Pediatric Care
Patience + Courteous Staff
Utlrasound | X-Ray | CT Scan
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Code

Price

Type

Description

10005

836.90

HCPCS / CPT®

FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION

10021

876.65

HCPCS / CPT®

FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE

10060

661.61

HCPCS / CPT®

INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE

 

10061

1574.37

HCPCS / CPT®

INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE

10080

706.31

HCPCS / CPT®

INCISION & DRAINAGE PILONIDAL CYST SIMPLE

10081

1574.37

HCPCS / CPT®

INCISION & DRAINAGE PILONIDAL CYST COMPLICATED

10120

709.02

HCPCS / CPT®

INCISION & REMOVAL FOREIGN BODY SUBQ TISS SMPL

10121

1272.06

HCPCS / CPT®

INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMP

10140

809.97

HCPCS / CPT®

I & D HEMATOMA SEROMA/FLUID COLLECTION

10160

1083.20

HCPCS / CPT®

PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST

10180

1226.51

HCPCS / CPT®

Incision and drainage, complex, postoperative wound infection

 

11010

3727.50

HCPCS / CPT®

DBRDMT W/RMVL FM FX & /DISLC SKIN&SUBQ TISSUS

11011

1547.79

HCPCS / CPT®

DBRDMT W/RMVL FM FX & /DISLC SKN SUBQ T/M/F MUSC

11040

311.16

HCPCS / CPT®

DEBRIDEMENT SKIN PARTIAL THICKNESS (INVALID AS OF 01/01/2011)

11042

388.93

HCPCS / CPT®

REMOVAL DAMAGED SKIN AND UNDERLYING TISSUE

11055

220.25

HCPCS / CPT®

PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1

11056

297.39

HCPCS / CPT®

PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4

11100

642.39

HCPCS / CPT®

BX SKIN SUBCUTANEOUS & /MUCOUS MEMBRANE 1 LESION

11104

569.10

HCPCS / CPT®

PUNCH BIOPSY SKIN SINGLE LESION

11200

443.74

HCPCS / CPT®

REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA UP&W/15<

11401

1362.06

HCPCS / CPT®

EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM

11402

1503.28

HCPCS / CPT®

EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM

11404

1262.27

HCPCS / CPT®

EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM

11406

3223.22

HCPCS / CPT®

EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM

11420

1110.53

HCPCS / CPT®

EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<

11422

880.44

HCPCS / CPT®

EXC B9 LES MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM

11423

1025.88

HCPCS / CPT®

EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM

11440

1355.62

HCPCS / CPT®

EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<

11441

1790.48

HCPCS / CPT®

EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM

11443

2337.26

HCPCS / CPT®

EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM

11730

726.34

HCPCS / CPT®

AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1

11732

233.11

HCPCS / CPT®

AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL

11740

458.34

HCPCS / CPT®

EVACUATION SUBUNGUAL HEMATOMA

11750

938.76

HCPCS / CPT®

EXCISION NAIL MATRIX PERMANENT REMOVAL

11760

919.92

HCPCS / CPT®

REPAIR NAIL BED

11765

516.24

HCPCS / CPT®

WEDGE EXCISION SKIN NAIL FOLD

 

