Registered Nurse First Assistant Fee Schedule

Transcription

1 Registered Nurse First Assistant Fee Schedule Note: The base fee below is reimbursed for services to adults age 21 and over. For services provided to children under the age of 21, there is a 4% increase over the adult fee. To calculate reimbursement for services to children, multiply the base fee by Example: $38.82 X 1.04 = $ Fees are rounded to the nearest hundredth. Code Spec Description Base Fee UNOS FUD Guide Cathet Fluid Drainage AS Debridement Of Skin, Subcutaneous Tissue, Muscle And Fascia For Necrotizing AS Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/ AS Layer Closure Of Wounds Of Neck, Hands, Feet And/Or External Genitalia; Ove AS Layer Closure Of Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Me AS Surgical Preparation Or Creation Of Recipient Site By Excision Of Open Woun AS Surgical Preparation Or Creation Of Recipient Site By Excision Of Open Woun AS Surgical Preparation Or Creation Of Recipient Site By Excision Of Open Woun AS Surgical Preparation Or Creation Of Recipient Site By Excision Of Open Woun AS Forehead Flap With Preservation Of Vascular Pedicle (Eg, Axial Pattern Flap AS Muscle, Myocutaneous, Or Fasciocutaneous Flap; Head And Neck (Eg, Temporali AS Muscle, Myocutaneous, Or Fasciocutaneous Flap; Trunk AS Muscle, Myocutaneous, Or Fasciocutaneous Flap; Lower Extremity AS Flap; Neurovascular Pedicle AS Free Muscle Or Myocutaneous Flap With Microvascular Anastomosis AS Free Skin Flap With Microvascular Anastomosis AS Free Fascial Flap With Microvascular Anastomosis AS Graft; Derma-Fat-Fascia AS Excision, Excessive Skin And Subcutaneous Tissue (Includes Lipectomy); Abdo Y AS Excision, Excessive Skin And Subcutaneous Tissue; thigh Y AS Excision, Excessive Skin And Subcutaneous Tissue; hip Y AS Excision, Excessive Skin And Subcutaneous Tissue; buttock Y AS Graft For Facial Nerve Paralysis; Free Muscle Graft (Including Obtaining Gr AS Graft For Facial Nerve Paralysis; Free Muscle Flap By Microsurgical Techniq AS Graft For Facial Nerve Paralysis; Regional Muscle Transfer AS Excision, Excessive Skin And Subcutaneous Tissue (Includes Lipectomy), Abdo Y AS Excision, Coccygeal Pressure Ulcer, With Coccygectomy; With Flap Closure AS January 1, /91

2 15935 Excision, Sacral Pressure Ulcer, With Skin Flap Closure; With Ostectomy AS Excision, Sacral Pressure Ulcer, With Muscle Or Myocutaneous Flap Closure; AS Excision, Ischial Pressure Ulcer, With Ostectomy, In Preparation For Muscle AS Excision, Trochanteric Pressure Ulcer, With Skin Flap Closure; AS Excision, Trochanteric Pressure Ulcer, With Muscle Or Myocutaneous Flap Clo AS Mohs Micrographic Technique, Including Removal Of All Gross Tumor, Surgical AS Mohs Micrographic Technique, Including Removal Of All Gross Tumor, Surgical AS Mohs Micrographic Technique, Including Removal Of All Gross Tumor, Surgical AS Mohs Micrographic Technique, Including Removal Of All Gross Tumor, Surgical AS Mohs Micrographic Technique, Including Removal Of All Gross Tumor, Surgical AS Bx Breast 1St Lesion Strtctc AS Bx Breast Add Lesion Strtctc AS Bx Breast 1St Lesion Us Imag AS Bx Breast Add Lesion Us Imag AS Bx Breast 1St Lesion Mr Imag AS Bx Breast Add Lesion Mr Imag AS Excision Of Chest Wall Tumor Including Ribs AS Excision Of Chest Wall Tumor Involving Ribs, With Plastic Reconstruction; W AS Excision Of Chest Wall Tumor Involving Ribs, With Plastic Reconstruction; W AS Perq Device Breast 1St Imag AS Perq Device Breast Ea Imag AS Perq Dev Breast 1St Strtctc AS Perq Dev Breast Add Strtctc AS Perq Dev Breast 1St Us Imag AS Perq Dev Breast Add Us Imag AS Perq Dev Breast 1St Mr Guide AS Perq Dev Breast Add Mr Guide AS Mastectomy For Gynecomastia AS Mastectomy, Partial (Eg, Lumpectomy, Tylectomy, Quadrantectomy, Segmentecto AS Mastectomy, Partial (Eg, Lumpectomy, Tylectomy, Quadrantectomy, Segmentecto AS January 1, /91

3 19303 Mastectomy, Simple, Complete AS Mastectomy, Subcutaneous AS Mastectomy, Radical, Including Pectoral Muscles, Axillary Lymph Nodes AS Mastectomy, Radical, Including Pectoral Muscles, Axillary And Internal Mamm AS Mastectomy, Modified Radical, Including Axillary Lymph Nodes, With Or Witho AS Mastopexy Y AS Reduction Mammaplasty Y AS Mammaplasty, Augmentation; With Prosthetic Implant Y AS Breast Reconstruction, Immediate Or Delayed, With Tissue Expander, Includin Y AS Breast Reconstruction With Latissimus Dorsi Flap, Without Prosthetic Implan Y AS Breast Reconstruction With Free Flap Y AS Breast Reconstruction With Other Technique Y AS Breast Reconstruction With Transverse Rectus Abdominis Myocutaneous Flap (T Y AS Breast Reconstruction With Transverse Rectus Abdominis Myocutaneous Flap (T Y AS Breast Reconstruction With Transverse Rectus Abdominis Myocutaneous Flap (T Y AS Exploration Of Penetrating Wound (Separate Procedure); Neck AS Exploration Of Penetrating Wound (Separate Procedure); Abdomen/Flank/Back AS Excision Of Epiphyseal Bar, With Or Without Autogenous Soft Tissue Graft Ob AS Biopsy, Vertebral Body, Open; Lumbar Or Cervical AS Application Of A Multiplane (Pins Or Wires In More Than One Plane), Unilate AS Replantation, Arm (Includes Surgical Neck Of Humerus Through Elbow Joint); AS Replantation, Forearm (Includes Radius And Ulna To Radial Carpal Joint); Co AS Replantation, Hand (Includes Hand Through Metacarpophalangeal Joints); Comp AS Replantation, Digit, Excluding Thumb (Includes Metacarpophalangeal Joint To AS Replantation, Digit, Excluding Thumb (Includes Distal Tip To Sublimis Tendo AS Replantation, Thumb (Includes Carpometacarpal Joint To Mp Joint); Complete AS Replantation, Thumb (Includes Distal Tip To Mp Joint); Complete Amputation AS Replantation, Foot; Complete Amputation AS Bone Graft, Any Donor Area; Minor Or Small (Eg, Dowel Or Button) AS Bone Graft, Any Donor Area; Major Or Large AS January 1, /91

