A B C Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less $ 772

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1 CPT PROCEDURES DESC HCPCS/CPT BCH BASE Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single $ PRICE Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or $ 478 paronychia); complicated or multiple Incision and drainage of pilonidal cyst; simple $ Incision and drainage of pilonidal cyst; simple $ Incision and removal of foreign body, subcutaneous tissues; simple $ Incision and drainage of hematoma, seroma or fluid collection $ 4, Puncture aspiration of abscess, hematoma, bulla, or cyst $ Debridement of extensive eczematous or infected skin; up to 10% of body surface $ 1, Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone $ 732 $ 1,667 $ Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less $ Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less $ 1, Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised $ 1,743 diameter 0.6 to 1.0 cm Avulsion of nail plate, partial or complete, simple; single $ Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary $ 230 procedure) Evacuation of subungual hematoma $ Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal $ 1, Repair of nail bed $ Wedge excision of skin of nail fold (eg, for ingrown toenail) $ 1, Excision of pilonidal cyst or sinus; extensive $ 5, Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm $ 416 $ 416 $ 416 $ 416

2 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); $ cm to 30.0 cm Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); $ 437 over 30.0 cm Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less $ Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm $ Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm $ Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm $ Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm $ Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm $ Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm $ Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm $ Treatment of superficial wound dehiscence; simple closure $ 2, Treatment of superficial wound dehiscence; with packing $ 1, Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less $ Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm $ Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm $ Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm $ Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm $ 1, Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm $ 1, Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less $ Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm $ Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm $ Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm $ 1, Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm $ 1, Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm $ 1,036

3 Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less $ 1, Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm $ Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm $ Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm $ Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm $ 1, Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm $ 1, Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm $ 1, Repair, complex, trunk; 1.1 cm to 2.5 cm $ 2, Repair, complex, trunk; 2.6 cm to 7.5 cm $ 2, Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure) $ 1, Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm $ 1, Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm $ 1, Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) $ Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm $ 1, Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm $ 2, Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List $ 1,036 separately in addition to code for primary procedure) $ 1, Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm $ 1, Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm $ 1, Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary $ 1,036 procedure) Blepharoplasty, lower eyelid; $ 2, Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy $ 6, Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy $ 6, Initial treatment, first degree burn, when no more than local treatment is required $ 304

4 Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area) $ Dressings and/or debridement of partial-thickness burns, ini $ Dressings and/or debridement of partial-thickness burns, ini $ Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% $ 646 to 10% total body surface area) Dressings and/or debridement of partial-thickness burns, ini $ Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than $ % total body surface area) Dressings and/or debridement of partial-thickness burns, ini $ Chemical cauterization of granulation tissue (ie, proud flesh) $ Puncture aspiration of cyst of breast; $ 1, Mastotomy with exploration or drainage of abscess, deep $ 2, Mastotomy with exploration or drainage of abscess, deep $ 1, Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) $ Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion $ 4,661 (except 19300), open, male or female, 1 or more lesions Biopsy, muscle; superficial $ 1, Removal of foreign body in muscle or tendon sheath; simple $ 1, Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia") $ 2, Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) $ Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance $ Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or $ 1,924 ankle, olecranon bursa); without ultrasound guidance Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound $ 831 guidance Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome Closed treatment of nasal bone fracture without manipulation $ Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation $ 3, Closed treatment of mandibular fracture; without manipulation $ 2, Closed treatment of temporomandibular dislocation; initial or subsequent $ Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm $ 2, Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body $ 5, Osteotomy, clavicle, with or without internal fixation; $ 4, Closed treatment of clavicular fracture; without manipulation $ Closed treatment of acromioclavicular dislocation; without manipulation $ 447

5 Closed treatment of scapular fracture; without manipulation $ 1, Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation $ Closed treatment of greater humeral tuberosity fracture; without manipulation $ 1, Closed treatment of shoulder dislocation, with manipulation; without anesthesia $ Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia $ 1, Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation $ Arthrodesis, glenohumeral joint; $ 10, Incision and drainage, upper arm or elbow area; deep abscess or hematoma $ 1, Incision and drainage, upper arm or elbow area; deep abscess or hematoma $ 1, Arthrotomy, elbow, including exploration, drainage, or removal of foreign body $ 4, Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater $ 3, Removal of foreign body, upper arm or elbow area; subcutaneous $ Muscle or tendon transfer, any type, upper arm or elbow, single (excluding ) $ 4, Tenolysis, triceps $ 5, Closed treatment of humeral shaft fracture; without manipulation $ Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without $ 697 manipulation Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation $ Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation $ 1, Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation $ 1, Treatment of closed elbow dislocation; without anesthesia $ Treatment of closed elbow dislocation; requiring anesthesia $ 4, Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation $ Closed treatment of radial head or neck fracture; without manipulation $ Closed treatment of radial head or neck fracture; with manipulation $ 2, Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); without manipulation $ Arthrodesis, elbow joint; local $ 7, Incision and drainage, forearm and/or wrist; bursa $ 2, Incision and drainage, forearm and/or wrist; bursa $ 2, Exploration with removal of deep foreign body, forearm or wrist $ 3, Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon $ 1, Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon $ 1, Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon $ 3, Osteotomy; radius AND ulna $ 7, Closed treatment of radial shaft fracture; without manipulation $ 1,287

