20 Miss. Code. R. 2-VI

Current through October 31, 2024

Section 20-2-VI - NERVE BLOCKS

A.Diagnostic or Therapeutic

1. Please refer to the Pain Management section for guidelines and reimbursement of therapeutic nerve blocks.

2. Medications such as steroids, pain medication, etc., may be separately billed using the appropriate HCPCS code.

a. The name of the medication(s), dosage, and volume must be identified.

b. Medication will be reimbursed according to fees listed in the HCPCS section. If not listed in HCPCS, reimbursement will be according to the Pharmacy section in the General Guidelines.

B.Anesthetic. When a nerve block for anesthesia is provided by the operating room surgeon, the procedure codes listed in the Anesthesia section must be followed.

Code	Description	Amount	PC Amount	TC Amount	FUD	Assist Surg	APC Amount
0232T	NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION	467.36	348.16
+	10004	FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL	178.80	ZZZ	N
*	*	10005	FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION	430.80	XXX	N	822.66
+	*	10006	FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL	205.20	ZZZ	N
*	*	10007	FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION	970.80	XXX	N	822.66
+	*	10008	FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL	547.20	ZZZ	N
*	*	10009	FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION	1588.80	XXX	N	822.66
+	*	10010	FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL	957.60	ZZZ	N
*	*	10011	FINE NEEDLE ASPIRATION BX W/MR GDN 1ST LESION	BR	XXX	N	822.66
+	*	10012	FINE NEEDLE ASPIRATION BX W/MR GDN EA ADDL	BR	ZZZ	N
*	*	10021	FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION	333.60	XXX	N	445.99
*	*	10030	IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE	1952.40	000	N	822.66
*	*	10035	PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE	1640.40	000	N	822.66
+	*	10036	PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE	1414.80	ZZZ	N
*	*	10040	ACNE SURGERY	370.80	010	N	250.56
*	*	10060	INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	404.40	010	N	250.56
*	*	10061	INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE	704.40	010	N	445.99
*	*	10080	INCISION & DRAINAGE PILONIDAL CYST SIMPLE	627.60	010	N	822.66
*	*	10081	INCISION & DRAINAGE PILONIDAL CYST COMPLICATED	940.80	010	N	822.66
*	*	10120	INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE	518.40	010	N	445.99
*	*	J1	10121	INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL	932.40	010	N	2734.29
*	*	J1	10140	I&D HEMATOMA SEROMA/FLUID COLLECTION	572.40	010	N	2734.29
*	*	10160	PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST	444.00	010	N	445.99
*	*	J1	10180	INCISION & DRAINAGE COMPLEX PO WOUND INFECTION	854.40	010	N	4742.07
*	*	11000	DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF	188.40	000	N	685.70
+	*	11001	DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10% BDY SURF	74.40	ZZZ	N
*	*	11004	DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT & PR	2002.80	000	N	1634.69
*	*	11005	DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL	2716.80	000	N	3015.60
*	*	11006	DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL	2452.80	000	N
+	*	11008	REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION	955.20	ZZZ	N	1614.53
*	*	11010	DBRDMT W/RMVL FM FX&/DISLC SKIN & SUBQ TISSUS	1658.40	010	N	822.66
*	*	11011	DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC	1831.20	000	N	822.66
*	*	J1	11012	DBRDMT FX&/DISLC SUBQ T/M/F BONE	2374.80	000	N	4742.07
*	*	11042	DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<	415.20	000	N	445.99
*	*	11043	DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<	788.40	000	N	685.70
*	*	J1	11044	DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<	1071.60	000	N	2734.29
+	*	11045	DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM	141.60	ZZZ	N
+	*	11046	DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM	250.80	ZZZ	N
+	*	11047	DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM	423.60	ZZZ	N
*	*	11055	PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1	190.80	000	N	250.56
*	*	11056	PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4	228.00	000	N	250.56
*	*	11057	PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4	253.20	000	N	250.56
*	*	11102	TANGENTIAL BIOPSY SKIN SINGLE LESION	336.00	000	N	250.56
+	*	11103	TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION	181.20	ZZZ	N
*	*	11104	PUNCH BIOPSY SKIN SINGLE LESION	422.40	000	N	250.56
+	*	11105	PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION	207.60	ZZZ	N
*	*	11106	INCISIONAL BIOPSY SKIN SINGLE LESION	511.20	000	N	445.99
+	*	11107	INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION	244.80	ZZZ	N
*	*	11200	REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15	301.20	010	N	250.56
+	*	11201	REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10	64.80	ZZZ	N
*	*	11300	SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<	332.40	000	N	250.56
*	*	11301	SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM	408.00	000	N	250.56
*	*	11302	SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM	477.60	000	N	250.56
*	*	11303	SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM	526.80	000	N	445.99
*	*	11305	SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<	348.00	000	N	250.56
*	*	11306	SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM	414.00	000	N	250.56
*	*	11307	SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM	490.80	000	N	250.56
*	*	11308	SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM	520.80	000	N	445.99
*	*	11310	SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<	387.60	000	N	250.56
*	*	11311	SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM	463.20	000	N	250.56
*	*	11312	SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM	542.40	000	N	445.99
*	*	11313	SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM	636.00	000	N	445.99
*	*	11400	EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	423.60	010	N	822.66
*	*	11401	EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM	516.00	010	N	445.99
*	*	11402	EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM	573.60	010	N	822.66
*	*	11403	EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM	663.60	010	N	822.66
*	*	J1	11404	EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM	752.40	010	N	2734.29
*	*	J1	11406	EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM	1082.40	010	N	2734.29
*	*	J1	11420	EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<	423.60	010	N	2734.29
*	*	11421	EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM	538.80	010	N	822.66
*	*	J1	11422	EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM	607.20	010	N	2734.29
*	*	J1	11423	EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM	692.40	010	N	2734.29
*	*	J1	11424	EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM	802.80	010	N	2734.29
*	*	J1	11426	EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM	1150.80	010	N	4742.07
*	*	11440	EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<	469.20	010	N	822.66
*	*	11441	EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM	579.60	010	N	822.66
*	*	11442	EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM	646.80	010	N	822.66
*	*	J1	11443	EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM	770.40	010	N	2734.29
*	*	J1	11444	EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM	966.00	010	N	2734.29
*	*	J1	11446	EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM	1339.20	010	N	4742.07
*	*	J1	11450	EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR	1350.00	090	N	4742.07
*	*	J1	11451	EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR	1698.00	090	N	4742.07
*	*	J1	11462	EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR	1315.20	090	N	4742.07
*	*	J1	11463	EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR	1718.40	090	N	4742.07
*	*	J1	11470	EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR	1443.60	090	N	4742.07
*	*	J1	11471	EXCISION H/P/P/U COMPLEX REPAIR	1765.20	090	N	4742.07
*	*	11600	EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<	663.60	010	N	822.66
*	*	11601	EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM	782.40	010	N	822.66
*	*	11602	EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM	847.20	010	N	445.99
*	*	11603	EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM	968.40	010	N	822.66
*	*	11604	EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM	1074.00	010	N	822.66
*	*	J1	11606	EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM	1542.00	010	N	2734.29
*	*	J1	11620	EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<	668.40	010	N	2734.29
*	*	11621	EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM	786.00	010	N	822.66
*	*	11622	EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM	876.00	010	N	822.66
*	*	J1	11623	EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM	1026.00	010	N	2734.29
*	*	J1	11624	EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM	1160.40	010	N	2734.29
*	*	J1	11626	EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM	1396.80	010	N	4742.07
*	*	11640	EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<	688.80	010	N	822.66
*	*	11641	EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM	813.60	010	N	822.66
*	*	11642	EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM	927.60	010	N	822.66
*	*	J1	11643	EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM	1090.80	010	N	2734.29
*	*	J1	11644	EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM	1346.40	010	N	2734.29
*	*	J1	11646	EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM	1756.80	010	N	4742.07
*	*	11719	TRIMMING NONDYSTROPHIC NAILS ANY NUMBER	49.20	000	N	79.38
*	*	11720	DEBRIDEMENT NAIL ANY METHOD 1-5	112.80	000	N	79.38
*	*	11721	DEBRIDEMENT NAIL ANY METHOD 6/>	154.80	000	N	79.38
*	*	11730	AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1	370.80	000	N	250.56
+	*	11732	AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL	111.60	ZZZ	N
*	*	11740	EVACUATION SUBUNGUAL HEMATOMA	175.20	000	N	151.20
*	*	11750	EXCISION NAIL MATRIX PERMANENT REMOVAL	529.20	010	N	445.99
*	*	11755	BIOPSY NAIL UNIT SEPARATE PROCEDURE	416.40	000	N	822.66
*	*	11760	REPAIR NAIL BED	655.20	010	N	685.70
*	*	11762	RECONSTRUCTION NAIL BED W/GRAFT	978.00	010	N	2199.52
*	*	11765	WEDGE EXCISION SKIN NAIL FOLD	576.00	010	N	445.99
*	*	J1	11770	EXCISION PILONIDAL CYST/SINUS SIMPLE	972.00	010	N	4742.07
*	*	J1	11771	EXCISION PILONIDAL CYST/SINUS EXTENSIVE	2014.80	090	N	4742.07
*	*	J1	11772	EXCISION PILONIDAL CYST/SINUS COMPLICATED	2412.00	090	N	4742.07
*	*	11900	INJECTION INTRALESIONAL UP TO & INCLUD 7 LESIONS	184.80	000	N	250.56
*	*	11901	INJECTION INTRALESIONAL >7 LESIONS	234.00	000	N	250.56
*	*	11920	TATTOOING INCL MICROPIGMENTATION 6.0 CM/<	612.00	000	N	685.70
*	*	11921	TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM	700.80	000	N	685.70
+	*	11922	TATTOOING INCL MICROPIGMENTATION EA 20.0 CM	207.60	ZZZ	N
*	*	11950	SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<	234.00	000	N	250.56
*	*	11951	SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC	336.00	000	N	685.70
*	*	11952	SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC	453.60	000	N	685.70
*	*	11954	SUBCUTANEOUS INJECTION FILLING MATRL >10.0 CC	529.20	000	N	445.99
*	*	11960	INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ	3325.20	090	N	3927.90
*	*	J1	11970	REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS	2096.40	090	N	10775.65
*	*	11971	REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS	1622.40	090	N	3377.17
*	*	11976	REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES	493.20	000	N	822.66
*	*	11980	SUBCUTANEOUS HORMONE PELLET IMPLANTATION	322.80	000	N	494.39
*	*	11981	INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT	486.00	XXX	N	151.20
*	*	11982	REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT	538.80	XXX	N	494.39
*	*	11983	RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT	787.20	XXX	N	494.39
*	*	12001	SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<	303.60	000	N	250.56
*	*	12002	SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM	369.60	000	N	250.56
*	*	12004	SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM	433.20	000	N	250.56
*	*	12005	SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM	562.80	000	N	445.99
*	*	12006	SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM	664.80	000	N	445.99
*	*	12007	SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM	764.40	000	N	250.56
*	*	12011	SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<	370.80	000	N	250.56
*	*	12013	SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM	387.60	000	N	250.56
*	*	12014	SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM	465.60	000	N	250.56
*	*	12015	SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM	562.80	000	N	250.56
*	*	12016	SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM	710.40	000	N	445.99
*	*	12017	SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM	520.80	000	N	445.99
*	*	12018	SIMPLE REPAIR F/E/E/N/L/M >30.0 CM	590.40	000	Y	250.56
*	*	12020	TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE	980.40	010	N	685.70
*	*	12021	TX SUPERFICIAL WOUND DEHISCENCE W/PACKING	571.20	010	N	445.99
*	*	12031	REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<	837.60	010	N	445.99
*	*	12032	REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM	1038.00	010	N	445.99
*	*	12034	REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM	1088.40	010	N	445.99
*	*	12035	REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM	1311.60	010	N	445.99
*	*	12036	REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM	1452.00	010	N	685.70
*	*	12037	REPAIR INTERMEDIATE S/A/T/E >30.0 CM	1644.00	010	N	2199.52
*	*	12041	REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<	836.40	010	N	445.99
*	*	12042	REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM	1009.20	010	N	445.99
*	*	12044	REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM	1249.20	010	N	685.70
*	*	12045	REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM	1375.20	010	N	685.70
*	*	12046	RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM	1656.00	010	N	445.99
*	*	12047	REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM	1818.00	010	Y	2199.52
*	*	12051	REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/<	906.00	010	N	445.99
*	*	12052	REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM	1026.00	010	N	445.99
*	*	12053	REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM	1200.00	010	N	445.99
*	*	12054	REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM	1255.20	010	N	445.99
*	*	12055	REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM	1628.40	010	N	445.99
*	*	12056	REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM	1917.60	010	N	445.99
*	*	12057	REPAIR INTERMEDIATE F/E/E/N/L&/MUC >30.0 CM	2031.60	010	Y	445.99
*	*	13100	REPAIR COMPLEX TRUNK 1.1-2.5 CM	1159.20	010	N	685.70
*	*	13101	REPAIR COMPLEX TRUNK 2.6-7.5 CM	1366.80	010	N	685.70
+	*	13102	REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/<	415.20	ZZZ	N
*	*	13120	REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM	1210.80	010	N	685.70
*	*	13121	REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM	1471.20	010	N	685.70
+	*	13122	REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<	453.60	ZZZ	N
*	*	13131	REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM	1330.80	010	N	445.99
*	*	13132	REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM	1639.20	010	N	685.70
+	*	13133	REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<	607.20	ZZZ	N
*	*	13151	REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM	1455.60	010	N	685.70
*	*	13152	REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM	1737.60	010	N	685.70
+	*	13153	REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/<	660.00	ZZZ	N
*	*	13160	SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC	2755.20	090	N	2199.52
*	*	14000	ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM/<	2136.00	090	N	2199.52
*	*	14001	ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM	2738.40	090	N	2199.52
*	*	14020	ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/<	2384.40	090	N	2199.52
*	*	14021	ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM	2974.80	090	N	2199.52
*	*	14040	ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<	2604.00	090	N	2199.52
*	*	14041	ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM	3210.00	090	N	2199.52
*	*	14060	ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM/<	2653.20	090	N	2199.52
*	*	14061	ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM	3452.40	090	N	2199.52
*	*	14301	ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM	3694.80	090	Y	3927.90
+	*	14302	ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM	760.80	ZZZ	Y
*	*	14350	FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE	2354.40	090	N	2199.52
*	*	15002	PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT	1192.80	000	N	2199.52
+	*	15003	PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT	253.20	ZZZ	N
*	*	15004	PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT	1365.60	000	N	685.70
+	*	15005	PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT	422.40	ZZZ	N
*	*	15040	HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<	874.80	000	N	2199.52
*	*	15050	PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM	1936.80	090	N	685.70
*	*	15100	SPLIT AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD	2949.60	090	N	2199.52
+	*	15101	SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD	637.20	ZZZ	N
*	*	15110	EPIDRM AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD	2738.40	090	N	2199.52
+	*	15111	EPIDRM AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD	398.40	ZZZ	N
*	*	15115	EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/<	2718.00	090	N	2199.52
+	*	15116	EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM	576.00	ZZZ	N
*	*	15120	SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/</1 %	2914.80	090	N	3927.90
+	*	15121	SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 %	714.00	ZZZ	N
*	*	15130	DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM	2282.40	090	N	2199.52
+	*	15131	DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA	342.00	ZZZ	N
*	*	15135	DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100	2942.40	090	N	3927.90
+	*	15136	DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA	338.40	ZZZ	N
*	*	15150	CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM/<	2406.00	090	N	2199.52
+	*	15151	CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM	414.00	ZZZ	N
+	*	15152	CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1%BODY AREA	510.00	ZZZ	N
*	*	15155	CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM/<	2740.80	090	N	3927.90
+	*	15156	CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM	558.00	ZZZ	N
+	*	15157	CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA	620.40	ZZZ	N
*	*	15200	FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM/<	2859.60	090	N	2199.52
+	*	15201	FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM/<	496.80	ZZZ	N
*	*	15220	FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM/<	2647.20	090	N	2199.52
+	*	15221	FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM/<	464.40	ZZZ	N
*	*	15240	FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM/<	3201.60	090	N	2199.52
+	*	15241	FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM/<	626.40	ZZZ	N
*	*	15260	FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM/<	3465.60	090	N	2199.52
+	*	15261	FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM/<	726.00	ZZZ	N
*	*	15271	APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25	496.80	000	N	2199.52
+	*	15272	APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC	91.20	ZZZ	N
*	*	15273	APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM	1047.60	000	N	3927.90
+	*	15274	APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM	258.00	ZZZ	N
*	*	15275	SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM	524.40	000	N	2199.52
+	*	15276	SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM	117.60	ZZZ	N
*	*	15277	SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM 1ST 100SQ CM	1146.00	000	N	2199.52
+	*	15278	SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM ADL 100SQ CM	304.80	ZZZ	N
*	*	15570	FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK	3124.80	090	N	2199.52
*	*	15572	FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS	3039.60	090	N	3927.90
*	*	15574	FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F	3102.00	090	N	2199.52
*	*	15576	FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL	2751.60	090	N	2199.52
*	*	15600	DELAY FLAP/SECTIONING FLAP TRUNK	1116.00	090	N	3927.90
*	*	15610	DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS	1219.20	090	N	2199.52
*	*	15620	DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F	1502.40	090	N	2199.52
*	*	15630	DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS	1570.80	090	N	2199.52
*	*	15650	TRANSFER ANY PEDICLE FLAP ANY LOCATION	1742.40	090	N	2199.52
*	*	15730	MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES	5239.20	090	N	3927.90
*	*	15731	FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE	3844.80	090	N	3927.90
*	*	15733	MUSC MYOQ/FSCQ FLAP HEAD & NECK W/NAMED VASC PEDCL	3614.40	090	N	3927.90
*	*	15734	MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK	5216.40	090	Y	3927.90
*	*	15736	MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR	4236.00	090	N	2199.52
*	*	15738	MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR	4518.00	090	Y	3927.90
*	*	15740	FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY	3459.60	090	N	2199.52
*	*	15750	FLAP NEUROVASCULAR PEDICLE	3166.80	090	Y	3927.90
*	*	15756	FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST	7945.20	090	Y
*	*	15757	FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS	7861.20	090	Y	666.46
*	*	15758	FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS	7930.80	090	Y
*	*	15760	GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA	2911.20	090	N	2199.52
*	*	15770	GRAFT DERMA-FAT-FASCIA	2290.80	090	Y	3927.90
*	*	15775	PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS	1048.80	000	N	445.99
*	*	15776	PUNCH GRAFT HAIR TRANSPLANT >15 PUNCH GRAFTS	1508.40	000	N	445.99
+	*	15777	IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT	750.00	ZZZ	N
*	*	J1	15780	DERMABRASION TOTAL FACE	3139.20	090	N	4742.07
*	*	15781	DERMABRASION SEGMENTAL FACE	1885.20	090	N	822.66
*	*	J1	15782	DERMABRASION REGIONAL OTHER THAN FACE	1963.20	090	N	2734.29
*	*	15783	DERMABRASION SUPERFICIAL ANY SITE	1634.40	090	N	445.99
*	*	15786	ABRASION 1 LESION	837.60	010	N	250.56
+	*	15787	ABRASION EACH ADDITIONAL 4 LESIONS OR LESS	152.40	ZZZ	N
*	*	15788	CHEMICAL PEEL FACIAL EPIDERMAL	1530.00	090	N	250.56
*	*	15789	CHEMICAL PEEL FACIAL DERMAL	1890.00	090	N	685.70
*	*	15792	CHEMICAL PEEL NONFACIAL EPIDERMAL	1416.00	090	N	445.99
*	*	15793	CHEMICAL PEEL NONFACIAL DERMAL	1689.60	090	N	445.99
*	*	15819	CERVICOPLASTY	2731.20	090	N	2199.52
*	*	15820	BLEPHAROPLASTY LOWER EYELID	1945.20	090	N	2199.52
*	*	15821	BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD	2085.60	090	N	2199.52
*	*	15822	BLEPHAROPLASTY UPPER EYELID	1528.80	090	N	2199.52
*	*	15823	BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN	2084.40	090	N	2199.52
*	*	15824	RHYTIDECTOMY FOREHEAD	3634.80	000	N	2199.52
*	*	15825	RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING	6904.80	000	N	3927.90
*	*	15826	RHYTIDECTOMY GLABELLAR FROWN LINES	2175.24	000	N	3927.90
*	*	15828	RHYTIDECTOMY CHEEK CHIN & NECK	10657.20	000	N	3927.90
*	*	15829	RHYTIDECTOMY SMAS FLAP	6728.40	000	N	3927.90
*	*	J1	15830	EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY	4050.00	090	Y	9771.93
*	*	J1	15832	EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH	3168.00	090	Y	4742.07
*	*	J1	15833	EXCISION EXCESSIVE SKIN & SUBQ TISSUE LEG	2995.20	090	N	4742.07
*	*	J1	15834	EXCISION EXCESSIVE SKIN & SUBQ TISSUE HIP	3062.40	090	N	4742.07
*	*	J1	15835	EXCISION EXCESSIVE SKIN & SUBQ TISSUE BUTTOCK	3220.80	090	N	4742.07
*	*	J1	15836	EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM	2718.00	090	N	4742.07
*	*	J1	15837	EXC EXCESSIVE SKIN &SUBQ TISSUE FOREARM/HAND	2964.00	090	N	4742.07
*	*	J1	15838	EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL FAT PAD	2200.80	090	N	4742.07
*	*	J1	15839	EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA	3032.40	090	N	4742.07
*	*	15840	GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT	3463.20	090	N	3927.90
*	*	15841	GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT	6146.40	090	Y	3927.90
*	*	15842	GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG	9364.80	090	Y	2199.52
*	*	15845	GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR	3464.40	090	Y	3927.90
+	*	15847	EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN	2668.80	YYY	Y
*	*	15850	REMOVAL SUTURES UNDER ANESTHESIA SAME SURGEON	307.20	XXX	N	685.70
*	*	15851	REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON	342.00	000	N	2199.52
*	*	15852	DRESSING CHANGE UNDER ANESTHESIA	159.60	000	N	685.70
*	*	15860	IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT	372.00	000	N	494.39
*	*	15876	SUCTION ASSISTED LIPECTOMY HEAD & NECK	3015.60	000	N	3927.90
*	*	15877	SUCTION ASSISTED LIPECTOMY TRUNK	4603.20	000	N	3927.90
*	*	15878	SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY	BR	000	N	2199.52
*	*	15879	SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY	5754.00	000	N	3927.90
*	*	J1	15920	EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR	2140.80	090	N	4742.07
*	*	15922	EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR	2700.00	090	Y	3927.90
*	*	J1	15931	EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE	2392.80	090	N	2734.29
*	*	J1	15933	EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY	2949.60	090	N	4742.07
*	*	15934	EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR	3258.00	090	N	3927.90
*	*	15935	EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY	3796.80	090	Y	3927.90
*	*	15936	EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR	3086.40	090	N	2199.52
*	*	15937	EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC	3582.00	090	N	2199.52
*	*	J1	15940	EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE	2418.00	090	N	4742.07
*	*	J1	15941	EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT	3130.80	090	N	4742.07
*	*	15944	EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE	3099.60	090	N	3927.90
*	*	15945	EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY	3415.20	090	N	2199.52
*	*	15946	EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN	5624.40	090	N	2199.52
*	*	J1	15950	EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR	2078.40	090	N	2734.29
*	*	J1	15951	EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY	3034.80	090	N	4742.07
*	*	15952	EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE	3116.40	090	Y	2199.52
*	*	15953	EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY	3439.20	090	N	3927.90
*	*	15956	EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN	4005.60	090	N	2199.52
*	*	15958	EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC	4087.20	090	N	3927.90
*	*	15999	UNLISTED PROCEDURE EXCISION PRESSURE ULCER	BR	YYY	N	822.66
*	*	16000	INITIAL TX 1ST DEGREE BURN LOCAL TX	240.00	000	N	250.56
*	*	16020	DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL	278.40	000	N	250.56
*	*	16025	DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM	511.20	000	N	250.56
*	*	16030	DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE	648.00	000	N	445.99
*	*	16035	ESCHAROTOMY FIRST INCISION	678.00	000	N	445.99
+	*	16036	ESCHAROTOMY EACH ADDITIONAL INCISION	283.20	ZZZ	N
*	*	17000	DESTRUCTION PREMALIGNANT LESION 1ST	222.00	010	N	250.56
+	*	17003	DESTRUCTION PREMALIGNANT LESION 2-14 EA	19.20	ZZZ	N
*	Ø	17004	DESTRUCTION PREMALIGNANT LESION 15/>	517.20	010	N	445.99
*	*	17106	DESTRUCTION CUTANEOUS VASC PROLIFERATIVE <10CM	1173.60	090	N	445.99
*	*	17107	DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM	1520.40	090	N	685.70
*	*	17108	DSTRJ CUTANEOUS VASCULAR LESIONS >50.0 SQ CM	2202.00	090	N	2199.52
*	*	17110	DESTRUCTION BENIGN LESIONS UP TO 14	375.60	010	N	250.56
*	*	17111	DESTRUCTION BENIGN LESIONS 15/>	445.20	010	N	250.56
*	*	17250	CHEMICAL CAUTERIZATION OF GRANULATION TISSUE	277.20	000	N	250.56
*	*	17260	DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<	325.20	010	N	250.56
*	*	17261	DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM	493.20	010	N	250.56
*	*	17262	DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM	601.20	010	N	250.56
*	*	17263	DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM	656.40	010	N	250.56
*	*	17264	DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM	702.00	010	N	445.99
*	*	17266	DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM	799.20	010	N	445.99
*	*	17270	DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/>	508.80	010	N	250.56
*	*	17271	DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM	560.40	010	N	250.56
*	*	17272	DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM	639.60	010	N	250.56
*	*	17273	DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM	712.80	010	N	445.99
*	*	17274	DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM	841.20	010	N	445.99
*	*	17276	DSTRJ MAL LESION S/N/H/F/G LESION DIAM > 4.0 CM	973.20	010	N	445.99
*	*	17280	DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<	476.40	010	N	250.56
*	*	17281	DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM	610.80	010	N	445.99
*	*	17282	DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM	700.80	010	N	445.99
*	*	17283	DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM	838.80	010	N	445.99
*	*	17284	DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM	956.40	010	N	685.70
*	*	17286	DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM	1226.40	010	N	685.70
*	*	17311	MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS	2277.60	000	N	685.70
+	*	17312	MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE	1351.20	ZZZ	N
*	*	17313	MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS	2130.00	000	N	685.70
+	*	17314	MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE	1290.00	ZZZ	N
+	*	17315	MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE	271.20	ZZZ	N
*	*	17340	CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE	178.80	010	N	45.61
*	*	17360	CHEMICAL EXFOLIATION ACNE	433.20	010	N	250.56
*	*	17380	ELECTROLYSIS EPILATION EACH 30 MINUTES	153.60	000	N	685.70
*	*	17999	UNLISTED PX SKIN MUC MEMBRANE & SUBQ TISSUE	BR	YYY	N	250.56
*	*	19000	PUNCTURE ASPIRATION CYST BREAST	374.40	000	N	822.66
+	*	19001	PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST	92.40	ZZZ	N
*	*	J1	19020	MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP	1620.00	090	N	2734.29
*	*	19030	INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM	568.80	000	N
*	*	J1	19081	BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID	2210.40	000	N	2734.29
+	*	19082	BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID	1803.60	ZZZ	N
*	*	J1	19083	BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID	2164.80	000	N	2734.29
+	*	19084	BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID	1738.80	ZZZ	N
*	*	J1	19085	BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID	3286.80	000	N	2734.29
+	*	19086	BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID	2636.40	ZZZ	N
*	*	J1	19100	BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX	518.40	000	N	2734.29
*	*	J1	19101	BIOPSY BREAST OPEN INCISIONAL	1156.80	010	N	5620.48
*	*	J1	19105	ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA	9660.00	000	N	5620.48
*	*	J1	19110	NIPPLE EXPLORATION	1675.20	090	N	5620.48
*	*	J1	19112	EXCISION LACTIFEROUS DUCT FISTULA	1578.00	090	N	5620.48
*	*	J1	19120	EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	1716.00	090	N	5620.48
*	*	J1	19125	EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES	1900.80	090	N	5620.48
+	*	19126	EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL	561.60	ZZZ	N
*	*	J1	19260	EXCISION CHEST WALL TUMOR INCLUDING RIBS	4120.80	090	Y	4742.07
*	*	19271	EXC CHEST TUMOR W/RCNSTJ W/O MEDSTNL LMPHADEC	5538.00	090	Y
*	*	19272	EXC CHEST TUMOR W/RCNSTJ W/MEDSTNL LMPHADEC	6039.60	090	Y
*	*	19281	PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE	828.00	000	N	822.66
+	*	19282	PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE	578.40	ZZZ	N
*	*	19283	PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE	927.60	000	N	822.66
+	*	19284	PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC	704.40	ZZZ	N
*	*	19285	PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG	1654.80	000	N	822.66
+	*	19286	PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE	1429.20	ZZZ	N
*	*	19287	PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID	2796.00	000	N	822.66
+	*	19288	PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID	2239.20	ZZZ	N
+	*	19294	PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY	565.20	ZZZ	N
*	*	J1	19296	PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST	13578.00	000	N	13715.53
+	*	19297	PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST	330.00	ZZZ	N
*	*	J1	19298	PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST	3388.80	000	N	9771.93
*	*	J1	19300	MASTECTOMY GYNECOMASTIA	1842.00	090	N	5620.48
*	*	J1	19301	MASTECTOMY PARTIAL	2263.20	090	N	5620.48
*	*	J1	19302	MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY	3116.40	090	Y	9771.93
*	*	J1	19303	MASTECTOMY SIMPLE COMPLETE	3322.80	090	Y	9771.93
*	*	J1	19304	MASTECTOMY SUBCUTANEOUS	2017.20	090	Y	5620.48
*	*	19305	MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES	3927.60	090	Y	4993.63
*	*	19306	MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES	4161.60	090	Y
*	*	J1	19307	MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN	4153.20	090	Y	9771.93
*	*	J1	19316	MASTOPEXY	2660.40	090	Y	9771.93
*	*	J1	19318	REDUCTION MAMMAPLASTY	3790.80	090	Y	9771.93
*	*	J1	19324	MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT	1818.00	090	N	13715.53
*	*	J1	19325	MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT	2215.20	090	N	13715.53
*	*	19328	REMOVAL INTACT MAMMARY IMPLANT	1712.40	090	N	3998.73
*	*	19330	REMOVAL MAMMARY IMPLANT MATERIAL	2181.60	090	N	3998.73
*	*	J1	19340	IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ	3432.00	090	N	9771.93
*	*	J1	19342	DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ	3183.60	090	N	13715.53
*	*	J1	19350	NIPPLE/AREOLA RECONSTRUCTION	2833.20	090	N	5620.48
*	*	J1	19355	CORRECTION INVERTED NIPPLES	2583.60	090	N	5620.48
*	*	J1	19357	BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ	5179.20	090	Y	22381.25
*	*	19361	BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL	5426.40	090	Y	4817.70
*	*	19364	BREAST RECONSTRUCTION FREE FLAP	9505.20	090	Y	2934.05
*	*	J1	19366	BREAST RECONSTRUCTION OTHER TECHNIQUE	4845.60	090	Y	9771.93
*	*	19367	BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE	6160.80	090	Y
*	*	19368	BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST	7586.40	090	Y
*	*	19369	BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE	7041.60	090	Y
*	*	J1	19370	OPEN PERIPROSTHETIC CAPSULOTOMY BREAST	2367.60	090	N	5620.48
*	*	J1	19371	PERIPROSTHETIC CAPSULECTOMY BREAST	2707.20	090	N	5620.48
*	*	J1	19380	REVISION RECONSTRUCTED BREAST	2671.20	090	N	9771.93
*	*	J1	19396	PREPARATION MOULAGE CUSTOM BREAST IMPLANT	987.60	000	N	5620.48
*	*	J1	19499	UNLISTED PROCEDURE BREAST	BR	YYY	N	5620.48
*	*	20100	EXPLORATION PENETRATING WOUND SPX NECK	2104.80	010	Y	691.72
*	*	20101	EXPLORATION PENETRATING WOUND SPX CHEST	1555.20	010	N	2199.52
*	*	20102	EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK	1684.80	010	N	2199.52
*	*	20103	EXPLORATION PENETRATING WOUND SPX EXTREMITY	1993.20	010	N	822.66
*	*	J1	20150	EXCISION EPIPHYSEAL BAR	3490.80	090	Y	5184.51
*	*	J1	20200	BIOPSY MUSCLE SUPERFICIAL	714.00	000	N	2734.29
*	*	J1	20205	BIOPSY MUSCLE DEEP	1002.00	000	N	4742.07
*	*	J1	20206	BIOPSY MUSCLE PERCUTANEOUS NEEDLE	805.20	000	N	2734.29
*	*	J1	20220	BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL	574.80	000	N	2734.29
*	*	J1	20225	BIOPSY BONE TROCAR/NEEDLE DEEP	1765.20	000	N	2734.29
*	*	J1	20240	BIOPSY BONE OPEN SUPERFICIAL	517.20	000	N	4742.07
*	*	J1	20245	BIOPSY BONE OPEN DEEP	1215.60	000	N	4742.07
*	*	J1	20250	BIOPSY VERTEBRAL BODY OPEN THORACIC	1380.00	010	N	5184.51
*	*	J1	20251	BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL	1494.00	010	Y	10775.65
*	*	J1	20500	INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC	370.80	010	N	2543.11
*	*	20501	INJECTION SINUS TRACT DIAGNOSTIC	434.40	000	N
*	*	J1	20520	REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE	704.40	010	N	2734.29
*	*	J1	20525	RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP	1635.60	010	N	4742.07
*	*	20526	INJECTION THERAPEUTIC CARPAL TUNNEL	264.00	000	N	351.42
*	*	20527	INJECTION ENZYME PALMAR FASCIAL CORD	286.80	000	N	351.42
*	*	20550	INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	181.20	000	N	351.42
*	*	20551	INJECTION SINGLE TENDON ORIGIN/INSERTION	183.60	000	N	351.42
*	*	20552	INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	188.40	000	N	351.42
*	*	20553	INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES	217.20	000	N	351.42
*	*	J1	20555	PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT	1138.80	000	N	5184.51
*	*	20600	ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	165.60	000	N	351.42
*	*	20604	ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT	252.00	000	N	351.42
*	*	20605	ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	172.80	000	N	351.42
*	*	20606	ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US	278.40	000	N	850.31
*	*	20610	ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	205.20	000	N	351.42
*	*	20611	ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US	313.20	000	N	351.42
*	*	20612	ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ	205.20	000	N	351.42
*	*	20615	ASPIRATION & INJECTION TREATMENT BONE CYST	834.00	010	N	822.66
*	*	J1	20650	INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX	728.40	010	N	5184.51
*	*	20660	APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX	848.40	000	N	1864.94
*	*	20661	APPLICATION HALO CRANIAL INCLUDING REMOVAL	1743.60	090	N
*	*	J1	20662	APPLICATION HALO PELVIC INCLUDING REMOVAL	1770.00	090	N	2624.38
*	*	J1	20663	APPLICATION HALO FEMORAL INCLUDING REMOVAL	1626.00	090	N	5184.51
*	*	20664	APPL HALO 6/> PINS THIN SKULL OSTEOLOGY	3038.40	090	N
*	*	20665	REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL	375.60	010	N	494.39
*	*	20670	REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE	1280.40	010	N	1953.21
*	*	20680	REMOVAL IMPLANT DEEP	2114.40	090	N	3377.17
*	*	J1	20690	APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM	2064.00	090	N	10775.65
*	*	J1	20692	APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM	3872.40	090	Y	19120.53
*	*	J1	20693	ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES	1530.00	090	N	10775.65
*	*	20694	REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES	1465.20	090	N	1864.94
*	*	J1	20696	XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST & SUBQ	4138.80	090	Y	26078.68
*	Ø	J1	20697	XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT	7069.20	BR	7069.20	000	Y
*	*	20802	REPLANTATION ARM COMPLETE AMPUTATION	9562.80	090	Y
*	*	20805	REPLANTATION FOREARM COMPLETE AMPUTATION	11386.80	090	Y
*	*	20808	REPLANTATION HAND COMPLETE AMPUTATION	13776.00	090	Y
*	*	20816	RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP	7161.60	090	Y
*	*	J1	20822	RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP	6153.60	090	Y	2624.38
*	*	20824	RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION	7173.60	090	Y
*	*	20827	RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION	6284.40	090	Y
*	*	20838	REPLANTATION FOOT COMPLETE AMPUTATION	9682.80	090	Y
*	*	J1	20900	BONE GRAFT ANY DONOR AREA MINOR/SMALL	1406.40	000	Y	10775.65
*	*	J1	20902	BONE GRAFT ANY DONOR AREA MAJOR/LARGE	984.00	000	Y	10775.65
*	*	20910	CARTILAGE GRAFT COSTOCHONDRAL	1615.20	090	N	685.70
*	*	20912	CARTILAGE GRAFT NASAL SEPTUM	1632.00	090	N	3927.90
*	*	20920	FASCIA LATA GRAFT BY STRIPPER	1381.20	090	N	2199.52
*	*	20922	FASCIA LATA GRAFT INCISION & AREA EXPOSURE	2042.40	090	Y	2199.52
*	*	J1	20924	TENDON GRAFT FROM A DISTANCE	1746.00	090	Y	10775.65
*	*	20926	TISSUE GRAFTS OTHER	1448.40	090	N	3927.90
+	*	20930	ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED	920.40	XXX	N
+	*	20931	ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL	391.20	ZZZ	N
+	*	20932	OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF & BONE	2464.80	ZZZ	Y
+	*	20933	HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL	2260.80	ZZZ	Y
+	*	20934	INTERCALARY ALLOGRAFT COMPLETE	2463.60	ZZZ	Y
+	*	20936	AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION	1150.80	XXX	N
+	*	20937	AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION	585.60	ZZZ	Y
+	*	20938	AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC	648.00	ZZZ	Y
+	*	20939	BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY	230.40	ZZZ	N
*	*	20950	MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME	889.20	000	N	822.66
*	*	20955	BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA	8602.80	090	Y
*	*	20956	BONE GRAFT MICROVASCULAR ANAST ILIAC CREST	9134.40	090	Y
*	*	20957	BONE GRAFT MICROVASCULAR ANAST METATARSAL	9567.60	090	Y
*	*	20962	BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR	9244.80	090	Y
*	*	20969	FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE	9496.80	090	Y
*	*	20970	FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST	9885.60	090	Y
*	*	J1	20972	FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL	9919.20	090	Y	10775.65
*	*	J1	20973	FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE	10477.20	090	Y	10775.65
*	Ø	20974	ELECTRICAL STIMULATION BONE HEALING NONINVASIVE	268.80	000	N
*	Ø	20975	ELECTRICAL STIMULATION BONE HEALING INVASIVE	621.60	000	Y
*	*	20979	LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE	178.80	000	N	24.38
*	*	J1	20982	ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE	13216.80	000	N	10775.65
*	*	J1	20983	ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD	19648.80	000	N	10775.65
+	*	20985	CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS	508.80	ZZZ	N
*	*	20999	UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL	BR	YYY	N	319.63
*	*	J1	21010	ARTHROTOMY TEMPOROMANDIBULAR JOINT	2638.80	090	N	4449.71
*	*	J1	21011	EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM	1214.40	090	Y	2734.29
*	*	J1	21012	EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>	1170.00	090	Y	2734.29
*	*	J1	21013	EXC TUMOR SOFT TISS FACE & SCALP SUBFASCIAL <2CM	1803.60	090	Y	2734.29
*	*	J1	21014	EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2 CM/>	1801.20	090	Y	4742.07
*	*	J1	21015	RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM	2436.00	090	N	4742.07
*	*	J1	21016	RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>	3498.00	090	Y	4742.07
*	*	J1	21025	EXCISION BONE MANDIBLE	2984.40	090	N	8765.29
*	*	J1	21026	EXCISION FACIAL BONE	2042.40	090	N	8765.29
*	*	J1	21029	REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE	2649.60	090	N	4449.71
*	*	J1	21030	EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL & CURTG	1755.60	090	N	8765.29
*	*	J1	21031	EXCISION TORUS MANDIBULARIS	1357.20	090	N	4449.71
*	*	J1	21032	EXCISION MAXILLARY TORUS PALATINUS	1365.60	090	N	4449.71
*	*	J1	21034	EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA	4500.00	090	Y	8765.29
*	*	J1	21040	EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL & CURT	1768.80	090	N	4449.71
*	*	J1	21044	EXCISION MALIGNANT TUMOR MANDIBLE	3009.60	090	Y	8765.29
*	*	21045	EXCISION MALIGNANT TUMOR MANDIBLE RADICAL	4214.40	090	Y
*	*	J1	21046	EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT	3788.40	090	N	8765.29
*	*	J1	21047	EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT&PRTL MNDB	4522.80	090	Y	8765.29
*	*	J1	21048	EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT	3848.40	090	N	8765.29
*	*	J1	21049	EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT&PRTL MAXLC	4159.20	090	Y	8765.29
*	*	J1	21050	CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX	3110.40	090	N	8765.29
*	*	J1	21060	MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX	2829.60	090	Y	8765.29
*	*	J1	21070	CORONOIDECTOMY SEPARATE PROCEDURE	2198.40	090	N	8765.29
*	*	J1	21073	MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA	1322.40	090	N	2543.11
*	*	J1	21076	IMPRESSION&PREPARATION SURG OBTURATOR PROSTHES	3312.00	010	N	2543.11
*	*	J1	21077	IMPRESSION & PREPARATION ORBITAL PROSTHESIS	8256.00	090	N	8765.29
*	*	J1	21079	IMPRESSION & PREPARATION INTERIM OBTURATOR PROST	5599.20	090	N	4449.71
*	*	J1	21080	IMPRESSION & PREPJ DEFINITIVE OBTURATOR PROSTHES	6327.60	090	N	4449.71
*	*	J1	21081	IMPRESSION & PREPJ MANDIBULAR RESECTION PROSTHES	5823.60	090	N	8765.29
*	*	J1	21082	IMPRESSION & PREPJ PALATAL AUGMENTATION PROSTHES	5439.60	090	N	4449.71
*	*	J1	21083	IMPRESSION & PREPARATION PALATAL LIFT PROSTHESIS	5186.40	090	N	4449.71
*	*	J1	21084	IMPRESSION & PREPARATION SPEECH AID PROSTHESIS	5938.80	090	N	4449.71
*	*	21085	IMPRESSION & PREPARATION ORAL SURGICAL SPLINT	2526.00	010	N	292.72
*	*	J1	21086	IMPRESSION & PREPARATION AURICULAR PROSTHESIS	6132.00	090	N	4449.71
*	*	J1	21087	IMPRESSION & PREPARATION NASAL PROSTHESIS	6132.00	090	N	8765.29
*	*	J1	21088	IMPRESSION & PREPARATION FACIAL PROSTHESIS	5984.40	090	N	4449.71
*	*	21089	UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE	BR	YYY	N	292.72
*	*	J1	21100	APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX	2386.80	090	N	8765.29
*	*	21110	APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC	2805.60	090	N	1816.32
*	*	21116	INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY	609.60	000	N
*	*	J1	21120	GENIOPLASTY AUGMENTATION	2317.20	090	N	8765.29
*	*	J1	21121	GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE	2514.00	090	Y	4449.71
*	*	J1	21122	GENIOPLASTY 2/> SLIDING OSTEOTOMIES	2685.60	090	Y	8765.29
*	*	J1	21123	GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS	3134.40	090	Y	4449.71
*	*	J1	21125	AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL	9932.40	090	Y	8765.29
*	*	J1	21127	AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL	13464.00	090	Y	8765.29
*	*	J1	21137	REDUCTION FOREHEAD CONTOURING ONLY	2594.40	090	Y	4449.71
*	*	J1	21138	RDCTJ FHD CNTRG & PROSTHETIC MATRL/BONE GRAFT	3169.20	090	Y	8765.29
*	*	J1	21139	RDCTJ FHD CNTRG & SETBACK ANT FRONTAL SINUS WALL	3858.00	090	Y	8765.29
*	*	21141	RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT	4735.20	090	Y	8109.22
*	*	21142	RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT	4867.20	090	Y	6151.61
*	*	21143	RCNSTJ MIDFACE LEFORT I 3/> PIECE W/O BONE GRAFT	5078.40	090	Y	7881.27
*	*	21145	RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS	5548.80	090	Y	9252.92
*	*	21146	RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS	5769.60	090	Y	9590.09
*	*	21147	RCNSTJ MIDFACE LEFORT I 3/> PIECE W/BONE GRAFTS	6100.80	090	Y	9415.69
*	*	J1	21150	RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION	5721.60	090	Y	8765.29
*	*	21151	RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS	6297.60	090	Y
*	*	21154	RCNSTJ MIDFACE LEFORT III W/O LEFORT I	6775.20	090	Y
*	*	21155	RCNSTJ MIDFACE LEFORT III W/LEFORT I	7516.80	090	Y
*	*	21159	RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I	9010.80	090	Y
*	*	21160	RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I	9774.00	090	Y
*	*	J1	21172	RCNSTJ SUPERIOR-LATERAL ORBITAL RIM & LOWER FHD	7270.80	090	Y	8765.29
*	*	J1	21175	RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS & LWR FHD	7658.40	090	Y	8765.29
*	*	21179	RCNSTJ FOREHEAD &/ SUPRAORB RIMS W/ALGRF/PROSTC	5232.00	090	Y
*	*	21180	RCNSTJ FOREHEAD &/ SUPRAORBITAL RIMS W/AUTOGRAFT	5887.20	090	Y
*	*	J1	21181	RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC	2554.80	090	N	8765.29
*	*	21182	RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF<40SQCM	7321.20	090	Y
*	*	21183	RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF>40 <80	8010.00	090	Y
*	*	21184	RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF>80SQ	8623.20	090	Y
*	*	21188	RCNSTJ MDFC OTH/THN LEFORT OSTEOT & BONE GRAFTS	5767.20	090	Y
*	*	J1	21193	RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF	4413.60	090	Y	8765.29
*	*	21194	RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT	5086.80	090	Y
*	*	J1	21195	RCNSTJ MNDBLR RAMI&/BODY SGTL SPLT W/O INT RGD	4921.20	090	Y	8765.29
*	*	21196	RCNSTJ MNDBLR RAMI&/BDY SGTL SPLT W/INT RGD FI	5061.60	090	Y	6822.85
*	*	J1	21198	OSTEOTOMY MANDIBLE SEGMENTAL	3969.60	090	Y	8765.29
*	*	J1	21199	OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT	3714.00	090	Y	8765.29
*	*	J1	21206	OSTEOTOMY MAXILLA SEGMENTAL	4096.80	090	Y	8765.29
*	*	J1	21208	OSTEOPLASTY FACIAL BONES AUGMENTATION	5989.20	090	N	8765.29
*	*	J1	21209	OSTEOPLASTY FACIAL BONES REDUCTION	3090.00	090	Y	8765.29
*	*	J1	21210	GRAFT BONE NASAL/MAXILLARY/MALAR AREAS	7233.60	090	N	8765.29
*	*	J1	21215	GRAFT BONE MANDIBLE	13765.20	090	N	8765.29
*	*	J1	21230	GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR	2562.00	090	N	8765.29
*	*	J1	21235	GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR	2492.40	090	N	8765.29
*	*	J1	21240	ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT	3858.00	090	Y	8765.29
*	*	J1	21242	ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT	3590.40	090	Y	8765.29
*	*	J1	21243	ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT	5870.40	090	Y	26078.68
*	*	J1	21244	RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE	3602.40	090	Y	8765.29
*	*	J1	21245	RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL	4184.40	090	Y	8765.29
*	*	J1	21246	RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE	3052.80	090	Y	8765.29
*	*	21247	RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS	5644.80	090	Y
*	*	J1	21248	RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL	3733.20	090	N	8765.29
*	*	J1	21249	RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE	5388.00	090	N	8765.29
*	*	21255	RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG	4881.60	090	Y
*	*	J1	21256	RECONSTRUCTION ORBIT W/OSTEOTOMIES & BONE GRAFTS	4294.80	090	Y	8765.29
*	*	J1	21260	PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL	4822.80	090	Y	8765.29
*	*	J1	21261	PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA & XTR	8542.80	090	Y	8765.29
*	*	J1	21263	PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD	7898.40	090	Y	8765.29
*	*	J1	21267	ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL	5622.00	090	Y	8765.29
*	*	21268	ORBITAL REPOSITIONING W/BONE GRAFTS ICRA & XTRC	7069.20	090	Y
*	*	J1	21270	MALAR AUGMENTATION PROSTHETIC MATERIAL	3487.20	090	Y	8765.29
*	*	J1	21275	SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ	2901.60	090	Y	8765.29
*	*	J1	21280	MEDIAL CANTHOPEXY SEPARATE PROCEDURE	1968.00	090	N	4449.71
*	*	J1	21282	LATERAL CANTHOPEXY	1321.20	090	N	4449.71
*	*	J1	21295	REDUCTION MASSETER MUSCLE & BONE EXTRAORAL	644.40	090	N	2543.11
*	*	J1	21296	REDUCTION MASSETER MUSCLE & BONE INTRAORAL	1396.80	090	N	4449.71
*	*	21299	UNLISTED CRANIOFACIAL & MAXILLOFACIAL PROCEDURE	BR	YYY	N	292.72
*	*	21310	CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION	451.20	000	N	319.63
*	*	J1	21315	CLOSED TX NASAL FRACTURE W/O STABILIZATION	940.80	010	N	2543.11
*	*	J1	21320	CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION	867.60	010	N	4449.71
*	*	J1	21325	OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED	1606.80	090	N	4449.71
*	*	J1	21330	OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FI	1940.40	090	N	8765.29
*	*	J1	21335	OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM	2463.60	090	N	4449.71
*	*	J1	21336	OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION	2206.80	090	N	5184.51
*	*	J1	21337	CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION	1394.40	090	N	4449.71
*	*	J1	21338	OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION	2265.60	090	N	8765.29
*	*	J1	21339	OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION	2565.60	090	Y	8765.29
*	*	J1	21340	PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE	2560.80	090	N	4449.71