4 20922 Fascia Lata Graft; By Incision And Area Exposure, Complex Or Sheet AS Tendon Graft, From A Distance (Eg, Palmaris, Toe Extensor, Plantaris) AS Autograft For Spine Surgery Only (Includes Harvesting The Graft); Morselize AS Autograft For Spine Surgery Only (Includes Harvesting The Graft); Structura AS Bone Graft With Microvascular Anastomosis; Fibula AS Bone Graft With Microvascular Anastomosis; Iliac Crest AS Bone Graft With Microvascular Anastomosis; Metatarsal AS Bone Graft With Microvascular Anastomosis; Other Than Fibula, Iliac Crest, Y AS Free Osteocutaneous Flap With Microvascular Anastomosis; Other Than Iliac C AS Free Osteocutaneous Flap With Microvascular Anastomosis; Iliac Crest AS Free Osteocutaneous Flap With Microvascular Anastomosis; Metatarsal AS Free Osteocutaneous Flap With Microvascular Anastomosis; Great Toe With Web AS Electrical Stimulation To Aid Bone Healing; Invasive (Operative) AS Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous; Less Than 2 Cm AS Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous; 2 Cm Or Greater AS Excision, Tumor, Soft Tissue Of Face And Scalp, Subfascial (Eg, Subgaleal, AS Excision, Tumor, Soft Tissue Of Face And Scalp, Subfascial (Eg, Subgaleal, AS Radical Resection Of Tumor (Eg, Malignant Neoplasm), Soft Tissue Of Face Or AS Excision Of Malignant Tumor Of Maxilla Or Zygoma AS Excision Of Malignant Tumor Of Mandible; AS Excision Of Malignant Tumor Of Mandible; Radical Resection AS Excision Of Benign Tumor Or Cyst Of Mandible; Requiring Intra-Oral Osteotom AS Excision Of Benign Tumor Or Cyst Of Maxilla; Requiring Intra-Oral Osteotomy AS Excision Of Benign Tumor Or Cyst Of Maxilla; Requiring Extra-Oral Osteotomy AS Meniscectomy, Partial Or Complete, Temporomandibular Joint (Separate Proced AS Genioplasty; Sliding Osteotomy, Single Piece Y AS Augmentation, Mandibular Body Or Angle; Prosthetic Material AS Augmentation, Mandibular Body Or Angle; With Bone Graft, Onlay Or Interposi AS Reconstruction Midface, Lefort I; Single Piece, Segment Movement In Any Dir AS Reconstruction Midface, Lefort I; Two Pieces, Segment Movement In Any Direc AS January 1, /91

5 21143 Reconstruction Midface, Lefort I; Three Or More Pieces, Segment Movement In AS Reconstruction Midface, Lefort I; Single Piece, Segment Movement In Any Dir AS Reconstruction Midface, Lefort I; Two Pieces, Segment Movement In Any Direc AS Reconstruction Midface, Lefort I; Three Or More Pieces, Segment Movement In AS Reconstruction Midface, Lefort Ii; Anterior Intrusion (Eg, Treacher-Collins AS Reconstruction Midface, Lefort Ii; Any Direction, Requiring Bone Grafts (In AS Reconstruction Midface, Lefort Iii (Extracranial), Any Type, Requiring Bone AS Reconstruction Midface, Lefort Iii (Extracranial), Any Type, Requiring Bone AS Reconstruction Midface, Lefort Iii (Extra And Intracranial) With Forehead A AS Reconstruction Midface, Lefort Iii (Extra And Intracranial) With Forehead A AS Reconstruction Superior-Lateral Orbital Rim And Lower Forehead, Advancement AS Reconstruction, Bifrontal, Superior-Lateral Orbital Rims And Lower Forehead AS Reconstruction, Entire Or Majority Of Forehead And/Or Supraorbital Rims; Wi AS Reconstruction, Entire Or Majority Of Forehead And/Or Supraorbital Rims; Wi AS Reconstruction Of Orbital Walls, Rims, Forehead, Nasoethmoid Complex Follow AS Reconstruction Of Orbital Walls, Rims, Forehead, Nasoethmoid Complex Follow AS Reconstruction Of Orbital Walls, Rims, Forehead, Nasoethmoid Complex Follow AS Reconstruction Midface, Osteotomies (Other Than Lefort Type) And Bone Graft AS Reconstruction Of Mandibular Rami, Horizontal, Vertical, ''C'', Or ''L'' Os AS Reconstruction Of Mandibular Ramus, Horizontal, Vertical, ''C'', Or ''L'' O AS Reconstruction Of Mandibular Rami And/Or Body, Sagittal Split; Without Inte AS Reconstruction Of Mandibular Rami, Sagittal Split; With Internal Rigid Fix AS Osteotomy, Mandible, Segmental AS Osteotomy, Mandible, Segmental; With Genioglossus Advancement AS Osteotomy, Maxilla, Segmental (Eg, Wassmund Or Schuchard) AS Arthroplasty, Temporomandibular Joint, With Or Without Autograft (Includes AS Arthroplasty, Temporomandibular Joint, With Allograft AS Arthroplasty, Temporomandibular Joint, With Prosthetic Joint Replacement AS Reconstruction Of Mandible, Extraoral, With Transosteal Bone Plate (Eg, Man AS Reconstruction Of Mandible Or Maxilla, Subperiosteal Implant; Partial AS January 1, /91

