms or HIPAA standard electronic formats.

policy changes

The following policies available with this issue of Connection have substantial changes.

Emergency department payment policy

The Industry Standard for hydration, therapeutic, prophylactic and diagnostic injections and infusion services is that the physician will not be reimbursed for infusion/injection services (codes 90760-90779) when provided in an emergency room setting. Modifiers -26 and -TC cannot be used with these codes.

Global surgical payment policy

Added to coverage and reimbursement criteria: This allows for one copayment per physician or physician practice and one copayment per outpatient facility to be taken within the global period.
Removed from To bill for postoperative care for reporting section:
- Providers are permitted to collect applicable copayments for services within the global period.

Nurse practitioner/physician assistant payment policy

The modifier SA should be appended to the procedure code for all NP/PA services that are billed under the supervising physician.
Coding guidelines have been clarified.

Procedure code review policy

Name changed from annual code review policy.
Added under preauthorization requirements:

We recognize that new codes can be published on a quarterly basis. We will review these codes within 30 days of the effective date and notify providers of all determinations via the next published Connection newsletter

formulary updates

Fallon Community Health Plan often makes changes to its formularies, including changing prior authorization requirements and adding new medications. Please note the following changes to our commercial plan formulary.

COMMERCIAL PLAN FORMULARY

additions

Azor® (amlodipine/olmesartan)	Tier 3
Calomist® (cyanocobalamin) Nasal Spray	Tier 3, PA required
Extina® (ketoconazole) 2% Foam	Tier 3, PA required
Janumet® (sitagliptin/metformin)	Tier 3

changes

Januvia® (sitagliptin)

PA removed

new to market policy*

Somatuline® (lanreotide)

* FCHP’s New to Market Policy was enacted to ensure patient safety and to allow for adequate time for the development, review and approval of clinical criteria. When a new medication first becomes available, it will fall under this policy and be excluded from coverage. A process is in place that allows for the quick review of provider requests for noncovered pharmaceuticals.

MEDICARE PART D FORMULARY

additions

Adagen	Added as Tier 3, PA required
Anadrol	Added as Tier 3, PA required
Angeliq	Added as Tier 3
Aranesp albumin free	Added as Tier 3, PA required
Atripla	Added as Tier 3
Attenuvax	Added as Tier 3
Avastin	Added as Tier 2, PA required
Cardura XL	Added as Tier 3, QLL
Coreg CR	Added as Tier 2, QLL
Emsam	Added as Tier 3, PA required
Engerix-B	Added as Tier 3, PA required
Enjuvia	Added as Tier 3
Femcon FE	Added as Tier 3
Gammagard	Added as Tier 2, PA required
Gammar-P	Added as Tier 3, PA required
Gamunex	Added as Tier 3, PA required
Gardasil	Added as Tier 3
Herceptin	Added as Tier 3, PA required
Hibtiter	Added as Tier 3
Intron-a	Added as Tier 2, PA required
Iveegam	Added as Tier 3, PA required
Invega	Added as Tier 3, PA required
Janumet	Added as Tier 3
Januvia	Added as Tier 3
Kadian	Added as Tier 3
Lotrel	Added as Tier 3
Meruvax II	Added as Tier 3
Methitest	Added as Tier 3
M-r-vax II	Added as Tier 3
Mumpsvax	Added as Tier 3
Orapred ODT	Added as Tier 3
Oxandrin	Added as Tier 3, PA required
Polygam S/D	Added as Tier 3, PA required
Prezista	Added as Tier 3
Proleukin	Added as Tier 3, PA required
Rabavert	Added as Tier 3
Rotateq	Added as Tier 3
Seasonique	Added as Tier 3
Seroquel XR	Added as Tier 3
Sprycel	Added as Tier 3, PA required
Tekturna	Added as Tier 3, PA required
Tetanus toxoid	Added as Tier 3
Trisenox	Added as Tier 3, PA required
Tykerb	Added as Tier 3, PA required
Tyzeka	Added as Tier 3, PA required
Velcade	Added as Tier 3, PA required
Venoglobul	Added as Tier 3, PA required
Yaz	Added as Tier 3
Zolinza	Added as Tier 3, PA required

changes

Eth-oxydose conc	PA removed
Accuneb	Tier change
Accupril	QLL increased
Aclovate	Tier change
Acthib	PA removed
Actonel with calcium	QLL added
Actoplus met	QLL increased
Agrylin	Tier change
Ambien	QLL increased
Anexsia	PA removed
Aralast	PA added
Arava	Tier change
Axert	QLL increased
Cardura	QLL increased
Ciloxan	Tier change
Colestid	Tier change
Comvax	PA removed
Dantrium	Tier change
Daptacel	PA removed
Ddavp	Tier change
Depo-testosterone	Tier change
Didronel	Tier change
Diflucan 50, 100, 200 mg tabs	PA removed & QLL added
Dostinex	QLL increased
Faslodex soln	Tier change
Flonase	Tier change
Grifulvin V susp	Tier change
Humalog (vial)	Tier change
Ipol	PA removed
Kytril	QLL removed
Lamictal chew	Tier change
Levemir	PA removed
Lidoderm	QLL increased
Lithobid	Tier change
Lofibra	Tier change
Lorcet plus	PA removed
Lotronex	Tier change
Malarone 62.5 mg;25 mg tabs	Tier change
Marinol	QLL removed
Methergine	Tier change
Metrogel vaginal	Tier change
Metrolotion	Tier change
Miacalcin	Tier change
M-m-r II	PA removed
Naprelan	PA removed
Neupogen	PA added
Nilandron	PA removed
Nitrostat	Tier change
Norpace	Tier change
Norpace CR	Tier change
Oxyfast conc	PA removed
Pamine	PA removed
Parnate	Tier change
Prandin	QLL increased
Premarin cream	Tier change
Proscar	Tier change
Prozac 40 mg caps	PA added
Recombivax HB	PA removed
Retrovir	Tier change
Roferon-A	PA removed
Rythmol SR	Tier change
Salagen	Tier change
Sandostatin	Tier change
Sonata	QLL increased
Surmontil	Tier change
Transderm-Scop	QLL increased
Tripedia	PA removed
Twinrix	PA removed
Urocit-K	Tier change
Vaqta	PA removed
Varivax	PA removed
Verelan PM	PA removed
Wellbutrin XL	Tier change
Zavesca	PA removed
Zithromax	Tier change
Zofran	QLL removed

tips for medicare coding

Did you know that diagnosis codes not only impact our corporate and industry reporting, but also our reimbursement from the Centers for Medicare & Medicaid?

As a an organization that offers Medicare Advantage plans, Fallon Community Health Plan is required to submit diagnostic information to CMS on a regular basis. These submissions are based on claims data and identify ICD-9 codes present for a specific provider on any date of service. About 20% of all available ICD-9 codes are translated into a severity-adjusted level of reimbursement based on values associated with Hierarchical Condition Categories, or HCCs.

CMS has mapped in excess of 3,200 diagnosis codes to 70 categories of clinically similar diagnoses for the basis of payment within the Risk Adjustment Rating Methodology. HCC captures the severity of illness, are additive and need to be documented and coded at least once each calendar year per CMS guidelines.

improvements for better reimbursement
The Risk Adjustment Rating Methodology employed by CMS has presented several opportunities for FCHP and our partners to identify areas for quality coding improvements with the potential for increased reimbursement. This process is very detailed, and not only requires implementation of accurate coding and charting practices but also complete and detailed claims submission practices.

The risk adjustment process can be broken down into three components:

The first step in the physician-data process is appropriate medical record documentation. This includes the recording of conditions and diseases; updating a problem list, if used; and recording of the patient’s name on each page of the medical record. Physicians should sign and date each entry in the medical record. Remember to include all active diagnosis codes.

Documentation of the medical record is both the responsibility of the clinical and non-clinical staff. Physician participation in the coding and billing process is essential. Practices may even employ physician reviewers or, at the very least, establish regular meetings with the coding and billing staff to share issues in documentation. Even if a third-party billing service is used, the responsibility for accuracy and quality of the medical record lies with the physician.
The second step is ICD-9-CM coding based on medical record documentation.
The third step is the physician reporting the ICD-9-CM diagnostic data to FCHP, using the CMS 1500 or UB92 claim form.

If you have any questions regarding the Risk Adjustment Payment Methodology, please contact your Provider Relations Representative at 1-866-ASK-FCHP, option #4. FCHP representatives from our Medicare Reimbursement & Analytics Department are available to conduct practice and group presentations as appropriate.

tips for bilateral services and modifier -50

One of the most frequently asked billing questions we receive is how to bill for bilateral services. In this article, we’ll address the correct use of modifier -50.

Bilateral services are services performed on both sides of the body during (a) the same operative session or (b) on the same day. The modifier -50 is not applicable to services that are bilateral by definition or the CPT code description states “bilateral’ or “unilateral.”

CPT defines modifier -50: “Bilateral Procedure—Unless otherwise identified in the listing, bilateral procedures that are performed at the same operative session should be identified by adding the -50 modifier to the appropriate five-digit code.”

When reporting bilateral diagnostic and surgical services, use modifier -50. Bilateral diagnostic and surgical services are billed on one claim line with modifier -50 and the units billed should be one. Don’t use the -50 modifier to report services already identified as bilateral by definition.

When reporting bilateral radiological services, use the -RT and -LT modifiers. Radiological services are billed on two claim lines with the -RT and -LT modifier and one unit on each line. Don’t use the -RT and -LT modifier to report services already identified as bilateral by definition.

Reimbursement for bilateral services is determined by the Medicare Physician Fee Schedule Database.

bilateral indicator	definition	fchp instructions
0	150% payment adjustment for bilateral procedures does not apply. If the procedure is reported with modifier -50 or with -RT and -LT, the payment is based for the two sides, or the lower of the actual charges for both sides, or 100% of the fee schedule amount for a single code.	Do not submit these codes with modifier -50.
1	150% payment adjustment for bilateral procedures applies. If the code is billed with the bilateral modifier -50, the payment is based on the lower of the total charges for both sides or 150% of the fee schedule for a single code.	Submit the procedure code on a single claim line with modifier -50 with “1” unit. See Table A below for a list of codes.
2	150% payment adjustment does not apply. Relative Value Units (RVUs) are already based on the procedure being preformed as a bilateral procedure. If the procedure is reported with a modifier -50, or twice on the same day by any other means, the payment is based on both sides of the total actual charge by the physician for both sides or 100% of the fee schedule for a single code.	Do not submit these codes with modifier -50. Submit the procedure code on a single claim line with “1” unit. See Table B below for a list of codes.
3	The usual payment adjustment for bilateral procedures does not apply. If the procedure is reported with modifier -50 or is reported for both sides on the same day, payment is based on each side or organ or site of a paired organ on the lower of the actual charge for each side, or 100% of the fee schedule amount for each side. Services in this category are generally radiology or other diagnostic tests that are not subject to the special payment rules for other bilateral surgeries.	Submit radiology procedure code on two claim lines with the -RT and -LT modifiers with “1” unit on each claim line. See Table C below for a list of codes.
9	Bilateral concept does not apply.	Do not submit these codes with modifier -50.

Table A – 150% payment adjustment for bilateral procedures applies.

Table B – 150% payment adjustment does not apply. RVU’s are already based on the procedure being performed as a bilateral procedure.

Table C - The usual payment adjustment for bilateral procedures does not apply. Pay 100% of the fee schedule amount for each side or unit.