*	*	21343	OPEN TX DEPRESSED FRONTAL SINUS FRACTURE	3698.40	090	Y	4602.09
*	*	21344	OPEN TX COMPLICATED FRONTAL SINUS FRACTURE	4759.20	090	Y
*	*	J1	21345	CLOSED TX NASOMAXILLARY COMPLEX FRACTURE	2670.00	090	N	2543.11
*	*	J1	21346	OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG & FXJ	3192.00	090	N	8765.29
*	*	21347	OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN	3483.60	090	Y
*	*	21348	OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT	3726.00	090	Y
*	*	J1	21355	PERCUTANEOUS TX MALAR AREA FRACTURE	1462.80	010	N	4449.71
*	*	J1	21356	OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE	1717.20	010	N	8765.29
*	*	J1	21360	OPEN TX DEPRESSED MALAR FRACTURE	1752.00	090	Y	8765.29
*	*	J1	21365	OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG	3834.00	090	Y	8765.29
*	*	21366	OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT	4390.80	090	Y
*	*	J1	21385	OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL	2598.00	090	Y	8765.29
*	*	J1	21386	OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL	2397.60	090	Y	8765.29
*	*	J1	21387	OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR	2709.60	090	Y	8765.29
*	*	J1	21390	OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC	2755.20	090	Y	8765.29
*	*	J1	21395	OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF	3488.40	090	Y	8765.29
*	*	21400	CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION	687.60	090	N	691.72
*	*	J1	21401	CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION	1770.00	090	Y	2543.11
*	*	J1	21406	OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT	1984.80	090	Y	8765.29
*	*	J1	21407	OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT	2223.60	090	Y	8765.29
*	*	J1	21408	OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT	3114.00	090	Y	8765.29
*	*	J1	21421	CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT	2439.60	090	N	4449.71
*	*	21422	OPEN TREATMENT PALATAL/MAXILLARY FRACTURE	2276.40	090	Y	3579.25
*	*	21423	OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR	2666.40	090	Y	3332.83
*	*	21431	CLOSED TX CRANIOFACIAL SEPARATION	2472.00	090	Y
*	*	21432	OPEN TX CRANIOFACIAL SEP W/WIRING&/INT FIXJ	2469.60	090	Y
*	*	21433	OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR	6020.40	090	Y
*	*	21435	OPEN TX CRANIOFACIAL SEP COMP W/INT&/XTRNL FIX	4839.60	090	Y
*	*	21436	OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE	7059.60	090	Y
*	*	J1	21440	CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX	2079.60	090	N	4449.71
*	*	J1	21445	OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX	2671.20	090	Y	8765.29
*	*	21450	CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION	1972.80	090	N	691.72
*	*	J1	21451	CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION	2610.00	090	N	2543.11
*	*	J1	21452	PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ	2300.40	090	N	8765.29
*	*	J1	21453	CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION	3314.40	090	N	8765.29
*	*	J1	21454	OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION	1882.80	090	N	8765.29
*	*	J1	21461	OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION	7132.80	090	N	8765.29
*	*	J1	21462	OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION	7604.40	090	Y	8765.29
*	*	J1	21465	OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE	3104.40	090	Y	8765.29
*	*	J1	21470	OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION	4144.80	090	Y	8765.29
*	*	21480	CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ	368.40	000	N	319.63
*	*	J1	21485	CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ	2854.80	090	N	2543.11
*	*	J1	21490	OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION	3067.20	090	Y	4449.71
*	*	J1	21497	INTERDENTAL WIRING OTHER THAN FRACTURE	2354.40	090	N	2543.11
*	*	21499	UNLISTED MUSCULOSKELETAL PROCEDURE HEAD	BR	YYY	N	292.72
*	*	J1	21501	I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX	1581.60	090	N	4742.07
*	*	J1	21502	I&D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI	1742.40	090	Y	5184.51
*	*	21510	INCISION DEEP OPENING BONE CORTEX THORAX	1528.80	090	N
*	*	J1	21550	BIOPSY SOFT TISSUE NECK/THORAX	895.20	010	N	2734.29
*	*	J1	21552	EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>	1543.20	090	Y	4742.07
*	*	J1	21554	EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>	2527.20	090	Y	4742.07
*	*	J1	21555	EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM	1448.40	090	N	2734.29
*	*	J1	21556	EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL GREATER THAN 5CM	1822.80	090	N	4742.07
*	*	J1	21557	RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX GREATER THAN 5CM	3297.60	090	Y	4742.07
*	*	J1	21558	RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/>	4651.20	090	Y	4742.07
*	*	J1	21600	EXCISION RIB PARTIAL	1902.00	090	Y	10775.65
*	*	J1	21610	COSTOTRANSVERSECTOMY SEPARATE PROCEDURE	4164.00	090	Y	5184.51
*	*	21615	EXCISION 1ST &/CERVICAL RIB	2109.60	090	Y	8654.28
*	*	21616	EXCISION 1ST &/CERVICAL RIB W/SYMPATHECTOMY	2467.20	090	Y
*	*	21620	OSTECTOMY STERNUM PARTIAL	1742.40	090	Y	3414.42
*	*	21627	STERNAL DEBRIDEMENT	1858.80	090	Y
*	*	21630	RADICAL RESECTION STERNUM	4252.80	090	Y
*	*	21632	RADICAL RESECTION STERNUM W/MEDSTNL LMPHADEC	4186.80	090	Y
*	*	J1	21685	HYOID MYOTOMY & SUSPENSION	3385.20	090	Y	8765.29
*	*	J1	21700	DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB	1228.80	090	Y	5184.51
*	*	21705	DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB	1846.80	090	Y
*	*	J1	21720	DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST	1772.40	090	Y	5184.51
*	*	21725	DIVISION STERNOCLEIDOMASTOID OPEN W/CAST	1869.60	090	Y	822.66
*	*	21740	REPAIR PECTUS EXCAVATUM/CARINATUM OPEN	3566.40	090	Y
*	*	J1	21742	REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC	7196.40	090	Y	5184.51
*	*	J1	21743	REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC	10012.80	090	Y	5184.51
*	*	21750	CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX	2365.20	090	Y
*	*	J1	21811	OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS	2061.60	000	Y	5184.51
*	*	J1	21812	OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS	2528.40	000	Y	5184.51
*	*	J1	21813	OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS	3408.00	000	Y	2624.38
*	*	21820	CLOSED TREATMENT STERNUM FRACTURE	489.60	090	N	319.63
*	*	21825	OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION	1870.80	090	Y
*	*	21899	UNLISTED PROCEDURE NECK/THORAX	BR	YYY	N	292.72
*	*	J1	21920	BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL	876.00	010	N	2734.29
*	*	J1	21925	BIOPSY SOFT TISSUE BACK/FLANK DEEP	1572.00	090	N	2734.29
*	*	J1	21930	EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM	1659.60	090	N	2734.29
*	*	J1	21931	EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>	1627.20	090	Y	2734.29
*	*	J1	21932	EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL GREATER THAN 5CM	2288.40	090	Y	4742.07
*	*	J1	21933	EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/>	2554.80	090	Y	4742.07
*	*	J1	21935	RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK GREATER THAN 5CM	3558.00	090	N	4742.07
*	*	J1	21936	RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>	4915.20	090	Y	4742.07
*	*	22010	I&D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR	3327.60	090	N
*	*	22015	I&D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC	3288.00	090	N	3708.57
*	*	J1	22100	PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV	2985.60	090	Y	10775.65
*	*	J1	22101	PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC	2976.00	090	Y	5184.51
*	*	J1	22102	PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR	2817.60	090	Y	10775.65
+	*	22103	PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA	492.00	ZZZ	Y
*	*	22110	PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV	3634.80	090	Y
*	*	22112	PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC	3846.00	090	Y
*	*	22114	PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR	3892.80	090	Y
+	*	22116	PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA	494.40	ZZZ	Y
*	*	22206	OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC	8559.60	090	Y
*	*	22207	OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR	8386.80	090	Y
+	*	22208	OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM	2073.60	ZZZ	Y
*	*	22210	OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV	6247.20	090	Y
*	*	22212	OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC	5186.40	090	Y
*	*	22214	OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR	5208.00	090	Y
+	*	22216	OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM	1273.20	ZZZ	Y
*	*	22220	OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV	5644.80	090	Y
*	*	22222	OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC	6003.60	090	Y
*	*	22224	OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR	5508.00	090	Y
+	*	22226	OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM	1269.60	ZZZ	Y
*	*	22310	CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING	1058.40	090	N	319.63
*	*	J1	22315	CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ	3044.40	090	N	5184.51
*	*	22318	OPTX&/RDCTJ ODNTD FX&/DISLC ANT FIXJ W/O GRAFT	5718.00	090	Y
*	*	22319	OPTX&/RDCTJ ODNTD FX&/DISLC ANT W/INT FIXJ	6332.40	090	Y
*	*	22325	OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM LM	5036.40	090	Y
*	*	22326	OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM CR	5216.40	090	Y
*	*	22327	OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM TH	5265.60	090	Y
+	*	22328	OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM EA	990.00	ZZZ	Y
*	*	J1	22505	MANIPULATION SPINE REQUIRING ANESTHESIA	454.80	010	N	2624.38
*	*	J1	22510	PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC	5979.60	010	N	5184.51
*	*	J1	22511	PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL	5919.60	010	N	5184.51
+	*	22512	VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL	3072.00	ZZZ	N
*	*	J1	22513	PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION	23466.00	010	N	10775.65
*	*	J1	22514	PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR	23390.40	010	N	10775.65
+	*	22515	PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH	13578.00	ZZZ	N
*	*	22526	PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL	0.00	010	N
+	*	22527	PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL	0.00	ZZZ	N
*	*	22532	ARTHRODESIS LATERAL EXTRACAVITARY THORACIC	6288.00	090	Y
*	*	22533	ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR	5774.40	090	Y
+	*	22534	ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR	1262.40	ZZZ	Y
*	*	22548	ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD	6834.00	090	Y	2782.53
*	*	J1	22551	ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2	5959.20	090	Y	19120.53
+	*	22552	ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC	1396.80	ZZZ	Y
*	*	J1	22554	ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2	4368.00	090	Y	19120.53
*	*	22556	ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC	5829.60	090	Y
*	*	22558	ARTHRODESIS ANTERIOR INTERBODY LUMBAR	5338.80	090	Y	3427.37
+	*	22585	ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC	1146.00	ZZZ	Y	2094.83
*	*	22586	ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L5-S1	7072.80	090	Y
*	*	22590	ARTHRODESIS POSTERIOR CRANIOCERVICAL	5518.80	090	Y
*	*	22595	ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2	5265.60	090	Y
*	*	22600	ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM	4497.60	090	Y	3383.04
*	*	22610	ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC	4413.60	090	Y
*	*	J1	22612	ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR	5527.20	090	Y	19120.53
+	*	22614	ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL	1370.40	ZZZ	Y
*	*	22630	ARTHRODESIS POSTERIOR INTERBODY LUMBAR	5496.00	090	Y	3087.45
+	*	22632	ARTHRODESIS POSTERIOR INTERBODY EA ADDL	1128.00	ZZZ	Y	2112.44
*	*	22633	ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR	6462.00	090	Y	3554.92
+	*	22634	ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG	1737.60	ZZZ	Y
*	*	22800	ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG	4720.80	090	Y
*	*	22802	ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG	7333.20	090	Y
*	*	22804	ARTHRODESIS POSTERIOR SPINAL DFRM 13/> VRT SEG	8476.80	090	Y
*	*	22808	ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG	6451.20	090	Y
*	*	22810	ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG	7233.60	090	Y
*	*	22812	ARTHRODESIS ANTERIOR SPINAL DFRM 8/> VRT SEG	7593.60	090	Y
*	*	22818	KYPHECTOMY SINGLE OR TWO SEGMENTS	7498.80	090	Y
*	*	22819	KYPHECTOMY 3 OR MORE SEGMENTS	8580.00	090	Y
*	*	22830	EXPLORATION SPINAL FUSION	2834.40	090	Y	2019.54
+	*	22840	POSTERIOR NON-SEGMENTAL INSTRUMENTATION	2664.00	ZZZ	Y	2310.68
+	*	22841	INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS	3068.40	XXX	N
+	*	22842	POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG	2678.40	ZZZ	Y	2497.29
+	*	22843	POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG	2864.40	ZZZ	Y
+	*	22844	POSTERIOR SEGMENTAL INSTRUMENTATION 13/> VRT SE	3458.40	ZZZ	Y
+	*	22845	ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS	2559.60	ZZZ	Y	2152.01
+	*	22846	ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS	2658.00	ZZZ	Y	1587.53
+	*	22847	ANTERIOR INSTRUMENTATION 8/> VERTEBRAL SEGMENTS	2804.40	ZZZ	Y
+	*	22848	PELVIC FIXATION OTHER THAN SACRUM	1260.00	ZZZ	Y
*	*	22849	REINSERTION SPINAL FIXATION DEVICE	4527.60	090	Y	3808.35
*	*	22850	REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION	2524.80	090	Y	4823.38
*	*	22852	REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION	2425.20	090	Y	4443.93
+	*	22853	INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD	906.00	ZZZ	Y
+	*	22854	INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD	1173.60	ZZZ	Y
*	*	22855	REMOVAL ANTERIOR INSTRUMENTATION	3862.80	090	Y	1924.84
*	*	J1	22856	TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV	5719.20	090	Y	26078.68
*	*	22857	TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR	6102.00	090	Y	3302.84
+	*	22858	TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL	1791.60	ZZZ	Y	3263.95
+	*	22859	INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD	1173.60	ZZZ	Y
*	*	22861	REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV	7791.60	090	Y	7702.96
*	*	22862	REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC LMBR	6592.80	090	Y	3033.52
*	*	22864	RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL	7194.00	090	Y
*	*	22865	RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR	6765.60	090	Y
*	*	J1	22867	INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL	3385.20	090	Y	26078.68
+	*	22868	INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL	847.20	ZZZ	Y
*	*	J1	22869	INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL	1590.00	090	Y	26078.68
+	*	22870	INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL	434.40	ZZZ	Y
*	*	22899	UNLISTED PROCEDURE SPINE	0.00	YYY	Y	319.63
*	*	J1	22900	EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL GREATER THAN 5CM	1948.80	090	Y	4742.07
*	*	J1	22901	EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>	2304.00	090	Y	4742.07
*	*	J1	22902	EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM	1542.00	090	Y	2734.29
*	*	J1	22903	EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>	1521.60	090	Y	4742.07
*	*	J1	22904	RAD RESECTION TUMOR SOFT TISSUE ABDL WALL GREATER THAN 5CM	3658.80	090	Y	4742.07
*	*	J1	22905	RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>	4624.80	090	Y	4742.07
*	*	22999	UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM	BR	YYY	N	319.63
*	*	J1	23000	REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN	1929.60	090	Y	4742.07
*	*	J1	23020	CAPSULAR CONTRACTURE RELEASE	2382.00	090	Y	5184.51
*	*	J1	23030	I&D SHOULDER DEEP ABSCESS/HEMATOMA	1491.60	010	N	4742.07
*	*	J1	23031	I&D SHOULDER INFECTED BURSA	1372.80	010	N	2734.29
*	*	J1	23035	INCISION BONE CORTEX SHOULDER AREA	2337.60	090	Y	2624.38
*	*	J1	23040	ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB	2476.80	090	Y	5184.51
*	*	J1	23044	ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB	1957.20	090	N	5184.51
*	*	J1	23065	BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL	760.80	010	N	2734.29
*	*	J1	23066	BIOPSY SOFT TISSUE SHOULDER DEEP	1941.60	090	N	4742.07
*	*	J1	23071	EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>	1450.80	090	Y	2734.29
*	*	J1	23073	EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>	2404.80	090	Y	4742.07
*	*	J1	23075	EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM	1668.00	090	N	2734.29
*	*	J1	23076	EXC TUMOR SOFT TISS SHOULDER SUBFASC GREATER THAN 5CM	1872.00	090	N	4742.07
*	*	J1	23077	RAD RESECTION TUMOR SOFT TISSUE SHOULDER GREATER THAN 5CM	3937.20	090	Y	4742.07
*	*	J1	23078	RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM/>	4977.60	090	Y	4742.07
*	*	J1	23100	ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY	1728.00	090	Y	5184.51
*	*	J1	23101	ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG	1576.80	090	N	5184.51
*	*	J1	23105	ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY	2200.80	090	Y	10775.65
*	*	J1	23106	ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX	1718.40	090	N	5184.51
*	*	J1	23107	ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB	2281.20	090	Y	10775.65
*	*	J1	23120	CLAVICULECTOMY PARTIAL	2016.00	090	Y	5184.51
*	*	J1	23125	CLAVICULECTOMY TOTAL	2438.40	090	Y	5184.51
*	*	J1	23130	PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE	2114.40	090	N	5184.51
*	*	J1	23140	EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA	1908.00	090	N	5184.51
*	*	J1	23145	EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT	2373.60	090	Y	5184.51
*	*	J1	23146	EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT	2115.60	090	N	10775.65
*	*	J1	23150	EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS	2272.80	090	Y	5184.51
*	*	J1	23155	EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT	2724.00	090	Y	10775.65
*	*	J1	23156	EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT	2335.20	090	Y	10775.65
*	*	J1	23170	SEQUESTRECTOMY CLAVICLE	1939.20	090	N	5184.51
*	*	J1	23172	SEQUESTRECTOMY SCAPULA	1947.60	090	Y	5184.51
*	*	J1	23174	SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK	2619.60	090	Y	5184.51
*	*	J1	23180	PARTIAL EXCISION BONE CLAVICLE	2278.80	090	N	5184.51
*	*	J1	23182	PARTIAL EXCISION BONE SCAPULA	2274.00	090	Y	5184.51
*	*	J1	23184	PARTIAL EXCISION BONE PROXIMAL HUMERUS	2532.00	090	Y	10775.65
*	*	J1	23190	OSTECTOMY SCAPULA PARTIAL	1971.60	090	Y	5184.51
*	*	J1	23195	RESECTION HUMERAL HEAD	2576.40	090	Y	10775.65
*	*	23200	RADICAL RESECTION TUMOR CLAVICLE	5236.80	090	Y
*	*	23210	RADICAL RESECTION TUMOR SCAPULA	6151.20	090	Y
*	*	23220	RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS	6759.60	090	Y
*	*	23330	REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS	960.00	010	N	822.66
*	*	J1	23333	REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM	1592.40	090	N	2734.29
*	*	J1	23334	PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT	3705.60	090	N	4742.07
*	*	23335	PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT	4423.20	090	N
*	*	23350	INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG	476.40	000	N
*	*	J1	23395	MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE	4436.40	090	Y	10775.65
*	*	J1	23397	MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE	3920.40	090	Y	10775.65
*	*	J1	23400	SCAPULOPEXY	3303.60	090	Y	10775.65
*	*	J1	23405	TENOTOMY SHOULDER AREA 1 TENDON	2132.40	090	Y	10775.65
*	*	J1	23406	TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION	2664.00	090	Y	5184.51
*	*	J1	23410	OPEN REPAIR OF ROTATOR CUFF ACUTE	2836.80	090	Y	10775.65
*	*	J1	23412	OPEN REPAIR OF ROTATOR CUFF CHRONIC	2943.60	090	Y	10775.65
*	*	J1	23415	CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY	2413.20	090	N	10775.65
*	*	J1	23420	RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC	3357.60	090	Y	10775.65
*	*	J1	23430	TENODESIS LONG TENDON BICEPS	2569.20	090	Y	10775.65
*	*	J1	23440	RESECTION/TRANSPLANTATION LONG TENDON BICEPS	2604.00	090	Y	5184.51
*	*	J1	23450	CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON	3259.20	090	Y	10775.65
*	*	J1	23455	CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR	3448.80	090	Y	10775.65
*	*	J1	23460	CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK	3751.20	090	Y	10775.65
*	*	J1	23462	CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR	3644.40	090	Y	10775.65
*	*	J1	23465	CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK	3859.20	090	Y	10775.65
*	*	J1	23466	CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS	3853.20	090	Y	10775.65
*	*	J1	23470	ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY	4150.80	090	Y	19120.53
*	*	J1*	23472	ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER	5031.60	090	Y	19120.53
*	*	J1	23473	REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT	5613.60	090	Y	19120.53
*	*	23474	REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT	6063.60	090	Y	12384.94
*	*	J1	23480	OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION	2844.00	090	N	10775.65
*	*	J1	23485	OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL	3300.00	090	Y	19120.53
*	*	J1	23490	PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE	2960.40	090	Y	10775.65
*	*	J1	23491	PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS	3511.20	090	Y	19120.53
*	*	23500	CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION	748.80	090	N	319.63
*	*	J1	23505	CLSD TX CLAVICULAR FRACTURE W/MANIPULATION	1218.00	090	N	2624.38
*	*	J1	23515	OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION	2484.00	090	Y	10775.65
*	*	J1	23520	CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION	806.40	090	N	2624.38
*	*	23525	CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION	1334.40	090	N	319.63
*	*	J1	23530	OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC	1965.60	090	Y	10775.65
*	*	J1	23532	OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF	2134.80	090	Y	10775.65
*	*	23540	CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION	784.80	090	N	319.63
*	*	23545	CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION	1186.80	090	N	319.63
*	*	J1	23550	OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC	1962.00	090	Y	10775.65
*	*	J1	23552	OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF	2257.20	090	Y	10775.65
*	*	23570	CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION	794.40	090	N	319.63
*	*	J1	23575	CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION	1384.80	090	N	2624.38
*	*	J1	23585	OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD	3385.20	090	Y	10775.65
*	*	23600	CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION	1124.40	090	N	319.63
*	*	J1	23605	CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ	1599.60	090	N	2624.38
*	*	J1	23615	OPEN TREATMENT PROXIMAL HUMERAL FRACTURE	3055.20	090	Y	19120.53
*	*	J1	23616	OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT	4287.60	090	Y	26078.68
*	*	23620	CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ	918.00	090	N	319.63
*	*	J1	23625	CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION	1310.40	090	N	2624.38
*	*	J1	23630	OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE	2696.40	090	Y	10775.65
*	*	23650	CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES	1092.00	090	N	319.63
*	*	J1	23655	CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES	1388.40	090	N	2624.38
*	*	J1	23660	OPEN TX ACUTE SHOULDER DISLOCATION	2010.00	090	Y	10775.65
*	*	J1	23665	CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ	1470.00	090	N	2624.38
*	*	J1	23670	OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX	3025.20	090	Y	10775.65
*	*	J1	23675	CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ	1891.20	090	N	2624.38
*	*	J1	23680	OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE	3208.80	090	Y	19120.53
*	*	J1	23700	MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS	676.80	010	N	2624.38
*	*	J1	23800	ARTHRODESIS GLENOHUMERAL JOINT	3540.00	090	Y	10775.65
*	*	J1	23802	ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT	4416.00	090	Y	19120.53
*	*	23900	INTERTHORACOSCAPULAR AMPUTATION	4796.40	090	Y
*	*	23920	DISARTICULATION SHOULDER	3896.40	090	Y
*	*	23921	DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION	1616.40	090	N	2199.52
*	*	23929	UNLISTED PROCEDURE SHOULDER	BR	YYY	Y	319.63
*	*	J1	23930	I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA	1219.20	010	N	2734.29
*	*	J1	23931	INCISION&DRAINAGE UPPER ARM/ELBOW BURSA	982.80	010	N	2734.29
*	*	J1	23935	INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW	1753.20	090	N	5184.51
*	*	J1	24000	ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB	1645.20	090	N	5184.51
*	*	J1	24006	ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX	2467.20	090	Y	5184.51
*	*	J1	24065	BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL	888.00	010	N	2734.29
*	*	J1	24066	BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP	2167.20	090	N	4742.07
*	*	J1	24071	EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>	1404.00	090	Y	4742.07
*	*	J1	24073	EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>	2398.80	090	Y	4742.07
*	*	J1	24075	EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM	1734.00	090	N	2734.29
*	*	J1	24076	EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC GREATER THAN 5CM	1880.40	090	N	4742.07
*	*	J1	24077	RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW GREATER THAN 5CM	3591.60	090	N	4742.07
*	*	J1	24079	RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM/>	4588.80	090	Y	4742.07
*	*	J1	24100	ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY	1436.40	090	Y	5184.51
*	*	J1	24101	ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB	1725.60	090	Y	5184.51
*	*	J1	24102	ARTHROTOMY ELBOW W/SYNOVECTOMY	2127.60	090	Y	5184.51
*	*	J1	24105	EXCISION OLECRANON BURSA	1214.40	090	N	5184.51
*	*	J1	24110	EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS	2023.20	090	N	5184.51
*	*	J1	24115	EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT	2523.60	090	Y	10775.65
*	*	J1	24116	EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT	2976.00	090	Y	10775.65
*	*	J1	24120	EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN	1830.00	090	N	5184.51
*	*	J1	24125	EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT	2146.80	090	Y	5184.51
*	*	J1	24126	EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT	2222.40	090	Y	10775.65
*	*	J1	24130	EXCISION RADIAL HEAD	1760.40	090	N	5184.51
*	*	J1	24134	SEQUESTRECTOMY SHAFT/DISTAL HUMERUS	2578.80	090	Y	10775.65
*	*	J1	24136	SEQUESTRECTOMY RADIAL HEAD OR NECK	2182.80	090	N	5184.51
*	*	J1	24138	SEQUESTRECTOMY OLECRANON PROCESS	2336.40	090	Y	10775.65
*	*	J1	24140	PARTIAL EXCISION BONE HUMERUS	2425.20	090	Y	5184.51
*	*	J1	24145	PARTIAL EXCISION BONE RADIAL HEAD/NECK	2048.40	090	N	10775.65
*	*	J1	24147	PARTIAL EXCISION BONE OLECRANON PROCESS	2152.80	090	N	5184.51
*	*	J1	24149	RAD RESCJ CAPSL TISS&HTRTPC BONE ELBW CONTRCT	4063.20	090	Y	10775.65
*	*	J1	24150	RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS	5379.60	090	Y	10775.65
*	*	J1	24152	RADICAL RESECTION TUMOR RADIAL HEAD/NECK	4602.00	090	Y	10775.65
*	*	J1	24155	RESECTION ELBOW JOINT ARTHRECTOMY	2936.40	090	Y	5184.51
*	*	24160	PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS	4375.20	090	N	3725.14
*	*	24164	PROSTHESIS REMOVAL RADIAL HEAD	2506.80	090	N	3725.14
*	*	J1	24200	RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS	722.40	010	N	2734.29
*	*	J1	24201	REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP	1898.40	090	N	4742.07
*	*	24220	INJECTION ELBOW ARTHROGRAPHY	565.20	000	N
*	*	J1	24300	MANIPULATION ELBOW UNDER ANESTHESIA	1448.40	090	N	2624.38
*	*	J1	24301	MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE	2594.40	090	Y	10775.65
*	*	J1	24305	TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON	1990.80	090	N	5184.51
*	*	J1	24310	TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON	1611.60	090	N	5184.51
*	*	J1	24320	TENOPLASTY ELBOW TO SHOULDER SINGLE	2676.00	090	Y	10775.65
*	*	J1	24330	FLEXOR-PLASTY ELBOW	2475.60	090	Y	5184.51
*	*	J1	24331	FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT	2668.80	090	Y	10775.65
*	*	J1	24332	TENOLYSIS TRICEPS	2119.20	090	N	5184.51
*	*	J1	24340	TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE	2112.00	090	Y	10775.65
*	*	J1	24341	REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA	2570.40	090	Y	10775.65
*	*	J1	24342	RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF	2680.80	090	Y	10775.65
*	*	J1	24343	REPAIR LATERAL COLLATERAL LIGAMENT ELBOW	2449.20	090	Y	5184.51
*	*	J1	24344	RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT	3774.00	090	Y	10775.65
*	*	J1	24345	REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW	2430.00	090	Y	10775.65
*	*	J1	24346	RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF	3792.00	090	Y	19120.53
*	*	J1	24357	TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS	1435.20	090	N	5184.51
*	*	J1	24358	TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN	1806.00	090	N	5184.51
*	*	J1	24359	TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR	2281.20	090	N	5184.51
*	*	J1	24360	ARTHROPLASTY ELBOW W/MEMBRANE	3112.80	090	Y	10775.65
*	*	J1	24361	ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT	3483.60	090	Y	26078.68
*	*	J1	24362	ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ	3673.20	090	Y	19120.53
*	*	J1	24363	ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM	5035.20	090	Y	26078.68
*	*	J1	24365	ARTHROPLASTY RADIAL HEAD	2206.80	090	Y	19120.53
*	*	J1	24366	ARTHROPLASTY RADIAL HEAD W/IMPLANT	2352.00	090	Y	19120.53
*	*	J1	24370	REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT	5366.40	090	Y	19120.53
*	*	J1	24371	REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT	6164.40	090	Y	26078.68
*	*	J1	24400	OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION	2846.40	090	Y	10775.65
*	*	J1	24410	MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT	3663.60	090	Y	19120.53
*	*	J1	24420	OSTEOPLASTY HUMERUS	3430.80	090	Y	10775.65
*	*	J1	24430	REPAIR NON/MALUNION HUMERUS W/O GRAFT	3648.00	090	Y	19120.53
*	*	J1	24435	REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT	3722.40	090	Y	19120.53
*	*	J1	24470	HEMIEPIPHYSEAL ARREST	2322.00	090	Y	5184.51
*	*	J1	24495	DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL	2552.40	090	N	10775.65
*	*	J1	24498	PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT	2995.20	090	Y	19120.53
*	*	24500	CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION	1225.20	090	N	319.63
*	*	J1	24505	CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ	1712.40	090	N	2624.38
*	*	J1	24515	OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE	3032.40	090	Y	19120.53
*	*	J1	24516	TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE	2972.40	090	Y	19120.53
*	*	24530	CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ	1302.00	090	N	319.63
*	*	J1	24535	CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ	2121.60	090	N	2624.38
*	*	J1	24538	PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX	2581.20	090	N	10775.65
*	*	J1	24545	OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN	3213.60	090	Y	19120.53
*	*	J1	24546	OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN	3594.00	090	Y	26078.68
*	*	24560	CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ	1114.80	090	N	319.63
*	*	J1	24565	CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ	1839.60	090	N	2624.38
*	*	J1	24566	PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ	2480.40	090	N	2624.38
*	*	J1	24575	OPEN TX HUMERAL EPICONDYLAR FRACTURE	2527.20	090	Y	19120.53
*	*	24576	CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ	1176.00	090	N	319.63
*	*	J1	24577	CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ	1896.00	090	N	2624.38
*	*	J1	24579	OPEN TREATMENT HUMERAL CONDYLAR FRACTURE	2887.20	090	Y	19120.53
*	*	J1	24582	PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ	2800.80	090	N	5184.51
*	*	J1	24586	OPTX PERIARTICULAR FRACTURE &/DISLOCATION ELBO	3747.60	090	Y	19120.53
*	*	J1	24587	OPTX PRIARTICULAR FX&/DISLC ELBW W/IMPLT ARTHR	3762.00	090	Y	19120.53
*	*	24600	TREATMENT CLOSED ELBOW DISLOCATION W/O ANES	1267.20	090	N	319.63
*	*	J1	24605	TREATMENT CLOSED ELBOW DISLOCATION REQ ANES	1630.80	090	N	2624.38
*	*	J1	24615	OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION	2463.60	090	Y	10775.65
*	*	J1	24620	CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ	1905.60	090	N	2624.38
*	*	J1	24635	OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW	2326.80	090	Y	10775.65
*	*	24640	CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ	343.20	010	N	319.63
*	*	24650	CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION	894.00	090	N	319.63
*	*	J1	24655	CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION	1519.20	090	N	2624.38
*	*	J1	24665	OPEN TX RADIAL HEAD/NECK FRACTURE	2253.60	090	Y	10775.65
*	*	J1	24666	OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC	2530.80	090	Y	19120.53
*	*	24670	CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ	993.60	090	N	319.63
*	*	J1	24675	CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ	1574.40	090	N	2624.38
*	*	J1	24685	OPEN TREATMENT ULNAR FRACTURE PROXIMAL END	2257.20	090	Y	10775.65
*	*	J1	24800	ARTHRODESIS ELBOW JOINT LOCAL	2854.80	090	Y	10775.65
*	*	J1	24802	ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT	3471.60	090	Y	19120.53
*	*	24900	AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE	2545.20	090	Y
*	*	24920	AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR	2539.20	090	Y
*	*	J1	24925	AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ	1957.20	090	Y	5184.51
*	*	24930	AMPUTATION ARM THRU HUMERUS RE-AMPUTATION	2670.00	090	Y
*	*	24931	AMPUTATION ARM THRU HUMERUS W/IMPLANT	3232.80	090	Y
*	*	J1	24935	STUMP ELONGATION UPPER EXTREMITY	4035.60	090	N	10775.65
*	*	24940	CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE	3120.24	090	Y
*	*	24999	UNLISTED PROCEDURE HUMERUS/ELBOW	BR	YYY	N	319.63
*	*	J1	25000	INCISION EXTENSOR TENDON SHEATH WRIST	1164.00	090	N	2624.38
*	*	J1	25001	INCISION FLEXOR TENDON SHEATH WRIST	1185.60	090	N	5184.51
*	*	J1	25020	DCMPRN FASCT F/ARM&WRST FLXR/XTNSR W/O DBRDMT	1971.60	090	N	2624.38
*	*	J1	25023	DCMPRN FASCT F/ARM&/WRST FLXR/XTNSR W/DBRDMT	3819.60	090	N	5184.51
*	*	J1	25024	DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR W/O DB	2694.00	090	N	5184.51
*	*	J1	25025	DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR DBRDMT	4177.20	090	N	2624.38
*	*	J1	25028	I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA	1815.60	090	N	5184.51
*	*	J1	25031	INCISION & DRAINAGE FOREARM&/WRIST BURSA	1200.00	090	N	2624.38
*	*	J1	25035	INCISION DEEP BONE CORTEX FOREARM&/WRIST	2017.20	090	N	10775.65
*	*	J1	25040	ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB	1936.80	090	N	5184.51
*	*	J1	25065	BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL	878.40	010	N	2734.29
*	*	J1	25066	BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP	1236.00	090	N	4742.07
*	*	J1	25071	EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>	1467.60	090	Y	2734.29
*	*	J1	25073	EXC TUMOR SFT TISS FOREARM&/WRIST SUBFASC 3CM/>	1842.00	090	Y	4742.07
*	*	J1	25075	EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM	1690.80	090	N	2734.29
*	*	J1	25076	EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM	1786.80	090	N	2734.29
*	*	J1	25077	RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM	3051.60	090	N	2734.29
*	*	J1	25078	RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>	4041.60	090	Y	4742.07
*	*	J1	25085	CAPSULOTOMY WRIST	1548.00	090	Y	5184.51
*	*	J1	25100	ARTHROTOMY WRIST JOINT WITH BIOPSY	1194.00	090	N	5184.51
*	*	J1	25101	ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB	1393.20	090	N	5184.51
*	*	J1	25105	ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY	1666.80	090	N	5184.51
*	*	J1	25107	ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE	2124.00	090	Y	5184.51
*	*	J1	25109	EXC TENDON FOREARM&/WRIST FLEXOR/EXTENSOR EA	1855.20	090	N	5184.51
*	*	J1	25110	EXCISION LESION TENDON SHEATH FOREARM&/WRIST	1178.40	090	N	2624.38
*	*	J1	25111	EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY	1105.20	090	N	2624.38
*	*	J1	25112	EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT	1335.60	090	N	2624.38
*	*	J1	25115	RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS	2616.00	090	N	2624.38
*	*	J1	25116	RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS	2070.00	090	N	5184.51
*	*	J1	25118	SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT	1312.80	090	N	2624.38
*	*	J1	25119	SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA	1705.20	090	Y	5184.51
*	*	J1	25120	EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA	1716.00	090	N	5184.51
*	*	J1	25125	EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT	2032.80	090	N	2624.38
*	*	J1	25126	EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT	2053.20	090	Y	5184.51
*	*	J1	25130	EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES	1539.60	090	N	5184.51
*	*	J1	25135	EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT	1918.80	090	Y	5184.51
*	*	J1	25136	EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT	1687.20	090	Y	10775.65
*	*	J1	25145	SEQUESTRECTOMY FOREARM &/WRIST	1780.80	090	Y	5184.51
*	*	J1	25150	PARTIAL EXCISION BONE ULNA	1954.80	090	N	5184.51
*	*	J1	25151	PARTIAL EXCISION BONE RADIUS	2005.20	090	Y	5184.51
*	*	J1	25170	RADICAL RESECTION TUMOR RADIUS OR ULNA	5108.40	090	Y	10775.65
*	*	J1	25210	CARPECTOMY 1 BONE	1681.20	090	N	5184.51
*	*	J1	25215	CARPECTOMY ALL BONES PROXIMAL ROW	2131.20	090	Y	5184.51
*	*	J1	25230	RADICAL STYLOIDECTOMY SEPARATE PROCEDURE	1494.00	090	N	5184.51
*	*	J1	25240	EXCISION DISTAL ULNA PARTIAL/COMPLETE	1477.20	090	N	5184.51
*	*	25246	INJECTION WRIST ARTHROGRAPHY	585.60	000	N
*	*	J1	25248	EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST	1425.60	090	N	2624.38
*	*	25250	REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE	1825.20	090	Y	1864.94
*	*	25251	REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST	2481.60	090	Y	3725.14
*	*	J1	25259	MANIPULATION WRIST UNDER ANESTHESIA	1442.40	090	N	2624.38
*	*	J1	25260	RPR TDN/MUSC FLXR F/ARM&/WRST PRIM 1 EA TDN/MU	2172.00	090	N	5184.51
*	*	J1	25263	RPR TDN/MUSC FLXR F/ARM&/WRIST SEC 1 EA TDN/MUS	2162.40	090	Y	5184.51
*	*	J1	25265	RPR TDN/MUSC FLXR F/ARM&/WRISTSEC FR GRF EA	2576.40	090	Y	5184.51
*	*	J1	25270	RPR TDN/MUSC XTNSR F/ARM&/WRIST PRIM 1 EA TDN	1687.20	090	N	5184.51
*	*	J1	25272	RPR TDN/MUSC XTNSR F/ARM&/WRIST SEC 1 EA TDN/MU	1910.40	090	N	5184.51
*	*	J1	25274	RPR TDN/MUSC XTNSR F/ARM&/WRST SEC FR GRF EA TDN	2299.20	090	N	5184.51
*	*	J1	25275	RPR TENDON SHEATH EXTENSOR F/ARM&/WRIST W/GRAFT	2310.00	090	N	5184.51
*	*	J1	25280	LNGTH/SHRT FLXR/XTNSR TDN F/ARM&/WRIST 1 EA TDN	1942.80	090	N	5184.51
*	*	J1	25290	TNOT FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA	1503.60	090	N	5184.51
*	*	J1	25295	TNOLS FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA	1813.20	090	N	5184.51
*	*	J1	25300	TENODESIS WRIST FLEXORS FINGERS	2348.40	090	Y	5184.51
*	*	J1	25301	TENODESIS WRIST EXTENSORS FINGERS	2218.80	090	Y	5184.51
*	*	J1	25310	TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1 EA TDN	2134.80	090	Y	5184.51
*	*	J1	25312	TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1/TDN GR	2476.80	090	Y	5184.51
*	*	J1	25315	FLEXOR ORIGIN SLIDE FOREARM &/WRIST	2655.60	090	Y	10775.65
*	*	J1	25316	FLEXOR ORIGIN SLIDE F/ARM&/WRST TENDON TRANSFE	3168.00	090	Y	10775.65
*	*	J1	25320	CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS	3398.40	090	Y	10775.65
*	*	J1	25332	ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ	2906.40	090	Y	5184.51
*	*	J1	25335	CENTRALIZATION WRST ULNA	3268.80	090	Y	5184.51
*	*	J1	25337	RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ	3073.20	090	N	10775.65
*	*	J1	25350	OSTEOTOMY RADIUS DISTAL THIRD	2326.80	090	Y	10775.65
*	*	J1	25355	OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD	2616.00	090	Y	5184.51
*	*	J1	25360	OSTEOTOMY ULNA	2260.80	090	Y	10775.65
*	*	J1	25365	OSTEOTOMY RADIUS & ULNA	3150.00	090	Y	19120.53
*	*	J1	25370	MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA	3490.80	090	Y	5184.51
*	*	J1	25375	MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS&ULNA	3302.40	090	Y	5184.51
*	*	J1	25390	OSTEOPLASTY RADIUS/ULNA SHORTENING	2654.40	090	Y	10775.65
*	*	J1	25391	OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT	3446.40	090	Y	19120.53
*	*	J1	25392	OSTEOPLASTY RADIUS & ULNA SHORTENING	3418.80	090	Y	5184.51
*	*	J1	25393	OSTEOPLASTY RADIUS&ULNA LENGTHENING W/AUTOGRAF	3873.60	090	Y	5184.51
*	*	J1	25394	OSTEOPLASTY CARPAL BONE SHORTENING	2698.80	090	Y	5184.51
*	*	J1	25400	RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT	2774.40	090	Y	10775.65
*	*	J1	25405	RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT	3588.00	090	Y	10775.65
*	*	J1	25415	RPR NONUNION/MALUNION RADIUS&ULNA W/O AUTOGRAF	3337.20	090	Y	10775.65
*	*	J1	25420	RPR NONUNION/MALUNION RADIUS&ULNA W/AUTOGRAFT	4029.60	090	Y	10775.65
*	*	J1	25425	REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA	3320.40	090	Y	10775.65
*	*	J1	25426	REPAIR DEFECT W/AUTOGRAFT RADIUS&ULNA	3895.20	090	Y	5184.51
*	*	J1	25430	INSERTION VASCULAR PEDICLE CARPAL BONE	2527.20	090	N	5184.51
*	*	J1	25431	REPAIR NONUNION CARPAL BONE EACH BONE	2718.00	090	Y	10775.65
*	*	J1	25440	RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC	2655.60	090	Y	10775.65
*	*	J1	25441	ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS	3236.40	090	Y	19120.53
*	*	J1	25442	ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA	2787.60	090	Y	26078.68
*	*	J1	25443	ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL	2674.80	090	Y	10775.65
*	*	J1	25444	ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE	2850.00	090	Y	19120.53
*	*	J1	25445	ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM	2493.60	090	N	10775.65
*	*	J1	25446	ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS	4059.60	090	Y	26078.68
*	*	J1	25447	ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS	2859.60	090	Y	5184.51
*	*	J1	25449	REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT	3567.60	090	Y	10775.65
*	*	J1	25450	EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U	2130.00	090	N	5184.51
*	*	J1	25455	EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS&ULNA	2512.80	090	N	5184.51
*	*	J1	25490	PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS	2484.00	090	Y	10775.65
*	*	J1	25491	PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA	2559.60	090	Y	19120.53
*	*	J1	25492	PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD&UL	3133.20	090	Y	5184.51
*	*	25500	CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION	944.40	090	N	319.63
*	*	J1	25505	CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION	1714.80	090	N	2624.38
*	*	J1	25515	OPEN TREATMENT RADIAL SHAFT FRACTURE	2310.00	090	Y	10775.65
*	*	J1	25520	CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT	1953.60	090	N	2624.38
*	*	J1	25525	OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE	2722.80	090	Y	10775.65
*	*	J1	25526	OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE	3296.40	090	Y	10775.65
*	*	25530	CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION	895.20	090	N	319.63
*	*	25535	CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION	1683.60	090	N	319.63
*	*	J1	25545	OPEN TREATMENT OF ULNAR SHAFT FRACTURE	2149.20	090	Y	10775.65
*	*	25560	CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN	963.60	090	N	319.63
*	*	J1	25565	CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ	1766.40	090	N	2624.38
*	*	J1	25574	OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA	2326.80	090	Y	10775.65
*	*	J1	25575	OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS&ULNA	3115.20	090	Y	10775.65
*	*	25600	CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ	1128.00	090	N	319.63
*	*	J1	25605	CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF	1854.00	090	N	2624.38
*	*	J1	25606	PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP	2288.40	090	N	5184.51
*	*	J1	25607	OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP	2536.80	090	Y	10775.65
*	*	J1	25608	OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG	2846.40	090	Y	10775.65
*	*	J1	25609	OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG	3622.80	090	Y	10775.65
*	*	25622	CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ	1044.00	090	N	319.63
*	*	J1	25624	CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ	1653.60	090	N	2624.38
*	*	J1	25628	OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE	2485.20	090	Y	10775.65
*	*	25630	CLTX CARPAL BONE FX W/O MANJ EACH BONE	1042.80	090	N	319.63
*	*	J1	25635	CLTX CARPAL BONE FX W/MANJ EACH BONE	1574.40	090	N	2624.38
*	*	J1	25645	OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA	1959.60	090	Y	5184.51
*	*	25650	CLOSED TREATMENT ULNAR STYLOID FRACTURE	1104.00	090	N	319.63
*	*	J1	25651	PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE	1672.80	090	N	5184.51
*	*	J1	25652	OPEN TREATMENT ULNAR STYLOID FRACTURE	2149.20	090	N	10775.65
*	*	25660	CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ	1419.60	090	N	319.63
*	*	J1	25670	OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1/> BONES	2088.00	090	Y	5184.51
*	*	J1	25671	PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION	1821.60	090	N	5184.51
*	*	25675	CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ	1502.40	090	N	319.63
*	*	J1	25676	OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC	2169.60	090	Y	10775.65
*	*	25680	CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ	1791.60	090	N	319.63
*	*	J1	25685	OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC	2540.40	090	Y	5184.51
*	*	J1	25690	CLOSED TX LUNATE DISLOCATION W/MANIPULATION	1664.40	090	N	2624.38
*	*	J1	25695	OPEN TREATMENT LUNATE DISLOCATION	2184.00	090	Y	10775.65
*	*	J1	25800	ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT	2522.40	090	Y	10775.65
*	*	J1	25805	ARTHRODESIS WRIST W/SLIDING GRAFT	2919.60	090	Y	10775.65
*	*	J1	25810	ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT	2995.20	090	Y	19120.53
*	*	J1	25820	ARTHRODESIS WRIST LIMITED W/O BONE GRAFT	2137.20	090	Y	10775.65
*	*	J1	25825	ARTHRODESIS WRIST LIMITED W/AUTOGRAFT	2631.60	090	Y	10775.65
*	*	J1	25830	ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE	3250.80	090	Y	10775.65
*	*	25900	AMPUTATION FOREARM THROUGH RADIUS & ULNA	2454.00	090	N
*	*	25905	AMP FOREARM THRU RADIUS & ULNA OPEN CIRCULAR	2410.80	090	Y
*	*	J1	25907	AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE	2100.00	090	Y	5184.51
*	*	J1	25909	AMP FOREARM THRU RADIUS&ULNA RE-AMPUTATION	2359.20	090	Y	5184.51
*	*	25915	KRUKENBERG PROCEDURE	4059.60	090	Y
*	*	25920	DISARTICULATION THROUGH WRIST	2424.00	090	N
*	*	J1	25922	DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ	2128.80	090	Y	2624.38
*	*	25924	DISARTICULATION THRU WRIST RE-AMPUTATION	2332.80	090	Y
*	*	25927	TRANSMETACARPAL AMPUTATION	2779.20	090	N
*	*	25929	TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ	2062.80	090	Y	2199.52
*	*	J1	25931	TRANSMETACARPAL AMPUTATION RE-AMPUTATION	2559.60	090	N	5184.51
*	*	25999	UNLISTED PROCEDURE FOREARM/WRIST	BR	YYY	N	319.63
*	*	26010	DRAINAGE FINGER ABSCESS SIMPLE	928.80	010	N	250.56
*	*	J1	26011	DRAINAGE FINGER ABSCESS COMPLICATED	1378.80	010	N	2734.29
*	*	J1	26020	DRAINAGE TENDON SHEATH DIGIT&/PALM EACH	1497.60	090	N	5184.51
*	*	J1	26025	DRAINAGE OF PALMAR BURSA SINGLE BURSA	1453.20	090	N	5184.51
*	*	J1	26030	DRAINAGE OF PALMAR BURSA MULTIPLE BURSA	1690.80	090	N	5184.51
*	*	J1	26034	INCISION BONE CORTEX HAND/FINGER	1874.40	090	N	2624.38
*	*	J1	26035	DECOMPRESSION FINGERS&/HAND INJECTION INJURY	2967.60	090	N	5184.51
*	*	J1	26037	DECOMPRESSIVE FASCIOTOMY HAND	1952.40	090	N	5184.51
*	*	J1	26040	FASCIOTOMY PALMAR PERCUTANEOUS	1075.20	090	N	2624.38
*	*	J1	26045	FASCIOTOMY PALMAR OPEN PARTIAL	1618.80	090	N	5184.51
*	*	J1	26055	TENDON SHEATH INCISION	1941.60	090	N	2624.38
*	*	J1	26060	TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT	883.20	090	N	2624.38
*	*	J1	26070	ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT	1102.80	090	N	2624.38
*	*	J1	26075	ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA	1150.80	090	N	5184.51
*	*	J1	26080	ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA	1350.00	090	N	2624.38
*	*	J1	26100	ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH	1156.80	090	N	5184.51
*	*	J1	26105	ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH	1161.60	090	N	5184.51
*	*	J1	26110	ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH	1110.00	090	N	2624.38
*	*	J1	26111	EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>	1437.60	090	Y	2734.29
*	*	J1	26113	EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/>	1888.80	090	Y	2734.29
*	*	J1	26115	EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM	1782.00	090	N	2734.29
*	*	J1	26116	EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM	1815.60	090	N	2734.29
*	*	J1	26117	RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM	2565.60	090	N	4742.07
*	*	J1	26118	RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>	3632.40	090	Y	4742.07
*	*	J1	26121	FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT	2061.60	090	N	5184.51
*	*	J1	26123	FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR	2880.00	090	N	5184.51
+	*	26125	FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR	946.80	ZZZ	N
*	*	J1	26130	SYNOVECTOMY CARPOMETACARPAL JOINT	1582.80	090	N	5184.51
*	*	J1	26135	SYNVCT MTCARPHLNGL JT W/INTRNSC RLS&XTNSR HOOD	1899.60	090	N	5184.51
*	*	J1	26140	SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT	1742.40	090	N	2624.38
*	*	J1	26145	SYNVCT TDN SHTH RAD FLXR TDN PALM&/FNGR EA TDN	1770.00	090	N	2624.38
*	*	J1	26160	EXC LESION TDN SHTH/JT CAPSL HAND/FNGR	1999.20	090	N	2624.38
*	*	J1	26170	EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH	1400.40	090	N	2624.38
*	*	J1	26180	EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH	1533.60	090	N	2624.38
*	*	J1	26185	SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE	1898.40	090	Y	2624.38
*	*	J1	26200	EXCISION/CURETTAGE CYST/TUMOR METACARPAL	1550.40	090	N	2624.38
*	*	J1	26205	EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT	2083.20	090	N	10775.65
*	*	J1	26210	EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER	1527.60	090	N	2624.38
*	*	J1	26215	EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT	1948.80	090	N	5184.51
*	*	J1	26230	PARTIAL EXCISION BONE METACARPAL	1718.40	090	N	5184.51
*	*	J1	26235	PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER	1698.00	090	N	2624.38
*	*	J1	26236	PARTIAL EXCISION DISTAL PHALANX FINGER	1520.40	090	N	2624.38
*	*	J1	26250	RADICAL RESECTION TUMOR METACARPAL	3702.00	090	N	5184.51
*	*	J1	26260	RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER	2767.20	090	Y	5184.51
*	*	J1	26262	RADICAL RESECTION TUMOR DISTAL PHALANX FINGER	2178.00	090	Y	2624.38
*	*	26320	REMOVAL IMPLANT FROM FINGER/HAND	1197.60	090	N	1953.21
*	*	J1	26340	MANIPULATION FINGER JOINT UNDER ANES EACH JOINT	1160.40	090	N	2624.38
*	*	26341	MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD	348.00	010	N	319.63
*	*	J1	26350	RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON	2406.00	090	N	5184.51
*	*	J1	26352	RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON	2761.20	090	Y	5184.51
*	*	J1	26356	RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON	2737.20	090	N	5184.51
*	*	J1	26357	RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON	3060.00	090	Y	5184.51
*	*	J1	26358	RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON	3385.20	090	Y	5184.51
*	*	J1	26370	RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN	2554.80	090	N	5184.51
*	*	J1	26372	RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA	2989.20	090	Y	10775.65
*	*	J1	26373	RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA	2869.20	090	Y	5184.51
*	*	J1	26390	EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F	2838.00	090	Y	10775.65
*	*	J1	26392	RMVL SYNTH ROD & INSJ FLXR TDN GRF H/F EA ROD	3298.80	090	Y	10775.65
*	*	J1	26410	REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH	1905.60	090	N	2624.38
*	*	J1	26412	REPAIR EXTENSOR TENDON HAND W/GRAFT EACH	2292.00	090	N	5184.51
*	*	J1	26415	EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA	2761.20	090	N	5184.51
*	*	J1	26416	RMVL SYNTH ROD & INSJ XTNSR TDN GRF H/F EA ROD	3006.00	090	N	5184.51
