20000 Incision of abscess $327.17
20005 Incision of deep abscess $498.65
20100 Explore wound, neck $1,190.66
20101 Explore wound, chest $454.19
20102 Explore wound, abdomen $549.53
20103 Explore wound, extremity $703.72
20150 Excise epiphyseal bar $1,556.97
20200 Muscle biopsy $201.51
20205 Deep muscle biopsy $427.89
20206 Needle biopsy, muscle $277.22
20220 Bone biopsy, trocar/needle $253.74
20225 Bone biopsy, trocar/needle $482.84
20240 Bone biopsy, excisional $433.92
20245 Bone biopsy, excisional $1,036.28
20250 Open bone biopsy $708.01
20251 Open bone biopsy $802.96
20500 Injection of sinus tract $300.48
20501 Inject sinus tract for x-ray $248.99
20520 Removal of foreign body $300.26
20525 Removal of foreign body $513.22
20526 Ther injection, carp tunnel $123.19
20550 Inj tendon sheath/ligament $107.29
20551 Inj tendon origin/insertion $105.22
20552 Inj trigger point, 1/2 muscl $101.95
20553 Inject trigger points, =/> 3 $116.24
20600 Drain/inject, joint/bursa $95.75
20605 Drain/inject, joint/bursa $104.82
20610 Drain/inject, joint/bursa $127.14
20612 Aspirate/inj ganglion cyst $103.56
20615 Treatment of bone cyst $353.02
20650 Insert and remove bone pin $344.80
20660 Apply, rem fixation device $418.68
20661 Application of head brace $743.27
20662 Application of pelvis brace $859.98
20663 Application of thigh brace $764.34
20664 Halo brace application $1,146.85
20665 Removal of fixation device $147.70
20670 Removal of support implant $495.81
20680 Removal of support implant $489.96
20690 Apply bone fixation device $451.71
20692 Apply bone fixation device $759.41
20693 Adjust bone fixation device $853.58
20694 Remove bone fixation device $655.17
20802 Replantation, arm, complete $4,782.05
20805 Replant forearm, complete $6,305.55
20808 Replantation hand, complete $7,855.52
20816 Replantation digit, complete $5,127.99
20822 Replantation digit, complete $4,506.48
20824 Replantation thumb, complete $5,075.23
20827 Replantation thumb, complete $4,714.69
20838 Replantation foot, complete $4,892.69
20900 Removal of bone for graft $780.88
20902 Removal of bone for graft $1,079.23
20910 Remove cartilage for graft $908.11
20912 Remove cartilage for graft $915.36
20920 Removal of fascia for graft $655.17
20922 Removal of fascia for graft $992.55
20924 Removal of tendon for graft $655.17
20926 Removal of tissue for graft $655.17
20930 Spinal bone allograft $92.38
20931 Spinal bone allograft $213.25
20936 Spinal bone autograft $634.56
20937 Spinal bone autograft $326.69
20938 Spinal bone autograft $354.52
20950 Fluid pressure, muscle $194.24
20955 Fibula bone graft, microvasc $4,825.41
20956 Iliac bone graft, microvasc $4,878.17
20957 Mt bone graft, microvasc $4,581.90
20962 Other bone graft, microvasc $4,960.90
20969 Bone/skin graft, microvasc $5,345.75
20970 Bone/skin graft, iliac crest $5,182.05
20972 Bone/skin graft, metatarsal $4,956.93
20973 Bone/skin graft, great toe $5,345.40
20974 Electrical bone stimulation $92.76
20975 Electrical bone stimulation $330.75
20979 Us bone stimulation $101.03
20982 Ablate, bone tumor(s) perq $4,691.94
20999 Musculoskeletal surgery $0.00
21010 Incision of jaw joint $1,277.15
21015 Resection of facial tumor $796.62
21025 Excision of bone, lower jaw $1,484.57
21026 Excision of facial bone(s) $855.70
21029 Contour of face bone lesion $1,197.61
21030 Excise max/zygoma b9 tumor $830.90
21031 Remove exostosis, mandible $568.93
21032 Remove exostosis, maxilla $572.03
21034 Excise max/zygoma mlg tumor $2,196.16
21040 Excise mandible lesion $816.17
21044 Removal of jaw bone lesion $1,517.76
21045 Extensive jaw surgery $2,042.66
21046 Remove mandible cyst complex $1,884.80
21047 Excise lwr jaw cyst w/repair $2,386.67
21048 Remove maxilla cyst complex $1,941.42
21049 Excis uppr jaw cyst w/repair $2,280.84
21050 Removal of jaw joint $1,543.78
21060 Remove jaw joint cartilage $1,485.15
21070 Remove coronoid process $1,123.37
21076 Prepare face/oral prosthesis $1,931.94
21077 Prepare face/oral prosthesis $4,875.42
21079 Prepare face/oral prosthesis $3,260.97
21080 Prepare face/oral prosthesis $3,713.32
21081 Prepare face/oral prosthesis $3,363.89
21082 Prepare face/oral prosthesis $2,985.29
21083 Prepare face/oral prosthesis $2,852.12
21084 Prepare face/oral prosthesis $3,307.06
21085 Prepare face/oral prosthesis $1,284.66
21086 Prepare face/oral prosthesis $3,607.75
21087 Prepare face/oral prosthesis $3,594.60
21088 Prepare face/oral prosthesis $2,316.82
21089 Prepare face/oral prosthesis $0.00
21100 Maxillofacial fixation $708.86
21110 Interdental fixation $883.29
21116 Injection, jaw joint x-ray $339.92
21120 Reconstruction of chin $987.34
21121 Reconstruction of chin $1,311.18
21122 Reconstruction of chin $1,147.28
21123 Reconstruction of chin $1,448.57
21125 Augmentation, lower jaw bone $1,635.18
21127 Augmentation, lower jaw bone $1,860.13
21137 Reduction of forehead $1,266.74
21138 Reduction of forehead $1,610.46
21139 Reduction of forehead $1,805.02
21141 Reconstruct midface, lefort $2,372.54
21142 Reconstruct midface, lefort $2,350.94
21143 Reconstruct midface, lefort $2,467.35
21145 Reconstruct midface, lefort $2,547.38
21146 Reconstruct midface, lefort $2,705.74
21147 Reconstruct midface, lefort $2,738.87
21150 Reconstruct midface, lefort $2,898.87
21151 Reconstruct midface, lefort $3,426.02
21154 Reconstruct midface, lefort $3,865.59
21155 Reconstruct midface, lefort $4,330.73
21159 Reconstruct midface, lefort $5,123.66
21160 Reconstruct midface, lefort $5,324.62
21172 Reconstruct orbit/forehead $3,120.53
21175 Reconstruct orbit/forehead $3,947.07
21179 Reconstruct entire forehead $2,784.87
21180 Reconstruct entire forehead $3,073.27
21181 Contour cranial bone lesion $1,316.36
21182 Reconstruct cranial bone $3,858.18
21183 Reconstruct cranial bone $4,217.47
21184 Reconstruct cranial bone $4,574.01
21188 Reconstruction of midface $2,796.54
21193 Reconst lwr jaw w/o graft $2,234.83
21194 Reconst lwr jaw w/graft $2,504.92
21195 Reconst lwr jaw w/o fixation $2,247.81
21196 Reconst lwr jaw w/fixation $2,432.34
21198 Reconstr lwr jaw segment $1,849.90
21199 Reconstr lwr jaw w/advance $1,878.14
21206 Reconstruct upper jaw bone $1,837.51
21208 Augmentation of facial bones $1,798.11
21209 Reduction of facial bones $1,344.37
21210 Face bone graft $1,741.32
21215 Lower jaw bone graft $1,773.70
21230 Rib cartilage graft $1,432.56
21235 Ear cartilage graft $1,305.49
21240 Reconstruction of jaw joint $1,969.73
21242 Reconstruction of jaw joint $1,864.13
21243 Reconstruction of jaw joint $2,857.04
21244 Reconstruction of lower jaw $1,616.20
21245 Reconstruction of jaw $2,028.97
21246 Reconstruction of jaw $1,981.51
21247 Reconstruct lower jaw bone $3,013.65
21248 Reconstruction of jaw $1,794.02
21249 Reconstruction of jaw $2,505.18
21255 Reconstruct lower jaw bone $2,172.84
21256 Reconstruction of orbit $2,088.24
21260 Revise eye sockets $1,900.79
21261 Revise eye sockets $3,761.22
21263 Revise eye sockets $3,094.14
21267 Revise eye sockets $2,375.18
21268 Revise eye sockets $2,912.40
21270 Augmentation, cheek bone $1,611.91
21275 Revision, orbitofacial bones $1,482.10
21280 Revision of eyelid $878.77
21282 Revision of eyelid $590.66
21295 Revision of jaw muscle/bone $313.89
21296 Revision of jaw muscle/bone $633.97
21299 Cranio/maxillofacial surgery $0.00
21300 Treatment of skull fracture $221.40
21310 Treatment of nose fracture $206.48
21315 Treatment of nose fracture $326.17
21320 Treatment of nose fracture $436.93
21325 Treatment of nose fracture $551.65
21330 Treatment of nose fracture $784.41
21335 Treatment of nose fracture $1,137.47
21336 Treat nasal septal fracture $862.82
21337 Treat nasal septal fracture $427.89
21338 Treat nasoethmoid fracture $916.00