Table A – 150% payment adjustment for bilateral procedures applies

Code	Modifier	Description
0016T		Thermotx choroid vasc lesion
0017T		Photocoagulat macular drusen
15820		Revision of lower eyelid
15821		Revision of lower eyelid
15822		Revision of upper eyelid
15823		Revision of upper eyelid
15824		Removal of forehead wrinkles
15825		Removal of neck wrinkles
15826		Removal of brow wrinkles
15828		Removal of face wrinkles
15829		Removal of skin wrinkles
19020		Incision of breast lesion
19030		Injection for breast x-ray
19100		Bx breast percut w/o image
19101		Biopsy of breast, open
19102		Bx breast percut w/image
19103		Bx breast percut w/device
19105		Cryosurg ablate fa, each
19110		Nipple exploration
19112		Excise breast duct fistula
19120		Removal of breast lesion
19125		Excision, breast lesion
19290		Place needle wire, breast
19296		Place po breast cath for rad
19298		Place breast rad tube/caths
19300		Removal of breast tissue
19301		Partical mastectomy
19302		P-mastectomy w/ln removal
19303		Mast, simple, complete
19304		Mast, subq
19305		Mast, radical
19306		Mast, rad, urban type
19307		Mast, mod rad
19316		Suspension of breast
19318		Reduction of large breast
19324		Enlarge breast
19325		Enlarge breast with implant
19328		Removal of breast implant
19330		Removal of implant material
19340		Immediate breast prosthesis
19342		Delayed breast prosthesis
19350		Breast reconstruction
19355		Correct inverted nipple(s)
19357		Breast reconstruction
19361		Breast reconstr w/lat flap
19364		Breast reconstruction
19366		Breast reconstruction
19367		Breast reconstruction
19368		Breast reconstruction
19369		Breast reconstruction
19370		Surgery of breast capsule
19371		Removal of breast capsule
19380		Revise breast reconstruction
19396		Design custom breast implant
19499		Breast surgery procedure
20100		Explore wound, neck
20150		Excise epiphyseal bar
20526		Ther injection, carp tunnel
20600		Drain/inject, joint/bursa
20605		Drain/inject, joint/bursa
20610		Drain/inject, joint/bursa
20802		Replantation, arm, complete
20805		Replant forearm, complete
20808		Replantation hand, complete
20824		Replantation thumb, complete
20827		Replantation thumb, complete
20838		Replantation foot, complete
20982		Ablate, bone tumor(s) perq
21010		Incision of jaw joint
21050		Removal of jaw joint
21060		Remove jaw joint cartilage
21070		Remove coronoid process
21077		Prepare face/oral prosthesis
21086		Prepare face/oral prosthesis
21240		Reconstruction of jaw joint
21242		Reconstruction of jaw joint
21243		Reconstruction of jaw joint
21280		Revision of eyelid
21282		Revision of eyelid
21480		Reset dislocated jaw
21485		Reset dislocated jaw
21490		Repair dislocated jaw
21615		Removal of rib
21616		Removal of rib and nerves
23020		Release shoulder joint
23031		Drain shoulder bursa
23035		Drain shoulder bone lesion
23040		Exploratory shoulder surgery
23044		Exploratory shoulder surgery
23065		Biopsy shoulder tissues
23066		Biopsy shoulder tissues
23075		Removal of shoulder lesion
23076		Removal of shoulder lesion
23077		Remove tumor of shoulder
23100		Biopsy of shoulder joint
23101		Shoulder joint surgery
23105		Remove shoulder joint lining
23106		Incision of collarbone joint
23107		Explore treat shoulder joint
23125		Removal of collar bone
23130		Remove shoulder bone, part
23140		Removal of bone lesion
23145		Removal of bone lesion
23146		Removal of bone lesion
23150		Removal of humerus lesion
23155		Removal of humerus lesion
23156		Removal of humerus lesion
23170		Remove collar bone lesion
23172		Remove shoulder blade lesion
23174		Remove humerus lesion
23180		Remove collar bone lesion
23182		Remove shoulder blade lesion
23184		Remove humerus lesion
23190		Partial removal of scapula
23195		Removal of head of humerus
23200		Removal of collar bone
23210		Removal of shoulder blade
23220		Partial removal of humerus
23221		Partial removal of humerus
23222		Partial removal of humerus
23330		Remove shoulder foreign body
23331		Remove shoulder foreign body
23332		Remove shoulder foreign body
23350		Injection for shoulder x-ray
23400		Fixation of shoulder blade
23410		Repair rotator cuff, acute
23412		Repair rotator cuff, chronic
23415		Release of shoulder ligament
23420		Repair of shoulder
23430		Repair biceps tendon
23440		Remove/transplant tendon
23450		Repair shoulder capsule
23455		Repair shoulder capsule
23460		Repair shoulder capsule
23462		Repair shoulder capsule
23465		Repair shoulder capsule
23466		Repair shoulder capsule
23470		Reconstruct shoulder joint
23472		Reconstruct shoulder joint
23480		Revision of collar bone
23485		Revision of collar bone
23490		Reinforce clavicle
23491		Reinforce shoulder bones
23500		Treat clavicle fracture
23505		Treat clavicle fracture
23515		Treat clavicle fracture
23520		Treat clavicle dislocation

23525		Treat clavicle dislocation
23530		Treat clavicle dislocation
23532		Treat clavicle dislocation
23540		Treat clavicle dislocation
23545		Treat clavicle dislocation
23550		Treat clavicle dislocation
23552		Treat clavicle dislocation
23570		Treat shoulder blade fx
23575		Treat shoulder blade fx
23585		Treat scapula fracture
23600		Treat humerus fracture
23605		Treat humerus fracture
23615		Treat humerus fracture
23616		Treat humerus fracture
23620		Treat humerus fracture
23625		Treat humerus fracture
23630		Treat humerus fracture
23650		Treat shoulder dislocation
23655		Treat shoulder dislocation
23660		Treat shoulder dislocation
23665		Treat dislocation/fracture
23670		Treat dislocation/fracture
23675		Treat dislocation/fracture
23680		Treat dislocation/fracture
23800		Fusion of shoulder joint
23930		Drainage of arm lesion
23931		Drainage of arm bursa
23935		Drain arm/elbow bone lesion
24000		Exploratory elbow surgery
24006		Release elbow joint
24065		Biopsy arm/elbow soft tissue
24066		Biopsy arm/elbow soft tissue
24075		Remove arm/elbow lesion
24076		Remove arm/elbow lesion
24077		Remove tumor of arm/elbow
24100		Biopsy elbow joint lining
24101		Explore/treat elbow joint
24102		Remove elbow joint lining
24105		Removal of elbow bursa
24110		Remove humerus lesion
24115		Remove/graft bone lesion
24116		Remove/graft bone lesion
24120		Remove elbow lesion
24125		Remove/graft bone lesion
24126		Remove/graft bone lesion
24130		Removal of head of radius
24134		Removal of arm bone lesion
24136		Remove radius bone lesion
24138		Remove elbow bone lesion
24140		Partial removal of arm bone
24145		Partial removal of radius
24147		Partial removal of elbow
24149		Radical resection of elbow
24150		Extensive humerus surgery
24151		Extensive humerus surgery
24152		Extensive radius surgery
24153		Extensive radius surgery
24155		Removal of elbow joint
24160		Remove elbow joint implant
24164		Remove radius head implant
24200		Removal of arm foreign body
24201		Removal of arm foreign body
24220		Injection for elbow x-ray
24300		Manipulate elbow w/anesth
24330		Revision of arm muscles
24331		Revision of arm muscles
24332		Tenolysis, triceps
24340		Repair of biceps tendon
24341		Repair arm tendon/muscle
24342		Repair of ruptured tendon
24343		Repr elbow lat ligmnt w/tiss
24344		Reconstruct elbow lat ligmnt
24345		Repr elbw med ligmnt w/tissu
24346		Reconstruct elbow med ligmnt
24350		Repair of tennis elbow
24351		Repair of tennis elbow
24352		Repair of tennis elbow
24354		Repair of tennis elbow
24356		Revision of tennis elbow
24360		Reconstruct elbow joint
24361		Reconstruct elbow joint
24362		Reconstruct elbow joint
24363		Replace elbow joint
24365		Reconstruct head of radius
24366		Reconstruct head of radius
24400		Revision of humerus
24410		Revision of humerus
24420		Revision of humerus
24430		Repair of humerus
24435		Repair humerus with graft
24470		Revision of elbow joint
24495		Decompression of forearm
24498		Reinforce humerus
24500		Treat humerus fracture
24505		Treat humerus fracture
24515		Treat humerus fracture
24516		Treat humerus fracture
24530		Treat humerus fracture
24535		Treat humerus fracture
24538		Treat humerus fracture
24545		Treat humerus fracture
24546		Treat humerus fracture
24560		Treat humerus fracture
24565		Treat humerus fracture
24566		Treat humerus fracture
24575		Treat humerus fracture
24576		Treat humerus fracture
24577		Treat humerus fracture
24579		Treat humerus fracture
24582		Treat humerus fracture
24586		Treat elbow fracture
24587		Treat elbow fracture
24600		Treat elbow dislocation
24605		Treat elbow dislocation
24615		Treat elbow dislocation
24620		Treat elbow fracture
24635		Treat elbow fracture
24640		Treat elbow dislocation
24650		Treat radius fracture
24655		Treat radius fracture
24665		Treat radius fracture
24666		Treat radius fracture
24670		Treat ulnar fracture
24675		Treat ulnar fracture
24685		Treat ulnar fracture
24800		Fusion of elbow joint
24802		Fusion/graft of elbow joint
24900		Amputation of upper arm
24920		Amputation of upper arm
24925		Amputation follow-up surgery
24930		Amputation follow-up surgery
24931		Amputate upper arm & implant
24935		Revision of amputation
24940		Revision of upper arm
24999		Upper arm/elbow surgery
25000		Incision of tendon sheath
25001		Incise flexor carpi radialis
25020		Decompress forearm 1 space
25023		Decompress forearm 1 space
25024		Decompress forearm 2 spaces
25025		Decompress forearm 2 spaces
25028		Drainage of forearm lesion
25031		Drainage of forearm bursa
25035		Treat forearm bone lesion
25040		Explore/treat wrist joint
25065		Biopsy forearm soft tissues
25066		Biopsy forearm soft tissues
25075		Removal forearm lesion subcu
25076		Removal forearm lesion deep
25077		Remove tumor, forearm/wrist

