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Browse by Year / 2002 / June / Friday, June 28, 2002
[Federal Register: June 28, 2002 (Volume 67, Number 125)]
[Proposed Rules]
[Page 43945-43994]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr28jn02-30]
[[pp. 43945-43994]] Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule for Calendar Year 2003
[[Continued from page 43944]]
[[Page 43944]]
63199.......... .......... A Incise spinal 26.89 16.61 NA 5.62 090
column & cord.
63200.......... .......... A Release of 19.18 13.04 NA 3.61 090
spinal cord.
63250.......... .......... A Revise spinal 40.76 20.63 NA 7.65 090
cord vessels.
63251.......... .......... A Revise spinal 41.20 22.94 NA 7.98 090
cord vessels.
63252.......... .......... A Revise spinal 41.19 22.46 NA 7.75 090
cord vessels.
63265.......... .......... A Excise 21.56 12.96 NA 4.29 090
intraspinal
lesion.
63266.......... .......... A Excise 22.30 13.40 NA 4.47 090
intraspinal
lesion.
63267.......... .......... A Excise 17.95 11.21 NA 3.50 090
intraspinal
lesion.
63268.......... .......... A Excise 18.52 10.62 NA 3.18 090
intraspinal
lesion.
63270.......... .......... A Excise 26.80 15.75 NA 5.41 090
intraspinal
lesion.
63271.......... .......... A Excise 26.92 15.82 NA 5.56 090
intraspinal
lesion.
63272.......... .......... A Excise 25.32 14.93 NA 5.07 090
intraspinal
lesion.
63273.......... .......... A Excise 24.29 14.57 NA 5.08 090
intraspinal
lesion.
63275.......... .......... A Biopsy/excise 23.68 14.01 NA 4.68 090
spinal tumor.
63276.......... .......... A Biopsy/excise 23.45 13.90 NA 4.63 090
spinal tumor.
63277.......... .......... A Biopsy/excise 20.83 12.68 NA 4.03 090
spinal tumor.
63278.......... .......... A Biopsy/excise 20.56 12.55 NA 4.02 090
spinal tumor.
63280.......... .......... A Biopsy/excise 28.35 16.43 NA 5.80 090
spinal tumor.
63281.......... .......... A Biopsy/excise 28.05 16.28 NA 5.67 090
spinal tumor.
63282.......... .......... A Biopsy/excise 26.39 15.38 NA 5.33 090
spinal tumor.
63283.......... .......... A Biopsy/excise 25.00 14.75 NA 5.12 090
spinal tumor.
63285.......... .......... A Biopsy/excise 36.00 20.14 NA 7.31 090
spinal tumor.
63286.......... .......... A Biopsy/excise 35.63 20.04 NA 7.07 090
spinal tumor.
63287.......... .......... A Biopsy/excise 36.70 20.64 NA 7.48 090
spinal tumor.
63290.......... .......... A Biopsy/excise 37.38 20.84 NA 7.65 090
spinal tumor.
63300.......... .......... A Removal of 24.43 14.50 NA 4.78 090
vertebral body.
63301.......... .......... A Removal of 27.60 15.58 NA 5.03 090
vertebral body.
63302.......... .......... A Removal of 27.81 15.82 NA 5.25 090
vertebral body.
63303.......... .......... A Removal of 30.50 17.19 NA 5.21 090
vertebral body.
63304.......... .......... A Removal of 30.33 17.50 NA 4.72 090
vertebral body.
63305.......... .......... A Removal of 32.03 17.96 NA 5.39 090
vertebral body.
63306.......... .......... A Removal of 32.22 17.54 NA 2.39 090
vertebral body.
63307.......... .......... A Removal of 31.63 17.15 NA 4.23 090
vertebral body.
63308.......... .......... A Remove vertebral 5.25 2.66 NA 1.01 ZZZ
body add-on.
63600.......... .......... A Remove spinal 14.02 6.14 NA 1.22 090
cord lesion.
63610.......... .......... A Stimulation of 8.73 4.12 NA 0.43 000
spinal cord.
63615.......... .......... A Remove lesion of 16.28 10.20 NA 2.85 090
spinal cord.
63650.......... .......... A Implant 6.74 2.98 NA 0.48 090
neuroelectrodes.
63655.......... .......... A Implant 10.29 7.12 NA 1.85 090
neuroelectrodes.
63660.......... .......... A Revise/remove 6.16 3.71 NA 0.65 090
neuroelectrode.
63685.......... .......... A Implant 7.04 4.27 NA 0.96 090
neuroreceiver.
63688.......... .......... A Revise/remove 5.39 3.63 NA 0.70 090
neuroreceiver.
63700.......... .......... A Repair of spinal 16.53 10.33 NA 2.69 090
herniation.
63702.......... .......... A Repair of spinal 18.48 10.98 NA 1.36 090
herniation.
63704.......... .......... A Repair of spinal 21.18 12.54 NA 3.84 090
herniation.
63706.......... .......... A Repair of spinal 24.11 13.63 NA 4.73 090
herniation.
63707.......... .......... A Repair spinal 11.26 7.88 NA 1.96 090
fluid leakage.
63709.......... .......... A Repair spinal 14.32 9.56 NA 2.49 090
fluid leakage.
63710.......... .......... A Graft repair of 14.07 9.28 NA 2.61 090
spine defect.
63740.......... .......... A Install spinal 11.36 7.62 NA 2.15 090
shunt.
63741.......... .......... A Install spinal 8.25 4.85 NA 1.05 090
shunt.
63744.......... .......... A Revision of 8.10 5.53 NA 1.51 090
spinal shunt.
63746.......... .......... A Removal of 6.43 4.01 NA 1.15 090
spinal shunt.
64400.......... .......... A Injection for 1.11 0.27 2.46 0.06 000
nerve block.
64402.......... .......... A Injection for 1.25 0.44 4.37 0.07 000
nerve block.
64405.......... .......... A Injection for 1.32 0.35 1.30 0.08 000
nerve block.
64408.......... .......... A Injection for 1.41 0.57 2.81 0.09 000
nerve block.
64410.......... .......... A Injection for 1.43 0.31 2.77 0.08 000
nerve block.
64412.......... .......... A Injection for 1.18 0.27 2.71 0.08 000
nerve block.
64413.......... .......... A Injection for 1.40 0.35 2.82 0.09 000
nerve block.
64415.......... .......... A Injection for 1.48 0.31 2.80 0.08 000
nerve block.
64417.......... .......... A Injection for 1.44 0.34 2.78 0.09 000
nerve block.
64418.......... .......... A Injection for 1.32 0.28 2.44 0.07 000
nerve block.
64420.......... .......... A Injection for 1.18 0.26 2.37 0.07 000
nerve block.
64421.......... .......... A Injection for 1.68 0.37 2.78 0.10 000
nerve block.
64425.......... .......... A Injection for 1.75 0.39 2.30 0.11 000
nerve block.
[[Page 43945]]
64430.......... .......... A Injection for 1.46 0.43 2.85 0.11 000
nerve block.
64435.......... .......... A Injection for 1.45 0.56 3.07 0.15 000
nerve block.
64445.......... .......... A Injection for 1.48 0.39 2.48 0.08 000
nerve block.
64450.......... .......... A Injection for 1.27 0.32 1.78 0.08 000
nerve block.
64470.......... .......... A Inj 1.85 0.48 4.03 0.12 000
paravertebral c/
t.
64472.......... .......... A Inj 1.29 0.33 3.86 0.09 ZZZ
paravertebral c/
t add-on.
64475.......... .......... A Inj 1.41 0.38 3.92 0.09 000
paravertebral l/
s.
64476.......... .......... A Inj 0.98 0.25 4.09 0.06 ZZZ
paravertebral l/
s add-on.
64479.......... .......... A Inj foramen 2.20 0.62 4.25 0.14 000
epidural c/t.
64480.......... .......... A Inj foramen 1.54 0.42 4.17 0.09 ZZZ
epidural add-on.
64483.......... .......... A Inj foramen 1.90 0.54 4.12 0.12 000
epidural l/s.
64484.......... .......... A Inj foramen 1.33 0.36 4.10 0.08 ZZZ
epidural add-on.
64505.......... .......... A Injection for 1.36 0.35 2.34 0.08 000
nerve block.
64508.......... .......... A Injection for 1.12 0.34 2.44 0.06 000
nerve block.
64510.......... .......... A Injection for 1.22 0.25 2.52 0.07 000
nerve block.
64520.......... .......... A Injection for 1.35 0.29 3.65 0.08 000
nerve block.
64530.......... .......... A Injection for 1.58 0.35 3.45 0.09 000
nerve block.
64550.......... .......... A Apply 0.18 0.06 0.54 0.01 000
neurostimulator.
64553.......... .......... A Implant 2.31 1.27 1.74 0.17 010
neuroelectrodes.
64555.......... .......... A Implant 2.27 0.65 2.39 0.11 010
neuroelectrodes.
64560.......... .......... A Implant 2.36 0.72 2.42 0.17 010
neuroelectrodes.
64561.......... .......... A Implant 6.74 3.74 15.36 0.11 010
neuroelectrodes.
64565.......... .......... A Implant 1.76 0.66 3.16 0.08 010
neuroelectrodes.
64573.......... .......... A Implant 7.50 5.33 NA 1.48 090
neuroelectrodes.
64575.......... .......... A Implant 4.35 3.16 NA 0.37 090
neuroelectrodes.
64577.......... .......... A Implant 4.62 3.63 NA 0.50 090
neuroelectrodes.
64580.......... .......... A Implant 4.12 3.91 NA 0.21 090
neuroelectrodes.