6 21246 Reconstruction Of Mandible Or Maxilla, Subperiosteal Implant; Complete AS Reconstruction Of Mandibular Condyle With Bone And Cartilage Autografts (In AS Reconstruction Of Zygomatic Arch And Glenoid Fossa With Bone And Cartilage AS Reconstruction Of Orbit With Osteotomies (Extracranial) And With Bone Graft AS Periorbital Osteotomies For Orbital Hypertelorism, With Bone Grafts; Extrac AS Periorbital Osteotomies For Orbital Hypertelorism, With Bone Grafts; Combin AS Periorbital Osteotomies For Orbital Hypertelorism, With Bone Grafts; With F AS Orbital Repositioning, Periorbital Osteotomies, Unilateral, With Bone Graft AS Orbital Repositioning, Periorbital Osteotomies, Unilateral, With Bone Graft AS Malar Augmentation, Prosthetic Material AS Secondary Revision Of Orbitocraniofacial Reconstruction AS Open Treatment Of Nasoethmoid Fracture; With External Fixation AS Open Treatment Of Depressed Frontal Sinus Fracture AS Open Treatment Of Complicated (Eg, Comminuted Or Involving Posterior Wall) AS Open Treatment Of Nasomaxillary Complex Fracture (Lefort Ii Type); Requirin AS Open Treatment Of Nasomaxillary Complex Fracture (Lefort Ii Type); With Bon AS Open Treatment Of Depressed Malar Fracture, Including Zygomatic Arch And Ma AS Open Treatment Of Complicated (Eg, Comminuted Or Involving Cranial Nerve Fo AS Open Treatment Of Complicated (Eg, Comminuted Or Involving Cranial Nerve Fo AS Open Treatment Of Orbital Floor ''Blowout'' Fracture; Transantral Approach AS Open Treatment Of Orbital Floor ''Blowout'' Fracture; Periorbital Approach AS Open Treatment Of Orbital Floor ''Blowout'' Fracture; Combined Approach AS Open Treatment Of Orbital Floor ''Blowout'' Fracture; Periorbital Approach, AS Open Treatment Of Orbital Floor ''Blowout'' Fracture; Periorbital Approach AS Closed Treatment Of Fracture Of Orbit, Except ''Blowout''; With Manipulatio AS Open Treatment Of Fracture Of Orbit, Except ''Blowout''; Without Implant AS Open Treatment Of Fracture Of Orbit, Except ''Blowout''; With Implant AS Open Treatment Of Fracture Of Orbit, Except ''Blowout''; With Bone Grafting AS Open Treatment Of Palatal Or Maxillary Fracture (Lefort I Type); AS Open Treatment Of Palatal Or Maxillary Fracture (Lefort I Type); Complicate AS January 1, /91

7 21431 Closed Treatment Of Craniofacial Separation (Lefort Iii Type) Using Interde AS Open Treatment Of Craniofacial Separation (Lefort Iii Type); With Wiring An AS Open Treatment Of Craniofacial Separation (Lefort Iii Type); Complicated (E AS Open Treatment Of Craniofacial Separation (Lefort Iii Type); Complicated, U AS Open Treatment Of Craniofacial Separation (Lefort Iii Type); Complicated, M AS Open Treatment Of Mandibular Or Maxillary Alveolar Ridge Fracture (Separate AS Open Treatment Of Mandibular Fracture; Without Interdental Fixation AS Open Treatment Of Mandibular Fracture; With Interdental Fixation AS Open Treatment Of Mandibular Condylar Fracture AS Open Treatment Of Complicated Mandibular Fracture By Multiple Surgical Appr AS Open Treatment Of Temporomandibular Dislocation AS Open Treatment Of Hyoid Fracture AS Incision And Drainage, Deep Abscess Or Hematoma, Soft Tissues Of Neck Or Th AS Biopsy, Soft Tissue Of Neck Or Thorax 3 Cm Or Greater AS Biopsy, Soft Tissue Of Neck Or Thorax 5 Cm Or Greater AS Radical Resection Of Tumor (Eg, Malignant Neoplasm), Soft Tissue Of Neck Or AS Radical Resection Of Tumor (Eg, Malignant Neoplasm), Soft Tissue Of Neck Or AS Excision Of Rib, Partial AS Costotransversectomy (Separate Procedure) AS Excision First And/Or Cervical Rib; AS Excision First And/Or Cervical Rib For Outlet Compression Syndrome Or Other AS Ostectomy Of Sternum, Partial AS Sternal Debridement AS Radical Resection Of Sternum; AS Radical Resection Of Sternum; With Mediastinal Lymphadenectomy AS Hyoid Myotomy And Suspension AS Division Of Scalenus Anticus; Without Resection Of Cervical Rib AS Division Of Scalenus Anticus; With Resection Of Cervical Rib AS Division Of Sternocleidomastoid For Torticollis, Open Operation; Without Ca AS Division Of Sternocleidomastoid For Torticollis, Open Operation; With Cast AS January 1, /91