*	*	J1	26418	REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH	1950.00	090	N	2624.38
*	*	J1	26420	REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH	2390.40	090	Y	5184.51
*	*	J1	26426	RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR	1728.00	090	N	5184.51
*	*	J1	26428	RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER	2557.20	090	N	5184.51
*	*	J1	26432	CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING	1678.80	090	N	2624.38
*	*	J1	26433	REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF	1785.60	090	N	5184.51
*	*	J1	26434	REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT	2188.80	090	Y	5184.51
*	*	J1	26437	REALIGNMENT EXTENSOR TENDON HAND EACH TENDON	2108.40	090	N	5184.51
*	*	J1	26440	TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON	2089.20	090	N	2624.38
*	*	J1	26442	TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO	3261.60	090	N	5184.51
*	*	J1	26445	TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH	1938.00	090	N	5184.51
*	*	J1	26449	TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA	2395.20	090	N	5184.51
*	*	J1	26450	TENOTOMY FLEXOR PALM OPEN EACH TENDON	1375.20	090	N	5184.51
*	*	J1	26455	TENOTOMY FLEXOR FINGER OPEN EACH TENDON	1363.20	090	N	2624.38
*	*	J1	26460	TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON	1334.40	090	N	2624.38
*	*	J1	26471	TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH	2083.20	090	N	5184.51
*	*	J1	26474	TENODESIS DISTAL JOINT EACH	2035.20	090	Y	2624.38
*	*	J1	26476	LENGTHENING TENDON EXTENSOR HAND/FINGER EACH	2010.00	090	N	5184.51
*	*	J1	26477	SHORTENING TENDON EXTENSOR HAND/FINGER EACH	1963.20	090	N	5184.51
*	*	J1	26478	LENGTHENING TENDON FLEXOR HAND/FINGER EACH	2090.40	090	N	5184.51
*	*	J1	26479	SHORTENING TENDON FLEXOR HAND/FINGER EACH	2114.40	090	Y	5184.51
*	*	J1	26480	TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN	2536.80	090	N	5184.51
*	*	J1	26483	TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT	2846.40	090	Y	5184.51
*	*	J1	26485	TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH	2725.20	090	Y	5184.51
*	*	J1	26489	TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH	3163.20	090	N	5184.51
*	*	J1	26490	OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN	2700.00	090	N	5184.51
*	*	J1	26492	OPPONENSPLASTY TDN TR W/GRF EA TDN	3001.20	090	Y	5184.51
*	*	J1	26494	OPPONENSPLASTY HYPOTHENAR MUSC TR	2703.60	090	Y	5184.51
*	*	J1	26496	OPPONENSPLASTY OTHER METHODS	2908.80	090	N	5184.51
*	*	J1	26497	TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR	2938.80	090	Y	5184.51
*	*	J1	26498	TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS	3896.40	090	Y	5184.51
*	*	J1	26499	CORRECTION CLAW FINGER OTHER METHODS	2812.80	090	Y	5184.51
*	*	J1	26500	RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX	2095.20	090	N	10775.65
*	*	J1	26502	RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX	2404.80	090	Y	5184.51
*	*	J1	26508	RELEASE THENAR MUSCLE	2133.60	090	N	5184.51
*	*	J1	26510	CROSS INTRINSIC TRANSFER EACH TENDON	2010.00	090	N	5184.51
*	*	J1	26516	CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT	2370.00	090	N	5184.51
*	*	J1	26517	CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS	2787.60	090	Y	5184.51
*	*	J1	26518	CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS	2832.00	090	Y	5184.51
*	*	J1	26520	CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH	2185.20	090	N	5184.51
*	*	J1	26525	CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH	2196.00	090	N	2624.38
*	*	J1	26530	ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH	1852.80	090	Y	5184.51
*	*	J1	26531	ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT	2155.20	090	Y	10775.65
*	*	J1	26535	ARTHROPLASTY INTERPHALANGEAL JOINT EACH	1480.80	090	N	5184.51
*	*	J1	26536	ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA	2410.80	090	N	10775.65
*	*	J1	26540	RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT	2222.40	090	N	5184.51
*	*	J1	26541	RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF	2709.60	090	Y	5184.51
*	*	J1	26542	RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS	2298.00	090	N	5184.51
*	*	J1	26545	RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT	2388.00	090	N	5184.51
*	*	J1	26546	RPR NON-UNION MTCRPL/PHALANX	3375.60	090	Y	10775.65
*	*	J1	26548	RPR & RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL	2569.20	090	N	5184.51
*	*	J1	26550	POLLICIZATION DIGIT	5617.20	090	Y	5184.51
*	*	26551	TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND	11355.60	090	Y
*	*	26553	TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1	11278.80	090	Y
*	*	26554	TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2	13166.40	090	Y
*	*	J1	26555	TR FNGR AXH POS W/O MVASC ANAST	4675.20	090	Y	10775.65
*	*	26556	TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS	11722.80	090	Y
*	*	J1	26560	REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS	1981.20	090	Y	2624.38
*	*	J1	26561	REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS&GRAFT	3207.60	090	Y	5184.51
*	*	J1	26562	REPAIR SYNDACTYLY EACH SPACE COMPLEX	4581.60	090	Y	5184.51
*	*	J1	26565	OSTEOTOMY METACARPAL EACH	2286.00	090	Y	5184.51
*	*	J1	26567	OSTEOTOMY PHALANX FINGER EACH	2305.20	090	N	5184.51
*	*	J1	26568	OSTEOPLASTY LENGTHENING METACARPAL/PHALANX	3043.20	090	Y	10775.65
*	*	J1	26580	REPAIR CLEFT HAND	5170.80	090	Y	5184.51
*	*	J1	26587	RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE & BONE	3600.00	090	Y	5184.51
*	*	J1	26590	REPAIR MACRODACTYLIA EACH DIGIT	4808.40	090	Y	2624.38
*	*	J1	26591	REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE	1483.20	090	N	5184.51
*	*	J1	26593	RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE	2030.40	090	N	5184.51
*	*	J1	26596	EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES	2580.00	090	Y	5184.51
*	*	26600	CLTX METACARPAL FX W/O MANIPULATION EACH BONE	1006.80	090	N	319.63
*	*	26605	CLTX METACARPAL FX W/MANIPULATION EACH BONE	1108.80	090	N	319.63
*	*	J1	26607	CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE	1614.00	090	N	5184.51
*	*	J1	26608	PRQ SKELETAL FIXJ METACARPAL FX EACH BONE	1646.40	090	N	5184.51
*	*	J1	26615	OPEN TX METACARPAL FRACTURE SINGLE EA BONE	1982.40	090	N	5184.51
*	*	26641	CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ	1288.80	090	N	319.63
*	*	J1	26645	CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ	1476.00	090	N	2624.38
*	*	J1	26650	PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB	1648.80	090	N	5184.51
*	*	J1	26665	OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB	2157.60	090	N	5184.51
*	*	26670	CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES	1183.20	090	N	319.63
*	*	J1	26675	CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES	1573.20	090	N	2624.38
*	*	J1	26676	PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT	1734.00	090	N	5184.51
*	*	J1	26685	OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB	1978.80	090	N	5184.51
*	*	J1	26686	OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ	2145.60	090	Y	5184.51
*	*	26700	CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES	1125.60	090	N	319.63
*	*	J1	26705	CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES	1437.60	090	N	2624.38
*	*	J1	26706	PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ	1520.40	090	N	5184.51
*	*	J1	26715	OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION	1972.80	090	N	5184.51
*	*	26720	CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA	674.40	090	N	319.63
*	*	26725	CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA	1159.20	090	N	319.63
*	*	J1	26727	PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T	1622.40	090	N	5184.51
*	*	J1	26735	OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA	2052.00	090	N	5184.51
*	*	26740	CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ	787.20	090	N	319.63
*	*	J1	26742	CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ	1274.40	090	N	2624.38
*	*	J1	26746	OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA	2560.80	090	N	5184.51
*	*	26750	CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA	630.00	090	N	319.63
*	*	26755	CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA	1078.80	090	N	319.63
*	*	J1	26756	PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA	1437.60	090	N	5184.51
*	*	J1	26765	OPEN TX DISTAL PHALANGEAL FRACTURE EACH	1725.60	090	N	5184.51
*	*	26770	CLTX IPHAL JT DISLC W/MANJ W/O ANES	952.80	090	N	319.63
*	*	26775	CLTX IPHAL JT DISLC W/MANJ REQ ANES	1318.80	090	N	334.52
*	*	J1	26776	PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ	1525.20	090	N	5184.51
*	*	J1	26785	OPEN TX INTERPHALANGEAL JOINT DISLOCATION	1885.20	090	N	5184.51
*	*	J1	26820	FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT	2660.40	090	Y	10775.65
*	*	J1	26841	ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ	2458.80	090	N	10775.65
*	*	J1	26842	ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT	2649.60	090	Y	10775.65
*	*	J1	26843	ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH	2499.60	090	Y	10775.65
*	*	J1	26844	ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT	2776.80	090	Y	10775.65
*	*	J1	26850	ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ	2338.80	090	N	10775.65
*	*	J1	26852	ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT	2690.40	090	Y	10775.65
*	*	J1	26860	ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ	1909.20	090	N	5184.51
+	*	26861	ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT	357.60	ZZZ	N
*	*	J1	26862	ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT	2456.40	090	Y	5184.51
+	*	26863	ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT	794.40	ZZZ	Y
*	*	J1	26910	AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER	2452.80	090	N	5184.51
*	*	J1	26951	AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR	2210.40	090	N	5184.51
*	*	J1	26952	AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP	2181.60	090	N	5184.51
*	*	26989	UNLISTED PROCEDURE HANDS/FINGERS	BR	YYY	N	319.63
*	*	J1	26990	I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA	2199.60	090	N	5184.51
*	*	J1	26991	I&D PELVIS/HIP JOINT AREA INFECTED BURSA	2426.40	090	N	2624.38
*	*	26992	INCISION BONE CORTEX PELVIS&/HIP JOINT	3348.00	090	N
*	*	J1	27000	TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX	1401.60	090	N	2624.38
*	*	J1	27001	TENOTOMY ADDUCTOR HIP OPEN	1854.00	090	Y	5184.51
*	*	J1	27003	TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY	2049.60	090	Y	10775.65
*	*	27005	TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE	2496.00	090	Y	3466.63
*	*	J1	27006	TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX	2491.20	090	Y	5184.51
*	*	27025	FASCIOTOMY HIP/THIGH ANY TYPE	3164.40	090	N	2742.03
*	*	J1	27027	DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI	3057.60	090	N	10775.65
*	*	27030	ARTHROTOMY HIP W/DRAINAGE	3242.40	090	Y
*	*	J1	27033	ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY	3363.60	090	Y	5184.51
*	*	J1	27035	DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH	3938.40	090	Y	5184.51
*	*	27036	CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC	3499.20	090	Y	4499.61
*	*	J1	27040	BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL	1179.60	010	N	2734.29
*	*	J1	27041	BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM	2413.20	090	N	2734.29
*	*	J1	27043	EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>	1624.80	090	N	4742.07
*	*	J1	27045	EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>	2565.60	090	Y	4742.07
*	*	J1	27047	EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM	1635.60	090	N	4742.07
*	*	J1	27048	EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC GREATER THAN 5CM	2112.00	090	Y	4742.07
*	*	J1	27049	RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP GREATER THAN 5 CM	4634.40	090	Y	4742.07
*	*	J1	27050	ARTHROTOMY W/BIOPSY SACROILIAC JOINT	1389.60	090	N	2624.38
*	*	J1	27052	ARTHROTOMY W/BIOPSY HIP JOINT	1990.80	090	Y	2624.38
*	*	27054	ARTHROTOMY W/SYNOVECTOMY HIP JOINT	2368.80	090	Y
*	*	J1	27057	DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI	3496.80	090	N	2624.38
*	*	J1	27059	RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/>	6318.00	090	Y	4742.07
*	*	J1	27060	EXCISION ISCHIAL BURSA	1605.60	090	N	5184.51
*	*	J1	27062	EXCISION TROCHANTERIC BURSA/CALCIFICATION	1573.20	090	N	5184.51
*	*	J1	27065	EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL	1792.80	090	Y	5184.51
*	*	J1	27066	EXCISION BONE CYST/BENIGN TUMOR DEEP	2775.60	090	Y	5184.51
*	*	J1	27067	EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC	3584.40	090	Y	10775.65
*	*	27070	PARTIAL EXCISION SUPERFICIAL PELVIS	2961.60	090	Y
*	*	27071	PARTIAL EXCISION DEEP PELVIS	3200.40	090	Y
*	*	27075	RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL	7267.20	090	Y
*	*	27076	RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC	8796.00	090	Y
*	*	27077	RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL	9848.40	090	Y
*	*	27078	RAD RESCT TUMOR ISCHIAL TUBEROSITY&GRT TRCHNTR	7165.20	090	Y
*	*	J1	27080	COCCYGECTOMY PRIMARY	1767.60	090	Y	5184.51
*	*	J1	27086	RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS	1033.20	010	N	2734.29
*	*	J1	27087	REMOVAL FOREIGN BODY PELVIS/HIP DEEP	2122.80	090	Y	5184.51
*	*	27090	REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE	2872.80	090	Y
*	*	27091	RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA	5528.40	090	Y
*	*	27093	INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA	686.40	000	N
*	*	27095	INJECTION HIP ARTHROGRAPHY W/ANESTHESIA	914.40	000	N
*	*	27096	INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA	547.20	000	N
*	*	J1	27097	RELEASE/RECESSION HAMSTRING PROXIMAL	2355.60	090	Y	5184.51
*	*	J1	27098	TRANSFER ADDUCTOR ISCHIUM	2401.20	090	Y	5184.51
*	*	J1	27100	TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF	2840.40	090	Y	10775.65
*	*	J1	27105	TR PARASPI MUSC HIP FASC/TDN XTN GRF	2989.20	090	Y	5184.51
*	*	J1	27110	TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR	3337.20	090	Y	10775.65
*	*	J1	27111	TRANSFER ILIOPSOAS FEMORAL NECK	3118.80	090	Y	5184.51
*	*	27120	ACETABULOPLASTY	4479.60	090	Y
*	*	27122	ACETABULOPLASTY RESECTION FEMORAL HEAD	3811.20	090	Y
*	*	27125	HEMIARTHROPLASTY HIP PARTIAL	3925.20	090	Y
*	*	J1*	27130	ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	4690.80	090	Y	19120.53
*	*	27132	CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT	5799.60	090	Y
*	*	27134	REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT	6633.60	090	Y
*	*	27137	REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT	5097.60	090	Y
*	*	27138	REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT	5296.80	090	Y
*	*	27140	OSTEOTOMY&TRANSFER GREATER TROCHANTER SPX	3082.80	090	Y
*	*	27146	OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE	4420.80	090	Y
*	*	27147	OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ	5037.60	090	Y
*	*	27151	OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT	5516.40	090	Y
*	*	27156	OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ	5872.80	090	Y
*	*	27158	OSTEOTOMY PELVIS BILATERAL	4774.80	090	Y
*	*	27161	OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE	4200.00	090	Y
*	*	27165	OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL	4734.00	090	Y
*	*	27170	B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA	4058.40	090	Y	4212.81
*	*	27175	TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION	2306.40	090	N
*	*	27176	TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU	3168.00	090	Y	4437.75
*	*	27177	OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT	3735.60	090	Y
*	*	27178	OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN	3184.80	090	Y
*	*	J1	27179	OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX	3344.40	090	Y	10775.65
*	*	27181	OPTX SLP FEM EPIPHYSIS OSTEOT&INT FIXJ	3787.20	090	Y
*	*	27185	EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR	2485.20	090	N
*	*	27187	PROPH TX N/P/PLTWR W/WO MMA FEM NCK & PROX FEMUR	3438.00	090	Y
*	*	27197	CLSD TX PELVIC RING FX W/O MANIPULATION	428.40	000	N	319.63
*	*	27198	CLSD TX PELVIC RING FX W/MANIPULATION W/ANES	1040.40	000	N	319.63
*	*	27200	CLOSED TREATMENT COCCYGEAL FRACTURE	631.20	090	N	319.63
*	*	J1	27202	OPEN TREATMENT COCCYGEAL FRACTURE	1816.80	090	Y	5184.51
*	*	27215	OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD	2160.00	090	N
*	*	27216	PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DIS	3206.40	090	N
*	*	27217	OPTX ANT PELVIC BONE FX&/DISLC INT FIXJ IF PFR	3008.40	090	N	5591.08
*	*	27218	OPTX POST PEL BONE FX&/DISLC INT FIXJ IF PFRMD	4155.60	090	N
*	*	27220	CLTX ACETABULUM HIP/SOCKT FX W/O MANJ	1837.20	090	N	319.63
*	*	27222	CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ	3364.80	090	N	843.69
*	*	27226	OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ	3656.40	090	Y
*	*	27227	OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT	5754.00	090	Y
*	*	27228	OPTX ACTBLR FX INVG ANT&POST 2 COLUMNS FX W/INT	6523.20	090	Y
*	*	27230	CLTX FEM FX PROX END NCK W/O MANJ	1650.00	090	N	319.63
*	*	27232	CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ	2572.80	090	N
*	*	J1	27235	PRQ SKEL FIXJ FEMORAL FX PROX END NECK	3147.60	090	N	10775.65
*	*	27236	OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT	4138.80	090	Y	4779.77
*	*	J1	27238	CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ	1592.40	090	N	2624.38
*	*	27240	CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ	3312.00	090	N
*	*	27244	TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT	4261.20	090	Y
*	*	27245	TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW	4258.80	090	Y
*	*	27246	CLTX GREATER TROCHANTERIC FX W/O MANJ	1334.40	090	N	319.63
*	*	27248	OPEN TREATMENT GREATER TROCHANTERIC FRACTURE	2574.00	090	Y
*	*	27250	CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA	620.40	000	N	319.63
*	*	J1	27252	CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA	2616.00	090	N	2624.38
*	*	27253	OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ	3261.60	090	Y
*	*	27254	OPTX HIP DISLC TRAUMTC W/ACTBLR WALL&FEM HEAD	4375.20	090	Y
*	*	27256	TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES	1044.00	010	N	319.63
*	*	J1	27257	TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES	1255.20	010	N	2624.38
*	*	27258	OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM	3841.20	090	Y
*	*	27259	OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT	5378.40	090	Y
*	*	27265	CLTX POST HIP ARTHRP DISLC W/O ANES	1382.40	090	N	319.63
*	*	J1	27266	CLTX POST HIP ARTHRP DISLC REQ ANES	2010.00	090	N	2624.38
*	*	J1	27267	CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ	1492.80	090	Y	5184.51
*	*	27268	CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ	1857.60	090	Y
*	*	27269	OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD	4300.80	090	Y
*	*	J1	27275	MANIPULATION HIP JOINT GENERAL ANESTHESIA	632.40	010	N	2624.38
*	*	J1	27279	ARTHRODESIS SACROILIAC JOINT PERCUTANEOUS	2398.80	090	Y	26078.68
*	*	27280	ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT	4706.40	090	Y	5826.62
*	*	27282	ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT	2966.40	090	Y
*	*	27284	ARTHRODESIS HIP JOINT W/OBTAINING GRAFT	5510.40	090	Y
*	*	27286	ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT	5730.00	090	Y
*	*	27290	INTERPELVIABDOMINAL AMPUTATION	5629.20	090	Y
*	*	27295	DISARTICULATION HIP	4363.20	090	Y
*	*	27299	UNLISTED PROCEDURE PELVIS/HIP JOINT	BR	YYY	Y	319.63
*	*	J1	27301	I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION	2324.40	090	N	4742.07
*	*	27303	INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE	2211.60	090	Y
*	*	J1	27305	FASCIOTOMY ILIOTIBIAL OPEN	1658.40	090	Y	5184.51
*	*	J1	27306	TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX	1186.80	090	Y	5184.51
*	*	J1	27307	TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON	1657.20	090	N	5184.51
*	*	J1	27310	ARTHRT KNE W/EXPL DRG/RMVL FB	2526.00	090	Y	5184.51
*	*	J1	27323	BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL	949.20	010	N	2734.29
*	*	J1	27324	BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP	1390.80	090	N	4742.07
*	*	J1	27325	NEURECTOMY HAMSTRING MUSCLE	1920.00	090	Y	3259.45
*	*	J1	27326	NEURECTOMY POPLITEAL	1771.20	090	Y	3259.45
*	*	J1	27327	EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM	1622.40	090	N	2734.29
*	*	J1	27328	EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC GREATER THAN 5CM	2158.80	090	N	4742.07
*	*	J1	27329	RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE GREATER THAN 5CM	3591.60	090	Y	4742.07
*	*	J1	27330	ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY	1436.40	090	N	5184.51
*	*	J1	27331	ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB	1639.20	090	Y	5184.51
*	*	J1	27332	ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT	2215.20	090	Y	5184.51
*	*	J1	27333	ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL&LAT	2025.60	090	Y	5184.51
*	*	J1	27334	ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR	2365.20	090	Y	5184.51
*	*	J1	27335	ARTHRT W/SYNVCT KNE ANT&POST W/POP AREA	2636.40	090	Y	10775.65
*	*	J1	27337	EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>	1447.20	090	Y	4742.07
*	*	J1	27339	EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>	2607.60	090	Y	4742.07
*	*	J1	27340	EXCISION PREPATELLAR BURSA	1281.60	090	N	5184.51
*	*	J1	27345	EXCISION SYNOVIAL CYST POPLITEAL SPACE	1658.40	090	Y	5184.51
*	*	J1	27347	EXCISION LESION MENISCUS/CAPSULE KNEE	1822.80	090	Y	5184.51
*	*	J1	27350	PATELLECTOMY/HEMIPATELLECTOMY	2245.20	090	Y	5184.51
*	*	J1	27355	EXCISION/CURETTAGE CYST/TUMOR FEMUR	2088.00	090	Y	5184.51
*	*	J1	27356	EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT	2548.80	090	Y	19120.53
*	*	J1	27357	EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT	2812.80	090	Y	10775.65
+	*	27358	EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION	964.80	ZZZ	Y
*	*	J1	27360	PRTL EXC BONE FEMUR PROX TIBIA&/FIBULA	2972.40	090	Y	5184.51
*	*	J1	27364	RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/>	5426.40	090	Y	4742.07
*	*	27365	RADICAL RESECTION TUMOR FEMOR OR KNEE	7155.60	090	Y	3208.13
*	*	27369	NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE	487.20	000	N
*	*	J1	27372	REMOVAL FOREIGN BODY DEEP THIGH/KNEE	2048.40	090	N	4742.07
*	*	J1	27380	SUTURE INFRAPATELLAR TENDON PRIMARY	2061.60	090	Y	10775.65
*	*	J1	27381	SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF	2763.60	090	Y	10775.65
*	*	J1	27385	SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY	1993.20	090	Y	10775.65
*	*	J1	27386	SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ	2878.80	090	Y	10775.65
*	*	J1	27390	TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON	1543.20	090	Y	5184.51
*	*	J1	27391	TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG	1978.80	090	N	5184.51
*	*	J1	27392	TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI	2450.40	090	Y	5184.51
*	*	J1	27393	LENGTHENING HAMSTRING TENDON SINGLE	1761.60	090	Y	5184.51
*	*	J1	27394	LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG	2220.00	090	Y	10775.65
*	*	J1	27395	LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL	3031.20	090	Y	5184.51
*	*	J1	27396	TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON	2116.80	090	Y	10775.65
*	*	J1	27397	TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN	3159.60	090	Y	10775.65
*	*	J1	27400	TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR	2379.60	090	Y	10775.65
*	*	J1	27403	ARTHROTOMY W/MENISCUS REPAIR KNEE	2212.80	090	Y	5184.51
*	*	J1	27405	RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL	2334.00	090	Y	10775.65
*	*	J1	27407	REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT	2710.80	090	Y	10775.65
*	*	J1	27409	RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE	3322.80	090	Y	10775.65
*	*	J1	27412	AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE	5655.60	090	Y	10775.65
*	*	J1	27415	OSTEOCHONDRAL ALLOGRAFT KNEE OPEN	4676.40	090	Y	19120.53
*	*	J1	27416	OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY	3360.00	090	N	10775.65
*	*	J1	27418	ANTERIOR TIBIAL TUBERCLEPLASTY	2862.00	090	Y	10775.65
*	*	J1	27420	RCNSTJ DISLOCATING PATELLA	2566.80	090	Y	10775.65
*	*	J1	27422	RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT&/MUSC RL	2566.80	090	Y	10775.65
*	*	J1	27424	RCNSTJ DISLC PATELLA W/PATELLECTOMY	2581.20	090	Y	10775.65
*	*	J1	27425	LATERAL RETINACULAR RELEASE OPEN	1551.60	090	N	5184.51
*	*	J1	27427	LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR	2458.80	090	Y	10775.65
*	*	J1	27428	LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR	3850.80	090	Y	19120.53
*	*	J1	27429	LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR	4328.40	090	Y	19120.53
*	*	J1	27430	QUADRICEPSPLASTY	2553.60	090	Y	10775.65
*	*	J1	27435	CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE	2792.40	090	Y	5184.51
*	*	J1	27437	ARTHROPLASTY PATELLA W/O PROSTHESIS	2282.40	090	N	10775.65
*	*	J1	27438	ARTHROPLASTY PATELLA W/PROSTHESIS	2900.40	090	Y	19120.53
*	*	J1	27440	ARTHROPLASTY KNEE TIBIAL PLATEAU	2750.40	090	Y	19120.53
*	*	J1	27441	ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT	2848.80	090	Y	19120.53
*	*	J1	27442	ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE	3003.60	090	Y	19120.53
*	*	J1	27443	ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL	2808.00	090	Y	19120.53
*	*	27445	ARTHROPLASTY KNEE HINGE PROSTHESIS	4334.40	090	Y
*	*	J1	27446	ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT	4010.40	090	Y	19120.53
*	*	J1	27447	ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	4688.40	090	Y	19120.53
*	*	27448	OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION	2684.40	090	Y
*	*	27450	OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION	3516.00	090	Y	6886.32
*	*	27454	OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT	4484.40	090	Y
*	*	27455	OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL	3238.80	090	Y	2908.79
*	*	27457	OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL	3322.80	090	Y	4624.34
*	*	27465	OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876	4339.20	090	Y
*	*	27466	OSTEOPLASTY FEMUR LENGTHENING	4084.80	090	Y
*	*	27468	OSTPL FEMUR CMBN LNGTH&SHRT W/FEMORAL SGM TRNSFR	4657.20	090	Y
*	*	27470	RPR NON/MAL FEMUR DSTL H/N W/O GRF	4072.80	090	Y	6631.21
*	*	27472	RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE	4370.40	090	Y	8169.99
*	*	J1	27475	ARREST EPIPHYSEAL DISTAL FEMUR	2290.80	090	N	10775.65
*	*	J1	27477	ARREST EPIPHYSEAL TIBIA & FIBULA PROXIMAL	2540.40	090	N	5184.51
*	*	J1	27479	ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB	3188.40	090	Y	10775.65
*	*	J1	27485	ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA	2322.00	090	N	5184.51
*	*	27486	REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT	4864.80	090	Y	5783.72
*	*	27487	REVJ TOT KNEE ARTHRP FEM&ENTIRE TIBIAL COMPONE	6087.60	090	Y	5029.92
*	*	27488	RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER	4156.80	090	Y
*	*	27495	PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR	3901.20	090	Y
*	*	J1	27496	DECOMPRESSION FASCIOTOMY THIGH&/KNEE 1 COMPONENT	1879.20	090	N	5184.51
*	*	J1	27497	DCMPRN FASCT THIGH&/KNEE DBRDMT MUSCLE&/NERVE	2006.40	090	N	5184.51
*	*	J1	27498	DCMPRN FASCIOTOMY THIGH&/KNEE MLT COMPARTMENTS	2260.80	090	Y	2624.38
*	*	J1	27499	DCMPRN FASCT THIGH&/KNEE MLT DBRDMT NV MUSC&NRVE	2412.00	090	Y	5184.51
*	*	27500	CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION	1790.40	090	N	319.63
*	*	27501	CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ	1740.00	090	N	319.63
*	*	J1	27502	CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ	2622.00	090	N	2624.38
*	*	J1	27503	CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ	2764.80	090	N	2624.38
*	*	27506	OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW	4632.00	090	Y	5643.63
*	*	27507	OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE	3364.80	090	Y	6178.58
*	*	27508	CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ	1801.20	090	N	319.63
*	*	J1	27509	PRQ SKELETAL FIXJ FEMORAL FX DISTAL END	2236.80	090	N	10775.65
*	*	J1	27510	CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ	2356.80	090	N	2624.38
*	*	27511	OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN	3452.40	090	Y
*	*	27513	OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN	4297.20	090	Y
*	*	27514	OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE	3351.60	090	Y	4287.67
*	*	27516	CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ	1756.80	090	N	319.63
*	*	J1	27517	CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL	2352.00	090	N	2624.38
*	*	27519	OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION	3087.60	090	Y
*	*	27520	CLOSED TX PATELLAR FRACTURE W/O MANIPULATION	1105.20	090	N	319.63
*	*	J1	27524	OPTX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR	2599.20	090	Y	10775.65
*	*	27530	CLTX TIBIAL FX PROXIMAL W/O MANIPULATION	1035.60	090	N	319.63
*	*	J1	27532	CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ	2124.00	090	N	5184.51
*	*	27535	OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR	3110.40	090	Y	5317.90
*	*	27536	OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ	4114.80	090	Y	6107.46
*	*	27538	CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN	1641.60	090	N	319.63
*	*	27540	OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE	2812.80	090	Y	4623.90
*	*	27550	CLOSED TX KNEE DISLOCATION W/O ANESTHESIA	1788.00	090	N	319.63
*	*	J1	27552	CLOSED TX KNEE DISLOCATION W/ANESTHESIA	2166.00	090	N	2624.38
*	*	27556	OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR	3032.40	090	Y
*	*	27557	OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR	3610.80	090	Y
*	*	27558	OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION	4113.60	090	Y
*	*	27560	CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA	1260.00	090	N	319.63
*	*	27562	CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA	1666.80	090	N	319.63
*	*	J1	27566	OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY	3081.60	090	Y	10775.65
*	*	J1	27570	MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA	520.80	010	N	2624.38
*	*	27580	ARTHRODESIS KNEE ANY TECHNIQUE	4989.60	090	Y
*	*	27590	AMPUTATION THIGH THROUGH FEMUR ANY LEVEL	2754.00	090	Y
*	*	27591	AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST	3337.20	090	Y
*	*	27592	AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR	2358.00	090	Y
*	*	J1	27594	AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION	1754.40	090	N	5184.51
*	*	27596	AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION	2487.60	090	N
*	*	27598	DISARTICULATION KNEE	2461.20	090	Y
*	*	27599	UNLISTED PROCEDURE FEMUR/KNEE	BR	YYY	Y	319.63
*	*	J1	27600	DCMPRN FASCT LEG ANT&/LAT COMPARTMENTS ONLY	1401.60	090	N	5184.51
*	*	J1	27601	DCMPRN FASCT LEG POST COMPARTMENT ONLY	1538.40	090	N	5184.51
*	*	J1	27602	DCMPRN FASCT LEG ANT&/LAT&PST CMPRT	1675.20	090	Y	5184.51
*	*	J1	27603	INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA	1830.00	090	N	4742.07
*	*	J1	27604	INCISION & DRAINAGE LEG/ANKLE INFECTED BURSA	1638.00	090	N	5184.51
*	*	J1	27605	TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES	1185.60	010	N	2624.38
*	*	J1	27606	TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES	961.20	010	N	5184.51
*	*	J1	27607	INCISION LEG/ANKLE	2106.00	090	N	5184.51
*	*	J1	27610	ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB	2248.80	090	N	5184.51
*	*	J1	27612	ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH	1959.60	090	Y	5184.51
*	*	J1	27613	BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL	862.80	010	N	2734.29
*	*	J1	27614	BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP	1984.80	090	N	4742.07
*	*	J1	27615	RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE GREATER THAN 5CM	3548.40	090	N	4742.07
*	*	J1	27616	RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>	4402.80	090	N	4742.07
*	*	J1	27618	EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM	1588.80	090	N	2734.29
*	*	J1	27619	EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL GREATER THAN 5CM	1599.60	090	N	4742.07
*	*	J1	27620	ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB	1560.00	090	Y	5184.51
*	*	J1	27625	ARTHROTOMY W/SYNOVECTOMY ANKLE	1970.40	090	Y	5184.51
*	*	J1	27626	ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY	2102.40	090	Y	5184.51
*	*	J1	27630	EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK	1914.00	090	N	5184.51
*	*	J1	27632	EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>	1430.40	090	Y	4742.07
*	*	J1	27634	EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>	2347.20	090	Y	4742.07
*	*	J1	27635	EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA	2005.20	090	N	5184.51
*	*	J1	27637	EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT	2576.40	090	Y	10775.65
*	*	J1	27638	EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT	2646.00	090	Y	10775.65
*	*	J1	27640	PARTIAL EXCISION BONE TIBIA	2876.40	090	N	5184.51
*	*	J1	27641	PARTIAL EXCISION BONE FIBULA	2290.80	090	N	5184.51
*	*	27645	RADICAL RESECTION OF TUMOR TIBIA	6160.80	090	Y	3687.35
*	*	27646	RADICAL RESECTION TUMOR BONE FIBULA	5323.20	090	Y
*	*	J1	27647	RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS	3520.80	090	Y	5184.51
*	*	27648	INJECTION ANKLE ARTHROGRAPHY	626.40	000	N
*	*	J1	27650	REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON	2268.00	090	Y	5184.51
*	*	J1	27652	RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT	2324.40	090	N	10775.65
*	*	J1	27654	REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT	2449.20	090	Y	10775.65
*	*	J1	27656	REPAIR FASCIAL DEFECT LEG	2186.40	090	Y	5184.51
*	*	J1	27658	REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH	1282.80	090	Y	5184.51
*	*	J1	27659	RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH	1630.80	090	Y	10775.65
*	*	J1	27664	RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH	1248.00	090	N	10775.65
*	*	J1	27665	RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH	1430.40	090	Y	10775.65
*	*	J1	27675	RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY	1693.20	090	Y	5184.51
*	*	J1	27676	REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT	2072.40	090	Y	10775.65
*	*	J1	27680	TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH	1464.00	090	N	5184.51
*	*	J1	27681	TNOLS FLXR/XTNSR TDN LEG&/ANKLE MLT TDN	1893.60	090	N	5184.51
*	*	J1	27685	LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX	2284.80	090	Y	5184.51
*	*	J1	27686	LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA	1884.00	090	N	5184.51
*	*	J1	27687	GASTROCNEMIUS RECESSION	1568.40	090	Y	5184.51
*	*	J1	27690	TR/TRNS PL 1 TDN W/MUSC REDIRION/REROUTING SUPFC	2205.60	090	Y	10775.65
*	*	J1	27691	TR/TRNS PL 1 TDN W/MUSC REDIRION/REROUTING DP	2575.20	090	Y	10775.65
+	*	27692	TR/TRNS PL 1 TDN W/MUSC REDIRION/REROUTING EA TDN	362.40	ZZZ	Y
*	*	J1	27695	RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL	1636.80	090	N	10775.65
*	*	J1	27696	RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS	1912.80	090	N	10775.65
*	*	J1	27698	REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL	2200.80	090	Y	10775.65
*	*	J1	27700	ARTHROPLASTY ANKLE	2110.80	090	Y	10775.65
*	*	27702	ARTHROPLASTY ANKLE W/IMPLANT	3325.20	090	Y	6332.15
*	*	27703	ARTHROPLASTY ANKLE REVISION TOTAL ANKLE	3837.60	090	Y	6249.85
*	*	27704	REMOVAL ANKLE IMPLANT	1981.20	090	N	3725.14
*	*	J1	27705	OSTEOTOMY TIBIA	2625.60	090	Y	10775.65
*	*	J1	27707	OSTEOTOMY FIBULA	1381.20	090	N	5184.51
*	*	J1	27709	OSTEOTOMY TIBIA & FIBULA	4038.00	090	Y	19120.53
*	*	27712	OSTEOT MLT W/RELIGNMT IMED ROD	3795.60	090	Y
*	*	27715	OSTEOPLASTY TIBIA & FIBULA LENGTHENING/SHORTENIN	3705.60	090	Y
*	*	J1	27720	REPAIR NONUNION/MALUNION TIBIA W/O GRAFT	3022.80	090	Y	10775.65
*	*	J1	27722	REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT	3074.40	090	Y	10775.65
*	*	27724	RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT	4378.80	090	Y	5390.32
*	*	27725	RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH	4210.80	090	Y
*	*	J1	27726	REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION	3325.20	090	N	10775.65
*	*	27727	REPAIR CONGENITAL PSEUDARTHROSIS TIBIA	3490.80	090	Y
*	*	J1	27730	ARREST EPIPHYSEAL OPEN DISTAL TIBIA	2029.20	090	N	5184.51
*	*	J1	27732	ARREST EPIPHYSEAL OPEN DISTAL FIBULA	1550.40	090	N	5184.51
*	*	J1	27734	ARREST EPIPHYSEAL OPEN DISTAL TIBIA&FIBULA	2271.60	090	N	5184.51
*	*	J1	27740	ARREST EPIPHYSEAL ANY METHOD TIBIA & FIBULA	2451.60	090	Y	5184.51
*	*	J1	27742	ARRST EPIPHYSL ANY METH TIBFIB&DSTL FEMUR	2692.80	090	Y	5184.51
*	*	J1	27745	PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA	2608.80	090	Y	10775.65
*	*	27750	CLTX TIBIAL SHAFT FX W/O MANIPULATION	1184.40	090	N	319.63
*	*	J1	27752	CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ	1843.20	090	N	2624.38
*	*	J1	27756	PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE	1993.20	090	Y	10775.65
*	*	J1	27758	OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE	3087.60	090	Y	19120.53
*	*	J1	27759	TX TIBL SHFT FX IMED IMPLT W/WO SCREWS&/CERCLA	3458.40	090	Y	19120.53
*	*	27760	CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION	1140.00	090	N	319.63
*	*	J1	27762	CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ	1635.60	090	N	2624.38
*	*	J1	27766	OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE	2094.00	090	N	10775.65
*	*	27767	CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ	969.60	090	N	319.63
*	*	J1	27768	CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ	1520.40	090	N	2624.38
*	*	J1	27769	OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE	2522.40	090	N	10775.65
*	*	27780	CLTX PROX FIBULA/SHFT FX W/O MANJ	1045.20	090	N	319.63
*	*	J1	27781	CLTX PROX FIBULA/SHFT FX W/MANJ	1476.00	090	N	2624.38
*	*	J1	27784	OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE	2472.00	090	N	10775.65
*	*	27786	CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	1076.40	090	N	319.63
*	*	27788	CLTX DSTL FIBULAR FX LAT MALLS W/MANJ	1452.00	090	N	319.63
*	*	J1	27792	OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS	2242.80	090	N	10775.65
*	*	27808	CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ	1143.60	090	N	319.63
*	*	J1	27810	CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ	1606.80	090	N	2624.38
*	*	J1	27814	OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE	2658.00	090	Y	10775.65
*	*	27816	CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION	1112.40	090	N	319.63
*	*	J1	27818	CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION	1669.20	090	N	2624.38
*	*	J1	27822	OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP	2966.40	090	Y	10775.65
*	*	J1	27823	OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP	3362.40	090	Y	10775.65
*	*	27824	CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ	1082.40	090	N	319.63
*	*	J1	27825	CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ	1884.00	090	N	2624.38
*	*	J1	27826	OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA	2908.80	090	Y	10775.65
*	*	J1	27827	OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY	3808.80	090	Y	19120.53
*	*	J1	27828	OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA	4544.40	090	Y	19120.53
*	*	J1	27829	OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION	2400.00	090	Y	10775.65
*	*	27830	CLTX PROX TIBFIB JT DISLC W/O ANES	1312.80	090	N	319.63
*	*	J1	27831	CLTX PROX TIBFIB JT DISLC REQ ANES	1389.60	090	N	5184.51
*	*	J1	27832	OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB	2605.20	090	Y	10775.65
*	*	27840	CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA	1285.20	090	N	319.63
*	*	J1	27842	CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ	1688.40	090	N	2624.38
*	*	J1	27846	OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ	2486.40	090	Y	10775.65
*	*	J1	27848	OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ	2760.00	090	Y	10775.65
*	*	J1	27860	MANIPULATION ANKLE UNDER GENERAL ANESTHESIA	590.40	010	N	5184.51
*	*	J1	27870	ARTHRODESIS ANKLE OPEN	3547.20	090	Y	19120.53
*	*	J1	27871	ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL	2376.00	090	Y	19120.53
*	*	27880	AMPUTATION LEG THROUGH TIBIA&FIBULA	3156.00	090	Y
*	*	27881	AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST	2988.00	090	Y
*	*	27882	AMPUTATION LEG THRU TIBIA&FIBULA OPEN CIRCULAR	2064.00	090	N
*	*	J1	27884	AMP LEG THRU TIBIA&FIBULA SEC CLOSURE/SCAR REV	1970.40	090	N	5184.51
*	*	27886	AMP LEG THRU TIBIA&FIBULA RE-AMPUTATION	2266.80	090	N	4039.09
*	*	27888	AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR&RESCJ NRV	2287.20	090	Y
*	*	J1	27889	ANKLE DISARTICULATION	2236.80	090	N	10775.65
*	*	J1	27892	DCMPRN FASCT LEG ANT&/LAT W/DBRDMT MUSC&/NERVE	1900.80	090	N	5184.51
*	*	J1	27893	DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV	2106.00	090	N	10775.65
*	*	J1	27894	DCMPRN FASCT LEG ANT&/LAT&PST W/DBRDMT MUS	2919.60	090	Y	5184.51
*	*	27899	UNLISTED PROCEDURE LEG/ANKLE	BR	YYY	N	319.63
*	*	J1	28001	INCISION&DRAINAGE BURSA FOOT	963.60	010	N	2734.29
*	*	J1	28002	I&D BELOW FASCIA FOOT 1 BURSAL SPACE	1534.80	010	N	2624.38
*	*	J1	28003	I&D BELOW FASCIA FOOT MULTIPLE AREAS	2416.80	090	N	5184.51
*	*	J1	28005	INCISION BONE CORTEX FOOT	1994.40	090	N	5184.51
*	*	J1	28008	FASCIOTOMY FOOT&/TOE	1501.20	090	N	5184.51
*	*	J1	28010	TENOTOMY PERCUTANEOUS TOE SINGLE TENDON	802.80	090	N	2624.38
*	*	J1	28011	TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON	1096.80	090	N	2624.38
*	*	J1	28020	ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT	1870.80	090	N	5184.51
*	*	J1	28022	ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT	1686.00	090	N	5184.51
*	*	J1	28024	ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT	1576.80	090	N	2624.38
*	*	J1	28035	RELEASE TARSAL TUNNEL	1834.80	090	N	3259.45
*	*	J1	28039	EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>	1726.80	090	Y	4742.07
*	*	J1	28041	EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>	1569.60	090	N	4742.07
*	*	J1	28043	EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM	1378.80	090	N	2734.29
*	*	J1	28045	EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM	1707.60	090	N	4742.07
*	*	J1	28046	RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE <3CM	2498.40	090	N	4742.07
*	*	J1	28047	RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/>	3621.60	090	Y	4742.07
*	*	J1	28050	ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT	1470.00	090	N	5184.51
*	*	J1	28052	ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT	1536.00	090	N	5184.51
*	*	J1	28054	ARTHRTOMY W/BX INTERPHALANGEAL JOINT	1300.80	090	N	5184.51
*	*	J1	28055	NEURECTOMY INTRINSIC MUSCULATURE OF FOOT	1320.00	090	N	3259.45
*	*	J1	28060	FASCIECTOMY PLANTAR FASCIA PARTIAL SPX	1803.60	090	N	5184.51
*	*	J1	28062	FASCIOTOMY PLANTAR FASCIA RADICAL SPX	2024.40	090	N	5184.51
*	*	J1	28070	SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX	1856.40	090	N	5184.51
*	*	J1	28072	SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH	1695.60	090	N	5184.51
*	*	J1	28080	EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH	1822.80	090	N	2624.38
*	*	J1	28086	SYNOVECTOMY TENDON SHEATH FOOT FLEXOR	1887.60	090	Y	5184.51
*	*	J1	28088	SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR	1564.80	090	N	5184.51
*	*	J1	28090	EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT	1630.80	090	N	2624.38
*	*	J1	28092	EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA	1478.40	090	N	2624.38
*	*	J1	28100	EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS	2121.60	090	Y	5184.51
*	*	J1	28102	EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT	2091.60	090	Y	10775.65
*	*	J1	28103	EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT	1350.00	090	Y	10775.65
*	*	J1	28104	EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL	1849.20	090	Y	5184.51
*	*	J1	28106	EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT	1480.80	090	Y	10775.65
*	*	J1	28107	EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT	1785.60	090	Y	10775.65
*	*	J1	28108	EXC/CURTG CST/B9 TUM PHALANGES FOOT	1528.80	090	N	2624.38
*	*	J1	28110	OSTECTOMY PRTL 5TH METAR HEAD SPX	1614.00	090	N	5184.51
*	*	J1	28111	OSTECTOMY COMPLETE 1ST METATARSAL HEAD	1696.80	090	N	5184.51
*	*	J1	28112	OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4	1693.20	090	N	5184.51
*	*	J1	28113	OSTECTOMY COMPLETE 5TH METATARSAL HEAD	2042.40	090	N	5184.51
*	*	J1	28114	OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC	3688.80	090	Y	5184.51
*	*	J1	28116	OSTECTOMY TARSAL COALITION	2647.20	090	N	5184.51
*	*	J1	28118	OSTECTOMY CALCANEUS	2073.60	090	Y	5184.51
*	*	J1	28119	OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS	1815.60	090	N	5184.51
*	*	J1	28120	PARTIAL EXCISION BONE TALUS/CALCANEUS	2348.40	090	N	5184.51
*	*	J1	28122	PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS	2072.40	090	Y	5184.51
*	*	J1	28124	PARTICAL EXCISION BONE PHALANX TOE	1659.60	090	N	5184.51
*	*	J1	28126	RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH	1371.60	090	N	5184.51
*	*	J1	28130	TALECTOMY ASTRAGALECTOMY	2203.20	090	Y	5184.51
*	*	J1	28140	METATARSECTOMY	2052.00	090	N	5184.51
*	*	J1	28150	PHALANGECTOMY TOE EACH TOE	1470.00	090	N	5184.51
*	*	J1	28153	RESECTION CONDYLE DISTAL END PHALANX EACH TOE	1435.20	090	N	5184.51
*	*	J1	28160	HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE	1446.00	090	N	5184.51
*	*	J1	28171	RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS	3864.00	090	Y	5184.51
*	*	J1	28173	RADICAL RESECTION TUMOR METATARSAL	2557.20	090	N	5184.51
*	*	J1	28175	RADICAL RESECTION TUMOR PHALANX OR TOE	1644.00	090	N	2624.38
*	*	28190	REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS	882.00	010	N	822.66
*	*	J1	28192	REMOVAL FOREIGN BODY FOOT DEEP	1623.60	090	N	2734.29
*	*	J1	28193	REMOVAL FOREIGN BODY FOOT COMPLICATED	1845.60	090	N	2734.29
*	*	J1	28200	RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON	1712.40	090	N	5184.51
*	*	J1	28202	RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON	2101.20	090	Y	10775.65
*	*	J1	28208	REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON	1669.20	090	N	5184.51
*	*	J1	28210	RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON	2044.80	090	Y	10775.65
*	*	J1	28220	TENOLYSIS FLEXOR FOOT SINGLE TENDON	1570.80	090	N	2624.38
*	*	J1	28222	TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS	1794.00	090	N	5184.51
*	*	J1	28225	TENOLYSIS EXTENSOR FOOT SINGLE TENDON	1459.20	090	N	5184.51
*	*	J1	28226	TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON	2122.80	090	N	5184.51
*	*	J1	28230	TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX	1510.80	090	N	2624.38
*	*	J1	28232	TX OPEN TENDON FLEXOR TOE 1 TENDON SPX	1342.80	090	N	2624.38
*	*	J1	28234	TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON	1418.40	090	N	2624.38
*	*	J1	28238	RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR	2320.80	090	Y	10775.65
*	*	J1	28240	TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC	1584.00	090	N	5184.51
*	*	J1	28250	DIVISION PLANTAR FASCIA & MUSCLE SPX	2002.80	090	Y	5184.51
*	*	J1	28260	CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX	2380.80	090	Y	5184.51
*	*	J1	28261	CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING	3562.80	090	N	2624.38
*	*	J1	28262	CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL&TDN LNGTH	4850.40	090	Y	10775.65
*	*	J1	28264	CAPSULOTOMY MIDTARSAL	3492.00	090	Y	2624.38
*	*	J1	28270	CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX	1712.40	090	N	5184.51
*	*	J1	28272	CAPSULOTOMY IPHAL JOINT EACH JOINT SPX	1360.80	090	N	2624.38
*	*	J1	28280	SYNDACTYLIZATION TOES	1784.40	090	N	5184.51
*	*	J1	28285	CORRECTION HAMMERTOE	1860.00	090	N	5184.51
*	*	J1	28286	CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE	1557.60	090	N	5184.51
*	*	J1	28288	OSTC PRTL EXOSTC/CONDYLC METAR HEAD	2112.00	090	N	5184.51
*	*	J1	28289	HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT	2527.20	090	Y	5184.51
*	*	J1	28291	HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT	2521.20	090	Y	10775.65
*	*	J1	28292	CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL	2564.40	090	Y	5184.51
*	*	J1	28295	CORRJ HALLUX VALGUS W/SESMDC W/PROX METAR OSTEOT	3312.00	090	Y	5184.51
*	*	J1	28296	CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT	3158.40	090	Y	5184.51
*	*	J1	28297	CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF	3632.40	090	Y	10775.65
*	*	J1	28298	CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT	2942.40	090	Y	10775.65
*	*	J1	28299	CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT	3502.80	090	Y	5184.51
*	*	J1	28300	OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION	2246.40	090	Y	10775.65
*	*	J1	28302	OSTEOTOMY TALUS	2468.40	090	Y	10775.65
*	*	J1	28304	OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS	2842.80	090	Y	10775.65
*	*	J1	28305	OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT	2282.40	090	Y	10775.65
*	*	J1	28306	OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR	2121.60	090	Y	10775.65
*	*	J1	28307	OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE	2230.80	090	N	5184.51
*	*	J1	28308	OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA	1972.80	090	Y	5184.51
*	*	J1	28309	OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT	3067.20	090	N	10775.65
*	*	J1	28310	OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE	1888.80	090	N	5184.51
*	*	J1	28312	OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE	1744.80	090	N	5184.51
*	*	J1	28313	RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY	1804.80	090	N	5184.51
*	*	J1	28315	SESAMOIDECTOMY FIRST TOE SPX	1671.60	090	N	5184.51
*	*	J1	28320	REPAIR NONUNION/MALUNION TARSAL BONES	2107.20	090	Y	19120.53
*	*	J1	28322	RPR NON/MALUNION METARSAL W/WO BONE GRAFT	2721.60	090	Y	10775.65
*	*	J1	28340	RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION	2001.60	090	N	5184.51
*	*	J1	28341	RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION	2320.80	090	N	5184.51
*	*	J1	28344	RECONSTRUCTION TOE POLYDACTYLY	1480.80	090	N	5184.51
*	*	J1	28345	RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB	1809.60	090	N	2624.38
*	*	J1	28360	RECONSTRUCTION CLEFT FOOT	3770.40	090	Y	10775.65
*	*	28400	CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION	850.80	090	N	319.63
*	*	28405	CLOSED TX CALCANEAL FRACTURE W/MANIPULATION	1347.60	090	N	319.63
*	*	J1	28406	PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ	1819.20	090	N	10775.65
*	*	J1	28415	OPEN TREATMENT CALCANEAL FRACTURE	3859.20	090	Y	10775.65
*	*	J1	28420	OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT	4404.00	090	Y	19120.53
*	*	28430	CLOSED TX TALUS FRACTURE W/O MANIPULATION	817.20	090	N	319.63
*	*	J1	28435	CLOSED TX TALUS FRACTURE W/MANIPULATION	1251.60	090	N	2624.38
*	*	J1	28436	PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ	1558.80	090	N	10775.65
*	*	J1	28445	OPEN TREATMENT TALUS FRACTURE	3632.40	090	Y	10775.65
*	*	J1	28446	OPEN OSTEOCHONDRAL AUTOGRAFT TALUS	4222.80	090	Y	10775.65
*	*	28450	TX TARSAL BONE FX XCP TALUS&CALCN W/O MANJ	730.80	090	N	319.63
*	*	J1	28455	TX TARSAL BONE FX XCP TALUS&CALCN W/MANJ	993.60	090	N	2624.38
*	*	J1	28456	PRQ SKEL FIXJ TARSL FX XCP TALUS&CALCNS W/MANJ	1110.00	090	N	10775.65
*	*	J1	28465	OPEN TX TARSAL FRACTURE XCP TALUS & CALCANEUS EA	2180.40	090	N	10775.65
*	*	28470	CLOSED TX METATARSAL FRACTURE W/O MANIPULATION	751.20	090	N	319.63
*	*	28475	CLTX METAR FX W/MANJ	882.00	090	N	319.63
*	*	J1	28476	PRQ SKEL FIXJ METAR FX W/MANJ	1213.20	090	N	5184.51
*	*	J1	28485	OPEN TREATMENT METATARSAL FRACTURE EACH	1879.20	090	N	10775.65
*	*	28490	CLTX FX GRT TOE PHLX/PHLG W/O MANJ	494.40	090	N	319.63
*	*	28495	CLTX FX GRT TOE PHLX/PHLG W/MANJ	615.60	090	N	319.63
*	*	J1	28496	PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ	1591.20	090	N	5184.51
*	*	J1	28505	OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES	2300.40	090	N	5184.51
*	*	28510	CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ	421.20	090	N	319.63
*	*	28515	CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ	560.40	090	N	319.63
*	*	J1	28525	OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE	1974.00	090	N	5184.51
*	*	28530	CLOSED TREATMENT SESAMOID FRACTURE	400.80	090	N	319.63
*	*	J1	28531	OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION	1182.00	090	N	10775.65
*	*	28540	CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES	667.20	090	N	319.63
*	*	J1	28545	CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES	1029.60	090	N	5184.51
*	*	J1	28546	PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ	2000.40	090	N	2624.38
*	*	J1	28555	OPEN TREATMENT TARSAL BONE DISLOCATION	2988.00	090	Y	10775.65