11771

3899.04

HCPCS / CPT®

EXCISION PILONIDAL CYST/SINUS EXTENSIVE

11982

692.09

HCPCS / CPT®

Removal, non-biodegradable drug delivery implant

12001

643.52

HCPCS / CPT®

SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<

12002

652.35

HCPCS / CPT®

SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM

12004

751.36

HCPCS / CPT®

SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM

12005

997.10

HCPCS / CPT®

SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM

12006

1654.60

HCPCS / CPT®

SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM

12007

2060.92

HCPCS / CPT®

SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM

12011

757.90

HCPCS / CPT®

SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<

12013

853.79

HCPCS / CPT®

SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM

12014

1083.92

HCPCS / CPT®

SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5CM

12015

1352.42

HCPCS / CPT®

SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5CM

12016

1831.93

HCPCS / CPT®

SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0CM

12017

2118.63

HCPCS / CPT®

SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0CM

12018

2405.59

HCPCS / CPT®

SIMPLE REPAIR F/E/E/N/L/M >30.0CM

12020

2591.28

HCPCS / CPT®

TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE

12021

1905.64

HCPCS / CPT®

TX SUPERFICIAL WOUND DEHISCENCE W/PACKING

12031

2097.97

HCPCS / CPT®

REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<

12032

2672.97

HCPCS / CPT®

Repair, intermediate, wounds of scalp, axillae, trunk and/or…

12034

2840.33

HCPCS / CPT®

REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM

12035

3303.89

HCPCS / CPT®

REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM

12036

3829.42

HCPCS / CPT®

REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM

12037

4522.77

HCPCS / CPT®

REPAIR INTERMEDIATE S/A/T/E > 30.0 CM

12041

2150.83

HCPCS / CPT®

REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<

12042

2745.63

HCPCS / CPT®

REPAIR (LACERATION)INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM

12044

2960.94

HCPCS / CPT®

REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM

12045

3739.69

HCPCS / CPT®

REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM

12046

4277.63

HCPCS / CPT®

RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM

12047

5170.08

HCPCS / CPT®

REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM

12051

2352.20

HCPCS / CPT®

REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<

12052

2798.09

HCPCS / CPT®

REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM

12053

2989.62

HCPCS / CPT®

REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM

12054

3128.83

HCPCS / CPT®

REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM

12055

4147.99

HCPCS / CPT®

REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CM

12056

4793.79

HCPCS / CPT®

REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 20.1-30.0CM

12057

5196.52

HCPCS / CPT®

REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM

13100

1345.06

HCPCS / CPT®

REPAIR COMPLEX TRUNK 1.1 CM-2.5 CM

13101

1647.63

HCPCS / CPT®

REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM

13102

486.88

HCPCS / CPT®

REPAIR COMPLEX TRUNK EA 5 CM/<

13120

1540.57

HCPCS / CPT®

REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM

13121

1872.74

HCPCS / CPT®

REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM

13122

804.92

HCPCS / CPT®

REPAIR COMPLEX SCALP/ARM/LEG EA 5 CM/<

13131

1182.72

HCPCS / CPT®

REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM

13132

2213.41

HCPCS / CPT®

REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM

13133

1154.99

HCPCS / CPT®

REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA 5 CM/<

13151

1598.18

HCPCS / CPT®

REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM

13152

2773.83

HCPCS / CPT®

REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM

13153

1013.01

HCPCS / CPT®

REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM/<

16000

415.46

HCPCS / CPT®

INITIAL TX 1ST DEGREE BURN LOCAL TX

16020

408.39

HCPCS / CPT®

DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL

16025

501.19

HCPCS / CPT®

DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM

16030

862.30

HCPCS / CPT®

DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE

17000

728.81

HCPCS / CPT®

DESTRUCTION PREMALIGNANT LESION 1ST

17110

448.28

HCPCS / CPT®

DESTRUCTION BENIGN LESIONS UP TO 14

17340

638.25

HCPCS / CPT®

CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE

19020

2084.69

HCPCS / CPT®

MASTOTOMY W/EXPL/DRAINAGE ABSCESS DEEP

19083

1820.50

HCPCS / CPT®

BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID

2014F

14.26

HCPCS / CPT®

MENTAL STATUS ASSESSED

20206

669.80

HCPCS / CPT®

BIOPSY MUSCLE PERCUTANEOUS NEEDLE

20225

1223.80

HCPCS / CPT®

BIOPSY BONE TROCAR/NEEDLE DEEP

20520

1912.57

HCPCS / CPT®

REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE

20525

3403.46

HCPCS / CPT®

RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP

20550

575.79

HCPCS / CPT®

Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar

20551

1334.05

HCPCS / CPT®

INJ TENDON ORIGIN/INSERTION

20552

520.31

HCPCS / CPT®

INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES

20553

591.92

HCPCS / CPT®

INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES

20600

954.66

HCPCS / CPT®

Arthrocentesis, aspiration and/or injection; small joint or …

20605

541.16

HCPCS / CPT®

ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURSA

20610

546.28

HCPCS / CPT®

ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA

20611

733.92

HCPCS / CPT®

Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting

 

20612

273.36

HCPCS / CPT®

Aspiration and/or injection of ganglion cyst any location

21310

984.89

HCPCS / CPT®

CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION

21315

10216.09

HCPCS / CPT®

CLOSED TX NASAL FRACTURE W/O STABILIZATION

21480

662.69

HCPCS / CPT®

CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ

21485

4070.76

HCPCS / CPT®

CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ

21705

883.95

HCPCS / CPT®

DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB

21800

643.52

HCPCS / CPT®

CLOSED TX RIB FRACTURE UNCOMPLICATED EACH

22513

5940.50

HCPCS / CPT®

PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION

22514

5535.60

HCPCS / CPT®

PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR

22515

2563.00

HCPCS / CPT®

PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH

23030

3379.85

HCPCS / CPT®

I&D SHOULDER DEEP ABSCESS/HEMATOMA

23075

4300.54

HCPCS / CPT®

EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM

23330

2022.39

HCPCS / CPT®

REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS

23500

1232.00

HCPCS / CPT®

CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION

23545

4189.43

HCPCS / CPT®

CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION

23570

1271.12

HCPCS / CPT®

CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION

23600

576.68

HCPCS / CPT®

CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION

23620

3472.77

HCPCS / CPT®

CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ

23650

1414.32

HCPCS / CPT®

CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES

23655

3158.34

HCPCS / CPT®

CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES

23665

2700.60

HCPCS / CPT®

CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ

23930

1345.70

HCPCS / CPT®

I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA

23931

1199.61

HCPCS / CPT®

I&D, upper arm or elbow area; bursa

24200

916.30

HCPCS / CPT®

RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS

24357

2814.76

HCPCS / CPT®

TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS

24500

2113.18

HCPCS / CPT®

CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION

24505

2935.64

HCPCS / CPT®

CLTX HUMERAL SHFT FX W/MANIPULATION +-SKEL TRACJ

24530

2107.34

HCPCS / CPT®

CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX+-MNPJ

24535

3681.24

HCPCS / CPT®

CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ

24560

2140.94

HCPCS / CPT®

CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ

24565

3184.68

HCPCS / CPT®

CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ

24576

3953.13

HCPCS / CPT®

CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ

24600

2126.37

HCPCS / CPT®

Treatment of closed elbow dislocation; without anesthesia

24605

6101.90

HCPCS / CPT®

TREATMENT CLOSED ELBOW DISLOCATION REQ ANES

24615

9731.12

HCPCS / CPT®

OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION

24620

3550.61

HCPCS / CPT®

CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ

24640

786.73

HCPCS / CPT®

CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ

24650

1453.21

HCPCS / CPT®

CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION

24655

3151.37

HCPCS / CPT®

CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION

24670

576.69

HCPCS / CPT®

CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ

24675

9896.33

HCPCS / CPT®

CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ

25111

2078.91

HCPCS / CPT®

Excision of Ganglion, wrist (dorsal or volar); primary

25505

5937.22

HCPCS / CPT®

CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION

25520

6955.55

HCPCS / CPT®

CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT

25530

1761.12

HCPCS / CPT®

Closed treatment of ulnar shaft fracture; w/o manipulation

25560

3101.58

HCPCS / CPT®

Closed treatment of radial and ulnar shaft fractures; w/o manipulation

25565

3160.11

HCPCS / CPT®

CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MNPJ

25574

9173.50

HCPCS / CPT®

OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA

25600

802.79

HCPCS / CPT®

CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ

25605

3017.81

HCPCS / CPT®

CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ

25607

9585.60

HCPCS / CPT®

OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP

25622

1786.36

HCPCS / CPT®

CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ

25635

1642.38

HCPCS / CPT®

CLTX CARPL B1 FX W/MNPJ EA B1

25652

8129.93

HCPCS / CPT®

OPEN TREATMENT ULNAR STYLOID FRACTURE

25660

976.37

HCPCS / CPT®

Closed treatment of radiocarpal or intercarpal dislocation, …

25675

2121.49

HCPCS / CPT®

CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIP…

26010

565.82

HCPCS / CPT®

DRAINAGE FINGER ABSCESS SIMPLE

26011

2120.27

HCPCS / CPT®

DRAINAGE OF FINGER ABCESS

26567

4353.38

HCPCS / CPT®

Osteotomy; phalanx of finger, each

26600

1377.21

HCPCS / CPT®

CLTX MTCRPL FX 1 W/O MNPJ EA B1

26605

1594.65

HCPCS / CPT®

CLTX MTCRPL FX 1 W/MNPJ EA B1

26607

2529.87

HCPCS / CPT®

CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1

26615

7499.73

HCPCS / CPT®

OPEN TX METACARPAL FRACTURE SINGLE EA BONE

26641

1645.70

HCPCS / CPT®

TREAT THUMB DISLOCATION

26645

2628.73

HCPCS / CPT®

CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ

26670

2085.09

HCPCS / CPT®

CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES;   Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia

26675

2861.98

HCPCS / CPT®

Closed treatment of carpometacarpal dislocation, other than thumb with manipulation, each joing; requiring anesthesia

 

26700

929.81

HCPCS / CPT®

CLTX MTCARPHLNGL DISLC 1 W/MNPJ W/O ANES

26705

976.37

HCPCS / CPT®

TREAT KNUCKLE DISLOCATION

26720

951.13

HCPCS / CPT®

CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR M…

26725

4112.02

HCPCS / CPT®

CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA

26735

7768.25

HCPCS / CPT®

OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA

26742

2979.16

HCPCS / CPT®

CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ

26746

5089.06

HCPCS / CPT®

OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA

26750

936.99

HCPCS / CPT®

CLTX DSTL PHLNGL FX FNGR/THMB W/O MNPJ EA

26755

929.81

HCPCS / CPT®

CLTX DSTL PHLNGL FX FNGR/THMB W/MNPJ EA

26765

3761.31

HCPCS / CPT®

OPEN TX DISTAL PHALANGEAL FRACTURE EACH

26770

848.60

HCPCS / CPT®

CLTX IPHAL JT DISLC 1 W/MNPJ W/O ANES

26775

1312.21

HCPCS / CPT®

TREAT FINGER DISLOCATION

26952

8265.40

HCPCS / CPT®

AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP

27096

1160.65

HCPCS / CPT®

INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA

27372

530.37

HCPCS / CPT®

REMOVAL FOREIGN BODY DEEP THIGH/KNEE

27502

2537.06

HCPCS / CPT®

CLTX FEM SHFT FX W/MNPJ +-SKN/SKEL TRACJ

27520

1824.48

HCPCS / CPT®

CLOSED TX PATELLAR FRACTURE W/O MANIPULATION

27550

2070.21

HCPCS / CPT®

CLOSED TX KNEE DISLOCATION W/O ANESTHESIA

27560

928.95

HCPCS / CPT®

Closed treatment of patellar dislocation; without anesthesia

27750

577.23

HCPCS / CPT®

CLTX TIBL SHFT FX W/O MNPJ

27752

2980.69

HCPCS / CPT®

Closed treatment of tibial shaft fracture (with or without f…

27760

1744.92

HCPCS / CPT®

CLTX MEDIAL MALLS FX W/O MNPJ

27762

2946.73

HCPCS / CPT®

CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ

27780

1598.18

HCPCS / CPT®

CLTX PROX FIBULA/SHFT FX W/O MNPJ

 

27786

1504.49

HCPCS / CPT®

CLTX DSTL FIBULAR FX LAT MALLS W/O MNPJ

27788

4986.29

HCPCS / CPT®

CLTX DSTL FIBULAR FX LAT MALLS W/MANJ

27808

4073.02

HCPCS / CPT®

CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ

27810

976.37

HCPCS / CPT®

Treatment Of Ankle Fracture

27818

5903.59

HCPCS / CPT®

Closed treatment of trimalleolar ankle fracture; with manipulation

27824

976.37

HCPCS / CPT®

Closed treatment of fracture of weight bearing articular por…

27840

576.68

HCPCS / CPT®

CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA

27842

3731.72

HCPCS / CPT®

Closed treatment,ankle dislocation; req anesthesia, w/ or w/o percutaneous skeletal fixation

28001

2325.76

HCPCS / CPT®

INCISION&DRAINAGE BURSA FOOT

28024

2004.99

HCPCS / CPT®

Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal

28190

1127.92

HCPCS / CPT®

REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS

28400

929.81

HCPCS / CPT®

CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION

28430

985.25

HCPCS / CPT®

CLOSED TX TALUS FRACTURE W/O MANIPULATION

28470

1272.89

HCPCS / CPT®

closed treatment of metatarsal fracture;without manipulation

28475

3117.17

HCPCS / CPT®

CLTX METAR FX W/MANJ

28490

899.86

HCPCS / CPT®

CLTX FX GRT TOE PHLX/PHLG W/O MNPJ

28495

572.79

HCPCS / CPT®

CLTX FX GRT TOE PHLX/PHLG W/MNPJ

28505

3828.55

HCPCS / CPT®

OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES

28510

792.03

HCPCS / CPT®

CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MNPJ

28515

942.29

HCPCS / CPT®

CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MNPJ

28600

1221.32

HCPCS / CPT®

CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES

28630

1502.25

HCPCS / CPT®

CLTX METATARSOPHLNGL JT DISLC W/O ANES

28660

929.81

HCPCS / CPT®

CLTX IPHAL JT DISLC W/O ANES

28665

1723.16

HCPCS / CPT®

CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES

29049

502.85

HCPCS / CPT®

CAST FIGURE-OF-8

29065

467.81

HCPCS / CPT®

Application, cast; shoulder to hand (long arm)

29075

861.37

HCPCS / CPT®

Application, cast; elbow to finger (short arm)