21339 Treat nasoethmoid fracture $1,099.64
21340 Treatment of nose fracture $1,437.05
21343 Treatment of sinus fracture $1,707.56
21344 Treatment of sinus fracture $2,485.23
21345 Treat nose/jaw fracture $1,427.81
21346 Treat nose/jaw fracture $1,733.56
21347 Treat nose/jaw fracture $1,665.75
21348 Treat nose/jaw fracture $2,084.82
21355 Treat cheek bone fracture $616.37
21356 Treat cheek bone fracture $1,127.37
21360 Treat cheek bone fracture $1,459.57
21365 Treat cheek bone fracture $1,979.07
21366 Treat cheek bone fracture $2,184.42
21385 Treat eye socket fracture $1,196.44
21386 Treat eye socket fracture $1,229.81
21387 Treat eye socket fracture $1,274.95
21390 Treat eye socket fracture $1,335.24
21395 Treat eye socket fracture $1,631.97
21400 Treat eye socket fracture $365.47
21401 Treat eye socket fracture $605.19
21406 Treat eye socket fracture $984.26
21407 Treat eye socket fracture $1,161.56
21408 Treat eye socket fracture $1,608.50
21421 Treat mouth roof fracture $1,083.56
21422 Treat mouth roof fracture $1,425.63
21423 Treat mouth roof fracture $1,399.08
21431 Treat craniofacial fracture $1,283.65
21432 Treat craniofacial fracture $1,091.01
21433 Treat craniofacial fracture $3,150.57
21435 Treat craniofacial fracture $2,246.75
21436 Treat craniofacial fracture $3,455.09
21440 Treat dental ridge fracture $765.12
21445 Treat dental ridge fracture $1,143.11
21450 Treat lower jaw fracture $578.78
21451 Treat lower jaw fracture $982.85
21452 Treat lower jaw fracture $416.49
21453 Treat lower jaw fracture $1,156.10
21454 Treat lower jaw fracture $954.55
21461 Treat lower jaw fracture $1,495.54
21462 Treat lower jaw fracture $1,731.26
21465 Treat lower jaw fracture $1,614.45
21470 Treat lower jaw fracture $2,042.96
21480 Reset dislocated jaw $181.87
21485 Reset dislocated jaw $718.86
21490 Repair dislocated jaw $1,619.92
21493 Treat hyoid bone fracture $294.48
21494 Treat hyoid bone fracture $878.82
21495 Treat hyoid bone fracture $853.36
21497 Interdental wiring $750.46
21499 Head surgery procedure $0.00
21501 Drain neck/chest lesion $622.10
21502 Drain chest lesion $955.95
21510 Drainage of bone lesion $849.47
21550 Biopsy of neck/chest $409.93
21555 Remove lesion, neck/chest $689.27
21556 Remove lesion, neck/chest $719.42
21557 Remove tumor, neck/chest $1,072.21
21600 Partial removal of rib $946.68
21610 Partial removal of rib $1,788.35
21615 Removal of rib $1,249.35
21616 Removal of rib and nerves $1,505.99
21620 Partial removal of sternum $956.09
21627 Sternal debridement $986.49
21630 Extensive sternum surgery $2,201.67
21632 Extensive sternum surgery $2,211.57
21685 Hyoid myotomy & suspension $1,716.08
21700 Revision of neck muscle $892.78
21705 Revision of neck muscle/rib $1,141.80
21720 Revision of neck muscle $832.92
21725 Revision of neck muscle $938.64
21740 Reconstruction of sternum $1,906.73
21742 Repair stern/nuss w/o scope $4,800.00
21743 Repair sternum/nuss w/scope $4,800.00
21750 Repair of sternum separation $1,281.36
21800 Treatment of rib fracture $220.04
21805 Treatment of rib fracture $448.00
21810 Treatment of rib fracture(s) $882.52
21820 Treat sternum fracture $282.83
21825 Treat sternum fracture $1,047.82
21899 Neck/chest surgery procedure $0.00
21920 Biopsy soft tissue of back $252.25
21925 Biopsy soft tissue of back $809.19
21930 Remove lesion, back or flank $770.15
21935 Remove tumor, back $2,118.65
22100 Remove part of neck vertebra $1,315.26
22101 Remove part, thorax vertebra $1,336.05
22102 Remove part, lumbar vertebra $1,348.45
22103 Remove extra spine segment $273.47
22110 Remove part of neck vertebra $1,678.94
22112 Remove part, thorax vertebra $1,678.35
22114 Remove part, lumbar vertebra $1,678.00
22116 Remove extra spine segment $270.25
22210 Revision of neck spine $3,018.44
22212 Revision of thorax spine $2,476.41
22214 Revision of lumbar spine $2,513.76
22216 Revise, extra spine segment $706.92
22220 Revision of neck spine $2,693.82
22222 Revision of thorax spine $2,531.27
22224 Revision of lumbar spine $2,717.49
22226 Revise, extra spine segment $706.23
22305 Treat spine process fracture $384.71
22310 Treat spine fracture $546.31
22315 Treat spine fracture $1,639.90
22318 Treat odontoid fx w/o graft $2,710.30
22319 Treat odontoid fx w/graft $3,011.82
22325 Treat spine fracture $2,308.81
22326 Treat neck spine fracture $2,490.34
22327 Treat thorax spine fracture $2,401.81
22328 Treat each add spine fx $527.90
22505 Manipulation of spine $215.67
22520 Percut vertebroplasty thor $4,621.17
22521 Percut vertebroplasty lumb $4,092.27
22522 Percut vertebroplasty add’l $451.17
22532 Lat thorax spine fusion $2,965.87
22533 Lat lumbar spine fusion $2,783.96
22534 Lat thor/lumb, add’l seg $697.05
22548 Neck spine fusion $3,221.01
22554 Neck spine fusion $2,381.42
22556 Thorax spine fusion $2,915.90
22558 Lumbar spine fusion $2,704.71
22585 Additional spinal fusion $645.43
22590 Spine & skull spinal fusion $2,602.03
22595 Neck spinal fusion $2,476.77
22600 Neck spine fusion $2,090.37
22610 Thorax spine fusion $2,084.21
22612 Lumbar spine fusion $2,671.76
22614 Spine fusion, extra segment $754.34
22630 Lumbar spine fusion $2,643.54
22632 Spine fusion, extra segment $610.99
22800 Fusion of spine $2,342.92
22802 Fusion of spine $3,826.11
22804 Fusion of spine $4,475.64
22808 Fusion of spine $3,257.83
22810 Fusion of spine $3,701.72
22812 Fusion of spine $4,004.67
22818 Kyphectomy, 1-2 segments $3,878.70
22819 Kyphectomy, 3 or more $4,311.39
22830 Exploration of spinal fusion $1,423.59
22840 Insert spine fixation device $1,467.12
22841 Insert spine fixation device Paid Elsewhere
22842 Insert spine fixation device $1,471.83
22843 Insert spine fixation device $1,546.82
22844 Insert spine fixation device $1,930.75
22845 Insert spine fixation device $1,404.15
22846 Insert spine fixation device $1,457.43
22847 Insert spine fixation device $1,612.79
22848 Insert pelv fixation device $703.95
22849 Reinsert spinal fixation $2,308.26
22850 Remove spine fixation device $1,254.49
22851 Apply spine prosth device $778.28
22852 Remove spine fixation device $1,197.49
22855 Remove spine fixation device $1,910.67
22899 Spine surgery procedure $0.00
22900 Remove abdominal wall lesion $682.19
22999 Abdomen surgery procedure $0.00
23000 Removal of calcium deposits $702.04
23020 Release shoulder joint $1,238.71
23030 Drain shoulder lesion $480.11
23031 Drain shoulder bursa $403.53
23035 Drain shoulder bone lesion $1,277.48
23040 Exploratory shoulder surgery $1,279.52
23044 Exploratory shoulder surgery $1,018.57
23065 Biopsy shoulder tissues $368.81
23066 Biopsy shoulder tissues $681.60
23075 Removal of shoulder lesion $342.98
23076 Removal of shoulder lesion $1,002.97
23077 Remove tumor of shoulder $2,015.57
23100 Biopsy of shoulder joint $874.89
23101 Shoulder joint surgery $818.92
23105 Remove shoulder joint lining $1,154.10
23106 Incision of collarbone joint $875.51
23107 Explore treat shoulder joint $1,201.11
23120 Partial removal, collar bone $1,017.13
23125 Removal of collar bone $1,278.22
23130 Remove shoulder bone, part $1,095.76
23140 Removal of bone lesion $920.17
23145 Removal of bone lesion $1,251.35
23146 Removal of bone lesion $1,120.79
23150 Removal of humerus lesion $1,159.34
23155 Removal of humerus lesion $1,403.56
23156 Removal of humerus lesion $1,204.22
23170 Remove collar bone lesion $984.03
23172 Remove shoulder blade lesion $995.26
23174 Remove humerus lesion $1,339.50
23180 Remove collar bone lesion $1,319.01
23182 Remove shoulder blade lesion $1,264.49
23184 Remove humerus lesion $1,407.95
23190 Partial removal of scapula $1,008.94
23195 Removal of head of humerus $1,322.99
23200 Removal of collar bone $1,579.52
23210 Removal of shoulder blade $1,638.00
23220 Partial removal of humerus $1,918.15