*	*	28570	CLOSED TX TALOTARSAL JOINT DISLC W/O ANES	784.80	090	N	319.63
*	*	J1	28575	CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES	1269.60	090	N	5184.51
*	*	J1	28576	PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ	1351.20	090	N	5184.51
*	*	J1	28585	OPEN TREATMENT TALOTARSAL JOINT DISLOCATION	3004.80	090	Y	10775.65
*	*	28600	CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES	751.20	090	N	319.63
*	*	28605	CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES	1140.00	090	N	319.63
*	*	J1	28606	PRQ SKEL FIXJ TARS JT DISLC W/MANJ	1350.00	090	N	5184.51
*	*	J1	28615	OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION	2794.80	090	Y	10775.65
*	*	28630	CLTX METATARSOPHLNGL JT DISLC W/O ANES	538.80	010	N	319.63
*	*	J1	28635	CLTX METATARSOPHLNGL JT DISLC REQ ANES	609.60	010	N	2624.38
*	*	J1	28636	PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ	1110.00	010	N	5184.51
*	*	J1	28645	OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION	2276.40	090	N	5184.51
*	*	28660	CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES	405.60	010	N	319.63
*	*	28665	CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES	534.00	010	N	334.52
*	*	J1	28666	PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ	543.60	010	N	5184.51
*	*	J1	28675	OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION	1974.00	090	N	5184.51
*	*	J1	28705	ARTHRODESIS PANTALAR	4264.80	090	Y	26078.68
*	*	J1	28715	ARTHRODESIS TRIPLE	3253.20	090	Y	19120.53
*	*	J1	28725	ARTHRODESIS SUBTALAR	2695.20	090	Y	19120.53
*	*	J1	28730	ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS	2538.00	090	Y	19120.53
*	*	J1	28735	ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT	2694.00	090	Y	19120.53
*	*	J1	28737	ARTHRD W/TDN LNGTH&ADVMNT TARSL NVCLR-CUNEIFOR	2403.60	090	Y	19120.53
*	*	J1	28740	ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT	2918.40	090	Y	10775.65
*	*	J1	28750	ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT	2775.60	090	N	10775.65
*	*	J1	28755	ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT	1768.80	090	N	10775.65
*	*	J1	28760	ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK	2745.60	090	Y	10775.65
*	*	28800	AMPUTATION FOOT MIDTARSAL	1846.80	090	Y
*	*	J1	28805	AMPUTATION FOOT TRANSMETARSAL	2511.60	090	N	5184.51
*	*	J1	28810	AMPUTATION METATARSAL W/TOE SINGLE	1483.20	090	N	5184.51
*	*	J1	28820	AMPUTATION TOE METATARSOPHALANGEAL JOINT	1941.60	090	N	5184.51
*	*	J1	28825	AMPUTATION TOE INTERPHALANGEAL JOINT	1858.80	090	N	5184.51
*	*	J1	28890	ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA	1118.40	090	N	2624.38
*	*	28899	UNLISTED PROCEDURE FOOT/TOES	BR	YYY	N	319.63
*	*	29000	APPLICATION HALO TYPE BODY CAST	1188.00	000	N	334.52
*	*	29010	APPLICATION RISSER JACKET LOCALIZER BODY ONLY	927.60	000	N	334.52
*	*	29015	APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD	998.40	000	N	334.52
*	*	29035	APPLICATION BODY CAST SHOULDER HIPS	868.80	000	N	334.52
*	*	29040	APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA	994.80	000	N	334.52
*	*	29044	APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH	974.40	000	N	191.16
*	*	29046	APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS	1069.20	000	N	334.52
*	*	29049	APPLICATION CAST FIGURE-OF-8	338.40	000	N	334.52
*	*	29055	APPLICATION CAST SHOULDER SPICA	753.60	000	N	334.52
*	*	29058	APPLICATION CAST PLASTER VELPEAU	421.20	000	N	334.52
*	*	29065	APPLICATION CAST SHOULDER HAND LONG ARM	326.40	000	N	334.52
*	*	29075	APPLICATION CAST ELBOW FINGER SHORT ARM	295.20	000	N	334.52
*	*	29085	APPLICATION CAST HAND & LOWER FOREARM GAUNTLET	324.00	000	N	191.16
*	*	29086	APPLICATION CAST FINGER	268.80	000	N	191.16
*	*	29105	APPLICATION LONG ARM SPLINT SHOULDER HAND	279.60	000	N	191.16
*	*	29125	APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC	219.60	000	N	151.20
*	*	29126	APPLICATION SHORT ARM SPLINT DYNAMIC	261.60	000	N	151.20
*	*	29130	APPLICATION FINGER SPLINT STATIC	140.40	000	N	79.38
*	*	29131	APPLICATION FINGER SPLINT DYNAMIC	175.20	000	N	79.38
*	*	29200	STRAPPING THORAX	109.20	000	N	191.16
*	*	29240	STRAPPING SHOULDER	104.40	000	N	151.20
*	*	29260	STRAPPING ELBOW/WRIST	102.00	000	N	45.61
*	*	29280	STRAPPING HAND/FINGER	104.40	000	N	45.61
*	*	29305	APPLICATION HIP SPICA CAST 1 LEG	842.40	000	N	334.52
*	*	29325	APPL HIP SPICA CAST ONE&ONE-HALF SPICA/BOTH LEGS	930.00	000	N	334.52
*	*	29345	APPLICATION LONG LEG CAST THIGH-TOE	462.00	000	N	334.52
*	*	29355	APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE	483.60	000	N	334.52
*	*	29358	APPLICATION LONG LEG CAST BRACE	544.80	000	N	334.52
*	*	29365	APPLICATION CYLINDER CAST THIGH ANKLE	418.80	000	N	334.52
*	*	29405	APPLICATION SHORT LEG CAST BELOW KNEE-TOE	276.00	000	N	334.52
*	*	29425	APPLICATION SHORT LEG CAST WALKING/AMBULATORY	264.00	000	N	334.52
*	*	29435	APPLICATION PATELLAR TENDON BEARING CAST	402.00	000	N	334.52
*	*	29440	ADDING WALKER PREVIOUSLY APPLIED CAST	148.80	000	N	191.16
*	*	29445	APPLICATION RIGID TOTAL CONTACT LEG CAST	447.60	000	N	334.52
*	*	29450	APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG	498.00	000	N	191.16
*	*	29505	APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES	291.60	000	N	191.16
*	*	29515	APPLICATION SHORT LEG SPLINT CALF FOOT	243.60	000	N	191.16
*	*	29520	STRAPPING HIP	116.40	000	N	79.38
*	*	29530	STRAPPING KNEE	103.20	000	N	151.20
*	*	29540	STRAPPING ANKLE &/FOOT	98.40	000	N	191.16
*	*	29550	STRAPPING TOES	66.00	000	N	79.38
*	*	29580	STRAPPING UNNA BOOT	213.60	000	N	191.16
*	*	29581	APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT	296.40	000	N	191.16
*	*	29584	APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FING	274.80	000	N	191.16
*	*	29700	REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST	218.40	000	N	334.52
*	*	29705	REMOVAL/BIVALVING FULL ARM/FULL LEG CAST	222.00	000	N	334.52
*	*	29710	RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET	421.20	000	N	334.52
*	*	29720	REPAIR SPICA BODY CAST/JACKET	289.20	000	N	191.16
*	*	29730	WINDOWING CAST	214.80	000	N	191.16
*	*	29740	WEDGING CAST EXCEPT CLUBFOOT CASTS	338.40	000	N	334.52
*	*	29750	WEDGING CLUBFOOT CAST	368.40	000	N	334.52
*	*	29799	UNLISTED PROCEDURE CASTING/STRAPPING	BR	YYY	N	191.16
*	*	J1	29800	ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX	1825.20	090	N	5184.51
*	*	J1	29804	ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL	2211.60	090	Y	5184.51
*	*	J1	29805	ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX	1628.40	090	N	5184.51
*	*	J1	29806	ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY	3667.20	090	N	10775.65
*	*	J1	29807	ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION	3585.60	090	N	10775.65
*	*	J1	29819	ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB	2025.60	090	N	5184.51
*	*	J1	29820	ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL	1842.00	090	Y	10775.65
*	*	J1	29821	ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE	2020.80	090	Y	5184.51
*	*	J1	29822	ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED	1962.00	090	Y	5184.51
*	*	J1	29823	ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE	2133.60	090	Y	5184.51
*	*	J1	29824	ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY	2300.40	090	Y	5184.51
*	*	J1	29825	ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ	1992.00	090	Y	5184.51
+	*	29826	ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE	608.40	ZZZ	Y
*	*	J1	29827	ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR	3643.20	090	Y	10775.65
*	*	J1	29828	ARTHROSCOPY SHOULDER BICEPS TENODESIS	3138.00	090	Y	10775.65
*	*	J1	29830	ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX	1569.60	090	N	5184.51
*	*	J1	29834	ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB	1676.40	090	Y	5184.51
*	*	J1	29835	ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL	1737.60	090	Y	5184.51
*	*	J1	29836	ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE	1974.00	090	Y	10775.65
*	*	J1	29837	ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED	1810.80	090	Y	5184.51
*	*	J1	29838	ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE	2031.60	090	N	5184.51
*	*	J1	29840	ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX	1552.80	090	N	5184.51
*	*	J1	29843	ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE	1668.00	090	Y	5184.51
*	*	J1	29844	ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL	1713.60	090	Y	5184.51
*	*	J1	29845	ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE	1992.00	090	Y	5184.51
*	*	J1	29846	ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT	1796.40	090	N	5184.51
*	*	J1	29847	ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY	1849.20	090	Y	10775.65
*	*	J1	29848	NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM	1765.20	090	N	2624.38
*	*	J1	29850	ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ	2151.60	090	N	2624.38
*	*	J1	29851	ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ	3213.60	090	Y	2624.38
*	*	J1	29855	ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR	2707.20	090	Y	10775.65
*	*	J1	29856	ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR	3428.40	090	Y	19120.53
*	*	J1	29860	ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX	2284.80	090	Y	10775.65
*	*	J1	29861	ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB	2475.60	090	Y	5184.51
*	*	J1	29862	ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG	2779.20	090	Y	10775.65
*	*	J1	29863	ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY	2784.00	090	Y	5184.51
*	*	J1	29866	ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST	3639.60	090	N	10775.65
*	*	J1	29867	ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT	4408.80	090	N	19120.53
*	*	J1	29868	ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT	5808.00	090	N	10775.65
*	*	J1	29870	ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX	1971.60	090	N	5184.51
*	*	J1	29871	ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE	1778.40	090	N	5184.51
*	*	J1	29873	ARTHROSCOPY KNEE LATERAL RELEASE	1816.80	090	N	5184.51
*	*	J1	29874	ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY	1852.80	090	N	5184.51
*	*	J1	29875	ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX	1711.20	090	N	5184.51
*	*	J1	29876	ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS	2269.20	090	N	5184.51
*	*	J1	29877	ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG	2146.80	090	N	5184.51
*	*	J1	29879	ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX	2287.20	090	N	5184.51
*	*	J1	29880	ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING	1939.20	090	N	5184.51
*	*	J1	29881	ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	1868.40	090	N	5184.51
*	*	J1	29882	ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL	2412.00	090	N	5184.51
*	*	J1	29883	ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL	2924.40	090	N	5184.51
*	*	J1	29884	ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX	2118.00	090	Y	5184.51
*	*	J1	29885	ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG	2570.40	090	Y	10775.65
*	*	J1	29886	ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION	2204.40	090	N	5184.51
*	*	J1	29887	ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ	2581.20	090	Y	10775.65
*	*	J1	29888	ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ	3402.00	090	Y	10775.65
*	*	J1	29889	ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ	4231.20	090	Y	19120.53
*	*	J1	29891	ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT	2319.60	090	Y	5184.51
*	*	J1	29892	ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX	2262.00	090	Y	10775.65
*	*	J1	29893	ENDOSCOPIC PLANTAR FASCIOTOMY	2146.80	090	N	5184.51
*	*	J1	29894	ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY	1705.20	090	Y	5184.51
*	*	J1	29895	ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL	1617.60	090	Y	5184.51
*	*	J1	29897	ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED	1737.60	090	Y	5184.51
*	*	J1	29898	ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE	1941.60	090	Y	5184.51
*	*	J1	29899	ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS	3576.00	090	Y	10775.65
*	*	J1	29900	ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY	1718.40	090	N	5184.51
*	*	J1	29901	ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT	1836.00	090	N	5184.51
*	*	J1	29902	ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM	1964.40	090	N	2624.38
*	*	J1	29904	ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY	2181.60	090	Y	5184.51
*	*	J1	29905	ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY	1790.40	090	Y	5184.51
*	*	J1	29906	ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT	2340.00	090	Y	5184.51
*	*	J1	29907	ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS	3025.20	090	Y	19120.53
*	*	J1	29914	ARTHROSCOPY HIP W/FEMOROPLASTY	3397.20	090	Y	10775.65
*	*	J1	29915	ARTHROSCOPY HIP W/ACETABULOPLASTY	3502.80	090	Y	10775.65
*	*	J1	29916	ARTHROSCOPY HIP W/LABRAL REPAIR	3492.00	090	Y	10775.65
*	*	29999	UNLISTED PROCEDURE ARTHROSCOPY	BR	YYY	N	319.63
*	*	30000	DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH	819.60	010	N	292.72
*	*	30020	DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM	828.00	010	N	691.72
*	*	J1	30100	BIOPSY INTRANASAL	480.00	000	N	2543.11
*	*	J1	30110	EXCISION NASAL POLYP SIMPLE	798.00	010	N	2543.11
*	*	J1	30115	EXCISION NASAL POLYP EXTENSIVE	1496.40	090	N	4449.71
*	*	J1	30117	EXCISION/DESTRUCTION INTRANASAL LESION INT APPR	3078.00	090	N	4449.71
*	*	J1	30118	EXCISION/DESTRUCTION INTRANASAL LESION XTRNL	2656.80	090	N	4449.71
*	*	J1	30120	EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA	1761.60	090	N	4449.71
*	*	J1	30124	EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS	982.80	090	N	2543.11
*	*	J1	30125	EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG	2108.40	090	Y	8765.29
*	*	J1	30130	EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE	1322.40	090	N	4449.71
*	*	J1	30140	SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL	950.40	000	N	4449.71
*	*	J1	30150	RHINECTOMY PARTIAL	2648.40	090	N	8765.29
*	*	J1	30160	RHINECTOMY TOTAL	2664.00	090	Y	8765.29
*	*	30200	INJECTION TURBINATE THERAPEUTIC	381.60	000	N	691.72
*	*	J1	30210	DISPLACEMENT THERAPY PROETZ TYPE	510.00	010	N	2543.11
*	*	J1	30220	INSERTION NASAL SEPTAL PROSTHESIS BUTTON	1032.00	010	N	2543.11
*	*	30300	REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE	631.20	010	N	151.20
*	*	J1	30310	REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES	692.40	010	N	4449.71
*	*	J1	30320	RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY	1563.60	090	N	2543.11
*	*	J1	30400	RHINP PRIM LAT&ALAR CRTLGS&/ELVTN NASAL TI	3717.60	090	N	8765.29
*	*	J1	30410	RHINP PRIM COMPLETE XTRNL PARTS	4293.60	090	Y	8765.29
*	*	J1	30420	RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR	4730.40	090	N	8765.29
*	*	J1	30430	RHINOPLASTY SECONDARY MINOR REVISION	3268.80	090	Y	8765.29
*	*	J1	30435	RHINOPLASTY SECONDARY INTERMEDIATE REVISION	4054.80	090	Y	8765.29
*	*	J1	30450	RHINOPLASTY SECONDARY MAJOR REVISION	5389.20	090	Y	8765.29
*	*	J1	30460	RHINP DFRM W/COLUM LNGTH TIP ONLY	2821.20	090	Y	8765.29
*	*	J1	30462	RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT	5422.80	090	Y	8765.29
*	*	J1	30465	REPAIR NASAL VESTIBULAR STENOSIS	3375.60	090	N	8765.29
*	*	J1	30520	SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF	2164.80	090	N	4449.71
*	*	J1	30540	REPAIR CHOANAL ATRESIA INTRANASAL	2382.00	090	Y	8765.29
*	*	J1	30545	REPAIR CHOANAL ATRESIA TRANSPALATINE	3256.80	090	Y	8765.29
*	*	30560	LYSIS INTRANASAL SYNECHIA	955.20	010	N	691.72
*	*	J1	30580	REPAIR FISTULA OROMAXILLARY	2199.60	090	N	8765.29
*	*	J1	30600	REPAIR FISTULA ORONASAL	1944.00	090	N	8765.29
*	*	J1	30620	SEPTAL/OTHER INTRANASAL DERMATOPLASTY	2188.80	090	N	8765.29
*	*	J1	30630	REPAIR NASAL SEPTAL PERFORATIONS	2168.40	090	N	4449.71
*	*	J1	30801	ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC	758.40	010	N	2543.11
*	*	J1	30802	ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL	963.60	010	N	2543.11
*	*	30901	CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE	469.20	000	N	151.20
*	*	30903	CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX	739.20	000	N	151.20
*	*	30905	CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST	1123.20	000	N	151.20
*	*	30906	CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ	1174.80	000	N	292.72
*	*	J1	30915	LIGATION ARTERIES ETHMOIDAL	1983.60	090	N	5022.59
*	*	J1	30920	LIGATION ARTERIES INT MAXILLARY TRANSANTRAL	2883.60	090	N	5022.59
*	*	J1	30930	FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC	411.60	010	N	4449.71
*	*	30999	UNLISTED PROCEDURE NOSE	BR	YYY	N	292.72
*	*	31000	LAVAGE CANNULATION MAXILLARY SINUS	620.40	010	N	292.72
*	*	J1	31002	LAVAGE CANNULATION SPHENOID SINUS	646.80	010	N	2543.11
*	*	J1	31020	SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL	1642.80	090	N	4449.71
*	*	J1	31030	SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS	2296.80	090	N	8765.29
*	*	J1	31032	SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS	1982.40	090	N	8765.29
*	*	J1	31040	PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH	2647.20	090	N	8765.29
*	*	J1	31050	SINUSOTOMY SPHENOID W/WO BIOPSY	1672.80	090	N	8765.29
*	*	J1	31051	SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP	2235.60	090	N	8765.29
*	*	J1	31070	SINUSOTOMY FRONTAL EXTERNAL SIMPLE	1520.40	090	N	8765.29
*	*	J1	31075	SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL	2695.20	090	Y	8765.29
*	*	J1	31080	SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC	3546.00	090	Y	8765.29
*	*	J1	31081	SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC	3819.60	090	Y	8765.29
*	*	J1	31084	SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC	3944.40	090	Y	8765.29
*	*	J1	31085	SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC	4094.40	090	Y	8765.29
*	*	J1	31086	SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC	3860.40	090	Y	8765.29
*	*	J1	31087	SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC	3706.80	090	Y	8765.29
*	*	J1	31090	SINUSOT UNI 3/> PARANSL SINUSES	3561.60	090	N	8765.29
*	*	J1	31200	ETHMOIDECTOMY INTRANASAL ANTERIOR	2008.80	090	N	8765.29
*	*	J1	31201	ETHMOIDECTOMY INTRANASAL TOTAL	2577.60	090	N	4449.71
*	*	J1	31205	ETHMOIDECTOMY EXTRANASAL TOTAL	3133.20	090	Y	4449.71
*	*	31225	MAXILLECTOMY W/O ORBITAL EXENTERATION	6336.00	090	Y
*	*	31230	MAXILLECTOMY W/ORBITAL EXENTERATION	7002.00	090	Y
*	*	31231	NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX	682.80	000	N	232.84
*	*	31233	NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY	889.20	000	N	548.83
*	*	J1	31235	NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY	1016.40	000	N	2734.34
*	*	J1	31237	NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX	871.20	000	N	2734.34
*	*	J1	31238	NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG	860.40	000	N	2734.34
*	*	J1	31239	NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY	2108.40	010	N	5449.67
*	*	J1	31240	NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION	547.20	000	N	2734.34
*	*	J1	31241	NASAL/SINUS NDSC W/LIG SPHENOPALATINE ARTERY	1540.80	000	N	2734.34
*	*	J1	31253	NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL	1732.80	000	N	9954.12
*	*	J1	31254	NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY	1413.60	000	N	9954.12
*	*	J1	31255	NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY	1119.60	000	N	9954.12
*	*	J1	31256	NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY	622.80	000	N	5449.67
*	*	J1	31257	NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY	1545.60	000	N	9954.12
*	*	J1	31259	NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL	1636.80	000	N	9954.12
*	*	J1	31267	NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS	918.00	000	N	9954.12
*	*	J1	31276	NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS	1310.40	000	N	9954.12
*	*	J1	31287	NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY	696.00	000	N	9954.12
*	*	J1	31288	NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS	810.00	000	N	9954.12
*	*	31290	NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID	3937.20	010	N	1397.21
*	*	31291	NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID	4194.00	010	N
*	*	J1	31292	NSL/SINUS NDSC SURG W/MEDIAL/INF ORB WALL DCMPRN	3403.20	010	N	9954.12
*	*	J1	31293	NASAL/SINUS NDSC MEDIAL ORB&NF ORB WALL DCMPR	3697.20	010	N	9954.12
*	*	J1	31294	NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN	4233.60	010	N	9954.12
*	*	J1	31295	NASAL/SINUS NDSC SURG W/DILAT MAXILLARY SINUS	6675.60	000	Y	9954.12
*	*	J1	31296	NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS	6763.20	000	Y	9954.12
*	*	J1	31297	NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS	6627.60	000	N	9954.12
*	*	J1	31298	NASAL/SINUS NDSC W/FRONTAL & SPHEN SINS DILATION	12793.20	000	N	9954.12
*	*	31299	UNLISTED PROCEDURE ACCESSORY SINUSES	BR	YYY	N	292.72
*	*	J1	31300	LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY	4394.40	090	Y	4449.71
*	*	31360	LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION	7176.00	090	Y
*	*	31365	LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION	8858.40	090	Y
*	*	31367	LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ	7587.60	090	Y
*	*	31368	LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ	8427.60	090	Y
*	*	31370	PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL	7135.20	090	Y
*	*	31375	PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL	6760.80	090	Y
*	*	31380	PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL	6674.40	090	Y
*	*	31382	PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL	7322.40	090	Y
*	*	31390	PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ	9828.00	090	Y
*	*	31395	PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ	10370.40	090	Y
*	*	J1	31400	ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH	3374.40	090	Y	8765.29
*	*	J1	31420	EPIGLOTTIDECTOMY	2829.60	090	Y	8765.29
*	Ø	31500	INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE	488.40	000	N	292.72
*	*	31502	TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT	121.20	000	N	292.72
*	*	31505	LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX	288.00	000	N	232.84
*	*	J1	31510	LARYNGOSCOPY INDIRECT W/BIOPSY	721.20	000	N	5449.67
*	*	31511	LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY	721.20	000	N	232.84
*	*	J1	31512	LARYNGOSCOPY INDIRECT W/REMOVAL LESION	710.40	000	N	5449.67
*	*	31513	LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION	451.20	000	N	548.83
*	*	31515	LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION	694.80	000	N	548.83
*	*	31520	LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN	537.60	000	N	548.83
*	*	J1	31525	LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN	854.40	000	N	2734.34
*	*	J1	31526	LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE	538.80	000	N	2734.34
*	*	J1	31527	LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR	669.60	000	N	5449.67
*	*	J1	31528	LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN	495.60	000	N	5449.67
*	*	J1	31529	LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ	554.40	000	N	5449.67
*	*	J1	31530	LARYNGOSCOPY W/FOREIGN BODY REMOVAL	685.20	000	N	2734.34
*	*	J1	31531	LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE	729.60	000	N	5449.67
*	*	J1	31535	LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY	650.40	000	N	5449.67
*	*	J1	31536	LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE	724.80	000	N	5449.67
*	*	J1	31540	LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT	829.20	000	N	5449.67
*	*	J1	31541	LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP	906.00	000	N	5449.67
*	*	J1	31545	LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP	1246.80	000	N	5449.67
*	*	J1	31546	LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT	1892.40	000	N	9954.12
*	*	J1	31551	LARYNGOPLASTY LARYNGEAL STEN W/O STENT < 12 YRS	4944.00	090	N	8765.29
*	*	J1	31552	LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS >	4976.40	090	N	8765.29
*	*	J1	31553	LARYNGOPLASTY LARYNGEAL STEN W/STENT < 12 YRS	5431.20	090	N	8765.29
*	*	J1	31554	LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS >	5683.20	090	N	8765.29
*	*	J1	31560	LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY	1076.40	000	N	9954.12
*	*	J1	31561	LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE	1178.40	000	N	9954.12
*	*	J1	31570	LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC	1155.60	000	N	5449.67
*	*	J1	31571	LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE	856.80	000	N	5449.67
*	*	J1	31572	LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI	1729.20	000	N	5449.67
*	*	J1	31573	LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI	913.20	000	N	2734.34
*	*	J1	31574	LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI	3454.80	000	N	2734.34
*	*	31575	LARYNGOSCOPY FLEXIBLE DIAGNOSTIC	397.20	000	N	232.84
*	*	J1	31576	LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)	904.80	000	N	2734.34
*	*	31577	LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)	946.80	000	N	548.83
*	*	J1	31578	LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER	1030.80	000	N	5449.67
*	*	31579	LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY	627.60	000	N	548.83
*	*	J1	31580	LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION	4293.60	090	N	8765.29
*	*	J1	31584	LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS	4759.20	090	N	8765.29
*	*	J1	31587	LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT	3982.80	090	N	8765.29
*	*	J1	31590	LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE	3008.40	090	Y	8765.29
*	*	J1	31591	LARYNGOPLASTY MEDIALIZATION UNLIATERAL	3609.60	090	N	8765.29
*	*	J1	31592	CRICOTRACHEAL RESECTION	5908.80	090	N	8765.29
*	*	31599	UNLISTED PROCEDURE LARYNX	BR	YYY	N	292.72
*	*	J1	31600	TRACHEOSTOMY PLANNED SEPARATE PROCEDURE	1069.20	000	N	4449.71
*	*	J1	31601	TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX	1557.60	000	Y	8765.29
*	*	J1	31603	TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL	1117.20	000	N	2543.11
*	*	31605	TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE	1153.20	000	N	292.72
*	*	J1	31610	TRACHEOSTOMY FENESTRATION W/SKIN FLAPS	3268.80	090	N	8765.29
*	*	J1	31611	CONSTJ TRACHEOESOPHGL FSTL&INSJ SP PROSTH	1826.40	090	Y	4449.71
*	*	J1	31612	TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR&/NJX	286.80	000	N	4449.71
*	*	J1	31613	TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION	1520.40	090	N	4449.71
*	*	J1	31614	TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION	2527.20	090	N	8765.29
*	*	31615	TRACHEOBRNCHSC THRU EST TRACHS INC	579.60	000	N	691.72
*	*	J1	31622	BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX	820.80	000	N	2734.34
*	*	J1	31623	BRNCHSC BRUSHING/PROTECTED BRUSHINGS	901.20	000	N	2734.34
*	*	J1	31624	BRNCHSC W/BRNCL ALVEOLAR LAVAGE	852.00	000	N	2734.34
*	*	J1	31625	BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES	1150.80	000	N	2734.34
*	*	J1	31626	BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT	2872.80	000	N	9954.12
+	*	31627	BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION	4538.40	ZZZ	N
*	*	J1	31628	BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE	1221.60	000	N	5449.67
*	*	J1	31629	BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON	1510.80	000	N	5449.67
*	*	J1	31630	BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX	685.20	000	N	5449.67
*	*	J1	31631	BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT	789.60	000	N	9954.12
+	*	31632	BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE	217.20	ZZZ	N
+	*	31633	BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE	272.40	ZZZ	N
*	*	J1	31634	BRONCHOSCOPY BALLOON OCCLUSION	5928.00	000	Y	9954.12
*	*	J1	31635	BRONCHOSCOPY W/REMOVAL FOREIGN BODY	963.60	000	N	2734.34
*	*	J1	31636	BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS	762.00	000	N	9954.12
+	*	31637	BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED	266.40	ZZZ	N
*	*	J1	31638	BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS	865.20	000	N	9954.12
*	*	J1	31640	BRONCHOSCOPY W/EXCISION TUMOR	866.40	000	N	5449.67
*	*	J1	31641	BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC	886.80	000	N	5449.67
*	*	J1	31643	BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL	610.80	000	N	2734.34
*	*	J1	31645	BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST	890.40	000	N	2734.34
*	*	31646	BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ	490.80	000	N	548.83
*	*	J1	31647	BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE	732.00	000	N	9954.12
*	*	J1	31648	BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL	696.00	000	N	5449.67
+	*	31649	BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL	232.80	ZZZ	N	1944.39
+	*	31651	BRNCHSC OCCLUSION&INSERT BRONCH VALVE ADDL LOBE	255.60	ZZZ	N
*	*	J1	31652	BRNCHSC EBUS GUIDED SAM PL 1 /2 NODE STATION/STRUX	3290.40	000	N	5449.67
*	*	J1	31653	BRNCHSC EBUS GUIDED SAM PL 3 /> NODE STATION/STRUX	3447.60	000	N	5449.67
+	*	31654	BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES	423.60	ZZZ	N
*	*	J1	31660	BRONCHOSCOPIC THERMOPLASTY ONE LOBE	674.40	000	N	9954.12
*	*	J1	31661	BRONCHOSCOPIC THERMOPLASTY 2/> LOBES	711.60	000	N	9954.12
*	*	31717	CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY	957.60	000	N	548.83
*	*	31720	CATHETER ASPIRATION NASOTRACHEAL SPX	171.60	000	N	272.07
*	*	31725	CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX	274.80	000	N
*	*	J1	31730	TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER	4108.80	000	N	2734.34
*	*	J1	31750	TRACHEOPLASTY CERVICAL	4743.60	090	Y	8765.29
*	*	J1	31755	TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG	5998.80	090	Y	8765.29
*	*	31760	TRACHEOPLASTY INTRATHORACIC	4749.60	090	Y
*	*	31766	CARINAL RECONSTRUCTION	6177.60	090	Y
*	*	31770	BRONCHOPLASTY GRAFT REPAIR	4594.80	090	Y
*	*	31775	BRONCHOPLASTY EXCISION STENOSIS & ANASTOMOSIS	4857.60	090	Y
*	*	31780	EXCISION TRACHEAL STENOSIS&ANASTOMOSIS CERVICA	4116.00	090	Y
*	*	31781	EXC TRACHEAL STENOSIS&ANAST CERVICOTHORACIC	4786.80	090	Y
*	*	J1	31785	EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL	3709.20	090	Y	8765.29
*	*	31786	EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC	5008.80	090	Y
*	*	31800	SUTURE TRACHEAL WOUND/INJURY CERVICAL	2474.40	090	N
*	*	31805	SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC	2810.40	090	Y
*	*	J1	31820	SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR	1484.40	090	N	4449.71
*	*	J1	31825	SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR	2059.20	090	N	4449.71
*	*	J1	31830	REVISION TRACHEOSTOMY SCAR	1531.20	090	N	4449.71
*	*	31899	UNLISTED PROCEDURE TRACHEA BRONCHI	BR	YYY	N	232.84
*	*	32035	THORACOSTOMY W/RIB RESECTION EMPYEMA	2497.20	090	Y
*	*	32036	THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA	2686.80	090	Y
*	*	32096	THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL	2784.00	090	Y
*	*	32097	THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL	2782.80	090	Y
*	*	32098	THORACOTOMY W/BIOPSY OF PLEURA	2636.40	090	Y
*	*	32100	THORACOTOMY WITH EXPLORATION	2806.80	090	Y
*	*	32110	THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR	5092.80	090	Y
*	*	32120	THORACOTOMY POSTOPERATIVE COMPLICATIONS	3020.40	090	Y
*	*	32124	THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS	3205.20	090	Y
*	*	32140	THORCOM W/REMOVAL OF CYST	3427.20	090	Y
*	*	32141	THORACOTOMY W/RESECTION BULLAE	5286.00	090	Y
*	*	32150	THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP	3477.60	090	Y
*	*	32151	THORCOM W/RMVL IPUL FB	3460.80	090	Y
*	*	32160	THORACOTOMY W/CARDIAC MASSAGE	2754.00	090	Y	2660.50
*	*	32200	PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST	3928.80	090	Y
*	*	32215	PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX	2752.80	090	Y
*	*	32220	DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE	5494.80	090	Y
*	*	32225	DECORTICATION PULMONARY PARTIAL SEPARATE PROC	3441.60	090	Y
*	*	32310	PLEURECTOMY PARIETAL SEPARATE PROCEDURE	3159.60	090	Y
*	*	32320	DECORTICATION & PARIETAL PLEURECTOMY	5535.60	090	Y
*	*	J1	32400	BIOPSY PLEURA PERCUTANEOUS NEEDLE	529.20	000	N	2734.29
*	*	J1	32405	BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE	1338.00	000	N	2734.29
*	*	32440	REMOVAL OF LUNG PNEUMONECTOMY	5420.40	090	Y
*	*	32442	REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA	10668.00	090	Y
*	*	32445	REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL	12282.00	090	Y
*	*	32480	RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT	5120.40	090	Y
*	*	32482	RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC	5475.60	090	Y
*	*	32484	RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY	4962.00	090	Y
*	*	32486	RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY	8175.60	090	Y
*	*	32488	RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC	8293.20	090	Y
*	*	32491	RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG	5098.80	090	Y
+	*	32501	RESCJ&BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY	848.40	ZZZ	Y
*	*	32503	RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ	6230.40	090	Y
*	*	32504	RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ	7108.80	090	Y
*	*	32505	THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL	3225.60	090	Y
+	*	32506	THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL	543.60	ZZZ	Y
+	*	32507	THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE	542.40	ZZZ	Y
*	*	32540	EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY	5962.80	090	Y
*	*	J1	32550	INSERTION INDWELLING TUNNELED PLEURAL CATHETER	2554.80	000	N	5716.03
*	*	32551	TUBE THORACOSTOMY INCLUDES WATER SEAL	543.60	000	N	1552.95
*	*	32552	RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF	631.20	010	N	880.41
*	*	32553	PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT	1786.80	000	Y	1692.53
*	*	32554	THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING	721.20	000	N	880.41
*	*	32555	THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	1021.20	000	N	880.41
*	*	J1	32556	PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING	2089.20	000	N	2902.55
*	*	32557	PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING	1926.00	000	N	1552.95
*	*	32560	INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS	860.40	000	N	880.41
*	*	32561	INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY	319.20	000	Y	880.41
*	*	32562	INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY	285.60	000	Y	880.41
*	*	J1	32601	THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX	1068.00	000	N	9076.35
*	*	J1	32604	THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX	1668.00	000	N	9076.35
*	*	J1	32606	THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX	1602.00	000	N	9076.35
*	*	J1	32607	THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL	1066.80	000	N	9076.35
*	*	J1	32608	THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL	1309.20	000	N	9076.35
*	*	J1	32609	THORACOSCOPY WITH BIOPSYIES OF PLEURA	894.00	000	N	9076.35
*	*	32650	THORACOSCOPY W/PLEURODESIS	2302.80	090	Y
*	*	32651	THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION	3792.00	090	Y
*	*	32652	THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS	5756.40	090	Y
*	*	32653	THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT	3673.20	090	Y
*	*	32654	THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE	3994.80	090	Y
*	*	32655	THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX	3308.40	090	Y
*	*	32656	THORACOSCOPY W/PARIETAL PLEURECTOMY	2770.80	090	Y
*	*	32658	THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC	2464.80	090	Y
*	*	32659	THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC	2532.00	090	Y
*	*	32661	THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS	2749.20	090	Y
*	*	32662	THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS	3090.00	090	Y
*	*	32663	THORACOSCOPY W/LOBECTOMY SINGLE LOBE	4850.40	090	Y
*	*	32664	THORACOSCOPY W/THORACIC SYMPATHECTOMY	2934.00	090	Y	5660.97
*	*	32665	THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE	4234.80	090	Y
*	*	32666	THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT	3013.20	090	Y	4643.74
+	*	32667	THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL	544.80	ZZZ	Y	2569.50
+	*	32668	THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN	544.80	ZZZ	Y
*	*	32669	THORACOSCOPY W/SEGMENTECTOMY	4654.80	090	Y
*	*	32670	THORACOSCOPY W/BILOBECTOMY	5553.60	090	Y
*	*	32671	THORACOSCOPY W/PNEUMONECTOMY	6132.00	090	Y
*	*	32672	THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL	5290.80	090	Y
*	*	32673	THORACOSCOPY RESEXN THYMUS UNI/BILATERAL	4202.40	090	Y
+	*	32674	THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY	748.80	ZZZ	Y
*	*	32701	THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE	745.20	745.20	BR	XXX	N
*	*	32800	REPAIR LUNG HERNIA THROUGH CHEST WALL	3246.00	090	Y
*	*	32810	CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA	3109.20	090	Y
*	*	32815	OPEN CLOSURE MAJOR BRONCHIAL FISTULA	9726.00	090	Y
*	*	32820	MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC	4605.60	090	Y
*	*	32850	DONOR PNEUMONECTOMY FROM CADAVER DONOR	5648.40	XXX	N
*	*	32851	LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS	11442.00	090	Y
*	*	32852	LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS	12439.20	090	Y
*	*	32853	LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS	16022.40	090	Y
*	*	32854	LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS	17005.20	090	Y
*	*	32855	BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI	2448.00	XXX	Y
*	*	32856	BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI	3068.40	XXX	Y
*	*	32900	RESECTION RIBS EXTRAPLEURAL ALL STAGES	4905.60	090	Y
*	*	32905	THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL	4592.40	090	Y
*	*	32906	THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL	5710.80	090	Y
*	*	32940	PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX	4250.40	090	Y
*	*	32960	PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR	433.20	000	N	880.41
*	*	J1	32994	ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION	19141.20	000	Y	9076.35
*	*	32997	TOTAL LUNG LAVAGE UNILATERAL	1180.80	000	N
*	*	J1	32998	ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY	12074.40	000	Y	9076.35
*	*	32999	UNLISTED PROCEDURE LUNGS & PLEURA	BR	YYY	N	880.41
*	*	33010	PERICARDIOCENTESIS INITIAL	373.20	000	N	1552.95
*	*	33011	PERICARDIOCENTESIS SUBSEQUENT	375.60	000	N	1552.95
*	*	33015	TUBE PERICARDIOSTOMY	1772.40	090	N
*	*	33020	PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY	3045.60	090	Y
*	*	33025	CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX	2762.40	090	Y
*	*	33030	PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS	6942.00	090	Y
*	*	33031	PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS	8588.40	090	Y
*	*	33050	RESECTION PERICARDIAL CYST/TUMOR	3477.60	090	Y
*	*	33120	EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP	7280.40	090	Y
*	*	33130	RESECTION EXTERNAL CARDIAC TUMOR	4760.40	090	Y
*	*	33140	TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX	5420.40	090	Y
+	*	33141	TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX	456.00	ZZZ	Y
*	*	33202	INSERTION EPICARDIAL ELECTRODE OPEN	2685.60	090	N
*	*	33203	INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC	2812.80	090	N
*	*	J1	33206	INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL	1578.00	090	N	16628.91
*	*	J1	33207	INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR	1676.40	090	N	16628.91
*	*	J1	33208	INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT	1818.00	090	N	16628.91
*	*	J1	33210	INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH	571.20	000	N	12106.09
*	*	J1	33211	INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX	594.00	000	N	12106.09
*	*	J1	33212	INS PM PLS GEN W/EXIST SINGLE LEAD	1117.20	090	N	12106.09
*	*	J1	33213	INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS	1168.80	090	N	16628.91
*	*	J1	33214	UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS	1668.00	090	N	16628.91
*	*	J1	33215	RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE	1082.40	090	N	5022.59
*	*	J1	33216	INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB	1291.20	090	N	12106.09
*	*	J1	33217	INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB	1272.00	090	N	12106.09
*	*	33218	RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB	1350.00	090	N	4445.35
*	*	33220	RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB	1359.60	090	N	4445.35
*	*	J1	33221	INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS	1252.80	090	N	29527.49
*	*	33222	RELOCATION OF SKIN POCKET FOR PACEMAKER	1177.20	090	N	2199.52
*	*	33223	RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR	1424.40	090	N	2199.52
*	*	J1	33224	INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN	1802.40	000	N	16628.91
+	*	33225	INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN	1640.40	ZZZ	N
*	*	J1	33226	RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD	1734.00	000	N	5022.59
*	*	J1	33227	REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD	1178.40	090	N	12106.09
*	*	J1	33228	REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS	1231.20	090	N	16628.91
*	*	J1	33229	REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD	1304.40	090	N	29527.49
*	*	J1	33230	INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS	1330.80	090	N	35813.54
*	*	J1	33231	INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS	1398.00	090	N	49739.98
*	*	33233	REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY	801.60	090	N	10513.84
*	*	33234	RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR	1692.00	090	N	4445.35
*	*	33235	RMVL TRANSVNS PM ELTRD DUAL LEAD SYS	2222.40	090	N	4445.35
*	*	33236	RMVL PRM EPICAR PM&ELTRDS THORCOM 1 LEAD SYS	2689.20	090	N
*	*	33237	RMVL PRM EPICAR PM&ELTRDS THORCOM DUAL LEAD SY	2902.80	090	N
*	*	33238	RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY	3250.80	090	N
*	*	J1	33240	INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD	1273.20	090	N	35813.54
*	*	33241	REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY	748.80	090	N	4445.35
*	*	33243	RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM	4762.80	090	Y
*	*	33244	RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ	3010.80	090	N	4445.35
*	*	J1	33249	INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR	3200.40	090	N	49739.98
*	*	33250	ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS	5014.80	090	Y
*	*	33251	ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS	5631.60	090	Y
*	*	33254	ABLATION & RECONSTRUCTION ATRIA LIMITED	4696.80	090	Y
*	*	33255	ABLATION & RCNSTJ ATRIA EXTNSV W/O BYPASS	5678.40	090	Y
*	*	33256	ABLATION & RCNSTJ ATRIA EXTNSV W/BYPASS	6742.80	090	Y
+	*	33257	ATRIA ABLATE & RCNSTJ W/OTHER PROCEDURE LIMITE	2017.20	ZZZ	Y
+	*	33258	ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTENSIV W/O BYP	2263.20	ZZZ	Y
+	*	33259	ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTEN W/BYPASS	2929.20	ZZZ	Y
*	*	33261	OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS	5611.20	090	Y
*	*	J1	33262	RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD	1298.40	090	N	35813.54
*	*	J1	33263	RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD	1352.40	090	N	35813.54
*	*	J1	33264	RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD	1411.20	090	N	49739.98
*	*	33265	NDSC ABLATION & RCNSTJ ATRIA LIMITED W/O BYPAS	4716.00	090	Y
*	*	33266	NDSC ABLATION & RCNSTJ ATRIA EXTEN W/O BYPASS	6416.40	090	Y
*	*	J1	33270	INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD	1976.40	090	N	49739.98
*	*	J1	33271	INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE	1590.00	090	N	12106.09
*	*	33272	RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE	1209.60	090	N	4445.35
*	*	33273	REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB	1401.60	090	N	4445.35
*	*	J1	33274	TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG	1705.20	090	N	26888.04
*	*	33275	TCAT REMOVAL PERM LEADLESS PACEMAKER R VENTR	1812.00	090	N	3750.96
*	*	J1	33285	INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG	17528.40	000	N	12106.09
*	*	33286	REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR	456.00	000	N	822.66
*	*	J1	33289	TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR	1141.20	000	N	45731.93
*	*	33300	REPAIR CARDIAC WOUND W/O BYPASS	8522.40	090	Y
*	*	33305	REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS	14288.40	090	Y
*	*	33310	CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP	4069.20	090	Y
*	*	33315	CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP	6643.20	090	Y
*	*	33320	SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP	3664.80	090	Y
*	*	33321	SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS	4076.40	090	Y
*	*	33322	SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS	4802.40	090	Y
*	*	33330	INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS	4960.80	090	Y
*	*	33335	INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS	6553.20	090	Y
*	*	33340	PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT	2761.20	000	N
*	*	33361	REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH	4737.60	000	N
*	*	33362	REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH	5172.00	000	N
*	*	33363	REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH	5356.80	000	N
*	*	33364	REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH	5536.80	000	N
*	*	33365	REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH	6219.60	000	N
*	*	33366	TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE	6723.60	000	N
+	*	33367	REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH	2194.80	ZZZ	N
+	*	33368	REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH	2606.40	ZZZ	N
+	*	33369	REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH	3440.40	ZZZ	N
*	*	33390	VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE	6705.60	090	Y
*	*	33391	VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX	7935.60	090	Y
*	*	33404	CONSTRUCTION APICAL-AORTIC CONDUIT	6120.00	090	Y
*	*	33405	RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT	7882.80	090	Y
*	*	33406	RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND	9984.00	090	Y
*	*	33410	RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE	8838.00	090	Y
*	*	33411	RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS	11680.80	090	Y
*	*	33412	REPLACEMENT AORTIC VALVE KONNO PROCEDURE	10929.60	090	Y
*	*	33413	REPLACEMENT AORTIC&PULMON VALVES ROSS PROCEDUR	11131.20	090	Y
*	*	33414	RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC	7442.40	090	Y
*	*	33415	RESECTION/INCISION SUBVALVULAR TISSUE	7053.60	090	Y
*	*	33416	VENTRICULOMYOTOMY-MYECTOMY	7032.00	090	Y
*	*	33417	AORTOPLASTY SUPRAVALVULAR STENOSIS	5779.20	090	Y
*	*	33418	TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS	6286.80	090	Y
+	*	33419	TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS	1484.40	ZZZ	Y
*	*	33420	VALVOTOMY MITRAL VALVE CLOSED HEART	5076.00	090	N
*	*	33422	VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS	5760.00	090	Y
*	*	33425	VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS	9484.80	090	Y
*	*	33426	VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING	8276.40	090	Y
*	*	33427	VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING	8496.00	090	Y
*	*	33430	REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP	9727.20	090	Y
*	*	33440	RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE	11772.00	090	Y
*	*	33460	VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP	8336.40	090	Y
*	*	33463	VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION	10741.20	090	Y
*	*	33464	VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION	8485.20	090	Y
*	*	33465	REPLACEMENT TRICUSPID VALVE W/CARD BYPASS	9589.20	090	Y
*	*	33468	TRICUSPID VALVE RPSG&PLCTJ EBSTEIN ANOMALY	8386.80	090	Y
*	*	33470	VALVOTOMY PULMONARY VALVE CLSD HEART TRANSVENTR	4308.00	090	Y
*	*	33471	VALVOTOMY PULM VALVE CLSD HEART VIA PULM ARTERY	4606.80	090	Y
*	*	33474	VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS	7594.80	090	Y
*	*	33475	REPLACEMENT PULMONARY VALVE	8112.00	090	Y
*	*	33476	R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY	5185.20	090	Y
*	*	33477	TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH	4766.40	000	N
*	*	33478	OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ	5443.20	090	Y
*	*	33496	RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS	5791.20	090	Y
*	*	33500	RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS	5408.40	090	Y
*	*	33501	RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS	3876.00	090	Y
*	*	33502	RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION	4399.20	090	Y
*	*	33503	RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT	4612.80	090	N
*	*	33504	RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP	5032.80	090	Y
*	*	33505	RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL	7015.20	090	Y
*	*	33506	RPR ANOM CORONARY ART FROM PULM ART TO AORTA	6936.00	090	Y
*	*	33507	RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ	5965.20	090	Y
+	*	33508	NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG	56.40	ZZZ	Y
*	*	33510	CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT	6714.00	090	Y
*	*	33511	CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS	7374.00	090	Y
*	*	33512	CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS	8396.40	090	Y
*	*	33513	CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS	8647.20	090	Y
*	*	33514	CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS	9092.40	090	Y
*	*	33516	CORONARY ARTERY BYPASS 6/+ CORONARY VENOUS GRAFT	9375.60	090	Y
+	*	33517	CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 1 VEIN	649.20	ZZZ	Y
+	*	33518	CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 2 VEIN	1431.60	ZZZ	Y
+	*	33519	CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 3 VEIN	1893.60	ZZZ	Y
+	*	33521	CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 4 VEIN	2271.60	ZZZ	Y
+	*	33522	CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 5 VEIN	2551.20	ZZZ	Y
+	*	33523	CORONARY ARTERY BYP W/VEIN &ARTERY GRAFT 6 VEIN	2880.00	ZZZ	Y
+	*	33530	ROPRTJ CAB/VALVE PX > 1 MO AFTER ORIGINAL OPERJ	1830.00	ZZZ	Y
*	*	33533	CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT	6490.80	090	Y
*	*	33534	CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS	7634.40	090	Y
*	*	33535	CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS	8517.60	090	Y
*	*	33536	CABG W/ARTERIAL GRAFT FOUR/>ARTERIAL GRAFTS	9133.20	090	Y
*	*	33542	MYOCARDIAL RESECTION	9144.00	090	Y
*	*	33545	RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT	10719.60	090	Y
*	*	33548	SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD	10288.80	090	Y
+	*	33572	CORONARY ENDARTERCOMY OPEN ANY METHOD	800.40	ZZZ	Y
*	*	33600	CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH	5919.60	090	Y
*	*	33602	CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH	5743.20	090	Y
*	*	33606	ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX	6192.00	090	Y
*	*	33608	RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT	6271.20	090	Y
*	*	33610	RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT	6183.60	090	Y
*	*	33611	RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR	6805.20	090	Y
*	*	33612	RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ	6987.60	090	Y
*	*	33615	RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX	6960.00	090	Y
*	*	33617	RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX	7346.40	090	Y
*	*	33619	RPR 1 VNTRC W/O/F OBSTRCJ&AORTIC ARCH HYPOPLAS	9524.40	090	Y
*	*	33620	APPLICATION RIGHT & LEFT PULMONARY ARTERY BAND	5725.20	090	Y
*	*	33621	TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT	3240.00	090	Y
*	*	33622	RECONSTRUCTION COMPLEX CARDIAC ANOMALY	12001.20	090	Y
*	*	33641	RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH	5685.60	090	Y
*	*	33645	DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG	5986.80	090	Y
*	*	33647	RPR ATRIAL & VENTRIC SEPTAL DFCT DIR/PATCH CLS	6258.00	090	Y
*	*	33660	RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR	6069.60	090	Y
*	*	33665	RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR	6674.40	090	Y
*	*	33670	RPR COMPL AV CANAL W/WO PROSTC VALVE	6888.00	090	Y
*	*	33675	CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS	6760.80	090	Y
*	*	33676	CLOSURE MULTIPLE VSD W/RESECTION	7060.80	090	Y
*	*	33677	CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND	7333.20	090	Y
*	*	33681	CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH	6363.60	090	Y
*	*	33684	CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ	6586.80	090	Y