64581.......... .......... A Implant 13.50 6.55 NA 0.37 090
neuroelectrodes.
64585.......... .......... A Revise/remove 2.06 2.13 3.18 0.29 010
neuroelectrode.
64590.......... .......... A Implant 2.40 2.31 NA 0.40 010
neuroreceiver.
64595.......... .......... A Revise/remove 1.73 1.94 NA 0.22 010
neuroreceiver.
64600.......... .......... A Injection 3.45 2.01 3.10 0.28 010
treatment of
nerve.
64605.......... .......... A Injection 5.61 2.51 3.64 0.53 010
treatment of
nerve.
64610.......... .......... A Injection 7.16 4.05 NA 1.12 010
treatment of
nerve.
64612.......... .......... A Destroy nerve, 1.96 1.60 2.98 0.09 010
face muscle.
64613.......... .......... A Destroy nerve, 1.96 1.44 1.76 0.10 010
spine muscle.
64614.......... .......... A Destroy nerve, 2.20 0.76 3.48 0.09 010
extrem musc.
64620.......... .......... A Injection 2.84 0.65 2.98 0.17 010
treatment of
nerve.
64622.......... .......... A Destr 3.00 0.72 4.59 0.17 010
paravertebrl
nerve l/s.
64623.......... .......... A Destr 0.99 0.23 3.59 0.06 ZZZ
paravertebral n
add-on.
64626.......... .......... A Destr 3.28 0.79 4.32 0.22 010
paravertebrl
nerve c/t.
64627.......... .......... A Destr 1.16 0.29 3.64 0.08 ZZZ
paravertebral n
add-on.
64630.......... .......... A Injection 3.00 0.77 3.50 0.16 010
treatment of
nerve.
64640.......... .......... A Injection 2.76 1.62 5.04 0.11 010
treatment of
nerve.
64680.......... .......... A Injection 2.62 0.68 2.98 0.15 010
treatment of
nerve.
64702.......... .......... A Revise finger/ 4.23 3.90 NA 0.51 090
toe nerve.
64704.......... .......... A Revise hand/foot 4.57 3.19 NA 0.59 090
nerve.
64708.......... .......... A Revise arm/leg 6.12 5.01 NA 0.82 090
nerve.
64712.......... .......... A Revision of 7.75 5.14 NA 0.54 090
sciatic nerve.
64713.......... .......... A Revision of arm 11.00 5.68 NA 1.01 090
nerve(s).
64714.......... .......... A Revise low back 10.33 4.11 NA 0.64 090
nerve(s).
64716.......... .......... A Revision of 6.31 4.92 NA 0.59 090
cranial nerve.
64718.......... .......... A Revise ulnar 5.99 5.14 NA 0.87 090
nerve at elbow.
64719.......... .......... A Revise ulnar 4.85 4.64 NA 0.63 090
nerve at wrist.
64721.......... .......... A Carpal tunnel 4.29 5.96 6.32 0.59 090
surgery.
64722.......... .......... A Relieve pressure 4.70 3.22 NA 0.32 090
on nerve(s).
64726.......... .......... A Release foot/toe 4.18 3.02 NA 0.57 090
nerve.
64727.......... .......... A Internal nerve 3.10 1.55 NA 0.40 ZZZ
revision.
64732.......... .......... A Incision of brow 4.41 3.51 NA 0.77 090
nerve.
64734.......... .......... A Incision of 4.92 3.55 NA 0.83 090
cheek nerve.
64736.......... .......... A Incision of chin 4.60 2.88 NA 0.71 090
nerve.
64738.......... .......... A Incision of jaw 5.73 3.58 NA 0.84 090
nerve.
64740.......... .......... A Incision of 5.59 3.78 NA 0.43 090
tongue nerve.
64742.......... .......... A Incision of 6.22 4.71 NA 0.69 090
facial nerve.
64744.......... .......... A Incise nerve, 5.24 3.83 NA 0.98 090
back of head.
64746.......... .......... A Incise diaphragm 5.93 4.41 NA 0.75 090
nerve.
[[Page 43946]]
64752.......... .......... A Incision of 7.06 4.67 NA 0.83 090
vagus nerve.
64755.......... .......... A Incision of 13.52 6.23 NA 1.16 090
stomach nerves.
64760.......... .......... A Incision of 6.96 4.03 NA 0.51 090
vagus nerve.
64761.......... .......... A Incision of 6.41 3.56 NA 0.26 090
pelvis nerve.
64763.......... .......... A Incise hip/thigh 6.93 6.12 NA 0.77 090
nerve.
64766.......... .......... A Incise hip/thigh 8.67 5.65 NA 0.99 090
nerve.
64771.......... .......... A Sever cranial 7.35 5.51 NA 1.32 090
nerve.
64772.......... .......... A Incision of 7.21 4.79 NA 1.20 090
spinal nerve.
64774.......... .......... A Remove skin 5.17 3.73 NA 0.60 090
nerve lesion.
64776.......... .......... A Remove digit 5.12 3.80 NA 0.63 090
nerve lesion.
64778.......... .......... A Digit nerve 3.11 1.55 NA 0.38 ZZZ
surgery add-on.
64782.......... .......... A Remove limb 6.23 3.70 NA 0.79 090
nerve lesion.
64783.......... .......... A Limb nerve 3.72 1.90 NA 0.48 ZZZ
surgery add-on.
64784.......... .......... A Remove nerve 9.82 6.60 NA 1.17 090
lesion.
64786.......... .......... A Remove sciatic 15.46 10.09 NA 2.22 090
nerve lesion.
64787.......... .......... A Implant nerve 4.30 2.19 NA 0.56 ZZZ
end.
64788.......... .......... A Remove skin 4.61 3.46 NA 0.54 090
nerve lesion.
64790.......... .......... A Removal of nerve 11.31 7.18 NA 1.68 090
lesion.
64792.......... .......... A Removal of nerve 14.92 8.77 NA 1.88 090
lesion.
64795.......... .......... A Biopsy of nerve. 3.01 1.76 NA 0.40 000
64802.......... .......... A Remove 9.15 5.31 NA 0.87 090
sympathetic
nerves.
64804.......... .......... A Remove 14.64 7.26 NA 1.79 090
sympathetic
nerves.
64809.......... .......... A Remove 13.67 6.23 NA 0.96 090
sympathetic
nerves.
64818.......... .......... A Remove 10.30 5.72 NA 1.08 090
sympathetic
nerves.
64820.......... .......... A Remove 10.37 7.35 NA 1.17 090
sympathetic
nerves.
64821.......... .......... A Remove 8.75 6.60 NA 0.99 090
sympathetic
nerves.
64822.......... .......... A Remove 8.75 6.60 NA 0.99 090
sympathetic
nerves.
64823.......... .......... A Remove 10.37 7.35 NA 1.17 090
sympathetic
nerves.
64831.......... .......... A Repair of digit 9.44 7.20 NA 1.14 090
nerve.
64832.......... .......... A Repair nerve add- 5.66 3.03 NA 0.68 ZZZ
on.
64834.......... .......... A Repair of hand 10.19 7.16 NA 1.23 090
or foot nerve.
64835.......... .......... A Repair of hand 10.94 7.81 NA 1.36 090
or foot nerve.
64836.......... .......... A Repair of hand 10.94 7.79 NA 1.32 090
or foot nerve.
64837.......... .......... A Repair nerve add- 6.26 3.34 NA 0.80 ZZZ
on.
64840.......... .......... A Repair of leg 13.02 8.44 NA 0.86 090
nerve.
64856.......... .......... A Repair/transpose 13.80 9.36 NA 1.71 090
nerve.
64857.......... .......... A Repair arm/leg 14.49 9.83 NA 1.76 090
nerve.
64858.......... .......... A Repair sciatic 16.49 10.69 NA 2.78 090
nerve.
64859.......... .......... A Nerve surgery... 4.26 2.23 NA 0.50 ZZZ
64861.......... .......... A Repair of arm 19.24 12.60 NA 2.45 090
nerves.
64862.......... .......... A Repair of low 19.44 12.10 NA 2.47 090
back nerves.
64864.......... .......... A Repair of facial 12.55 8.55 NA 1.13 090
nerve.
64865.......... .......... A Repair of facial 15.24 10.03 NA 1.37 090
nerve.
64866.......... .......... A Fusion of facial/ 15.74 9.94 NA 1.06 090
other nerve.
64868.......... .......... A Fusion of facial/ 14.04 9.26 NA 1.40 090
other nerve.
64870.......... .......... A Fusion of facial/ 15.99 10.24 NA 1.08 090
other nerve.
64872.......... .......... A Subsequent 1.99 1.08 NA 0.24 ZZZ
repair of nerve.
64874.......... .......... A Repair & revise 2.98 1.54 NA 0.34 ZZZ
nerve add-on.
64876.......... .......... A Repair nerve/ 3.38 1.31 NA 0.39 ZZZ
shorten bone.
64885.......... .......... A Nerve graft, 17.53 11.12 NA 1.51 090
head or neck.
64886.......... .......... A Nerve graft, 20.75 13.08 NA 1.73 090
head or neck.
64890.......... .......... A Nerve graft, 15.15 10.21 NA 1.74 090
hand or foot.
64891.......... .......... A Nerve graft, 16.14 7.62 NA 1.38 090
hand or foot.
64892.......... .......... A Nerve graft, arm 14.65 8.95 NA 1.65 090
or leg.
64893.......... .......... A Nerve graft, arm 15.60 9.94 NA 1.77 090
or leg.
64895.......... .......... A Nerve graft, 19.25 9.74 NA 2.04 090
hand or foot.