29085

380.19

HCPCS / CPT®

CAST HAND&LOWER FOREARM GAUNTLET

29105

380.19

HCPCS / CPT®

LONG ARM SPLINT SHOULDER HAND

29125

380.19

HCPCS / CPT®

SHORT ARM SPLINT FOREARM-HAND STATIC

29126

380.19

HCPCS / CPT®

SHORT ARM SPLINT DYNAMIC

29130

265.19

HCPCS / CPT®

FINGER SPLINT STATIC

29131

216.37

HCPCS / CPT®

APPLICATION FINGER SPLINT DYNAMIC

29240

392.47

HCPCS / CPT®

STRAPPING SHOULDER

29260

393.98

HCPCS / CPT®

Strapping Of Elbow Or Wrist

29280

362.43

HCPCS / CPT®

STRAPPING HAND/FINGER

29355

697.94

HCPCS / CPT®

LONG LEG SPLINT

29505

380.19

HCPCS / CPT®

LONG LEG SPLINT THIGH ANKLE/TOES

29515

380.19

HCPCS / CPT®

SHORT LEG SPLINT CALF FOOT

29530

267.90

HCPCS / CPT®

Strapping; knee

29540

332.36

HCPCS / CPT®

STRAPPING ANKLE &/FOOT

29550

265.19

HCPCS / CPT®

STRAPPING TOES

29580

332.36

HCPCS / CPT®

STRAPPING UNNA BOOT

29700

192.71

HCPCS / CPT®

REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST

3028F

79.56

HCPCS / CPT®

OXYGEN SATURATION RESULTS DOCUMENTED & REVIEWED

30300

751.36

HCPCS / CPT®

REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE

30802

2453.99

HCPCS / CPT®

ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL

30901

313.89

HCPCS / CPT®

CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE

30903

505.95

HCPCS / CPT®

CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX

30905

690.43

HCPCS / CPT®

Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method

30906

987.49

HCPCS / CPT®

Cntrl nasal hemorrhage, posterior,w/ posterior nasal packs and/or cautery,any method; subsequent