6 Closed treatment of radial shaft fracture; with manipulation $ 2, Closed treatment of ulnar shaft fracture; without manipulation $ Closed treatment of radial and ulnar shaft fractures; without manipulation $ Closed treatment of radial and ulnar shaft fractures; with manipulation $ 1, Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture $ 487 of ulnar styloid, when performed; without manipulation Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture $ 1,920 of ulnar styloid, when performed; with manipulation Closed treatment of carpal scaphoid (navicular) fracture; without manipulation $ 1, Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone $ 1, Closed treatment of ulnar styloid fracture $ Closed treatment of distal radioulnar dislocation with manipulation $ Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) $ 4, Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure) $ 8, Drainage of finger abscess; simple $ 1, Drainage of finger abscess; complicated (eg, felon) $ Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial $ 4, Tendon sheath incision (eg, for trigger finger) $ 1, Tendon sheath incision (eg, for trigger finger) $ 1, Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater $ 2, Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm $ 2, Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger $ 1, Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon $ 2, Opponensplasty; superficialis tendon transfer type, each tendon $ 3, Transfer of tendon to restore intrinsic function; all 4 fingers $ 2, Osteotomy; metacarpal, each $ 3, Osteotomy; phalanx of finger, each $ 2, Closed treatment of metacarpal fracture, single; without manipulation, each bone $ Closed treatment of metacarpal fracture, single; with manipulation, each bone $ Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia $ Closed treatment of metacarpophalangeal dislocation, single, $ 483

7 Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each $ Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without $ 691 skin or skeletal traction, each Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each $ Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each $ Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia $ Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; $ 4, Arthrodesis, carpometacarpal joint, digit, other than thumb, each; $ 4, Arthrodesis, metacarpophalangeal joint, with or without internal fixation; $ 4, Arthrodesis, interphalangeal joint, with or without internal fixation; $ 3, Amputation, finger or thumb, primary or secondary, any joint $ 4, Osteotomy and transfer of greater trochanter of femur (separate procedure) Osteotomy, iliac, acetabular or innominate bone; Closed treatment of hip dislocation, traumatic; without anesthesia $ 1, Closed treatment of hip dislocation, traumatic; requiring anesthesia $ 5, Closed treatment of hip dislocation, traumatic; requiring anesthesia $ 5, Closed treatment of post hip arthroplasty dislocation; without anesthesia $ Closed treatment of post hip arthroplasty dislocation; without anesthesia $ 1, Closed treatment of post hip arthroplasty dislocation; without anesthesia $ Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia Arthrodesis, hip joint (including obtaining graft); Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region $ 5, Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region $ 2, Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region $ 2, Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection) $ 2, Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) $ 7, Repair, primary, torn ligament and/or capsule, knee; cruciate $ 12, Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation $ Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation $ Closed treatment of patellar fracture, without manipulation $ Closed treatment of tibial fracture, proximal (plateau); without manipulation $ Closed treatment of knee dislocation; without anesthesia $ Closed treatment of patellar dislocation; without anesthesia $ 1,678

8 Closed treatment of patellar dislocation; requiring anesthesia $ Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) $ 1, Arthrodesis, knee, any technique Incision and drainage, leg or ankle; deep abscess or hematoma $ 1, Arthrotomy, ankle, including exploration, drainage, or removal of foreign body $ 3, Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater $ 3, Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot) $ 3, Osteotomy; fibula $ 3, Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation $ 1, Closed treatment of medial malleolus fracture; without manipulation $ Closed treatment of proximal fibula or shaft fracture; without manipulation $ 1, Closed treatment of distal fibular fracture (lateral malleolus); without manipulation $ Closed treatment of distal fibular fracture (lateral malleolus); with manipulation $ Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and $ 582 posterior malleoli); without manipulation Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and $ 4,677 posterior malleoli); with manipulation Closed treatment of trimalleolar ankle fracture; without manipulation $ Closed treatment of trimalleolar ankle fracture; with manipulation $ 1, Closed treatment of ankle dislocation; without anesthesia $ Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation $ 1, Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation $ 5, Arthrodesis, ankle, open $ 10, Arthrodesis, tibiofibular joint, proximal or distal $ 10, Fasciotomy, foot and/or toe $ 2, Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) $ 2, Removal of foreign body, foot; subcutaneous $ 1, Removal of foreign body, foot; subcutaneous $ 1, Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) $ 2, Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) $ 2, Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with distal metatarsal osteotomy, any method $ 3, Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal phalanx osteotomy, any method $ 3, Osteotomy, tarsal bones, other than calcaneus or talus; $ 6,503