23221 Partial removal of humerus $2,241.53
23222 Partial removal of humerus $3,013.67
23330 Remove shoulder foreign body $282.01
23331 Remove shoulder foreign body $1,060.01
23332 Remove shoulder foreign body $1,574.06
23350 Injection for shoulder x-ray $205.08
23395 Muscle transfer,shoulder/arm $2,227.78
23397 Muscle transfers $2,080.45
23400 Fixation of shoulder blade $1,787.96
23405 Incision of tendon & muscle $1,153.19
23406 Incise tendon(s) & muscle(s) $1,444.63
23410 Repair rotator cuff, acute $1,646.35
23412 Repair rotator cuff, chronic $1,750.82
23415 Release of shoulder ligament $1,350.08
23420 Repair of shoulder $1,810.66
23430 Repair biceps tendon $1,360.81
23440 Remove/transplant tendon $1,412.53
23450 Repair shoulder capsule $1,755.48
23455 Repair shoulder capsule $1,874.01
23460 Repair shoulder capsule $2,018.89
23462 Repair shoulder capsule $1,972.70
23465 Repair shoulder capsule $2,026.60
23466 Repair shoulder capsule $1,918.93
23470 Reconstruct shoulder joint $2,212.64
23472 Reconstruct shoulder joint $2,653.92
23480 Revision of collar bone $1,501.63
23485 Revision of collar bone $1,759.79
23490 Reinforce clavicle $1,536.65
23491 Reinforce shoulder bones $1,878.94
23500 Treat clavicle fracture $417.94
23505 Treat clavicle fracture $662.34
23515 Treat clavicle fracture $1,044.00
23520 Treat clavicle dislocation $423.23
23525 Treat clavicle dislocation $604.39
23530 Treat clavicle dislocation $995.60
23532 Treat clavicle dislocation $1,120.46
23540 Treat clavicle dislocation $427.89
23545 Treat clavicle dislocation $568.63
23550 Treat clavicle dislocation $1,017.89
23552 Treat clavicle dislocation $1,178.78
23570 Treat shoulder blade fx $402.93
23575 Treat shoulder blade fx $705.12
23585 Treat scapula fracture $1,243.36
23600 Treat humerus fracture $523.79
23605 Treat humerus fracture $844.41
23615 Treat humerus fracture $1,349.93
23616 Treat humerus fracture $2,682.00
23620 Treat humerus fracture $330.36
23625 Treat humerus fracture $655.17
23630 Treat humerus fracture $1,044.34
23650 Treat shoulder dislocation $587.99
23655 Treat shoulder dislocation $648.53
23660 Treat shoulder dislocation $1,038.27
23665 Treat dislocation/fracture $755.90
23670 Treat dislocation/fracture $1,104.33
23675 Treat dislocation/fracture $1,005.82
23680 Treat dislocation/fracture $1,364.32
23700 Fixation of shoulder $360.93
23800 Fusion of shoulder joint $1,857.65
23802 Fusion of shoulder joint $2,039.10
23900 Amputation of arm & girdle $2,392.49
23920 Amputation at shoulder joint $1,863.72
23921 Amputation follow-up surgery $796.70
23929 Shoulder surgery procedure $0.00
23930 Drainage of arm lesion $419.50
23931 Drainage of arm bursa $309.54
23935 Drain arm/elbow bone lesion $910.69
24000 Exploratory elbow surgery $834.77
24006 Release elbow joint $1,276.38
24065 Biopsy arm/elbow soft tissue $305.74
24066 Biopsy arm/elbow soft tissue $810.25
24075 Remove arm/elbow lesion $657.50
24076 Remove arm/elbow lesion $848.94
24077 Remove tumor of arm/elbow $1,526.73
24100 Biopsy elbow joint lining $702.24
24101 Explore/treat elbow joint $895.09
24102 Remove elbow joint lining $1,114.04
24105 Removal of elbow bursa $588.55
24110 Remove humerus lesion $1,053.87
24115 Remove/graft bone lesion $1,272.06
24116 Remove/graft bone lesion $1,576.19
24120 Remove elbow lesion $936.67
24125 Remove/graft bone lesion $1,050.26
24126 Remove/graft bone lesion $1,137.05
24130 Removal of head of radius $911.62
24134 Removal of arm bone lesion $1,412.04
24136 Remove radius bone lesion $1,141.39
24138 Remove elbow bone lesion $1,174.74
24140 Partial removal of arm bone $1,388.88
24145 Partial removal of radius $1,168.23
24147 Partial removal of elbow $1,200.01
24149 Radical resection of elbow $1,922.96
24150 Extensive humerus surgery $1,759.55
24151 Extensive humerus surgery $2,055.91
24152 Extensive radius surgery $1,339.57
24153 Extensive radius surgery $1,288.04
24155 Removal of elbow joint $1,512.08
24160 Remove elbow joint implant $1,094.29
24164 Remove radius head implant $888.79
24200 Removal of arm foreign body $273.23
24201 Removal of arm foreign body $754.15
24220 Injection for elbow x-ray $486.66
24300 Manipulate elbow w/anesth $676.81
24301 Muscle/tendon transfer $1,377.20
24305 Arm tendon lengthening $1,055.94
24310 Revision of arm tendon $870.14
24320 Repair of arm tendon $1,361.45
24330 Revision of arm muscles $1,307.34
24331 Revision of arm muscles $1,444.17
24332 Tenolysis, triceps $1,040.49
24340 Repair of biceps tendon $1,108.75
24341 Repair arm tendon/muscle $1,167.33
24342 Repair of ruptured tendon $1,435.38
24343 Repr elbow lat ligmnt w/tiss $1,237.79
24344 Reconstruct elbow lat ligmnt $1,898.40
24345 Repr elbw med ligmnt w/tissu $1,230.90
24346 Reconstruct elbow med ligmnt $1,888.76
24350 Repair of tennis elbow $801.17
24351 Repair of tennis elbow $877.98
24352 Repair of tennis elbow $938.14
24354 Repair of tennis elbow $938.09
24356 Revision of tennis elbow $966.44
24360 Reconstruct elbow joint $1,633.67
24361 Reconstruct elbow joint $1,849.27
24362 Reconstruct elbow joint $1,883.84
24363 Replace elbow joint $2,414.24
24365 Reconstruct head of radius $1,159.85
24366 Reconstruct head of radius $1,245.38
24400 Revision of humerus $1,501.27
24410 Revision of humerus $1,901.44
24420 Revision of humerus $1,811.49
24430 Repair of humerus $1,700.76
24435 Repair humerus with graft $1,803.71
24470 Revision of elbow joint $1,227.28
24495 Decompression of forearm $1,266.75
24498 Reinforce humerus $1,596.45
24500 Treat humerus fracture $376.98
24505 Treat humerus fracture $917.06
24515 Treat humerus fracture $1,579.05
24516 Treat humerus fracture $1,563.22
24530 Treat humerus fracture $651.25
24535 Treat humerus fracture $1,129.68
24538 Treat humerus fracture $1,353.50
24545 Treat humerus fracture $1,419.99
24546 Treat humerus fracture $2,038.99
24560 Treat humerus fracture $554.45
24565 Treat humerus fracture $946.18
24566 Treat humerus fracture $1,184.93
24575 Treat humerus fracture $1,425.64
24576 Treat humerus fracture $427.89
24577 Treat humerus fracture $985.72
24579 Treat humerus fracture $1,539.52
24582 Treat humerus fracture $1,307.76
24586 Treat elbow fracture $1,986.98
24587 Treat elbow fracture $1,970.16
24600 Treat elbow dislocation $718.85
24605 Treat elbow dislocation $795.27
24615 Treat elbow dislocation $1,289.06
24620 Treat elbow fracture $978.52
24635 Treat elbow fracture $2,037.92
24640 Treat elbow dislocation $226.95
24650 Treat radius fracture $486.22
24655 Treat radius fracture $817.24
24665 Treat radius fracture $1,168.72
24666 Treat radius fracture $1,316.66
24670 Treat ulnar fracture $509.08
24675 Treat ulnar fracture $841.13
24685 Treat ulnar fracture $1,224.87
24800 Fusion of elbow joint $1,492.82
24802 Fusion/graft of elbow joint $1,809.49
24900 Amputation of upper arm $1,270.85
24920 Amputation of upper arm $1,279.79
24925 Amputation follow-up surgery $998.31
24930 Amputation follow-up surgery $1,332.40
24931 Amputate upper arm & implant $1,433.48
24935 Revision of amputation $1,805.63
24940 Revision of upper arm $3,777.84
24999 Upper arm/elbow surgery $0.00
25000 Incision of tendon sheath $748.67
25001 Incise flexor carpi radialis $551.76
25020 Decompress forearm 1 space $1,157.23
25023 Decompress forearm 1 space $1,964.68
25024 Decompress forearm 2 spaces $1,277.83
25025 Decompress forearm 2 spaces $2,012.27
25028 Drainage of forearm lesion $1,000.51
25031 Drainage of forearm bursa $655.17
25035 Treat forearm bone lesion $1,555.27
25040 Explore/treat wrist joint $1,080.54
25065 Biopsy forearm soft tissues $345.49
25066 Biopsy forearm soft tissues $826.36
25075 Removel forearm lesion subcu $717.04
25076 Removel forearm lesion deep $1,078.11
25077 Remove tumor, forearm/wrist $1,646.69