64896.......... .......... A Nerve graft, 20.49 11.17 NA 1.85 090
hand or foot.
64897.......... .......... A Nerve graft, arm 18.24 10.85 NA 2.64 090
or leg.
64898.......... .......... A Nerve graft, arm 19.50 11.80 NA 2.71 090
or leg.
64901.......... .......... A Nerve graft add- 10.22 5.41 NA 0.99 ZZZ
on.
64902.......... .......... A Nerve graft add- 11.83 6.05 NA 1.10 ZZZ
on.
64905.......... .......... A Nerve pedicle 14.02 9.10 NA 1.52 090
transfer.
64907.......... .......... A Nerve pedicle 18.83 12.43 NA 1.79 090
transfer.
64999.......... .......... C Nervous system 0.00 0.00 0.00 0.00 YYY
surgery.
65091.......... .......... A Revise eye...... 6.46 11.88 NA 0.26 090
65093.......... .......... A Revise eye with 6.87 11.93 NA 0.28 090
implant.
[[Page 43947]]
65101.......... .......... A Removal of eye.. 7.03 12.17 NA 0.28 090
65103.......... .......... A Remove eye/ 7.57 12.36 NA 0.30 090
insert implant.
65105.......... .......... A Remove eye/ 8.49 12.86 NA 0.34 090
attach implant.
65110.......... .......... A Removal of eye.. 13.95 15.87 NA 0.68 090
65112.......... .......... A Remove eye/ 16.38 18.08 NA 0.96 090
revise socket.
65114.......... .......... A Remove eye/ 17.53 18.13 NA 0.94 090
revise socket.
65125.......... .......... A Revise ocular 3.12 1.46 6.31 0.15 090
implant.
65130.......... .......... A Insert ocular 7.15 11.79 NA 0.28 090
implant.
65135.......... .......... A Insert ocular 7.33 12.01 NA 0.29 090
implant.
65140.......... .......... A Attach ocular 8.02 12.27 NA 0.31 090
implant.
65150.......... .......... A Revise ocular 6.26 11.22 NA 0.25 090
implant.
65155.......... .......... A Reinsert ocular 8.66 13.17 NA 0.40 090
implant.
65175.......... .......... A Removal of 6.28 11.37 NA 0.26 090
ocular implant.
65205.......... .......... A Remove foreign 0.71 0.20 0.62 0.03 000
body from eye.
65210.......... .......... A Remove foreign 0.84 0.30 0.78 0.03 000
body from eye.
65220.......... .......... A Remove foreign 0.71 0.19 0.62 0.05 000
body from eye.
65222.......... .......... A Remove foreign 0.93 0.28 0.79 0.04 000
body from eye.
65235.......... .......... A Remove foreign 7.57 6.99 NA 0.30 090
body from eye.
65260.......... .......... A Remove foreign 10.96 12.76 NA 0.43 090
body from eye.
65265.......... .......... A Remove foreign 12.59 14.32 NA 0.50 090
body from eye.
65270.......... .......... A Repair of eye 1.90 2.41 4.10 0.08 010
wound.
65272.......... .......... A Repair of eye 3.82 4.85 5.82 0.16 090
wound.
65273.......... .......... A Repair of eye 4.36 5.19 NA 0.17 090
wound.
65275.......... .......... A Repair of eye 5.34 5.24 5.74 0.27 090
wound.
65280.......... .......... A Repair of eye 7.66 7.88 NA 0.30 090
wound.
65285.......... .......... A Repair of eye 12.90 13.88 NA 0.51 090
wound.
65286.......... .......... A Repair of eye 5.51 7.94 9.20 0.21 090
wound.
65290.......... .......... A Repair of eye 5.41 6.47 NA 0.26 090
socket wound.
65400.......... .......... A Removal of eye 6.06 7.15 8.69 0.24 090
lesion.
65410.......... .......... A Biopsy of cornea 1.47 0.67 1.76 0.06 000
65420.......... .......... A Removal of eye 4.17 7.31 8.47 0.17 090
lesion.
65426.......... .......... A Removal of eye 5.25 6.78 8.10 0.20 090
lesion.
65430.......... .......... A Corneal smear... 1.47 0.68 9.01 0.06 000
65435.......... .......... A Curette/treat 0.92 0.40 1.38 0.04 000
cornea.
65436.......... .......... A Curette/treat 4.19 5.06 6.06 0.17 090
cornea.
65450.......... .......... A Treatment of 3.27 6.90 8.19 0.13 090
corneal lesion.
65600.......... .......... A Revision of 3.40 1.44 5.65 0.14 090
cornea.
65710.......... .......... A Corneal 12.35 13.14 NA 0.49 090
transplant.
65730.......... .......... A Corneal 14.25 12.01 NA 0.56 090
transplant.
65750.......... .......... A Corneal 15.00 14.53 NA 0.59 090
transplant.
65755.......... .......... A Corneal 14.89 14.44 NA 0.58 090
transplant.
65760.......... .......... N Revision of 0.00 0.00 0.00 0.00 XXX
cornea.
65765.......... .......... N Revision of 0.00 0.00 0.00 0.00 XXX
cornea.
65767.......... .......... N Corneal tissue 0.00 0.00 0.00 0.00 XXX
transplant.
65770.......... .......... A Revise cornea 17.56 15.44 NA 0.69 090
with implant.
65771.......... .......... N Radial 0.00 0.00 0.00 0.00 XXX
keratotomy.
65772.......... .......... A Correction of 4.29 6.56 7.61 0.17 090
astigmatism.
65775.......... .......... A Correction of 5.79 8.66 NA 0.22 090
astigmatism.
65800.......... .......... A Drainage of eye. 1.91 1.44 2.33 0.08 000
65805.......... .......... A Drainage of eye. 1.91 1.44 2.33 0.08 000
65810.......... .......... A Drainage of eye. 4.87 9.09 NA 0.19 090
65815.......... .......... A Drainage of eye. 5.05 8.24 9.49 0.20 090
65820.......... .......... A Relieve inner 8.13 11.15 NA 0.32 090
eye pressure.
65850.......... .......... A Incision of eye. 10.52 10.30 NA 0.41 090
65855.......... .......... A Laser surgery of 3.85 3.61 5.13 0.17 010
eye.
65860.......... .......... A Incise inner eye 3.55 3.15 4.15 0.14 090
adhesions.
65865.......... .......... A Incise inner eye 5.60 6.93 NA 0.22 090
adhesions.
65870.......... .......... A Incise inner eye 6.27 7.26 NA 0.24 090
adhesions.
65875.......... .......... A Incise inner eye 6.54 7.38 NA 0.25 090
adhesions.
65880.......... .......... A Incise inner eye 7.09 7.63 NA 0.28 090
adhesions.
65900.......... .......... A Remove eye 10.93 12.87 NA 0.46 090
lesion.
65920.......... .......... A Remove implant 8.40 8.24 NA 0.33 090
of eye.
65930.......... .......... A Remove blood 7.44 8.85 NA 0.29 090
clot from eye.
66020.......... .......... A Injection 1.59 1.56 2.44 0.07 010
treatment of
eye.
66030.......... .......... A Injection 1.25 1.39 2.27 0.05 010
treatment of
eye.
66130.......... .......... A Remove eye 7.69 6.71 7.65 0.31 090
lesion.
[[Page 43948]]
66150.......... .......... A Glaucoma surgery 8.30 10.90 NA 0.33 090
66155.......... .......... A Glaucoma surgery 8.29 10.83 NA 0.32 090
66160.......... .......... A Glaucoma surgery 10.17 11.71 NA 0.41 090
66165.......... .......... A Glaucoma surgery 8.01 10.70 NA 0.31 090
66170.......... .......... A Glaucoma surgery 12.16 17.20 NA 0.48 090
66172.......... .......... A Incision of eye. 15.04 15.44 NA 0.59 090
66180.......... .......... A Implant eye 14.55 12.30 NA 0.57 090
shunt.
66185.......... .......... A Revise eye shunt 8.14 8.45 NA 0.32 090
66220.......... .......... A Repair eye 7.77 10.10 NA 0.32 090
lesion.
66225.......... .......... A Repair/graft eye 11.05 9.53 NA 0.44 090
lesion.
66250.......... .......... A Follow-up 5.98 6.50 8.04 0.23 090
surgery of eye.
66500.......... .......... A Incision of iris 3.71 4.87 NA 0.15 090
66505.......... .......... A Incision of iris 4.08 5.00 NA 0.17 090
66600.......... .......... A Remove iris and 8.68 8.90 NA 0.34 090
lesion.
66605.......... .......... A Removal of iris. 12.79 12.47 NA 0.61 090
66625.......... .......... A Removal of iris. 5.13 6.83 7.91 0.20 090
66630.......... .......... A Removal of iris. 6.16 7.80 NA 0.24 090
66635.......... .......... A Removal of iris. 6.25 6.65 NA 0.24 090
66680.......... .......... A Repair iris & 5.44 6.25 NA 0.21 090
ciliary body.
66682.......... .......... A Repair iris & 6.21 7.81 NA 0.24 090
ciliary body.
66700.......... .......... A Destruction, 4.78 7.16 7.16 0.19 090
ciliary body.
66710.......... .......... A Destruction, 4.78 7.61 9.06 0.18 090
ciliary body.
66720.......... .......... A Destruction, 4.78 7.58 8.62 0.19 090
ciliary body.
66740.......... .......... A Destruction, 4.78 6.56 NA 0.18 090
ciliary body.
66761.......... .......... A Revision of iris 4.07 4.34 5.64 0.16 090
66762.......... .......... A Revision of iris 4.58 4.40 5.60 0.18 090
66770.......... .......... A Removal of inner 5.18 4.65 5.87 0.20 090
eye lesion.