9 Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal $ 2, Osteotomy, shortening, angular or rotational correction; other phalanges, any toe $ 2, Closed treatment of calcaneal fracture; without manipulation $ Closed treatment of talus fracture; without manipulation $ 1, Closed treatment of talus fracture; with manipulation $ Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each $ 1, Closed treatment of metatarsal fracture; without manipulation, each $ Closed treatment of metatarsal fracture; with manipulation, $ Closed treatment of fracture great toe, phalanx or phalanges; without manipulation $ 1, Closed treatment of fracture great toe, phalanx or phalanges; with manipulation $ Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each $ Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each $ 2, Closed treatment of interphalangeal joint dislocation; without anesthesia $ Arthrodesis; pantalar $ 6, Arthrodesis; pantalar $ 6, Arthrodesis; triple $ 14, Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; $ 7, Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure) $ 6, Arthrodesis, midtarsal or tarsometatarsal, single joint $ 5, Arthrodesis, great toe; metatarsophalangeal joint $ 6, Amputation, metatarsal, with toe, single $ 2, Application of long arm splint (shoulder to hand) $ Application of short arm splint (forearm to hand); static $ Application of finger splint; static $ Strapping; shoulder (eg, Velpeau) $ Strapping; elbow or wrist $ Strapping; hand or finger $ Application of long leg splint (thigh to ankle or toes) $ Application of short leg splint (calf to foot) $ Strapping; knee $ Strapping; ankle and/or foot $ Strapping; toes $ Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) $ 3, Arthroscopy, shoulder, surgical; capsulorrhaphy $ 5, Arthroscopy, shoulder, surgical; synovectomy, partial $ 7,496

10 Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) $ 4, Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code fo $ 4, Arthroscopy, shoulder, surgical; with rotator cuff repair $ 5, Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) $ 8, Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) $ 4, Removal foreign body, intranasal; office type procedure $ Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft $ 2, Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft $ 2, Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method $ Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method $ Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial $ Nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) $ Intubation, endotracheal, emergency procedure $ 1, Laryngoscopy, indirect; diagnostic (separate procedure) $ Laryngoscopy, indirect; with removal of foreign body $ Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn $ 2, Tracheostomy, emergency procedure; transtracheal $ 2, Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed $ 1,671 (separate procedure) Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed $ 2,316 reduction of fracture $ 1, Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) $ 4, Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance $ 1, Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance $ 1, Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) $ 19, Introduction of needle or intracatheter, vein $ Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate $ 87 procedure), for diagnostic or therapeutic purposes (not to be used for Collection of venous blood by venipuncture $ Collection of venous blood by venipuncture $ 30

11 Collection of venous blood by venipuncture $ Collection of venous blood by venipuncture $ Collection of venous blood by venipuncture $ Collection of venous blood by venipuncture $ Collection of capillary blood specimen (eg, finger, heel, ear stick) $ Transfusion, blood or blood components $ 1, Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older $ 2, Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older $ 3, Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older $ 3, Collection of blood specimen from a completely implantable venous access device $ Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified $ Placement of needle for intraosseous infusion $ Unlisted procedure, vascular surgery Axillary lymphadenectomy; complete $ 6, Closure of laceration, vestibule of mouth; 2.5 cm or less $ Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue $ Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex $ 1, Drainage of abscess, cyst, hematoma from dentoalveolar structures $ Drainage of abscess of palate, uvula $ Excision of submandibular (submaxillary) gland $ 4, Removal of foreign body from pharynx $ Tonsillectomy and adenoidectomy; younger than age 12 $ 3, Tonsillectomy and adenoidectomy; younger than age 12 $ 3, Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when $ 1,442 performed (separate procedure) Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when $ 1,442 performed (separate procedure) Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple $ 1, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple $ 1, Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) $ 1, Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh $ 6, Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh $ 6,590