25085		Incision of wrist capsule
25100		Biopsy of wrist joint
25101		Explore/treat wrist joint
25105		Remove wrist joint lining
25107		Remove wrist joint cartilage
25109		Excise tendon forearm/wrist
25110		Remove wrist tendon lesion
25111		Remove wrist tendon lesion
25112		Reremove wrist tendon lesion
25115		Remove wrist/forearm lesion
25116		Remove wrist/forearm lesion
25118		Excise wrist tendon sheath
25119		Partial removal of ulna
25120		Removal of forearm lesion
25125		Remove/graft forearm lesion
25126		Remove/graft forearm lesion
25130		Removal of wrist lesion
25135		Remove & graft wrist lesion
25136		Remove & graft wrist lesion
25145		Remove forearm bone lesion
25150		Partial removal of ulna
25151		Partial removal of radius
25170		Extensive forearm surgery
25230		Partial removal of radius
25240		Partial removal of ulna
25246		Injection for wrist x-ray
25248		Remove forearm foreign body
25250		Removal of wrist prosthesis
25259		Manipulate wrist w/anesthes
25275		Repair forearm tendon sheath
25300		Fusion of tendons at wrist
25301		Fusion of tendons at wrist
25315		Revise palsy hand tendon(s)
25316		Revise palsy hand tendon(s)
25320		Repair/revise wrist joint
25332		Revise wrist joint
25335		Realignment of hand
25337		Reconstruct ulna/radioulnar
25350		Revision of radius
25355		Revision of radius
25360		Revision of ulna
25365		Revise radius & ulna
25370		Revise radius or ulna
25375		Revise radius & ulna
25390		Shorten radius or ulna
25391		Lengthen radius or ulna
25392		Shorten radius & ulna
25393		Lengthen radius & ulna
25394		Repair carpal bone, shorten
25400		Repair radius or ulna
25405		Repair/graft radius or ulna
25415		Repair radius & ulna
25420		Repair/graft radius & ulna
25425		Repair/graft radius or ulna
25426		Repair/graft radius & ulna
25430		Vasc graft into carpal bone
25431		Repair nonunion carpal bone
25440		Repair/graft wrist bone
25441		Reconstruct wrist joint
25442		Reconstruct wrist joint
25443		Reconstruct wrist joint
25444		Reconstruct wrist joint
25445		Reconstruct wrist joint
25446		Wrist replacement
25447		Repair wrist joint(s)
25449		Remove wrist joint implant
25450		Revision of wrist joint
25455		Revision of wrist joint
25490		Reinforce radius
25491		Reinforce ulna
25492		Reinforce radius and ulna
25500		Treat fracture of radius
25505		Treat fracture of radius
25515		Treat fracture of radius
25520		Treat fracture of radius
25525		Treat fracture of radius
25526		Treat fracture of radius
25530		Treat fracture of ulna
25535		Treat fracture of ulna
25545		Treat fracture of ulna
25560		Treat fracture radius & ulna
25565		Treat fracture radius & ulna
25574		Treat fracture radius & ulna
25575		Treat fracture radius/ulna
25600		Treat fracture radius/ulna
25605		Treat fracture radius/ulna
25606		Treat fx distal radial
25607		Treat fx rad extra-articul
25608		Treat fx rad intra-articul
25609		Treat fx radial 3+ frag
25622		Treat wrist bone fracture
25624		Treat wrist bone fracture
25628		Treat wrist bone fracture
25630		Treat wrist bone fracture
25635		Treat wrist bone fracture
25645		Treat wrist bone fracture
25650		Treat wrist bone fracture
25651		Pin ulnar styloid fracture
25652		Treat fracture ulnar styloid
25660		Treat wrist dislocation
25670		Treat wrist dislocation
25671		Pin radioulnar dislocation
25675		Treat wrist dislocation
25676		Treat wrist dislocation
25680		Treat wrist fracture
25685		Treat wrist fracture
25690		Treat wrist dislocation
25695		Treat wrist dislocation
25800		Fusion of wrist joint
25805		Fusion/graft of wrist joint
25810		Fusion/graft of wrist joint
25820		Fusion of hand bones
25825		Fuse hand bones with graft
25830		Fusion, radioulnar jnt/ulna
25900		Amputation of forearm
25905		Amputation of forearm
25907		Amputation follow-up surgery
25909		Amputation follow-up surgery
25915		Amputation of forearm
25920		Amputate hand at wrist
25922		Amputate hand at wrist
25924		Amputation follow-up surgery
25927		Amputation of hand
25929		Amputation follow-up surgery
25931		Amputation follow-up surgery
25999		Forearm or wrist surgery
26040		Release palm contracture
26045		Release palm contracture
26070		Explore/treat hand joint
26075		Explore/treat finger joint
26100		Biopsy hand joint lining
26105		Biopsy finger joint lining
26121		Release palm contracture
26123		Release palm contracture
26130		Remove wrist joint lining
26185		Remove finger bone
26340		Manipulate finger w/anesth
26546		Repair nonunion hand
27000		Incision of hip tendon
27001		Incision of hip tendon
27003		Incision of hip tendon
27005		Incision of hip tendon
27006		Incision of hip tendons
27025		Incision of hip/thigh fascia
27030		Drainage of hip joint
27033		Exploration of hip joint
27035		Denervation of hip joint
27036		Excision of hip joint/muscle
27040		Biopsy of soft tissues
27041		Biopsy of soft tissues

27047		Remove hip/pelvis lesion
27048		Remove hip/pelvis lesion
27049		Remove tumor, hip/pelvis
27050		Biopsy of sacroiliac joint
27052		Biopsy of hip joint
27054		Removal of hip joint lining
27060		Removal of ischial bursa
27062		Remove femur lesion/bursa
27065		Removal of hip bone lesion
27066		Removal of hip bone lesion
27067		Remove/graft hip bone lesion
27070		Partial removal of hip bone
27071		Partial removal of hip bone
27086		Remove hip foreign body
27087		Remove hip foreign body
27090		Removal of hip prosthesis
27091		Removal of hip prosthesis
27093		Injection for hip x-ray
27095		Injection for hip x-ray
27096		Inject sacroiliac joint
27097		Revision of hip tendon
27098		Transfer tendon to pelvis
27100		Transfer of abdominal muscle
27105		Transfer of spinal muscle
27110		Transfer of iliopsoas muscle
27111		Transfer of iliopsoas muscle
27120		Reconstruction of hip socket
27122		Reconstruction of hip socket
27125		Partial hip replacement
27130		Total hip arthroplasty
27132		Total hip arthroplasty
27134		Revise hip joint replacement
27137		Revise hip joint replacement
27138		Revise hip joint replacement
27140		Transplant femur ridge
27146		Incision of hip bone
27147		Revision of hip bone
27151		Incision of hip bones
27156		Revision of hip bones
27161		Incision of neck of femur
27165		Incision/fixation of femur
27170		Repair/graft femur head/neck
27175		Treat slipped epiphysis
27176		Treat slipped epiphysis
27177		Treat slipped epiphysis
27178		Treat slipped epiphysis
27179		Revise head/neck of femur
27181		Treat slipped epiphysis
27185		Revision of femur epiphysis
27187		Reinforce hip bones
27193		Treat pelvic ring fracture
27220		Treat hip socket fracture
27222		Treat hip socket fracture
27226		Treat hip wall fracture
27227		Treat hip fracture(s)
27228		Treat hip fracture(s)
27230		Treat thigh fracture
27232		Treat thigh fracture
27235		Treat thigh fracture
27236		Treat thigh fracture
27238		Treat thigh fracture
27240		Treat thigh fracture
27244		Treat thigh fracture
27245		Treat thigh fracture
27246		Treat thigh fracture
27248		Treat thigh fracture
27250		Treat hip dislocation
27252		Treat hip dislocation
27253		Treat hip dislocation
27254		Treat hip dislocation
27256		Treat hip dislocation
27257		Treat hip dislocation
27258		Treat hip dislocation
27259		Treat hip dislocation
27265		Treat hip dislocation
27266		Treat hip dislocation
27280		Fusion of sacroiliac joint
27284		Fusion of hip joint
27286		Fusion of hip joint
27299		Pelvis/hip joint surgery
27301		Drain thigh/knee lesion
27303		Drainage of bone lesion
27305		Incise thigh tendon & fascia
27306		Incision of thigh tendon
27307		Incision of thigh tendons
27310		Exploration of knee joint
27323		Biopsy, thigh soft tissues
27324		Biopsy, thigh soft tissues
27325		Neurectomy, hamstring
27326		Neurectomy, popliteal
27327		Removal of thigh lesion
27328		Removal of thigh lesion
27329		Remove tumor, thigh/knee
27330		Biopsy, knee joint lining
27331		Explore/treat knee joint
27332		Removal of knee cartilage
27333		Removal of knee cartilage
27334		Remove knee joint lining
27335		Remove knee joint lining
27340		Removal of kneecap bursa
27345		Removal of knee cyst
27347		Remove knee cyst
27350		Removal of kneecap
27355		Remove femur lesion
27356		Remove femur lesion/graft
27357		Remove femur lesion/graft
27360		Partial removal, leg bone(s)
27365		Extensive leg surgery
27370		Injection for knee x-ray
27372		Removal of foreign body
27380		Repair of kneecap tendon
27381		Repair/graft kneecap tendon
27385		Repair of thigh muscle
27386		Repair/graft of thigh muscle
27400		Revise thigh muscles/tendons
27403		Repair of knee cartilage
27405		Repair of knee ligament
27407		Repair of knee ligament
27409		Repair of knee ligaments
27412		Autochondrocyte implant knee
27415		Osteochondral knee allograft
27418		Repair degenerated kneecap
27420		Revision of unstable kneecap
27422		Revision of unstable kneecap
27424		Revision/removal of kneecap
27425		Lat retinacular release open
27427		Reconstruction, knee
27428		Reconstruction, knee
27429		Reconstruction, knee
27430		Revision of thigh muscles
27435		Incision of knee joint
27437		Revise kneecap
27438		Revise kneecap with implant
27440		Revision of knee joint
27441		Revision of knee joint
27442		Revision of knee joint
27443		Revision of knee joint
27445		Revision of knee joint
27446		Revision of knee joint
27447		Total knee arthroplasty
27448		Incision of thigh
27450		Incision of thigh
27454		Realignment of thigh bone
27455		Realignment of knee
27457		Realignment of knee
27465		Shortening of thigh bone
27466		Lengthening of thigh bone
27468		Shorten/lengthen thighs
27470		Repair of thigh
27472		Repair/graft of thigh

27475		Surgery to stop leg growth
27477		Surgery to stop leg growth
27479		Surgery to stop leg growth
27485		Surgery to stop leg growth
27486		Revise/replace knee joint
27487		Revise/replace knee joint
27488		Removal of knee prosthesis
27495		Reinforce thigh
27496		Decompression of thigh/knee
27497		Decompression of thigh/knee
27498		Decompression of thigh/knee
27499		Decompression of thigh/knee
27500		Treatment of thigh fracture
27501		Treatment of thigh fracture
27502		Treatment of thigh fracture
27503		Treatment of thigh fracture
27506		Treatment of thigh fracture
27507		Treatment of thigh fracture
27508		Treatment of thigh fracture
27509		Treatment of thigh fracture
27510		Treatment of thigh fracture
27511		Treatment of thigh fracture
27513		Treatment of thigh fracture
27514		Treatment of thigh fracture
27516		Treat thigh fx growth plate
27517		Treat thigh fx growth plate
27519		Treat thigh fx growth plate
27520		Treat kneecap fracture
27524		Treat kneecap fracture
27530		Treat knee fracture
27532		Treat knee fracture
27535		Treat knee fracture
27536		Treat knee fracture
27538		Treat knee fracture(s)
27540		Treat knee fracture
27550		Treat knee dislocation
27552		Treat knee dislocation
27556		Treat knee dislocation
27557		Treat knee dislocation
27558		Treat knee dislocation
27560		Treat kneecap dislocation
27562		Treat kneecap dislocation
27566		Treat kneecap dislocation
27580		Fusion of knee
27590		Amputate leg at thigh
27591		Amputate leg at thigh
27592		Amputate leg at thigh
27594		Amputation follow-up surgery
27596		Amputation follow-up surgery
27598		Amputate lower leg at knee
27599		Leg surgery procedure
27600		Decompression of lower leg
27601		Decompression of lower leg
27602		Decompression of lower leg
27603		Drain lower leg lesion
27604		Drain lower leg bursa
27605		Incision of achilles tendon
27606		Incision of achilles tendon
27607		Treat lower leg bone lesion
27610		Explore/treat ankle joint
27612		Exploration of ankle joint
27613		Biopsy lower leg soft tissue
27614		Biopsy lower leg soft tissue
27615		Remove tumor, lower leg
27618		Remove lower leg lesion
27619		Remove lower leg lesion
27620		Explore/treat ankle joint
27625		Remove ankle joint lining
27626		Remove ankle joint lining
27630		Removal of tendon lesion
27635		Remove lower leg bone lesion
27637		Remove/graft leg bone lesion
27638		Remove/graft leg bone lesion
27640		Partial removal of tibia
27641		Partial removal of fibula
27645		Extensive lower leg surgery
27646		Extensive lower leg surgery
27647		Extensive ankle/heel surgery
27648		Injection for ankle x-ray
27650		Repair achilles tendon
27652		Repair/graft achilles tendon
27654		Repair of achilles tendon
27656		Repair leg fascia defect
27675		Repair lower leg tendons
27676		Repair lower leg tendons
27687		Revision of calf tendon
27690		Revise lower leg tendon
27691		Revise lower leg tendon
27695		Repair of ankle ligament
27696		Repair of ankle ligaments
27698		Repair of ankle ligament
27700		Revision of ankle joint
27702		Reconstruct ankle joint
27703		Reconstruction, ankle joint
27704		Removal of ankle implant
27705		Incision of tibia
27707		Incision of fibula
27709		Incision of tibia & fibula
27712		Realignment of lower leg
27715		Revision of lower leg
27720		Repair of tibia
27722		Repair/graft of tibia
27724		Repair/graft of tibia
27725		Repair of lower leg
27727		Repair of lower leg
27730		Repair of tibia epiphysis
27732		Repair of fibula epiphysis
27734		Repair lower leg epiphyses
27740		Repair of leg epiphyses
27742		Repair of leg epiphyses
27745		Reinforce tibia
27750		Treatment of tibia fracture
27752		Treatment of tibia fracture
27756		Treatment of tibia fracture
27758		Treatment of tibia fracture
27759		Treatment of tibia fracture
27760		Treatment of ankle fracture
27762		Treatment of ankle fracture
27766		Treatment of ankle fracture
27780		Treatment of fibula fracture
27781		Treatment of fibula fracture
27784		Treatment of fibula fracture
27786		Treatment of ankle fracture
27788		Treatment of ankle fracture
27792		Treatment of ankle fracture
27808		Treatment of ankle fracture
27810		Treatment of ankle fracture
27814		Treatment of ankle fracture
27816		Treatment of ankle fracture
27818		Treatment of ankle fracture
27822		Treatment of ankle fracture
27823		Treatment of ankle fracture
27824		Treat lower leg fracture
27825		Treat lower leg fracture
27826		Treat lower leg fracture
27827		Treat lower leg fracture
27828		Treat lower leg fracture
27829		Treat lower leg joint
27830		Treat lower leg dislocation
27831		Treat lower leg dislocation
27832		Treat lower leg dislocation
27840		Treat ankle dislocation
27842		Treat ankle dislocation
27846		Treat ankle dislocation
27848		Treat ankle dislocation
27870		Fusion of ankle joint, open
27871		Fusion of tibiofibular joint
27880		Amputation of lower leg
27881		Amputation of lower leg
27882		Amputation of lower leg