*	*	33688	CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET	6576.00	090	Y
*	*	33690	BANDING PULMONARY ARTERY	4173.60	090	Y
*	*	33692	COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA	6829.20	090	Y
*	*	33694	COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH	6805.20	090	Y
*	*	33697	COMPL RPR T-FALLOT W/PULM ATRESIA	7167.60	090	Y
*	*	33702	RPR SINUS VALSALVA FISTULA	5305.20	090	Y
*	*	33710	RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT	7158.00	090	Y
*	*	33720	RPR SINUS VALSALVA ANEURYSM	5360.40	090	Y
*	*	33722	CLOSURE AORTICO-LEFT VENTRICULAR TUNNEL	5668.80	090	Y
*	*	33724	REPAIR ISOLATED PARTIAL PULM VENOUS RETURN	5305.20	090	Y
*	*	33726	REPAIR PULMONARY VENOUS STENOSIS	7092.00	090	Y
*	*	33730	COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN	6810.00	090	Y
*	*	33732	RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB	5451.60	090	Y
*	*	33735	ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART	4508.40	090	Y
*	*	33736	ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS	4755.60	090	Y
*	*	33737	ATRIAL SEPTECT/SEPTOST OPN HRT W/INFL OCCLUSION	4516.80	090	Y
*	*	33750	SHUNT SUBCLAVIAN PULMONARY ARTERY	4395.60	090	Y
*	*	33755	SHUNT ASCENDING AORTA PULMONARY ARTERY	4581.60	090	Y
*	*	33762	SHUNT DESCENDING AORTA PULMONARY ARTERY	4465.20	090	Y
*	*	33764	SHUNT CENTRAL W/PROSTHETIC GRAFT	4581.60	090	Y
*	*	33766	SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG	4641.60	090	Y
*	*	33767	SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS	4957.20	090	Y
+	*	33768	ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA	1452.00	ZZZ	Y
*	*	33770	RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT	7388.40	090	Y
*	*	33771	RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT	7605.60	090	Y
*	*	33774	RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS	6267.60	090	Y
*	*	33775	RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND	6460.80	090	Y
*	*	33776	RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT	6595.20	090	Y
*	*	33777	RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC	6595.20	090	Y
*	*	33778	RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ	8196.00	090	Y
*	*	33779	RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND	8121.60	090	Y
*	*	33780	RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT	7975.20	090	Y
*	*	33781	RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ	8076.00	090	Y
*	*	33782	A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ	11282.40	090	Y
*	*	33783	A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA	12199.20	090	Y
*	*	33786	TOTAL REPAIR TRUNCUS ARTERIOSUS	7945.20	090	Y
*	*	33788	REIMPLANTATION ANOMALOUS PULMONARY ARTERY	5341.20	090	Y
*	*	33800	AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX	3398.40	090	Y
*	*	33802	DIVISION ABERRANT VESSEL VASCULAR RING	3774.00	090	Y
*	*	33803	DIVISION ABERRANT VESSEL W/REANASTOMOSIS	4008.00	090	Y
*	*	33813	OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/O BYPASS	4104.00	090	Y
*	*	33814	OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS	5302.80	090	Y
*	*	33820	REPAIR PATENT DUCTUS ARTERIOSUS LIGATION	3333.60	090	Y
*	*	33822	RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR	3554.40	090	Y
*	*	33824	RPR PATENT DUXUS ARTERIOSUS DIV 18 YR & OLDER	4104.00	090	Y
*	*	33840	EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS	4312.80	090	Y
*	*	33845	EXCISION COARCTATION AORTA W/WO PDA W/GRAFT	4550.40	090	Y
*	*	33851	EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET	4428.00	090	Y
*	*	33852	RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS	4629.60	090	Y
*	*	33853	RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS	6223.20	090	Y
*	*	33860	ASCENDING AORTA GRF W/CARD BYP & VALVE SSP	11184.00	090	Y
*	*	33863	AS-AORT GRF W/CARD BYP & AORTIC ROOT RPLCMT	10965.60	090	Y
*	*	33864	ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL	11233.20	090	Y
+	*	33866	AORTIC HEMIARCH GRAFT W/ISOL & CTRL ARCH VESSELS	3582.00	ZZZ	N
*	*	33870	TRANSVERSE ARCH GRAFT W/CARDIOPULMONARY BYPASS	8804.40	090	Y
*	*	33875	DESCENDING THORACIC AORTA GRAFT W/WO BYPASS	9566.40	090	Y
*	*	33877	RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS	12618.00	090	Y
*	*	33880	EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH	6241.20	090	Y
*	*	33881	EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN	5356.80	090	Y
*	*	33883	PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN	3878.40	090	Y
+	*	33884	PLMT PROX XTN PROSTH EVASC RPR DTA EA PROX XTN	1369.20	ZZZ	Y
*	*	33886	PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA	3324.00	090	Y
*	*	33889	OPN SUBCLA CRTD ART TRPOS NCK INC ULAT	2742.00	000	Y
*	*	33891	BYP GRF W/DESCENDING THORACIC AORTA RPR NECK INC	3325.20	000	Y
*	*	33910	PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS	9146.40	090	Y
*	*	33915	PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS	4770.00	090	Y
*	*	33916	PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS	14780.40	090	Y
*	*	33917	RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT	5050.80	090	Y
*	*	33920	RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT	6313.20	090	Y
*	*	33922	TRANSECTION PULMONARY ARTERY W/CARD BYPASS	4789.20	090	Y
+	*	33924	LIG&TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART	984.00	ZZZ	Y
*	*	33925	RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS	5989.20	090	Y
*	*	33926	RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS	8436.00	090	Y
*	*	33927	IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY	8912.40	XXX	Y
*	*	33928	REMOVAL & RPLCMT TOTAL RPLCMT HEART SYS	BR	XXX	Y
+	*	33929	REMOVAL TOTAL RPLCMT HEART SYS FOR HEART TRNSPL	BR	ZZZ	Y
*	*	33930	DONOR CARDIECTOMY-PNEUMONECTOMY	BR	XXX	N
*	*	33933	BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT	BR	XXX	Y
*	*	33935	HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC	17268.00	090	Y
*	*	33940	DONOR CARDIECTOMY	BR	XXX	N
*	*	33944	BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT	1938.00	XXX	Y
*	*	33945	HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY	16960.80	090	Y
*	*	33946	ECMO/ECLS INITIATION VENO-VENOUS	1078.80	XXX	N
*	*	33947	ECMO/ECLS INITIATION VENO-ARTERIAL	1196.40	XXX	N
*	*	33948	ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS	829.20	XXX	N
*	*	33949	ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL	806.40	XXX	N
*	*	33951	ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ	1485.60	000	N
*	*	33952	ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ	1491.60	000	N
*	*	33953	ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN	1660.80	000	N
*	*	33954	ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER OPEN	1665.60	000	N
*	*	33955	ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS	2911.20	000	N
*	*	33956	ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS & OLDER	2906.40	000	N
*	*	33957	ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS	645.60	000	N
*	*	33958	ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER	644.40	000	N
*	*	33959	ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS	820.80	000	N
*	*	33962	ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS & OLDER	816.00	000	N
*	*	33963	ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS	1641.60	000	N
*	*	33964	ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS & OLDER	1712.40	000	N
*	*	33965	ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS	645.60	000	N
*	*	33966	ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER	829.20	000	N
*	*	33967	INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ	907.20	000	N	2237.37
*	*	33968	REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ	117.60	000	N
*	*	33969	ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS	957.60	000	N
*	*	33970	INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN	1233.60	000	Y
*	*	33971	RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF	2461.20	090	N
*	*	33973	INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA	1803.60	000	Y
*	*	33974	RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA	3096.00	090	N
*	*	33975	INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE	4554.00	XXX	Y
*	*	33976	INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR	5552.40	XXX	Y
*	*	33977	REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE	3918.00	XXX	Y
*	*	33978	REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR	4666.80	XXX	Y
*	*	33979	INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC	6800.40	XXX	Y
*	*	33980	RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC	6218.40	XXX	Y
*	*	33981	RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP	2918.40	XXX	Y
*	*	33982	PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS	6843.60	XXX	Y
*	*	33983	RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS	8055.60	XXX	Y
*	*	33984	ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER	990.00	000	N
*	*	33985	ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS	1802.40	000	N
*	*	33986	ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER	1818.00	000	N
+	*	33987	ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS	728.40	ZZZ	N
*	*	33988	INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS	2703.60	000	N
*	*	33989	RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS	1693.20	000	N
*	*	33990	INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY	1488.00	XXX	Y	4915.73
*	*	33991	INSJ PERQ VAD TRNSPTAL W/IMAGE ART&VENOUS ACCESS	2182.80	XXX	Y
*	*	33992	REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION	696.00	XXX	Y
*	*	33993	REPOSITION VAD W/IMAGING DIFFERENT SESSION	610.80	XXX	Y
*	*	33999	UNLISTED CARDIAC SURGERY	BR	YYY	Y	880.41
*	*	34001	EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART	3344.40	090	Y
*	*	34051	EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY	3438.00	090	Y
*	*	J1	34101	EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART	2078.40	090	Y	8407.95
*	*	J1	34111	EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC	2086.80	090	Y	8407.95
*	*	34151	EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART	4848.00	090	Y
*	*	J1	34201	EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART	3573.60	090	Y	8407.95
*	*	J1	34203	EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC	3303.60	090	Y	8407.95
*	*	34401	THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC	5088.00	090	Y
*	*	J1	34421	THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC	2560.80	090	Y	5022.59
*	*	34451	THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL&LEG	4930.80	090	Y
*	*	34471	THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC	3733.20	090	N	880.41
*	*	J1	34490	THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN	2227.20	090	N	5022.59
*	*	J1	34501	VALVULOPLASTY FEMORAL VEIN	3066.00	090	Y	8407.95
*	*	34502	RECONSTRUCTION VENA CAVA ANY METHOD	5361.60	090	Y
*	*	J1	34510	VENOUS VALVE TRANSPOSITION ANY VEIN DONOR	3534.00	090	Y	8407.95
*	*	J1	34520	CROSS-OVER VEIN GRAFT VENOUS SYSTEM	3396.00	090	Y	8407.95
*	*	J1	34530	SAPHENOPOPLITEAL VEIN ANASTOMOSIS	3116.40	090	Y	5022.59
*	*	34701	EVASC RPR DPLMNT AORTO-AORTIC NDGFT	4302.00	090	Y
*	*	34702	EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT	6424.80	090	Y
*	*	34703	EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT	4843.20	090	Y
*	*	34704	EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT	8071.20	090	Y
*	*	34705	EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT	5326.80	090	Y
*	*	34706	EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT	8025.60	090	Y
*	*	34707	EVASC RPR DPLMNT ILIO-ILIAC NDGFT	4012.80	090	Y
*	*	34708	EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT	6441.60	090	Y
+	*	34709	PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR	1125.60	ZZZ	Y
*	*	34710	DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL	2788.80	090	Y
+	*	34711	DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL	1039.20	ZZZ	Y
*	*	34712	TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I	2382.00	090	Y
+	*	34713	PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT	447.60	ZZZ	Y
+	*	34714	OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH	940.80	ZZZ	Y
+	*	34715	OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI	1054.80	ZZZ	Y
+	*	34716	OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ	1304.40	ZZZ	Y
+	*	34808	EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE	733.20	ZZZ	Y
+	*	34812	OPN FEM ART EXPOS DLVR EVASC PROSTH UNI	720.00	ZZZ	Y
+	*	34813	PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR	822.00	ZZZ	Y
+	*	34820	OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI	1210.80	ZZZ	Y
*	*	34830	OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH	6096.00	090	Y
*	*	34831	OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH	6718.80	090	Y
*	*	34832	OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH	6475.20	090	Y
+	*	34833	OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP	1406.40	ZZZ	Y
+	*	34834	OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI	450.00	ZZZ	Y
*	*	34839	PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT	BR	YYY	N
*	*	34841	ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT	BR	YYY	Y
*	*	34842	ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT	BR	YYY	Y
*	*	34843	ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT	BR	YYY	Y
*	*	34844	ENDOVASC VISCER AORTA REPR FENEST 4+ ENDOGRAFT	BR	YYY	Y
*	*	34845	VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS	8288.40	YYY	Y
*	*	34846	VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS	9424.80	YYY	Y
*	*	34847	VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS	16011.60	YYY	Y
*	*	34848	VISCER AND INFRARENAL ABDOM AORTA 4+ PROSTHESIS	27577.20	YYY	Y
*	*	35001	DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY	3864.00	090	Y
*	*	35002	DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY	3907.20	090	Y
*	*	35005	DIR RPR ANEURYSM VERTEBRAL ARTERY	3441.60	090	Y
*	*	J1	35011	DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION	3486.00	090	Y	8407.95
*	*	35013	DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS	4362.00	090	Y
*	*	35021	DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY	4369.20	090	Y
*	*	35022	DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN	4880.40	090	Y
*	*	J1	35045	DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY	3414.00	090	Y	8407.95
*	*	35081	DIR RPR ANEURYSM ABDOMINAL AORTA	6026.40	090	Y
*	*	35082	DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA	7604.40	090	Y
*	*	35091	DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS	6218.40	090	Y
*	*	35092	DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS	9064.80	090	Y
*	*	35102	DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS	6541.20	090	Y
*	*	35103	DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS	7798.80	090	Y
*	*	35111	DIR RPR ANEURYSM SPLENIC ARTERY	4573.20	090	Y
*	*	35112	DIR RPR RUPTD ANEURYSM SPLENIC ARTERY	5664.00	090	Y
*	*	35121	DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC	5796.00	090	Y
*	*	35122	DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN	6555.60	090	Y
*	*	35131	DIR RPR ANEURYSM & GRAFT ILIAC ARTERY	4826.40	090	Y
*	*	35132	DIR RPR RUPTD ANEURYSM & GRAFT ILIAC ARTERY	5641.20	090	Y
*	*	35141	DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY	3836.40	090	Y
*	*	35142	DIR RPR RUPTD ANEURYSM & GRF COMMON FEMORAL ART	4621.20	090	Y
*	*	35151	DIR RPR ANEURYSM & GRAFT POPLITEAL ARTERY	4305.60	090	Y
*	*	35152	DIR RPR RUPTD ANEURYSM & GRF POPLITEAL ARTERY	4792.80	090	Y
*	*	35180	REPAIR CONGENITAL AV FISTULA HEAD & NECK	3052.80	090	Y	880.41
*	*	35182	RPR CONGENITAL AV FISTULA THORAX & ABDOMEN	6229.20	090	Y
*	*	J1	35184	RPR CONGENITAL AV FISTULA EXTREMITIES	3331.20	090	Y	5022.59
*	*	J1	35188	RPR/TRAUMATIC AV FISTULA HEAD & NECK	4449.60	090	Y	8407.95
*	*	35189	RPR/TRAUMATIC AV FISTULA THORAX & ABDOMEN	5186.40	090	Y
*	*	J1	35190	RPR/TRAUMATIC AV FISTULA EXTREMITIES	2643.60	090	Y	8407.95
*	*	J1	35201	REPAIR BLOOD VESSEL DIRECT NECK	3273.60	090	Y	8407.95
*	*	J1	35206	REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY	2720.40	090	Y	5022.59
*	*	J1	35207	REPAIR BLOOD VESSEL DIRECT HAND FINGER	2611.20	090	N	5022.59
*	*	35211	RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS	4804.80	090	Y
*	*	35216	RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS	7165.20	090	Y
*	*	35221	RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL	5097.60	090	Y
*	*	35226	RPR BLOOD VESSEL DIRECT LOWER EXTREMITY	2898.00	090	Y	822.66
*	*	J1	35231	REPAIR BLOOD VESSEL W/VEIN GRAFT NECK	4291.20	090	Y	5022.59
*	*	J1	35236	REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY	3482.40	090	Y	8407.95
*	*	35241	RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP	5002.80	090	Y
*	*	35246	RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP	5431.20	090	Y
*	*	35251	REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL	6048.00	090	Y
*	*	J1	35256	REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY	3562.80	090	Y	8407.95
*	*	J1	35261	REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK	3386.40	090	Y	5022.59
*	*	J1	35266	RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY	3016.80	090	Y	8407.95
*	*	35271	RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP	4802.40	090	Y
*	*	35276	RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP	5077.20	090	Y
*	*	35281	RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL	5619.60	090	Y
*	*	J1	35286	RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY	3237.60	090	Y	8407.95
*	*	35301	TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC	3934.80	090	Y	6767.28
*	*	35302	TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY	3900.00	090	Y
*	*	35303	TEAEC W/GRAFT POPLITEAL ARTERY	4314.00	090	Y
*	*	35304	TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY	4442.40	090	Y
*	*	35305	TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL	4273.20	090	Y
+	*	35306	TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART	1542.00	ZZZ	Y
*	*	35311	TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC	5410.80	090	Y
*	*	J1	35321	TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL	3103.20	090	Y	8407.95
*	*	35331	TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA	5082.00	090	Y
*	*	35341	TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL	4792.80	090	Y
*	*	35351	TEAEC W/WO PATCH GRAFT ILIAC	4450.80	090	Y
*	*	35355	TEAEC W/WO PATCH GRAFT ILIOFEMORAL	3585.60	090	Y
*	*	35361	TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC	5256.00	090	Y
*	*	35363	TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL	5619.60	090	Y
*	*	35371	TEAEC W/WO PATCH GRAFT COMMON FEMORAL	2844.00	090	Y
*	*	35372	TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL	3404.40	090	Y
+	*	35390	ROPRTJ CRTD TEAEC > 1 MO AFTER ORIGINAL OPRATIO	553.20	ZZZ	Y
+	*	35400	ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ	518.40	ZZZ	N
+	*	35500	HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX	1114.80	ZZZ	Y
*	*	35501	BYPASS W/VEIN COMMON-IPSILATERAL CAROTID	5200.80	090	Y
*	*	35506	BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID	4396.80	090	Y
*	*	35508	BYPASS W/VEIN CAROTID-VERTEBRAL	4531.20	090	Y
*	*	35509	BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID	4876.80	090	Y
*	*	35510	BYPASS W/VEIN CAROTID-BRACHIAL	4239.60	090	Y
*	*	35511	BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN	3804.00	090	Y
*	*	35512	BYPASS W/VEIN SUBCLAVIAN-BRACHIAL	4178.40	090	Y
*	*	35515	BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL	4352.40	090	Y
*	*	35516	BYPASS W/VEIN SUBCLAVIAN-AXILLARY	4227.60	090	Y
*	*	35518	BYPASS W/VEIN AXILLARY-AXILLARY	3927.60	090	Y
*	*	35521	BYPASS W/VEIN AXILLARY-FEMORAL	4238.40	090	Y
*	*	35522	BYPASS W/VEIN AXILLARY-BRACHIAL	4196.40	090	Y
*	*	35523	BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL	4454.40	090	Y
*	*	35525	BYPASS W/VEIN BRACHIAL-BRACHIAL	3969.60	090	Y
*	*	35526	BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE	6060.00	090	Y
*	*	35531	BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC	6738.00	090	Y
*	*	35533	BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL	5200.80	090	Y
*	*	35535	BYPASS W/VEIN HEPATORENAL	6598.80	090	Y
*	*	35536	BYPASS W/VEIN SPLENORENAL	5859.60	090	Y
*	*	35537	BYPASS W/VEIN AORTOILIAC	7172.40	090	Y
*	*	35538	BYPASS W/VEIN AORTOBI-ILIAC	8046.00	090	Y
*	*	35539	BYPASS W/VEIN AORTOFEMORAL	7549.20	090	Y
*	*	35540	BYPASS W/VEIN AORTOBIFEMORAL	8481.60	090	N
*	*	35556	BYPASS W/VEIN FEMORAL-POPLITEAL	4862.40	090	Y
*	*	35558	BYPASS W/VEIN FEMORAL-FEMORAL	4275.60	090	Y
*	*	35560	BYPASS W/VEIN AORTORENAL	5828.40	090	Y
*	*	35563	BYPASS W/VEIN ILIOILIAC	4584.00	090	Y
*	*	35565	BYPASS W/VEIN ILIOFEMORAL	4573.20	090	Y
*	*	35566	BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL	5803.20	090	Y
*	*	35570	BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL	5247.60	090	Y
*	*	35571	BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL	4602.00	090	Y
+	*	35572	HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX	1206.00	ZZZ	Y
*	*	35583	IN-SITU VEIN BYPASS FEMORAL-POPLITEAL	5020.80	090	Y
*	*	35585	IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART	5816.40	090	Y
*	*	35587	IN-SITU VEIN BYP POP-TIBL PRONEAL	4741.20	090	Y
+	*	35600	HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG	891.60	ZZZ	Y
*	*	35601	BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID	4857.60	090	Y
*	*	35606	BYP OTH/THN VEIN CAROTID-SUBCLAVIAN	4081.20	090	Y
*	*	35612	BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN	3594.00	090	Y
*	*	35616	BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY	3798.00	090	Y
*	*	35621	BYP OTH/THN VEIN AXILLARY-FEMORAL	3810.00	090	Y
*	*	35623	BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL	4539.60	090	Y
*	*	35626	BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE	5521.20	090	Y
*	*	35631	BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL	6446.40	090	Y
*	*	35632	BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC	6206.40	090	Y
*	*	35633	BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC	6937.20	090	Y
*	*	35634	BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL	6103.20	090	Y
*	*	35636	BYP OTH/THN VEIN SPLENORENAL	5526.00	090	Y
*	*	35637	BYP OTH/THN VEIN AORTOILIAC	5731.20	090	Y
*	*	35638	BYP OTH/THN VEIN AORTOBI-ILIAC	6110.40	090	Y
*	*	35642	BYP OTH/THN VEIN CAROTID-VERTEBRAL	3415.20	090	Y
*	*	35645	BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL	3277.20	090	Y
*	*	35646	BYP OTH/THN VEIN AORTOBIFEMORAL	5968.80	090	Y
*	*	35647	BYP OTH/THN VEIN AORTOFEMORAL	5403.60	090	Y
*	*	35650	BYP OTH/THN VEIN AXILLARY-AXILLARY	3765.60	090	Y
*	*	35654	BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL	4760.40	090	Y
*	*	35656	BYP OTH/THN VEIN FEMORAL-POPLITEAL	3760.80	090	Y
*	*	35661	BYP OTH/THN VEIN FEMORAL-FEMORAL	3771.60	090	Y
*	*	35663	BYP OTH/THN VEIN ILIOILIAC	4207.20	090	Y
*	*	35665	BYP OTH/THN VEIN ILIOFEMORAL	4080.00	090	Y
*	*	35666	BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL	4396.80	090	Y
*	*	35671	BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART	3874.80	090	Y
+	*	35681	BYPASS COMPOSITE GRAFT PROSTHETIC & VEIN	280.80	ZZZ	Y
+	*	35682	BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS	1226.40	ZZZ	N
+	*	35683	BYP AUTOG COMPOSIT 3/> SEG FROM 2/> LOCATION	1419.60	ZZZ	N
+	*	35685	PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT	691.20	ZZZ	Y
+	*	35686	CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO	556.80	ZZZ	Y
*	*	35691	TRPOS&/RIMPLTJ VERTEBRAL CAROTID ART	3272.40	090	Y
*	*	35693	TRPOS&/RIMPLTJ VERTEBRAL SUBCLAVIAN ART	2832.00	090	Y
*	*	35694	TRPOS&/RIMPLTJ SUBCLAVIAN CAROTID ART	3412.80	090	Y
*	*	35695	TRPOS&/RIMPLTJ CAROTID SUBCLAVIAN ART	3514.80	090	Y
+	*	35697	RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART	516.00	ZZZ	Y
+	*	35700	ROPRTJ > 1 MO AFTER ORIGINAL OPRATION	530.40	ZZZ	Y
*	*	35701	EXPL N/FLWD SURG RPR W/WO LYSIS CAROTID ARTERY	1968.00	090	Y
*	*	35721	EXPL N/FLWD SURG RPR W/WO LYSIS FEMORAL ARTERY	1582.80	090	Y
*	*	35741	EXPL N/FLWD SURG RPR W/WO LYSIS POPLITEAL ARTERY	1800.00	090	Y
*	*	J1	35761	EXPL N/FLWD SURG RPR W/WO LYSIS OTHER ARTERY	1365.60	090	Y	5022.59
*	*	35800	EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK	2500.80	090	Y	6048.77
*	*	35820	EXPL PO HEMRRG THROMBOSIS/INFCTJ CH	6998.40	090	Y
*	*	35840	EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD	4156.80	090	Y	3962.26
*	*	J1	35860	EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR	2910.00	090	Y	5022.59
*	*	35870	RPR GRF-ENTERIC FSTL	4294.80	090	Y
*	*	J1	35875	THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL	2070.00	090	N	8407.95
*	*	J1	35876	THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF	3290.40	090	Y	8407.95
*	*	J1	35879	REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP	3219.60	090	Y	8407.95
*	*	J1	35881	REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS	3537.60	090	Y	8407.95
*	*	J1	35883	REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT	4177.20	090	Y	8407.95
*	*	J1	35884	REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT	4288.80	090	Y	8407.95
*	*	35901	EXCISION INFECTED NECK GRAFT	1626.00	090	Y
*	*	J1	35903	EXCISION INFECTED GRAFT EXTREMITY	1959.60	090	Y	5022.59
*	*	35905	EXCISION INFECTED GRAFT THORAX	5794.80	090	Y
*	*	35907	EXCISION INFECTED GRAFT ABDOMEN	6630.00	090	Y
*	*	36000	INTRODUCTION NEEDLE/INTRACATHETER VEIN	92.40	XXX	N
*	*	36002	INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM	538.80	000	N	880.41
*	*	36005	NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH	1051.20	000	N
*	*	36010	INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA	1713.60	XXX	N
*	*	36011	SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH	2882.40	XXX	N
*	*	36012	SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC	2940.00	XXX	N
*	*	36013	INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY	2620.80	XXX	N
*	*	36014	SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY	2767.20	XXX	N
*	*	36015	SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART	2997.60	XXX	N
*	*	36100	INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY	1777.20	XXX	N
*	*	36140	INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY	1527.60	XXX	N
*	*	36160	INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR	1753.20	XXX	N
*	*	36200	INTRODUCTION CATHETER AORTA	1947.60	000	N
*	*	36215	SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH	3528.00	000	N
*	*	36216	SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH	3801.60	000	N
*	*	36217	SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH	6374.40	000	N
+	*	36218	SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH	826.80	ZZZ	N
*	*	36221	NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART	3517.20	000	N	3750.96
*	*	36222	SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART	4167.60	000	N	3750.96
*	*	36223	SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART	5274.00	000	N	6214.66
*	*	36224	SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART	6824.40	000	N	6214.66
*	*	36225	SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY	5080.80	000	N	3750.96
*	*	36226	SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY	6453.60	000	N	6214.66
+	*	36227	SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC	867.60	ZZZ	N
+	*	36228	SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT	4516.80	ZZZ	N
*	*	36245	SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH	4491.60	XXX	N
*	*	36246	SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH	2856.00	000	N
*	*	36247	SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH	5112.00	000	N
+	*	36248	SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH	493.20	ZZZ	N
*	*	36251	SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN	4706.40	000	N	3750.96
*	*	36252	SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL	5091.60	000	N	3750.96
*	*	36253	SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I	7512.00	000	N	6214.66
*	*	36254	SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I	7298.40	000	N	3750.96
*	*	J1	36260	INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM	2256.00	090	N	8407.95
*	*	36261	REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP	1396.80	090	Y	4445.35
*	*	36262	REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP	1068.00	090	N	4445.35
*	*	36299	UNLISTED PROCEDURE VASCULAR INJECTION	BR	YYY	N
*	*	36400	VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN	90.00	XXX	N
*	*	36405	VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN	79.20	XXX	N
*	*	36406	VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN	56.40	XXX	N
*	*	36410	VNPNXR 3 YEARS/> PHYS/QHP SKILL	58.80	XXX	N
*	*	36415	COLLECTION VENOUS BLOOD VENIPUNCTURE	9.99	XXX	N
*	*	36416	COLLECTION CAPILLARY BLOOD SPECIMEN	22.80	XXX	N
*	*	36420	VENIPUNCTURE CUTDOWN UNDER AGE 1 YR	162.00	XXX	N	79.38
*	*	36425	VENIPUNCTURE CUTDOWN AGE 1 YR/>	139.20	XXX	N	494.39
*	*	36430	TRANSFUSION BLOOD/BLOOD COMPONENTS	118.80	XXX	N	543.72
*	*	36440	PUSH TRANSFUSION BLOOD 2 YR/UNDER	175.20	XXX	N	543.72
*	*	36450	EXCHNG TRANSFUSION BLOOD NEWBORN	592.80	XXX	N	543.72
*	*	36455	EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN	441.60	XXX	N	543.72
*	*	36456	PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN	363.60	XXX	N	543.72
*	*	36460	TRANSFUSION INTRAUTERINE FETAL	1180.80	XXX	Y	543.72
*	*	36465	NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN	5236.80	000	N	2199.52
*	*	36466	NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS	5504.40	000	N	2199.52
*	*	36468	INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK	460.80	000	N	250.56
*	*	36470	INJECTION SCLEROSANT SINGLE INCMPTNT VEIN	362.40	000	N	445.99
*	*	36471	INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS	656.40	000	N	445.99
*	*	J1	36473	ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN	4968.00	000	N	5022.59
+	*	36474	ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS	944.40	ZZZ	N
*	*	J1	36475	ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	4872.00	000	N	5022.59
+	*	36476	ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS	1026.00	ZZZ	N
*	*	J1	36478	ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN	3852.00	000	N	5022.59
+	*	36479	ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS	1083.60	ZZZ	N
*	*	36481	PRQ PORTAL VEIN CATHETERIZATION ANY METHOD	6652.80	000	N
*	*	J1	36482	ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN	6958.80	000	N	8407.95
+	*	36483	ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN	511.20	ZZZ	N
*	*	36500	VEN CATHJ SLCTV ORGAN BLD SAMPLING	636.00	000	N
*	*	36510	CATHJ UMBILICAL VEIN DX/THER NB	280.80	000	N
*	*	36511	THERAPEUTIC APHERESIS WHITE BLOOD CELLS	372.00	000	N	1770.74
*	*	36512	THERAPEUTIC APHERESIS RED BLOOD CELLS	373.20	000	N	1770.74
*	*	36513	THERAPEUTIC APHERESIS PLATELETS	379.20	000	N	543.72
*	*	36514	THERAPEUTIC APHERESIS PLASMA PHERESIS	2460.00	000	N	1770.74
*	*	36516	THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION	6752.40	000	N	5569.95
*	*	36522	PHOTOPHERESIS EXTRACORPOREAL	7346.40	000	N	5569.95
*	*	36555	INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y	639.60	000	N	1552.95
*	*	36556	INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>	718.80	000	N	1552.95
*	*	J1	36557	INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE GREATER THAN 5 YR	3487.20	010	N	8407.95
*	*	J1	36558	INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>	2604.00	010	N	5022.59
*	*	J1	36560	INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR	4458.00	010	N	5022.59
*	*	J1	36561	INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>	3673.20	010	N	5022.59
*	*	J1	36563	INSJ TUNNELED CTR VAD W/SUBQ PUMP	4136.40	010	N	8407.95
*	*	J1	36565	INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP	2982.00	010	N	5022.59
*	*	J1	36566	INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT	16292.40	010	N	8407.95
*	*	36568	INSERTION PICC W/O IMG GDN < 5 YR	318.00	000	N	880.41
*	*	36569	INSERTION PICC W/O IMG GDN 5 YR/>	326.40	000	N	1552.95
*	*	J1	36570	INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR	4905.60	010	N	5022.59
*	*	J1	36571	INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>	4305.60	010	N	5022.59
*	*	36572	INSERTION PICC W/RS&I < 5 YR	1428.00	000	N	880.41
*	*	36573	INSERTION PICC W/RS&I 5 YR/>	1344.00	000	N	1552.95
*	*	36575	RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP	550.80	000	N	880.41
*	*	36576	RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT	1117.20	010	N	1552.95
*	*	J1	36578	RPLCMT CATH CTR VAD SUBQ PORT/PMP	1567.20	010	N	5022.59
*	*	36580	RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP	735.60	000	N	1552.95
*	*	J1	36581	RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP	2577.60	010	N	5022.59
*	*	J1	36582	RPLCMT COMPL TUN CTR VAD W/SUBQ PORT	3402.00	010	N	5022.59
*	*	J1	36583	RPLCMT COMPL TUN CTR VAD W/SUBQ PMP	4308.00	010	N	8407.95
*	*	36584	COMPLETE REPLACEMENT PICC RS&I	1173.60	000	N	1552.95
*	*	J1	36585	RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT	3661.20	010	N	5022.59
*	*	36589	RMVL TUN CVC W/O SUBQ PORT/PMP	565.20	010	N	880.41
*	*	36590	RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ	760.80	010	N	880.41
*	*	36591	COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE	82.80	BR	82.80	XXX	N
*	*	36592	COLLECT BLOOD FROM CATHETER VENOUS NOS	92.40	BR	92.40	XXX	N
*	*	36593	DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH	106.80	BR	106.80	XXX	N
*	*	J1	36595	MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS	2076.00	000	N	5022.59
*	*	36596	MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN	428.40	000	N	1552.95
*	*	36597	RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE	442.80	000	N	1552.95
*	*	36598	CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT	396.00	000	N	265.80
*	*	36600	ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX	104.40	XXX	N	151.20
*	Ø	36620	ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ	153.60	000	N
*	*	36625	ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN	366.00	000	N
*	*	J1	36640	ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN	396.00	000	N	5022.59
*	*	36660	CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY	237.60	000	N
*	*	36680	PLACEMENT NEEDLE INTRAOSSEOUS INFUSION	202.80	000	N	494.39
*	*	J1	36800	INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN	423.60	000	N	8407.95
*	*	J1	36810	INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL	726.00	000	N	5022.59
*	*	J1	36815	INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR	469.20	000	N	8407.95
*	*	J1	36818	ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS	2413.20	090	Y	8407.95
*	*	J1	36819	ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS	2542.80	090	Y	8407.95
*	*	J1	36820	ARVEN ANAST OPN F/ARM VEIN TRPOS	2550.00	090	Y	8407.95
*	*	J1	36821	ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT	2310.00	090	Y	5022.59
*	*	36823	INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL	4848.00	090	N
*	*	J1	36825	CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF	2766.00	090	Y	8407.95
*	*	J1	36830	CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF	2320.80	090	Y	8407.95
*	*	J1	36831	THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF	2142.00	090	Y	8407.95
*	*	J1	36832	REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF	2628.00	090	Y	8407.95
*	*	J1	36833	REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF	2824.80	090	Y	8407.95
*	*	J1	36835	INSERTION THOMAS SHUNT SEPARATE PROCEDURE	1662.00	090	N	5022.59
*	*	J1	36838	DSTL REVSC&INTERVAL LIG UXTR HEMO ACCESS	3978.00	090	Y	8407.95
*	*	36860	XTRNL CANNULA DECLTNG SPX W/O BALO CATH	860.40	000	N	880.41
*	*	J1	36861	XTRNL CANNULA DECLTNG SPX W/BALO CATH	482.40	000	N	8407.95
*	*	36901	INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I	2199.60	000	N	1552.95
*	*	J1	36902	INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP	4330.80	000	N	8736.46
*	*	J1	36903	INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT	18265.20	000	N	17440.05
*	*	J1	36904	PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH	6373.20	000	N	8736.46
*	*	J1	36905	PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP	8016.00	000	N	17440.05
*	*	J1	36906	PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT	22387.20	000	N	26888.04
+	*	36907	TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I	2451.60	ZZZ	N
+	*	36908	STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR	8162.40	ZZZ	N
+	*	36909	DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I	6597.60	ZZZ	N
*	*	37140	VENOUS ANASTOMOSIS OPEN PORTOCAVAL	8088.00	090	N
*	*	37145	VENOUS ANASTOMOSIS OPEN RENOPORTAL	7500.00	090	Y
*	*	37160	VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC	7706.40	090	Y
*	*	37180	VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL	7407.60	090	Y
*	*	37181	VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL	8088.00	090	Y
*	*	37182	INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT	2854.80	000	N	4435.97
*	*	J1	37183	REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT	20443.20	000	N	8736.46
*	*	J1	37184	PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST	7228.80	000	N	8736.46
+	*	37185	PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ	2227.20	ZZZ	N
+	*	37186	SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL	4495.20	ZZZ	N
*	*	J1	37187	PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN	6667.20	000	N	8736.46
*	*	J1	37188	PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX	5607.60	000	N	5022.59
*	*	J1	37191	INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I	8394.00	000	N	8407.95
*	*	J1	37192	REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I	4498.80	000	N	5022.59
*	*	J1	37193	RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I	5287.20	000	N	5022.59
*	*	37195	THROMBOLYSIS CEREBRAL IV INFUSION	2464.80	XXX	N	409.50
*	*	J1	37197	PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING	5208.00	000	N	5022.59
*	*	J1	37200	TRANSCATHETER BIOPSY	756.00	000	N	8407.95
*	*	J1	37211	THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX	1345.20	000	N	8407.95
*	*	J1	37212	THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX	1177.20	000	N	5022.59
*	*	37213	THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX	811.20	000	N	1552.95
*	*	37214	CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL	428.40	000	N	1552.95
*	*	37215	TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ	3505.20	090	N	5148.62
*	*	37216	TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ	3514.80	090	N
*	*	37217	TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE	3766.80	090	N
*	*	37218	TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE	2848.80	090	N
*	*	J1	37220	REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL	10051.20	000	N	8736.46
*	*	J1	37221	REVSC OPN/PRQ ILIAC ART W/STNT PLMT & ANGIOPLSTY	14264.40	000	N	17440.05
+	*	37222	REVASCULARIZATION ILIAC ART ANGIOP EA IPSI VSL	2716.80	ZZZ	N
+	*	37223	REVSC OPN/PRQ ILIAC ART W/STNT & ANGIOP IPSILATL	7513.20	ZZZ	N
*	*	J1	37224	REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI	12081.60	000	N	8736.46
*	*	J1	37225	REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL	41434.80	000	N	17440.05
*	*	J1	37226	REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL	35938.80	000	N	17440.05
*	*	J1	37227	REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL	53388.00	000	N	26888.04
*	*	J1	37228	REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI	17512.80	000	N	17440.05
*	*	J1	37229	REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL	41457.60	000	N	26888.04
*	*	J1	37230	REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL	35295.60	000	N	26888.04
*	*	J1	37231	REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL	50712.00	000	N	26888.04
+	*	37232	REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL	3735.60	ZZZ	N
+	*	37233	REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP UNI EA VSL	4551.60	ZZZ	N
+	*	37234	REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP UNI EA VSL	13170.00	ZZZ	N
+	*	37235	REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP EA VSL	14288.40	ZZZ	N
*	*	J1	37236	OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL	12194.40	000	N	17440.05
+	*	37237	OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL	7240.80	ZZZ	N
*	*	J1	37238	OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST	12316.80	000	N	17440.05
+	*	37239	OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL	5876.40	ZZZ	N
*	*	J1	37241	VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I	16480.80	000	N	17440.05
*	*	J1	37242	VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I	25380.00	000	N	17440.05
*	*	J1	37243	VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT	32834.40	000	N	17440.05
*	*	J1	37244	VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE	23480.40	000	N	17440.05
*	*	J1	37246	TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART	7113.60	000	N	8736.46
+	*	37247	TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART	2710.80	ZZZ	N
*	*	J1	37248	TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN	5085.60	000	N	8736.46
+	*	37249	TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN	2012.40	ZZZ	N
+	*	37252	INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL	4293.60	ZZZ	N
+	*	37253	INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL	672.00	ZZZ	N
*	*	J1	37500	VASC ENDOSCOPY SURG W/LIG PERFORATOR VEINS SPX	2196.00	090	N	8407.95
*	*	37501	UNLISTED VASCULAR ENDOSCOPY PROCEDURE	BR	YYY	N	880.41
*	*	37565	LIGATION INTERNAL JUGULAR VEIN	2493.60	090	N	1552.95
*	*	J1	37600	LIGATION EXTERNAL CAROTID ARTERY	2528.40	090	Y	5022.59
*	*	J1	37605	LIGATION INTERNAL/COMMON CAROTID ARTERY	2546.40	090	Y	5022.59
*	*	J1	37606	LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION	2452.80	090	Y	5022.59
*	*	J1	37607	LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA	1299.60	090	N	5022.59
*	*	J1	37609	LIGATION/BIOPSY TEMPORAL ARTERY	1064.40	010	N	2734.29
*	*	37615	LIGATION MAJOR ARTERY NECK	1819.20	090	Y	1552.95
*	*	37616	LIGATION MAJOR ARTERY CHEST	3846.00	090	Y
*	*	37617	LIGATION MAJOR ARTERY ABDOMEN	4660.80	090	Y	3642.72
*	*	37618	LIGATION MAJOR ARTERY EXTREMITY	1333.20	090	Y	2650.75
*	*	J1	37619	INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I	6006.00	090	Y	8407.95
*	*	J1	37650	LIGATION OF FEMORAL VEIN	1586.40	090	N	5022.59
*	*	37660	LIGATION OF COMMON ILIAC VEIN	4568.40	090	Y
*	*	J1	37700	LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ	848.40	090	N	5022.59
*	*	J1	37718	LIGJ DIVJ & STRIPPING SHORT SAPHENOUS VEIN	1494.00	090	N	5022.59
*	*	J1	37722	LIGJ DIVJ&STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW	1646.40	090	N	5022.59
*	*	J1	37735	LIGJ & DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS	2010.00	090	N	5022.59
*	*	J1	37760	LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG	2169.60	090	N	5022.59
*	*	37761	LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG	1878.00	090	Y	1552.95
*	*	J1	37765	STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS	2222.40	090	N	5022.59
*	*	J1	37766	STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS	2641.20	090	N	5022.59
*	*	37780	LIGJ & DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX	810.00	090	N	1552.95
*	*	J1	37785	LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG	1208.40	090	N	5022.59
*	*	37788	PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT	4389.60	090	Y
*	*	J1	37790	PENILE VENOUS OCCLUSIVE PROCEDURE	1690.80	090	N	5757.14
*	*	37799	UNLISTED PROCEDURE VASCULAR SURGERY	BR	YYY	N	880.41
*	*	38100	SPLENECTOMY TOTAL SEPARATE PROCEDURE	4014.00	090	Y
*	*	38101	SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE	4024.80	090	Y
+	*	38102	SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX	918.00	ZZZ	Y
*	*	38115	RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT	4444.80	090	Y
*	*	J1	38120	LAPAROSCOPIC SURGICAL SPLENECTOMY	3662.40	090	Y	15106.63
*	*	J1	38129	UNLISTED LAPAROSCOPY PROCEDURE SPLEEN	BR	YYY	Y	9076.35
*	*	38200	INJECTION PROCEDURE SPLENOPORTOGRAPY	460.80	000	N
*	*	38204	MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ	363.60	XXX	N
*	*	38205	BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC	285.60	000	N
*	*	38206	BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL	286.80	000	N	1770.74
*	*	38207	TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR	162.00	XXX	N	543.72
*	*	38208	TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR	103.20	XXX	N	543.72
*	*	38209	TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR	43.20	XXX	N	543.72
*	*	38210	TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL	288.00	XXX	N	543.72
*	*	38211	TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ	259.20	XXX	N	543.72
*	*	38212	TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL	171.60	XXX	N	543.72
*	*	38213	TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ	43.20	XXX	N	543.72
*	*	38214	TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ	147.60	XXX	N	543.72
*	*	38215	TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM	171.60	XXX	N	543.72
*	*	J1	38220	DIAGNOSTIC BONE MARROW ASPIRATIONS	565.20	XXX	N	2734.29
*	*	J1	38221	DIAGNOSTIC BONE MARROW BIOPSIES	526.80	XXX	N	2734.29
*	*	J1	38222	DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS	584.40	XXX	N	2734.29
*	*	38230	BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC	716.40	000	N	1770.74
*	*	38232	BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS	690.00	000	N	5569.95
*	*	J1	38240	TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR	783.60	XXX	N	75776.05
*	*	38241	TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR	585.60	XXX	N	1770.74
*	*	38242	ALLOGENEIC LYMPHOCYTE INFUSIONS	414.00	000	N	1770.74
*	*	38243	TRNSPLJ HEMATOPOIETIC CELL BOOST	416.40	000	N	1770.74
*	*	J1	38300	DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL	1102.80	010	N	2734.29
*	*	J1	38305	DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV	1680.00	090	N	2734.29
*	*	J1	38308	LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS	1560.00	090	Y	5620.48
*	*	38380	SUTR&/LIG THORACIC DUCT CERVICAL APPROACH	1956.00	090	Y
*	*	38381	SUTR&/LIG THORACIC DUCT THORACIC APPROACH	2785.20	090	Y
*	*	38382	SUTR&/LIG THORACIC DUCT ABDOMINAL APPROACH	2330.40	090	Y
*	*	J1	38500	BX/EXC LYMPH NODE OPEN SUPERFICIAL	1149.60	010	N	5620.48
*	*	J1	38505	BX/EXC LYMPH NODE NEEDLE SUPERFICIAL	427.20	000	N	2734.29
*	*	J1	38510	BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE	1794.00	010	N	5620.48
*	*	J1	38520	BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD	1608.00	090	N	5620.48
*	*	J1	38525	BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE	1516.80	090	N	5620.48
*	*	J1	38530	BX/EXC LYMPH NODE OPEN INT MAMMARY NODE	1935.60	090	Y	5620.48
*	*	J1	38531	OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES	1512.00	090	N	5620.48
*	*	J1	38542	DISSECTION DEEP JUGULAR NODE	1786.80	090	Y	9076.35
*	*	J1	38550	EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ	1773.60	090	N	5620.48
*	*	J1	38555	EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ	3502.80	090	Y	9771.93
*	*	38562	LMTD LMPHADEC STAGING SPX PEL&PARA-AORTIC	2458.80	090	Y	5288.53
*	*	38564	LMTD LMPHADEC STAGING SPX RPR AORTIC&/SPLENIC	2451.60	090	Y
*	*	J1	38570	LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT	1767.60	010	Y	9076.35
*	*	J1	38571	LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY	2299.20	010	Y	15106.63
*	*	J1	38572	LAPS BI TOT PEL LMPHADEC & PRI-AORTIC LYMPH BX 1	3204.00	010	Y	15106.63
*	*	J1	38573	LAPS W/BI TOT PEL LMPHADEC & OMNTC LYMPH BX	4052.40	010	Y	15106.63
*	*	J1	38589	UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM	BR	YYY	Y	9076.35
*	*	J1	38700	SUPRAHYOID LYMPHADENECTOMY	2773.20	090	Y	9771.93
*	*	J1	38720	CERVICAL LYMPHADENECTOMY	4632.00	090	Y	13715.53
*	*	38724	CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ	5000.40	090	Y	5449.71
*	*	J1	38740	AXILLARY LYMPHADENECTOMY SUPERFICIAL	2419.20	090	Y	9076.35
*	*	J1	38745	AXILLARY LYMPHADENECTOMY COMPLETE	3052.80	090	Y	9076.35
+	*	38746	THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC	747.60	ZZZ	Y
+	*	38747	ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC	932.40	ZZZ	Y
*	*	J1	38760	INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX	2924.40	090	Y	9771.93
*	*	38765	INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC	4515.60	090	Y
*	*	38770	PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR&OBTURATOR	2809.20	090	Y
*	*	38780	RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC&RNL	3573.60	090	Y
*	*	38790	INJECTION PROCEDURE LYMPHANGIOGRAPHY	286.80	000	N
*	*	38792	INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE	280.80	000	N	501.96
*	*	38794	CANNULATION THORACIC DUCT	1028.40	090	N
+	*	38900	INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION	480.00	ZZZ	Y
*	*	38999	UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM	BR	YYY	N	543.72
*	*	39000	MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR	1723.20	090	Y	3481.53
*	*	39010	MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR	2727.60	090	Y	3017.81
*	*	39200	RESECTION OF MEDIASTINAL CYST	3009.60	090	Y
*	*	39220	RESECTION MEDIASTINAL TUMOR	3933.60	090	Y
*	*	J1	39401	MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY	1075.20	000	N	9076.35
*	*	J1	39402	MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES	1407.60	000	N	9076.35
*	*	39499	UNLISTED PROCEDURE MEDIASTINUM	BR	YYY	Y
*	*	39501	REPAIR LACERATION DIAPHRAGM ANY APPROACH	2958.00	090	Y
*	*	39503	RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ	20854.80	090	Y
*	*	39540	RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT	3024.00	090	Y
*	*	39541	RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC	3270.00	090	Y
*	*	39545	IMBRICATION DIAPHRAGM EVENTRATION	3085.20	090	Y
*	*	39560	RESCJ DIAPHRAGM W/SIMPLE REPAIR	2781.60	090	Y
*	*	39561	RESCJ DIAPHRAGM W/COMPLEX REPAIR	4311.60	090	Y
*	*	39599	UNLISTED PROCEDURE DIAPHRAGM	BR	YYY	Y	5571.53
*	*	40490	BIOPSY OF LIP	430.80	000	N	292.72
*	*	J1	40500	VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT	1758.00	090	N	4449.71
*	*	J1	40510	EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR	1675.20	090	N	4449.71
*	*	J1	40520	EXC LIP V-EXC W/PRIM DIR LINR CLSR	1699.20	090	N	4449.71
*	*	J1	40525	EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP	1904.40	090	N	4449.71
*	*	J1	40527	EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP	2125.20	090	N	8765.29
*	*	J1	40530	RESCJ LIP > ONE-FOURTH W/O RCNSTJ	1866.00	090	N	4449.71
*	*	40650	RPR LIP FULL THICKNESS VERMILION ONLY	1562.40	090	N	691.72
*	*	40652	RPR LIP FULL THICKNESS HALF/< VERTICAL HEIGHT	1712.40	090	N	691.72
*	*	J1	40654	RPR LIP FULL THKNS >ONE-HALF VERT HEIGHT/COMPLE	1978.80	090	N	2543.11
*	*	J1	40700	PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI	3489.60	090	N	8765.29
*	*	J1	40701	PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX	4135.20	090	Y	8765.29
*	*	J1	40702	PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS	3469.20	090	Y	8765.29
*	*	J1	40720	PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT & RECL	3565.20	090	N	4449.71
*	*	J1	40761	PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP	3759.60	090	N	8765.29
*	*	40799	UNLISTED PROCEDURE LIPS	BR	YYY	Y	292.72
*	*	40800	DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL	729.60	010	N	822.66
*	*	40801	DRG ABSC CST HMTMA VESTIBULE MOUTH COMP	1063.20	010	N	691.72
*	*	40804	RMVL EMBEDDED FB VESTIBULE MOUTH SMPL	656.40	010	N	1081.40
*	*	40805	RMVL EMBEDDED FB VESTIBULE MOUTH COMP	1069.20	010	N	691.72
*	*	40806	INCISION LABIAL FRENUM FRENOTOMY	349.20	000	N	691.72
*	*	40808	BIOPSY VESTIBULE MOUTH	644.40	010	N	691.72
*	*	J1	40810	EXC LES MUCOSA & SBMCSL VESTIBULE MOUTH W/O RPR	718.80	010	N	4449.71
*	*	J1	40812	EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR	996.00	010	N	4449.71
*	*	J1	40814	EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR	1330.80	090	N	4449.71
*	*	J1	40816	EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC	1384.80	090	N	4449.71
*	*	40818	EXC MUCOSA VESTIBULE MOUTH AS DON GRF	1260.00	090	N	691.72
*	*	J1	40819	EXC FRENUM LABIAL/BUCCAL	1086.00	090	N	2543.11
*	*	J1	40820	DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS	904.80	010	N	4449.71
*	*	40830	CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<	933.60	010	N	292.72
*	*	40831	CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL	1194.00	010	N	691.72
*	*	J1	40840	VESTIBULOPLASTY ANTERIOR	2827.20	090	Y	8765.29
*	*	J1	40842	VESTIBULOPLASTY POSTERIOR UNILATERAL	2736.00	090	N	8765.29