66820.......... .......... A Incision, 3.89 8.62 NA 0.16 090
secondary
cataract.
66821.......... .......... A After cataract 2.35 3.44 3.89 0.10 090
laser surgery.
66825.......... .......... A Reposition 8.23 10.65 NA 0.32 090
intraocular
lens.
66830.......... .......... A Removal of lens 8.20 6.98 NA 0.32 090
lesion.
66840.......... .......... A Removal of lens 7.91 6.87 NA 0.31 090
material.
66850.......... .......... A Removal of lens 9.11 7.41 NA 0.36 090
material.
66852.......... .......... A Removal of lens 9.97 7.87 NA 0.39 090
material.
66920.......... .......... A Extraction of 8.86 7.34 NA 0.35 090
lens.
66930.......... .......... A Extraction of 10.18 8.86 NA 0.41 090
lens.
66940.......... .......... A Extraction of 8.93 8.28 NA 0.35 090
lens.
66982.......... .......... A Cataract 13.50 9.17 NA 0.56 090
surgery,
complex.
66983.......... .......... A Cataract surg w/ 8.99 6.02 NA 0.37 090
iol, 1 stage.
66984.......... .......... A Cataract surg w/ 10.23 7.74 NA 0.41 090
iol, i stage.
66985.......... .......... A Insert lens 8.39 6.96 NA 0.33 090
prosthesis.
66986.......... .......... A Exchange lens 12.28 8.71 NA 0.49 090
prosthesis.
66999.......... .......... C Eye surgery 0.00 0.00 0.00 0.00 YYY
procedure.
67005.......... .......... A Partial removal 5.70 2.66 NA 0.22 090
of eye fluid.
67010.......... .......... A Partial removal 6.87 3.23 NA 0.27 090
of eye fluid.
67015.......... .......... A Release of eye 6.92 8.37 NA 0.27 090
fluid.
67025.......... .......... A Replace eye 6.84 7.70 17.77 0.27 090
fluid.
67027.......... .......... A Implant eye drug 10.85 8.94 14.73 0.46 090
system.
67028.......... .......... A Injection eye 2.52 1.17 11.22 0.11 000
drug.
67030.......... .......... A Incise inner eye 4.84 6.97 NA 0.19 090
strands.
67031.......... .......... A Laser surgery, 3.67 3.21 4.22 0.15 090
eye strands.
67036.......... .......... A Removal of inner 11.89 9.17 NA 0.47 090
eye fluid.
67038.......... .......... A Strip retinal 21.24 15.78 NA 0.84 090
membrane.
67039.......... .......... A Laser treatment 14.52 12.62 NA 0.57 090
of retina.
67040.......... .......... A Laser treatment 17.23 13.91 NA 0.68 090
of retina.
67101.......... .......... A Repair detached 7.53 9.12 11.28 0.29 090
retina.
67105.......... .......... A Repair detached 7.41 5.64 7.79 0.29 090
retina.
67107.......... .......... A Repair detached 14.84 13.51 NA 0.58 090
retina.
67108.......... .......... A Repair detached 20.82 18.17 NA 0.82 090
retina.
67110.......... .......... A Repair detached 8.81 10.57 21.28 0.35 090
retina.
67112.......... .......... A Rerepair 16.86 16.13 NA 0.66 090
detached retina.
67115.......... .......... A Release 4.99 7.05 NA 0.19 090
encircling
material.
67120.......... .......... A Remove eye 5.98 7.34 17.00 0.23 090
implant
material.
67121.......... .......... A Remove eye 10.67 12.48 NA 0.42 090
implant
material.
67141.......... .......... A Treatment of 5.20 7.18 8.31 0.20 090
retina.
67145.......... .......... A Treatment of 5.37 4.23 5.42 0.21 090
retina.
[[Page 43949]]
67208.......... .......... A Treatment of 6.70 7.35 8.64 0.26 090
retinal lesion.
67210.......... .......... A Treatment of 8.82 5.83 7.45 0.35 090
retinal lesion.
67218.......... .......... A Treatment of 18.53 16.22 NA 0.53 090
retinal lesion.
67220.......... .......... A Treatment of 13.13 9.82 11.06 0.51 090
choroid lesion.
67221.......... .......... A Ocular 4.01 1.89 4.80 0.16 000
photodynamic
ther.
67225.......... .......... A Eye photodynamic 0.47 0.18 0.24 0.50 ZZZ
ther add-on.
67227.......... .......... A Treatment of 6.58 7.39 9.32 0.26 090
retinal lesion.
67228.......... .......... A Treatment of 12.74 7.30 10.07 0.50 090
retinal lesion.
67250.......... .......... A Reinforce eye 8.66 12.35 NA 0.36 090
wall.
67255.......... .......... A Reinforce/graft 8.90 12.40 NA 0.35 090
eye wall.
67299.......... .......... C Eye surgery 0.00 0.00 0.00 0.00 YYY
procedure.
67311.......... .......... A Revise eye 6.65 6.29 NA 0.27 090
muscle.
67312.......... .......... A Revise two eye 8.54 7.36 NA 0.35 090
muscles.
67314.......... .......... A Revise eye 7.52 6.87 NA 0.30 090
muscle.
67316.......... .......... A Revise two eye 9.66 7.86 NA 0.40 090
muscles.
67318.......... .......... A Revise eye 7.85 7.26 NA 0.31 090
muscle(s).
67320.......... .......... A Revise eye 4.33 2.02 NA 0.17 ZZZ
muscle(s) add-
on.
67331.......... .......... A Eye surgery 4.06 1.95 NA 0.17 ZZZ
follow-up add-
on.
67332.......... .......... A Rerevise eye 4.49 2.09 NA 0.18 ZZZ
muscles add-on.
67334.......... .......... A Revise eye 3.98 1.86 NA 0.16 ZZZ
muscle w/suture.
67335.......... .......... A Eye suture 2.49 1.16 NA 0.10 ZZZ
during surgery.
67340.......... .......... A Revise eye 4.93 2.29 NA 0.19 ZZZ
muscle add-on.
67343.......... .......... A Release eye 7.35 7.17 NA 0.30 090
tissue.
67345.......... .......... A Destroy nerve of 2.96 1.35 4.34 0.13 010
eye muscle.
67350.......... .......... A Biopsy eye 2.87 1.94 NA 0.13 000
muscle.
67399.......... .......... C Eye muscle 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
67400.......... .......... A Explore/biopsy 9.76 14.03 NA 0.43 090
eye socket.
67405.......... .......... A Explore/drain 7.93 12.74 NA 0.36 090
eye socket.
67412.......... .......... A Explore/treat 9.50 16.27 NA 0.41 090
eye socket.
67413.......... .......... A Explore/treat 10.00 13.96 NA 0.43 090
eye socket.
67414.......... .......... A Explr/decompress 11.13 17.10 NA 0.48 090
eye socket.
67415.......... .......... A Aspiration, 1.76 0.79 NA 0.09 000
orbital
contents.
67420.......... .......... A Explore/treat 20.06 20.88 NA 0.84 090
eye socket.
67430.......... .......... A Explore/treat 13.39 17.96 NA 0.97 090
eye socket.
67440.......... .......... A Explore/drain 13.09 17.25 NA 0.58 090
eye socket.
67445.......... .......... A Explr/decompress 14.42 18.42 NA 0.63 090
eye socket.
67450.......... .......... A Explore/biopsy 13.51 17.42 NA 0.56 090
eye socket.
67500.......... .......... A Inject/treat eye 0.79 0.17 0.83 0.04 000
socket.
67505.......... .......... A Inject/treat eye 0.82 0.21 0.95 0.04 000
socket.
67515.......... .......... A Inject/treat eye 0.61 0.29 0.86 0.02 000
socket.
67550.......... .......... A Insert eye 10.19 13.66 NA 0.50 090
socket implant.
67560.......... .......... A Revise eye 10.60 13.56 NA 0.47 090
socket implant.
67570.......... .......... A Decompress optic 13.58 17.87 NA 0.69 090
nerve.
67599.......... .......... C Orbit surgery 0.00 0.00 0.00 0.00 YYY
procedure.
67700.......... .......... A Drainage of 1.35 0.58 8.03 0.06 010
eyelid abscess.
67710.......... .......... A Incision of 1.02 0.48 8.19 0.04 010
eyelid.
67715.......... .......... A Incision of 1.22 0.58 NA 0.05 010
eyelid fold.
67800.......... .......... A Remove eyelid 1.38 0.64 2.70 0.06 010
lesion.
67801.......... .......... A Remove eyelid 1.88 0.88 8.52 0.08 010
lesions.
67805.......... .......... A Remove eyelid 2.22 1.04 8.68 0.09 010
lesions.
67808.......... .......... A Remove eyelid 3.80 4.31 NA 0.17 090
lesion(s).
67810.......... .......... A Biopsy of eyelid 1.48 0.70 5.42 0.06 000
67820.......... .......... A Revise eyelashes 0.89 0.38 1.16 0.04 000
67825.......... .......... A Revise eyelashes 1.38 1.04 1.64 0.06 010
67830.......... .......... A Revise eyelashes 1.70 2.20 11.86 0.07 010
67835.......... .......... A Revise eyelashes 5.56 4.77 NA 0.22 090
67840.......... .......... A Remove eyelid 2.04 0.96 8.42 0.08 010
lesion.
67850.......... .......... A Treat eyelid 1.69 2.14 9.21 0.07 010
lesion.