27884		Amputation follow-up surgery
27886		Amputation follow-up surgery
27888		Amputation of foot at ankle
27889		Amputation of foot at ankle
27892		Decompression of leg
27893		Decompression of leg
27894		Decompression of leg
27899		Leg/ankle surgery procedure
28008		Incision of foot fascia
28043		Excision of foot lesion
28045		Excision of foot lesion
28046		Resection of tumor, foot
28050		Biopsy of foot joint lining
28052		Biopsy of foot joint lining
28054		Biopsy of toe joint lining
28060		Partial removal, foot fascia
28086		Excise foot tendon sheath
28088		Excise foot tendon sheath
28090		Removal of foot lesion
28100		Removal of ankle/heel lesion
28102		Remove/graft foot lesion
28103		Remove/graft foot lesion
28110		Part removal of metatarsal
28111		Part removal of metatarsal
28112		Part removal of metatarsal
28113		Part removal of metatarsal
28114		Removal of metatarsal heads
28116		Revision of foot
28118		Removal of heel bone
28119		Removal of heel spur
28120		Part removal of ankle/heel
28122		Partial removal of foot bone
28124		Partial removal of toe
28130		Removal of ankle bone
28190		Removal of foot foreign body
28192		Removal of foot foreign body
28193		Removal of foot foreign body
28238		Revision of foot tendon
28240		Release of big toe
28250		Revision of foot fascia
28260		Release of midfoot joint
28261		Revision of foot tendon
28262		Revision of foot and ankle
28264		Release of midfoot joint
28270		Release of foot contracture
28272		Release of toe joint, each
28280		Fusion of toes
28285		Repair of hammertoe
28289		Repair hallux rigidus
28290		Correction of bunion
28292		Correction of bunion
28293		Correction of bunion
28294		Correction of bunion
28296		Correction of bunion
28297		Correction of bunion
28298		Correction of bunion
28299		Correction of bunion
28300		Incision of heel bone
28302		Incision of ankle bone
28304		Incision of midfoot bones
28305		Incise/graft midfoot bones
28306		Incision of metatarsal
28307		Incision of metatarsal
28308		Incision of metatarsal
28309		Incision of metatarsals
28315		Removal of sesamoid bone
28400		Treatment of heel fracture
28405		Treatment of heel fracture
28406		Treatment of heel fracture
28415		Treat heel fracture
28420		Treat/graft heel fracture
28430		Treatment of ankle fracture
28435		Treatment of ankle fracture
28436		Treatment of ankle fracture
28445		Treat ankle fracture
28750		Fusion of big toe joint
28755		Fusion of big toe joint
28760		Fusion of big toe joint
28800		Amputation of midfoot
28805		Amputation thru metatarsal
28890		High energy eswt, plantar f
29065		Application of long arm cast
29075		Application of forearm cast
29085		Apply hand/wrist cast
29086		Apply finger cast
29105		Apply long arm splint
29125		Apply forearm splint
29126		Apply forearm splint
29130		Application of finger splint
29131		Application of finger splint
29260		Strapping of elbow or wrist
29280		Strapping of hand or finger
29345		Application of long leg cast
29355		Application of long leg cast
29358		Apply long leg cast brace
29365		Application of long leg cast
29405		Apply short leg cast
29425		Apply short leg cast
29435		Apply short leg cast
29440		Addition of walker to cast
29445		Apply rigid leg cast
29450		Application of leg cast
29505		Application, long leg splint
29515		Application lower leg splint
29580		Application of paste boot
29705		Removal/revision of cast
29710		Removal/revision of cast
29750		Wedging of clubfoot cast
29800		Jaw arthroscopy/surgery
29804		Jaw arthroscopy/surgery
29805		Shoulder arthroscopy, dx
29806		Shoulder arthroscopy/surgery
29807		Shoulder arthroscopy/surgery
29819		Shoulder arthroscopy/surgery
29820		Shoulder arthroscopy/surgery
29821		Shoulder arthroscopy/surgery
29822		Shoulder arthroscopy/surgery
29823		Shoulder arthroscopy/surgery
29824		Shoulder arthroscopy/surgery
29825		Shoulder arthroscopy/surgery
29826		Shoulder arthroscopy/surgery
29827		Arthroscop rotator cuff repr
29830		Elbow arthroscopy
29834		Elbow arthroscopy/surgery
29835		Elbow arthroscopy/surgery
29836		Elbow arthroscopy/surgery
29837		Elbow arthroscopy/surgery
29838		Elbow arthroscopy/surgery
29840		Wrist arthroscopy
29843		Wrist arthroscopy/surgery
29844		Wrist arthroscopy/surgery
29845		Wrist arthroscopy/surgery
29846		Wrist arthroscopy/surgery
29847		Wrist arthroscopy/surgery
29848		Wrist endoscopy/surgery
29850		Knee arthroscopy/surgery
29851		Knee arthroscopy/surgery
29855		Tibial arthroscopy/surgery
29856		Tibial arthroscopy/surgery
29860		Hip arthroscopy, dx
29861		Hip arthroscopy/surgery
29862		Hip arthroscopy/surgery
29863		Hip arthroscopy/surgery
29866		Autgrft implnt, knee w/scope
29867		Allgrft implnt, knee w/scope
29868		Meniscal trnspl, knee w/scpe
29870		Knee arthroscopy, dx
29871		Knee arthroscopy/drainage
29873		Knee arthroscopy/surgery
29874		Knee arthroscopy/surgery

29875		Knee arthroscopy/surgery
29876		Knee arthroscopy/surgery
29877		Knee arthroscopy/surgery
29879		Knee arthroscopy/surgery
29880		Knee arthroscopy/surgery
29881		Knee arthroscopy/surgery
29882		Knee arthroscopy/surgery
29883		Knee arthroscopy/surgery
29884		Knee arthroscopy/surgery
29885		Knee arthroscopy/surgery
29886		Knee arthroscopy/surgery
29887		Knee arthroscopy/surgery
29888		Knee arthroscopy/surgery
29889		Knee arthroscopy/surgery
29891		Ankle arthroscopy/surgery
29892		Ankle arthroscopy/surgery
29893		Scope, plantar fasciotomy
29894		Ankle arthroscopy/surgery
29895		Ankle arthroscopy/surgery
29897		Ankle arthroscopy/surgery
29898		Ankle arthroscopy/surgery
29899		Ankle arthroscopy/surgery
29900		Mcp joint arthroscopy, dx
29901		Mcp joint arthroscopy, surg
29902		Mcp joint arthroscopy, surg
29999		Arthroscopy of joint
30110		Removal of nose polyp(s)
30115		Removal of nose polyp(s)
30130		Excise inferior turbinate
30140		Resect inferior turbinate
30901		Control of nosebleed
30903		Control of nosebleed
30930		Ther fx, nasal inf turbinate
31000		Irrigation, maxillary sinus
31002		Irrigation, sphenoid sinus
31020		Exploration, maxillary sinus
31030		Exploration, maxillary sinus
31032		Explore sinus, remove polyps
31050		Exploration, sphenoid sinus
31051		Sphenoid sinus surgery
31070		Exploration of frontal sinus
31075		Exploration of frontal sinus
31080		Removal of frontal sinus
31081		Removal of frontal sinus
31084		Removal of frontal sinus
31085		Removal of frontal sinus
31086		Removal of frontal sinus
31087		Removal of frontal sinus
31090		Exploration of sinuses
31200		Removal of ethmoid sinus
31201		Removal of ethmoid sinus
31205		Removal of ethmoid sinus
31225		Removal of upper jaw
31230		Removal of upper jaw
31233		Nasal/sinus endoscopy, dx
31235		Nasal/sinus endoscopy, dx
31237		Nasal/sinus endoscopy, surg
31238		Nasal/sinus endoscopy, surg
31239		Nasal/sinus endoscopy, surg
31240		Nasal/sinus endoscopy, surg
31254		Revision of ethmoid sinus
31255		Removal of ethmoid sinus
31256		Exploration maxillary sinus
31267		Endoscopy, maxillary sinus
31276		Sinus endoscopy, surgical
31287		Nasal/sinus endoscopy, surg
31288		Nasal/sinus endoscopy, surg
31290		Nasal/sinus endoscopy, surg
31291		Nasal/sinus endoscopy, surg
31292		Nasal/sinus endoscopy, surg
31293		Nasal/sinus endoscopy, surg
31294		Nasal/sinus endoscopy, surg
31545		Remove vc lesion w/scope
31546		Remove vc lesion scope/graft
31715		Injection for bronchus x-ray
32000		Drainage of chest
32002		Treatment of collapsed lung
32020		Insertion of chest tube
32491		Lung volume reduction
32664		Thoracoscopy, surgical
33889		Artery transpose/endovas taa
33891		Car-car bp grft/endovas taa
34001		Removal of artery clot
34051		Removal of artery clot
34101		Removal of artery clot
34111		Removal of arm artery clot
34151		Removal of artery clot
34201		Removal of artery clot
34203		Removal of leg artery clot
34401		Removal of vein clot
34421		Removal of vein clot
34451		Removal of vein clot
34471		Removal of vein clot
34490		Removal of vein clot
34501		Repair valve, femoral vein
34510		Transposition of vein valve
34520		Cross-over vein graft
34530		Leg vein fusion
34812		Xpose for endoprosth, femorl
34820		Xpose for endoprosth, iliac
34833		Xpose for endoprosth, iliac
34834		Xpose, endoprosth, brachial
34900		Endovasc iliac repr w/graft
35001		Repair defect of artery
35002		Repair artery rupture, neck
35005		Repair defect of artery
35011		Repair defect of artery
35013		Repair artery rupture, arm
35021		Repair defect of artery
35022		Repair artery rupture, chest
35045		Repair defect of arm artery
35091		Repair defect of artery
35092		Repair artery rupture, aorta
35102		Repair defect of artery
35103		Repair artery rupture, groin
35111		Repair defect of artery
35112		Repair artery rupture,spleen
35121		Repair defect of artery
35122		Repair artery rupture, belly
35131		Repair defect of artery
35132		Repair artery rupture, groin
35141		Repair defect of artery
35142		Repair artery rupture, thigh
35151		Repair defect of artery
35152		Repair artery rupture, knee
35201		Repair blood vessel lesion
35206		Repair blood vessel lesion
35207		Repair blood vessel lesion
35211		Repair blood vessel lesion
35216		Repair blood vessel lesion
35221		Repair blood vessel lesion
35226		Repair blood vessel lesion
35231		Repair blood vessel lesion
35236		Repair blood vessel lesion
35241		Repair blood vessel lesion
35246		Repair blood vessel lesion
35251		Repair blood vessel lesion
35256		Repair blood vessel lesion
35261		Repair blood vessel lesion
35266		Repair blood vessel lesion
35271		Repair blood vessel lesion
35276		Repair blood vessel lesion
35281		Repair blood vessel lesion
35286		Repair blood vessel lesion
35301		Rechanneling of artery
35302		Rechanneling of artery
35303		Rechanneling of artery
35304		Rechanneling of artery
35305		Rechanneling of artery
35311		Rechanneling of artery