25085 Incision of wrist capsule $942.05
25100 Biopsy of wrist joint $683.53
25101 Explore/treat wrist joint $784.50
25105 Remove wrist joint lining $982.98
25107 Remove wrist joint cartilage $1,092.38
25110 Remove wrist tendon lesion $811.71
25111 Remove wrist tendon lesion $602.43
25112 Reremove wrist tendon lesion $733.67
25115 Remove wrist/forearm lesion $1,698.01
25116 Remove wrist/forearm lesion $1,499.09
25118 Excise wrist tendon sheath $753.04
25119 Partial removal of ulna $1,018.16
25120 Removal of forearm lesion $1,344.86
25125 Remove/graft forearm lesion $1,509.49
25126 Remove/graft forearm lesion $1,520.92
25130 Removal of wrist lesion $867.68
25135 Remove & graft wrist lesion $1,068.88
25136 Remove & graft wrist lesion $928.97
25145 Remove forearm bone lesion $1,367.43
25150 Partial removal of ulna $1,147.49
25151 Partial removal of radius $1,490.05
25170 Extensive forearm surgery $1,953.80
25210 Removal of wrist bone $948.80
25215 Removal of wrist bones $1,242.67
25230 Partial removal of radius $845.47
25240 Partial removal of ulna $901.92
25246 Injection for wrist x-ray $481.78
25248 Remove forearm foreign body $1,007.80
25250 Removal of wrist prosthesis $939.83
25251 Removal of wrist prosthesis $1,299.94
25259 Manipulate wrist w/anesthes $677.15
25260 Repair forearm tendon/muscle $1,578.84
25263 Repair forearm tendon/muscle $1,572.76
25265 Repair forearm tendon/muscle $1,798.49
25270 Repair forearm tendon/muscle $1,346.35
25272 Repair forearm tendon/muscle $1,477.35
25274 Repair forearm tendon/muscle $1,664.89
25275 Repair forearm tendon sheath $1,194.91
25280 Revise wrist/forearm tendon $1,473.23
25290 Incise wrist/forearm tendon $1,410.23
25295 Release wrist/forearm tendon $1,390.84
25300 Fusion of tendons at wrist $1,287.21
25301 Fusion of tendons at wrist $1,232.90
25310 Transplant forearm tendon $1,574.27
25312 Transplant forearm tendon $1,750.21
25315 Revise palsy hand tendon(s) $1,837.47
25316 Revise palsy hand tendon(s) $2,138.27
25320 Repair/revise wrist joint $1,629.06
25332 Revise wrist joint $1,534.65
25335 Realignment of hand $1,835.79
25337 Reconstruct ulna/radioulnar $1,574.28
25350 Revision of radius $1,686.41
25355 Revision of radius $1,843.46
25360 Revision of ulna $1,652.70
25365 Revise radius & ulna $2,090.15
25370 Revise radius or ulna $2,196.23
25375 Revise radius & ulna $2,199.53
25390 Shorten radius or ulna $1,858.58
25391 Lengthen radius or ulna $2,250.96
25392 Shorten radius & ulna $2,229.98
25393 Lengthen radius & ulna $2,492.10
25394 Repair carpal bone, shorten $1,399.69
25400 Repair radius or ulna $1,942.48
25405 Repair/graft radius or ulna $2,363.26
25415 Repair radius & ulna $2,230.25
25420 Repair/graft radius & ulna $2,586.64
25425 Repair/graft radius or ulna $2,571.67
25426 Repair/graft radius & ulna $2,462.48
25430 Vasc graft into carpal bone $1,235.44
25431 Repair nonunion carpal bone $1,368.06
25440 Repair/graft wrist bone $1,484.26
25441 Reconstruct wrist joint $1,717.80
25442 Reconstruct wrist joint $1,463.96
25443 Reconstruct wrist joint $1,423.74
25444 Reconstruct wrist joint $1,514.56
25445 Reconstruct wrist joint $1,316.80
25446 Wrist replacement $2,138.33
25447 Repair wrist joint(s) $1,416.39
25449 Remove wrist joint implant $1,881.30
25450 Revision of wrist joint $1,340.01
25455 Revision of wrist joint $1,532.21
25490 Reinforce radius $1,510.97
25491 Reinforce ulna $1,510.97
25492 Reinforce radius and ulna $1,510.97
25500 Treat fracture of radius $469.32
25505 Treat fracture of radius $913.86
25515 Treat fracture of radius $1,249.46
25520 Treat fracture of radius $1,014.27
25525 Treat fracture of radius $1,666.48
25526 Treat fracture of radius $1,977.84
25530 Treat fracture of ulna $452.42
25535 Treat fracture of ulna $882.81
25545 Treat fracture of ulna $1,241.29
25560 Treat fracture radius & ulna $471.67
25565 Treat fracture radius & ulna $957.25
25574 Treat fracture radius & ulna $1,053.39
25575 Treat fracture radius/ulna $1,485.69
25600 Treat fracture radius/ulna $518.21
25605 Treat fracture radius/ulna $1,019.57
25611 Treat fracture radius/ulna $1,232.67
25620 Treat fracture radius/ulna $1,187.28
25622 Treat wrist bone fracture $528.08
25624 Treat wrist bone fracture $843.47
25628 Treat wrist bone fracture $1,213.44
25630 Treat wrist bone fracture $545.13
25635 Treat wrist bone fracture $807.92
25645 Treat wrist bone fracture $1,046.53
25650 Treat wrist bone fracture $575.73
25651 Pin ulnar styloid fracture $800.43
25652 Treat fracture ulnar styloid $1,080.56
25660 Treat wrist dislocation $699.88
25670 Treat wrist dislocation $1,122.35
25671 Pin radioulnar dislocation $892.62
25675 Treat wrist dislocation $818.47
25676 Treat wrist dislocation $1,149.21
25680 Treat wrist fracture $798.96
25685 Treat wrist fracture $1,323.18
25690 Treat wrist dislocation $813.29
25695 Treat wrist dislocation $1,161.29
25800 Fusion of wrist joint $1,408.43
25805 Fusion/graft of wrist joint $1,608.25
25810 Fusion/graft of wrist joint $1,524.61
25820 Fusion of hand bones $1,137.88
25825 Fuse hand bones with graft $1,375.99
25830 Fusion, radioulnar jnt/ulna $1,813.59
25900 Amputation of forearm $1,604.11
25905 Amputation of forearm $1,606.82
25907 Amputation follow-up surgery $1,007.32
25909 Amputation follow-up surgery $1,591.08
25915 Amputation of forearm $2,716.21
25920 Amputate hand at wrist $1,242.10
25922 Amputate hand at wrist $1,058.10
25924 Amputation follow-up surgery $1,241.17
25927 Amputation of hand $1,535.08
25929 Amputation follow-up surgery $1,007.32
25931 Amputation follow-up surgery $1,449.13
25999 Forearm or wrist surgery $0.00
26010 Drainage of finger abscess $306.72
26011 Drainage of finger abscess $798.98
26020 Drain hand tendon sheath $755.82
26025 Drainage of palm bursa $752.90
26030 Drainage of palm bursa(s) $885.00
26034 Treat hand bone lesion $928.73
26035 Decompress fingers/hand $1,313.37
26037 Decompress fingers/hand $1,031.05
26040 Release palm contracture $541.89
26045 Release palm contracture $827.76
26055 Incise finger tendon sheath $1,045.39
26060 Incision of finger tendon $461.77
26070 Explore/treat hand joint $520.54
26075 Explore/treat finger joint $557.60
26080 Explore/treat finger joint $666.57
26100 Biopsy hand joint lining $574.10
26105 Biopsy finger joint lining $581.91
26110 Biopsy finger joint lining $555.05
26115 Removel hand lesion subcut $969.20
26116 Removel hand lesion, deep $848.25
26117 Remove tumor, hand/finger $1,163.56
26121 Release palm contracture $1,076.10
26123 Release palm contracture $1,343.06
26125 Release palm contracture $536.53
26130 Remove wrist joint lining $795.63
26135 Revise finger joint, each $994.93
26140 Revise finger joint, each $902.57
26145 Tendon excision, palm/finger $914.80
26160 Remove tendon sheath lesion $1,125.04
26170 Removal of palm tendon, each $716.12
26180 Removal of finger tendon $780.81
26185 Remove finger bone $825.96
26200 Remove hand bone lesion $804.41
26205 Remove/graft bone lesion $1,084.60
26210 Removal of finger lesion $779.26
26215 Remove/graft finger lesion $992.32
26230 Partial removal of hand bone $909.34
26235 Partial removal, finger bone $889.60
26236 Partial removal, finger bone $787.47
26250 Extensive hand surgery $1,040.36
26255 Extensive hand surgery $1,613.99
26260 Extensive finger surgery $981.23
26261 Extensive finger surgery $1,141.60
26262 Partial removal of finger $815.67
26320 Removal of implant from hand $609.29
26340 Manipulate finger w/anesth $525.38
26350 Repair finger/hand tendon $1,543.21
26352 Repair/graft hand tendon $1,718.26
26356 Repair finger/hand tendon $1,944.62
26357 Repair finger/hand tendon $1,820.22
26358 Repair/graft hand tendon $1,926.06
26370 Repair finger/hand tendon $1,665.71
26372 Repair/graft hand tendon $1,889.76