12 Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or $ 11,577 less) Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image $ 378 documentation and report) Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including $ 448 lavage if performed Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance $ Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and $ 7,022 subcutaneous port components) Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port $ 8,182 components Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis Revision of colostomy; simple (release of superficial scar) (separate procedure) $ 3, Revision of colostomy; simple (release of superficial scar) (separate procedure) $ 3, Colonoscopy through stoma; with biopsy, single or multiple $ 2, Appendectomy; $ 3, Appendectomy; $ 3, Laparoscopy, surgical, appendectomy $ 4, Laparoscopy, surgical, appendectomy $ 4, Incision and drainage of submucosal abscess, rectum $ 2, Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate $ 1,090 procedure) Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate $ 1,090 procedure) Sigmoidoscopy, flexible; with biopsy, single or multiple $ 1, Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate $ 1,720 procedure) Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate $ 1,720 procedure) Colonoscopy, flexible; with biopsy, single or multiple $ 1, Colonoscopy, flexible; with directed submucosal injection(s), any substance $ 1, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps $ 1, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique $ 1, Colonoscopy, flexible; with transendoscopic balloon dilation $ 1,329

13 Colonoscopy, flexible; with endoscopic mucosal resection $ 1, Removal of fecal impaction or foreign body (separate procedure) under anesthesia $ 4, Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) $ 5, Incision and drainage, perianal abscess, superficial $ 2, Incision of thrombosed hemorrhoid, external $ Hemorrhoidectomy, internal and external, single column/group; $ 2, Hemorrhoidectomy, internal and external, single column/group; $ 2, Excision of thrombosed hemorrhoid, external $ 4, Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) $ Anoscopy; with removal of foreign body $ 1, Anoscopy; with removal of foreign body $ 1, Biopsy of liver, needle; percutaneous $ 1, Hepatectomy, resection of liver; partial lobectomy Management of liver hemorrhage; simple suture of liver wound or injury $ 2, Laparoscopy, surgical; cholecystectomy $ 4, Laparoscopy, surgical; cholecystectomy $ 4, Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) $ 3, Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) $ 3, Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance $ 1, Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance $ 1, Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance $ Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance $ Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance $ Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance $ 1, Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing $ 5,569 (separate procedure) Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing $ 5,569 (separate procedure) Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) $ 3, Repair initial inguinal hernia, age 5 years or older; reducible $ 4, Repair initial inguinal hernia, age 5 years or older; reducible $ 4, Repair inguinal hernia, sliding, any age $ 7, Repair initial incisional or ventral hernia; reducible $ 4, Repair initial incisional or ventral hernia; reducible $ 4, Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for $ 2,756

14 Repair umbilical hernia, age 5 years or older; reducible $ 4, Repair umbilical hernia, age 5 years or older; reducible $ 4, Laparoscopy, surgical; repair initial inguinal hernia $ 5, Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible $ 9, Bladder irrigation, simple, lavage and/or instillation $ Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) $ Insertion of temporary indwelling bladder catheter; simple (eg, Foley) $ Insertion of temporary indwelling bladder catheter; simple (eg, Foley) $ Change of cystostomy tube; simple $ Irrigation of corpora cavernosa for priapism $ Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) $ 4, Incision and drainage of vulva or perineal abscess $ Incision and drainage of Bartholin's gland abscess $ Sling operation for stress incontinence (eg, fascia or synthetic) $ 5, Sling operation for stress incontinence (eg, fascia or synthetic) $ 5, Cerclage of uterine cervix, nonobstetrical $ 3, Cerclage of uterine cervix, nonobstetrical $ 3, Cerclage of uterine cervix, nonobstetrical $ 3, Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); $ 9, Removal of intrauterine device (IUD) $ Endometrial ablation, thermal, without hysteroscopic guidance $ 7, Endometrial ablation, thermal, without hysteroscopic guidance $ 7, Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; $ 9, Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) $ 4, Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) $ 5, Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) $ 5, Laparoscopy, surgical; with fulguration of oviducts (with or without transection) $ 5, Vaginal delivery only (with or without episiotomy and/or forceps); $ 5, Spinal puncture, lumbar, diagnostic $ 1, Spinal puncture, lumbar, diagnostic $ 1, Injection, anesthetic agent; trigeminal nerve, any division or branch $ Injection, anesthetic agent; facial nerve $ 1, Injection, anesthetic agent; other peripheral nerve or branch $ Neuroplasty and/or transposition; median nerve at carpal tunnel $ 2, Neuroplasty and/or transposition; median nerve at carpal tunnel $ 2,527