67875.......... .......... A Closure of 1.35 2.17 12.03 0.06 000
eyelid by
suture.
67880.......... .......... A Revision of 3.80 3.24 13.10 0.16 090
eyelid.
67882.......... .......... A Revision of 5.07 4.76 14.99 0.21 090
eyelid.
67900.......... .......... A Repair brow 6.14 6.66 11.42 0.30 090
defect.
67901.......... .......... A Repair eyelid 6.97 7.00 NA 0.32 090
defect.
67902.......... .......... A Repair eyelid 7.03 7.07 NA 0.34 090
defect.
67903.......... .......... A Repair eyelid 6.37 7.47 12.96 0.39 090
defect.
67904.......... .......... A Repair eyelid 6.26 8.43 15.13 0.26 090
defect.
[[Page 43950]]
67906.......... .......... A Repair eyelid 6.79 6.55 9.99 0.42 090
defect.
67908.......... .......... A Repair eyelid 5.13 6.30 9.76 0.20 090
defect.
67909.......... .......... A Revise eyelid 5.40 6.81 10.41 0.25 090
defect.
67911.......... .......... A Revise eyelid 5.27 6.89 NA 0.23 090
defect.
67914.......... .......... A Repair eyelid 3.68 3.69 13.57 0.16 090
defect.
67915.......... .......... A Repair eyelid 3.18 1.49 12.06 0.13 090
defect.
67916.......... .......... A Repair eyelid 5.31 5.51 16.81 0.22 090
defect.
67917.......... .......... A Repair eyelid 6.02 6.81 10.73 0.25 090
defect.
67921.......... .......... A Repair eyelid 3.40 3.46 13.32 0.14 090
defect.
67922.......... .......... A Repair eyelid 3.06 3.29 12.03 0.13 090
defect.
67923.......... .......... A Repair eyelid 5.88 5.59 15.84 0.24 090
defect.
67924.......... .......... A Repair eyelid 5.79 6.15 10.03 0.23 090
defect.
67930.......... .......... A Repair eyelid 3.61 3.15 12.94 0.17 010
wound.
67935.......... .......... A Repair eyelid 6.22 5.59 15.85 0.29 090
wound.
67938.......... .......... A Remove eyelid 1.33 0.52 10.18 0.06 010
foreign body.
67950.......... .......... A Revision of 5.82 7.53 9.15 0.30 090
eyelid.
67961.......... .......... A Revision of 5.69 5.94 9.50 0.26 090
eyelid.
67966.......... .......... A Revision of 6.57 6.07 9.17 0.33 090
eyelid.
67971.......... .......... A Reconstruction 9.79 7.66 NA 0.42 090
of eyelid.
67973.......... .......... A Reconstruction 12.87 9.73 NA 0.59 090
of eyelid.
67974.......... .......... A Reconstruction 12.84 9.64 NA 0.54 090
of eyelid.
67975.......... .......... A Reconstruction 9.13 7.32 NA 0.38 090
of eyelid.
67999.......... .......... C Revision of 0.00 0.00 0.00 0.00 YYY
eyelid.
68020.......... .......... A Incise/drain 1.37 0.63 8.12 0.06 010
eyelid lining.
68040.......... .......... A Treatment of 0.85 0.39 7.99 0.03 000
eyelid lesions.
68100.......... .......... A Biopsy of eyelid 1.35 0.62 8.20 0.06 000
lining.
68110.......... .......... A Remove eyelid 1.77 1.38 9.27 0.07 010
lining lesion.
68115.......... .......... A Remove eyelid 2.36 1.10 8.75 0.10 010
lining lesion.
68130.......... .......... A Remove eyelid 4.93 2.31 NA 0.19 090
lining lesion.
68135.......... .......... A Remove eyelid 1.84 0.86 8.50 0.07 010
lining lesion.
68200.......... .......... A Treat eyelid by 0.49 0.23 0.76 0.02 000
injection.
68320.......... .......... A Revise/graft 5.37 5.25 5.75 0.21 090
eyelid lining.
68325.......... .......... A Revise/graft 7.36 6.28 NA 0.30 090
eyelid lining.
68326.......... .......... A Revise/graft 7.15 6.15 NA 0.30 090
eyelid lining.
68328.......... .......... A Revise/graft 8.18 6.96 NA 0.40 090
eyelid lining.
68330.......... .......... A Revise eyelid 4.83 5.75 7.35 0.19 090
lining.
68335.......... .......... A Revise/graft 7.19 5.63 NA 0.29 090
eyelid lining.
68340.......... .......... A Separate eyelid 4.17 4.31 15.52 0.17 090
adhesions.
68360.......... .......... A Revise eyelid 4.37 5.44 6.84 0.17 090
lining.
68362.......... .......... A Revise eyelid 7.34 8.05 NA 0.29 090
lining.
68399.......... .......... C Eyelid lining 0.00 0.00 0.00 0.00 YYY
surgery.
68400.......... .......... A Incise/drain 1.69 2.22 11.99 0.07 010
tear gland.
68420.......... .......... A Incise/drain 2.30 2.53 12.33 0.10 010
tear sac.
68440.......... .......... A Incise tear duct 0.94 0.44 8.12 0.04 010
opening.
68500.......... .......... A Removal of tear 11.02 9.89 NA 0.60 090
gland.
68505.......... .......... A Partial removal, 10.94 11.12 NA 0.57 090
tear gland.
68510.......... .......... A Biopsy of tear 4.61 2.16 13.13 0.19 000
gland.
68520.......... .......... A Removal of tear 7.51 7.41 NA 0.33 090
sac.
68525.......... .......... A Biopsy of tear 4.43 2.08 NA 0.18 000
sac.
68530.......... .......... A Clearance of 3.66 3.09 14.74 0.16 010
tear duct.
68540.......... .......... A Remove tear 10.60 9.42 NA 0.46 090
gland lesion.
68550.......... .......... A Remove tear 13.26 11.32 NA 0.66 090
gland lesion.
68700.......... .......... A Repair tear 6.60 6.88 NA 0.27 090
ducts.
68705.......... .......... A Revise tear duct 2.06 0.97 8.67 0.08 010
opening.
68720.......... .......... A Create tear sac 8.96 8.01 NA 0.38 090
drain.
68745.......... .......... A Create tear duct 8.63 7.83 NA 0.38 090
drain.
68750.......... .......... A Create tear duct 8.66 8.45 NA 0.37 090
drain.
68760.......... .......... A Close tear duct 1.73 1.21 6.98 0.07 010
opening.
68761.......... .......... A Close tear duct 1.36 0.96 3.21 0.06 010
opening.
68770.......... .......... A Close tear 7.02 6.13 17.23 0.28 090
system fistula.
68801.......... .......... A Dilate tear duct 0.94 0.56 0.86 0.04 010
opening.
68810.......... .......... A Probe 1.90 0.88 2.47 0.08 010
nasolacrimal
duct.
68811.......... .......... A Probe 2.35 2.49 NA 0.10 010
nasolacrimal
duct.
68815.......... .......... A Probe 3.20 2.92 13.26 0.14 010
nasolacrimal
duct.
68840.......... .......... A Explore/irrigate 1.25 0.93 1.59 0.05 010
tear ducts.
68850.......... .......... A Injection for 0.80 0.31 15.79 0.03 000
tear sac x-ray.
[[Page 43951]]
68899.......... .......... C Tear duct system 0.00 0.00 0.00 0.00 YYY
surgery.
69000.......... .......... A Drain external 1.45 0.55 2.06 0.10 010
ear lesion.
69005.......... .......... A Drain external 2.11 1.99 2.50 0.16 010
ear lesion.
69020.......... .......... A Drain outer ear 1.48 0.71 2.18 0.11 010
canal lesion.
69090.......... .......... N Pierce earlobes. 0.00 0.00 0.00 0.00 XXX
69100.......... .......... A Biopsy of 0.81 0.40 1.41 0.04 000
external ear.
69105.......... .......... A Biopsy of 0.85 0.99 1.47 0.06 000
external ear
canal.
69110.......... .......... A Remove external 3.44 2.79 3.42 0.24 090
ear, partial.
69120.......... .......... A Removal of 4.05 4.45 NA 0.31 090
external ear.
69140.......... .......... A Remove ear canal 7.97 7.95 NA 0.56 090
lesion(s).
69145.......... .......... A Remove ear canal 2.62 2.47 3.33 0.18 090
lesion(s).
69150.......... .......... A Extensive ear 13.43 11.15 NA 1.07 090
canal surgery.
69155.......... .......... A Extensive ear/ 20.80 15.23 NA 1.51 090
neck surgery.
69200.......... .......... A Clear outer ear 0.77 0.74 1.41 0.05 000
canal.
69205.......... .......... A Clear outer ear 1.20 1.52 NA 0.09 010
canal.
69210.......... .......... A Remove impacted 0.61 0.24 0.57 0.04 000
ear wax.
69220.......... .......... A Clean out 0.83 0.43 1.49 0.06 000
mastoid cavity.
69222.......... .......... A Clean out 1.40 1.67 2.18 0.10 010
mastoid cavity.
69300.......... .......... R Revise external 6.36 4.37 NA 0.43 YYY
ear.
69310.......... .......... A Rebuild outer 10.79 9.61 NA 0.77 090
ear canal.
69320.......... .......... A Rebuild outer 16.96 13.66 NA 1.17 090
ear canal.
69399.......... .......... C Outer ear 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
69400.......... .......... A Inflate middle 0.83 0.40 1.48 0.06 000
ear canal.
69401.......... .......... A Inflate middle 0.63 0.35 1.38 0.04 000
ear canal.