26373 Repair finger/hand tendon $1,810.55
26390 Revise hand/finger tendon $1,688.81
26392 Repair/graft hand tendon $2,032.66
26410 Repair hand tendon $1,235.47
26412 Repair/graft hand tendon $1,461.75
26415 Excision, hand/finger tendon $1,499.40
26416 Graft hand or finger tendon $1,795.87
26418 Repair finger tendon $1,228.80
26420 Repair/graft finger tendon $1,520.88
26426 Repair finger/hand tendon $1,439.13
26428 Repair/graft finger tendon $1,576.11
26432 Repair finger tendon $1,055.33
26433 Repair finger tendon $1,145.90
26434 Repair/graft finger tendon $1,313.83
26437 Realignment of tendons $1,289.19
26440 Release palm/finger tendon $1,376.12
26442 Release palm & finger tendon $1,790.93
26445 Release hand/finger tendon $1,302.46
26449 Release forearm/hand tendon $1,685.05
26450 Incision of palm tendon $814.05
26455 Incision of finger tendon $806.98
26460 Incise hand/finger tendon $779.78
26471 Fusion of finger tendons $1,259.41
26474 Fusion of finger tendons $1,240.16
26476 Tendon lengthening $1,194.60
26477 Tendon shortening $1,203.04
26478 Lengthening of hand tendon $1,306.97
26479 Shortening of hand tendon $1,291.13
26480 Transplant hand tendon $1,613.02
26483 Transplant/graft hand tendon $1,770.67
26485 Transplant palm tendon $1,715.27
26489 Transplant/graft palm tendon $1,616.22
26490 Revise thumb tendon $1,576.87
26492 Tendon transfer with graft $1,728.82
26494 Hand tendon/muscle transfer $1,615.41
26496 Revise thumb tendon $1,700.76
26497 Finger tendon transfer $1,723.37
26498 Finger tendon transfer $2,255.40
26499 Revision of finger $1,638.04
26500 Hand tendon reconstruction $1,306.20
26502 Hand tendon reconstruction $1,434.56
26504 Hand tendon reconstruction $1,487.43
26508 Release thumb contracture $1,313.36
26510 Thumb tendon transfer $1,245.96
26516 Fusion of knuckle joint $1,441.49
26517 Fusion of knuckle joints $1,659.54
26518 Fusion of knuckle joints $1,667.50
26520 Release knuckle contracture $1,429.04
26525 Release finger contracture $1,439.54
26530 Revise knuckle joint $948.95
26531 Revise knuckle with implant $1,113.01
26535 Revise finger joint $672.03
26536 Revise/implant finger joint $1,178.44
26540 Repair hand joint $1,363.30
26541 Repair hand joint with graft $1,641.42
26542 Repair hand joint with graft $1,394.59
26545 Reconstruct finger joint $1,429.16
26546 Repair nonunion hand $1,758.83
26548 Reconstruct finger joint $1,561.24
26550 Construct thumb replacement $2,908.55
26551 Great toe-hand transfer $6,065.53
26553 Single transfer, toe-hand $5,130.94
26554 Double transfer, toe-hand $7,035.91
26555 Positional change of finger $2,613.87
26556 Toe joint transfer $6,174.81
26560 Repair of web finger $1,133.46
26561 Repair of web finger $1,732.64
26562 Repair of web finger $2,370.15
26565 Correct metacarpal flaw $1,395.05
26567 Correct finger deformity $1,396.21
26568 Lengthen metacarpal/finger $1,830.69
26580 Repair hand deformity $2,378.20
26587 Reconstruct extra finger $1,637.51
26590 Repair finger deformity $2,014.62
26591 Repair muscles of hand $976.91
26593 Release muscles of hand $1,214.63
26596 Excision constricting tissue $1,323.92
26600 Treat metacarpal fracture $437.55
26605 Treat metacarpal fracture $590.05
26607 Treat metacarpal fracture $865.50
26608 Treat metacarpal fracture $866.87
26615 Treat metacarpal fracture $806.80
26641 Treat thumb dislocation $655.17
26645 Treat thumb fracture $770.83
26650 Treat thumb fracture $923.70
26665 Treat thumb fracture $1,075.07
26670 Treat hand dislocation $503.65
26675 Treat hand dislocation $797.99
26676 Pin hand dislocation $830.82
26685 Treat hand dislocation $990.90
26686 Treat hand dislocation $1,119.72
26700 Treat knuckle dislocation $609.35
26705 Treat knuckle dislocation $730.09
26706 Pin knuckle dislocation $758.43
26715 Treat knuckle dislocation $851.87
26720 Treat finger fracture, each $333.59
26725 Treat finger fracture, each $666.89
26727 Treat finger fracture, each $858.89
26735 Treat finger fracture, each $881.15
26740 Treat finger fracture, each $399.92
26742 Treat finger fracture, each $706.99
26746 Treat finger fracture, each $870.52
26750 Treat finger fracture, each $330.90
26755 Treat finger fracture, each $346.85
26756 Pin finger fracture, each $528.63
26765 Treat finger fracture, each $661.00
26770 Treat finger dislocation $339.83
26775 Treat finger dislocation $503.65
26776 Pin finger dislocation $528.63
26785 Treat finger dislocation $667.08
26820 Thumb fusion with graft $1,600.42
26841 Fusion of thumb $1,503.33
26842 Thumb fusion with graft $1,604.10
26843 Fusion of hand joint $1,481.34
26844 Fusion/graft of hand joint $1,639.31
26850 Fusion of knuckle $1,421.17
26852 Fusion of knuckle with graft $1,586.80
26860 Fusion of finger joint $1,169.38
26861 Fusion of finger jnt, add-on $203.22
26862 Fusion/graft of finger joint $1,465.49
26863 Fuse/graft added joint $457.70
26910 Amputate metacarpal bone $1,409.69
26951 Amputation of finger/thumb $1,096.51
26952 Amputation of finger/thumb $1,342.99
26989 Hand/finger surgery $0.00
26990 Drainage of pelvis lesion $1,121.19
26991 Drainage of pelvis bursa $628.02
26992 Drainage of bone lesion $1,637.51
27000 Incision of hip tendon $655.17
27001 Incision of hip tendon $980.34
27003 Incision of hip tendon $1,036.72
27005 Incision of hip tendon $1,317.30
27006 Incision of hip tendons $1,327.06
27025 Incision of hip/thigh fascia $1,480.89
27030 Drainage of hip joint $1,709.84
27033 Exploration of hip joint $1,759.55
27035 Denervation of hip joint $2,163.27
27036 Excision of hip joint/muscle $1,725.26
27040 Biopsy of soft tissues $402.93
27041 Biopsy of soft tissues $780.88
27047 Remove hip/pelvis lesion $982.34
27048 Remove hip/pelvis lesion $843.14
27049 Remove tumor, hip/pelvis $1,691.29
27050 Biopsy of sacroiliac joint $655.22
27052 Biopsy of hip joint $905.31
27054 Removal of hip joint lining $1,192.04
27060 Removal of ischial bursa $762.65
27062 Remove femur lesion/bursa $790.16
27065 Removal of hip bone lesion $852.80
27066 Removal of hip bone lesion $1,414.42
27067 Remove/graft hip bone lesion $1,846.44
27070 Partial removal of hip bone $1,528.59
27071 Partial removal of hip bone $1,656.80
27075 Extensive hip surgery $4,056.71
27076 Extensive hip surgery $2,786.11
27077 Extensive hip surgery $4,704.57
27078 Extensive hip surgery $1,789.14
27079 Extensive hip surgery $1,796.76
27080 Removal of tail bone $859.09
27086 Remove hip foreign body $285.23
27087 Remove hip foreign body $755.90
27090 Removal of hip prosthesis $1,490.78
27091 Removal of hip prosthesis $2,733.86
27093 Injection for hip x-ray $564.90
27095 Injection for hip x-ray $856.95
27096 Inject sacroiliac joint $692.97
27097 Revision of hip tendon $1,152.24
27098 Transfer tendon to pelvis $1,198.88
27100 Transfer of abdominal muscle $1,491.75
27105 Transfer of spinal muscle $1,579.40
27110 Transfer of iliopsoas muscle $1,687.96
27111 Transfer of iliopsoas muscle $1,599.20
27120 Reconstruction of hip socket $2,252.07
27122 Reconstruction of hip socket $1,954.32
27125 Partial hip replacement $1,902.38
27130 Total hip arthroplasty $2,526.26
27132 Total hip arthroplasty $2,938.19
27134 Revise hip joint replacement $3,508.88
27137 Revise hip joint replacement $2,652.84
27138 Revise hip joint replacement $2,765.01
27140 Transplant femur ridge $1,629.30
27146 Incision of hip bone $2,238.05
27147 Revision of hip bone $2,561.00
27151 Incision of hip bones $2,372.83
27156 Revision of hip bones $3,088.70
27158 Revision of pelvis $2,353.34
27161 Incision of neck of femur $2,173.95
27165 Incision/fixation of femur $2,323.77
27170 Repair/graft femur head/neck $2,067.37
27175 Treat slipped epiphysis $1,133.39
27176 Treat slipped epiphysis $1,586.19
27177 Treat slipped epiphysis $1,957.31