31231

847.44

HCPCS / CPT®

NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX

31500

864.71

HCPCS / CPT®

INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE

31502

1348.27

HCPCS / CPT®

TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT

31505

229.39

HCPCS / CPT®

LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX

31515

1440.03

HCPCS / CPT®

Laryngoscopy direct, with or without tracheoscopy; for aspiration

31525

2216.49

HCPCS / CPT®

LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN

31575

1053.31

HCPCS / CPT®

LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC

31600

6240.67

HCPCS / CPT®

TRACHEOSTOMY PLANNED SPX

31603

41976.68

HCPCS / CPT®

TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL

31605

1210.43

HCPCS / CPT®

TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE

32405

1040.80

HCPCS / CPT®

BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE

32550

2755.40

HCPCS / CPT®

INSERT PLEURAL CATH

32551

3408.85

HCPCS / CPT®

TUBE THORACOSTOMY INCLUDES WATER SEAL

32555

1284.50

HCPCS / CPT®

THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING

3293F

247.50

HCPCS / CPT®

ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED

33415

1485.03

HCPCS / CPT®

RESCJ/INC SUBVALVULAR TISSUE

36000

371.25

HCPCS / CPT®

INTRO NDL/INTRACATH VEIN

36005

556.30

HCPCS / CPT®

NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH

36010

1266.90

HCPCS / CPT®

Introduction of catheter, superior or inferior vena cava

36011

1805.10

HCPCS / CPT®

SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH

36012

1999.40

HCPCS / CPT®

SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC

36013

1401.50

HCPCS / CPT®

INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY

36140

1038.70

HCPCS / CPT®

INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY

36223

3635.80

HCPCS / CPT®

SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART

36225

3626.90

HCPCS / CPT®

SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY

36245

2736.90

HCPCS / CPT®

SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH

36247

3486.60

HCPCS / CPT®

SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH

36248

565.70

HCPCS / CPT®

SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH

36410

123.17

HCPCS / CPT®

NON-ROUTINE BLOOD DRAW 3/> YRS

36415

40.73

HCPCS / CPT®

VENIPUNCTURE

36416

61.88

HCPCS / CPT®

CAPILLARY BLOOD DRAW

36475

3215.80

HCPCS / CPT®

ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN

36556

1329.46

HCPCS / CPT®

INSJ NON-TUN CTR CVC AGE 5 YR/>

36558

3267.20

HCPCS / CPT®

INSERT TUNNELED CV CATH – INSJ TUN CTR CVC W/O SUBQ PORT/PMP…

36561

3871.00

HCPCS / CPT®

INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>

36569

1266.54

HCPCS / CPT®

INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>

36573

976.20

HCPCS / CPT®

INSERTION PICC W/RS&I 5 YR/>

36575

486.62

HCPCS / CPT®

RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP

36589

1575.50

HCPCS / CPT®

RMVL TUN CVC W/O SUBQ PORT/PMP

36590

2181.40

HCPCS / CPT®

RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ

36591

221.00

HCPCS / CPT®

COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE

36592

176.73

HCPCS / CPT®

Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified

36598

422.60

HCPCS / CPT®

CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT

36600

105.86

HCPCS / CPT®

Arterial puncture, withdrawl of blood for dx

36680

420.79

HCPCS / CPT®

Placement of needle for intraosseous infusion

37187

4532.40

HCPCS / CPT®

PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN

37191

2582.00

HCPCS / CPT®

INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I

37192

3949.80

HCPCS / CPT®

REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I

37193

4037.90

HCPCS / CPT®

RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I

37195

456.04

HCPCS / CPT®

Thrombolysis, cerebral, by intravenous infusion

37211

4451.30

HCPCS / CPT®

THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX

37212

3898.20

HCPCS / CPT®

THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX

37224

5128.80

HCPCS / CPT®

REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI

37226

614.90

HCPCS / CPT®

REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL

37227

8389.10

HCPCS / CPT®

REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL

37228

6562.80

HCPCS / CPT®

REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI

37229

8148.90

HCPCS / CPT®

REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL

37232

2319.60

HCPCS / CPT®

REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL

37241

5107.70

HCPCS / CPT®

VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I

37243

6513.20

HCPCS / CPT®

VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT

37244

7699.70

HCPCS / CPT®

VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE

37248

3444.40

HCPCS / CPT®

TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN

37249

1678.30

HCPCS / CPT®

TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN

37252

1050.20

HCPCS / CPT®

INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL

37253

844.00

HCPCS / CPT®

INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL

37785

14308.83

HCPCS / CPT®

LIGATION, DIVISION, ANDOR EXCISION OF VARICOSE VEIN CLUSTERS

38300

458.34

HCPCS / CPT®

DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL

38505

805.20

HCPCS / CPT®

BX/EXC LYMPH NODE NEEDLE SUPERFICIAL

40650

4528.92

HCPCS / CPT®

RPR LIP FULL THKNS VERMILION ONLY

40800

1702.12

HCPCS / CPT®

DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL

40804

1633.26

HCPCS / CPT®

RMVL EMBEDDED FB VESTIBULE MOUTH SMPL

40830

1273.52

HCPCS / CPT®

Closure of laceration, vestibule of mouth; 2.5 cm or less

40831

2994.95

HCPCS / CPT®

CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL

41250

2134.26

HCPCS / CPT®

REPAIR TONGUE LACERATION

41252

2804.97

HCPCS / CPT®

RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX

41800

865.21

HCPCS / CPT®

DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS

41899

233.45

HCPCS / CPT®

UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES

42180

2390.74

HCPCS / CPT®

REPAIR LACERATION PALATE </2 CM

42330

2296.18

HCPCS / CPT®

REMOVAL OF SALIVARY STONE

42400

617.70

HCPCS / CPT®

BIOPSY SALIVARY GLAND NEEDLE

42700

2031.42

HCPCS / CPT®

I&D ABSC PRITONSILLAR

42809

1052.64

HCPCS / CPT®

Removal of foreign body from pharynx

43752

603.55

HCPCS / CPT®

NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDN

43753

141.46

HCPCS / CPT®

GASTRIC TUBE PLMT W/ASPIR & LAVAGE

43760

648.67

HCPCS / CPT®

CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GDNCE

45915

3001.62

HCPCS / CPT®

RMVL FECAL IMPACTION/FB SPX UNDER ANES

46040

1748.46

HCPCS / CPT®

I&D ISCHIORCT&/PRIRCT ABSC SPX

46050

3209.62

HCPCS / CPT®

INCISION OF ANAL ABSCESS

46083

1206.59

HCPCS / CPT®

Incision of thrombosed hemorrhoid, external

46320

2076.37

HCPCS / CPT®

ENCL/EXC XTRNL THROMBOTIC HEMORRHOID

46608

2060.56

HCPCS / CPT®

ANOSC RMVL FB

47000

1028.70

HCPCS / CPT®

BIOPSY LIVER NEEDLE PERCUTANEOUS

49083

1657.79

HCPCS / CPT®

Abdominal paracentesis (diagnostic or therapeutic); w/ imaging guidance

49708

0.00

HCPCS / CPT®

sulfamethoxazole-trimethoprim (septra)

51610

847.09

HCPCS / CPT®

INJ RETROGRADE URETHROCSTOGRAPY

51700

1066.38

HCPCS / CPT®

BLDR IRRIGATION SMPL LVG&/INSTLJ

51701

483.44

HCPCS / CPT®

CATHETERIZATION, BLADDER

51702

546.28

HCPCS / CPT®

INSJ TEMP NDWELLG BLDR CATH SMPL

51703

860.97

HCPCS / CPT®

INSJ TEMP NDWELLG BLDR CATH COMP

51798

205.62

HCPCS / CPT®

MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP

54001

906.80

HCPCS / CPT®

SLITTING PREPUCE DORSAL/LAT SPX XCP NB

54015

2313.14

HCPCS / CPT®

Incision and drainage of penis, deep

54163

2896.16

HCPCS / CPT®

REPAIR INCOMPLETE CIRCUMCISION

54220

1768.70

HCPCS / CPT®

IRRIGATION CORPORA CAVERNOSA PRIAPISM

54235

966.69

HCPCS / CPT®

NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT

54437

8941.37

HCPCS / CPT®

REPAIR OF TRAUMATIC CORPOREAL TEAR(S)

54450

376.36

HCPCS / CPT®

FORESKN MNPJ W/LSS PREPUTIAL ADS&STRETCHING

54600

6001.74

HCPCS / CPT®

RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS

55100

2278.55

HCPCS / CPT®

DRAINAGE SCROTAL WALL ABSCESS

55175

4966.57

HCPCS / CPT®

Scrotoplasty; simple

56405

1138.01

HCPCS / CPT®

I&D VULVA/PRNL ABSC

 

56420

1127.36

HCPCS / CPT®

I&D OF BARTHOLINS GLAND ABSC

57200

3925.76

HCPCS / CPT®

COLPORRHAPHY SUTURE INJURY VAGINA

57415

2078.40

HCPCS / CPT®

REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL

59025

908.01

HCPCS / CPT®

FETAL NON-STRESS TEST

59409

5389.90

HCPCS / CPT®

VAG DLVR ONLY

62270

1184.75

HCPCS / CPT®

SPINAL TAP FLUID

62272

583.30

HCPCS / CPT®

Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)

64400

1615.23

HCPCS / CPT®

NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH

64402

1519.08

HCPCS / CPT®

NJX ANES FACIAL NRV

64405

837.09

HCPCS / CPT®

N BLOCK INJ OCCIPITAL

64415

857.21

HCPCS / CPT®

N BLOCK INJ BRACHIAL PLEXUS

64418

653.30

HCPCS / CPT®

INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE

64430

916.80

HCPCS / CPT®

INJECTION ANESTHETIC AGENT PUDENDAL NERVE

64447

876.53

HCPCS / CPT®

INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE

64450

593.17

HCPCS / CPT®

NERVE BLOCK ANES OTHER PRPH NRV/BRANCH

64455

1196.93

HCPCS / CPT®

Inj, anesthetic agent a/o steroid, plantar common digital nerve(s)