35321		Rechanneling of artery
35331		Rechanneling of artery
35341		Rechanneling of artery
35351		Rechanneling of artery
35355		Rechanneling of artery
35361		Rechanneling of artery
35363		Rechanneling of artery
35371		Rechanneling of artery
35372		Rechanneling of artery
35450		Repair arterial blockage
35452		Repair arterial blockage
35454		Repair arterial blockage
35456		Repair arterial blockage
35458		Repair arterial blockage
35459		Repair arterial blockage
35460		Repair venous blockage
35470		Repair arterial blockage
35471		Repair arterial blockage
35472		Repair arterial blockage
35473		Repair arterial blockage
35474		Repair arterial blockage
35475		Repair arterial blockage
35476		Repair venous blockage
35501		Artery bypass graft
35506		Artery bypass graft
35508		Artery bypass graft
35509		Artery bypass graft
35510		Artery bypass graft
35511		Artery bypass graft
35512		Artery bypass graft
35515		Artery bypass graft
35516		Artery bypass graft
35518		Artery bypass graft
35521		Artery bypass graft
35522		Artery bypass graft
35525		Artery bypass graft
35526		Artery bypass graft
35531		Artery bypass graft
35533		Artery bypass graft
35536		Artery bypass graft
35539		Artery bypass graft
35540		Artery bypass graft
35551		Artery bypass graft
35556		Artery bypass graft
35558		Artery bypass graft
35560		Artery bypass graft
35563		Artery bypass graft
35565		Artery bypass graft
35566		Artery bypass graft
35571		Artery bypass graft
35583		Vein bypass graft
35585		Vein bypass graft
35587		Vein bypass graft
35601		Artery bypass graft
35606		Artery bypass graft
35612		Artery bypass graft
35616		Artery bypass graft
35621		Artery bypass graft
35623		Bypass graft, not vein
35626		Artery bypass graft
35631		Artery bypass graft
35636		Artery bypass graft
35642		Artery bypass graft
35645		Artery bypass graft
35647		Artery bypass graft
35650		Artery bypass graft
35651		Artery bypass graft
35656		Artery bypass graft
35661		Artery bypass graft
35663		Artery bypass graft
35665		Artery bypass graft
35666		Artery bypass graft
35671		Artery bypass graft
35691		Arterial transposition
35693		Arterial transposition
35694		Arterial transposition
35695		Arterial transposition
35701		Exploration, carotid artery
35721		Exploration, femoral artery
35741		Exploration popliteal artery
35761		Exploration of artery/vein
35879		Revise graft w/vein
35881		Revise graft w/vein
35883		Revise graft w/nonauto graft
35884		Revise graft w/vein
36000		Place needle in vein
36002		Pseudoaneurysm injection trt
36005		Injection ext venography
36010		Place catheter in vein
36011		Place catheter in vein
36012		Place catheter in vein
36014		Place catheter in artery
36015		Place catheter in artery
36100		Establish access to artery
36200		Place catheter in aorta
36245		Place catheter in artery
36246		Place catheter in artery
36247		Place catheter in artery
36470		Injection therapy of vein
36471		Injection therapy of veins
36475		Endovenous rf, 1st vein
36476		Endovenous rf, vein add-on
36478		Endovenous laser, 1st vein
36479		Endovenous laser vein addon
36557		Insert tunneled cv cath
36558		Insert tunneled cv cath
36560		Insert tunneled cv cath
36561		Insert tunneled cv cath
36565		Insert tunneled cv cath
36566		Insert tunneled cv cath
36570		Insert picvad cath
36571		Insert picvad cath
36589		Removal tunneled cv cath
36598		Inj w/fluor, eval cv device
36820		Av fusion/forearm vein
36838		Dist revas ligation, hemo
36870		Percut thrombect av fistula
37184		Prim art mech thrombectomy
37187		Venous mech thrombectomy
37188		Venous m-thrombectomy add-on
37207		Transcath iv stent, open
37500		Endoscopy ligate perf veins
37501		Vascular endoscopy procedure
37609		Temporal artery procedure
37650		Revision of major vein
37700		Revise leg vein
37718		Ligate/strip short leg vein
37722		Ligate/strip long leg vein
37735		Removal of leg veins/lesion
37765		Phleb veins - extrem - to 20
37766		Phleb veins - extrem 20+
37780		Revision of leg vein
37785		Ligate/divide/excise vein
38220		Bone marrow aspiration
38221		Bone marrow biopsy
38500		Biopsy/removal, lymph nodes
38505		Needle biopsy, lymph nodes
38510		Biopsy/removal, lymph nodes
38520		Biopsy/removal, lymph nodes
38525		Biopsy/removal, lymph nodes
38530		Biopsy/removal, lymph nodes
38542		Explore deep node(s), neck
38589		Laparoscope proc, lymphatic
38700		Removal of lymph nodes, neck
38720		Removal of lymph nodes, neck
38724		Removal of lymph nodes, neck
38740		Remove armpit lymph nodes
38745		Remove armpit lymph nodes

38760		Remove groin lymph nodes
38765		Remove groin lymph nodes
38770		Remove pelvis lymph nodes
38790		Inject for lymphatic x-ray
38792		Identify sentinel node
40720		Repair cleft lip/nasal
43289		Laparoscope proc, esoph
43659		Laparoscope proc, stom
44238		Laparoscope proc, intestine
44979		Laparoscope proc, app
46505		Chemodenervation anal musc
47511		Insert bile duct drain
47525		Change bile duct catheter
47579		Laparoscope proc, biliary
49329		Laparo proc, abdm/per/oment
49491		Rpr hern preemie reduc
49492		Rpr ing hern premie, blocked
49495		Rpr ing hernia baby, reduc
49496		Rpr ing hernia baby, blocked
49500		Rpr ing hernia, init, reduce
49501		Rpr ing hernia, init blocked
49505		Prp i/hern init reduc >5 yr
49507		Prp i/hern init block >5 yr
49520		Rerepair ing hernia, reduce
49521		Rerepair ing hernia, blocked
49525		Repair ing hernia, sliding
49540		Repair lumbar hernia
49550		Rpr rem hernia, init, reduce
49553		Rpr fem hernia, init blocked
49555		Rerepair fem hernia, reduce
49557		Rerepair fem hernia, blocked
49560		Rpr ventral hern init, reduc
49561		Rpr ventral hern init, block
49565		Rerepair ventrl hern, reduce
49566		Rerepair ventrl hern, block
49570		Rpr epigastric hern, reduce
49572		Rpr epigastric hern, blocked
49590		Repair spigelian hernia
49650		Laparo hernia repair initial
49651		Laparo hernia repair recur
49659		Laparo proc, hernia repair
50080		Removal of kidney stone
50081		Removal of kidney stone
50120		Exploration of kidney
50125		Explore and drain kidney
50130		Removal of kidney stone
50135		Exploration of kidney
50200		Biopsy of kidney
50205		Biopsy of kidney
50220		Remove kidney, open
50225		Removal kidney open, complex
50230		Removal kidney open, radical
50320		Remove kidney, living donor
50340		Removal of kidney
50365		Transplantation of kidney
50382		Change ureter stent, percut
50384		Remove ureter stent, percut
50387		Change ext/int ureter stent
50389		Remove renal tube w/fluoro
50390		Drainage of kidney lesion
50392		Insert kidney drain
50393		Insert ureteral tube
50394		Injection for kidney x-ray
50395		Create passage to kidney
50396		Measure kidney pressure
50398		Change kidney tube
50545		Laparo radical nephrectomy
50547		Laparo removal donor kidney
50549		Laparoscope proc, renal
50551		Kidney endoscopy
50553		Kidney endoscopy
50555		Kidney endoscopy & biopsy
50557		Kidney endoscopy & treatment
50561		Kidney endoscopy & treatment
50570		Kidney endoscopy
50572		Kidney endoscopy
50574		Kidney endoscopy & biopsy
50575		Kidney endoscopy
50576		Kidney endoscopy & treatment
50580		Kidney endoscopy & treatment
50590		Fragmenting of kidney stone
50592		Perc rf ablate renal tumor
50600		Exploration of ureter
50605		Insert ureteral support
50610		Removal of ureter stone
50620		Removal of ureter stone
50630		Removal of ureter stone
50684		Injection for ureter x-ray
50715		Release of ureter
50780		Reimplant ureter in bladder
50782		Reimplant ureter in bladder
50783		Reimplant ureter in bladder
50785		Reimplant ureter in bladder
50800		Implant ureter in bowel
50815		Urine shunt to intestine
50820		Construct bowel bladder
50840		Replace ureter by bowel
50860		Transplant ureter to skin
50940		Release of ureter
50945		Laparoscopy ureterolithotomy
50947		Laparo new ureter/bladder
50948		Laparo new ureter/bladder
50949		Laparoscope proc, ureter
50951		Endoscopy of ureter
50953		Endoscopy of ureter
50955		Ureter endoscopy & biopsy
50957		Ureter endoscopy & treatment
50961		Ureter endoscopy & treatment
50970		Ureter endoscopy
50972		Ureter endoscopy & catheter
50974		Ureter endoscopy & biopsy
50976		Ureter endoscopy & treatment
50980		Ureter endoscopy & treatment
51535		Repair of ureter lesion
52007		Cystoscopy and biopsy
52320		Cystoscopy and treatment
52325		Cystoscopy, stone removal
52327		Cystoscopy, inject material
52330		Cystoscopy and treatment
52332		Cystoscopy and treatment
52334		Create passage to kidney
52341		Cysto w/ureter stricture tx
52342		Cysto w/up stricture tx
52343		Cysto w/renal stricture tx
52344		Cysto/uretero, stricture tx
52352		Cystouretero w/stone remove
52353		Cystouretero w/lithotripsy
52354		Cystouretero w/biopsy
52355		Cystouretero w/excise tumor
54500		Biopsy of testis
54505		Biopsy of testis
54512		Excise lesion testis
54520		Removal of testis
54522		Orchiectomy, partial
54530		Removal of testis
54535		Extensive testis surgery
54550		Exploration for testis
54560		Exploration for testis
54600		Reduce testis torsion
54620		Suspension of testis
54640		Suspension of testis
54650		Orchiopexy (Fowler-Stephens)
54660		Revision of testis
54670		Repair testis injury
54680		Relocation of testis(es)
54690		Laparoscopy, orchiectomy
54692		Laparoscopy, orchiopexy
54699		Laparoscope proc, testis
55060		Repair of hydrocele
55400		Repair of sperm duct