27178 Treat slipped epiphysis $1,541.78
27179 Revise head/neck of femur $1,726.87
27181 Treat slipped epiphysis $1,865.54
27185 Revision of femur epiphysis $1,260.12
27187 Reinforce hip bones $1,798.97
27193 Treat pelvic ring fracture $935.16
27194 Treat pelvic ring fracture $1,376.80
27200 Treat tail bone fracture $355.96
27202 Treat tail bone fracture $1,061.17
27215 Treat pelvic fracture(s) $1,299.20
27216 Treat pelvic ring fracture $1,890.81
27217 Treat pelvic ring fracture $1,831.55
27218 Treat pelvic ring fracture $2,412.14
27220 Treat hip socket fracture $755.90
27222 Treat hip socket fracture $1,700.12
27226 Treat hip wall fracture $1,742.89
27227 Treat hip fracture(s) $2,939.01
27228 Treat hip fracture(s) $3,390.83
27230 Treat thigh fracture $533.01
27232 Treat thigh fracture $1,350.36
27235 Treat thigh fracture $1,623.66
27236 Treat thigh fracture $2,006.11
27238 Treat thigh fracture $503.65
27240 Treat thigh fracture $1,646.99
27244 Treat thigh fracture $2,056.28
27245 Treat thigh fracture $2,575.56
27246 Treat thigh fracture $655.17
27248 Treat thigh fracture $1,402.72
27250 Treat hip dislocation $874.76
27252 Treat hip dislocation $1,208.78
27253 Treat hip dislocation $1,707.25
27254 Treat hip dislocation $2,293.79
27256 Treat hip dislocation $563.29
27257 Treat hip dislocation $610.65
27258 Treat hip dislocation $1,986.90
27259 Treat hip dislocation $2,705.66
27265 Treat hip dislocation $730.82
27266 Treat hip dislocation $1,033.10
27275 Manipulation of hip joint $328.84
27280 Fusion of sacroiliac joint $1,789.48
27282 Fusion of pubic bones $1,458.91
27284 Fusion of hip joint $2,866.87
27286 Fusion of hip joint $2,934.69
27290 Amputation of leg at hip $2,832.79
27295 Amputation of leg at hip $2,281.98
27299 Pelvis/hip joint surgery $0.00
27301 Drain thigh/knee lesion $982.34
27303 Drainage of bone lesion $1,162.99
27305 Incise thigh tendon & fascia $842.24
27306 Incision of thigh tendon $700.44
27307 Incision of thigh tendons $844.64
27310 Exploration of knee joint $1,264.09
27315 Partial removal, thigh nerve $884.84
27320 Partial removal, thigh nerve $854.44
27323 Biopsy, thigh soft tissues $328.24
27324 Biopsy, thigh soft tissues $688.99
27327 Removal of thigh lesion $721.27
27328 Removal of thigh lesion $757.26
27329 Remove tumor, thigh/knee $1,778.75
27330 Biopsy, knee joint lining $715.21
27331 Explore/treat knee joint $851.30
27332 Removal of knee cartilage $1,151.92
27333 Removal of knee cartilage $1,041.29
27334 Remove knee joint lining $1,207.08
27335 Remove knee joint lining $1,367.46
27340 Removal of kneecap bursa $647.28
27345 Removal of knee cyst $861.17
27347 Remove knee cyst $835.58
27350 Removal of kneecap $1,152.02
27355 Remove femur lesion $1,083.60
27356 Remove femur lesion/graft $1,303.18
27357 Remove femur lesion/graft $1,445.18
27358 Remove femur lesion/fixation $555.85
27360 Partial removal, leg bone(s) $1,526.26
27365 Extensive leg surgery $2,110.52
27370 Injection for knee x-ray $540.59
27372 Removal of foreign body $816.66
27380 Repair of kneecap tendon $1,074.56
27381 Repair/graft kneecap tendon $1,453.38
27385 Repair of thigh muscle $1,146.20
27386 Repair/graft of thigh muscle $1,500.09
27390 Incision of thigh tendon $787.87
27391 Incision of thigh tendons $1,034.18
27392 Incision of thigh tendons $1,268.51
27393 Lengthening of thigh tendon $916.56
27394 Lengthening of thigh tendons $1,183.55
27395 Lengthening of thigh tendons $1,587.78
27396 Transplant of thigh tendon $1,118.90
27397 Transplants of thigh tendons $1,528.02
27400 Revise thigh muscles/tendons $1,226.85
27403 Repair of knee cartilage $1,160.87
27405 Repair of knee ligament $1,208.86
27407 Repair of knee ligament $1,394.52
27409 Repair of knee ligaments $1,716.44
27418 Repair degenerated kneecap $1,480.43
27420 Revision of unstable kneecap $1,344.45
27422 Revision of unstable kneecap $1,341.75
27424 Revision/removal of kneecap $1,342.27
27425 Lat retinacular release open $797.21
27427 Reconstruction, knee $1,284.58
27428 Reconstruction, knee $1,888.74
27429 Reconstruction, knee $2,097.22
27430 Revision of thigh muscles $1,325.28
27435 Incision of knee joint $1,338.35
27437 Revise kneecap $1,169.20
27438 Revise kneecap with implant $1,481.95
27440 Revision of knee joint $1,247.01
27441 Revision of knee joint $1,326.04
27442 Revision of knee joint $1,561.85
27443 Revision of knee joint $1,468.85
27445 Revision of knee joint $2,262.87
27446 Revision of knee joint $2,040.89
27447 Total knee arthroplasty $2,721.43
27448 Incision of thigh $1,482.35
27450 Incision of thigh $1,852.47
27454 Realignment of thigh bone $2,271.48
27455 Realignment of knee $1,709.08
27457 Realignment of knee $1,762.99
27465 Shortening of thigh bone $1,822.93
27466 Lengthening of thigh bone $2,114.72
27468 Shorten/lengthen thighs $2,382.24
27470 Repair of thigh $2,105.57
27472 Repair/graft of thigh $2,299.60
27475 Surgery to stop leg growth $1,188.16
27477 Surgery to stop leg growth $1,321.17
27479 Surgery to stop leg growth $1,707.93
27485 Surgery to stop leg growth $1,218.91
27486 Revise/replace knee joint $1,480.17
27487 Revise/replace knee joint $3,160.23
27488 Removal of knee prosthesis $2,059.93
27495 Reinforce thigh $2,039.56
27496 Decompression of thigh/knee $881.22
27497 Decompression of thigh/knee $958.98
27498 Decompression of thigh/knee $1,056.68
27499 Decompression of thigh/knee $1,201.26
27500 Treatment of thigh fracture $956.87
27501 Treatment of thigh fracture $996.80
27502 Treatment of thigh fracture $1,407.95
27503 Treatment of thigh fracture $1,418.96
27506 Treatment of thigh fracture $2,271.55
27507 Treatment of thigh fracture $1,803.99
27508 Treatment of thigh fracture $947.40
27509 Treatment of thigh fracture $1,163.47
27510 Treatment of thigh fracture $1,226.79
27511 Treatment of thigh fracture $1,866.34
27513 Treatment of thigh fracture $2,391.99
27514 Treatment of thigh fracture $2,304.39
27516 Treat thigh fx growth plate $931.30
27517 Treat thigh fx growth plate $1,317.36
27519 Treat thigh fx growth plate $2,005.85
27520 Treat kneecap fracture $588.73
27524 Treat kneecap fracture $1,364.37
27530 Treat knee fracture $707.61
27532 Treat knee fracture $1,124.95
27535 Treat knee fracture $1,618.46
27536 Treat knee fracture $2,048.05
27538 Treat knee fracture(s) $877.45
27540 Treat knee fracture $1,702.45
27550 Treat knee dislocation $755.90
27552 Treat knee dislocation $1,083.08
27556 Treat knee dislocation $1,960.31
27557 Treat knee dislocation $2,251.40
27558 Treat knee dislocation $2,325.41
27560 Treat kneecap dislocation $685.15
27562 Treat kneecap dislocation $789.86
27566 Treat kneecap dislocation $1,620.97
27570 Fixation of knee joint $264.49
27580 Fusion of knee $2,571.49
27590 Amputate leg at thigh $1,441.55
27591 Amputate leg at thigh $1,623.61
27592 Amputate leg at thigh $1,248.80
27594 Amputation follow-up surgery $925.17
27596 Amputation follow-up surgery $1,338.57
27598 Amputate lower leg at knee $1,340.23
27599 Leg surgery procedure $0.00
27600 Decompression of lower leg $776.31
27601 Decompression of lower leg $795.87
27602 Decompression of lower leg $950.39
27603 Drain lower leg lesion $1,124.02
27604 Drain lower leg bursa $567.64
27605 Incision of achilles tendon $830.82
27606 Incision of achilles tendon $680.15
27607 Treat lower leg bone lesion $1,092.00
27610 Explore/treat ankle joint $1,155.77
27612 Exploration of ankle joint $1,009.80
27613 Biopsy lower leg soft tissue $428.12
27614 Biopsy lower leg soft tissue $1,052.12
27615 Remove tumor, lower leg $1,721.06
27618 Remove lower leg lesion $982.34
27619 Remove lower leg lesion $1,399.53
27620 Explore/treat ankle joint $858.76
27625 Remove ankle joint lining $1,117.32
27626 Remove ankle joint lining $1,197.28
27630 Removal of tendon lesion $1,001.33