8 21740 Reconstructive Repair Of Pectus Excavatum Or Carinatum; Open AS Reconstructive Repair Of Pectus Excavatum Or Carinatum; Minimally Invasive AS Reconstructive Repair Of Pectus Excavatum Or Carinatum; Minimally Invasive AS Closure Of Median Sternotomy Separation With Or Without Debridement (Separa AS Open Treatment Of Sternum Fracture With Or Without Skeletal Fixation AS Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaneous; 3 Cm Or Greater AS Excision, Tumor, Soft Tissue Of Back Or Flank, Subfascial AS Excision, Tumor, Soft Tissue Of Back Or Flank, Subfascial (Eg, Intramuscular) AS Radical Resection Of Tumor (Eg, Malignant Neoplasm), Soft Tissue Of Back Or AS Partial Excision Of Posterior Vertebral Component (Eg, Spinous Process, Lam AS Partial Resection Of Vertebral Component, Spinous Processes; Thoracic AS Partial Resection Of Vertebral Component, Spinous Processes; Lumbar AS Partial Excision Of Posterior Vertebral Component (Eg, Spinous Process, Lam AS Partial Excision Of Vertebral Body, For Intrinsic Bony Lesion, Without Deco AS Partial Excision Of Vertebrae (Eg, For Osteomyelitis); Thoracic AS Partial Excision Of Vertebrae (Eg, For Osteomyelitis); Lumbar AS Partial Excision Of Vertebral Body, For Intrinsic Bony Lesion, Without Deco AS Osteotomy Of Spine For Correction Fixed Deformity, AS Osteotomy Of Spine For Correction Fixed Deformity, AS Osteotomy Of Spine, Posterior Or Posterolateral Approach, Three Columns, On AS Osteotomy Of Spine, Posterior Or Posterolateral Approach, One Vertebral Seg AS Osteotomy Of Spine, Posterior Approach, For Correction Of Deformity, Single AS Osteotomy Of Spine, Posterior Approach, For Correction Of Deformity, Single AS Osteotomy Of Spine, Posterior Or Posterolateral Approach, One Vertebral Seg AS Osteotomy Of Spine, Including Diskectomy, Anterior Approach, Single Vertebr AS Osteotomy Of Spine, Anterior Approach, For Correction Of Deformity, Single AS Osteotomy Of Spine, Including Diskectomy, Anterior Approach, Single Vertebr AS Open Treatment And/Or Reduction Of Odontoid Fracture(S) And Or Dislocation( AS Open Treatment And/Or Reduction Of Odontoid Fracture(S) And Or Dislocation( AS Open Treatment And/Or Reduction Of Vertebral Fracture(S) And/ Or Dislocatio AS January 1, /91

9 22326 Open Treatment And/Or Reduction Of Vertebral Fracture(S) And/ Or Dislocatio AS Open Treatment And/Or Reduction Of Vertebral Fracture(S) And/ Or Dislocatio AS Open Treatment And/Or Reduction Of Vertebral Fracture(S) And/Or Dislocation AS Arthrodesis, Lateral Extracavitary Technique, Including Minimal Diskectomy AS Arthrodesis, Lateral Extracavitary Technique, Including Minimal Diskectomy AS Arthrodesis, Lateral Extracavitary Technique, Including Minimal Diskectomy AS Arthrodesis, Anterior Transoral Or Extraoral Technique, Clivus-C1-C2 (Atlas AS Neck Spine Fuse & Remove Addl AS Addl Neck Spine Fusion AS Arthrodesis, Anterior Interbody Technique, Including Minimal Diskectomy To AS Arthrodesis, Anterior Interbody Technique, Including Minimal Diskectomy To AS Arthrodesis, Anterior Interbody Technique, Including Minimal Diskectomy To AS Arthrodesis, Anterior Interbody Technique, Including Minimal Diskectomy To AS Fusion of spine bones with removal of disc at lower spinal column with posterior instrumentation and image AS Arthrodesis, Posterior Technique, Craniocervical (Occiput-C2) AS Arthrodesis, Posterior Technique, Atlas-Axis (C1-C2) AS Arthrodesis, Posterior Or Posterolateral Technique, Single Level; Cervical AS Arthrodesis, Posterior Or Posterolateral Technique, Single Level; Thoracic AS Arthrodesis, Posterior Or Posterolateral Technique, Single Level; Lumbar (W AS Arthrodesis, Posterior Or Posterolateral Technique, Single Level; Each Addi AS Arthrodesis, Posterior Interbody Technique, Including Laminectomy And/Or AS Arthrodesis, Posterior Interbody Technique, Single Interspace; Each Additio AS Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Interbody Technique Including AS Laminectomy And/ Or Discectomy Sufficient To Prepare Interspace (Other Than For Decompression), Single Interspace And Segment; Lumbar Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Interbody Technique Including AS Laminectomy And/ Or Discectomy Sufficient To Prepare Interspace (Other Than For Decompression), Single Interspace And Segment; Each Additional Interspace And Segment (List Separately In Addition To Code For Primary Procedure) Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; Up To AS Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 7 To AS January 1, /91

10 22804 Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 13 Or M AS Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 2 To 3 V AS Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 4 To 7 V AS Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 8 Or Mor AS Kyphectomy, Circumferential Exposure Of Spine And Resection Of Vertebral Se Y AS Kyphectomy, Circumferential Exposure Of Spine And Resection Of Vertebral Se Y AS Exploration Of Spinal Fusion AS Posterior Non-Segmental Instrumentation (Eg, Harrington Rod Technique), Ped AS Posterior Segmental Instrumentation (Eg, Pedicle Fixation, Dual Rods With M AS Posterior Segmental Instrumentation (Eg, Pedicle Fixation, Dual Rods With M AS Posterior Segmental Instrumentation (Eg, Pedicle Fixation, Dual Rods With M AS Anterior Instrumentation; 2 To 3 Vertebral Segments AS Anterior Instrumentation; 4 To 7 Vertebral Segments AS Anterior Instrumentation; 8 Or More Vertebral Segments AS Pelvic Fixation (Attachment Of Caudal End Of Instrumentation To Pelvic Bony AS Reinsertion Of Spinal Fixation Device AS Removal Of Posterior Nonsegmental Instrumentation (Eg, Harrington Rod) AS Application Of Intervertebral Biomechanical Device(S) (Eg, Synthetic Cage(S AS Removal Of Posterior Segmental Instrumentation AS Removal Of Anterior Instrumentation AS Unlisted Procedure, Spine 1 90 Y AS Excision, Abdominal Wall Tumor, Subfascial (Eg, Desmoid) AS Excision, Tumor, Soft Tissue Of Abdominal Wall, Subfascial (Eg, Intramuscular); AS Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; Less Than 3 Cm AS Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; 3 Cm Or Greater AS Radical Resection Of Tumor (Eg, Malignant Neoplasm), Soft Tissue Of AS Radical Resection Of Tumor (Eg, Malignant Neoplasm), Soft Tissue Of AS Removal Of Subdeltoid Calcareous Deposits, Open AS Capsular Contracture Release (Eg, Sever Type Procedure) AS Incision, Bone Cortex (Eg, Osteomyelitis Or Bone Abscess), Shoulder Area AS January 1, /91