55530		Revise spermatic cord veins
55535		Revise spermatic cord veins
55540		Revise hernia & sperm veins
55550		Laparo ligate spermatic vein
55559		Laparo proc, spermatic cord
55600		Incise sperm duct pouch
55605		Incise sperm duct pouch
55650		Remove sperm duct pouch
56640		Extensive vulva surgery
58345		Reopen fallopian tube
58353		Endometr ablate, thermal
58356		Endometrial cryoablation
58578		Laparo proc, uterus
58579		Hysteroscope procedure
58672		Laparoscopy, fimbrioplasty
58673		Laparoscopy, salpingostomy
58679		Laparo proc, oviduct-ovary
58760		Remove tubal obstruction
58770		Create new tubal opening
59898		Laparo proc, ob care/deliver
60260		Repeat thyroid surgery
60540		Explore adrenal gland
60650		Laparoscopy adrenalectomy
60659		Laparo proc, endocrine
61154		Pierce skull & remove clot
61250		Pierce skull & explore
61330		Decompress eye socket
61340		Subtemporal decompression
61490		Incise skull for surgery
61580		Craniofacial approach, skull
61581		Craniofacial approach, skull
61584		Orbitocranial approach/skull
61585		Orbitocranial approach/skull
61590		Infratemporal approach/skull
61591		Infratemporal approach/skull
61592		Orbitocranial approach/skull
61595		Transtemporal approach/skull
61596		Transcochlear approach/skull
61597		Transcondylar approach/skull
61613		Remove aneurysm, sinus
61863		Implant neuroelectrode
61867		Implant neuroelectrode
61880		Revise/remove neuroelectrode
61885		Insrt/redo neurostim 1 array
61888		Revise/remove neuroreceiver
63020		Neck spine disk surgery
63030		Low back disk surgery
63035		Spinal disk surgery add-on
63040		Laminotomy, single cervical
63042		Laminotomy, single lumbar
63043		Laminotomy, add'l cervical
63044		Laminotomy, add'l lumbar
63191		Incise spinal column/nerves
64412		Nblock inj, spinal accessor
64418		Nblock inj, suprascapular
64450		Nblock, other peripheral
64470		Inj paravertebral c/t
64472		Inj paravertebral c/t add-on
64475		Inj paravertebral l/s
64476		Inj paravertebral l/s add-on
64479		Inj foramen epidural c/t
64480		Inj foramen epidural add-on
64483		Inj foramen epidural l/s
64484		Inj foramen epidural add-on
64612		Destroy nerve, face muscle
64613		Destroy nerve, neck muscle
64614		Destroy nerve, extrem musc
64622		Destr paravertebrl nerve l/s
64623		Destr paravertebral n add-on
64626		Destr paravertebrl nerve c/t
64627		Destr paravertebral n add-on
64640		Injection treatment of nerve
64721		Carpal tunnel surgery
64744		Incise nerve, back of head
64761		Incision of pelvis nerve
64763		Incise hip/thigh nerve
64766		Incise hip/thigh nerve
64802		Remove sympathetic nerves
64804		Remove sympathetic nerves
64809		Remove sympathetic nerves
64818		Remove sympathetic nerves
64821		Remove sympathetic nerves
64822		Remove sympathetic nerves
64823		Remove sympathetic nerves
65091		Revise eye
65093		Revise eye with implant
65101		Removal of eye
65103		Remove eye/insert implant
65105		Remove eye/attach implant
65110		Removal of eye
65112		Remove eye/revise socket
65114		Remove eye/revise socket
65125		Revise ocular implant
65130		Insert ocular implant
65135		Insert ocular implant
65140		Attach ocular implant
65150		Revise ocular implant
65155		Reinsert ocular implant
65175		Removal of ocular implant
65205		Remove foreign body from eye
65210		Remove foreign body from eye
65220		Remove foreign body from eye
65222		Remove foreign body from eye
65235		Remove foreign body from eye
65260		Remove foreign body from eye
65265		Remove foreign body from eye
65270		Repair of eye wound
65272		Repair of eye wound
65273		Repair of eye wound
65275		Repair of eye wound
65280		Repair of eye wound
65285		Repair of eye wound
65286		Repair of eye wound
65290		Repair of eye socket wound
65400		Removal of eye lesion
65410		Biopsy of cornea
65420		Removal of eye lesion
65426		Removal of eye lesion
65430		Corneal smear
65435		Curette/treat cornea
65436		Curette/treat cornea
65450		Treatment of corneal lesion
65600		Revision of cornea
65710		Corneal transplant
65730		Corneal transplant
65750		Corneal transplant
65755		Corneal transplant
65770		Revise cornea with implant
65772		Correction of astigmatism
65775		Correction of astigmatism
65780		Ocular reconst, transplant
65781		Ocular reconst, transplant
65782		Ocular reconst, transplant
65800		Drainage of eye
65805		Drainage of eye
65810		Drainage of eye
65815		Drainage of eye
65820		Relieve inner eye pressure
65850		Incision of eye
65855		Laser surgery of eye
65860		Incise inner eye adhesions
65865		Incise inner eye adhesions
65870		Incise inner eye adhesions
65875		Incise inner eye adhesions
65880		Incise inner eye adhesions
65900		Remove eye lesion
65920		Remove implant of eye
65930		Remove blood clot from eye
66020		Injection treatment of eye
66030		Injection treatment of eye

66130		Remove eye lesion
66150		Glaucoma surgery
66155		Glaucoma surgery
66160		Glaucoma surgery
66165		Glaucoma surgery
66170		Glaucoma surgery
66172		Incision of eye
66180		Implant eye shunt
66185		Revise eye shunt
66220		Repair eye lesion
66225		Repair/graft eye lesion
66250		Follow-up surgery of eye
66500		Incision of iris
66505		Incision of iris
66600		Remove iris and lesion
66605		Removal of iris
66625		Removal of iris
66630		Removal of iris
66635		Removal of iris
66680		Repair iris & ciliary body
66682		Repair iris & ciliary body
66700		Destruction, ciliary body
66710		Ciliary transsleral therapy
66711		Ciliary endoscopic ablation
66720		Destruction, ciliary body
66740		Destruction, ciliary body
66761		Revision of iris
66762		Revision of iris
66770		Removal of inner eye lesion
66820		Incision, secondary cataract
66821		After cataract laser surgery
66825		Reposition intraocular lens
66830		Removal of lens lesion
66840		Removal of lens material
66850		Removal of lens material
66852		Removal of lens material
66920		Extraction of lens
66930		Extraction of lens
66940		Extraction of lens
66982		Cataract surgery, complex
66983		Cataract surg w/iol, 1 stage
66984		Cataract surg w/iol, 1 stage
66985		Insert lens prosthesis
66986		Exchange lens prosthesis
66999		Eye surgery procedure
67005		Partial removal of eye fluid
67010		Partial removal of eye fluid
67015		Release of eye fluid
67025		Replace eye fluid
67027		Implant eye drug system
67028		Injection eye drug
67030		Incise inner eye strands
67031		Laser surgery, eye strands
67036		Removal of inner eye fluid
67038		Strip retinal membrane
67039		Laser treatment of retina
67040		Laser treatment of retina
67101		Repair detached retina
67105		Repair detached retina
67107		Repair detached retina
67108		Repair detached retina
67110		Repair detached retina
67112		Rerepair detached retina
67115		Release encircling material
67120		Remove eye implant material
67121		Remove eye implant material
67141		Treatment of retina
67145		Treatment of retina
67208		Treatment of retinal lesion
67210		Treatment of retinal lesion
67218		Treatment of retinal lesion
67220		Treatment of choroid lesion
67227		Treatment of retinal lesion
67228		Treatment of retinal lesion
67250		Reinforce eye wall
67255		Reinforce/graft eye wall
67299		Eye surgery procedure
67311		Revise eye muscle
67312		Revise two eye muscles
67314		Revise eye muscle
67316		Revise two eye muscles
67318		Revise eye muscle(s)
67343		Release eye tissue
67345		Destroy nerve of eye muscle
67346		Biopsy, eye muscle
67399		Eye muscle surgery procedure
67400		Explore/biopsy eye socket
67405		Explore/drain eye socket
67412		Explore/treat eye socket
67413		Explore/treat eye socket
67414		Explr/decompress eye socket
67415		Aspiration, orbital contents
67420		Explore/treat eye socket
67430		Explore/treat eye socket
67440		Explore/drain eye socket
67445		Explr/decompress eye socket
67450		Explore/biopsy eye socket
67500		Inject/treat eye socket
67505		Inject/treat eye socket
67515		Inject/treat eye socket
67550		Insert eye socket implant
67560		Revise eye socket implant
67570		Decompress optic nerve
67599		Orbit surgery procedure
67700		Drainage of eyelid abscess
67710		Incision of eyelid
67715		Incision of eyelid fold
67810		Biopsy of eyelid
67820		Revise eyelashes
67825		Revise eyelashes
67830		Revise eyelashes
67835		Revise eyelashes
67840		Remove eyelid lesion
67850		Treat eyelid lesion
67875		Closure of eyelid by suture
67880		Revision of eyelid
67882		Revision of eyelid
67900		Repair brow defect
67901		Repair eyelid defect
67902		Repair eyelid defect
67903		Repair eyelid defect
67904		Repair eyelid defect
67906		Repair eyelid defect
67908		Repair eyelid defect
67909		Revise eyelid defect
67911		Revise eyelid defect
67912		Correction eyelid w/implant
67914		Repair eyelid defect
67915		Repair eyelid defect
67916		Repair eyelid defect
67917		Repair eyelid defect
67921		Repair eyelid defect
67922		Repair eyelid defect
67923		Repair eyelid defect
67924		Repair eyelid defect
67930		Repair eyelid wound
67935		Repair eyelid wound
67938		Remove eyelid foreign body
67950		Revision of eyelid
67961		Revision of eyelid
67966		Revision of eyelid
67971		Reconstruction of eyelid
67973		Reconstruction of eyelid
67974		Reconstruction of eyelid
67975		Reconstruction of eyelid
67999		Revision of eyelid
68020		Incise/drain eyelid lining
68040		Treatment of eyelid lesions
68100		Biopsy of eyelid lining
68110		Remove eyelid lining lesion