27635 Remove lower leg bone lesion $1,095.03
27637 Remove/graft leg bone lesion $1,366.60
27638 Remove/graft leg bone lesion $1,426.14
27640 Partial removal of tibia $1,655.58
27641 Partial removal of fibula $1,347.58
27645 Extensive lower leg surgery $1,988.18
27646 Extensive lower leg surgery $1,788.75
27647 Extensive ankle/heel surgery $1,520.87
27648 Injection for ankle x-ray $434.63
27650 Repair achilles tendon $1,295.79
27652 Repair/graft achilles tendon $1,381.37
27654 Repair of achilles tendon $1,302.80
27656 Repair leg fascia defect $1,044.08
27658 Repair of leg tendon, each $1,031.28
27659 Repair of leg tendon, each $1,325.56
27664 Repair of leg tendon, each $1,083.08
27665 Repair of leg tendon, each $1,194.14
27675 Repair lower leg tendons $975.88
27676 Repair lower leg tendons $1,141.77
27680 Release of lower leg tendon $818.12
27681 Release of lower leg tendons $956.93
27685 Revision of lower leg tendon $1,080.72
27686 Revise lower leg tendons $1,465.30
27687 Revision of calf tendon $874.72
27690 Revise lower leg tendon $1,144.14
27691 Revise lower leg tendon $1,338.66
27692 Revise additional leg tendon $214.30
27695 Repair of ankle ligament $930.34
27696 Repair of ankle ligaments $1,112.33
27698 Repair of ankle ligament $1,232.94
27700 Revision of ankle joint $1,131.33
27702 Reconstruct ankle joint $1,809.36
27703 Reconstruction, ankle joint $2,039.69
27704 Removal of ankle implant $973.69
27705 Incision of tibia $1,399.91
27707 Incision of fibula $695.20
27709 Incision of tibia & fibula $1,361.67
27712 Realignment of lower leg $1,883.30
27715 Revision of lower leg $1,902.02
27720 Repair of tibia $1,598.11
27722 Repair/graft of tibia $1,583.48
27724 Repair/graft of tibia $2,300.74
27725 Repair of lower leg $2,071.46
27727 Repair of lower leg $1,837.52
27730 Repair of tibia epiphysis $1,804.84
27732 Repair of fibula epiphysis $1,221.23
27734 Repair lower leg epiphyses $1,109.82
27740 Repair of leg epiphyses $2,166.89
27742 Repair of leg epiphyses $1,692.38
27745 Reinforce tibia $1,372.64
27750 Treatment of tibia fracture $625.76
27752 Treatment of tibia fracture $977.40
27756 Treatment of tibia fracture $993.18
27758 Treatment of tibia fracture $1,565.42
27759 Treatment of tibia fracture $1,816.43
27760 Treatment of ankle fracture $602.34
27762 Treatment of ankle fracture $881.60
27766 Treatment of ankle fracture $1,164.83
27780 Treatment of fibula fracture $503.65
27781 Treatment of fibula fracture $755.90
27784 Treatment of fibula fracture $1,014.72
27786 Treatment of ankle fracture $577.95
27788 Treatment of ankle fracture $801.69
27792 Treatment of ankle fracture $1,090.54
27808 Treatment of ankle fracture $618.17
27810 Treatment of ankle fracture $890.32
27814 Treatment of ankle fracture $1,446.74
27816 Treatment of ankle fracture $574.80
27818 Treatment of ankle fracture $926.55
27822 Treatment of ankle fracture $1,605.28
27823 Treatment of ankle fracture $1,828.58
27824 Treat lower leg fracture $614.73
27825 Treat lower leg fracture $1,060.68
27826 Treat lower leg fracture $1,297.03
27827 Treat lower leg fracture $2,004.41
27828 Treat lower leg fracture $2,257.97
27829 Treat lower leg joint $907.21
27830 Treat lower leg dislocation $629.37
27831 Treat lower leg dislocation $670.14
27832 Treat lower leg dislocation $945.71
27840 Treat ankle dislocation $579.41
27842 Treat ankle dislocation $844.28
27846 Treat ankle dislocation $1,331.14
27848 Treat ankle dislocation $1,567.49
27860 Fixation of ankle joint $325.81
27870 Fusion of ankle joint, open $1,840.71
27871 Fusion of tibiofibular joint $1,133.02
27880 Amputation of lower leg $1,453.92
27881 Amputation of lower leg $1,606.14
27882 Amputation of lower leg $1,186.48
27884 Amputation follow-up surgery $1,071.74
27886 Amputation follow-up surgery $1,211.40
27888 Amputation of foot at ankle $1,296.72
27889 Amputation of foot at ankle $1,257.91
27892 Decompression of leg $989.52
27893 Decompression of leg $980.67
27894 Decompression of leg $1,379.58
27899 Leg/ankle surgery procedure $0.00
28001 Drainage of bursa of foot $370.35
28002 Treatment of foot infection $579.41
28003 Treatment of foot infection $719.12
28005 Treat foot bone lesion $1,132.28
28008 Incision of foot fascia $745.93
28010 Incision of toe tendon $365.36
28011 Incision of toe tendons $505.96
28020 Exploration of foot joint $886.54
28022 Exploration of foot joint $792.99
28024 Exploration of toe joint $773.77
28030 Removal of foot nerve $740.29
28035 Decompression of tibia nerve $790.26
28043 Excision of foot lesion $680.75
28045 Excision of foot lesion $798.79
28046 Resection of tumor, foot $1,453.88
28050 Biopsy of foot joint lining $737.20
28052 Biopsy of foot joint lining $725.76
28054 Biopsy of toe joint lining $676.10
28060 Partial removal, foot fascia $858.20
28062 Removal of foot fascia $1,012.34
28070 Removal of foot joint lining $818.55
28072 Removal of foot joint lining $810.36
28080 Removal of foot lesion $695.44
28086 Excise foot tendon sheath $1,037.70
28088 Excise foot tendon sheath $793.80
28090 Removal of foot lesion $766.70
28092 Removal of toe lesions $725.74
28100 Removal of ankle/heel lesion $1,087.56
28102 Remove/graft foot lesion $1,033.14
28103 Remove/graft foot lesion $1,100.34
28104 Removal of foot lesion $847.24
28106 Remove/graft foot lesion $891.76
28107 Remove/graft foot lesion $943.43
28108 Removal of toe lesions $706.04
28110 Part removal of metatarsal $739.32
28111 Part removal of metatarsal $893.77
28112 Part removal of metatarsal $819.83
28113 Part removal of metatarsal $851.86
28114 Removal of metatarsal heads $1,607.91
28116 Revision of foot $1,116.21
28118 Removal of heel bone $967.78
28119 Removal of heel spur $859.82
28120 Part removal of ankle/heel $1,027.88
28122 Partial removal of foot bone $1,126.62
28124 Partial removal of toe $803.78
28126 Partial removal of toe $649.99
28130 Removal of ankle bone $1,112.09
28140 Removal of metatarsal $1,118.58
28150 Removal of toe $737.99
28153 Partial removal of toe $664.58
28160 Partial removal of toe $690.86
28171 Extensive foot surgery $1,154.50
28173 Extensive foot surgery $1,267.94
28175 Extensive foot surgery $941.80
28190 Removal of foot foreign body $427.77
28192 Removal of foot foreign body $810.04
28193 Removal of foot foreign body $890.39
28200 Repair of foot tendon $776.06
28202 Repair/graft of foot tendon $1,107.49
28208 Repair of foot tendon $743.74
28210 Repair/graft of foot tendon $995.53
28220 Release of foot tendon $746.39
28222 Release of foot tendons $860.46
28225 Release of foot tendon $655.28
28226 Release of foot tendons $749.49
28230 Incision of foot tendon(s) $727.15
28232 Incision of toe tendon $453.71
28234 Incision of foot tendon $401.87
28238 Revision of foot tendon $1,169.78
28240 Release of big toe $735.07
28250 Revision of foot fascia $924.51
28260 Release of midfoot joint $1,126.37
28261 Revision of foot tendon $1,556.45
28262 Revision of foot and ankle $2,258.40
28264 Release of midfoot joint $1,417.63
28270 Release of foot contracture $785.05
28272 Release of toe joint, each $554.19
28280 Fusion of toes $915.80
28285 Repair of hammertoe $778.75
28286 Repair of hammertoe $761.36
28288 Partial removal of foot bone $840.55
28289 Repair hallux rigidus $1,182.31
28290 Correction of bunion $937.80
28292 Correction of bunion $1,102.44
28293 Correction of bunion $1,481.65
28294 Correction of bunion $1,212.47
28296 Correction of bunion $1,297.99
28297 Correction of bunion $1,366.15
28298 Correction of bunion $1,141.74
28299 Correction of bunion $1,439.66
28300 Incision of heel bone $1,667.74
28302 Incision of ankle bone $1,662.67
28304 Incision of midfoot bones $1,286.57
28305 Incise/graft midfoot bones $1,555.68
28306 Incision of metatarsal $965.47