64505

1068.60

HCPCS / CPT®

INJECTION ANES AGENT SPHENOPALATINE GANGLION

64520

932.70

HCPCS / CPT®

INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC

64640

1848.75

HCPCS / CPT®

DSTRJ NULYT OTH PRPH NRV/BRANCH

65205

371.25

HCPCS / CPT®

Removal of foreign body, external eye; conjunctival superfic…

65210

344.55

HCPCS / CPT®

RMVL FB XTRNL EYE EMBEDDED SCJNCL/SCLL NONPRF8

65220

574.57

HCPCS / CPT®

RMVL FB XTRNL EYE CRNL W/O SLIT LAMP

65222

678.87

HCPCS / CPT®

RMVL FB XTRNL EYE CRNL W/SLIT LAMP

67700

1172.13

HCPCS / CPT®

BLEPHAROTOMY DRG ABSC EYELID

67938

1564.81

HCPCS / CPT®

REMOVAL EMBEDDED FOREIGN BODY EYELID

69000

1031.47

HCPCS / CPT®

Drainage external ear, abscess or hematoma; simple

69005

2158.29

HCPCS / CPT®

DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX

69020

1833.45

HCPCS / CPT®

DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS

69200

576.33

HCPCS / CPT®

REMOVAL OF FOREIGN BODY OF EAR XTRNL AUD CANAL W/O ANES

69205

618.77

HCPCS / CPT®

RMVL FB XTRNL AUD CANAL ANES

69209

170.87

HCPCS / CPT®

REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT

69210

297.01

HCPCS / CPT®

RMVL IMPACTED CERUMEN SPX 1/BTH EARS

69220

627.15

HCPCS / CPT®

DBRDMT MSTDC CAVITY SMPL

70030

398.48

HCPCS / CPT®

RADEX EYE DETCJ FB

70100

531.70

HCPCS / CPT®

RADEX MNDBL PRTL LESS THAN  < 4 VIEWS

70110

531.70

HCPCS / CPT®

RADEX MNDBL COMPL MINIMUM 4 VIEWS

70140

571.84

HCPCS / CPT®

RADEX FACIAL B1S < 3 VIEWS

70150

756.67

HCPCS / CPT®

RADEX FACIAL B1S COMPL MINIMUM 3 VIEWS

70160

354.82

HCPCS / CPT®

RADEX NSL B1S COMPL MINIMUM 3 VIEWS

70200

544.10

HCPCS / CPT®

RADEX ORBITS COMPLETE MINIMUM 4 VIEWS

70210

479.87

HCPCS / CPT®

Radiologic examination, sinuses, paranasal, less than 3 views

70220

746.05

HCPCS / CPT®

RADEX SINUSES PARANSL COMPL MINIMUM 3 VIEWS

70250

573.64

HCPCS / CPT®

RADEX SKL < 4 VIEWS

70260

759.41

HCPCS / CPT®

RADEX SKL COMPL MINIMUM 4 VIEWS

70328

531.70

HCPCS / CPT®

RADEX TMPRMAND JT OPN&CLSD MOUTH UNI

70330

619.39

HCPCS / CPT®

RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT

70350

388.93

HCPCS / CPT®

CEPHALOGRAM ORTHODONTIC

70360

688.87

HCPCS / CPT®

RADEX OF NECK SOFT TISSUE

70450

3093.83

HCPCS / CPT®

CT HEAD/BRN C-MATRL

70460

3721.73

HCPCS / CPT®

CT HEAD/BRN C+ MATRL

70470

3721.73

HCPCS / CPT®

CT HEAD/BRN C-/C+

70480

1767.90

HCPCS / CPT®

CT ORBIT SELLA/POST FOSSA/EAR C-MATRL

70481

3599.63

HCPCS / CPT®

CT ORBIT SELLA/POST FOSSA/EAR C+ MATRL

70482

4104.52

HCPCS / CPT®

CT ORBIT SELLA/POST FOSSA/EAR C-/C+

70486

2909.50

HCPCS / CPT®

CT SCAN MAXLFCL AREA C-MATRL – SINUS AREA

70487

2940.91

HCPCS / CPT®

CT MAXLFCL AREA C+ MATRL

70488

2940.91

HCPCS / CPT®

CT MAXLFCL AREA C-/C+

70490

3049.64

HCPCS / CPT®

CT SOFT TISS NCK C-MATRL

70491

3536.80

HCPCS / CPT®

CT SOFT TISS NCK C+ MATRL

70492

3571.44

HCPCS / CPT®

CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL

70496

3002.25

HCPCS / CPT®

CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST

70498

2719.93

HCPCS / CPT®

CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST

70544

4773.33

HCPCS / CPT®

MRA HEAD C-MATRL

70547

4199.40

HCPCS / CPT®

MRA NCK C-MATRL

70551

4199.40

HCPCS / CPT®

MRI BRN BRN STEM C-MATRL

70553

4950.12

HCPCS / CPT®

MRI BRN BRN STEM C-/C+

71010

452.42

HCPCS / CPT®

RADEX CH 1 VIEW FRNT

71020

704.11

HCPCS / CPT®

RADEX CH 2 VIEWS FRNT&LAT

71022

660.74

HCPCS / CPT®

RADEX CH 2 VIEWS FRNT&LAT OBLQ PRJCJ

71030

793.79

HCPCS / CPT®

RADEX CH COMPL MINIMUM 4 VIEWS

71045

256.34

HCPCS / CPT®

RADEX CHEST 1 VIEW

71046

393.76

HCPCS / CPT®

RADEX CHEST 2 VIEWS

71047

503.82

HCPCS / CPT®

RADEX CHEST 3 VIEWS

71048

540.50

HCPCS / CPT®

RADEX CHEST 4+ VIEWS

71100

399.37

HCPCS / CPT®

RADEX RIBS UNI 2 VIEWS

71101

976.53

HCPCS / CPT®

RADEX RIBS UNI W/POSTEROANT CH 4 VIEWS

71110

772.58

HCPCS / CPT®

RADEX RIBS BI 3 VIEWS

71111

928.69

HCPCS / CPT®

RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS

71120

386.30

HCPCS / CPT®

RADEX STERNUM MINIMUM 2 VIEWS

71130

2428.04

HCPCS / CPT®

RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS

71250

3204.61

HCPCS / CPT®

CT THORAX W/O CONTRAST MATERIAL

71260

4199.40

HCPCS / CPT®

CT THORAX C+ MATRL

71270

4377.11

HCPCS / CPT®

CT THORAX C-/C+

71275

4501.08

HCPCS / CPT®

CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST

71550

4198.77

HCPCS / CPT®

MRI CH C-MATRL

72020

476.16

HCPCS / CPT®

RADEX SPI 1 VIEW SPEC LVL

72040

622.59

HCPCS / CPT®

RADEX SPI CRV 2/3 VIEWS

72050

742.52

HCPCS / CPT®

RADEX SPI CRV MINIMUM 4 VIEWS