11 23040 Arthrotomy, Glenohumeral Joint, Including Exploration, Drainage, Or Removal AS Biopsy, Soft Tissue Of Shoulder Area; 3 Cm Or Greater AS Biopsy, Soft Tissue Of Shoulder Area; 5 Cm Or Greater AS Radical Resection Of Tumor (Eg, Malignant Neoplasm), Soft Tissue Of Shoulde AS Radical Resection Of Tumor (Eg, Malignant Neoplasm), AS Arthrotomy; Glenohumeral Joint, With Synovectomy, With Or Without Biopsy AS Arthrotomy, Glenohumeral Joint, With Joint Exploration, With Or Without Rem AS Claviculectomy; Partial AS Claviculectomy; Total AS Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Clavicle Or Scapula; AS Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Proximal Humerus; AS Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Proximal Humerus; Wit AS Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Proximal Humerus; Wit AS Sequestrectomy (Eg, For Osteomyelitis Or Bone Abscess), Scapula AS Sequestrectomy (Eg, For Osteomyelitis Or Bone Abscess), Humeral Head To Sur AS Partial Excision (Craterization, Saucerization, Or Diaphysectomy) Bone (Eg, AS Partial Excision (Craterization, Saucerization, Or Diaphysectomy) Bone (Eg, AS Ostectomy Of Scapula, Partial (Eg, Superior Medial Angle) AS Resection Humeral Head AS Radical Resection For Tumor; Clavicle AS Radical Resection For Tumor; Scapula AS Radical Resection Of Bone Tumor, Proximal Humerus; AS Remove Shoulder Fb Deep AS Remove Shoulder Fb Deep AS Shoulder Prosthesis Removal AS Shoulder Prosthesis Removal AS Muscle Transfer, Any Type, Shoulder Or Upper Arm; Single AS Muscle Transfer, Any Type For Paralysis Of Shoulder Or Upper Arm; Multiple AS Scapulopexy (Eg, Sprengel'S Deformity Or For Paralysis) AS Tenotomy, Shoulder Area; Single Tendon AS January 1, /91

12 23406 Tenotomy, Shoulder Area; Multiple Tendons Through Same Incision AS Repair Of Ruptured Musculotendinous Cuff (Eg, Rotator Cuff) Open; Acute AS Repair Of Ruptured Supraspinatus Tendon (Rotator Cuff) Or Musculotendinous AS Reconstruction Of Complete Shoulder (Rotator) Cuff Avulsion, Chronic (Inclu AS Tenodesis Of Long Tendon Of Biceps AS Resection Or Transplantation Of Long Tendon Of Biceps AS Capsulorrhaphy, Anterior; Putti-Platt Procedure Or Magnuson Type Operation AS Capsulorrhaphy, Anterior; With Labral Repair (Eg, Bankart Procedure) AS Capsulorrhaphy, Anterior, Any Type; With Bone Block AS Capsulorrhaphy For Recurrent Dislocation, Anterior, Any Type; With Coracoid AS Capsulorrhaphy, Glenohumeral Joint, Posterior, With Or Without Bone Block AS Capsulorrhaphy, Glenohumeral Joint, Any Type Multi-Directional Instability AS Arthroplasty, Glenohumeral Joint; Hemiarthroplasty AS Arthroplasty, Glenohumeral Joint; Total Shoulder (Glenoid And Proximal Hume AS Repair of shoulder AS Repair of shoulder AS Osteotomy, Clavicle, With Or Without Internal Fixation; With Bone Graft For AS Prophylactic Treatment (Nailing, Pinning, Plating Or Wiring) With Or Withou AS Prophylactic Treatment (Nailing, Pinning, Plating Or Wiring) With Or Withou AS Open Treatment Of Clavicular Fracture, With Or Without Internal Or External AS Open Treatment Of Sternoclavicular Dislocation, Acute Or Chronic; AS Open Treatment Of Sternoclavicular Dislocation, Acute Or Chronic; With Fasc AS Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic; AS Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic; With Fas AS Open Treatment Of Scapular Fracture (Body, Glenoid Or Acromion) With Or Wit AS Open Treatment Of Proximal Humeral (Surgical Or Anatomical Neck) Fracture, AS Open Treatment Of Proximal Humeral (Surgical Or Anatomical Neck) Fracture, AS Open Treatment Of Greater Humeral Tuberosity Fracture, With Or Without Inte AS Open Treatment Of Acute Shoulder Dislocation AS Open Treatment Of Shoulder Dislocation, With Fracture Of Greater Humeral Tu AS January 1, /91

13 23680 Open Treatment Of Shoulder Dislocation, With Surgical Or Anatomical Neck Fr AS Arthrodesis, Glenohumeral Joint; AS Arthrodesis, Glenohumeral Joint; With Autogenous Graft (Includes Obtaining AS Interthoracoscapular Amputation (Forequarter) AS Disarticulation Of Shoulder; AS Unlisted Procedure, Shoulder 1 90 Y AS Arthrotomy Of The Elbow, With Capsular Excision For Capsular Release (Separ AS Biopsy, Soft Tissue Of Upper Arm Or Elbow Area; 3 Cm Or Greater AS Biopsy, Soft Tissue Of Upper Arm Or Elbow Area; 5 Cm Or Greater AS Radical Resection Of Tumor (Eg, Malignant Neoplasm), Soft Tissue Of Upper A AS Radical Resection Of Tumor (Eg, Malignant Neoplasm), Soft Tissue Of Upper A AS Arthrotomy, Elbow; With Synovial Biopsy Only AS Arthrotomy, Elbow; With Joint Exploration, With Or Without Biopsy, With Or AS Arthrotomy, Elbow; With Synovectomy AS Excision Or Curettage Of Bone Cyst Or Benign Tumor, Humerus; With Autograft AS Excision Or Curettage Of Bone Cyst Or Benign Tumor, Humerus; With Allograft AS Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Head Or Neck Of Radiu AS Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Head Or Neck Of Radiu AS Sequestrectomy (Eg, For Osteomyelitis Or Bone Abscess), Shaft Or Distal Hum AS Sequestrectomy (Eg, For Osteomyelitis Or Bone Abscess), Olecranon Process AS Partial Excision (Craterization, Saucerization, Or Diaphysectomy) Bone (Eg, AS Radical Resection Of Capsule, Soft Tissue, And Heterotopic Bone, Elbow, Wit AS Radical Resection For Tumor, Shaft Or Distal Humerus; AS Radical Resection For Tumor, Radial Head Or Neck; AS Resection Of Elbow Joint (Arthrectomy) AS Muscle Or Tendon Transfer, Any Type, Upper Arm Or Elbow, Single (Excluding AS Tenoplasty, With Muscle Transfer, With Or Without Free Graft, Elbow To Shou AS Flexor-Plasty, Elbow (Eg, Steindler Type Advancement); AS Flexor-Plasty, Elbow (Eg, Steindler Type Advancement); With Extensor Advanc AS Tenodesis Of Biceps Tendon At Elbow (Separate Procedure) AS January 1, /91