28307 Incision of metatarsal $1,299.40
28308 Incision of metatarsal $842.71
28309 Incision of metatarsals $1,574.96
28310 Revision of big toe $780.88
28312 Revision of toe $503.65
28313 Repair deformity of toe $844.19
28315 Removal of sesamoid bone $790.30
28320 Repair of foot bones $1,202.64
28322 Repair of metatarsals $1,233.75
28340 Resect enlarged toe tissue $1,047.01
28341 Resect enlarged toe $1,173.73
28344 Repair extra toe(s) $808.85
28345 Repair webbed toe(s) $957.21
28360 Reconstruct cleft foot $1,795.40
28400 Treatment of heel fracture $467.97
28405 Treatment of heel fracture $745.93
28406 Treatment of heel fracture $974.62
28415 Treat heel fracture $2,195.18
28420 Treat/graft heel fracture $2,228.68
28430 Treatment of ankle fracture $447.60
28435 Treatment of ankle fracture $581.82
28436 Treatment of ankle fracture $784.61
28445 Treat ankle fracture $1,977.13
28450 Treat midfoot fracture, each $432.39
28455 Treat midfoot fracture, each $521.90
28456 Treat midfoot fracture $504.73
28465 Treat midfoot fracture, each $997.29
28470 Treat metatarsal fracture $425.68
28475 Treat metatarsal fracture $517.42
28476 Treat metatarsal fracture $614.07
28485 Treat metatarsal fracture $840.67
28490 Treat big toe fracture $239.04
28495 Treat big toe fracture $298.00
28496 Treat big toe fracture $579.41
28505 Treat big toe fracture $972.86
28510 Treatment of toe fracture $206.38
28515 Treatment of toe fracture $276.64
28525 Treat toe fracture $906.39
28530 Treat sesamoid bone fracture $227.85
28531 Treat sesamoid bone fracture $807.47
28540 Treat foot dislocation $359.88
28545 Treat foot dislocation $393.58
28546 Treat foot dislocation $801.04
28555 Repair foot dislocation $1,297.13
28570 Treat foot dislocation $332.19
28575 Treat foot dislocation $566.56
28576 Treat foot dislocation $1,032.78
28585 Repair foot dislocation $1,202.96
28600 Treat foot dislocation $377.59
28605 Treat foot dislocation $474.26
28606 Treat foot dislocation $1,183.80
28615 Repair foot dislocation $1,173.80
28630 Treat toe dislocation $218.14
28635 Treat toe dislocation $266.86
28636 Treat toe dislocation $645.70
28645 Repair toe dislocation $728.07
28660 Treat toe dislocation $207.15
28665 Treat toe dislocation $266.92
28666 Treat toe dislocation $622.68
28675 Repair of toe dislocation $841.42
28705 Fusion of foot bones $2,345.54
28715 Fusion of foot bones $1,723.44
28725 Fusion of foot bones $1,504.46
28730 Fusion of foot bones $1,447.55
28735 Fusion of foot bones $1,412.27
28737 Revision of foot bones $1,248.33
28740 Fusion of foot bones $1,442.73
28750 Fusion of big toe joint $1,479.87
28755 Fusion of big toe joint $850.88
28760 Fusion of big toe joint $1,175.75
28800 Amputation of midfoot $1,068.63
28805 Amputation thru metatarsal $1,072.09
28810 Amputation toe & metatarsal $819.50
28820 Amputation of toe $935.05
28825 Partial amputation of toe $780.88
28899 Foot/toes surgery procedure $0.00
29000 Application of body cast $393.10
29010 Application of body cast $392.35
29015 Application of body cast $395.77
29020 Application of body cast $391.28
29025 Application of body cast $411.54
29035 Application of body cast $379.65
29040 Application of body cast $357.12
29044 Application of body cast $431.94
29046 Application of body cast $419.16
29049 Application of figure eight $156.63
29055 Application of shoulder cast $336.33
29058 Application of shoulder cast $206.93
29065 Application of long arm cast $156.52
29075 Application of forearm cast $144.58
29085 Apply hand/wrist cast $154.11
29086 Apply finger cast $112.73
29105 Apply long arm splint $141.25
29125 Apply forearm splint $114.62
29126 Apply forearm splint $141.83
29130 Application of finger splint $70.38
29131 Application of finger splint $92.70
29200 Strapping of chest $100.74
29220 Strapping of low back $100.11
29240 Strapping of shoulder $114.29
29260 Strapping of elbow or wrist $75.76
29280 Strapping of hand or finger $75.76
29305 Application of hip cast $383.22
29325 Application of hip casts $417.95
29345 Application of long leg cast $228.78
29355 Application of long leg cast $236.08
29358 Apply long leg cast brace $249.61
29365 Application of long leg cast $204.10
29405 Apply short leg cast $149.57
29425 Apply short leg cast $162.49
29435 Apply short leg cast $197.90
29440 Addition of walker to cast $75.76
29445 Apply rigid leg cast $263.35
29450 Application of leg cast $156.38
29505 Application, long leg splint $133.10
29515 Application lower leg splint $115.78
29520 Strapping of hip $100.91
29530 Strapping of knee $97.86
29540 Strapping of ankle and/or ft $59.33
29550 Strapping of toes $65.38
29580 Application of paste boot $89.37
29590 Application of foot splint $93.58
29700 Removal/revision of cast $100.74
29705 Removal/revision of cast $98.17
29710 Removal/revision of cast $151.52
29715 Removal/revision of cast $152.11
29720 Repair of body cast $78.38
29730 Windowing of cast $75.76
29740 Wedging of cast $100.15
29750 Wedging of clubfoot cast $103.32
29799 Casting/strapping procedure $0.00
29800 Jaw arthroscopy/surgery $1,004.24
29804 Jaw arthroscopy/surgery $1,213.56
29805 Shoulder arthroscopy, dx $862.71
29806 Shoulder arthroscopy/surgery $1,907.41
29807 Shoulder arthroscopy/surgery $1,858.90
29819 Shoulder arthroscopy/surgery $1,071.03
29820 Shoulder arthroscopy/surgery $989.36
29821 Shoulder arthroscopy/surgery $1,080.22
29822 Shoulder arthroscopy/surgery $1,048.59
29823 Shoulder arthroscopy/surgery $1,145.14
29824 Shoulder arthroscopy/surgery $1,167.64
29825 Shoulder arthroscopy/surgery $1,069.31
29826 Shoulder arthroscopy/surgery $1,232.86
29827 Arthroscop rotator cuff repr $2,001.67
29830 Elbow arthroscopy $823.41
29834 Elbow arthroscopy/surgery $897.68
29835 Elbow arthroscopy/surgery $916.74
29836 Elbow arthroscopy/surgery $1,065.46
29837 Elbow arthroscopy/surgery $966.51
29838 Elbow arthroscopy/surgery $1,084.64
29840 Wrist arthroscopy $802.18
29843 Wrist arthroscopy/surgery $863.41
29844 Wrist arthroscopy/surgery $903.71
29845 Wrist arthroscopy/surgery $1,034.69
29846 Wrist arthroscopy/surgery $949.64
29847 Wrist arthroscopy/surgery $985.64
29848 Wrist endoscopy/surgery $813.29
29850 Knee arthroscopy/surgery $988.35
29851 Knee arthroscopy/surgery $1,716.56
29855 Tibial arthroscopy/surgery $1,445.70
29856 Tibial arthroscopy/surgery $1,860.63
29860 Hip arthroscopy, dx $1,116.90
29861 Hip arthroscopy/surgery $1,233.10
29862 Hip arthroscopy/surgery $1,373.77
29863 Hip arthroscopy/surgery $1,370.67
29870 Knee arthroscopy, dx $736.10
29871 Knee arthroscopy/drainage $921.28
29873 Knee arthroscopy/surgery $916.04
29874 Knee arthroscopy/surgery $972.74
29875 Knee arthroscopy/surgery $901.98
29876 Knee arthroscopy/surgery $1,110.30
29877 Knee arthroscopy/surgery $1,044.34
29879 Knee arthroscopy/surgery $1,126.14
29880 Knee arthroscopy/surgery $1,179.76
29881 Knee arthroscopy/surgery $1,093.19
29882 Knee arthroscopy/surgery $1,178.93
29883 Knee arthroscopy/surgery $1,491.27
29884 Knee arthroscopy/surgery $1,040.09
29885 Knee arthroscopy/surgery $1,268.21
29886 Knee arthroscopy/surgery $1,067.47
29887 Knee arthroscopy/surgery $1,262.41
29888 Knee arthroscopy/surgery $1,811.73
29889 Knee arthroscopy/surgery $2,122.40
29891 Ankle arthroscopy/surgery $1,180.90
29892 Ankle arthroscopy/surgery $1,246.00
29893 Scope, plantar fasciotomy $842.30
29894 Ankle arthroscopy/surgery $950.58
29895 Ankle arthroscopy/surgery $932.44
29897 Ankle arthroscopy/surgery $975.19
29898 Ankle arthroscopy/surgery $1,088.18
29899 Ankle arthroscopy/surgery $1,795.27
29900 Mcp joint arthroscopy, dx $826.60
29901 Mcp joint arthroscopy, surg $911.61
29902 Mcp joint arthroscopy, surg $976.54
29999 Arthroscopy of joint $0.00
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