72052

1272.89

HCPCS / CPT®

RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS

72069

565.73

HCPCS / CPT®

RADEX SPI THORACOLMBR STANDING SCOLIOSIS

72070

410.69

HCPCS / CPT®

RADEX SPI THRC 2 VIEWS

72072

839.75

HCPCS / CPT®

RADEX SPI THRC 3 VIEWS

72074

810.47

HCPCS / CPT®

RADEX SPI THRC MINIMUM 4 VIEWS

72080

335.69

HCPCS / CPT®

X RAY EXAM TRUNK SPINE 2VWS

72081

498.87

HCPCS / CPT®

RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW

72082

805.69

HCPCS / CPT®

RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW

72083

970.60

HCPCS / CPT®

RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW

72084

1130.68

HCPCS / CPT®

RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW

72100

883.95

HCPCS / CPT®

RADEX SPI LUMBOSAC 2/3 VIEWS

72110

1202.18

HCPCS / CPT®

LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS

72114

707.16

HCPCS / CPT®

RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS

72120

839.75

HCPCS / CPT®

RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS

72125

3717.89

HCPCS / CPT®

CT CRV SPI C-MATRL

72126

3599.63

HCPCS / CPT®

CT CRV SPI C+ MATRL

72127

4547.71

HCPCS / CPT®

CT CRV SPI C-/C+

72128

3379.55

HCPCS / CPT®

CT THRC SPI C-MATRL

72129

3599.63

HCPCS / CPT®

CT THRC SPI C+ MATRL

72131

4428.13

HCPCS / CPT®

CT LUMBAR SPINE W/O CONTRAST MATERIAL

72132

5513.78

HCPCS / CPT®

CT LMBR SPI C+ MATRL

72133

6529.17

HCPCS / CPT®

CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL

72141

2828.64

HCPCS / CPT®

MRI SPI CANAL&CNTS CRV C-MATRL

72146

4199.40

HCPCS / CPT®

MRI SPI CANAL&CNTS THRC C-MATRL

72148

4199.40

HCPCS / CPT®

MRI SPI CANAL&CNTS LMBR C-MATRL

72156

4950.12

HCPCS / CPT®

MRI SPI CANAL&CNTS C-/C+ CRV

72157

4199.40

HCPCS / CPT®

MRI SPI CANAL&CNTS C-/C+

72158

4242.96

HCPCS / CPT®

MRI SPI CANAL&CNTS C-/C+ LMBR

72170

574.57

HCPCS / CPT®

RADEX PELVIS 1/2 VIEWS

72175

1268.07

HCPCS / CPT®

Computed tomography, cervical spine; without contrast materi…

72190

657.83

HCPCS / CPT®

RADEX PELVIS COMPL MINIMUM 3 VIEWS

72191

2884.89

HCPCS / CPT®

CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST

72192

4209.37

HCPCS / CPT®

CT PELVIS C-MATRL

72193

2777.20

HCPCS / CPT®

CT PELVIS C+ MATRL

72194

4324.37

HCPCS / CPT®

CT PELVIS C-/C+

72195

4199.40

HCPCS / CPT®

MRI PELVIS C-MATRL

72196

5657.29

HCPCS / CPT®

MRI PELVIS C+ MATRL

72197

4481.00

HCPCS / CPT®

MRI PELVIS W/O & W/CONTRAST MATERIAL

72200

1899.40

HCPCS / CPT®

RADEX SACROILIAC JNTS <3 VIEWS

72220

429.95

HCPCS / CPT®

RADEX SACRUM&COCCYX MINIMUM 2 VIEWS

72255

3976.91

HCPCS / CPT®

MYELOGRAPY THRC RS&I

72265

4418.88

HCPCS / CPT®

MYELOGRAPY LUMBOSAC RS&I

73000

422.88

HCPCS / CPT®

RADEX CLAV COMPL

73010

488.58

HCPCS / CPT®

RADEX SCAPULA COMPL

73020

350.29

HCPCS / CPT®

RADEX SHO 1 VIEW

73030

591.24

HCPCS / CPT®

RADEX SHO COMPL MINIMUM 2 VIEWS

73050

562.20

HCPCS / CPT®

RADEX ACROMCLAV JTS BI +-W8ED DISTRCJ

73060

556.90

HCPCS / CPT®

RADEX HUM MINIMUM 2 VIEWS

73070

354.82

HCPCS / CPT®

RADEX ELBW 2 VIEWS

73080

510.93

HCPCS / CPT®

RADEX ELBW COMPL MINIMUM 3 VIEWS

73090

354.59

HCPCS / CPT®

RADEX F/ARM 2 VIEWS

73092

381.78

HCPCS / CPT®

RADEX UXTR INFT MINIMUM 2 VIEWS

73100

572.45

HCPCS / CPT®

RADEX WRST 2 VIEWS

73110

555.59

HCPCS / CPT®

RADEX WRST COMPL MINIMUM 3 VIEWS

73120

487.55

HCPCS / CPT®

RADEX HAND 2 VIEWS

73130

629.77

HCPCS / CPT®

RADEX HAND MINIMUM 3 VIEWS

73140

539.22

HCPCS / CPT®

RADEX Fingers MINIMUM 2 VIEWS

73200

2215.18

HCPCS / CPT®

CT UXTR C-MATRL

73201

3287.09

HCPCS / CPT®

CT UPPER EXT W/DYE

73202

2428.04

HCPCS / CPT®

CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL

73206

2906.05

HCPCS / CPT®

CT ANGIOGRPHY W/WO CONTRAST UPPER EXTREMITY

73218

4638.64

HCPCS / CPT®

MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL

73220

4950.12

HCPCS / CPT®

MRI UXTR OTH/THN JT C-/C+

73221

4199.40

HCPCS / CPT®

MRI ANY JT UXTR C-MATRL

73223

4721.28

HCPCS / CPT®

MRI ANY JT UXTR C-/C+

73501

563.49

HCPCS / CPT®

RADEX HIP UNILATERAL WITH PELVIS 1 VIEW

73502

552.07

HCPCS / CPT®

RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS

73503

689.97

HCPCS / CPT®

RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS

73521

528.29

HCPCS / CPT®

RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS

73522

652.05

HCPCS / CPT®

RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS

73523

756.13

HCPCS / CPT®

RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS

73540

228.26

HCPCS / CPT®

Radiologic examination, pelvis and hips, infant or child, mi…

73551