15 Removal of foreign body, external eye; conjunctival superficial $ Removal of foreign body, external eye; corneal, without slit lamp $ Removal of foreign body, external eye; corneal, with slit lamp $ Removal of foreign body, intraocular; from anterior chamber of eye or lens $ 2, Excision or transposition of pterygium; with graft $ 4, Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requi $ 1,585 $ 4, Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique $ 4,314 (eg, irrigation and aspiration or phacoemulsification) Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal $ 4, Drainage external ear, abscess or hematoma; simple $ Removal foreign body from external auditory canal; without general anesthesia $ Removal foreign body from external auditory canal; without general anesthesia $ Removal foreign body from external auditory canal; with general anesthesia $ 2, Removal foreign body from external auditory canal; with general anesthesia $ 2, Removal impacted cerumen using irrigation/lavage, unilateral $ Removal impacted cerumen requiring instrumentation, unilateral $ Myringotomy including aspiration and/or eustachian tube inflation $ Radiologic examination, mandible; complete, minimum of 4 views $ Radiologic examination, mandible; complete, minimum of 4 views $ Radiologic examination, facial bones; complete, minimum of 3 views $ Radiologic examination, nasal bones, complete, minimum of 3 views $ Radiologic examination; orbits, complete, minimum of 4 views $ Radiologic examination, sinuses, paranasal, complete, minimum of 3 views $ Radiologic examination, skull; less than 4 views $ Radiologic examination, skull; complete, minimum of 4 views $ Radiologic examination, temporomandibular joint, open and closed mouth; bilateral $ Radiologic examination; neck, soft tissue $ Computed tomography, head or brain; without contrast material $ 1, Computed tomography, head or brain; with contrast material(s) $ 3, Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections $ 3, Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material $ 1,813

16 Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) $ 1, Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast $ 2,923 material(s) and further sections Computed tomography, maxillofacial area; without contrast material $ 1, Computed tomography, maxillofacial area; without contrast material $ 1, Computed tomography, maxillofacial area; with contrast material(s) $ 2, Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections $ 3, Computed tomography, soft tissue neck; without contrast material $ 1, Computed tomography, soft tissue neck; with contrast material(s) $ 3, Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections $ 3, Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections $ 3, Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image $ 3,548 postprocessing Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image $ 3,042 postprocessing Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image $ 3,042 postprocessing Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) $ 3, Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) $ 3, Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) $ 5,736 and further sequences Magnetic resonance angiography, head; without contrast material(s) $ 2, Magnetic resonance angiography, head; with contrast material(s) $ 2, Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences $ 3, Magnetic resonance angiography, neck; without contrast material(s) $ 2, Magnetic resonance angiography, neck; with contrast material(s) $ 2, Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences $ 3, Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material $ 3, Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) $ 3, Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) $ 4,436 and further sequences Radiologic examination, chest; single view $ Radiologic examination, chest; 2 views $ 481

17 Radiologic examination, chest; 2 views $ Radiologic examination, chest; 2 views $ Radiologic examination, chest; 2 views $ Radiologic examination, chest; 2 views $ Radiologic examination, ribs, unilateral; 2 views $ Radiologic examination, ribs, unilateral; 2 views $ Radiologic examination, ribs, bilateral; 3 views $ Radiologic examination; sternum, minimum of 2 views $ Computed tomography, thorax; without contrast material $ 1, Computed tomography, thorax; with contrast material(s) $ 3, Computed tomography, thorax; with contrast material(s) $ 2, Computed tomography, thorax; without contrast material, followed by contrast material(s) and further sections $ 3, Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences $ 3,087 $ 3,552 $ 3, Radiologic examination, spine, cervical; 2 or 3 views $ Radiologic examination, spine, cervical; 4 or 5 views $ Radiologic examination, spine, cervical; 4 or 5 views $ Radiologic examination, spine; thoracic, 3 views $ Radiologic examination, spine; thoracolumbar junction, minimum of 2 views $ Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis $ 344 evaluation); 2 or 3 views Radiologic examination, spine, lumbosacral; 2 or 3 views $ Radiologic examination, spine, lumbosacral; minimum of 4 views $ Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views $ Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views $ Computed tomography, cervical spine; without contrast material $ 1, Computed tomography, cervical spine; with contrast material $ 2, Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections $ 2, Computed tomography, thoracic spine; without contrast material $ 1, Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections $ 2,923