69405.......... .......... A Catheterize 2.63 1.46 3.03 0.18 010
middle ear
canal.
69410.......... .......... A Inset middle ear 0.33 0.16 1.38 0.02 000
(baffle).
69420.......... .......... A Incision of 1.33 0.71 2.30 0.10 010
eardrum.
69421.......... .......... A Incision of 1.73 1.86 2.52 0.13 010
eardrum.
69424.......... .......... A Remove 0.85 0.87 1.65 0.06 000
ventilating
tube.
69433.......... .......... A Create eardrum 1.52 0.85 2.26 0.11 010
opening.
69436.......... .......... A Create eardrum 1.96 1.99 NA 0.14 010
opening.
69440.......... .......... A Exploration of 7.57 7.20 NA 0.53 090
middle ear.
69450.......... .......... A Eardrum revision 5.57 6.00 NA 0.39 090
69501.......... .......... A Mastoidectomy... 9.07 7.98 NA 0.65 090
69502.......... .......... A Mastoidectomy... 12.38 10.52 NA 0.86 090
69505.......... .......... A Remove mastoid 12.99 10.77 NA 0.92 090
structures.
69511.......... .......... A Extensive 13.52 11.12 NA 0.96 090
mastoid surgery.
69530.......... .......... A Extensive 19.19 14.64 NA 1.32 090
mastoid surgery.
69535.......... .......... A Remove part of 36.14 24.07 NA 2.59 090
temporal bone.
69540.......... .......... A Remove ear 1.20 1.55 2.21 0.09 010
lesion.
69550.......... .......... A Remove ear 10.99 9.63 NA 0.80 090
lesion.
69552.......... .......... A Remove ear 19.46 14.21 NA 1.36 090
lesion.
69554.......... .......... A Remove ear 33.16 21.75 NA 2.32 090
lesion.
69601.......... .......... A Mastoid surgery 13.24 11.69 NA 0.92 090
revision.
69602.......... .......... A Mastoid surgery 13.58 11.25 NA 0.94 090
revision.
69603.......... .......... A Mastoid surgery 14.02 11.46 NA 1.00 090
revision.
69604.......... .......... A Mastoid surgery 14.02 11.38 NA 0.98 090
revision.
69605.......... .......... A Mastoid surgery 18.49 14.28 NA 1.29 090
revision.
69610.......... .......... A Repair of 4.43 3.37 4.15 0.31 010
eardrum.
69620.......... .......... A Repair of 5.89 3.20 6.73 0.40 090
eardrum.
69631.......... .......... A Repair eardrum 9.86 9.07 NA 0.69 090
structures.
69632.......... .......... A Rebuild eardrum 12.75 11.40 NA 0.89 090
structures.
69633.......... .......... A Rebuild eardrum 12.10 11.05 NA 0.84 090
structures.
69635.......... .......... A Repair eardrum 13.33 10.61 NA 0.87 090
structures.
69636.......... .......... A Rebuild eardrum 15.22 12.87 NA 1.07 090
structures.
69637.......... .......... A Rebuild eardrum 15.11 12.79 NA 1.06 090
structures.
69641.......... .......... A Revise middle 12.71 10.75 NA 0.89 090
ear & mastoid.
69642.......... .......... A Revise middle 16.84 13.73 NA 1.18 090
ear & mastoid.
69643.......... .......... A Revise middle 15.32 12.87 NA 1.08 090
ear & mastoid.
69644.......... .......... A Revise middle 16.97 13.81 NA 1.19 090
ear & mastoid.
69645.......... .......... A Revise middle 16.38 13.44 NA 1.16 090
ear & mastoid.
69646.......... .......... A Revise middle 17.99 14.39 NA 1.26 090
ear & mastoid.
69650.......... .......... A Release middle 9.66 8.34 NA 0.68 090
ear bone.
69660.......... .......... A Revise middle 11.90 9.56 NA 0.84 090
ear bone.
69661.......... .......... A Revise middle 15.74 12.33 NA 1.10 090
ear bone.
69662.......... .......... A Revise middle 15.44 12.20 NA 1.08 090
ear bone.
[[Page 43952]]
69666.......... .......... A Repair middle 9.75 8.42 NA 0.68 090
ear structures.
69667.......... .......... A Repair middle 9.76 8.40 NA 0.72 090
ear structures.
69670.......... .......... A Remove mastoid 11.51 9.99 NA 0.78 090
air cells.
69676.......... .......... A Remove middle 9.52 8.88 NA 0.69 090
ear nerve.
69700.......... .......... A Close mastoid 8.23 5.52 NA 0.55 090
fistula.
69710.......... .......... N Implant/replace 0.00 0.00 0.00 0.00 XXX
hearing aid.
69711.......... .......... A Remove/repair 10.44 9.26 NA 0.62 090
hearing aid.
69714.......... .......... A Implant temple 14.00 11.18 NA 1.01 090
bone w/stimul.
69715.......... .......... A Temple bne 18.25 13.64 NA 1.32 090
implnt w/
stimulat.
69717.......... .......... A Temple bone 14.98 11.13 NA 1.08 090
implant
revision.
69718.......... .......... A Revise temple 18.50 13.78 NA 1.34 090
bone implant.
69720.......... .......... A Release facial 14.38 12.31 NA 1.03 090
nerve.
69725.......... .......... A Release facial 25.38 17.77 NA 1.78 090
nerve.
69740.......... .......... A Repair facial 15.96 11.20 NA 1.13 090
nerve.
69745.......... .......... A Repair facial 16.69 12.61 NA 1.00 090
nerve.
69799.......... .......... C Middle ear 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
69801.......... .......... A Incise inner ear 8.56 7.75 NA 0.60 090
69802.......... .......... A Incise inner ear 13.10 11.01 NA 0.91 090
69805.......... .......... A Explore inner 13.82 10.69 NA 0.97 090
ear.
69806.......... .......... A Explore inner 12.35 10.57 NA 0.86 090
ear.
69820.......... .......... A Establish inner 10.34 8.95 NA 0.66 090
ear window.
69840.......... .......... A Revise inner ear 10.26 9.13 NA 0.64 090
window.
69905.......... .......... A Remove inner ear 11.10 9.61 NA 0.77 090
69910.......... .......... A Remove inner ear 13.63 11.08 NA 0.94 090
& mastoid.
69915.......... .......... A Incise inner ear 21.23 15.52 NA 1.54 090
nerve.
69930.......... .......... A Implant cochlear 16.81 12.61 NA 1.19 090
device.
69949.......... .......... C Inner ear 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
69950.......... .......... A Incise inner ear 25.64 16.38 NA 2.90 090
nerve.
69955.......... .......... A Release facial 27.04 18.41 NA 1.89 090
nerve.
69960.......... .......... A Release inner 27.04 18.02 NA 2.43 090
ear canal.
69970.......... .......... A Remove inner ear 30.04 18.86 NA 2.34 090
lesion.
69979.......... .......... C Temporal bone 0.00 0.00 0.00 0.00 YYY
surgery.
69990.......... .......... R Microsurgery add- 3.47 1.82 NA 0.56 ZZZ
on.
70010.......... .......... A Contrast x-ray 1.19 NA 4.89 0.24 XXX
of brain.
70010.......... 26 A Contrast x-ray 1.19 0.41 0.41 0.06 XXX
of brain.
70010.......... TC A Contrast x-ray 0.00 NA 4.48 0.18 XXX
of brain.
70015.......... .......... A Contrast x-ray 1.19 NA 1.81 0.12 XXX
of brain.
70015.......... 26 A Contrast x-ray 1.19 0.41 0.41 0.05 XXX
of brain.
70015.......... TC A Contrast x-ray 0.00 NA 1.40 0.07 XXX
of brain.
70030.......... .......... A X-ray eye for 0.17 NA 0.49 0.03 XXX
foreign body.
70030.......... 26 A X-ray eye for 0.17 0.06 0.06 0.01 XXX
foreign body.
70030.......... TC A X-ray eye for 0.00 NA 0.43 0.02 XXX
foreign body.
70100.......... .......... A X-ray exam of 0.18 NA 0.60 0.03 XXX
jaw.
70100.......... 26 A X-ray exam of 0.18 0.06 0.06 0.01 XXX
jaw.
70100.......... TC A X-ray exam of 0.00 NA 0.54 0.02 XXX
jaw.
70110.......... .......... A X-ray exam of 0.25 NA 0.72 0.04 XXX
jaw.
70110.......... 26 A X-ray exam of 0.25 0.09 0.09 0.01 XXX
jaw.
70110.......... TC A X-ray exam of 0.00 NA 0.64 0.03 XXX
jaw.
70120.......... .......... A X-ray exam of 0.18 NA 0.70 0.04 XXX
mastoids.
70120.......... 26 A X-ray exam of 0.18 0.06 0.06 0.01 XXX
mastoids.
70120.......... TC A X-ray exam of 0.00 NA 0.64 0.03 XXX
mastoids.
70130.......... .......... A X-ray exam of 0.34 NA 0.93 0.05 XXX
mastoids.
70130.......... 26 A X-ray exam of 0.34 0.12 0.12 0.01 XXX
mastoids.
70130.......... TC A X-ray exam of 0.00 NA 0.81 0.04 XXX
mastoids.
70134.......... .......... A X-ray exam of 0.34 NA 0.88 0.05 XXX
middle ear.
70134.......... 26 A X-ray exam of 0.34 0.12 0.12 0.01 XXX
middle ear.
70134.......... TC A X-ray exam of 0.00 NA 0.76 0.04 XXX
middle ear.
70140.......... .......... A X-ray exam of 0.19 NA 0.70 0.04 XXX
facial bones.