14 24341 Repair, Tendon Or Muscle, Upper Arm Or Elbow, Each Tendon Or Muscle, Primar AS Reinsertion Of Ruptured Biceps Or Triceps Tendon, Distal, With Or Without T AS Repair Lateral Collateral Ligament, Elbow, With Local Tissue AS Reconstruction Lateral Collateral Ligament, Elbow, With Tendon Graft (Inclu AS Repair Medial Collateral Ligament, Elbow, With Local Tissue AS Reconstruction Medial Collateral Ligament, Elbow, With Tendon Graft (Includ AS Tenotomy, Elbow, Lateral Or Medial (Eg, Epicondylitis, Tennis Elbow, Golfer AS Arthroplasty, Elbow; With Distal Humeral Prosthetic Replacement AS Arthroplasty, Elbow; With Implant And Fascia Lata Ligament Reconstruction AS Arthroplasty, Elbow; With Distal Humerus And Proximal Ulnar Prosthetic Repl AS Arthroplasty, Radial Head; AS Arthroplasty, Radial Head; With Implant AS Revision of total elbow repair AS Revision of total elbow repair AS Osteotomy, Humerus, With Or Without Internal Fixation AS Multiple Osteotomies With Realignment On Intramedullary Rod, Humeral Shaft AS Osteoplasty, Humerus (Eg, Shortening Or Lengthening) (Excluding 64876) AS Repair Of Nonunion Or Malunion, Humerus; Without Graft (Eg, Compression Tec AS Repair Of Nonunion Or Malunion, Humerus; With Iliac Or Other Autograft (Inc AS Hemiepiphyseal Arrest (Eg, Cubitus Varus Or Valgus, Distal Humerus) AS Prophylactic Treatment (Nailing, Pinning, Plating Or Wiring), With Or Witho AS Open Treatment Of Humeral Shaft Fracture With Plate/Screws, With Or Without AS Treatment Of Humeral Shaft Fracture, With Insertion Of Intramedullary Impla AS Open Treatment Of Humeral Supracondylar Or Transcondylar Fracture, With Or AS Open Treatment Of Humeral Supracondylar Or Transcondylar Fracture, With Or AS Open Treatment Of Humeral Epicondylar Fracture, Medial Or Lateral, With Or AS Open Treatment Of Humeral Condylar Fracture, Medial Or Lateral, With Or Wit AS Open Treatment Of Periarticular Fracture And/Or Dislocation Of The Elbow (F AS Open Treatment Of Periarticular Fracture And/Or Dislocation Of The Elbow (F AS Open Treatment Of Acute Or Chronic Elbow Dislocation AS January 1, /91

15 24635 Open Treatment Of Monteggia Type Of Fracture Dislocation At Elbow (Fracture AS Open Treatment Of Radial Head Or Neck Fracture, With Or Without Internal Fi AS Open Treatment Of Radial Head Or Neck Fracture, With Or Without Internal Fi AS Open Treatment Of Ulnar Fracture Proximal End (Olecranon Process), With Or AS Arthrodesis, Elbow Joint; Local AS Arthrodesis, Elbow Joint; With Autogenous Graft (Includes Obtaining Graft) AS Amputation, Arm Through Humerus; With Primary Closure AS Amputation, Arm Through Humerus; Open, Circular (Guillotine) AS Amputation, Arm Through Humerus; Secondary Closure Or Scar Revision AS Amputation, Arm Through Humerus; Re-Amputation AS Amputation, Arm Through Humerus; With Implant AS Cineplasty, Upper Extremity, Complete Procedure AS Biopsy, Soft Tissue Of Forearm And/Or Wrist; 3 Cm Or Greater AS Biopsy, Soft Tissue Of Forearm And/Or Wrist; 3 Cm Or Greater AS Radical Resection Of Tumor (Eg, Malignant Neoplasm), Soft Tissue Of Fore AS Capsulotomy, Wrist (Eg, Contracture) AS Arthrotomy, Distal Radioulnar Joint Including Repair Of Triangular Cartilag AS Excision Of Tendon, Forearm And/Or Wrist, Flexor Or Extensor, Each AS Synovectomy, Extensor Tendon Sheath, Wrist, Single Compartment; With Resect AS Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Radius Or Ulna (Exclu AS Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Carpal Bones; With Au AS Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Carpal Bones; With Al AS Sequestrectomy (Eg, For Osteomyelitis Or Bone Abscess), Forearm And/Or Wris AS Partial Excision (Craterization, Saucerization Or Diaphysectomy) Of Bone (E AS Radical Resection For Tumor, Radius Or Ulna AS Carpectomy; All Bones Of Proximal Row AS Removal Of Wrist Prosthesis; (Separate Procedure) AS Removal Of Wrist Prosthesis; Complicated, Including ''Total Wrist'' AS Repair, Tendon Or Muscle, Flexor, Forearm And/Or Wrist; Secondary, Single, AS Repair, Tendon Or Muscle, Flexor, Forearm And/Or Wrist; Secondary, With Fre AS January 1, /91