*	*	J1	40843	VESTIBULOPLASTY POSTERIOR BILATERAL	3614.40	090	Y	8765.29
*	*	J1	40844	VESTIBULOPLASTY ENTIRE ARCH	4710.00	090	Y	8765.29
*	*	J1	40845	VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG	5065.20	090	N	8765.29
*	*	40899	UNLISTED PROCEDURE VESTIBULE MOUTH	BR	YYY	N	292.72
*	*	41000	INTRAORAL I&D TONGUE/FLOOR LINGUAL	558.00	010	N	691.72
*	*	41005	INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC	760.80	010	N	292.72
*	*	J1	41006	INTRAORAL I&D TONGUE/FLOOR SUBLNGL DP SPRMLHYD	1224.00	090	N	2543.11
*	*	J1	41007	INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE	1201.20	090	N	2543.11
*	*	J1	41008	INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE	1329.60	090	N	4449.71
*	*	41009	INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE	1423.20	090	N	691.72
*	*	J1	41010	INCISION LINGUAL FRENUM FRENOTOMY	708.00	010	N	2543.11
*	*	41015	XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL	1447.20	090	N	691.72
*	*	J1	41016	XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMENT	1537.20	090	N	8765.29
*	*	J1	41017	XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB	1561.20	090	N	4449.71
*	*	J1	41018	XTRORAL I&D FLOOR MASTICATOR SPACE	1767.60	090	N	2543.11
*	*	J1	41019	PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT	1652.40	000	N	8765.29
*	*	41100	BIOPSY TONGUE ANTERIOR TWO-THIRDS	592.80	010	N	691.72
*	*	J1	41105	BIOPSY TONGUE POSTERIOR ONE-THIRD	602.40	010	N	4449.71
*	*	J1	41108	BIOPSY FLOOR MOUTH	524.40	010	N	2734.29
*	*	J1	41110	EXCISION LESION TONGUE W/O CLOSURE	745.20	010	N	4449.71
*	*	J1	41112	EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS	1158.00	090	N	4449.71
*	*	J1	41113	EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD	1261.20	090	N	4449.71
*	*	J1	41114	EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP	2172.00	090	N	4449.71
*	*	J1	41115	EXCISION LINGUAL FRENUM FRENECTOMY	860.40	010	N	2543.11
*	*	J1	41116	EXCISION LESION FLOOR MOUTH	1146.00	090	N	4449.71
*	*	J1	41120	GLOSSECTOMY	3703.20	090	Y	8765.29
*	*	41130	GLOSSECTOMY HEMIGLOSSECTOMY	4570.80	090	Y	4813.80
*	*	41135	GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ	7550.40	090	Y
*	*	41140	GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ	7561.20	090	Y
*	*	41145	GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ	9578.40	090	Y
*	*	41150	GLSSC COMPOSIT W/RESCJ FLOOR & MANDIBULAR RESCJ	7622.40	090	Y
*	*	41153	GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ	8262.00	090	Y
*	*	41155	GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ & RAD NECK	10467.60	090	Y
*	*	41250	RPR LAC 2.5 CM/< MOUTH&/ANT TWO-THIRDS TONG	940.80	010	N	151.20
*	*	41251	RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE	1051.20	010	N	292.72
*	*	41252	RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX	1095.60	010	N	292.72
*	*	J1	41510	SUTURE TONGUE LIP MICROGNATHIA	1561.20	090	N	4449.71
*	*	J1	41512	TONGUE BASE SUSPENSION PERMANENT SUTURE TQ	2274.00	090	N	8765.29
*	*	J1	41520	FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY	1213.20	090	N	4449.71
*	*	J1	41530	SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR SESSION	3292.80	000	N	4449.71
*	*	41599	UNLISTED PROCEDURE TONGUE FLOOR MOUTH	BR	YYY	N	292.72
*	*	41800	DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS	994.80	010	N	151.20
*	*	J1	41805	RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS	992.40	010	N	2543.11
*	*	J1	41806	RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE	1357.20	010	N	2543.11
*	*	J1	41820	GINGIVECTOMY EXC GINGIVA EACH QUADRANT	2724.00	000	N	4449.71
*	*	J1	41821	OPRCULECTOMY EXC PRICORONAL TISSUE	422.40	000	N	2543.11
*	*	J1	41822	EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS	980.40	010	N	2543.11
*	*	J1	41823	EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS	1513.20	090	N	8765.29
*	*	J1	41825	EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR	742.80	010	N	4449.71
*	*	J1	41826	EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR	1090.80	010	N	4449.71
*	*	J1	41827	EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR	1539.60	090	N	8765.29
*	*	J1	41828	EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC	1082.40	010	N	4449.71
*	*	J1	41830	ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY	1370.40	010	N	4449.71
*	*	J1	41850	DESTRUCTION LESION DENTOALVEOLAR STRUCTURES	651.60	000	N	2543.11
*	*	J1	41870	PERIODONTAL MUCOSAL GRAFTING	1342.80	000	N	4449.71
*	*	J1	41872	GINGIVOPLASTY EACH QUADRANT SPECIFY	1345.20	090	N	4449.71
*	*	J1	41874	ALVEOLOPLASTY EACH QUADRANT SPECIFY	1341.60	090	N	4449.71
*	*	41899	UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES	BR	YYY	N	292.72
*	*	42000	DRAINAGE ABSCESS PALATE UVULA	532.80	010	N	292.72
*	*	J1	42100	BIOPSY PALATE UVULA	513.60	010	N	2543.11
*	*	J1	42104	EXC LESION PALATE UVULA W/O CLOSURE	744.00	010	N	4449.71
*	*	J1	42106	EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE	934.80	010	N	4449.71
*	*	J1	42107	EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE	1603.20	090	N	8765.29
*	*	J1	42120	RESCJ PALATE/EXTENSIVE RESCJ LESION	3496.80	090	Y	8765.29
*	*	J1	42140	UVULECTOMY EXCISION UVULA	920.40	090	N	4449.71
*	*	J1	42145	PALATOPHARYNGOPLASTY	2398.80	090	N	8765.29
*	*	J1	42160	DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM	802.80	010	N	4449.71
*	*	42180	REPAIR LACERATION PALATE </2 CM	848.40	010	N	691.72
*	*	J1	42182	REPAIR LACERATION PALATE >2 CM/COMPLEX	1108.80	010	N	8765.29
*	*	J1	42200	PALATOP CL PALATE SOFT&/HARD PALATE ONLY	3271.20	090	Y	8765.29
*	*	J1	42205	PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE	3415.20	090	Y	4449.71
*	*	J1	42210	PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE	3806.40	090	Y	8765.29
*	*	J1	42215	PALATOPLASTY CLEFT PALATE MAJOR REVJ	2485.20	090	Y	8765.29
*	*	J1	42220	PALATOPLASTY CLEFT PALATE SEC LNGTH PX	2048.40	090	Y	8765.29
*	*	J1	42225	PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP	3410.40	090	Y	8765.29
*	*	J1	42226	LENGTHENING PALATE & PHARYNGEAL FLAP	3038.40	090	Y	8765.29
*	*	J1	42227	LENGTHENING PALATE W/ISLAND FLAP	2862.00	090	Y	8765.29
*	*	J1	42235	REPAIR ANTERIOR PALATE W/VOMER FLAP	2498.40	090	Y	8765.29
*	*	J1	42260	REPAIR NASOLABIAL FISTULA	2823.60	090	Y	8765.29
*	*	42280	MAXILLARY IMPRESJ PALATAL PROSTHESIS	612.00	010	N	691.72
*	*	J1	42281	INSJ PIN-RETAINED PALATAL PROSTHESIS	787.20	010	N	8765.29
*	*	42299	UNLISTED PROCEDURE PALATE UVULA	BR	YYY	Y	292.72
*	*	J1	42300	DRAINAGE ABSCESS PAROTID SIMPLE	722.40	010	N	2543.11
*	*	J1	42305	DRAINAGE ABSCESS PAROTID COMPLICATED	1477.20	090	N	4449.71
*	*	42310	DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL	609.60	010	N	691.72
*	*	42320	DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL	868.80	010	N	691.72
*	*	J1	42330	SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL	798.00	010	N	4449.71
*	*	J1	42335	SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL	1336.80	090	N	4449.71
*	*	J1	42340	SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL	1658.40	090	N	4449.71
*	*	42400	BIOPSY SALIVARY GLAND NEEDLE	354.00	000	N	822.66
*	*	J1	42405	BIOPSY SALIVARY GLAND INCISIONAL	1030.80	010	N	4449.71
*	*	J1	42408	EXC SUBLINGUAL SALIVARY CYST RANULA	1770.00	090	N	4449.71
*	*	J1	42409	MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA	1198.80	090	Y	4449.71
*	*	J1	42410	EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ	2149.20	090	Y	8765.29
*	*	J1	42415	EXC PRTD TUM/PRTD GLND LAT DSJ&PRSRV FACIAL NR	3637.20	090	Y	8765.29
*	*	J1	42420	EXC PRTD TUM/PRTD GLND TOT DSJ&PRSRV FACIAL NR	4087.20	090	Y	8765.29
*	*	J1	42425	EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL	2877.60	090	Y	8765.29
*	*	42426	EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ	4657.20	090	Y	5565.45
*	*	J1	42440	EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND	1419.60	090	Y	8765.29
*	*	J1	42450	EXISION OF SUBLINGUAL GLAND	1561.20	090	N	8765.29
*	*	J1	42500	PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM	1498.80	090	N	8765.29
*	*	J1	42505	PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP	1918.80	090	N	8765.29
*	*	J1	42507	PAROTID DUCT DIVERSION BILATERAL WILKE PX	1738.80	090	Y	8765.29
*	*	J1	42509	PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS	2875.20	090	N	8765.29
*	*	J1	42510	PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS	2133.60	090	Y	4449.71
*	*	42550	INJECTION PROCEDURE SIALOGRAPHY	500.40	000	N
*	*	J1	42600	CLOSURE SALIVARY FISTULA	1698.00	090	N	4449.71
*	*	J1	42650	DILATION SALIVARY DUCT	277.20	000	N	2543.11
*	*	42660	DILAT&CATHJ SALIVARY DUCT W/WO INJECTION	433.20	000	N	691.72
*	*	J1	42665	LIGATION SALIVARY DUCT INTRAORAL	1130.40	090	N	4449.71
*	*	42699	UNLISTED PX SALIVARY GLANDS/DUCTS	BR	YYY	Y	292.72
*	*	42700	I&D ABSCESS PERITONSILLAR	651.60	010	N	292.72
*	*	J1	42720	I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL	1563.60	010	N	4449.71
*	*	J1	42725	I&D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR	2820.00	090	Y	8765.29
*	*	J1	42800	BIOPSY OROPHARYNX	540.00	010	N	4449.71
*	*	J1	42804	BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE	678.00	010	N	4449.71
*	*	J1	42806	BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION	758.40	010	N	4449.71
*	*	J1	42808	EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD	782.40	010	N	4449.71
*	*	42809	REMOVAL FOREIGN BODY PHARYNX	690.00	010	N	494.39
*	*	J1	42810	EXC BRANCHIAL CLEFT CYST CONFINED SKN&SUBQ TIS	1327.20	090	Y	4449.71
*	*	J1	42815	EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRYNX	1894.80	090	Y	8765.29
*	*	J1	42820	TONSILLECTOMY & ADENOIDECTOMY	996.00	090	N	8765.29
*	*	J1	42821	TONSILLECTOMY & ADENOIDECTOMY AGE 12/>	1034.40	090	N	4449.71
*	*	J1	42825	TONSILLECTOMY PRIMARY/SECONDARY	901.20	090	N	8765.29
*	*	J1	42826	TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>	865.20	090	N	4449.71
*	*	J1	42830	ADENOIDECTOMY PRIMARY	714.00	090	N	4449.71
*	*	J1	42831	ADENOIDECTOMY PRIMARY AGE 12/>	771.60	090	N	4449.71
*	*	J1	42835	ADENOIDECTOMY SECONDARY	663.60	090	N	4449.71
*	*	J1	42836	ADENOIDECTOMY SECONDARY AGE 12/>	826.80	090	N	4449.71
*	*	J1	42842	RADICAL RESECTION TONSIL W/O CLOSURE	3487.20	090	N	8765.29
*	*	J1	42844	RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP	4794.00	090	Y	8765.29
*	*	42845	RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP	7718.40	090	Y
*	*	J1	42860	EXCISION TONSIL TAGS	646.80	090	N	4449.71
*	*	J1	42870	EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX	2041.20	090	N	8765.29
*	*	J1	42890	LIMITED PHARYNGECTOMY	4952.40	090	Y	8765.29
*	*	J1	42892	RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR	6500.40	090	Y	8765.29
*	*	42894	RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS	8226.00	090	Y
*	*	J1	42900	SUTURE PHARYNX WOUND/INJURY	1158.00	010	N	2543.11
*	*	J1	42950	PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX	2793.60	090	Y	8765.29
*	*	42953	PHARYNGOESOPHAGEAL REPAIR	3350.40	090	Y
*	*	J1	42955	PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING	2647.20	090	Y	2543.11
*	*	42960	CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE	579.60	010	N	691.72
*	*	42961	CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ	1437.60	090	Y	2198.40
*	*	J1	42962	CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ	1779.60	090	N	4449.71
*	*	42970	CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS	1414.80	090	N	292.72
*	*	42971	CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION	1566.00	090	Y
*	*	J1	42972	CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ	1753.20	090	Y	4449.71
*	*	42999	UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS	BR	YYY	N	292.72
*	*	J1	43020	ESOPHAGOTOMY CERVICAL APPR W/RMVL FB	1940.40	090	Y	2543.11
*	*	J1	43030	CRICOPHARYNGEAL MYOTOMY	1790.40	090	Y	8765.29
*	*	43045	ESOPHAGOTOMY THORACIC APPR W/RMVL FB	4520.40	090	Y
*	*	43100	EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR	2156.40	090	Y
*	*	43101	EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR	3486.00	090	Y
*	*	43107	TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY	10380.00	090	Y
*	*	43108	TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ	15590.40	090	Y
*	*	43112	TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY	12198.00	090	Y
*	*	43113	TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ	15219.60	090	Y
*	*	43116	PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF	17475.60	090	Y
*	*	43117	PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY	11326.80	090	Y
*	*	43118	PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ	12684.00	090	Y
*	*	43121	PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY	9876.00	090	Y
*	*	43122	PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL	8893.20	090	Y
*	*	43123	PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ	15602.40	090	Y
*	*	43124	TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY	13256.40	090	Y
*	*	J1	43130	DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR	2715.60	090	Y	8765.29
*	*	43135	DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR	5106.00	090	Y
*	*	J1	43180	ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH	1890.00	090	N	8765.29
*	*	J1	43191	ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH	536.40	000	N	2902.55
*	*	J1	43192	ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL	585.60	000	N	2902.55
*	*	J1	43193	ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY	585.60	000	N	2902.55
*	*	J1	43194	ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY	669.60	000	N	2902.55
*	*	J1	43195	ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION	638.40	000	N	5470.86
*	*	J1	43196	ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION	680.40	000	N	5470.86
*	*	43197	ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC	640.80	000	N	1081.40
*	*	43198	ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY	705.60	000	N	1081.40
*	*	43200	ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC	780.00	000	N	1081.40
*	*	J1	43201	ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ	786.00	000	N	2902.55
*	*	J1	43202	ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY	1099.20	000	N	2902.55
*	*	J1	43204	ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES	475.20	000	N	2902.55
*	*	J1	43205	ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES	495.60	000	N	2902.55
*	*	J1	43206	ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY	942.00	000	N	2902.55
*	*	J1	43210	EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY	1506.00	000	N	15106.63
*	*	J1	43211	ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN	824.40	000	N	2902.55
*	*	J1	43212	ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT	664.80	000	N	8373.03
*	*	J1	43213	ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER	4062.00	000	N	2902.55
*	*	J1	43214	ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM	673.20	000	N	2902.55
*	*	J1	43215	ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY	1269.60	000	N	2902.55
*	*	J1	43216	ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS	1275.60	000	N	2902.55
*	*	J1	43217	ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE	1338.00	000	N	2902.55
*	*	J1	43220	ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM	3549.60	000	N	2902.55
*	*	J1	43226	ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION	1150.80	000	N	2902.55
*	*	J1	43227	ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL	2134.80	000	N	2902.55
*	*	J1	43229	ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION	2290.80	000	N	5470.86
*	*	J1	43231	ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM	1174.80	000	N	2902.55
*	*	J1	43232	ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX	1426.80	000	N	2902.55
*	*	J1	43233	EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER	801.60	000	N	2902.55
*	*	43235	ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	913.20	000	N	1081.40
*	*	43236	ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION	1201.20	000	N	1081.40
*	*	J1	43237	ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS	687.60	000	N	2902.55
*	*	J1	43238	EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS	817.20	000	N	2902.55
*	*	43239	EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	1222.80	000	N	1081.40
*	*	J1	43240	EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST	1380.00	000	N	5470.86
*	*	J1	43241	EGD INTRALUMINAL TUBE/CATHETER INSERTION	500.40	000	N	2902.55
*	*	J1	43242	EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY	922.80	000	N	2902.55
*	*	J1	43243	EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES	832.80	000	N	2902.55
*	*	J1	43244	EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES	860.40	000	N	2902.55
*	*	J1	43245	EGD DILATION GASTRIC/DUODENAL STRICTURE	1946.40	000	N	2902.55
*	*	J1	43246	EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE	703.20	000	N	2902.55
*	*	43247	EGD FLEXIBLE FOREIGN BODY REMOVAL	1228.80	000	N	1081.40
*	*	43248	EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS	1262.40	000	N	1081.40
*	*	J1	43249	EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM	3598.80	000	N	2902.55
*	*	J1	43250	EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS	1416.00	000	N	2902.55
*	*	J1	43251	EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH	1564.80	000	N	2902.55
*	*	J1	43252	EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY	1075.20	000	N	5470.86
*	*	J1	43253	EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER	924.00	000	N	2902.55
*	*	J1	43254	EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION	949.20	000	N	2902.55
*	*	J1	43255	EGD TRANSORAL CONTROL BLEEDING ANY METHOD	2252.40	000	N	2902.55
*	*	J1	43257	EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD	816.00	000	N	5470.86
*	*	J1	43259	EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM	794.40	000	N	2902.55
*	*	J1	43260	ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING	1134.00	000	N	5470.86
*	*	J1	43261	ERCP W/BIOPSY SINGLE/MULTIPLE	1190.40	000	N	5470.86
*	*	J1	43262	ERCP W/SPHINCTEROTOMY/PAPILLOTOMY	1255.20	000	N	5470.86
*	*	J1	43263	ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI	1256.40	000	N	5470.86
*	*	J1	43264	ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT	1279.20	000	N	5470.86
*	*	J1	43265	ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD	1522.80	000	N	8373.03
*	*	J1	43266	EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION	766.80	000	N	8373.03
*	*	J1	43270	EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE	2358.00	000	N	2902.55
+	*	43273	ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC	418.80	ZZZ	N
*	*	J1	43274	ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT	1627.20	000	N	8373.03
*	*	J1	43275	ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT	1324.80	000	N	5470.86
*	*	J1	43276	ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE	1694.40	000	N	8373.03
*	*	J1	43277	ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA	1330.80	000	N	5470.86
*	*	J1	43278	ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE	1521.60	000	N	5470.86
*	*	43279	LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED	4486.80	090	Y	7557.06
*	*	J1	43280	LAPS SURG ESOPG/GSTR FUNDOPLASTY	3759.60	090	Y	15106.63
*	*	J1	43281	LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH	5373.60	090	Y	15106.63
*	*	J1	43282	LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH	6042.00	090	Y	15106.63
+	*	43283	LAPS ESOPHAGEAL LENGTHENING ADDL	552.00	ZZZ	Y	2511.61
*	*	J1	43284	LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL	2241.60	090	Y	15106.63
*	*	43285	REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE	2280.00	090	Y	6526.11
*	*	43286	ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ	10918.80	090	Y
*	*	43287	ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ	12496.80	090	Y
*	*	43288	ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ	13014.00	090	Y
*	*	J1	43289	UNLISTED LAPAROSCOPIC PROCEDURE ESOPHAGUS	BR	YYY	Y	9076.35
*	*	43300	ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL	2118.00	090	Y
*	*	43305	ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL	3756.00	090	Y
*	*	43310	ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL	5150.40	090	Y
*	*	43312	ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL	5536.80	090	Y
*	*	43313	ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL	9518.40	090	Y
*	*	43314	ESPHGP CGEN DFCT THRC APPR W/RPR FSTL	9895.20	090	Y
*	*	43320	EGST W/WO VAGOTOMY&PYLOROPLASTY TABDL/TTHRC AP	4855.20	090	Y
*	*	43325	ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH	4723.20	090	Y
*	*	43327	ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY	2851.20	090	Y
*	*	43328	ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY	3912.00	090	Y
*	*	43330	ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH	4644.00	090	Y
*	*	43331	ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH	4647.60	090	Y
*	*	43332	RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH	4032.00	090	Y	4533.59
*	*	43333	LAPT RPR PARAESOPH HIATAL HERNIA W/MESH	4389.60	090	Y
*	*	43334	RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH	4345.20	090	Y
*	*	43335	RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH	4648.80	090	Y
*	*	43336	RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH	5258.40	090	Y
*	*	43337	RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH	5350.80	090	Y
+	*	43338	ESOPHAGUS LENGTHENING	404.40	ZZZ	Y
*	*	43340	ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR	4784.40	090	Y
*	*	43341	ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR	4872.00	090	Y
*	*	43351	ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR	4521.60	090	Y
*	*	43352	ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR	3705.60	090	Y
*	*	43360	GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH	7827.60	090	Y
*	*	43361	GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT	9398.40	090	Y
*	*	43400	LIGATION DIRECT ESOPHAGEAL VARICES	5308.80	090	Y
*	*	43401	TRNSXJ ESOPH W/RPR ESOPHAGEAL VARICES	5299.20	090	Y
*	*	43405	LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J	5038.80	090	Y
*	*	43410	SUTR ESOPHGL WND/INJ CRV APPR	3532.80	090	Y
*	*	43415	SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR	8959.20	090	Y
*	*	J1	43420	CLSR ESOPHAGOSTOMY/FSTL CRV APPR	3502.80	090	N	4449.71
*	*	43425	CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR	4996.80	090	Y
*	*	43450	DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS	564.00	000	N	1081.40
*	*	J1	43453	DILATION ESOPHAGUS GUIDE WIRE	3054.00	000	N	2902.55
*	*	43460	ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE	746.40	000	N
*	*	43496	FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS	BR	090	Y
*	*	43499	UNLISTED PROCEDURE ESOPHAGUS	BR	YYY	N	1081.40
*	*	43500	GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL	2728.80	090	Y
*	*	43501	GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER	4684.80	090	Y
*	*	43502	GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC	5280.00	090	Y
*	*	43510	GSTRT W/ESOPHGL DILAT&INSJ PRM INTRAL TUBE	3295.20	090	Y	1081.40
*	*	43520	PYLOROMYOTOMY CUTTING PYLORIC MUSC	2394.00	090	Y	4224.83
*	*	43605	BIOPSY STOMACH LAPAROTOMY	2919.60	090	Y
*	*	43610	EXC LOCAL ULCER/BENIGN TUMOR STOMACH	3421.20	090	Y	5316.58
*	*	43611	EXC LOCAL MALIGNANT TUMOR STOMACH	4268.40	090	Y
*	*	43620	GSTRCT TOT W/ESOPHAGOENTEROSTOMY	6840.00	090	Y
*	*	43621	GSTRCT TOT W/ROUX-EN-Y RCNSTJ	7918.80	090	Y
*	*	43622	GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE	8040.00	090	Y
*	*	43631	GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY	5050.80	090	Y
*	*	43632	GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY	7089.60	090	Y
*	*	43633	GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ	6697.20	090	Y
*	*	43634	GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH	7377.60	090	Y
+	*	43635	VAGOTOMY PFRMD W/PRTL DSTL GSTRCT	391.20	ZZZ	Y
*	*	43640	VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV	4102.80	090	Y
*	*	43641	VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL	4156.80	090	Y
*	*	43644	LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM	6028.80	090	Y	7037.08
*	*	43645	LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ	6452.40	090	Y
*	*	J1	43647	LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM	3054.00	YYY	Y	10355.35
*	*	J1	43648	LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM	1792.80	YYY	Y	9076.35
*	*	J1	43651	LAPS SURG TRNSXJ VAGUS NRV TRUNCAL	2265.60	090	Y	9076.35
*	*	J1	43652	LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV	2662.80	090	Y	9076.35
*	*	J1	43653	LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX	1994.40	090	Y	9076.35
*	*	J1	43659	UNLISTED LAPAROSCOPIC PROCEDURE STOMACH	BR	YYY	Y	9076.35
*	*	43752	NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDNCE	140.40	000	N	494.39
*	*	43753	GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE	75.60	000	Y	358.28
*	*	43754	GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN	554.40	000	Y	358.28
*	*	43755	GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPEC	531.60	000	Y	193.05
*	*	43756	DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN	782.40	000	Y	1081.40
*	*	43757	DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN	1089.60	000	Y	1081.40
*	*	43761	REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO	411.60	000	N	328.62
*	*	43762	PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC	757.20	000	N	328.62
*	*	43763	PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC	1124.40	000	N	328.62
*	*	J1	43770	LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE	3909.60	090	Y	15106.63
*	*	43771	LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE	4412.40	090	Y	3900.04
*	*	J1	43772	LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE	3292.80	090	Y	5470.86
*	*	J1	43773	LAPS GASTRIC RESTRICTIVE PX REMOVE&RPLCMT DEVICE	4419.60	090	Y	9076.35
*	*	J1	43774	LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT	3338.40	090	Y	5470.86
*	*	43775	LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY	3883.20	090	Y	5368.79
*	*	43800	PYLOROPLASTY	3238.80	090	Y
*	*	43810	GASTRODUODENOSTOMY	3529.20	090	Y
*	*	43820	GASTROJEJUNOSTOMY W/O VAGOTOMY	4676.40	090	Y
*	*	43825	GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE	4545.60	090	Y
*	*	J1	43830	GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX	2436.00	090	Y	2902.55
*	*	43831	GASTROSTOMY OPN NEONATAL FEEDING	2082.00	090	Y	1081.40
*	*	43832	GASTROSTOMY OPN W/CONSTJ GSTR TUBE	3609.60	090	Y
*	*	43840	GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ	4732.80	090	Y
*	*	43842	GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY	4150.80	090	N
*	*	43843	GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP	4392.00	090	Y
*	*	43845	GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM	6780.00	090	Y
*	*	43846	GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/<	5641.20	090	Y
*	*	43847	GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ	6252.00	090	Y
*	*	43848	REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE	6709.20	090	Y
*	*	43850	REVJ GASTRODUOL ANAST W/RCNSTJ W/O VAGOTOMY	5638.80	090	Y
*	*	43855	REVJ GASTRODUOL ANAST W/RCNSTJ W/VGTMY	5600.40	090	Y
*	*	43860	REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY	5691.60	090	Y
*	*	43865	REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY	5930.40	090	Y
*	*	J1	43870	CLOSURE GASTROSTOMY SURG	2472.00	090	Y	5470.86
*	*	43880	CLOSURE GASTROCOLIC FISTULA	5541.60	090	Y
*	*	43881	IMPLTJ/RPLCMT GASTRIC NSTIM ELTRDE ANTRUM OPEN	2323.20	YYY	Y
*	*	43882	REVISION/RMVL GASTRIC NSTIM ELTRDE ANTRUM OPEN	2710.80	YYY	Y
*	*	43886	GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY	1257.60	090	Y	3927.90
*	*	43887	GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY	1132.80	090	Y	2199.52
*	*	43888	GSTR RSTCV OPN RMVL & RPLCMT SUBQ PORT	1598.40	090	Y	3927.90
*	*	43999	UNLISTED PROCEDURE STOMACH	BR	YYY	N	1081.40
*	*	44005	ENTEROLSS FRING INTSTINAL ADHESION SPX	3811.20	090	Y	3628.53
*	*	44010	DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL	2992.80	090	Y
+	*	44015	TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD	495.60	ZZZ	Y
*	*	44020	ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL	3390.00	090	Y
*	*	44021	ENTEROTOMY SM INT OTH/THN DUO DCMPRN	3396.00	090	Y
*	*	44025	COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL	3424.80	090	Y
*	*	44050	RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT	3254.40	090	Y	2801.72
*	*	44055	CORRJ MALROTATION BANDS&/RDCTJ VOLVULUS	5208.00	090	Y
*	*	44100	BX INTESTINE CAPSULE TUBE PRORAL 1/> SPECIMENS	376.80	000	N	1081.40
*	*	44110	EXC 1/> SMALL/LARGE LESIONS INTESTINE ENTEROTOM	2955.60	090	Y	3573.07
*	*	44111	EXC 1/> SM/LG LESIONS INTESTNE MULT ENTEROTOMIE	3421.20	090	Y
*	*	44120	ENTRC RESCJ SMALL INTESTINE 1 RESCJ & ANAST	4257.60	090	Y	4219.22
+	*	44121	ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ & ANA	844.80	ZZZ	Y
*	*	44125	ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY	4104.00	090	Y
*	*	44126	ENTRC RESCJ ATRESIA RESCJ & ANAST W/O TAPRING	8558.40	090	Y
*	*	44127	ENTRC RESCJ ATRESIA RESCJ & ANAST SGM W/TAPRING	9958.80	090	Y
+	*	44128	ENTRC RESCJ ATRESIA EA RESCJ & ANASTOMOSIS	852.00	ZZZ	Y
*	*	44130	ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX	4574.40	090	Y
*	*	44132	DONOR ENTERECTOMY OPEN CADAVER DONOR	BR	XXX	N
*	*	44133	DONOR ENTERECTOMY OPEN LIVING DONOR	BR	XXX	N
*	*	44135	INTESTINAL ALLOTRANSPLANTATION CADAVER DONOR	BR	XXX	N
*	*	44136	INTESTINAL ALLOTRANSPLANTATION LIVING DONOR	BR	XXX	N
*	*	44137	RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL	BR	XXX	Y
+	*	44139	MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT	421.20	ZZZ	Y
*	*	44140	COLECTOMY PARTIAL W/ANASTOMOSIS	4670.40	090	Y	3212.14
*	*	44141	COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY	6350.40	090	Y
*	*	44143	COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT	5792.40	090	Y
*	*	44144	COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA	6160.80	090	Y
*	*	44145	COLECTOMY PRTL W/COLOPROCTOSTOMY	5766.00	090	Y
*	*	44146	COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY	7363.20	090	Y
*	*	44147	COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH	6762.00	090	Y
*	*	44150	COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS	6490.80	090	Y
*	*	44151	COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST	7519.20	090	Y
*	*	44155	COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY	7218.00	090	Y
*	*	44156	COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST	7983.60	090	Y
*	*	44157	COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST	7632.00	090	Y
*	*	44158	COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR	7834.80	090	Y
*	*	44160	COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS	4321.20	090	Y
*	*	J1	44180	LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE	3200.40	090	Y	9076.35
*	*	J1	44186	LAPAROSCOPY SURGICAL JEJUNOSTOMY	2263.20	090	Y	9076.35
*	*	44187	LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE	3825.60	090	Y
*	*	44188	LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY	4255.20	090	Y
*	*	44202	LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ & ANA	4815.60	090	Y	3829.98
+	*	44203	LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS	835.20	ZZZ	Y
*	*	44204	LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS	5353.20	090	Y	4377.54
*	*	44205	LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM	4651.20	090	Y	4438.55
*	*	44206	LAPS COLECTOMY PRTL W/END CLST & CLSR DSTL SGM	6082.80	090	Y
*	*	44207	LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST	6321.60	090	Y
*	*	44208	LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST	6888.00	090	Y
*	*	44210	LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS	6180.00	090	Y
*	*	44211	LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS	7554.00	090	Y
*	*	44212	LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY	7099.20	090	Y
+	*	44213	LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY	654.00	ZZZ	Y
*	*	44227	LAPS CLSR NTRSTM LG/SM INT W/RESCJ & ANASTOMOSIS	5792.40	090	Y
*	*	J1	44238	UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM	BR	YYY	Y	9076.35
*	*	44300	PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN	2932.80	090	Y
*	*	44310	ILEOSTOMY/JEJUNOSTOMY NON-TUBE	3628.80	090	Y
*	*	44312	REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX	2055.60	090	N	3927.90
*	*	44314	REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX	3492.00	090	Y
*	*	44316	CONTINENT ILEOSTOMY KOCK PROCEDURE SPX	4929.60	090	Y
*	*	44320	COLOSTOMY/SKIN LEVEL CECOSTOMY	4182.00	090	Y
*	*	44322	COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX	3476.40	090	Y
*	*	44340	REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX	2164.80	090	N	3927.90
*	*	44345	REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX	3652.80	090	Y
*	*	44346	REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX	4112.40	090	Y
*	*	J1	44360	ENDOSCOPY UPPER SMALL INTESTINE	504.00	000	N	2902.55
*	*	J1	44361	ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY	558.00	000	N	2902.55
*	*	J1	44363	ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY	674.40	000	N	2902.55
*	*	J1	44364	ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE	718.80	000	N	2902.55
*	*	J1	44365	ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY	638.40	000	N	2902.55
*	*	J1	44366	ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING	842.40	000	N	2902.55
*	*	J1	44369	ENTEROSCOPY > 2ND PRTN ABLTJ LESION	862.80	000	N	2902.55
*	*	J1	44370	ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT	936.00	000	N	8373.03
*	*	J1	44372	ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE	842.40	000	N	2902.55
*	*	J1	44373	ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE	674.40	000	N	2902.55
*	*	J1	44376	ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX	999.60	000	N	2902.55
*	*	J1	44377	ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE	1052.40	000	N	2902.55
*	*	J1	44378	ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING	1353.60	000	N	2902.55
*	*	J1	44379	ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT	1438.80	000	N	8373.03
*	*	44380	ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD	596.40	000	N	1081.40
*	*	J1	44381	ILEOSCOPY STOMA W/BALLOON DILATION	3249.60	000	N	2902.55
*	*	44382	ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE	936.00	000	N	1081.40
*	*	J1	44384	ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT	536.40	000	N	5470.86
*	*	44385	NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX	672.00	000	N	1057.74
*	*	44386	NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE	1003.20	000	N	1057.74
*	*	44388	COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX	1010.40	000	N	1057.74
*	*	44389	COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE	1329.60	000	N	1391.30
*	*	44390	COLONOSCOPY STOMA W/RMVL FOREIGN BODY	1315.20	000	N	1391.30
*	*	44391	COLONOSCOPY STOMA CONTROL BLEEDING	2317.20	000	N	1391.30
*	*	44392	COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS	1230.00	000	N	1391.30
*	*	44394	COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE	1414.80	000	N	1391.30
*	*	44401	COLONOSCOPY STOMA ABLATION LESION	10347.60	000	N	1391.30
*	*	J1	44402	COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT	919.20	000	N	8373.03
*	*	44403	COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ	1066.80	000	N	1391.30
*	*	44404	COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION	1296.00	000	N	1391.30
*	*	44405	COLONOSCOPY STOMA W/BALLOON DILATION	1868.40	000	N	1391.30
*	*	44406	COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM	807.60	000	N	1391.30
*	*	44407	COLONOSCOPY STOMA W/US GID NDL ASPIR/BX	969.60	000	N	1391.30
*	*	44408	COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION	814.80	000	N	1057.74
*	Ø	44500	INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE	67.20	000	N	1081.40
*	*	44602	ENTERORRHAPHY 1PERFORATION	4915.20	090	Y	3993.49
*	*	44603	ENTERORRHAPHY MULTIPLE PERFORATIONS	5641.20	090	Y
*	*	44604	SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY	3685.20	090	Y	3565.87
*	*	44605	SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY	4533.60	090	Y
*	*	44615	INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ	3736.80	090	Y
*	*	44620	CLOSURE ENTEROSTOMY LG/SMALL INTESTINE	3016.80	090	Y	3340.64
*	*	44625	CLSR NTRSTM LG/SM RESCJ & ANAST OTH/THN CLRCT	3531.60	090	Y
*	*	44626	CLSR NTRSTM LG/SM RESCJ & COLORECTAL ANASTOMOSIS	5571.60	090	Y
*	*	44640	CLOSURE INTESTINAL CUTANEOUS FISTULA	4878.00	090	Y
*	*	44650	CLSR ENTEROENTERIC/ENTEROCOLIC FSTL	5024.40	090	Y
*	*	44660	CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ	4644.00	090	Y
*	*	44661	CLSR ENTEROVES FSTL W/INTESTINE&/BLADDER RESCJ	5397.60	090	Y
*	*	44680	INTESTINAL PLICATION SEPARATE PROCEDURE	3728.40	090	Y
*	*	44700	EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS	3499.20	090	Y
+	*	44701	INTRAOPERATIVE COLONIC LAVAGE	592.80	ZZZ	Y
*	*	44705	PREPARE FECAL MICROBIOTA FOR INSTILLATION	390.00	XXX	N
*	*	44715	BKBENCH PREP CADAVER/LIVING DONOR INTESTINE	2790.00	XXX	Y
*	*	44720	BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA	958.80	XXX	Y
*	*	44721	BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA	1340.40	XXX	Y
*	*	44799	UNLISTED PROCEDURE SMALL INTESTINE	BR	YYY	N	1081.40
*	*	44800	EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT	2667.60	090	Y	2711.48
*	*	44820	EXCISION LESION MESENTERY SEPARATE PROCEDURE	2912.40	090	Y
*	*	44850	SUTURE MESENTERY SEPARATE PROCEDURE	2604.00	090	Y
*	*	44899	UNLISTED PX MECKEL'S DIVERTICULUM & MESENTERY	BR	YYY	Y
*	*	44900	INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN	2689.20	090	Y
*	*	J1	44950	APPENDECTOMY	2234.40	090	Y	5716.03
+	*	44955	APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX	294.00	ZZZ	Y
*	*	44960	APPENDEC RPTD APPENDIX ABSC/PRITONITIS	3049.20	090	Y	4010.51
*	*	J1	44970	LAPAROSCOPIC APPENDECTOMY	2090.40	090	Y	9076.35
*	*	J1	44979	UNLISTED LAPAROSCOPY PROCEDURE APPENDIX	BR	YYY	Y	9076.35
*	*	45000	TRANSRECTAL DRAINAGE OF PELVIC ABSCESS	1472.40	090	N	1391.30
*	*	45005	I&D SUBMUCOSAL ABSCESS RECTUM	976.80	010	N	1391.30
*	*	J1	45020	I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC	1989.60	090	N	4663.33
*	*	J1	45100	BX ANORECTAL WALL ANAL APPROACH	1036.80	090	N	4663.33
*	*	J1	45108	ANORECTAL MYOMECTOMY	1284.00	090	N	4663.33
*	*	45110	PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST	6399.60	090	Y
*	*	45111	PRCTECT PRTL RESCJ RECTUM TABDL APPR	3777.60	090	Y
*	*	45112	PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX	6482.40	090	Y
*	*	45113	PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR	6562.80	090	Y
*	*	45114	PRCTECT PRTL W/ANAST ABDL & TRANSSAC APPROACH	6313.20	090	Y
*	*	45116	PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY	5414.40	090	Y
*	*	45119	PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM	6714.00	090	Y
*	*	45120	PRCTECT COMPL W/PULL-THRU PX & ANASTOMOSIS	5524.80	090	Y
*	*	45121	PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS	5996.40	090	Y
*	*	45123	PRCTECT PRTL W/O ANAST PRNL APPR	3898.80	090	Y
*	*	45126	PELVIC EXENTERATION COLORECTAL MALIGNANCY	9667.20	090	Y
*	*	45130	EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH	3776.40	090	Y
*	*	45135	EXC RCT PROCIDENTIA W/ANAST ABDL & PRNL APPROACH	4522.80	090	Y
*	*	45136	EXC ILEOANAL RSVR W/ILEOSTOMY	6405.60	090	Y
*	*	45150	DIVISION STRICTURE RECTUM	1442.40	090	N	1391.30
*	*	J1	45160	EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL	3564.00	090	Y	4663.33
*	*	J1	45171	EXC RCT TUM NOT INCL MUSCULARIS PROPRIA	2091.60	090	Y	4663.33
*	*	J1	45172	EXC RCT TUM INCL MUSCULARIS PROPRIA	2821.20	090	Y	4663.33
*	*	J1	45190	DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH	2419.20	090	N	4663.33
*	*	45300	PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX	416.40	000	N	1057.74
*	*	45303	PROCTOSGMDSC RIGID W/DILATION	3160.80	000	N	1391.30
*	*	45305	PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE	525.60	000	N	1391.30
*	*	J1	45307	PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY	603.60	000	N	4663.33
*	*	J1	45308	PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY	591.60	000	N	4663.33
*	*	45309	PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ	613.20	000	N	1391.30
*	*	45315	PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE	673.20	000	N	1391.30
*	*	45317	PROCTOSGMDSC RIGID CONTROL BLEEDING	662.40	000	N	1391.30
*	*	J1	45320	PROCTOSGMDSC RIGID ABLATION LESION	656.40	000	N	4663.33
*	*	J1	45321	PROCTOSGMDSC RIGID DCMPRN VOLVULUS	358.80	000	N	4663.33
*	*	J1	45327	PROCTOSGMDSC RIGID TNDSC STENT PLMT	405.60	000	N	8373.03
*	*	45330	SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD	585.60	000	N	1057.74
*	*	45331	SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE	912.00	000	N	1057.74
*	*	45332	SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY	883.20	000	N	1391.30
*	*	45333	SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS	1040.40	000	N	1057.74
*	*	45334	SIGMOIDOSCOPY FLX CONTROL BLEEDING	1844.40	000	N	1391.30
*	*	45335	SGMDSC FLX DIRED SBMCSL NJX ANY SBST	858.00	000	N	1057.74
*	*	45337	SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE	404.40	000	N	1391.30
*	*	45338	SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ	946.80	000	N	1391.30
*	*	45340	SIGMOIDOSCOPY FLX TNDSC BALO DILAT	1514.40	000	N	1391.30
*	*	45341	SIGMOIDOSCOPY FLX NDSC US XM	433.20	000	N	1391.30
*	*	45342	SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX	595.20	000	N	1391.30
*	*	45346	SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES	9885.60	000	N	1391.30
*	*	J1	45347	SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT	542.40	000	N	8373.03
*	*	45349	SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION	696.00	000	N	1391.30
*	*	45350	SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)	1968.00	000	N	1391.30
*	*	45378	COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	1101.60	000	N	1057.74
*	*	45379	COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)	1423.20	000	N	1391.30
*	*	45380	COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	1414.80	000	N	1391.30
*	*	45381	COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST	1382.40	000	N	1391.30
*	*	45382	COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD	2427.60	000	N	1391.30
*	*	45384	COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS	1575.60	000	N	1391.30
*	*	45385	COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	1485.60	000	N	1391.30
*	*	45386	COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT	2040.00	000	N	1391.30
*	*	45388	COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES	10424.40	000	N	1391.30
*	*	J1	45389	COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT	1018.80	000	N	8373.03
*	*	45390	COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION	1168.80	000	N	1391.30
*	*	45391	COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX	906.00	000	N	1391.30
*	*	45392	COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL	1069.20	000	N	1391.30
*	*	45393	COLONOSCOPY FLEXIBLE WITH DECOMPRESSION	889.20	000	N	1391.30
*	*	45395	LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY	6855.60	090	Y
*	*	45397	LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR	7458.00	090	Y
*	*	45398	COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)	2504.40	000	N	1391.30
*	*	45399	UNLISTED PROCEDURE COLON	BR	YYY	N	1057.74
*	*	45400	LAPAROSCOPY PROCTOPEXY PROLAPSE	3955.20	090	Y	5285.73
*	*	45402	LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ	5259.60	090	Y
*	*	J1	45499	UNLISTED LAPAROSCOPY PROCEDURE RECTUM	BR	YYY	Y	9076.35
*	*	J1	45500	PROCTOPLASTY STENOSIS	1939.20	090	N	4663.33
*	*	J1	45505	PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE	2059.20	090	N	4663.33
*	*	45520	PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE	529.20	000	N	1057.74
*	*	45540	PROCTOPEXY ABDOMINAL APPROACH	3673.20	090	Y
*	*	J1	45541	PROCTOPEXY PERINEAL APPROACH	3279.60	090	Y	4663.33
*	*	45550	PROCTOPEXY W/SIGMOID RESCJ ABDL APPR	5089.20	090	Y
*	*	J1	45560	REPAIR RECTOCELE SEPARATE PROCEDURE	2372.40	090	Y	4663.33
*	*	45562	EXPL RPR & PRESACRAL DRG RECTAL INJURY	3894.00	090	Y
*	*	45563	EXPL RPR & PRESACRAL DRG RECTAL INJ W/COLOSTOMY	5727.60	090	Y
*	*	45800	CLOSURE RECTOVESICAL FISTULA	4378.80	090	Y
*	*	45805	CLSR RECTOVESICAL FISTULA W/COLOSTOMY	5107.20	090	Y
*	*	45820	CLOSURE RECTOURETHRAL FISTULA	4404.00	090	Y
*	*	45825	CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY	5332.80	090	Y
*	*	45900	RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE	699.60	010	N	1057.74
*	*	45905	DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL	584.40	010	N	1391.30
*	*	45910	DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL	663.60	010	N	1391.30
*	*	45915	RMVL FECAL IMPACTION/FB SPX UNDER ANES	1164.00	010	N	1391.30
*	*	J1	45990	ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX	370.80	000	N	4663.33
*	*	45999	UNLISTED PROCEDURE RECTUM	BR	YYY	N	1057.74
*	*	J1	46020	PLACEMENT SETON	960.00	010	N	4663.33
*	*	46030	REMOVAL ANAL SETON OTHER MARKER	484.80	010	N	1391.30
*	*	46040	I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX	1860.00	090	N	1391.30
*	*	J1	46045	I&D INTRAMURAL IM/ABSC TRANSANAL ANES	1510.80	090	N	4663.33
*	*	46050	I&D PERIANAL ABSCESS SUPERFICIAL	717.60	010	N	1057.74
*	*	J1	46060	I&D ISCHIORCT/INTRAMURAL ABSC W/WO SETON	1660.80	090	N	4663.33
*	*	J1	46070	INCISION ANAL SEPTUM INFANT	902.40	090	N	4663.33
*	*	J1	46080	SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX	889.20	010	N	4663.33
*	*	46083	INCISION THROMBOSED HEMORRHOID EXTERNAL	628.80	010	N	328.62
*	*	J1	46200	FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED	1560.00	090	N	4663.33
*	*	46220	EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS	746.40	010	N	1391.30
*	*	46221	HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS	932.40	010	N	1057.74
*	*	J1	46230	EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS	973.20	010	N	4663.33
*	*	J1	46250	HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP	1612.80	090	N	4663.33
*	*	J1	46255	HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP	1765.20	090	N	4663.33
*	*	J1	46257	HEMORRHOID NTRNL & XTRNL 1 COLUMN W/FISSURECTO	1468.80	090	N	4663.33
*	*	J1	46258	HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY	1627.20	090	N	4663.33
*	*	J1	46260	HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO	1654.80	090	N	4663.33
*	*	J1	46261	HRHC NTRNL & XTRNL 2/> COLUMN/GROUP W/FISSU	1809.60	090	N	4663.33
*	*	J1	46262	HRHC 2/> COL/GRP W/FSTULECTMY INCL FSSRECTMY	1921.20	090	N	4663.33
*	*	J1	46270	SURG TX ANAL FISTULA SUBQ	1777.20	090	N	4663.33
*	*	J1	46275	SURG TX ANAL FISTULA INTERSPHINCTERIC	1875.60	090	N	4663.33
*	*	J1	46280	TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON	1638.00	090	N	4663.33
*	*	J1	46285	SURG TX ANAL FISTULA 2ND STAGE	1867.20	090	N	4663.33
*	*	J1	46288	CLSR ANAL FSTL W/RCT ADVMNT FLAP	1903.20	090	N	4663.33
*	*	46320	EXC THROMBOSED HEMORRHOID XTRNL	651.60	010	N	1391.30
*	*	46500	INJECTION SCLEROSING SOLUTION HEMORRHOIDS	987.60	010	N	1057.74
*	*	46505	CHEMODENERVATION INTERNAL ANAL SPHINCTER	1002.00	010	N	1391.30
*	*	46600	ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD	326.40	000	N	151.20
*	*	46601	ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT	476.40	000	N	151.20
*	*	46604	ANOSCOPY W/DILATION	2196.00	000	N	1391.30
*	*	46606	ANOSCOPY W/BX SINGLE/MULTIPLE	826.80	000	N	1391.30
*	*	46607	ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX	670.80	000	N	1391.30
*	*	46608	ANOSCOPY W/RMVL FOREIGN BODY	871.20	000	N	1057.74
*	*	J1	46610	ANOSCOPY W/RMVL LESION CAUTERY	826.80	000	N	4663.33
*	*	46611	ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ	651.60	000	N	1057.74
*	*	J1	46612	ANOSC RMVL MULT TUMORS CAUTERY/SNARE	1005.60	000	N	4663.33
*	*	46614	ANOSCOPY CONTROL BLEEDING	476.40	000	N	1391.30
*	*	J1	46615	ANOSCOPY ABLATION LESION	520.80	000	N	4663.33
*	*	J1	46700	ANOPLASTY PLASTIC OPERATION STRICTURE ADULT	2277.60	090	N	4663.33
*	*	46705	ANOPLASTY PLASTIC OPERATION STRICTURE INFANT	1933.20	090	Y
*	*	J1	46706	REPAIR ANAL FISTULA W/FIBRIN GLUE	612.00	010	N	4663.33
*	*	J1	46707	REPAIR ANORECTAL FISTULA PLUG	1702.80	090	N	4663.33
*	*	46710	RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR	3854.40	090	Y
*	*	46712	RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR	7768.80	090	Y
*	*	46715	RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK	1892.40	090	Y
*	*	46716	RPR LW IMPERFORATE ANUS W/TRPOS FISTULA	4214.40	090	Y
*	*	46730	RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR	6846.00	090	Y
*	*	46735	RPR HI IMPRF ANUS W/O FISTULA CMBN APPR	7900.80	090	Y
*	*	46740	RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR	7482.00	090	Y
*	*	46742	RPR HI IMPRF ANUS W/FSTL TABDL & SACROPRNL	8667.60	090	Y
*	*	46744	RPR CLOACAL ANOMALY SACROPERINEAL	12150.00	090	Y
*	*	46746	RPR CLOACAL ANOMALY CMBN ABDL&SACROPRNL	13568.40	090	Y
*	*	46748	RPR CLOACAL ANOMALY CMBN ABDL & SACROPRNL W/GRF	14727.60	090	Y
*	*	J1	46750	SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT	2592.00	090	Y	4663.33
*	*	46751	SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD	2281.20	090	Y
*	*	J1	46753	GRAFT THIERSCH RCT INCONTINENCE &/PROLAPSE	2131.20	090	N	4663.33
*	*	J1	46754	RMVL THIERSCH WIRE/SUTURE ANAL CANAL	1083.60	010	N	4663.33
*	*	J1	46760	SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT	3792.00	090	Y	4663.33
*	*	J1	46761	SPHNCTROP ANAL LEVATOR MUSC IMBRCJ	3171.60	090	Y	4663.33
*	*	46900	DSTRJ LESION ANUS SIMPLE CHEMICAL	811.20	010	N	445.99
*	*	46910	DSTRJ LESION ANUS SMPL ELTRDSICCATION	886.80	010	N	2199.52
*	*	46916	DSTRJ LESION ANUS SIMPLE CRYOSURGERY	819.60	010	N	250.56
*	*	J1	46917	DSTRJ LESION ANUS SIMPLE LASER SURG	1472.40	010	N	4663.33
*	*	J1	46922	DSTRJ LESION ANUS SIMPLE SURG EXCISION	960.00	010	N	4663.33
*	*	J1	46924	DSTRJ LESION ANUS EXTENSIVE	1812.00	010	N	4663.33
*	*	46930	DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY	722.40	090	N	1391.30
*	*	J1	46940	CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST	814.80	010	N	4663.33
*	*	46942	CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ	777.60	010	N	1057.74
*	*	J1	46945	HRHC NTRNL LIG OTH THAN RBBR BAND 1 COL/GRP	1089.60	090	N	4663.33
*	*	J1	46946	HRHC NTRNL LIG OTH THAN RBBR BAND 2/> COL/GRP	1100.40	090	N	4663.33
*	*	J1	46947	HEMORRHOIDOPEXY STAPLING	1330.80	090	N	4663.33
*	*	46999	UNLISTED PROCEDURE ANUS	BR	YYY	N	1057.74
*	*	J1	47000	BIOPSY LIVER NEEDLE PERCUTANEOUS	1046.40	000	N	2734.29
+	*	47001	BX LVR NDL DONE PURPOSE TM OTH MAJOR PX	362.40	ZZZ	N
*	*	47010	HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES	4220.40	090	Y
*	*	47015	LAPT W/ASPIR &/NJX HEPATC PARASITIC CYST/ABSCESS	4054.80	090	Y
*	*	47100	BIOPSY LIVER WEDGE	2940.00	090	Y	2639.59
*	*	47120	HEPATECTOMY RESCJ PARTIAL LOBECTOMY	8134.80	090	Y	5041.12
*	*	47122	HEPATECTOMY RESCJ TRISEGMENTECTOMY	11960.40	090	Y
*	*	47125	HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY	10744.80	090	Y
*	*	47130	HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY	11544.00	090	Y
*	*	47133	DONOR HEPATECTOMY CADAVER DONOR	19334.40	XXX	N
*	*	47135	LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE	18756.00	090	Y
*	*	47140	DONOR HEPATECTOMY LIVING DONOR SEG II & III	12439.20	090	Y
*	*	47141	DONOR HEPATECTOMY LIVING DONOR SEG II III & IV	14890.80	090	Y
*	*	47142	DONOR HEPATECTOMY LIVING DONOR SEG V VI VII &VI	16384.80	090	Y
*	*	47143	BKBENCH PREP CADAVER DONOR	2956.80	XXX	Y
*	*	47144	BKBENCH PREPJ CADAVER WHOLE LIVER GRF I&IV VII	4603.20	090	Y
*	*	47145	BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I&V VI	BR	XXX	Y
*	*	47146	BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA	1131.60	XXX	Y
*	*	47147	BKBENCH RCNSTJ LVR GRF ARTL ANAST EA	1333.20	XXX	Y
*	*	47300	MARSUPIALIZATION CST/ABSC LVR	3936.00	090	Y
*	*	47350	MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ	4764.00	090	Y
*	*	47360	MGMT LVR HEMRRG CPLX SUTR WND/INJ	6537.60	090	Y
*	*	47361	MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR	10560.00	090	Y
*	*	47362	MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING	5054.40	090	Y
*	*	J1	47370	LAPS SURG ABLTJ 1/> LVR TUM RF	4354.80	090	Y	15106.63
*	*	J1	47371	LAPS SURG ABLTJ 1 > LVR TUM CRYOSURG	4256.40	090	Y	15106.63
*	*	J1	47379	UNLIS LAPAROSCOPIC PROCEDURE LIVER	BR	YYY	Y	9076.35
*	*	47380	ABLTJ OPN 1/> LVR TUM RF	5020.80	090	Y
*	*	47381	ABLTJ OPN 1/> LVR TUM CRYOSURG	5096.40	090	Y
*	*	J1	47382	ABLTJ 1/> LVR TUM PRQ RF	15680.40	010	N	9076.35
*	*	J1	47383	ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION	23541.60	010	N	9076.35
*	*	47399	UNLISTED PROCEDURE LIVER	BR	YYY	N	822.66
*	*	47400	HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1	7514.40	090	Y