70140.......... 26 A X-ray exam of 0.19 0.06 0.06 0.01 XXX
facial bones.
70140.......... TC A X-ray exam of 0.00 NA 0.64 0.03 XXX
facial bones.
70150.......... .......... A X-ray exam of 0.26 NA 0.90 0.05 XXX
facial bones.
70150.......... 26 A X-ray exam of 0.26 0.09 0.09 0.01 XXX
facial bones.
70150.......... TC A X-ray exam of 0.00 NA 0.81 0.04 XXX
facial bones.
70160.......... .......... A X-ray exam of 0.17 NA 0.60 0.03 XXX
nasal bones.
70160.......... 26 A X-ray exam of 0.17 0.06 0.06 0.01 XXX
nasal bones.
70160.......... TC A X-ray exam of 0.00 NA 0.54 0.02 XXX
nasal bones.
[[Page 43953]]
70170.......... .......... A X-ray exam of 0.30 NA 1.08 0.06 XXX
tear duct.
70170.......... 26 A X-ray exam of 0.30 0.10 0.10 0.01 XXX
tear duct.
70170.......... TC A X-ray exam of 0.00 NA 0.98 0.05 XXX
tear duct.
70190.......... .......... A X-ray exam of 0.21 NA 0.71 0.04 XXX
eye sockets.
70190.......... 26 A X-ray exam of 0.21 0.07 0.07 0.01 XXX
eye sockets.
70190.......... TC A X-ray exam of 0.00 NA 0.64 0.03 XXX
eye sockets.
70200.......... .......... A X-ray exam of 0.28 NA 0.90 0.05 XXX
eye sockets.
70200.......... 26 A X-ray exam of 0.28 0.10 0.10 0.01 XXX
eye sockets.
70200.......... TC A X-ray exam of 0.00 NA 0.81 0.04 XXX
eye sockets.
70210.......... .......... A X-ray exam of 0.17 NA 0.70 0.04 XXX
sinuses.
70210.......... 26 A X-ray exam of 0.17 0.06 0.06 0.01 XXX
sinuses.
70210.......... TC A X-ray exam of 0.00 NA 0.64 0.03 XXX
sinuses.
70220.......... .......... A X-ray exam of 0.25 NA 0.89 0.05 XXX
sinuses.
70220.......... 26 A X-ray exam of 0.25 0.09 0.09 0.01 XXX
sinuses.
70220.......... TC A X-ray exam of 0.00 NA 0.81 0.04 XXX
sinuses.
70240.......... .......... A X-ray exam, 0.19 NA 0.49 0.03 XXX
pituitary
saddle.
70240.......... 26 A X-ray exam, 0.19 0.07 0.07 0.01 XXX
pituitary
saddle.
70240.......... TC A X-ray exam, 0.00 NA 0.43 0.02 XXX
pituitary
saddle.
70250.......... .......... A X-ray exam of 0.24 NA 0.72 0.04 XXX
skull.
70250.......... 26 A X-ray exam of 0.24 0.08 0.08 0.01 XXX
skull.
70250.......... TC A X-ray exam of 0.00 NA 0.64 0.03 XXX
skull.
70260.......... .......... A X-ray exam of 0.34 NA 1.04 0.06 XXX
skull.
70260.......... 26 A X-ray exam of 0.34 0.12 0.12 0.01 XXX
skull.
70260.......... TC A X-ray exam of 0.00 NA 0.92 0.05 XXX
skull.
70300.......... .......... A X-ray exam of 0.10 NA 0.31 0.03 XXX
teeth.
70300.......... 26 A X-ray exam of 0.10 0.04 0.04 0.01 XXX
teeth.
70300.......... TC A X-ray exam of 0.00 NA 0.27 0.02 XXX
teeth.
70310.......... .......... A X-ray exam of 0.16 NA 0.49 0.03 XXX
teeth.
70310.......... 26 A X-ray exam of 0.16 0.06 0.06 0.01 XXX
teeth.
70310.......... TC A X-ray exam of 0.00 NA 0.43 0.02 XXX
teeth.
70320.......... .......... A Full mouth x-ray 0.22 NA 0.89 0.05 XXX
of teeth.
70320.......... 26 A Full mouth x-ray 0.22 0.08 0.08 0.01 XXX
of teeth.
70320.......... TC A Full mouth x-ray 0.00 NA 0.81 0.04 XXX
of teeth.
70328.......... .......... A X-ray exam of 0.18 NA 0.57 0.03 XXX
jaw joint.
70328.......... 26 A X-ray exam of 0.18 0.06 0.06 0.01 XXX
jaw joint.
70328.......... TC A X-ray exam of 0.00 NA 0.51 0.02 XXX
jaw joint.
70330.......... .......... A X-ray exam of 0.24 NA 0.95 0.05 XXX
jaw joints.
70330.......... 26 A X-ray exam of 0.24 0.08 0.08 0.01 XXX
jaw joints.
70330.......... TC A X-ray exam of 0.00 NA 0.87 0.04 XXX
jaw joints.
70332.......... .......... A X-ray exam of 0.54 NA 2.36 0.12 XXX
jaw joint.
70332.......... 26 A X-ray exam of 0.54 0.19 0.19 0.02 XXX
jaw joint.
70332.......... TC A X-ray exam of 0.00 NA 2.17 0.10 XXX
jaw joint.
70336.......... .......... A Magnetic image, 1.48 NA 12.09 0.56 XXX
jaw joint.
70336.......... 26 A Magnetic image, 1.48 0.51 0.51 0.07 XXX
jaw joint.
70336.......... TC A Magnetic image, 0.00 NA 11.58 0.49 XXX
jaw joint.
70350.......... .......... A X-ray head for 0.17 NA 0.45 0.03 XXX
orthodontia.
70350.......... 26 A X-ray head for 0.17 0.06 0.06 0.01 XXX
orthodontia.
70350.......... TC A X-ray head for 0.00 NA 0.39 0.02 XXX
orthodontia.
70355.......... .......... A Panoramic x-ray 0.20 NA 0.66 0.04 XXX
of jaws.
70355.......... 26 A Panoramic x-ray 0.20 0.07 0.07 0.01 XXX
of jaws.
70355.......... TC A Panoramic x-ray 0.00 NA 0.59 0.03 XXX
of jaws.
70360.......... .......... A X-ray exam of 0.17 NA 0.49 0.03 XXX
neck.
70360.......... 26 A X-ray exam of 0.17 0.06 0.06 0.01 XXX
neck.
70360.......... TC A X-ray exam of 0.00 NA 0.43 0.02 XXX
neck.
70370.......... .......... A Throat x-ray & 0.32 NA 1.46 0.07 XXX
fluoroscopy.
70370.......... 26 A Throat x-ray & 0.32 0.11 0.11 0.01 XXX
fluoroscopy.
70370.......... TC A Throat x-ray & 0.00 NA 1.35 0.06 XXX
fluoroscopy.
70371.......... .......... A Speech 0.84 NA 2.46 0.14 XXX
evaluation,
complex.
70371.......... 26 A Speech 0.84 0.29 0.29 0.04 XXX
evaluation,
complex.
70371.......... TC A Speech 0.00 NA 2.17 0.10 XXX
evaluation,
complex.
70373.......... .......... A Contrast x-ray 0.44 NA 1.99 0.11 XXX
of larynx.
70373.......... 26 A Contrast x-ray 0.44 0.15 0.15 0.02 XXX
of larynx.
70373.......... TC A Contrast x-ray 0.00 NA 1.84 0.09 XXX
of larynx.
70380.......... .......... A X-ray exam of 0.17 NA 0.75 0.04 XXX
salivary gland.
70380.......... 26 A X-ray exam of 0.17 0.06 0.06 0.01 XXX
salivary gland.
70380.......... TC A X-ray exam of 0.00 NA 0.69 0.03 XXX
salivary gland.
[[Page 43954]]
70390.......... .......... A X-ray exam of 0.38 NA 1.97 0.11 XXX
salivary duct.
70390.......... 26 A X-ray exam of 0.38 0.13 0.13 0.02 XXX
salivary duct.
70390.......... TC A X-ray exam of 0.00 NA 1.84 0.09 XXX
salivary duct.
70450.......... .......... A Ct head/brain w/ 0.85 NA 5.17 0.25 XXX
o dye.
70450.......... 26 A Ct head/brain w/ 0.85 0.29 0.29 0.04 XXX
o dye.
70450.......... TC A Ct head/brain w/ 0.00 NA 4.88 0.21 XXX
o dye.
70460.......... .......... A Ct head/brain w/ 1.13 NA 6.23 0.30 XXX
dye.
70460.......... 26 A Ct head/brain w/ 1.13 0.39 0.39 0.05 XXX
dye.
70460.......... TC A Ct head/brain w/ 0.00 NA 5.85 0.25 XXX
dye.
70470.......... .......... A Ct head/brain w/ 1.27 NA 7.74 0.37 XXX
o&w dye.
70470.......... 26 A Ct head/brain w/ 1.27 0.43 0.43 0.06 XXX
o&w dye.
70470.......... TC A Ct head/brain w/ 0.00 NA 7.30 0.31 XXX
o&w dye.
70480.......... .......... A Ct orbit/ear/ 1.28 NA 5.31 0.27 XXX
fossa w/o dye.
70480.......... 26 A Ct orbit/ear/ 1.28 0.44 0.44 0.06 XXX
fossa w/o dye.
70480.......... TC A Ct orbit/ear/ 0.00 NA 4.88 0.21 XXX
fossa w/o dye.
70481.......... .......... A Ct orbit/ear/ 1.38 NA 6.32 0.31 XXX
fossa w/dye.