68115		Remove eyelid lining lesion
68130		Remove eyelid lining lesion
68135		Remove eyelid lining lesion
68200		Treat eyelid by injection
68320		Revise/graft eyelid lining
68325		Revise/graft eyelid lining
68326		Revise/graft eyelid lining
68328		Revise/graft eyelid lining
68330		Revise eyelid lining
68335		Revise/graft eyelid lining
68340		Separate eyelid adhesions
68360		Revise eyelid lining
68362		Revise eyelid lining
68371		Harvest eye tissue, alograft
68399		Eyelid lining surgery
68400		Incise/drain tear gland
68420		Incise/drain tear sac
68440		Incise tear duct opening
68500		Removal of tear gland
68505		Partial removal, tear gland
68510		Biopsy of tear gland
68520		Removal of tear sac
68525		Biopsy of tear sac
68530		Clearance of tear duct
68540		Remove tear gland lesion
68550		Remove tear gland lesion
68700		Repair tear ducts
68705		Revise tear duct opening
68720		Create tear sac drain
68745		Create tear duct drain
68750		Create tear duct drain
68760		Close tear duct opening
68761		Close tear duct opening
68770		Close tear system fistula
68801		Dilate tear duct opening
68810		Probe nasolacrimal duct
68811		Probe nasolacrimal duct
68815		Probe nasolacrimal duct
68840		Explore/irrigate tear ducts
68850		Injection for tear sac x-ray
68899		Tear duct system surgery
69220		Clean out mastoid cavity
69222		Clean out mastoid cavity
69300		Revise external ear
69420		Incision of eardrum
69421		Incision of eardrum
69424		Remove ventilating tube
69433		Create eardrum opening
69436		Create eardrum opening
69440		Exploration of middle ear
69450		Eardrum revision
69501		Mastoidectomy
69502		Mastoidectomy
69505		Remove mastoid structures
69511		Extensive mastoid surgery
69530		Extensive mastoid surgery
69535		Remove part of temporal bone
69540		Remove ear lesion
69550		Remove ear lesion
69552		Remove ear lesion
69554		Remove ear lesion
69601		Mastoid surgery revision
69602		Mastoid surgery revision
69603		Mastoid surgery revision
69604		Mastoid surgery revision
69605		Mastoid surgery revision
69610		Repair of eardrum
69620		Repair of eardrum
69631		Repair eardrum structures
69632		Rebuild eardrum structures
69633		Rebuild eardrum structures
69635		Repair eardrum structures
69636		Rebuild eardrum structures
69637		Rebuild eardrum structures
69641		Revise middle ear & mastoid
69642		Revise middle ear & mastoid
69643		Revise middle ear & mastoid
69644		Revise middle ear & mastoid
69645		Revise middle ear & mastoid
69646		Revise middle ear & mastoid
69650		Release middle ear bone
69660		Revise middle ear bone
69661		Revise middle ear bone
69662		Revise middle ear bone
69666		Repair middle ear structures
69667		Repair middle ear structures
69670		Remove mastoid air cells
69676		Remove middle ear nerve
69700		Close mastoid fistula
69711		Remove/repair hearing aid
69714		Implant temple bone w/stimul
69715		Temple bne implnt w/stimulat
69717		Temple bone implant revision
69718		Revise temple bone implant
69720		Release facial nerve
69725		Release facial nerve
69740		Repair facial nerve
69745		Repair facial nerve
69799		Middle ear surgery procedure
69801		Incise inner ear
69802		Incise inner ear
69805		Explore inner ear
69806		Explore inner ear
69820		Establish inner ear window
69840		Revise inner ear window
69905		Remove inner ear
69910		Remove inner ear & mastoid
69915		Incise inner ear nerve
69930		Implant cochlear device
69949		Inner ear surgery procedure
69950		Incise inner ear nerve
69955		Release facial nerve
69960		Release inner ear canal
69970		Remove inner ear lesion
69979		Temporal bone surgery
95866		Muscle test, hemidiaphragm
95866	26	Muscle test, hemidiaphragm
95866	TC	Muscle test, hemidiaphragm
95934		H-reflex test
95934	26	H-reflex test
95934	TC	H-reflex test
95936		H-reflex test
95936	26	H-reflex test
95936	TC	H-reflex test
G0186		Dstry eye lesn,fdr vssl tech
G0289		Arthro, loose body + chondro
G0392		AV fistula or graft arterial
G0393		AV fistula or graft venous

Table B – 150% payment adjustment does not apply. RVUs are already based on the procedure being performed as a bilateral procedure.

Code	Modifier	Description
11010		Debride skin, fx
11011		Debride skin/muscle, fx
11012		Debride skin/muscle/bone, fx
21193		Reconst lwr jaw w/o graft
21194		Reconst lwr jaw w/graft
21195		Reconst lwr jaw w/o fixation
21196		Reconst lwr jaw w/fixation
27158		Revision of pelvis
27392		Incision of thigh tendons
27395		Lengthening of thigh tendons
30801		Ablate inf turbinate, superf
30802		Cauterization, inner nose
30905		Control of nosebleed
30906		Repeat control of nosebleed
31231		Nasal endoscopy, dx
32853		Lung transplant, double
32854		Lung transplant with bypass
33880		Endovasc taa repr incl subcl
33881		Endovasc taa repr w/o subcl
33976		Implant ventricular device
33978		Remove ventricular device
34803		Endovas aaa repr w/3-p part
35549		Artery bypass graft
37185		Prim art m-thrombect add-on
37186		Sec art m-thrombect add-on
38562		Removal, pelvic lymph nodes
38571		Laparoscopy, lymphadenectomy
38572		Laparoscopy, lymphadenectomy
40701		Repair cleft lip/nasal
40702		Repair cleft lip/nasal
40843		Reconstruction of mouth
42507		Parotid duct diversion
42508		Parotid duct diversion
42509		Parotid duct diversion
42510		Parotid duct diversion
50540		Revision of horseshoe kidney
51575		Removal of bladder & nodes
51585		Removal of bladder & nodes
51595		Remove bladder/revise tract
51820		Revision of urinary tract
52290		Cystoscopy and treatment
52300		Cystoscopy and treatment
52301		Cystoscopy and treatment
54130		Remove penis & nodes
54135		Remove penis & nodes
54430		Revision of penis
54901		Fusion of spermatic ducts
55041		Removal of hydroceles
55200		Incision of sperm duct
55250		Removal of sperm duct(s)
55300		Prepare, sperm duct x-ray
55450		Ligation of sperm duct
55815		Extensive prostate surgery
55845		Extensive prostate surgery
55865		Extensive prostate surgery
56632		Extensive vulva surgery
57109		Vaginectomy partial w/nodes
57111		Remove vagina tissue, compl
57112		Vaginectomy w/nodes, compl
57531		Removal of cervix, radical
58210		Extensive hysterectomy
58548		Lap radical hyst
58565		Hysteroscopy, sterilization
58600		Division of fallopian tube
58605		Division of fallopian tube
58700		Removal of fallopian tube
58720		Removal of ovary/tube(s)
58800		Drainage of ovarian cyst(s)
58805		Drainage of ovarian cyst(s)
58900		Biopsy of ovary(s)
58920		Partial removal of ovary(s)
58925		Removal of ovarian cyst(s)
58940		Removal of ovary(s)
58950		Resect ovarian malignancy
58951		Resect ovarian malignancy
58952		Resect ovarian malignancy
58953		Tah, rad dissect for debulk
58954		Tah rad debulk/lymph remove
58956		Bso, omentectomy w/tah
58957		Resect recurrent gyn mal
58958		Resect recur gyn mal w/lym
61000		Remove cranial cavity fluid
61001		Remove cranial cavity fluid
61253		Pierce skull & explore
63045		Removal of spinal lamina
63046		Removal of spinal lamina
63047		Removal of spinal lamina
63295		Repair of laminectomy defect
64600		Injection treatment of nerve
69210		Remove impacted ear wax
70330		X-ray exam of jaw joints
70330	26	X-ray exam of jaw joints
70330	TC	X-ray exam of jaw joints
71060		Contrast x-ray of bronchi
71060	26	Contrast x-ray of bronchi
71060	TC	Contrast x-ray of bronchi
71110		X-ray exam of ribs
71110	26	X-ray exam of ribs
71110	TC	X-ray exam of ribs
71111		X-ray exam of ribs/chest
71111	26	X-ray exam of ribs/chest
71111	TC	X-ray exam of ribs/chest
73050		X-ray exam of shoulders
73050	26	X-ray exam of shoulders
73050	TC	X-ray exam of shoulders
73520		X-ray exam of hips
73520	26	X-ray exam of hips
73520	TC	X-ray exam of hips
73565		X-ray exam of knees
73565	26	X-ray exam of knees
73565	TC	X-ray exam of knees
75662		Artery x-rays, head & neck
75662	26	Artery x-rays, head & neck
75662	TC	Artery x-rays, head & neck
75671		Artery x-rays, head & neck
75671	26	Artery x-rays, head & neck
75671	TC	Artery x-rays, head & neck
75680		Artery x-rays, neck
75680	26	Artery x-rays, neck
75680	TC	Artery x-rays, neck
75716		Artery x-rays, arms/legs
75716	26	Artery x-rays, arms/legs
75716	TC	Artery x-rays, arms/legs
75724		Artery x-rays, kidneys
75724	26	Artery x-rays, kidneys
75724	TC	Artery x-rays, kidneys
75733		Artery x-rays, adrenals
75733	26	Artery x-rays, adrenals
75733	TC	Artery x-rays, adrenals
75743		Artery x-rays, lungs
75743	26	Artery x-rays, lungs
75743	TC	Artery x-rays, lungs
75803		Lymph vessel x-ray,arms/legs
75803	26	Lymph vessel x-ray,arms/legs
75803	TC	Lymph vessel x-ray,arms/legs
75807		Lymph vessel x-ray, trunk
75807	26	Lymph vessel x-ray, trunk
75807	TC	Lymph vessel x-ray, trunk
75822		Vein x-ray, arms/legs
75822	26	Vein x-ray, arms/legs
75822	TC	Vein x-ray, arms/legs
75833		Vein x-ray, kidneys
75833	26	Vein x-ray, kidneys
75833	TC	Vein x-ray, kidneys
75842		Vein x-ray, adrenal glands

75842	26	Vein x-ray, adrenal glands
75842	TC	Vein x-ray, adrenal glands
76102		Complex body section x-rays
76102	26	Complex body section x-rays
76102	TC	Complex body section x-rays
76514		Echo exam of eye, thickness
76514	26	Echo exam of eye, thickness
76514	TC	Echo exam of eye, thickness
76516		Echo exam of eye
76516	26	Echo exam of eye
76516	TC	Echo exam of eye
76519		Echo exam of eye
76519	TC	Echo exam of eye
76645		Us exam, breast(s)
76645	26	Us exam, breast(s)
76645	TC	Us exam, breast(s)
77057		Mammogram, screening
77057	26	Mammogram, screening
77057	TC	Mammogram, screening
77059		Mri, both breasts
77059	26	Mri, both breasts
77059	TC	Mri, both breasts
78458		Ven thrombosis images, bilat
78458	26	Ven thrombosis images, bilat
78458	TC	Ven thrombosis images, bilat
92002		Eye exam, new patient
92004		Eye exam, new patient
92012		Eye exam established pat
92014		Eye exam & treatment
92020		Special eye evaluation
92060		Special eye evaluation
92060	26	Special eye evaluation
92060	TC	Special eye evaluation
92065		Orthoptic/pleoptic training
92065	26	Orthoptic/pleoptic training
92065	TC	Orthoptic/pleoptic training
92081		Visual field examination(s)
92081	26	Visual field examination(s)
92081	TC	Visual field examination(s)
92082		Visual field examination(s)
92082	26	Visual field examination(s)
92082	TC	Visual field examination(s)
92083		Visual field examination(s)
92083	26	Visual field examination(s)
92083	TC	Visual field examination(s)
92100		Serial tonometry exam(s)
92120		Tonography & eye evaluation
92130		Water provocation tonography
92136		Ophthalmic biometry
92136	TC	Ophthalmic biometry
92140		Glaucoma provocative tests
92250		Eye exam with photos
92250	26	Eye exam with photos
92250	TC	Eye exam with photos
92260		Ophthalmoscopy/dynamometry
92265		Eye muscle evaluation
92265	26	Eye muscle evaluation
92265	TC	Eye muscle evaluation
92270		Electro-oculography
92270	26	Electro-oculography
92270	TC	Electro-oculography
92275		Electroretinography
92275	26	Electroretinography
92275	TC	Electroretinography
92283		Color vision examination
92283	26	Color vision examination
92283	TC	Color vision examination
92284		Dark adaptation eye exam
92284	26	Dark adaptation eye exam
92284	TC	Dark adaptation eye exam
92285		Eye photography
92285	26	Eye photography
92285	TC	Eye photography
92286		Internal eye photography
92286	26	Internal eye photography
92286	TC	Internal eye photography
92287		Internal eye photography
92312		Contact lens fitting
92316		Prescription of contact lens
92552		Pure tone audiometry, air
92553		Audiometry, air & bone
92555		Speech threshold audiometry
92556		Speech audiometry, complete
92557		Comprehensive hearing test
92561		Bekesy audiometry, diagnosis
92562		Loudness balance test
92563		Tone decay hearing test
92564		Sisi hearing test
92565		Stenger test, pure tone
92567		Tympanometry
92568		Acoustic refl threshold tst
92569		Acoustic reflex decay test
92571		Filtered speech hearing test
92572		Staggered spondaic word test
92575		Sensorineural acuity test
92576		Synthetic sentence test
92577		Stenger test, speech
92579		Visual audiometry (vra)
92582		Conditioning play audiometry
92583		Select picture audiometry
92584		Electrocochleography
92585		Auditor evoke potent, compre
92585	26	Auditor evoke potent, compre
92585	TC	Auditor evoke potent, compre
92586		Auditor evoke potent, limit
92587		Evoked auditory test
92587	26	Evoked auditory test
92587	TC	Evoked auditory test
92588		Evoked auditory test
92588	26	Evoked auditory test
92588	TC	Evoked auditory test
92596		Ear protector evaluation
92620		Auditory function, 60 min
92621		Auditory function, + 15 min
92625		Tinnitus assessment
92626		Eval aud rehab status
92627		Eval aud status rehab add-on
92640		Aud brainstem implt programg
93875		Extracranial study
93875	26	Extracranial study
93875	TC	Extracranial study
93880		Extracranial study
93880	26	Extracranial study
93880	TC	Extracranial study
93922		Extremity study
93922	26	Extremity study
93922	TC	Extremity study
93923		Extremity study
93923	26	Extremity study
93923	TC	Extremity study
93924		Extremity study
93924	26	Extremity study
93924	TC	Extremity study
93925		Lower extremity study
93925	26	Lower extremity study
93925	TC	Lower extremity study
93930		Upper extremity study
93930	26	Upper extremity study
93930	TC	Upper extremity study
93965		Extremity study
93965	26	Extremity study
93965	TC	Extremity study
93970		Extremity study
93970	26	Extremity study
93970	TC	Extremity study
95865		Muscle test, larynx
95865	26	Muscle test, larynx
95865	TC	Muscle test, larynx
95868		Muscle test cran nerve bilat
95868	26	Muscle test cran nerve bilat
95868	TC	Muscle test cran nerve bilat
95925		Somatosensory testing