16 25300 Tenodesis At Wrist; Flexors Of Fingers AS Tenodesis At Wrist; Extensors Of Fingers AS Tendon Transplantation Or Transfer, Flexor Or Extensor, Forearm And/Or Wris AS Tendon Transplantation Or Transfer, Flexor Or Extensor, Forearm And/Or Wris AS Flexor Origin Slide (Eg, For Cerebral Palsy, Volkmann Contracture), Forearm AS Flexor Origin Slide For Cerebral Palsy, Forearm And/Or Wrist; With Tendon(S AS Capsulorrhaphy Or Reconstruction, Wrist, Open (Eg, Capsulodesis, Ligament R AS Arthroplasty, Wrist, With Or Without Interposition, With Or Without Externa AS Centralization Of Wrist On Ulna (Eg, Radial Club Hand) AS Osteotomy, Radius; Distal Third AS Osteotomy, Radius; Middle Or Proximal Third AS Osteotomy; Ulna AS Osteotomy; Radius And Ulna AS Multiple Osteotomies, With Realignment On Intramedullary Rod (Sofield Type AS Multiple Osteotomies, With Realignment On Intramedullary Rod (Sofield Type AS Osteoplasty, Radius Or Ulna; Shortening AS Osteoplasty, Radius Or Ulna; Lengthening With Autograft AS Osteoplasty, Radius And Ulna; Shortening (Excluding 64876) AS Osteoplasty, Radius And Ulna; Lengthening With Autograft AS Osteoplasty, Carpal Bone, Shortening AS Repair Of Nonunion Or Malunion, Radius Or Ulna; Without Graft (Eg, Compress AS Repair Of Nonunion Or Malunion, Radius Or Ulna; With Autograft (Includes Ob AS Repair Of Nonunion Or Malunion, Radius And Ulna; Without Graft (Eg, Compres AS Repair Of Nonunion Or Malunion, Radius And Ulna; With Autograft (Includes O AS Repair Of Defect With Autograft; Radius Or Ulna AS Repair Of Defect With Autograft; Radius And Ulna AS Repair Of Nonunion Of Carpal Bone (Excluding Carpal Scaphoid (Navicular)) ( AS Repair Of Nonunion, Scaphoid Carpal (Navicular) Bone, With Or Without Radia AS Arthroplasty With Prosthetic Replacement; Distal Radius AS Arthroplasty With Prosthetic Replacement; Distal Ulna AS January 1, /91

17 25443 Arthroplasty With Prosthetic Replacement; Scaphoid Carpal (Navicular) AS Arthroplasty With Prosthetic Replacement; Lunate AS Arthroplasty With Prosthetic Replacement; Distal Radius And Partial Or Enti AS Arthroplasty, Interposition, Intercarpal Or Carpometacarpal Joints AS Revision Of Arthroplasty, Including Removal Of Implant, Wrist Joint AS Prophylactic Treatment (Nailing, Pinning, Plating Or Wiring) With Or Withou AS Prophylactic Treatment (Nailing, Pinning, Plating Or Wiring) With Or Withou AS Prophylactic Treatment (Nailing, Pinning, Plating Or Wiring) With Or Withou AS Open Treatment Of Radial Shaft Fracture, With Or Without Internal Or Extern AS Open Treatment Of Radial Shaft Fracture, With Internal And/ Or External Fix AS Open Treatment Of Radial Shaft Fracture, With Internal And/Or External Fixa AS Open Treatment Of Ulnar Shaft Fracture, With Or Without Internal Or Externa AS Open Treatment Of Radial And Ulnar Shaft Fractures, With Internal Or Extern AS Open Treatment Of Radial And Ulnar Shaft Fractures, With Internal Or Extern AS Percutaneous Skeletal Fixation Of Distal Radial Fracture Or Epiphyseal Sepa AS Open Treatment Of Distal Radial Extra-Articular Fracture Or Epiphyseal Sepa AS Open Treatment Of Distal Radial Intra-Articular Fracture Or Epiphyseal Sepa AS Open Treatment Of Distal Radial Intra-Articular Fracture Or Epiphyseal Sepa AS Open Treatment Of Carpal Scaphoid (Navicular) Fracture, With Or Without Int AS Open Treatment Of Carpal Bone Fracture (Other Than Carpal Scaphoid (Navicul AS Open Treatment Of Ulnar Styloid Fracture AS Open Treatment Of Radiocarpal Or Intercarpal Dislocation, One Or More Bones AS Percutaneous Skeletal Fixation Of Distal Radioulnar Dislocation AS Open Treatment Of Distal Radioulnar Dislocation, Acute Or Chronic AS Open Treatment Of Trans-Scaphoperilunar Type Of Fracture Dislocation AS Open Treatment Of Lunate Dislocation AS Arthrodesis, Wrist; Complete, Without Bone Graft (Includes Radiocarpal And/ AS Arthrodesis, Wrist Joint (Including Radiocarpal And/Or Ulnocarpal Fusion); AS Arthrodesis, Wrist Joint (Including Radiocarpal And/Or Ulnocarpal Fusion); AS Arthrodesis, Wrist; Limited, Without Bone Graft (Eg, Intercarpal Or Radioca AS January 1, /91

18 25825 Intercarpal Fusion; With Autograft (Includes Obtaining Graft) AS Arthrodesis, Distal Radioulnar Joint With Segmental Resection Of Ulna, With AS Amputation, Forearm, Through Radius And Ulna; Open, Circular (Guillotine) AS Amputation, Forearm, Through Radius And Ulna; Secondary Closure Or Scar Rev AS Amputation, Forearm, Through Radius And Ulna; Re-Amputation AS Krukenberg Procedure AS Disarticulation Through Wrist; Secondary Closure Or Scar Revision AS Disarticulation Through Wrist; Re-Amputation AS Transmetacarpal Amputation; Secondary Closure Or Scar Revision AS Sesamoidectomy, Thumb Or Finger (Separate Procedure) AS Radical Resection, Proximal Or Middle Phalanx Of Finger (Eg, Tumor); AS Radical Resection, Distal Phalanx Of Finger (Eg, Tumor) AS Flexor Tendon Repair Or Advancement, Single, Not In ''No Man'S Land''; Seco AS Repair Or Advancement, Flexor Tendon, In Zone 2 Digital Flexor Tendon Sheat AS Flexor Tendon Repair Or Advancement, Single, In ''No Man'S Land''; Secondar AS Repair Or Advancement Of Profundus Tendon, With Intact Superficialis Tendon AS Repair Or Advancement Of Profundus Tendon, With Intact Superficialis Tendon AS Excision Flexor Tendon, With Implantation Of Synthetic Rod For Delayed Tend AS Removal Of Synthetic Rod And Insertion Of Flexor Tendon Graft, Hand Or Fing AS Extensor Tendon Repair, Dorsum Of Finger, Single, Primary Or Secondary; Wit AS Extensor Tendon Repair, Distal Insertion (''Mallet Finger''), Open, Primary AS Tenodesis; Of Distal Joint, Each Joint AS Shortening Of Tendon, Flexor, Hand Or Finger, Each Tendon AS Tendon Transfer Or Transplant, Carpometacarpal Area Or Dorsum Of Hand, Sing AS Transfer Or Transplant Of Tendon, Palmar; Without Free Tendon Graft, Each T AS Opponensplasty; Tendon Transfer With Graft (Includes Obtaining Graft), Each AS Opponensplasty; Hypothenar Muscle Transfer AS Transfer Of Tendon To Restore Intrinsic Function; Ring And Small Finger AS Tendon Transfer To Restore Intrinsic Function; All Four Fingers AS Correction Claw Finger, Other Methods AS January 1, /91