371.19

HCPCS / CPT®

X-RAY EXAM OF FEMUR 1V

73552

1438.58

HCPCS / CPT®

RADEX, Femur; 2V

73560

473.80

HCPCS / CPT®

RADEX KNE 1/2 VIEWS

73562

509.43

HCPCS / CPT®

RADEX KNE 3 VIEWS

73564

595.71

HCPCS / CPT®

RADEX KNE COMPL 4/MORE VIEWS

73565

462.19

HCPCS / CPT®

RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST

73590

575.94

HCPCS / CPT®

RADEX TIBFIB 2 VIEWS

73592

452.15

HCPCS / CPT®

RADEX LXTR INFT MINIMUM 2 VIEWS

73600

509.43

HCPCS / CPT®

RADEX ANKLE 2 VIEWS

73610

734.16

HCPCS / CPT®

RADEX ANKLE COMPL MINIMUM 3 VIEWS

73620

579.27

HCPCS / CPT®

RADEX FOOT 2 VIEWS

73630

813.23

HCPCS / CPT®

RADEX FOOT COMPL MINIMUM 3 VIEWS

73650

486.17

HCPCS / CPT®

RADEX CALCANEUS MINIMUM 2 VIEWS

73660

353.58

HCPCS / CPT®

RADEX TOE MINIMUM 2 VIEWS

73700

2314.15

HCPCS / CPT®

CT LXTR C-MATRL

73701

3464.15

HCPCS / CPT®

CT LXTR C+ MATRL

73702

4446.54

HCPCS / CPT®

CT LOWER EXTREMITY C-/C+

73706

4573.21

HCPCS / CPT®

CT ANGIOGRAPHY LOWER EXTREMITY

73718

2946.10

HCPCS / CPT®

MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL

73720

8764.00

HCPCS / CPT®

Magnetic resonance (eg, proton) imaging, lower extremity other than joint; C-/C+

73721

4199.40

HCPCS / CPT®

MRI ANY JT LXTR C-MATRL

73722

4659.32

HCPCS / CPT®

MRI ANY JT LXTR C+ MATRL

73723

7648.47

HCPCS / CPT®

MRI ANY JT LXTR C-/C+

73725

5657.29

HCPCS / CPT®

MRA LXTR C+-MATRL

74000

344.14

HCPCS / CPT®

RADEX ABD 1 ANTEROPOST VIEW

74010

645.29

HCPCS / CPT®

RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS

74018

352.36

HCPCS / CPT®

RADEX ABD 1 VIEW

74019

430.45

HCPCS / CPT®

RADEX ABD 2 VIEWS

74020

687.72

HCPCS / CPT®

RADEX ABD COMPL W/DCBTS&/ERC VIEWS

74021

503.47

HCPCS / CPT®

RADEX ABD 3+ VIEWS

74022

863.47

HCPCS / CPT®

RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH

74150

3298.12

HCPCS / CPT®

CT ABD C-MATRL

74160

3877.96

HCPCS / CPT®

CT ABD C+ MATRL

74170

4568.72

HCPCS / CPT®

CT ABD C-/C+

74174

4518.22

HCPCS / CPT®

CT ANGIO ABD&PELV W/ O&W / DYE

74175

4896.75

HCPCS / CPT®

CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST

74176

3400.00

HCPCS / CPT®

Ct Abd & pelvis W/o Contrast

74177

4100.00

HCPCS / CPT®

Ct Abdomen&pelvis W/contrast

74178

4575.39

HCPCS / CPT®

CT ABDOMEN & PELVIS W W/O CONTRST 1/> BODY RE

74181

4199.40

HCPCS / CPT®

MRI ABD C-MATRL

74183

4950.12

HCPCS / CPT®

MRI ABD C-/C+

74210

2495.51

HCPCS / CPT®

Radiologic examination; pharynx a/o cervical esophagus

74220

662.34

HCPCS / CPT®

ESOPHOGRAM/ CONTRAST X-RAY ESOPHAGUS

74241

1511.65

HCPCS / CPT®

RADEX GI TRC UPR +-DLYD FLMS W/KUB

74247

1528.89

HCPCS / CPT®

RADEX GI UPR C+ +-GLUC +-DLYD FLMS W/KUB

74400

1837.01

HCPCS / CPT®

Urography (pyelography), intravenous, with or without KUB, w…

74450

215.63

HCPCS / CPT®

URETHROCYSTOGRAPHY RETROGRADE RS&I

75635

2884.96

HCPCS / CPT®

CT ANGIO ABDOMINAL ARTERIES

75809

1281.91

HCPCS / CPT®

SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I

76010

396.00

HCPCS / CPT®

RADEX FROM NOSE RECTUM FB 1 VIEW CHLD

76376

972.35

HCPCS / CPT®

3D RNDR I&R CT MRI US/OTH X REQ POSTPCX

76380

1882.32

HCPCS / CPT®

CT LIMITED/LOCALIZED FOLLOW UP STUDY

76512

976.35

HCPCS / CPT®

OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN

76536

1511.65

HCPCS / CPT®

US SOFT TISS HEAD&NCK R-T IMG

76604

1143.56

HCPCS / CPT®

US CHEST REAL TIME W/IMAGE DOCUMENTATION

76641

1389.78

HCPCS / CPT®

US BREAST UNI REAL TIME WITH IMAGE COMPLETE

76642

1190.84

HCPCS / CPT®

US BREAST UNI REAL TIME WITH IMAGE LIMITED

76645

990.66

HCPCS / CPT®

(DO NOT USE)US BREAST R-T W/IMAGE DOCUMENTATION

76700

1751.14

HCPCS / CPT®

US ABDOMINAL R-T W/IMAGE DOCUMENTATION

76705

1556.39

HCPCS / CPT®

ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED

76706

1466.94

HCPCS / CPT®

US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA

76770

1262.49

HCPCS / CPT®

US RETROPERITONEAL R-T W/IMAGE COMPL

76775

1364.13

HCPCS / CPT®

US RPR B-SCAN&/R-T IMG LMTD

76801

1939.13

HCPCS / CPT®

ULTRASOUND 14 WK TABDL 1/1ST GESTATION

76802

877.98

HCPCS / CPT®

US PREG UTERUS 14 WK TRANSABDL EACH  ADDL GESTATION

76805

1364.13

HCPCS / CPT®

ULTRASOUND AFTER 1ST TRI 1/1ST GESTATION

76810

1263.82

HCPCS / CPT®

US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO

76813

1639.19

HCPCS / CPT®

US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION

76814

471.71

HCPCS / CPT®

Ultrasound, pregnant uterus, real time with image documentat…

76815

1138.43

HCPCS / CPT®

US PREGNANT UTERUS LIMITED 1/> FETUSES

76817

1364.13

HCPCS / CPT®

US PG UTER R-T IMG TRVG