95925	26	Somatosensory testing
95925	TC	Somatosensory testing
95926		Somatosensory testing
95926	26	Somatosensory testing
95926	TC	Somatosensory testing
95930		Visual evoked potential test
95930	26	Visual evoked potential test
95930	TC	Visual evoked potential test
96000		Motion analysis, video/3d
96001		Motion test w/ft press meas
96002		Dynamic surface emg
96003		Dynamic fine wire emg
96004		Phys review of motion tests
G0202		Screeningmammographydigital
G0202	26	Screeningmammographydigital
G0202	TC	Screeningmammographydigital
G0204		Diagnosticmammographydigital
G0204	26	Diagnosticmammographydigital
G0204	TC	Diagnosticmammographydigital
G0268		Removal of impacted wax md

Table C - The usual payment adjustment for bilateral procedures does not apply. Pay 100% of the fee schedule amount for each side or unit.

Code	Modifier	Description
70030		X-ray eye for foreign body
70030	26	X-ray eye for foreign body
70030	TC	X-ray eye for foreign body
70120		X-ray exam of mastoids
70120	26	X-ray exam of mastoids
70120	TC	X-ray exam of mastoids
70130		X-ray exam of mastoids
70130	26	X-ray exam of mastoids
70130	TC	X-ray exam of mastoids
70190		X-ray exam of eye sockets
70190	26	X-ray exam of eye sockets
70190	TC	X-ray exam of eye sockets
70332		X-ray exam of jaw joint
70332	26	X-ray exam of jaw joint
70332	TC	X-ray exam of jaw joint
70336		Magnetic image, jaw joint
70336	26	Magnetic image, jaw joint
70336	TC	Magnetic image, jaw joint
70554		Fmri brain by tech
70554	26	Fmri brain by tech
70554	TC	Fmri brain by tech
70555		Fmri brain by phys/psych
70555	26	Fmri brain by phys/psych
70555	TC	Fmri brain by phys/psych
73000		X-ray exam of collar bone
73000	26	X-ray exam of collar bone
73000	TC	X-ray exam of collar bone
73010		X-ray exam of shoulder blade
73010	26	X-ray exam of shoulder blade
73010	TC	X-ray exam of shoulder blade
73020		X-ray exam of shoulder
73020	26	X-ray exam of shoulder
73020	TC	X-ray exam of shoulder
73030		X-ray exam of shoulder
73030	26	X-ray exam of shoulder
73030	TC	X-ray exam of shoulder
73040		Contrast x-ray of shoulder
73040	26	Contrast x-ray of shoulder
73040	TC	Contrast x-ray of shoulder
73060		X-ray exam of humerus
73060	26	X-ray exam of humerus
73060	TC	X-ray exam of humerus
73070		X-ray exam of elbow
73070	26	X-ray exam of elbow
73070	TC	X-ray exam of elbow
73080		X-ray exam of elbow
73080	26	X-ray exam of elbow
73080	TC	X-ray exam of elbow
73085		Contrast x-ray of elbow
73085	26	Contrast x-ray of elbow
73085	TC	Contrast x-ray of elbow
73090		X-ray exam of forearm
73090	26	X-ray exam of forearm
73090	TC	X-ray exam of forearm
73092		X-ray exam of arm, infant
73092	26	X-ray exam of arm, infant
73092	TC	X-ray exam of arm, infant
73100		X-ray exam of wrist
73100	26	X-ray exam of wrist
73100	TC	X-ray exam of wrist
73110		X-ray exam of wrist
73110	26	X-ray exam of wrist
73110	TC	X-ray exam of wrist
73115		Contrast x-ray of wrist
73115	26	Contrast x-ray of wrist
73115	TC	Contrast x-ray of wrist
73120		X-ray exam of hand
73120	26	X-ray exam of hand
73120	TC	X-ray exam of hand
73130		X-ray exam of hand
73130	26	X-ray exam of hand
73130	TC	X-ray exam of hand
73140		X-ray exam of finger(s)
73140	26	X-ray exam of finger(s)
73140	TC	X-ray exam of finger(s)
73200		Ct upper extremity w/o dye
73200	26	Ct upper extremity w/o dye
73200	TC	Ct upper extremity w/o dye
73201		Ct upper extremity w/dye
73201	26	Ct upper extremity w/dye
73201	TC	Ct upper extremity w/dye
73202		Ct uppr extremity w/o&w/dye
73202	26	Ct uppr extremity w/o&w/dye
73202	TC	Ct uppr extremity w/o&w/dye
73218		Mri upper extremity w/o dye
73218	26	Mri upper extremity w/o dye
73218	TC	Mri upper extremity w/o dye
73219		Mri upper extremity w/dye
73219	26	Mri upper extremity w/dye
73219	TC	Mri upper extremity w/dye
73220		Mri uppr extremity w/o&w/dye
73220	26	Mri uppr extremity w/o&w/dye
73220	TC	Mri uppr extremity w/o&w/dye
73221		Mri joint upr extrem w/o dye
73221	26	Mri joint upr extrem w/o dye
73221	TC	Mri joint upr extrem w/o dye
73222		Mri joint upr extrem w/dye
73222	26	Mri joint upr extrem w/dye
73222	TC	Mri joint upr extrem w/dye
73223		Mri joint upr extr w/o&w/dye
73223	26	Mri joint upr extr w/o&w/dye
73223	TC	Mri joint upr extr w/o&w/dye
73525		Contrast x-ray of hip
73525	26	Contrast x-ray of hip
73525	TC	Contrast x-ray of hip
73530		X-ray exam of hip
73530	26	X-ray exam of hip
73530	TC	X-ray exam of hip
73550		X-ray exam of thigh
73550	26	X-ray exam of thigh
73550	TC	X-ray exam of thigh
73560		X-ray exam of knee, 1 or 2
73560	26	X-ray exam of knee, 1 or 2
73560	TC	X-ray exam of knee, 1 or 2
73562		X-ray exam of knee, 3
73562	26	X-ray exam of knee, 3
73562	TC	X-ray exam of knee, 3
73564		X-ray exam, knee, 4 or more
73564	26	X-ray exam, knee, 4 or more
73564	TC	X-ray exam, knee, 4 or more
73580		Contrast x-ray of knee joint
73580	26	Contrast x-ray of knee joint
73580	TC	Contrast x-ray of knee joint
73590		X-ray exam of lower leg
73590	26	X-ray exam of lower leg
73590	TC	X-ray exam of lower leg
73592		X-ray exam of leg, infant
73592	26	X-ray exam of leg, infant
73592	TC	X-ray exam of leg, infant
73600		X-ray exam of ankle
73600	26	X-ray exam of ankle
73600	TC	X-ray exam of ankle
73610		X-ray exam of ankle
73610	26	X-ray exam of ankle
73610	TC	X-ray exam of ankle
73615		Contrast x-ray of ankle
73615	26	Contrast x-ray of ankle
73615	TC	Contrast x-ray of ankle
73620		X-ray exam of foot
73620	26	X-ray exam of foot
73620	TC	X-ray exam of foot
73630		X-ray exam of foot
73630	26	X-ray exam of foot
73630	TC	X-ray exam of foot
73650		X-ray exam of heel
73650	26	X-ray exam of heel
73650	TC	X-ray exam of heel
73660		X-ray exam of toe(s)
73660	26	X-ray exam of toe(s)
73660	TC	X-ray exam of toe(s)
73700		Ct lower extremity w/o dye
73700	26	Ct lower extremity w/o dye

73700	TC	Ct lower extremity w/o dye
73701		Ct lower extremity w/dye
73701	26	Ct lower extremity w/dye
73701	TC	Ct lower extremity w/dye
73702		Ct lwr extremity w/o&w/dye
73702	26	Ct lwr extremity w/o&w/dye
73702	TC	Ct lwr extremity w/o&w/dye
73706		Ct angio lwr extr w/o&w/dye
73706	26	Ct angio lwr extr w/o&w/dye
73706	TC	Ct angio lwr extr w/o&w/dye
73718		Mri lower extremity w/o dye
73718	26	Mri lower extremity w/o dye
73718	TC	Mri lower extremity w/o dye
73719		Mri lower extremity w/dye
73719	26	Mri lower extremity w/dye
73719	TC	Mri lower extremity w/dye
73720		Mri lwr extremity w/o&w/dye
73720	26	Mri lwr extremity w/o&w/dye
73720	TC	Mri lwr extremity w/o&w/dye
73721		Mri jnt of lwr extre w/o dye
73721	26	Mri jnt of lwr extre w/o dye
73721	TC	Mri jnt of lwr extre w/o dye
73722		Mri joint of lwr extr w/dye
73722	26	Mri joint of lwr extr w/dye
73722	TC	Mri joint of lwr extr w/dye
73723		Mri joint lwr extr w/o&w/dye
73723	26	Mri joint lwr extr w/o&w/dye
73723	TC	Mri joint lwr extr w/o&w/dye
73725		Mr ang lwr ext w or w/o dye
73725	26	Mr ang lwr ext w or w/o dye
73725	TC	Mr ang lwr ext w or w/o dye
75685		Artery x-rays, spine
75685	26	Artery x-rays, spine
75685	TC	Artery x-rays, spine
76510		Ophth us, b & quant a
76510	26	Ophth us, b & quant a
76510	TC	Ophth us, b & quant a
76511		Ophth us, quant a only
76511	26	Ophth us, quant a only
76511	TC	Ophth us, quant a only
76512		Ophth us, b w/non-quant a
76512	26	Ophth us, b w/non-quant a
76512	TC	Ophth us, b w/non-quant a
76513		Echo exam of eye, water bath
76513	26	Echo exam of eye, water bath
76513	TC	Echo exam of eye, water bath
76519	26	Echo exam of eye
76529		Echo exam of eye
76529	26	Echo exam of eye
76529	TC	Echo exam of eye
77071		X-ray stress view
92070		Fitting of contact lens
92135		Opthalmic dx imaging
92135	26	Opthalmic dx imaging
92135	TC	Opthalmic dx imaging
92136	26	Ophthalmic biometry
92225		Special eye exam, initial
92226	</

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