70481.......... 26 A Ct orbit/ear/ 1.38 0.47 0.47 0.06 XXX
fossa w/dye.
70481.......... TC A Ct orbit/ear/ 0.00 NA 5.85 0.25 XXX
fossa w/dye.
70482.......... .......... A Ct orbit/ear/ 1.45 NA 7.80 0.37 XXX
fossa w/o&w dye.
70482.......... 26 A Ct orbit/ear/ 1.45 0.50 0.50 0.06 XXX
fossa w/o&w dye.
70482.......... TC A Ct orbit/ear/ 0.00 NA 7.30 0.31 XXX
fossa w/o&w dye.
70486.......... .......... A Ct maxillofacial 1.14 NA 5.27 0.26 XXX
w/o dye.
70486.......... 26 A Ct maxillofacial 1.14 0.39 0.39 0.05 XXX
w/o dye.
70486.......... TC A Ct maxillofacial 0.00 NA 4.88 0.21 XXX
w/o dye.
70487.......... .......... A Ct maxillofacial 1.30 NA 6.29 0.31 XXX
w/dye.
70487.......... 26 A Ct maxillofacial 1.30 0.44 0.44 0.06 XXX
w/dye.
70487.......... TC A Ct maxillofacial 0.00 NA 5.85 0.25 XXX
w/dye.
70488.......... .......... A Ct maxillofacial 1.42 NA 7.79 0.37 XXX
w/o&w dye.
70488.......... 26 A Ct maxillofacial 1.42 0.48 0.48 0.06 XXX
w/o&w dye.
70488.......... TC A Ct maxillofacial 0.00 NA 7.30 0.31 XXX
w/o&w dye.
70490.......... .......... A Ct soft tissue 1.28 NA 5.31 0.27 XXX
neck w/o dye.
70490.......... 26 A Ct soft tissue 1.28 0.44 0.44 0.06 XXX
neck w/o dye.
70490.......... TC A Ct soft tissue 0.00 NA 4.88 0.21 XXX
neck w/o dye.
70491.......... .......... A Ct soft tissue 1.38 NA 6.32 0.31 XXX
neck w/dye.
70491.......... 26 A Ct soft tissue 1.38 0.47 0.47 0.06 XXX
neck w/dye.
70491.......... TC A Ct soft tissue 0.00 NA 5.85 0.25 XXX
neck w/dye.
70492.......... .......... A Ct sft tsue nck 1.45 NA 7.80 0.37 XXX
w/o & w/dye.
70492.......... 26 A Ct sft tsue nck 1.45 0.50 0.50 0.06 XXX
w/o & w/dye.
70492.......... TC A Ct sft tsue nck 0.00 NA 7.30 0.31 XXX
w/o & w/dye.
70496.......... .......... A Ct angiography, 1.75 NA 7.98 0.56 XXX
head.
70496.......... 26 A Ct angiography, 1.75 0.68 0.68 0.08 XXX
head.
70496.......... TC A Ct angiography, 0.00 NA 7.30 0.48 XXX
head.
70498.......... .......... A Ct angiography, 1.75 NA 7.98 0.56 XXX
neck.
70498.......... 26 A Ct angiography, 1.75 0.68 0.68 0.08 XXX
neck.
70498.......... TC A Ct angiography, 0.00 NA 7.30 0.48 XXX
neck.
70540.......... .......... A Mri orbit/face/ 1.35 NA 12.04 0.36 XXX
neck w/o dye.
70540.......... 26 A Mri orbit/face/ 1.35 0.46 0.46 0.04 XXX
neck w/o dye.
70540.......... TC A Mri orbit/face/ 0.00 NA 11.58 0.32 XXX
neck w/o dye.
70542.......... .......... A Mri orbit/face/ 1.62 NA 14.44 0.44 XXX
neck w/dye.
70542.......... 26 A Mri orbit/face/ 1.62 0.55 0.55 0.05 XXX
neck w/dye.
70542.......... TC A Mri orbit/face/ 0.00 NA 13.89 0.39 XXX
neck w/dye.
70543.......... .......... A Mri orbt/fac/nck 2.15 NA 26.46 0.77 XXX
w/o&w dye.
70543.......... 26 A Mri orbt/fac/nck 2.15 0.74 0.74 0.07 XXX
w/o&w dye.
70543.......... TC A Mri orbt/fac/nck 0.00 NA 25.72 0.70 XXX
w/o&w dye.
70544.......... .......... A Mr angiography 1.20 NA 11.99 0.54 XXX
head w/o dye.
70544.......... 26 A Mr angiography 1.20 0.41 0.41 0.05 XXX
head w/o dye.
70544.......... TC A Mr angiography 0.00 NA 11.58 0.49 XXX
head w/o dye.
70545.......... .......... A Mr angiography 1.20 NA 11.99 0.54 XXX
head w/dye.
70545.......... 26 A Mr angiography 1.20 0.41 0.41 0.05 XXX
head w/dye.
70545.......... TC A Mr angiography 0.00 NA 11.58 0.49 XXX
head w/dye.
70546.......... .......... A Mr angiograph 1.80 NA 23.78 0.57 XXX
head w/o&w dye.
70546.......... 26 A Mr angiograph 1.80 0.62 0.62 0.08 XXX
head w/o&w dye.
70546.......... TC A Mr angiograph 0.00 NA 23.16 0.49 XXX
head w/o&w dye.
70547.......... .......... A Mr angiography 1.20 NA 11.99 0.54 XXX
neck w/o dye.
70547.......... 26 A Mr angiography 1.20 0.41 0.41 0.05 XXX
neck w/o dye.
70547.......... TC A Mr angiography 0.00 NA 11.58 0.49 XXX
neck w/o dye.
[[Page 43955]]
70548.......... .......... A Mr angiography 1.20 NA 11.99 0.54 XXX
neck w/dye.
70548.......... 26 A Mr angiography 1.20 0.41 0.41 0.05 XXX
neck w/dye.
70548.......... TC A Mr angiography 0.00 NA 11.58 0.49 XXX
neck w/dye.
70549.......... .......... A Mr angiograph 1.80 NA 23.78 0.57 XXX
neck w/o&w dye.
70549.......... 26 A Mr angiograph 1.80 0.62 0.62 0.08 XXX
neck w/o&w dye.
70549.......... TC A Mr angiograph 0.00 NA 23.16 0.49 XXX
neck w/o&w dye.
70551.......... .......... A Mri brain w/o 1.48 NA 12.09 0.56 XXX
dye.
70551.......... 26 A Mri brain w/o 1.48 0.51 0.51 0.07 XXX
dye.
70551.......... TC A Mri brain w/o 0.00 NA 11.58 0.49 XXX
dye.
70552.......... .......... A Mri brain w/dye. 1.78 NA 14.51 0.66 XXX
70552.......... 26 A Mri brain w/dye. 1.78 0.62 0.62 0.08 XXX
70552.......... TC A Mri brain w/dye. 0.00 NA 13.89 0.58 XXX
70553.......... .......... A Mri brain w/o&w 2.36 NA 26.53 1.19 XXX
dye.
70553.......... 26 A Mri brain w/o&w 2.36 0.81 0.81 0.10 XXX
dye.
70553.......... TC A Mri brain w/o&w 0.00 NA 25.72 1.09 XXX
dye.
71010.......... .......... A Chest x-ray..... 0.18 NA 0.55 0.03 XXX
71010.......... 26 A Chest x-ray..... 0.18 0.06 0.06 0.01 XXX
71010.......... TC A Chest x-ray..... 0.00 NA 0.49 0.02 XXX
71015.......... .......... A Chest x-ray..... 0.21 NA 0.61 0.03 XXX
71015.......... 26 A Chest x-ray..... 0.21 0.07 0.07 0.01 XXX
71015.......... TC A Chest x-ray..... 0.00 NA 0.54 0.02 XXX
71020.......... .......... A Chest x-ray..... 0.22 NA 0.71 0.04 XXX
71020.......... 26 A Chest x-ray..... 0.22 0.07 0.07 0.01 XXX
71020.......... TC A Chest x-ray..... 0.00 NA 0.64 0.03 XXX
71021.......... .......... A Chest x-ray..... 0.27 NA 0.85 0.05 XXX
71021.......... 26 A Chest x-ray..... 0.27 0.09 0.09 0.01 XXX
71021.......... TC A Chest x-ray..... 0.00 NA 0.76 0.04 XXX
71022.......... .......... A Chest x-ray..... 0.31 NA 0.87 0.06 XXX
71022.......... 26 A Chest x-ray..... 0.31 0.11 0.11 0.02 XXX
71022.......... TC A Chest x-ray..... 0.00 NA 0.76 0.04 XXX
71023.......... .......... A Chest x-ray and 0.38 NA 0.95 0.06 XXX
fluoroscopy.
71023.......... 26 A Chest x-ray and 0.38 0.14 0.14 0.02 XXX
fluoroscopy.
71023.......... TC A Chest x-ray and 0.00 NA 0.81 0.04 XXX
fluoroscopy.
71030.......... .......... A Chest x-ray..... 0.31 NA 0.91 0.05 XXX
71030.......... 26 A Chest x-ray..... 0.31 0.11 0.11 0.01 XXX
71030.......... TC A Chest x-ray..... 0.00 NA 0.81 0.04 XXX
71034.......... .......... A Chest x-ray and 0.46 NA 1.66 0.09 XXX
fluoroscopy.
71034.......... 26 A Chest x-ray and 0.46 0.17 0.17 0.02 XXX
fluoroscopy.
71034.......... TC A Chest x-ray and 0.00 NA 1.49 |