19 26502 Tendon Pulley Reconstruction; With Tendon Or Fascial Graft (Includes Obtain AS Capsulodesis For M-P Joint Stabilization; Two Digits AS Capsulodesis For M-P Joint Stabilization; Three Or Four Digits AS Arthroplasty, Metacarpophalangeal Joint; Each Joint AS Arthroplasty, Metacarpophalangeal Joint; With Prosthetic Implant, Each Join AS Reconstruction, Collateral Ligament, Metacarpophalangeal Joint, Single, Wit AS Repair Non-Union, Metacarpal Or Phalanx, (Includes Obtaining Bone Graft Wit AS Pollicization Of A Digit AS Transfer, Toe-To-Hand With Microvascular Anastomosis; Great Toe ' Wrap-Arou AS Toe-To-Hand Transfer With Microvascular Anastomosis; Other Than Great Toe, AS Toe-To-Hand Transfer With Microvascular Anastomosis; Other Than Great Toe, AS Transfer, Finger To Another Position Without Microvascular Anastomosis AS Transfer, Free Toe Joint, With Microvascular Anastomosis AS Repair Of Syndactyly (Web Finger) Each Web Space; With Skin Flaps AS Repair Of Syndactyly (Web Finger) Each Web Space; With Skin Flaps And Graft AS Repair Of Syndactyly (Web Finger) Each Web Space; Complex (Eg, Involving Bo AS Osteotomy; Metacarpal, Each AS Osteoplasty, Lengthening, Metacarpal Or Phalanx AS Repair Cleft Hand AS Reconstruction Of Polydactylous Digit, Soft Tissue And Bone AS Repair Macrodactylia, Each Digit AS Excision Of Constricting Ring Of Finger, With Multiple Z-Plasties AS Open Treatment Of Carpometacarpal Dislocation, Other Than Thumb (Bennett Fr AS Fusion In Opposition, Thumb, With Autogenous Graft (Includes Obtaining Graf AS Arthrodesis, Carpometacarpal Joint, Thumb, With Or Without Internal Fixatio AS Arthrodesis, Carpometacarpal Joint, Digit, Other Than Thumb, Each; AS Arthrodesis, Carpometacarpal Joint, Digits, Other Than Thumb; With Autograf AS Arthrodesis, Metacarpophalangeal Joint, With Or Without Internal Fixation; AS Arthrodesis, Interphalangeal Joint, With Or Without Internal Fixation; With AS Arthrodesis, Interphalangeal Joint, With Or Without Internal Fixation; With AS January 1, /91

20 27001 Tenotomy, Adductor Of Hip, Open AS Tenotomy, Adductor, Subcutaneous, Open, With Obturator Neurectomy AS Tenotomy, Hip Flexor(S), Open (Separate Procedure) AS Tenotomy, Abductors And/Or Extensor(S) Of Hip, Open (Separate Procedure) AS Arthrotomy, Hip, With Drainage (Eg, Infection) AS Arthrotomy, Hip, Including Exploration Or Removal Of Loose Or Foreign Body AS Denervation, Hip Joint, Intrapelvic Or Extrapelvic Intra-Articular Branches AS Capsulectomy Or Capsulotomy, Hip, With Or Without Excision Of Heterotopic B AS Biopsy, Soft Tissue Of Pelvis And Hip Area; 3 Cm Or Greater AS Biopsy, Soft Tissue Of Pelvis And Hip Area; 5 Cm Or Greater AS Excision, Tumor, Pelvis And Hip Area; Deep, Subfascial, Intramuscular AS Radical Resection Of Tumor, Soft Tissue Of Pelvis And Hip Area (Eg, Maligna AS Arthrotomy, For Biopsy; Hip Joint AS Arthrotomy With Synovectomy, Hip Joint AS Decompression Fasciotomy(Ies), Pelvic (Buttock) Compartment(S) (Eg, AS Excision Of Bone Cyst Or Benign Tumor; Superficial (Wing Of Ilium, Symphysi AS Excision Of Bone Cyst Or Benign Tumor; Deep, With Or Without Autograft AS Excision Of Bone Cyst Or Benign Tumor; With Autograft Requiring Separate In AS Partial Excision (Craterization, Saucerization) (Eg, Osteomyelitis Or Bone AS Partial Excision (Craterization, Saucerization) (Eg, Osteomyelitis Or Bone AS Radical Resection Of Tumor Or Infection; Wing Of Ilium, One Pubic Or Ischia AS Radical Resection For Tumor Or Infection; Ilium, Including Acetabulum, Both AS Radical Resection For Tumor Or Infection; Innominate Bone, Total AS Radical Resection For Tumor Or Infection; Ischial Tuberosity And Greater Tr AS Coccygectomy, Primary AS Removal Of Foreign Body, Pelvis Or Hip; Deep (Subfascial Or Intramuscular) AS Removal Of Hip Prosthesis; (Separate Procedure) AS Removal Of Hip Prosthesis; Complicated, Including Total Hip Prosthesis, Met AS Release Or Recession, Hamstring, Proximal AS Transfer, Adductor To Ischium AS January 1, /91