*	*	47420	CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP	4668.00	090	Y	5823.45
*	*	47425	CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP	4765.20	090	Y
*	*	47460	TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS	4405.20	090	Y
*	*	47480	CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX	3050.40	090	Y
*	*	J1	47490	CHOLECYSTOSTOMY PRQ W/IMAGING & CATHETER PLMT	1147.20	010	N	5716.03
*	*	47531	NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS	1186.80	000	N	4185.19
*	*	47532	NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS	2787.60	000	N	4185.19
*	*	J1	47533	PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL	4228.80	000	N	5716.03
*	*	J1	47534	PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT	4927.20	000	N	5716.03
*	*	J1	47535	CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH	3414.00	000	N	5716.03
*	*	J1	47536	EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I	2350.80	000	N	5716.03
*	*	47537	REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I	1381.20	000	N	1081.40
*	*	J1	47538	PLMT BILE DUCT STENT PRQ EXISTING ACCESS	14616.00	000	N	9076.35
*	*	J1	47539	PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH	16210.80	000	N	9076.35
*	*	J1	47540	PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH	16488.00	000	N	9076.35
*	*	J1	47541	PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW	4057.20	000	N	5716.03
+	*	47542	BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT	1670.40	ZZZ	N
+	*	47543	ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT	1605.60	ZZZ	N
+	*	47544	REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I	3513.60	ZZZ	N
+	*	47550	BILIARY NDSC INTRAOPERATIVE	576.00	ZZZ	Y
*	*	J1	47552	BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH	1081.20	000	N	5716.03
*	*	J1	47553	BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE	1069.20	000	N	5716.03
*	*	J1	47554	BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS	1797.60	000	N	9076.35
*	*	J1	47555	BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT	1135.20	000	N	5716.03
*	*	J1	47556	BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT	1286.40	000	N	9076.35
*	*	J1	47562	LAPAROSCOPY SURG CHOLECYSTECTOMY	2288.40	090	Y	9076.35
*	*	J1	47563	LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	2490.00	090	Y	9076.35
*	*	J1	47564	LAPS SURG CHOLECSTC W/EXPL COMMON DUCT	3872.40	090	Y	9076.35
*	*	47570	LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY	2700.00	090	Y
*	*	J1	47579	UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT	BR	YYY	Y	9076.35
*	*	47600	CHOLECYSTECTOMY	3716.40	090	Y	5718.92
*	*	47605	CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	3912.00	090	Y	4907.68
*	*	47610	CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT	4366.80	090	Y
*	*	47612	CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY	4401.60	090	Y
*	*	47620	CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP	4749.60	090	Y
*	*	47700	EXPL CONGENITAL ATRESIA BILE DUCTS	3674.40	090	Y
*	*	47701	PORTOENETEROSTOMY	5947.20	090	N
*	*	47711	EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC	5415.60	090	Y
*	*	47712	EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC	6945.60	090	Y
*	*	47715	EXCISION CHOLEDOCHAL CYST	4615.20	090	Y
*	*	47720	CHOLECYSTOENTEROSTOMY DIRECT	4011.60	090	Y
*	*	47721	CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY	4722.00	090	Y
*	*	47740	CHOLECYSTOENTEROSTOMY ROUX-EN-Y	4531.20	090	Y
*	*	47741	CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM	5132.40	090	Y
*	*	47760	ANAST XTRHEPATC BILIARY DUCTS & GI TRACT	7856.40	090	Y
*	*	47765	ANAST INTRAHEPATC DUCTS & GI TRACT	10556.40	090	Y
*	*	47780	ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS & GI	8626.80	090	Y
*	*	47785	ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS & GI	11331.60	090	Y
*	*	47800	RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST	5466.00	090	Y
*	*	47801	PLACEMENT CHOLEDOCHAL STENT	3879.60	090	Y
*	*	47802	U-TUBE HEPATICOENTEROSTOMY	5322.00	090	Y
*	*	47900	SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY	4770.00	090	Y
*	*	47999	UNLISTED PROCEDURE BILIARY TRACT	BR	YYY	N	1081.40
*	*	48000	PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS	6562.80	090	Y
*	*	48001	PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY	8000.40	090	Y
*	*	48020	REMOVAL PANCREATIC CALCULUS	4102.80	090	Y
*	*	48100	BIOPSY PANCREAS OPEN	3099.60	090	Y
*	*	J1	48102	BIOPSY PANCREA PERCUTANEOUS NEEDLE	1826.40	010	N	2734.29
*	*	48105	RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS	9892.80	090	Y
*	*	48120	EXCISION LESION PANCREAS	3849.60	090	Y
*	*	48140	PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY	5454.00	090	Y
*	*	48145	PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY	5680.80	090	Y
*	*	48146	PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX	6541.20	090	Y
*	*	48148	EXCISION AMPULLA VATER	4341.60	090	Y
*	*	48150	PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY	10872.00	090	Y
*	*	48152	PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY	10065.60	090	Y
*	*	48153	PNCRTECT W/PANCREATOJEJUNOSTOMY	10821.60	090	Y
*	*	48154	PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY	10126.80	090	Y
*	*	48155	PANCREATECTOMY TOTAL	6320.40	090	Y
*	*	48160	PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS	21482.40	XXX	N
+	*	48400	INJECTION INTRAOPERATIVE PANCREATOGRAPHY	368.40	ZZZ	N
*	*	48500	MARSUPIALIZATION PANCREATIC CYST	4010.40	090	Y
*	*	48510	EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN	3814.80	090	Y
*	*	48520	INT ANAST PANCREATIC CYST GI TRACT DIRECT	3789.60	090	Y
*	*	48540	INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y	4543.20	090	Y
*	*	48545	PANCREATORRHAPHY INJURY	4669.20	090	Y
*	*	48547	DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ	6228.00	090	Y
*	*	48548	PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST	5786.40	090	Y
*	*	48550	DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT	BR	XXX	N
*	*	48551	BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT	2762.40	XXX	Y
*	*	48552	BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA	824.40	XXX	Y
*	*	48554	TRANSPLANTATION PANCREATIC ALLOGRAFT	8868.00	090	Y
*	*	48556	RMVL TRANSPLANTED PANCREATIC ALLOGRAFT	4434.00	090	Y
*	*	48999	UNLISTED PROCEDURE PANCREAS	BR	YYY	Y	822.66
*	*	49000	EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX	2678.40	090	Y	3629.56
*	*	49002	REOPENING RECENT LAPAROTOMY	3640.80	090	Y
*	*	49010	EXPL RETROPERITONEUM W/WO BX SPX	3228.00	090	Y	3435.31
*	*	49020	DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN	5535.60	090	Y	2006.96
*	*	49040	DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN	3468.00	090	Y
*	*	49060	DRAINAGE OF RETROPERITONEAL ABSCESS OPEN	3820.80	090	N
*	*	49062	DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN	2566.80	090	Y
*	*	49082	ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE	680.40	000	N	1081.40
*	*	49083	ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE	1012.80	000	N	1081.40
*	*	49084	PERITONEAL LAVAGE W/WO IMAGING GUIDANCE	375.60	000	N	1081.40
*	*	J1	49180	BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE	565.20	000	N	2734.29
*	*	49185	SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID	3633.60	000	N	822.66
*	*	49203	EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<	4164.00	090	Y	3431.95
*	*	49204	EXC/DESTRUCTION OPEN ABDMNL TUMORS 5.1-10.0 CM	5325.60	090	Y	3348.68
*	*	49205	EXC/DESTRUCTION OPEN ABDOMINAL TUMORS >10.0 CM	6126.00	090	Y	3307.41
*	*	49215	EXC PRESAC/SACROCOCCYGEAL TUMOR	7713.60	090	Y
*	*	49220	STAGING LAPAROTOMY HODGKINS DISEASE/LYMPHOMA	3385.20	090	Y
*	*	J1	49250	UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX	2048.40	090	N	5716.03
*	*	49255	OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX	2751.60	090	Y	2855.68
*	*	J1	49320	LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA SPX	1131.60	010	Y	9076.35
*	*	J1	49321	LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE	1196.40	010	Y	9076.35
*	*	J1	49322	LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE	1284.00	010	Y	9076.35
*	*	J1	49323	LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY	2196.00	090	Y	9076.35
*	*	J1	49324	LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER	1344.00	010	Y	9076.35
*	*	J1	49325	LAPS W/REVISION INTRAPERITONEAL CATHETER	1434.00	010	Y	9076.35
+	*	49326	LAPAROSCOPY W/OMENTOPEXY	656.40	ZZZ	Y
+	*	49327	LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT	452.40	ZZZ	Y
*	*	J1	49329	UNLISTED LAPAROSCOPIC PX ABD PERTONEUM & OMENTUM	BR	YYY	Y	9076.35
*	*	49400	INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX	471.60	000	N
*	*	J1	49402	REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY	2979.60	090	N	5716.03
*	*	J1	49405	IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ	2871.60	000	N	2734.29
*	*	J1	49406	IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ	2870.40	000	N	2734.29
*	*	J1	49407	IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL	2331.60	000	N	2734.29
*	*	49411	INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT	1650.00	000	N	1692.53
+	*	49412	PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT	289.20	ZZZ	N
*	*	J1	49418	INSJ INTRAPERITONEAL CATHETER W/IMG GUID	4334.40	000	N	5716.03
*	*	J1	49419	INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT	1532.40	090	N	8407.95
*	*	J1	49421	INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN	796.80	000	N	5716.03
*	*	49422	REMOVAL TUNNELED INTRAPERITONEAL CATHETER	775.20	000	N	3750.96
*	*	J1	49423	EXCHNG ABSC/CST DRG CATH RAD GID SPX	1936.80	000	N	2902.55
*	*	49424	CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX	522.00	000	N
*	*	49425	INSERTION PERITONEAL-VENOUS SHUNT	2502.00	090	Y
*	*	J1	49426	REVIS PERITONEAL-VENOUS SHUNT	2143.20	090	N	5716.03
*	*	49427	INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT	158.40	000	N
*	*	49428	LIGATION PERITONEAL-VENOUS SHUNT	1501.20	010	N
*	*	49429	RMVL PERITONEAL-VENOUS SHUNT	1594.80	010	N	3750.96
+	*	49435	INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER	414.00	ZZZ	Y
*	*	J1	49436	DELAYED CREATION EXIT SITE EMBEDDED CATHETER	643.20	010	Y	2902.55
*	*	J1	49440	INSERT GASTROSTOMY TUBE PERCUTANEOUS	3238.80	010	N	2902.55
*	*	J1	49441	INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ	3675.60	010	N	2902.55
*	*	49442	INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS	3058.80	010	N	1391.30
*	*	J1	49446	CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ	3114.00	000	N	2902.55
*	*	49450	REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS	2256.00	000	N	1081.40
*	*	49451	REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ	2454.00	000	N	1081.40
*	*	49452	REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS	3019.20	000	N	1081.40
*	*	49460	OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE	2452.80	000	N	1081.40
*	*	49465	CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE	537.60	000	N	327.40
*	*	J1	49491	RPR 1ST INGUN HRNA PRETERM INFT RDC	2764.80	090	Y	9076.35
*	*	J1	49492	RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED	3334.80	090	Y	5716.03
*	*	J1	49495	RPR 1ST INGUN HRNA FULL TERM INFT <6 MO RDC	1423.20	090	Y	5716.03
*	*	J1	49496	RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER	2134.80	090	Y	5716.03
*	*	J1	49500	RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE	1404.00	090	Y	5716.03
*	*	J1	49501	RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED	2106.00	090	Y	5716.03
*	*	J1	49505	RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	1808.40	090	Y	5716.03
*	*	J1	49507	RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED	2036.40	090	Y	5716.03
*	*	J1	49520	RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE	2197.20	090	Y	5716.03
*	*	J1	49521	RPR RECRT INGUN HERNIA ANY AGE INCARCERATED	2492.40	090	Y	5716.03
*	*	J1	49525	RPR INGUN HERNIA SLIDING ANY AGE	1993.20	090	Y	5716.03
*	*	J1	49540	REPAIR LUMBAR HERNIA	2342.40	090	Y	9076.35
*	*	J1	49550	RPR 1ST FEM HRNA ANY AGE REDUCIBLE	2001.60	090	Y	5716.03
*	*	J1	49553	RPR 1ST FEM HERNIA ANY AGE INCARCERATED	2197.20	090	Y	5716.03
*	*	J1	49555	RPR RECRT FEM HERNIA REDUCIBLE	2079.60	090	Y	5716.03
*	*	J1	49557	RPR RECRT FEM HRNA INCARCERATED	2516.40	090	Y	5716.03
*	*	J1	49560	REPAIR FIRST ABDOMINAL WALL HERNIA	2565.60	090	Y	5716.03
*	*	J1	49561	RPR 1ST INCAL/VNT HERNIA INCARCERATED	3232.80	090	Y	5716.03
*	*	J1	49565	RPR RECRT INCAL/VNT HERNIA REDUCIBLE	2671.20	090	Y	9076.35
*	*	J1	49566	RPR RECRT INCAL/VNT HERNIA INCARCERATED	3261.60	090	Y	9076.35
+	*	49568	IMPLANT MESH OPN HERNIA RPR/DEBRIDEMENT CLOSURE	932.40	ZZZ	Y
*	*	J1	49570	RPR EPIGASTRIC HERNIA REDUCIBLE SPX	1448.40	090	Y	5716.03
*	*	J1	49572	RPR EPIGASTRIC HERNIA INCARCERATED	1794.00	090	Y	5716.03
*	*	J1	49580	RPR UMBILICAL HERNIA < 5 YRS REDUCIBLE	1124.40	090	Y	5716.03
*	*	J1	49582	RPR UMBILICAL HERNIA < 5 YRS INCARCERATED	1604.40	090	Y	5716.03
*	*	J1	49585	RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE	1544.40	090	Y	5716.03
*	*	J1	49587	RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED	1651.20	090	Y	5716.03
*	*	J1	49590	RPR SPIGELIAN HERNIA	1989.60	090	Y	5716.03
*	*	J1	49600	RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE	2523.60	090	Y	5716.03
*	*	49605	RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH	17102.40	090	Y
*	*	49606	RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH	3949.20	090	Y
*	*	49610	RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG	2398.80	090	Y
*	*	49611	RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG	2112.00	090	Y
*	*	J1	49650	LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA	1489.20	090	Y	9076.35
*	*	J1	49651	LAPS SURG RPR RECURRENT INGUINAL HERNIA	1938.00	090	Y	9076.35
*	*	J1	49652	LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE	2586.00	090	Y	9076.35
*	*	J1	49653	LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED	3229.20	090	Y	9076.35
*	*	J1	49654	LAPAROSCOPY REPAIR INCISIONAL HERNIA REDUCIBLE	2938.80	090	Y	15106.63
*	*	J1	49655	LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED	3589.20	090	Y	15106.63
*	*	J1	49656	LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE	3187.20	090	Y	15106.63
*	*	J1	49657	LAPS RPR RECURRENT INCAL HRNA NCRC8/STRANGULATED	4588.80	090	Y	15106.63
*	*	J1	49659	UNLIS LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY	BR	YYY	Y	9076.35
*	*	49900	SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN	2836.80	090	Y	2915.22
*	*	49904	OMENTAL FLAP EXTRA-ABDOMINAL	4915.20	090	N
+	*	49905	OMENTAL FLAP INTRA-ABDOMINAL	1230.00	ZZZ	Y
*	*	49906	FREE OMENTAL FLAP W/MICROVASCULAR ANAST	4119.60	090	N
*	*	49999	UNLISTED PROCEDURE ABDOMEN PERITONEUM & OMENTUM	BR	YYY	N	1081.40
*	*	50010	RNL EXPL X NECESSITATING OTH SPEC PX	2546.40	090	Y
*	*	J1	50020	DRAINAGE PERIRENAL/RENAL ABSCESS OPEN	3516.00	090	N	3422.70
*	*	50040	NEPHROSTOMY/NEPHROTOMY W/DRAINAGE	3216.00	090	N	2568.93
*	*	50045	NEPHROTOMY W/EXPLORATION	3236.40	090	Y
*	*	50060	NEPHROLITHOTOMY REMOVAL STAGE 1	3960.00	090	Y	5198.54
*	*	50065	NEPHROLITHOTOMY SECONDARY FOR CALCULUS	4197.60	090	Y	4748.77
*	*	50070	NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY	4117.20	090	Y
*	*	50075	NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1	5055.60	090	Y
*	*	J1	50080	PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY </2 CM	3018.00	090	N	13305.84
*	*	J1	50081	PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY > 2 CM	4435.20	090	Y	13305.84
*	*	50100	TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX	3650.40	090	Y
*	*	50120	PYELOTOMY W/EXPLORATION	3295.20	090	Y
*	*	50125	PYELOTOMY W/DRAINAGE PYELOSTOMY	3411.60	090	Y
*	*	50130	PYELOTOMY W/REMOVAL CALCULUS	3584.40	090	Y
*	*	50135	PYELOTOMY COMPLICATED	3896.40	090	Y
*	*	J1	50200	RENAL BIOPSY PRQ TROCAR/NEEDLE	1833.60	000	N	2734.29
*	*	50205	RENAL BIOPSY SURG EXPOSURE KIDNEY	2623.20	090	Y
*	*	50220	NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ	3638.40	090	Y	5492.23
*	*	50225	NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL	4183.20	090	Y
*	*	50230	NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD	4453.20	090	Y
*	*	50234	NEPHRECTOMY W/TOT URETERECT&BLDR CUFF SAME INC	4525.20	090	Y
*	*	50236	NEPHRECTOMY TOT URETEREC&BLDR CUFF SEPAR INCISN	5089.20	090	Y
*	*	50240	NEPHRECTOMY PARTIAL	4602.00	090	Y
*	*	50250	OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND	4221.60	090	Y
*	*	50280	EXCISION/UNROOFING CYST KIDNEY	3320.40	090	Y
*	*	50290	EXCISION PERINEPHRIC CYST	3118.80	090	Y
*	*	50300	DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL	BR	XXX	N
*	*	50320	DONOR NEPHRECTOMY OPEN LIVING DONOR	5214.00	090	Y
*	*	50323	BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT	1826.40	XXX	Y
*	*	50325	BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT	1826.40	XXX	Y
*	*	50327	BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA	754.80	XXX	Y
*	*	50328	BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA	661.20	XXX	Y
*	*	50329	BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA	628.80	XXX	Y
*	*	50340	RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE	3296.40	090	Y
*	*	50360	RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY	8408.40	090	Y
*	*	50365	RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY	9961.20	090	Y
*	*	50370	RMVL TRNSPLED RENAL ALLOGRAFT	4185.60	090	Y
*	*	50380	RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY	6942.00	090	Y
*	*	J1	50382	RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ	3762.00	000	N	3422.70
*	*	50384	REMOVAL INDWELLING URETERAL STENT PRQ	3004.80	000	N	2470.45
*	*	J1	50385	REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL	3692.40	000	N	3422.70
*	*	50386	REMOVE INT DWELL URETERAL STENT TRANSURETHRAL	2437.20	000	N	2470.45
*	*	J1	50387	RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH	1759.20	000	N	3422.70
*	*	50389	RMVL NFROS TUBE REQ FLUORO GUIDANCE	1138.80	000	N	798.40
*	*	50390	ASPIR &/NJX RENAL CYST/PELVIS NEEDLE PRQ	333.60	000	N	822.66
*	*	50391	INSTLJ THER AGENT RENAL PELVIS&/URETER VIA TUB	422.40	000	N	328.62
*	*	50396	MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH	405.60	000	N	798.40
*	*	50400	PYELOPLASTY SIMPLE	4027.20	090	Y
*	*	50405	PYELOPLASTY COMPLICATED	4844.40	090	Y	3161.09
*	*	50430	NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS	1743.60	000	N	798.40
*	*	50431	NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS	723.60	000	N	798.40
*	*	J1	50432	PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I	2822.40	000	N	3422.70
*	*	J1	50433	PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I	3750.00	000	N	3422.70
*	*	J1	50434	CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ	2959.20	000	N	3422.70
*	*	J1	50435	EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I	1755.60	000	N	3422.70
*	*	J1	50436	PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG	524.40	000	N	3422.70
*	*	J1	50437	PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS	874.80	000	N	5757.14
*	*	50500	NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY	4478.40	090	Y
*	*	50520	CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA	4032.00	090	Y
*	*	50525	CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR	5116.80	090	Y
*	*	50526	CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR	5485.20	090	Y
*	*	50540	SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI	3972.00	090	Y
*	*	J1	50541	LAPAROSCOPY SURG ABLATION RENAL CYSTS	3190.80	090	Y	9076.35
*	*	J1	50542	LAPS ABLTJ RENAL MASS LESION W/INTRAOP US	4051.20	090	Y	15106.63
*	*	J1	50543	LAPAROSCOPY SURG PARTIAL NEPHRECTOMY	5168.40	090	Y	15106.63
*	*	J1	50544	LAPAROSCOPY SURG PYELOPLASTY	4323.60	090	Y	15106.63
*	*	50545	LAPAROSCOPY RADICAL NEPHRECTOMY	4652.40	090	Y	12149.08
*	*	50546	LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT	4182.00	090	Y	7337.95
*	*	50547	LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR	5578.80	090	Y
*	*	50548	LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY	4678.80	090	Y
*	*	J1	50549	UNLISTED LAPAROSCOPY PROCEDURE RENAL	BR	YYY	Y	9076.35
*	*	J1	50551	RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION	1251.60	000	N	7926.90
*	*	J1	50553	RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA	1336.80	000	N	7926.90
*	*	J1	50555	RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY	1429.20	000	N	7926.90
*	*	J1	50557	RENAL NDSC NEPHROS/PYELOSTOMY FULG&/INC W/WO BI	1454.40	000	N	13305.84
*	*	J1	50561	RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS	1646.40	000	N	7926.90
*	*	J1	50562	RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR	2017.20	090	Y	13305.84
*	*	J1	50570	RENAL NDSC NEPHROTOMY W/WO IRRIGATION	1707.60	000	N	5757.14
*	*	50572	RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER	1848.00	000	N	798.40
*	*	J1	50574	RENAL NDSC NEPHROTOMY W/BIOPSY	1965.60	000	N	3422.70
*	*	J1	50575	RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY	2481.60	000	N	7926.90
*	*	J1	50576	RNL NDSC NFROT FULGURATION &/INCISION W/WO BX	1960.80	000	N	7926.90
*	*	J1	50580	RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS	2110.80	000	N	7926.90
*	*	J1	50590	LITHOTRIPSY XTRCORP SHOCK WAVE	2520.00	090	N	5757.14
*	*	J1	50592	ABLTJ 1/> RENAL TUMOR PRQ UNI RADIOFREQUENCY	11086.80	010	N	9076.35
*	*	J1	50593	ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY	15058.80	010	Y	15106.63
*	*	50600	URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE	3259.20	090	Y
*	*	50605	URETEROTOMY INSERTION INDWELLING STENT ALL TYPES	3440.40	090	Y
+	*	50606	ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC	2256.00	ZZZ	N
*	*	50610	URTROLITHOTOMY UPPER ONE-THIRD URETER	3272.40	090	Y
*	*	50620	URTROLITHOTOMY MIDDLE ONE-THIRD URETER	3132.00	090	Y
*	*	50630	URTROLITHOTOMY LOWER ONE-THIRD URETER	3099.60	090	Y
*	*	50650	URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE	3603.60	090	Y
*	*	50660	URETERECTOMY TOT ECTOPIC URETER CMBN APPR	3966.00	090	Y
*	*	50684	INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH	372.00	000	N
*	*	50686	MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH	478.80	000	N	193.05
*	*	J1	50688	CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL	270.00	010	N	3422.70
*	*	50690	NJX VISUALIZATION ILEAL CONDUIT&/URETEROPYELOG	344.40	000	N
*	*	J1	50693	PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT	3448.80	000	N	3422.70
*	*	J1	50694	PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH	3804.00	000	N	5757.14
*	*	J1	50695	PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH	4645.20	000	N	5757.14
*	*	50700	URETEROPLASTY PLASTIC OPERATION URETER	3212.40	090	Y
+	*	50705	URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I	6818.40	ZZZ	N
+	*	50706	BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I	3289.20	ZZZ	N
*	*	50715	URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS	4230.00	090	Y	3102.68
*	*	50722	URETEROLYSIS FOR OVARIAN VEIN SYNDROME	3490.80	090	Y
*	*	50725	URTROLSS RETROCAVAL URTR W/REANAST	3828.00	090	Y
*	*	J1	50727	REVJ URINARY-CUTANEOUS ANASTAMOSIS	1765.20	090	Y	5757.14
*	*	50728	REVJ UR-CUTAN ANAST RPR FSCAL DFCT & HERNIA	2547.60	090	Y
*	*	50740	EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR	4257.60	090	Y
*	*	50750	URETEROCALYCOSTOMY ANAST URETER RENAL CALYX	4006.80	090	Y
*	*	50760	URETEROURETEROSTOMY	3916.80	090	Y
*	*	50770	TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR	4002.00	090	Y
*	*	50780	URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER	3837.60	090	Y	6235.43
*	*	50782	URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR	3728.40	090	Y
*	*	50783	URETERONEOCYSTOSTOMY W/URETERAL TAILORING	3915.60	090	Y
*	*	50785	URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP	4216.80	090	Y
*	*	50800	URETEROENTEROSTOMY ANAST URETER INTESTINE	3223.20	090	Y
*	*	50810	URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER & COLOSTO	4868.40	090	Y
*	*	50815	URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS	4244.40	090	Y
*	*	50820	URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS	4563.60	090	Y
*	*	50825	CONTINENT DVRJ W/INT ANAST ANY SGM SM&/LG INTSTN	5769.60	090	Y
*	*	50830	URINARY UNIDIVERSION	6258.00	090	Y
*	*	50840	RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST	4267.20	090	Y
*	*	50845	CUTANANEOUS APPENDICO-VESICOSTOMY	4339.20	090	Y
*	*	50860	URETEROSTOMY TRANSPLANTATION URETER SKIN	3279.60	090	Y
*	*	50900	URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE	2922.00	090	Y
*	*	50920	CLOSURE URETEROCUTANEOUS FISTULA	3045.60	090	Y
*	*	50930	CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR	3826.80	090	Y
*	*	50940	DELIGATION URETER	3075.60	090	Y
*	*	J1	50945	LAPAROSCOPY URTROLITHOTOMY	3372.00	090	Y	9076.35
*	*	J1	50947	LAPS URTRONEOCSTOST W/CSTSC&URTRL STENT PLMT	4821.60	090	Y	9076.35
*	*	J1	50948	LAPS URTRONEOCSTOST W/O CSTSC&URTRL STENT PLMT	4423.20	090	Y	15106.63
*	*	J1	50949	UNLISTED LAPAROSCOPY PROCEDURE URETER	BR	YYY	Y	9076.35
*	*	J1	50951	URETERAL ENDOSCOPY VIA URETEROSTOMY	1308.00	000	N	3422.70
*	*	J1	50953	URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER	1383.60	000	N	5757.14
*	*	J1	50955	URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY	1476.00	000	N	7926.90
*	*	J1	50957	URETERAL ENDOSCOPY W/DEST&/INC W/WO BIOPSY	1489.20	000	N	7926.90
*	*	J1	50961	URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE	1342.80	000	N	7926.90
*	*	J1	50970	URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING	1286.40	000	N	3422.70
*	*	J1	50972	NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER	1244.40	000	N	5757.14
*	*	J1	50974	URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX	1642.80	000	N	7926.90
*	*	J1	50976	URETERAL ENDOSC VIA URETEROT W/DEST&/INC W/WO BX	1621.20	000	N	7926.90
*	*	J1	50980	NDSC URETEROTOMY RMVL FB/CALCULUS	1237.20	000	N	7926.90
*	*	J1	51020	CYSTOTOMY/CYSTOSTOMY FULG&/INSJ RADACT MATRL	1621.20	090	Y	3422.70
*	*	J1	51030	CSTOTOMY/CSTOST CRYOSURG DSTRJ INTRAVESICAL LES	1633.20	090	N	5757.14
*	*	J1	51040	CYSTOSTOMY CYSTOTOMY W/DRAINAGE	1003.20	090	Y	3422.70
*	*	J1	51045	CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX	1704.00	090	Y	3422.70
*	*	J1	51050	CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS	1639.20	090	Y	7926.90
*	*	J1	51060	TRANSVESICAL URETROLITHOTOMY	2018.40	090	Y	3422.70
*	*	J1	51065	CYSTOTOMY W/CALCULUS BASKET XTRJ&/FRAGMENTATIO	2011.20	090	N	5757.14
*	*	J1	51080	DRG PRIVESICAL/PREVESICAL SPACE ABSC	1417.20	090	Y	4742.07
*	*	51100	ASPIRATION BLADDER NEEDLE	220.80	000	N	328.62
*	*	51101	ASPIRATION BLADDER TROCAR/INTRACATHETER	454.80	000	N	1296.16
*	*	J1	51102	ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER	792.00	000	N	3422.70
*	*	J1	51500	EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR	2208.00	090	Y	9076.35
*	*	J1	51520	CYSTOTOMY SIMPLE EXCISION VESICAL NECK	2064.00	090	Y	3422.70
*	*	51525	CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE	2980.80	090	Y
*	*	51530	CYSTOTOMY EXCISION BLADDER TUMOR	2670.00	090	Y
*	*	J1	51535	CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE	2704.80	090	Y	5757.14
*	*	51550	CYSTECTOMY PARTIAL SIMPLE	3348.00	090	Y
*	*	51555	CYSTECTOMY PARTIAL COMPLICATED	4402.80	090	Y
*	*	51565	CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST	4506.00	090	Y
*	*	51570	CYSTECTOMY COMPLETE SEPARATE PROCEDURE	5116.80	090	Y
*	*	51575	CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY	6331.20	090	Y
*	*	51580	CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES	6572.40	090	Y
*	*	51585	CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES	7326.00	090	Y
*	*	51590	CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST	6716.40	090	Y
*	*	51595	CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC	7602.00	090	Y
*	*	51596	CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR	8180.40	090	Y
*	*	51597	PELVIC EXENTERATION COMPLETE MALIGNANCY	7963.20	090	Y
*	*	51600	NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY	668.40	000	N
*	*	51605	NJX & PLACEMENT CHAIN CONTRAST&/URETHROCSTOGRAPY	133.20	000	N
*	*	51610	NJX RETROGRADE URETHROCSTOGRAPY	385.20	000	N
*	*	51700	BLDR IRRIGATION SMPL LAVAGE &/INSTLJ	254.40	000	N	328.62
*	*	51701	INSJ NON-NDWELLG BLADDER CATHETER	152.40	000	N	151.20
*	*	51702	INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE	211.20	000	N	151.20
*	*	51703	INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED	453.60	000	N	193.05
*	*	51705	CHANGE CYSTOSTOMY TUBE SIMPLE	320.40	000	N	328.62
*	*	51710	CHANGE CYSTOSTOMY TUBE COMPLICATED	442.80	000	N	798.40
*	*	J1	51715	NDSC NJX IMPLT MATRL URT&/BLDR NCK	1088.40	000	N	5757.14
*	*	51720	BLADDER INSTILLATION ANTICARCINOGENIC AGENT	288.00	000	N	328.62
*	*	51725	SIMPLE CYSTOMETROGRAM	682.80	262.80	420.00	000	N
*	*	51726	BLADDER PRESSURE MEASUREMENT DURING FILLING	952.80	295.20	657.60	000	N
*	*	51727	COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE	1126.80	367.20	759.60	000	N
*	*	51728	COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES	1146.00	361.20	784.80	000	N
*	*	51729	COMPLX CYSTOMETRO W/VOID PRESS & URETHRAL PROFIL	1225.20	435.60	789.60	000	N
*	*	51736	SIMPLE UROFLOMETRY	48.00	28.80	19.20	XXX	N
*	*	51741	COMPLEX UROFLOMETRY	49.20	28.80	20.40	XXX	N
*	*	51784	EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL	231.60	129.60	102.00	XXX	N
*	*	51785	NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ	1100.40	319.20	781.20	XXX	N
*	*	51792	STIMULUS EVOKED RESPONSE	788.40	190.80	597.60	000	N
+	*	51797	VOID PRESSURE STUDIES INTRAABDOMINAL	474.00	139.20	334.80	ZZZ	N
*	*	51798	MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP	43.20	BR	43.20	XXX	N
*	*	51800	CSTOPLASTY/CSTOURTP PLSTC ANY	3646.80	090	Y
*	*	51820	CSTOURTP W/UNI/BI URTRONEOCSTOST	3764.40	090	Y
*	*	51840	ANT VESICOURETHROPEXY/URETHROPEXY SMPL	2316.00	090	Y	3769.10
*	*	51841	ANT VESICOURETHROPEXY/URETHROPEXY COMP	2696.40	090	Y
*	*	J1	51845	ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL	2019.60	090	Y	7920.98
*	*	J1	51860	CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE	2586.00	090	Y	7926.90
*	*	51865	CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED	3114.00	090	Y
*	*	J1	51880	CLOSURE CYSTOSTOMY SEPARATE PROCEDURE	1621.20	090	Y	5757.14
*	*	51900	CLSR VESICOVAGINAL FISTUL AABDL APPROACH	2858.40	090	Y
*	*	51920	CLOSURE VESICOUTERINE FISTULA	2649.60	090	Y
*	*	51925	CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY	3543.60	090	Y
*	*	51940	CLOSURE EXSTROPHY BLADDER	5702.40	090	Y
*	*	51960	ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS	4806.00	090	Y
*	*	51980	CUTANEOUS VESICOSTOMY	2474.40	090	Y
*	*	J1	51990	LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT	2595.60	090	Y	9076.35
*	*	J1	51992	LAPAROSCOPY SLING OPERATION STRESS INCONT	2882.40	090	Y	9076.35
*	*	J1	51999	UNLISTED LAPAROSCOPY PROCEDURE BLADDER	BR	YYY	N	9076.35
*	*	52000	CYSTOURETHROSCOPY	646.80	000	N	798.40
*	*	J1	52001	CYSTO W/IRRIG & EVAC MULTPLE OBSTRUCTING CLOTS	1358.40	000	N	5757.14
*	*	J1	52005	CYSTO BLADDER W/URETERAL CATHETERIZATION	966.00	000	N	3422.70
*	*	J1	52007	CYSTO W/URTRL CATHJ BRUSH BX URTR&/RENAL PELVIS	1581.60	000	N	5757.14
*	*	52010	CYSTO W/EJACULATORY DUCT CATHETERIZATION	1317.60	000	N	798.40
*	*	J1	52204	CYSTOURETHROSCOPY WITH BIOPSY	1297.20	000	N	3422.70
*	*	J1	52214	CYSTO W/DESTRUCTION OF LESIONS	2400.00	000	N	3422.70
*	*	J1	52224	CYSTO W/REMOVAL OF LESIONS SMALL	2508.00	000	N	3422.70
*	*	J1	52234	CYSTO W/REMOVAL OF TUMORS SMALL	854.40	000	N	5757.14
*	*	J1	52235	CYSTOURETHROSCOPY W/DEST &/RMVL MED BLADDER TUM	1000.80	000	N	5757.14
*	*	J1	52240	CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE	1360.80	000	N	7926.90
*	*	J1	52250	CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG	830.40	000	N	5757.14
*	*	J1	52260	CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH	728.40	000	N	3422.70
*	*	J1	52265	CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA	1275.60	000	N	3422.70
*	*	J1	52270	CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE	1309.20	000	N	3422.70
*	*	J1	52275	CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE	1735.20	000	N	3422.70
*	*	J1	52276	CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE	918.00	000	N	3422.70
*	*	J1	52277	CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER	1122.00	000	N	5757.14
*	*	J1	52281	CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS	1023.60	000	N	3422.70
*	*	J1	52282	CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT	1171.20	000	N	5757.14
*	*	J1	52283	CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE	1041.60	000	N	3422.70
*	*	52285	CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME	1039.20	000	N	798.40
*	*	J1	52287	CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER	1158.00	000	N	3422.70
*	*	J1	52290	CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI	848.40	000	N	3422.70
*	*	J1	52300	CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI	970.80	000	N	5757.14
*	*	J1	52301	CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI	1005.60	000	N	5757.14
*	*	J1	52305	CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT	967.20	000	N	7926.90
*	*	J1	52310	CYSTO W/SIMPLE REMOVAL STONE & STENT	921.60	000	N	3422.70
*	*	J1	52315	CYSTO W/COMPLEX REMOVAL STONE & STENT	1514.40	000	N	3422.70
*	*	J1	52317	LITHOLAPAXY SMPL/SM <2.5 CM	2893.20	000	N	5757.14
*	*	J1	52318	LITHOLAPAXY COMP/LG > 2.5 CM	1645.20	000	N	5757.14
*	*	J1	52320	CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS	855.60	000	N	5757.14
*	*	J1	52325	CYSTO FRAGMENTATION URETERAL STONE	1112.40	000	N	7926.90
*	*	J1	52327	CYSTO W/SUBURTRIC NJX IMPLT MATRL	910.80	000	N	7926.90
*	*	J1	52330	CYSTO MANJ W/O RMVL URETERAL STONE	1855.20	000	N	5757.14
*	*	J1	52332	CYSTO W/INSERT URETERAL STENT	1623.60	000	N	5757.14
*	*	J1	52334	CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR	636.00	000	N	5757.14
*	*	J1	52341	CYSTO W/TX URETERAL STRICTURE	985.20	000	N	3422.70
*	*	J1	52342	CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE	1071.60	000	N	5757.14
*	*	J1	52343	CYSTO W/TX INTRA-RENAL STRICTURE	1195.20	000	N	3422.70
*	*	J1	52344	CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE	1282.80	000	N	5757.14
*	*	J1	52345	CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX	1369.20	000	N	5757.14
*	*	J1	52346	CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE	1550.40	000	N	7926.90
*	*	J1	52351	CYSTO W/URTROSCOPY&/PYELOSCOPY DX	1050.00	000	N	3422.70
*	*	J1	52352	CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES	1231.20	000	N	5757.14
*	*	J1	52353	CYSTO W/URETEROSCOPY W/LITHOTRIPSY	1360.80	000	N	7926.90
*	*	J1	52354	CYSTO/PYELOSCOPY BX&/FULGURATION PELIVC LESION	1449.60	000	N	7926.90
*	*	J1	52355	CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR	1623.60	000	N	7926.90
*	*	J1	52356	CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT	1446.00	000	N	7926.90
*	*	J1	52400	CYSTO INC FULG/RESCJ URTL VALVES/FOLDS	1659.60	090	N	5757.14
*	*	J1	52402	CSTO W/TRURL RESCJ/INC EJACULATORY DUXS	927.60	000	N	5757.14
*	*	52441	CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE	4340.40	000	N
+	*	52442	CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL	3255.60	ZZZ	N
*	*	J1	52450	TRANSURETHRAL INCISION PROSTATE	1630.80	090	N	5757.14
*	*	J1	52500	TRANSURETHRAL RESECTION BLADDER NECK	1695.60	090	N	5757.14
*	*	J1	52601	TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE	2530.80	090	N	7926.90
*	*	J1	52630	TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS	1390.80	090	N	7926.90
*	*	J1	52640	TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE	1096.80	090	N	5757.14
*	*	J1	52647	LASER COAGULATION OF PROSTATE FOR URINE FLOW	5554.80	090	N	7926.90
*	*	J1	52648	LASER VAPORIZATION OF PROSTATE FOR URINE FLOW	5728.80	090	N	7926.90
*	*	J1	52649	LASER ENUCLEATION PROSTATE W/MORCELLATION	2860.80	090	N	7926.90
*	*	J1	52700	TRURL DRAINAGE PROSTATIC ABSCESS	1531.20	090	N	5757.14
*	*	J1	53000	URTT/URTS XTRNL SPX PENDULOUS URETHRA	513.60	010	N	3422.70
*	*	J1	53010	URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA	1021.20	090	N	7926.90
*	*	J1	53020	MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT	336.00	000	N	3422.70
*	*	J1	53025	MEATOTOMY CUTTING MEATUS SPX INFANT	236.40	000	N	3422.70
*	*	J1	53040	DRAINAGE DEEP PERIURETHRAL ABSCESS	1362.00	090	N	3422.70
*	*	J1	53060	DRG OF SKENE'S GLAND ABSCESS OR CYST	628.80	010	N	3422.70
*	*	53080	DRG PERINEAL URINARY XTRVASATION UNCOMP SPX	1458.00	090	N	798.40
*	*	J1	53085	DRG PERINEAL URINARY XTRVASATION COMPLIC	2253.60	090	Y	3422.70
*	*	J1	53200	BIOPSY URETHRA	546.00	000	N	3422.70
*	*	J1	53210	URETHRECTOMY TOT W/CYSTOST FEMALE	2671.20	090	Y	5757.14
*	*	J1	53215	URETHRECTOMY TOT W/CYSTOST MALE	3222.00	090	Y	7926.90
*	*	J1	53220	EXC/FULGURATION CARCINOMA URETHRA	1567.20	090	N	5757.14
*	*	J1	53230	EXC URETHRAL DIVERTICULUM SPX FEMALE	2101.20	090	Y	7926.90
*	*	J1	53235	EXC URETHRAL DIVERTICULUM SPX MALE	2194.80	090	Y	7926.90
*	*	J1	53240	MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE	1473.60	090	N	3422.70
*	*	J1	53250	EXCISION OF BULBOURETHRAL GLAND	1372.80	090	N	5757.14
*	*	J1	53260	EXC/FULGURATION URETHRAL POLYP DSTL URETHRA	699.60	010	N	3422.70
*	*	J1	53265	EXC/FULGURATION URETHRAL CARUNCLE	763.20	010	N	3422.70
*	*	J1	53270	EXCISION OR FULGURATION SKENES GLANDS	717.60	010	N	3422.70
*	*	J1	53275	EXCISION/FULGURATION URETHRAL PROLAPSE	909.60	010	N	3422.70
*	*	J1	53400	URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX	2775.60	090	Y	7926.90
*	*	J1	53405	URETHROPLASTY 2ND STAGE W/URINARY DIVERSION	3032.40	090	Y	7926.90
*	*	J1	53410	URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA	3396.00	090	Y	7926.90
*	*	53415	URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT	3924.00	090	Y	7311.55
*	*	J1	53420	URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE	2920.80	090	N	7926.90
*	*	J1	53425	URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE	3252.00	090	Y	7926.90
*	*	J1	53430	URETHROPLASTY RCNSTJ FEMALE URETHRA	3354.00	090	Y	7926.90
*	*	J1	53431	URTP W/TUBULARIZATION POST URT&/LWR BLDR	4005.60	090	Y	7926.90
*	*	J1	53440	SLING OPRATION CORRJ MALE URINARY INCONTINENCE	2613.60	090	Y	13305.84
*	*	J1	53442	RMVL/REVJ SLING MALE URINARY INCONTINENCE	2716.80	090	Y	7926.90
*	*	J1	53444	INSERTION TANDEM CUFF	2751.60	090	Y	26963.98
*	*	J1	53445	INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER	2613.60	090	Y	26963.98
*	*	53446	REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER	2228.40	090	Y	5709.17
*	*	J1	53447	RMVL & RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC	2804.40	090	Y	26963.98
*	*	53448	RMVL & RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD	4437.60	090	Y
*	*	J1	53449	RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER	2122.80	090	Y	7926.90
*	*	J1	53450	URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT	1418.40	090	N	3422.70
*	*	J1	53460	URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM	1588.80	090	N	3422.70
*	*	J1	53500	URETHROLSS TRVG SEC OPN W/CSTO	2584.80	090	Y	5757.14
*	*	J1	53502	URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE	1687.20	090	N	5757.14
*	*	J1	53505	URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE	1686.00	090	Y	7926.90
*	*	J1	53510	URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL	2191.20	090	Y	7926.90
*	*	J1	53515	URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS	2762.40	090	Y	7926.90
*	*	J1	53520	CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX	1934.40	090	N	7926.90
*	*	53600	DILAT URETHRAL STRIX DILATOR MALE 1ST	286.80	000	N	328.62
*	*	53601	DILAT URETHRAL STRIX DILATOR MALE SBSQ	274.80	000	N	151.20
*	*	J1	53605	DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES	224.40	000	N	3422.70
*	*	53620	DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE 1ST	454.80	000	N	798.40
*	*	53621	DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE SBSQ	427.20	000	N	328.62
*	*	53660	DILAT FEMALE URETHRA W/SUPPOSITORY&/INSTLJ INI	238.80	000	N	193.05
*	*	53661	DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ SBSQ	235.20	000	N	151.20
*	*	J1	53665	DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES	134.40	000	N	3422.70
*	*	J1	53850	TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH	5449.20	090	N	5757.14
*	*	J1	53852	TRURL DSTRJ PRSTATE TISS RF THERMOTH	5276.40	090	N	5757.14
*	*	J1	53854	TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY	6246.00	090	N	3422.70
*	*	J1	53855	INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT	2613.60	000	N	3422.70
*	*	J1	53860	TRURL RF FEMALE BLADDER NECK STRS URIN INCONT	6326.40	090	N	3422.70
*	*	53899	UNLISTED PROCEDURE URINARY SYSTEM	BR	YYY	N	328.62
*	*	J1	54000	SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN	528.00	010	N	3422.70
*	*	J1	54001	SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN	652.80	010	N	3422.70
*	*	J1	54015	I&D PENIS DEEP	1070.40	010	N	2734.29
*	*	54050	DSTRJ LESION PENIS SIMPLE CHEMICAL	456.00	010	N	445.99
*	*	54055	DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION	418.80	010	N	2199.52
*	*	54056	DSTRJ LESION PENIS SIMPLE CRYOSURGERY	483.60	010	N	250.56
*	*	54057	DSTRJ LESION PENIS SIMPLE LASER	476.40	010	N	2199.52
*	*	54060	DSTRJ LESION PENIS SIMPLE SURG EXCISION	634.80	010	N	2199.52
*	*	54065	DSTRJ LESION PENIS EXTENSIVE	757.20	010	N	2199.52
*	*	J1	54100	BIOPSY PENIS SEPARATE PROCEDURE	676.80	000	N	2734.29
*	*	J1	54105	BIOPSY PENIS DEEP STRUCTURES	921.60	010	N	4742.07
*	*	J1	54110	EXCISION OF PENILE PLAQUE	2166.00	090	Y	5757.14
*	*	J1	54111	EXC PENILE PLAQUE GRAFT &/5 CM LENGTH	2773.20	090	Y	7926.90
*	*	J1	54112	EXC PENILE PLAQUE GRAFT > 5 CM LENGTH	3256.80	090	Y	13305.84
*	*	J1	54115	REMOVAL FOREIGN BODY DEEP PENILE TISSUE	1570.80	090	Y	4742.07
*	*	J1	54120	AMPUTATION PENIS PARTIAL	2194.80	090	Y	5757.14
*	*	54125	AMPUTATION PENIS COMPLETE	2828.40	090	Y
*	*	54130	AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE	4144.80	090	Y
*	*	54135	AMPUTATION PENIS RADICAL W/LYMPH NODES	5251.20	090	Y
*	*	J1	54150	CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK	530.40	000	N	3422.70
*	*	54160	CIRCUMCISION NEONATE	758.40	010	N	798.40
*	*	J1	54161	CIRCUMCISION AGE >28 DAYS	684.00	010	N	3422.70
*	*	J1	54162	LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS	890.40	010	N	3422.70
*	*	J1	54163	REPAIR INCOMPLETE CIRCUMCISION	757.20	010	N	3422.70
*	*	J1	54164	FRENULOTOMY PENIS	672.00	010	N	3422.70
*	*	54200	INJECTION PEYRONIE DISEASE	375.60	010	N	328.62
*	*	J1	54205	NJX PEYRONIE W/SURG EXPOS PLAQUE	1848.00	090	Y	7926.90
*	*	54220	IRRIGATION CORPORA CAVERNOSA PRIAPISM	716.40	000	N	328.62
*	*	54230	INJECTION CORPORA CAVERNOSOGRAPY	338.40	000	N
*	*	54231	DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS	489.60	000	N	328.62
*	*	54235	NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT	307.20	000	N	328.62
*	*	54240	PENILE PLETHYSMOGRAPHY	356.40	231.60	124.80	000	N
*	*	54250	NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST	420.00	379.20	40.80	000	N
*	*	J1	54300	PENIS STRAIGHTENING CHORDEE	2238.00	090	Y	5757.14
*	*	J1	54304	PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR	2600.40	090	Y	5757.14
*	*	J1	54308	URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR <3 CM	2482.80	090	Y	7926.90
*	*	J1	54312	URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR > 3 CM	2841.60	090	Y	5757.14
*	*	J1	54316	URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF	3464.40	090	Y	7926.90
*	*	J1	54318	URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS	2467.20	090	Y	5757.14
*	*	J1	54322	1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT	2712.00	090	Y	5757.14
*	*	J1	54324	1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS	3363.60	090	Y	5757.14
*	*	J1	54326	1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS	3282.00	090	Y	3422.70
*	*	J1	54328	1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ	3260.40	090	Y	5757.14
*	*	J1	54332	1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR	3520.80	090	Y	5757.14
*	*	J1	54336	1 STG PERINEAL HYPOSPADIAS RPR W/GRF&/FLAP	4131.60	090	Y	5757.14
*	*	J1	54340	RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE	1977.60	090	Y	5757.14
*	*	J1	54344	RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS & URTP	3289.20	090	Y	7926.90
*	*	J1	54348	RPR HYPOSPADIAS COMPLCTJS DSJ & URTP FLAP/GRF	3520.80	090	Y	7926.90
*	*	J1	54352	RPR HYPOSPADIAS CRIPPLE W/DSJ & EXC & GRFS/FLAP	4921.20	090	Y	7926.90
*	*	J1	54360	PLASTIC RPR PENIS CORRECT ANGULATION	2500.80	090	Y	5757.14
*	*	J1	54380	PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR	2775.60	090	Y	3422.70
*	*	J1	54385	PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT	3225.60	090	Y	3422.70
*	*	54390	PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER	4311.60	090	Y
*	*	J1	54400	INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID	1840.80	090	N	26963.98
*	*	J1	54401	INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED	2277.60	090	N	26963.98
*	*	J1	54405	INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH	2808.00	090	Y	26963.98
*	*	54406	RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH	2535.60	090	Y	4156.14
*	*	J1	54408	RPR COMPONENT INFLATABLE PENILE PROSTHESIS	2744.40	090	Y	7926.90
*	*	J1	54410	RMVL & RPLCMT INFLATABLE PENILE PROSTH SAME SESS	2986.80	090	Y	26963.98
*	*	J1	54411	RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL	3564.00	090	Y	26963.98
*	*	54415	RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT	1836.00	090	Y	4156.14
*	*	J1	54416	RMVL & RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI	2469.60	090	Y	26963.98
*	*	J1	54417	RMVL & RPLCMT PENILE PROSTHESIS INFECTED FIELD	3116.40	090	Y	26963.98
*	*	J1	54420	CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI	2443.20	090	Y	3422.70
*	*	54430	CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI	2223.60	090	Y	3414.89
*	*	J1	54435	CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM	1443.60	090	N	3422.70
*	*	J1	54437	REPAIR OF TRAUMATIC CORPOREAL TEAR(S)	2337.60	090	Y	5757.14
*	*	54438	REPLANTATION PENIS COMP AMPUTATION W/URETH REP	4647.60	090	Y
*	*	J1	54440	PLASTIC OPERATION PENIS INJURY	3268.80	090	Y	5757.14
*	*	54450	FORESKN MANJ W/LSS PREPUTIAL ADS&STRETCHING	238.80	000	N	328.62
*	*	J1	54500	BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE	258.00	000	N	4742.07
*	*	J1	54505	BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE	728.40	010	N	5757.14
*	*	J1	54512	EXC XTRPARENCHYMAL LESION TESTIS	1873.20	090	N	5757.14
*	*	J1	54520	ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH	1134.00	090	N	3422.70
*	*	J1	54522	ORCHIECTOMY PARTIAL	2046.00	090	Y	3422.70
*	*	J1	54530	ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH	1755.60	090	Y	5716.03
*	*	J1	54535	ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL	2578.80	090	Y	5757.14
*	*	J1	54550	EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA	1707.60	090	Y	5716.03
*	*	J1	54560	EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL	2384.40	090	Y	3422.70
*	*	J1	54600	RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS	1572.00	090	N	3422.70
*	*	J1	54620	FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE	1039.20	010	N	5757.14
*	*	J1	54640	ORCHIOPEXY INGUINAL APPROACH W/WO HERNIA RPR	1660.80	090	N	5716.03
*	*	J1	54650	ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS	2468.40	090	Y	5716.03
*	*	J1	54660	INSJ TESTICULAR PROSTH SEPARATE PROCEDURE	1239.60	090	N	7926.90
*	*	J1	54670	SUTURE/REPAIR TESTICULAR INJURY	1410.00	090	N	3422.70
*	*	J1	54680	TRANSPLANTATION TESTIS TO THIGH	2733.60	090	Y	3422.70
*	*	J1	54690	LAPAROSCOPY SURGICAL ORCHIECTOMY	2278.80	090	Y	9076.35
*	*	J1	54692	LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS	2632.80	090	N	9076.35
*	*	J1	54699	UNLISTED LAPAROSCOPY PROCEDURE TESTIS	BR	YYY	Y	9076.35
*	*	J1	54700	I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE	739.20	010	N	3422.70
*	*	J1	54800	BIOPSY EPIDIDYMIS NEEDLE	436.80	000	N	2734.29
*	*	J1	54830	EXCISION LOCAL LESION EPIDIDYMIS	1293.60	090	N	3422.70
*	*	J1	54840	EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY	1114.80	090	N	3422.70
*	*	J1	54860	EPIDIDYMECTOMY UNILATERAL	1454.40	090	N	3422.70
*	*	J1	54861	EPIDIDYMECTOMY BILATERAL	1966.80	090	N	5757.14
*	*	J1	54865	EXPLORATION EPIDIDYMIS W/WO BIOPSY	1244.40	090	N	3422.70
*	*	J1	54900	EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI	2780.40	090	N	3422.70
*	*	J1	54901	EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI	3670.80	090	N	5757.14
*	*	55000	PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED	400.80	000	N	822.66
*	*	J1	55040	EXCISION HYDROCELE UNILATERAL	1172.40	090	N	5716.03
*	*	J1	55041	EXCISION HYDROCELE BILATERAL	1772.40	090	N	5716.03
*	*	J1	55060	RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE	1321.20	090	N	3422.70
*	*	J1	55100	DRAINAGE SCROTAL WALL ABSCESS	753.60	010	N	2734.29
*	*	J1	55110	SCROTAL EXPLORATION	1344.00	090	N	5757.14
*	*	J1	55120	REMOVAL FOREIGN BODY SCROTUM	1227.60	090	N	3422.70
*	*	J1	55150	RESECTION SCROTUM	1707.60	090	Y	3422.70
*	*	J1	55175	SCROTOPLASTY SIMPLE	1260.00	090	N	5757.14
*	*	J1	55180	SCROTOPLASTY COMPLICATED	2390.40	090	N	7926.90
*	*	J1	55200	VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX	1455.60	090	N	3422.70
*	*	J1	55250	VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS	1279.20	090	N	3422.70
*	*	55300	VASOTOMY VASOGRAMS UNI/BI	650.40	000	N
*	*	J1	55400	VASOVASOSTOMY VASOVASORRHAPHY	1726.80	090	Y	5757.14
*	*	J1	55500	EXC HYDROCELE SPRMATIC CORD UNI SPX	1370.40	090	N	3422.70
*	*	J1	55520	EXC LESION SPERMATIC CORD SEPARATE PROCEDURE	1574.40	090	Y	3422.70
*	*	J1	55530	EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX	1220.40	090	N	5757.14
*	*	J1	55535	EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL	1492.80	090	Y	5716.03
*	*	J1	55540	EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR	1920.00	090	N	5716.03
*	*	J1	55550	LAPS LIGATION SPERMATIC VEINS VARICOCELE	1486.80	090	Y	9076.35
*	*	J1	55559	UNLISTED LAPROSCOPY PROCEDURE SPERMATIC CORD	BR	YYY	Y	9076.35
*	*	J1	55600	VESICULOTOMY	1462.80	090	N	3422.70
*	*	55605	VESICULOTOMY COMPLICATED	1812.00	090	N
*	*	55650	VESICULECTOMY ANY APPROACH	2486.40	090	Y
*	*	J1	55680	EXCISION MULLERIAN DUCT CYST	1190.40	090	N	5757.14
*	*	J1	55700	PROSTATE NEEDLE BIOPSY ANY APPROACH	854.40	000	N	3422.70
*	*	J1	55705	BIOPSY PROSTATE INCISIONAL ANY APPROACH	921.60	010	N	3422.70
*	*	J1	55706	BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID	1293.60	010	Y	3422.70
*	*	J1	55720	PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE	1567.20	090	Y	3422.70
*	*	J1	55725	PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED	2061.60	090	Y	5757.14
*	*	55801	PROSTATECTOMY PERINEAL SUBTOTAL	3796.80	090	Y
*	*	55810	PROSTATECTOMY PERINEAL RADICAL	4562.40	090	Y
*	*	55812	PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX	5589.60	090	Y
*	*	55815	PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC	6104.40	090	Y
*	*	55821	PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES	3033.60	090	Y
*	*	55831	PROSTATECTOMY RETROPUBIC SUBTOTAL	3282.00	090	Y
*	*	55840	PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING	4069.20	090	Y
*	*	55842	PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX	4072.80	090	Y
*	*	55845	PROSTECT RETROPUB RAD W/WO NRV SPAR & BI PLV LYM	4737.60	090	Y	6090.43
*	*	J1	55860	EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST	3039.60	090	N	7926.90
*	*	55862	EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX	3808.80	090	Y
*	*	55865	EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH	4605.60	090	Y
*	*	J1	55866	LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT	5013.60	090	Y	15106.63
*	*	55870	ELECTROEJACULATION	604.80	000	N	792.42
*	*	J1	55873	CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI	21183.60	090	N	13305.84
*	*	55874	TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX	11836.80	000	N	5709.17
*	*	J1	55875	TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ	2656.80	090	N	7926.90
*	*	55876	PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT	486.00	000	N	1692.53
*	*	55899	UNLISTED PROCEDURE MALE GENITAL SYSTEM	BR	YYY	N	328.62
*	*	J1	55920	PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL	1561.20	000	N	7920.98
*	*	J1	55970	INTERSEX SURG MALE FEMALE	BR	YYY	N	4707.90
*	*	J1	55980	INTERSEX SURG FEMALE MALE	BR	YYY	N	5757.14
*	*	56405	I&D VULVA/PERINEAL ABSCESS	390.00	010	N	387.66
*	*	56420	I&D OF BARTHOLINS GLAND ABSCESS	463.20	010	N	235.62
*	*	J1	56440	MARSUPIALIZATION BARTHOLINS GLAND CYST	618.00	010	N	4707.90
*	*	J1	56441	LYSIS LABIAL ADHESIONS	519.60	010	N	4707.90
*	*	J1	56442	HYMENOTOMY SIMPLE INCISION	160.80	000	N	4707.90
*	*	56501	DESTRUCTION LESIONS VULVA SIMPLE	492.00	010	N	2199.52
*	*	56515	DESTRUCTION LESIONS VULVA EXTENSIVE	806.40	010	N	2199.52
*	*	56605	BIOPSY VULVA/PERINEUM 1 LESION SPX	291.60	000	N	792.42
+	*	56606	BIOPSY VULVA/PERINEUM EACH ADDL LESION	130.80	ZZZ	N
*	*	J1	56620	VULVECTOMY SIMPLE PARTIAL	1860.00	090	Y	4707.90
*	*	J1	56625	VULVECTOMY SIMPLE COMPLETE	2229.60	090	Y	4707.90
*	*	56630	VULVECTOMY RADICAL PARTIAL	3271.20	090	Y	3040.15
*	*	56631	VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY	4136.40	090	Y
*	*	56632	VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY	4881.60	090	Y
*	*	56633	VULVECTOMY RADICAL COMPLETE	4243.20	090	Y
*	*	56634	VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY	4546.80	090	Y
*	*	56637	VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY	5271.60	090	Y
*	*	56640	VULVECTOMY RAD COMPL ILIAC & PELVIC LMPHADECTOMY	5232.00	090	Y
*	*	J1	56700	PRTL HYMENECTOMY/REVJ HYMENAL RING	645.60	010	Y	4707.90
*	*	J1	56740	EXC BARTHOLINS GLAND/CYST	1039.20	010	N	4707.90
*	*	J1	56800	PLASTIC REPAIR INTROITUS	830.40	010	Y	4707.90
*	*	J1	56805	CLITOROPLASTY INTERSEX STATE	3900.00	090	Y	4707.90
*	*	J1	56810	PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX	898.80	010	Y	4707.90
*	*	56820	COLPOSCOPY VULVA	393.60	000	N	235.62
*	*	56821	COLPOSCOPY VULVA W/BIOPSY	523.20	000	N	387.66
*	*	J1	57000	COLPOTOMY W/EXPLORATION	652.80	010	N	4707.90
*	*	J1	57010	COLPOTOMY W/DRAINAGE PELVIC ABSCESS	1491.60	090	N	4707.90
*	*	J1	57020	COLPOCENTESIS SEPARATE PROCEDURE	332.40	000	N	4707.90
*	*	J1	57022	I&D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM	583.20	010	N	2734.29
*	*	J1	57023	I&D VAGINAL HEMATOMA NON-OBSTETRICAL	1059.60	010	N	4742.07
*	*	J1	57061	DESTRUCTION VAGINAL LESIONS SIMPLE	422.40	010	N	4707.90
*	*	J1	57065	DESTRUCTION VAGINAL LESIONS EXTENSIVE	705.60	010	N	4707.90
*	*	57100	BIOPSY VAGINAL MUCOSA SIMPLE	316.80	000	N	792.42
*	*	J1	57105	BIOPSY VAGINAL MUCOSA EXTENSIVE	502.80	010	N	4707.90
*	*	J1	57106	VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL	1744.80	090	Y	4707.90
*	*	J1	57107	VAGINECTOMY PRTL RMVL VAG WALL & PARAVAGINAL T	5031.60	090	Y	4707.90
*	*	J1	57109	VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC	6106.80	090	Y	4707.90
*	*	57110	VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL	3046.80	090	Y
*	*	57111	VAGINECTOMY COMPL RMVL VAG WALL & PARAVAG TISS	6117.60	090	Y
*	*	57112	VAGNC COMPL RMVL VAG WALL TOT PEL LMPHADEC BX	6567.60	090	Y
*	*	J1	57120	COLPOCLEISIS LE FORT TYPE	1752.00	090	Y	7920.98
*	*	J1	57130	EXCISION VAGINAL SEPTUM	638.40	010	Y	4707.90
*	*	J1	57135	EXCISION VAGINAL CYST/TUMOR	696.00	010	N	4707.90
*	*	57150	IRRIGATION VAGINA&/APPL MEDICAMENT TX DISEASE	165.60	000	N	151.20
*	*	J1	57155	INSERTION UTERINE TANDEM&/VAGINAL OVOIDS	1281.60	000	N	4707.90
*	*	57156	INSERTION VAGINAL RADIATION DEVICE	710.40	000	N	387.66
*	*	57160	FIT&INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI	214.80	000	N	235.62
*	*	57170	DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS	222.00	000	N	235.62
*	*	57180	INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX	524.40	010	N	235.62
*	*	J1	57200	COLPORRHAPHY SUTURE INJURY VAGINA	1064.40	090	Y	4707.90
*	*	J1	57210	COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU	1275.60	090	Y	4707.90
*	*	J1	57220	PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH	1108.80	090	Y	7920.98
*	*	J1	57230	PLASTIC REPAIR URETHROCELE	1360.80	090	Y	4707.90
*	*	J1	57240	ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO	2040.00	090	Y	7920.98
*	*	J1	57250	POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY	2044.80	090	Y	7920.98
*	*	J1	57260	CMBND ANTERPOST COLPORRAPHY W/CYSTO	2611.20	090	Y	7920.98
*	*	J1	57265	CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR	2931.60	090	Y	7920.98
+	*	57267	INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE	870.00	ZZZ	Y
*	*	J1	57268	REPAIR ENTEROCELE VAGINAL APPROACH SPX	1672.80	090	Y	4707.90
*	*	57270	REPAIR ENTEROCELE ABDOMINAL APPROACH SPX	2763.60	090	Y	2767.50
*	*	57280	COLPOPEXY ABDOMINAL APPROACH	3272.40	090	Y	3811.53
*	*	J1	57282	COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH	1747.20	090	Y	12024.56
*	*	J1	57283	COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH	2354.40	090	Y	12024.56
*	*	J1	57284	PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR	2800.80	090	Y	7920.98
*	*	J1	57285	PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH	2313.60	090	Y	12024.56
*	*	57287	RMVL/REVJ SLING STRESS INCONTINENCE	2394.00	090	Y	3353.00
*	*	J1	57288	SLING OPERATION STRESS INCONTINENCE	2475.60	090	Y	7920.98
*	*	J1	57289	PEREYRA PX W/ANTERIOR COLPORRHAPHY	2613.60	090	Y	12024.56
*	*	J1	57291	CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT	1810.80	090	Y	4707.90
*	*	J1	57292	CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT	2773.20	090	Y	7920.98
*	*	J1	57295	REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP	1652.40	090	Y	4707.90
*	*	57296	REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR	3228.00	090	Y
*	*	J1	57300	CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR	1977.60	090	Y	4707.90
*	*	57305	CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH	3280.80	090	Y
*	*	57307	CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST	3576.00	090	Y
*	*	57308	CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ	2277.60	090	Y
*	*	J1	57310	CLOSURE URETHROVAGINAL FISTULA	1628.40	090	Y	12024.56
*	*	57311	CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL	1851.60	090	Y
*	*	J1	57320	CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH	1863.60	090	Y	7920.98
*	*	J1	57330	CLSR VESICOVAG FSTL TRANSVESICAL&VAG APPR	2594.40	090	Y	12024.56
*	*	J1	57335	VAGINOPLASTY INTERSEX STATE	3937.20	090	Y	4707.90
*	*	J1	57400	DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL	457.20	000	N	4707.90
*	*	J1	57410	PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL	366.00	000	N	4707.90
*	*	J1	57415	REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL	564.00	010	N	4707.90
*	*	57420	COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT	414.00	000	N	387.66
*	*	57421	COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX	554.40	000	N	792.42
*	*	J1	57423	PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH	3134.40	090	Y	15106.63
*	*	J1	57425	LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX	3321.60	090	Y	15106.63
*	*	J1	57426	REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC	2906.40	090	Y	12024.56
*	*	57452	COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA	390.00	000	N	235.62
*	*	57454	COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE	534.00	000	N	387.66
*	*	57455	COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX	504.00	000	N	387.66
*	*	57456	COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE	474.00	000	N	387.66
*	*	J1	57460	COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX	996.00	000	N	4707.90
*	*	J1	57461	COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX	1120.80	000	N	4707.90
*	*	57500	BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX	456.00	000	N	792.42
*	*	57505	ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D&C	382.80	010	N	792.42
*	*	J1	57510	CAUTERY CERVIX ELECTRO/THERMAL	468.00	010	N	4707.90
*	*	57511	CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT	531.60	010	N	387.66
*	*	J1	57513	CAUTERY CERVIX LASER ABLATION	553.20	010	N	4707.90
*	*	J1	57520	CONIZATION CERVIX W/WO D&C RPR KNIFE/LASER	1099.20	090	N	4707.90
*	*	J1	57522	CONIZATION CERVIX W/WO D&C RPR ELTRD EXC	934.80	090	N	4707.90
*	*	J1	57530	TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX	1206.00	090	Y	4707.90
*	*	57531	RAD TRACHELECTOMY W/BI PEL LMPHADEC	5744.40	090	Y
*	*	57540	EXCISION CERVICAL STUMP ABDOMINAL APPROACH	2637.60	090	Y
*	*	57545	EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR	2796.00	090	Y
*	*	J1	57550	EXCISION CERVICAL STUMP VAGINAL APPROACH	1400.40	090	Y	4707.90
*	*	J1	57555	EXC CRV STUMP VAG APPR W/ANT &/POST REPAIR	2053.20	090	Y	7920.98
*	*	J1	57556	EXC CRV STUMP VAG APPR W/RPR NTRCL	1942.80	090	Y	7920.98
*	*	J1	57558	DILATION & CURETTAGE CERVICAL STUMP	456.00	010	N	4707.90
*	*	J1	57700	CERCLAGE UTERINE CERVIX NONOBSTETRICAL	1095.60	090	N	4707.90
*	*	J1	57720	TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG	1066.80	090	Y	4707.90
*	*	J1	57800	DILATION CERVICAL CANAL INSTRUMENTAL SPX	222.00	000	N	4707.90
*	*	58100	ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	316.80	000	N	235.62
+	*	58110	ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY	172.80	ZZZ	N
*	*	J1	58120	DILATION & CURETTAGE DX&/THER NONOBSTETRIC	919.20	010	N	4707.90
*	*	58140	MYOMECTOMY 1-4 MYOMAS W/250 GM/< ABDOMINAL APPR	3141.60	090	Y	5464.40
*	*	J1	58145	MYOMECTOMY 1-4 MYOMAS 250 GM/< VAGINAL APPR	1893.60	090	Y	4707.90
*	*	58146	MYOMECTOMY 5/> MYOMAS &/>250 GM ABDOMINA	3906.00	090	Y	5200.25
*	*	58150	TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY	3492.00	090	Y	6383.31
*	*	58152	TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY	4270.80	090	Y
*	*	58180	SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY	3286.80	090	Y	5378.29
*	*	58200	TOT ABD HYST W/PARAORTIC & PELVIC LYMPH NODE SAM	4765.20	090	Y
*	*	58210	RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY	6410.40	090	Y	8135.99
*	*	58240	PEL EXNTJ GYNECOLOGIC MAL	10178.40	090	Y
*	*	J1	58260	VAGINAL HYSTERECTOMY UTERUS 250 GM/<	2817.60	090	Y	7920.98
*	*	J1	58262	VAG HYST 250 GM/< W/RMVL TUBE&/OVARY	3132.00	090	Y	7920.98
*	*	J1	58263	VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL	3367.20	090	Y	7920.98
*	*	58267	VAG HYST 250 GM/< W/COLPO-URTCSTOPEXY	3582.00	090	Y	2863.66
*	*	J1	58270	VAGINAL HYSTERECTOMY 250 GM/< W/RPR ENTEROCELE	3009.60	090	Y	7920.98
*	*	58275	VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY	3350.40	090	Y
*	*	58280	VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE	3567.60	090	Y
*	*	58285	VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION	5023.20	090	Y	5700.23
*	*	J1	58290	VAGINAL HYSTERECTOMY UTERUS > 250 GM	3909.60	090	Y	12024.56
*	*	J1	58291	VAG HYST > 250 GM RMVL TUBE&/OVARY	4272.00	090	Y	7920.98
*	*	J1	58292	VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR ENTRCLE	4441.20	090	Y	12024.56
*	*	58293	VAG HYST >250 GM COLPOURTCSTOPEXY W/WO NDSC CTR	4626.00	090	Y
*	*	J1	58294	VAGINAL HYSTERECTOMY >250 GM RPR ENTEROCELE	4125.60	090	Y	7920.98
*	*	58300	INSERTION INTRAUTERINE DEVICE IUD	273.60	XXX	N	1318.23
*	*	58301	REMOVAL INTRAUTERINE DEVICE IUD	324.00	000	N	235.62
*	*	58321	ARTIFICIAL INSEMINATION INTRA-CERVICAL	264.00	000	N	387.66
*	*	58322	ARTIFICIAL INSEMINATION INTRA-UTERINE	296.40	000	N	235.62
*	*	58323	SPERM WASHING ARTIFICIAL INSEMINATION	51.60	000	N	235.62
*	*	58340	CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI	536.40	000	N
*	*	J1	58345	TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING	952.80	010	Y	4707.90
*	*	J1	58346	INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY	1591.20	090	N	4707.90
*	*	J1	58350	CHROMOTUBATION OVIDUCT W/MATERIALS	368.40	010	N	7920.98
*	*	J1	58353	ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID	3367.20	010	N	7920.98
*	*	J1	58356	ENDOMETRIAL CRYOABLATION W/US & ENDOMETRIAL CR	6256.80	010	Y	7920.98
*	*	58400	UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX	1524.00	090	Y	3101.58
*	*	58410	UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY	2734.80	090	Y
*	*	58520	HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL	2677.20	090	Y	2594.03
*	*	58540	HYSTEROPLASTY RPR UTERINE ANOMALY	3085.20	090	Y	3363.49
*	*	J1	58541	LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<	2442.00	090	Y	9076.35
*	*	J1	58542	LAPS SUPRACRV HYSTERECT 250 GM/< RMVL TUBE/OVAR	2794.80	090	Y	15106.63
*	*	J1	58543	LAPS SUPRACERVICAL HYSTERECTOMY >250	2820.00	090	Y	15106.63
*	*	J1	58544	LAPS SUPRACRV HYSTEREC >250 G RMVL TUBE/OVARY	3063.60	090	Y	15106.63
*	*	J1	58545	LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/<	3074.40	090	Y	9076.35
*	*	J1	58546	LAPS MYOMECTOMY EXC 5/> MYOMAS >250 GRAMS	3794.40	090	Y	15106.63
*	*	58548	LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY	6607.20	090	Y	10075.94
*	*	J1	58550	LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/<	2990.40	090	Y	9076.35
*	*	J1	58552	LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/OVARIES	3366.00	090	Y	15106.63
*	*	J1	58553	LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS	3816.00	090	Y	15106.63
*	*	J1	58554	LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVAR	4513.20	090	Y	15106.63
*	*	J1	58555	HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE	1008.00	000	N	4707.90
*	*	J1	58558	HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	4664.40	000	N	4707.90
*	*	J1	58559	HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS	984.00	000	N	7920.98
*	*	J1	58560	HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM	1072.80	000	Y	7920.98
*	*	J1	58561	HYSTEROSCOPY REMOVAL LEIOMYOMATA	1231.20	000	N	7920.98
*	*	J1	58562	HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY	1246.80	000	N	4707.90
*	*	J1	58563	HYSTEROSCOPY ENDOMETRIAL ABLATION	6025.20	000	N	7920.98
*	*	J1	58565	HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS	6216.00	090	N	7920.98
*	*	J1	58570	LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<	2690.40	090	Y	15106.63
*	*	J1	58571	LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY	3099.60	090	Y	15106.63
*	*	J1	58572	LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM	3525.60	090	Y	15106.63
*	*	J1	58573	LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR	4200.00	090	Y	15106.63
*	*	58575	LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC	6531.60	090	Y
*	*	J1	58578	UNLISTED LAPAROSCOPY PROCEDURE UTERUS	BR	YYY	Y	9076.35
*	*	58579	UNLISTED HYSTEROSCOPY PROCEDURE UTERUS	BR	YYY	Y	235.62
*	*	J1	58600	LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI	1239.60	090	Y	4707.90
*	*	58605	LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX	1122.00	090	Y
+	*	58611	LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG	260.40	ZZZ	Y	1208.07
*	*	J1	58615	OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR	834.00	010	Y	4707.90
*	*	J1	58660	LAPAROSCOPY W/LYSIS OF ADHESIONS	2305.20	090	Y	9076.35
*	*	J1	58661	LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES	2226.00	010	Y	9076.35
*	*	J1	58662	LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE	2426.40	090	Y	9076.35
*	*	J1	58670	LAPAROSCOPY FULGURATION OVIDUCTS	1239.60	090	N	9076.35
*	*	J1	58671	LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS	1240.80	090	N	9076.35
*	*	J1	58672	LAPAROSCOPY FIMBRIOPLASTY	2484.00	090	Y	9076.35
*	*	J1	58673	LAPAROSCOPY SALPINGOSTOMY	2692.80	090	Y	9076.35
*	*	J1	58674	LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN	2761.20	090	Y	15106.63
*	*	J1	58679	UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT/OVARY	BR	YYY	Y	9076.35
*	*	58700	SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX	2684.40	090	Y	3661.40
*	*	58720	SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX	2558.40	090	Y	4047.95
*	*	58740	LYSIS OF ADHESIONS SALPINX/OVARY	3064.80	090	Y	2052.31
*	*	58750	TUBOTUBAL ANASTATOMOSIS	3060.00	090	Y	6199.72
*	*	58752	TUBOUTERINE IMPLANTATION	3051.60	090	Y
*	*	58760	FIMBRIOPLASTY	2752.80	090	Y
*	*	J1	58770	SALPINGOSTOMY	2896.80	090	Y	4707.90
*	*	J1	58800	DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR	1120.80	090	N	4707.90
*	*	J1	58805	DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL	1393.20	090	Y	4707.90
*	*	J1	58820	DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN	1082.40	090	Y	4707.90
*	*	58822	DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH	2377.20	090	Y
*	*	58825	TRANSPOSITION OVARY	2360.40	090	Y	4473.34
*	*	J1	58900	BIOPSY OVARY UNI/BI SEPARATE PROCEDURE	1419.60	090	Y	4707.90
*	*	J1	58920	WEDGE RESCJ/BISCTJ OVARY UNI/BI	2383.20	090	Y	12024.56
*	*	J1	58925	OVARIAN CYSTECTOMY UNI/BI	2575.20	090	Y	7920.98
*	*	58940	OOPHORECTOMY PARTIAL/TOTAL UNI/BI	1837.20	090	Y	4080.76
*	*	58943	OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY	4102.80	090	Y
*	*	58950	RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO	3956.40	090	Y
*	*	58951	RESCJ PRIM PRTL MAL W/BSO & OMNTC TAH & LMPHAD	5058.00	090	Y
*	*	58952	RESCJ PRIM PRTL MAL W/BSO & OMNTC RAD DEBULKING	5738.40	090	Y
*	*	58953	BSO W/OMENTECTOMY TAH&RAD DEBULKING DISSECTION	7070.40	090	Y
*	*	58954	BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY	7677.60	090	Y
*	*	58956	BSO W/TOT OMENTECTOMY & HYSTERECTOMY MALIGNANC	4797.60	090	Y
*	*	58957	RESECJ RECUR OVARIAN/TUBAL/PERITONEAL MALIGNANCY	5554.80	090	Y
*	*	58958	RESECTION RECRT MAL W/OMENTECTOMY PEL LMPHADEC	6148.80	090	Y
*	*	58960	LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK	3391.20	090	Y
*	*	58970	FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD	771.60	000	N	792.42
*	*	58974	EMBRYO TRANSFER INTRAUTERINE	1534.80	000	Y	792.42
*	*	58976	GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH	846.00	000	Y	387.66
*	*	58999	UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL	BR	YYY	N	235.62
*	*	59000	AMNIOCENTESIS DIAGNOSIC	423.60	000	N	792.42
*	*	59001	AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID	618.00	000	N	387.66
*	*	59012	CORDOCENTESIS INTRAUTERINE	698.40	000	N	387.66
*	*	59015	CHORIONIC VILLUS SAMPLING	536.40	000	N	792.42
*	*	59020	FETAL CONTRACTION STRESS TEST	238.80	127.20	111.60	000	N
*	*	59025	FETAL NONSTRESS TEST	164.40	102.00	62.40	000	N
*	*	59030	FETAL SCALP BLOOD SAMPLING	390.00	000	N	387.66
*	*	59050	FETAL MONITORING LABOR PHYS WRITTEN REPORT	175.20	XXX	N
*	*	59051	FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY	145.20	XXX	N
*	*	59070	TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE	1383.60	000	Y	387.66
*	*	59072	FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE	1807.20	000	N	387.66
*	*	59074	FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE	1333.20	000	Y	387.66
*	*	59076	FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE	1807.20	000	Y	387.66
*	*	J1	59100	HYSTEROTOMY ABDOMINAL	2902.80	090	Y	4707.90
*	*	59120	TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR	2764.80	090	Y	4014.66
*	*	59121	TX ECTOPIC PREGNANCY W/O SALPING&/OOPHORECTOMY	2768.40	090	Y	3447.52
*	*	59130	TX ECTOPIC PREGNANCY ABDL PREGNANCY	3226.80	090	N
*	*	59135	TX ECTOPIC PREGNANCY NTRSTL REQ TOT HYST	3187.20	090	N
*	*	59136	TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER	3056.40	090	Y
*	*	59140	TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION	1398.00	090	Y
*	*	J1	59150	LAPS TX ECTOPIC PREG W/O SALPING&/OOPHORECTOMY	2679.60	090	Y	9076.35
*	*	J1	59151	LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY	2606.40	090	Y	9076.35
*	*	J1	59160	CURETTAGE POSTPARTUM	745.20	010	N	4707.90
*	*	59200	INSERTION CERVICAL DILATOR SEPARATE PROCEDURE	267.60	000	N	387.66
*	*	J1	59300	EPISIOTOMY/VAG RPR OTH/THN ATTENDING	692.40	000	N	4707.90
*	*	J1	59320	CERCLAGE CERVIX PREGNANCY VAGINAL	524.40	000	N	4707.90
*	*	59325	CERCLAGE CERVIX PREGNANCY ABDOMINAL	835.20	000	N	5193.61
*	*	59350	HYSTERORRHAPHY RUPTURED UTERUS	969.60	000	Y
*	*	59400	OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	7251.60	MMM	N
*	*	J1	59409	VAGINAL DELIVERY ONLY	2804.40	MMM	N	4707.90
*	*	59410	VAGINAL DELIVERY ONLY W/POSTPARTUM CARE	3592.80	MMM	N
*	*	J1	59412	EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS	354.00	MMM	N	4707.90
*	*	J1	59414	DELIVERY PLACENTA SEPARATE PROCEDURE	318.00	MMM	N	4707.90
*	*	59425	ANTEPARTUM CARE ONLY 4-6 VISITS	1581.60	MMM	N
*	*	59426	ANTEPARTUM CARE ONLY 7/> VISITS	2822.40	MMM	N
*	*	59430	POSTPARTUM CARE ONLY SEPARATE PROCEDURE	668.40	MMM	N
*	*	59510	OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	8040.00	MMM	N
*	*	59514	CESAREAN DELIVERY ONLY	3159.60	MMM	Y	2410.81
*	*	59515	CESAREAN DELIVERY ONLY W/POSTPARTUM CARE	4368.00	MMM	N
+	*	59525	STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY	1675.20	ZZZ	Y
*	*	59610	ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	7609.20	MMM	N
*	*	J1	59612	VAGINAL DELIVERY AFTER CESAREAN DELIVERY	3160.80	MMM	N	4707.90
*	*	59614	VAGINAL DELIVERY & POSTPARTUM CARE VBAC	3919.20	MMM	N
*	*	59618	ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC	8145.60	MMM	N
*	*	59620	CESAREAN DELIVERY ATTEMPTED VBAC	3247.20	MMM	Y
*	*	59622	CESAREAN DLVRY & POSTPARTUM CARE ATTEMPTED VBA	4498.80	MMM	N
*	*	J1	59812	TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL	1124.40	090	N	4707.90
*	*	J1	59820	TX MISSED ABORTION FIRST TRIMESTER SURGICAL	1348.80	090	N	4707.90
*	*	J1	59821	TX MISSED ABORTION SECOND TRIMESTER SURGICAL	1350.00	090	N	4707.90
*	*	59830	TX SEPTIC ABORTION SURGICAL	1531.20	090	N
*	*	J1	59840	INDUCED ABORTION DILATION AND CURETTAGE	780.00	010	N	4707.90
*	*	J1	59841	INDUCED ABORTION DILATION & EVACUATION	1348.80	010	N	4707.90
*	*	59850	INDUCED ABORTION 1/> AMNIOTIC INJX W/D&C/EVACJ	1222.80	090	N
*	*	59851	INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS D&C	1317.60	090	N
*	*	59852	INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS HYSTOTM	1803.60	090	N
*	*	59855	INDUCED ABORT 1/> VAG SUPPOSITORIES DLVR FETUS	1440.00	090	N	1676.03
*	*	59856	INDUCED ABORT 1/> VAG SUPP DLVR FETUS D&C &/EVAC	1692.00	090	N
*	*	59857	INDUCED ABORT 1/> VAG SUPPOS DLVR FETUS HYSTOT	1807.20	090	N
*	*	59866	MULTIFETAL PREGNANCY REDUCTION	746.40	000	Y	387.66
*	*	J1	59870	UTERINE EVACUATION & CURETTAGE HYDATIDIFORM MOLE	1686.00	090	Y	4707.90
*	*	59871	REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA	458.40	000	N	3353.00
*	*	59897	UNLISTED FETAL INVASIVE PX W/ULTRASOUND	BR	YYY	N	235.62
*	*	J1	59898	UNLISTED LAPAROSCOPY PX MATERNITY CARE&DELIVERY	BR	YYY	Y	9076.35
*	*	59899	UNLISTED PROCEDURE MATERNITY CARE & DELIVERY	BR	YYY	Y	235.62
*	*	J1	60000	I&D THYROGLOSSAL DUCT CYST INFECTED	584.40	010	N	2543.11
*	*	60100	BIOPSY THYROID PERCUTANEOUS CORE NEEDLE	384.00	000	N	822.66
*	*	J1	60200	EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS	2284.80	090	Y	9076.35
*	*	J1	60210	PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY	2444.40	090	Y	9076.35
*	*	J1	60212	PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC	3488.40	090	Y	9076.35
*	*	J1	60220	TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY	2438.40	090	Y	9076.35
*	*	J1	60225	TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC	3212.40	090	Y	9076.35
*	*	J1	60240	THYROIDECTOMY TOTAL/COMPLETE	3176.40	090	Y	9076.35
*	*	J1	60252	THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT	4562.40	090	Y	8765.29
*	*	60254	THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT	5776.80	090	Y	8266.16
*	*	J1	60260	THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL	3775.20	090	Y	8765.29
*	*	60270	THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC	4732.80	090	Y	5962.10
*	*	J1	60271	THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH	3654.00	090	Y	8765.29
*	*	J1	60280	EXCISION THYROGLOSSAL DUCT CYST/SINUS	1522.80	090	Y	9076.35
*	*	J1	60281	EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT	2018.40	090	Y	9076.35
*	*	60300	ASPIRATION AND/OR INJECTION THYROID CYST	392.40	000	N	822.66
*	*	J1	60500	PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS	3344.40	090	Y	8765.29
*	*	J1	60502	PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR	4474.80	090	Y	8765.29
*	*	60505	PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC	4819.20	090	Y	6469.55
+	*	60512	PARATHYROID AUTOTRANSPLANTATION ADD-ON	843.60	ZZZ	Y
*	*	J1	60520	THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX	3624.00	090	Y	8765.29
*	*	60521	THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX	3889.20	090	Y
*	*	60522	THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX	4741.20	090	Y
*	*	60540	ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX	3705.60	090	Y
*	*	60545	ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR	4242.00	090	Y
*	*	60600	EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY	4755.60	090	Y
*	*	60605	EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY	5755.20	090	Y
*	*	60650	LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL	4141.20	090	Y	8777.94
*	*	J1	60659	UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM	BR	YYY	Y	9076.35
*	*	J1	60699	UNLISTED PROCEDURE ENDOCRINE SYSTEM	BR	YYY	Y	9076.35
*	*	61000	SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT	382.80	000	N	850.31
*	*	61001	SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ	379.20	000	N	850.31
*	*	61020	VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX	344.40	000	N	1086.07
*	*	61026	VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ	366.00	000	N	850.31
*	*	61050	CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX	294.00	000	N	351.42
*	*	61055	CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION	434.40	000	N	351.42
*	*	61070	PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX	196.80	000	N	850.31
*	*	61105	TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE	1621.20	090	N
*	Ø	61107	TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE	1104.00	000	N
*	*	61108	TWIST DRILL HOLE EVAC&/DRG SUBDURAL HEMATOMA	3123.60	090	N
*	*	61120	BURR HOLE VENTRICULAR PUNCTURE	2611.20	090	N
*	*	61140	BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION	4432.80	090	Y
*	*	61150	BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST	4776.00	090	N
*	*	61151	BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST	3501.60	090	N
*	*	61154	BURR HOLE W/EVAC&/DRG HEMATOMA XDRL/SDRL	4456.80	090	Y
*	*	61156	BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL	4382.40	090	Y
*	*	61210	BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE	1303.20	000	N	5491.97
*	*	J1	61215	INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH	1785.60	090	N	8627.34
*	*	61250	BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG	3031.20	090	Y
*	*	61253	BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI	3465.60	090	Y
*	*	61304	CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL	5778.00	090	Y
*	*	61305	CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL	7039.20	090	Y
*	*	61312	CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL	7306.80	090	Y
*	*	61313	CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL	6964.80	090	Y
*	*	61314	CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL	6392.40	090	Y
*	*	61315	CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL	7251.60	090	Y
+	*	61316	INCISION & SUBCUTANEOUS PLMT CRANIAL BONE GRAF	312.00	ZZZ	N
*	*	61320	CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL	6667.20	090	Y
*	*	61321	CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL	7404.00	090	Y
*	*	61322	CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY	8370.00	090	Y
*	*	61323	CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY	8378.40	090	Y
*	*	J1	61330	DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH	6270.00	090	Y	4449.71
*	*	61333	EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION	7156.80	090	Y
*	*	61340	SUBTEMPORAL CRANIAL DECOMPRESSION	4970.40	090	Y
*	*	61343	CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD	7688.40	090	Y
*	*	61345	OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA	7159.20	090	Y
*	*	61450	CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION	6720.00	090	Y
*	*	61458	CRNEC SOPL EXPL/DCMPRN CRNL NRV	7065.60	090	Y
*	*	61460	CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NR	7405.20	090	Y
*	*	61500	CRANIECTOMY W/EXCISION TUMOR/LESION SKULL	4585.20	090	Y
*	*	61501	CRANIECTOMY OSTEOMYELITIS	3980.40	090	Y
*	*	61510	CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR	7690.80	090	Y
*	*	61512	CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR	8977.20	090	Y
*	*	61514	CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR	6715.20	090	Y
*	*	61516	CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR	6535.20	090	Y
+	*	61517	IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT	310.80	ZZZ	N
*	*	61518	CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA	9724.80	090	Y
*	*	61519	CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA	10410.00	090	Y
*	*	61520	CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM	13240.80	090	Y
*	*	61521	CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL	11247.60	090	Y
*	*	61522	CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS	7554.00	090	Y
*	*	61524	CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST	7304.40	090	Y
*	*	61526	CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM	11752.80	090	N
*	*	61530	CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA	10929.60	090	N
*	*	61531	SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING	4232.40	090	Y
*	*	61533	CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING	5335.20	090	Y
*	*	61534	CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY	5692.80	090	Y
*	*	61535	CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX	3498.00	090	Y
*	*	61536	CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY	9027.60	090	Y
*	*	61537	CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY	8695.20	090	Y
*	*	61538	CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY	9394.80	090	Y
*	*	61539	CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG	8356.80	090	Y
*	*	61540	CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG	7568.40	090	Y
*	*	61541	CRANIOTOMY TRANSECTION CORPUS CALLOSUM	7525.20	090	Y
*	*	61543	CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY	7406.40	090	Y
*	*	61544	CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS	6720.00	090	Y
*	*	61545	CRANIOTOMY EXCISION CRANIOPHARYNGIOMA	11162.40	090	Y
*	*	61546	CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR	8094.00	090	Y
*	*	61548	HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL	5502.00	090	Y
*	*	61550	CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE	3855.60	090	Y
*	*	61552	CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES	5222.40	090	Y
*	*	61556	CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP	6020.40	090	Y
*	*	61557	CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP	5930.40	090	Y
*	*	61558	XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS	6633.60	090	Y
*	*	61559	XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT	7982.40	090	Y
*	*	61563	EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN	6903.60	090	Y
*	*	61564	EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN	8514.00	090	Y
*	*	61566	CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY	7784.40	090	Y
*	*	61567	CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG	8752.80	090	Y
*	*	61570	CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN	6541.20	090	Y
*	*	61571	CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN	6879.60	090	Y
*	*	61575	TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES	8834.40	090	Y
*	*	61576	TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE	14538.00	090	Y
*	*	61580	CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ	8446.80	090	N
*	*	61581	CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ	9139.20	090	N
*	*	61582	CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT	10629.60	090	Y
*	*	61583	CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE	10108.80	090	Y
*	*	61584	ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ	10046.40	090	Y
*	*	61585	ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ	11422.80	090	Y
*	*	61586	BICORONAL TRANSZYGMTC&/LEFORT I W/O BONE GRFT	8464.80	090	Y
*	*	61590	INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN	10581.60	090	Y
*	*	61591	INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR&/MOBI	10696.80	090	Y
*	*	61592	ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE	11108.40	090	Y
*	*	61595	TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV	8176.80	090	N
*	*	61596	TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART	8412.00	090	Y
*	*	61597	TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL	10261.20	090	Y
*	*	61598	TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM	9948.00	090	Y
*	*	61600	RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL	7389.60	090	Y
*	*	61601	RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF	8412.00	090	Y
*	*	61605	RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL	7458.00	090	Y
*	*	61606	RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR	10284.00	090	Y
*	*	61607	RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL	9339.60	090	Y
*	*	61608	RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL	11484.00	090	Y
+	*	61611	TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR	1665.60	ZZZ	Y
*	*	61613	OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ	11637.60	090	Y
*	*	61615	RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL	9830.40	090	Y
*	*	61616	RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL	11676.00	090	Y
*	*	61618	SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT	4507.20	090	Y
*	*	61619	SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP	4966.80	090	Y
*	*	J1	61623	EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK	1993.20	000	N	17440.05
*	*	61624	TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS	4045.20	000	N	3796.76
*	*	J1	61626	TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS	3068.40	000	N	17440.05
*	*	61630	BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS	4876.80	XXX	Y
*	*	61635	TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD	5113.20	XXX	Y
*	*	61640	BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL	1681.20	000	N
+	*	61641	PERQ BALO DILA IC VSPSM EA VSL SM VASC TER	590.40	ZZZ	N
+	*	61642	PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER	1180.80	ZZZ	N
*	*	61645	PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL	2919.60	000	N
*	*	61650	EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST	1932.00	000	N
+	*	61651	EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL	841.20	ZZZ	N
*	*	61680	INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL	7932.00	090	Y
*	*	61682	INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL	14820.00	090	Y
*	*	61684	INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL	9978.00	090	Y
*	*	61686	INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL	16371.60	090	Y
*	*	61690	INTRACRANIAL ARVEN MALFRMJ DURAL SMPL	7640.40	090	Y
*	*	61692	INTRACRANIAL ARVEN MALFRMJ DURAL CMPL	13057.20	090	Y
*	*	61697	COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION	15056.40	090	Y
*	*	61698	CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ	16801.20	090	Y
*	*	61700	SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION	12090.00	090	Y
*	*	61702	SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ	14194.80	090	Y
*	*	61703	ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART	4682.40	090	Y
*	*	61705	ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART	8832.00	090	Y
*	*	61708	ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS	9021.60	090	Y
*	*	61710	ARYSM VASC MALFRMJ IA EMBOLIZATION	7606.80	090	N
*	*	61711	ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES	9096.00	090	Y
*	*	J1	61720	CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS	4479.60	090	N	8627.34
*	*	61735	CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN	5616.00	090	N
*	*	61750	STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES	4970.40	090	N
*	*	61751	STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT&I/MR	4857.60	090	N	6944.14
*	*	61760	STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING	5526.00	090	N
*	*	J1	61770	STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC	5733.60	090	N	8627.34
+	*	61781	STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL	832.80	ZZZ	N
+	*	61782	STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL	602.40	ZZZ	N
+	*	61783	STEREOTACTIC COMPUTER ASSISTED PX SPINAL	816.00	ZZZ	N
*	*	J1	61790	CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN	3093.60	090	N	3259.45
*	*	J1	61791	CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC	3963.60	090	N	3259.45
*	*	61796	STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES	3568.80	090	Y
+	*	61797	STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE	777.60	ZZZ	Y
*	*	61798	STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES	4867.20	090	Y
+	*	61799	STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX	1077.60	ZZZ	Y
+	*	61800	APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY	542.40	ZZZ	Y
*	*	61850	TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL	3381.60	090	Y
*	*	61860	CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL	5493.60	090	Y
*	*	61863	STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY	5277.60	090	Y
+	*	61864	STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY	1003.20	ZZZ	Y
*	*	61867	STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY	8025.60	090	Y
+	*	61868	STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY	1767.60	ZZZ	Y
*	*	61870	CRNEC IMPLTJ NSTIM ELTRD CEREBELLAR CORTICAL	4174.80	090	Y
*	*	61880	REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS	2001.60	090	Y	4089.32
*	*	J1	61885	INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR	1796.40	090	N	29514.29
*	*	J1	61886	INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2/> ELTRDS	2972.40	090	N	43809.69
*	*	J1	61888	REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR	1388.40	010	N	10355.35
*	*	J1	62000	ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL	3630.00	090	N	4449.71
*	*	62005	ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL	4396.80	090	Y
*	*	62010	ELVTN DEPRS SKL FX W/RPR DURA&/DBRDMT BRN	5367.60	090	Y
*	*	62100	CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA	5570.40	090	Y	3919.72
*	*	62115	RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY	5905.20	090	Y
*	*	62117	RDCTJ CRANIOMEGALIC CRANIO&RECNSTJ W/WO GRAFT	6940.80	090	Y
*	*	62120	RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY	7434.00	090	Y
*	*	62121	CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE	5487.60	090	Y
*	*	62140	CRANIOPLASTY SKULL DEFECT </5 CM DIAMETER	3594.00	090	Y	3847.29
*	*	62141	CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER	3982.80	090	Y
*	*	62142	RMVL BONE FLAP/PROSTHETIC PLATE SKULL	3096.00	090	Y	4092.77
*	*	62143	RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL	3645.60	090	Y
*	*	62145	CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG	4923.60	090	Y
*	*	62146	CRANIOPLASTY W/AUTOGRAFT </ 5 CM DIAMETER	4112.40	090	Y
*	*	62147	CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER	5036.40	090	Y
+	*	62148	INCISE&RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT	447.60	ZZZ	N
+	*	62160	NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS	673.20	ZZZ	N
*	*	62161	NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS	5296.80	090	Y
*	*	62162	NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG	6642.00	090	Y
*	*	62163	NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY	4130.40	090	Y
*	*	62164	NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY	7328.40	090	Y
*	*	62165	NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID	5353.20	090	N
*	*	62180	VENTRICULOCISTERNOSTOMY	5648.40	090	Y
*	*	62190	CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR	3255.60	090	N
*	*	62192	CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH	3430.80	090	Y
*	*	J1	62194	RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER	1700.40	010	N	3259.45
*	*	62200	VENTRICULOCISTERNOSTOMY 3RD VENTRICLE	4834.80	090	Y
*	*	62201	VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC	4246.80	090	N
*	*	62220	CRTJ SHUNT VENTRICULO-ATR-JUG-AUR	3513.60	090	Y
*	*	62223	CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS	3643.20	090	Y	5410.04
*	*	J1	62225	RPLCMT/IRRIGATION VENTRICULAR CATHETER	1845.60	090	N	8627.34
*	*	J1	62230	RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS	2946.00	090	Y	8627.34
*	*	62252	REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT	280.80	162.00	118.80	XXX	N
*	*	62256	RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT	2104.80	090	Y
*	*	62258	RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT	3907.20	090	Y
*	*	62263	PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS	2054.40	010	N	1086.07
*	*	62264	PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY	1466.40	010	N	1086.07
*	*	62267	PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS	880.80	000	N	822.66
*	*	62268	PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX	888.00	000	N	1086.07
*	*	J1	62269	BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE	919.20	000	N	2734.29
*	*	62270	SPINAL PUNCTURE LUMBAR DIAGNOSTIC	506.40	000	N	850.31
*	*	62272	SPINAL PUNCTURE THER DRAIN CEREBROSPINAL FLUID	668.40	000	N	850.31
*	*	62273	INJECTION EPIDURAL BLOOD/CLOT PATCH	591.60	000	N	850.31
*	*	62280	INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID	1134.00	010	N	1086.07
*	*	62281	INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC	832.80	010	N	1086.07
*	*	62282	INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL	1035.60	010	N	1086.07
*	*	62284	INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR	673.20	000	N
*	*	J1	62287	DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR	2007.60	090	N	8627.34
*	*	62290	INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR	1154.40	000	N
*	*	62291	INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC	1113.60	000	N
*	*	J1	62292	INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR	1975.20	090	N	3259.45
*	*	62294	NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL	3342.00	090	N	1086.07
*	*	62302	MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL	855.60	000	N	982.29
*	*	62303	MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC	874.80	000	N	982.29
*	*	62304	MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL	844.80	000	N	982.29
*	*	62305	MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS	918.00	000	N	982.29
*	*	62320	NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN	561.60	000	N	850.31
*	*	62321	NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	862.80	000	N	850.31
*	*	62322	NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	523.20	000	N	850.31
*	*	62323	NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	853.20	000	N	850.31
*	*	62324	NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN	494.40	000	N	1086.07
*	*	62325	NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	800.40	000	N	1086.07
*	*	62326	NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	513.60	000	N	1086.07
*	*	62327	NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	802.80	000	N	1086.07
*	*	J1	62350	IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM	1380.00	010	N	8627.34
*	*	J1	62351	IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM	2986.80	090	Y	10775.65
*	*	62355	RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH	927.60	010	N	2316.70
*	*	J1	62360	IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR	1095.60	010	N	26058.10
*	*	J1	62361	IMPLTJ/RPLCMT FS NON-PRGRBL PUMP	1495.20	010	N	26058.10
*	*	J1	62362	IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP	1324.80	010	N	26058.10
*	*	62365	RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS	1022.40	010	N	6483.81
*	*	62367	ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL	136.80	XXX	N	398.18
*	*	62368	ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG	188.40	XXX	N	398.18
*	*	62369	ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFIL	400.80	XXX	N	398.18
*	*	62370	ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP	416.40	XXX	N	398.18
*	*	J1	62380	NDSC DCMPRN SPINAL CORD 1 W/LAMOT NTRSPC LUMBAR	10444.80	090	Y	10775.65
*	*	J1	63001	LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV	4329.60	090	Y	10775.65
*	*	J1	63003	LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC	4322.40	090	Y	10775.65
*	*	J1	63005	LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR	4135.20	090	Y	10775.65
*	*	J1	63011	LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL	3799.20	090	Y	10775.65
*	*	J1	63012	LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR	4159.20	090	Y	10775.65
*	*	J1	63015	LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL	5184.00	090	Y	10775.65
*	*	J1	63016	LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC	5326.80	090	Y	10775.65
*	*	J1	63017	LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR	4404.00	090	Y	10775.65
*	*	J1	63020	LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC	4042.80	090	Y	10775.65
*	*	J1	63030	LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR	3384.00	090	Y	10775.65
+	*	63035	LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR	669.60	ZZZ	Y
*	*	J1	63040	LAMOT PRTL FFD EXC DISC REEX PL 1 NTRSPC CERVICAL	4857.60	090	Y	10775.65
*	*	J1	63042	LAMOT PRTL FFD EXC DISC REEX PL 1 NTRSPC LUMBAR	4515.60	090	Y	10775.65
+	*	63043	LAMOT PRTL FFD EXC DISC REEX PL 1 NTRSPC EA CRV	3068.40	ZZZ	Y
+	*	63044	LAMOT W/PRTL FFD HRNA8 REEX PL 1 NTRSPC EA LMBR	2677.20	ZZZ	Y
*	*	J1	63045	LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL	4486.80	090	Y	19120.53
*	*	J1	63046	LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT THORACIC	4276.80	090	Y	19120.53
*	*	J1	63047	LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR	3836.40	090	Y	19120.53
+	*	63048	LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR	740.40	ZZZ	Y
*	*	63050	LAMOP CERVICAL W/DCMPRN SPI CORD 2/> VERT SEG	5220.00	090	Y
*	*	63051	LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ	5965.20	090	Y
*	*	J1	63055	TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC	5698.80	090	Y	10775.65
*	*	J1	63056	TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR	5194.80	090	Y	10775.65
+	*	63057	TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR	1118.40	ZZZ	Y
*	*	J1	63064	COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG	6228.00	090	Y	10775.65
+	*	63066	COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG	723.60	ZZZ	Y
*	*	J1	63075	DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC	4713.60	090	Y	10775.65
+	*	63076	DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC	864.00	ZZZ	Y
*	*	63077	DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC	5308.80	090	Y
+	*	63078	DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC	727.20	ZZZ	Y
*	*	63081	VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG	6136.80	090	Y	2049.98
+	*	63082	VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG	932.40	ZZZ	Y	1354.52
*	*	63085	VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG	6718.80	090	Y
+	*	63086	VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG	669.60	ZZZ	Y
*	*	63087	VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG	8438.40	090	Y
+	*	63088	VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG	903.60	ZZZ	Y
*	*	63090	VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG	6837.60	090	Y
+	*	63091	VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG	621.60	ZZZ	Y
*	*	63101	VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG	8138.40	090	Y
*	*	63102	VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG	7928.40	090	Y
+	*	63103	VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG	1032.00	ZZZ	Y
*	*	63170	LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR	5571.60	090	Y
*	*	63172	LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID	4855.20	090	Y
*	*	63173	LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL	6013.20	090	Y
*	*	63180	LAM&SCTJ DENTATE LIG W/WO DURAL GRF CRV 1/2 SEG	4998.00	090	Y
*	*	63182	LAM&SCTJ DENTATE LIG W/WO DURAL GRF CRV >2 SEG	5283.60	090	Y
*	*	63185	LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS	3988.80	090	Y
*	*	63190	LAMINECTOMY W/RHIZOTOMY > 2 SEGMENTS	4318.80	090	Y
*	*	63191	LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE	4862.40	090	Y
*	*	63194	LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT CERVICAL	5634.00	090	Y
*	*	63195	LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT THORACIC	5418.00	090	Y
*	*	63196	LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACTS CRV	6290.40	090	Y
*	*	63197	LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC	5539.20	090	Y
*	*	63198	LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES CERVICAL	7389.60	090	Y
*	*	63199	LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES THORACIC	7743.60	090	Y
*	*	63200	LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR	5365.20	090	Y
*	*	63250	LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL	10275.60	090	Y
*	*	63251	LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC	10732.80	090	Y
*	*	63252	LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR	10670.40	090	Y
*	*	63265	LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL	5838.00	090	Y
*	*	63266	LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC	6032.40	090	Y
*	*	63267	LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR	4779.60	090	Y	5908.86
*	*	63268	LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL	4944.00	090	Y
*	*	63270	LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL	7251.60	090	Y
*	*	63271	LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC	7251.60	090	Y
*	*	63272	LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR	6621.60	090	Y	9804.37
*	*	63273	LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL	6535.20	090	Y
*	*	63275	LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL	6313.20	090	Y
*	*	63276	LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC	6272.40	090	Y
*	*	63277	LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR	5443.20	090	Y
*	*	63278	LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL	5554.80	090	Y
*	*	63280	LAM BX/EXC ISPI NEO IDRL XMED CERVICAL	7434.00	090	Y
*	*	63281	LAM BX/EXC ISPI NEO IDRL XMED THORACIC	7347.60	090	Y
*	*	63282	LAM BX/EXC ISPI NEO IDRL XMED LUMBAR	6924.00	090	Y	7305.40
*	*	63283	LAM BX/EXC ISPI NEO IDRL SACRAL	6639.60	090	Y
*	*	63285	LAM BX/EXC ISPI NEO IDRL IMED CERVICAL	9218.40	090	Y
*	*	63286	LAM BX/EXC ISPI NEO IDRL IMED THORACIC	9079.20	090	Y
*	*	63287	LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR	9615.60	090	Y
*	*	63290	LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL	9760.80	090	Y
+	*	63295	OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX	1171.20	ZZZ	Y
*	*	63300	VCRPEC LES 1 SGM XDRL CERVICAL	6434.40	090	Y
*	*	63301	VCRPEC LES 1 SGM XDRL THORACIC TTHRC	7700.40	090	Y
*	*	63302	VCRPEC LES 1 SEG XDRL THRC THORACOLMBR	7597.20	090	Y
*	*	63303	VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR	7582.80	090	Y
*	*	63304	VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL	8102.40	090	Y
*	*	63305	VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC	8854.80	090	Y
*	*	63306	VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR	8430.00	090	Y
*	*	63307	VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR	8520.00	090	Y
+	*	63308	VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG	1135.20	ZZZ	Y
*	*	J1	63600	CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ	3848.40	090	N	3259.45
*	*	J1	63610	STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG	2058.00	000	N	3259.45
*	*	63620	STEREOTACTIC RADIOSURGERY 1 SPINAL LESION	3946.80	090	Y
+	*	63621	STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION	897.60	ZZZ	Y
*	*	J1	63650	PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL	1077.15	010	N	10355.35
*	*	J1	63655	LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL	2892.00	090	Y	29514.29
*	*	63661	RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR	2101.20	010	Y	2316.70
*	*	63662	RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR	2928.00	090	Y	4089.32
*	*	J1	63663	REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR	2812.80	010	Y	10355.35
*	*	J1	63664	REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR	3034.80	090	Y	29514.29
*	*	J1	63685	INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING	1248.00	010	Y	43809.69
*	*	63688	REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR	1287.60	010	N	4089.32
*	*	63700	REPAIR MENINGOCELE < 5 CM DIAMETER	4557.60	090	Y
*	*	63702	REPAIR MENINGOCELE > 5 CM DIAMETER	5019.60	090	Y
*	*	63704	REPAIR MYELOMENINGOCELE < 5 CM DIAMETER	5594.40	090	Y
*	*	63706	REPAIR MYELOMENINGOCELE > 5 CM DIAMETER	6202.80	090	Y
*	*	63707	RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM	3237.60	090	Y	4537.54
*	*	63709	RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM	3846.00	090	Y	4472.23
*	*	63710	DURAL GRAFT SPINAL	3792.00	090	Y	2819.14
*	*	63740	CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM	3406.80	090	Y
*	*	J1	63741	CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM	2364.00	090	Y	8627.34
*	*	J1	63744	RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT	2342.40	090	Y	8627.34
*	*	63746	RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT	2085.60	090	N	2316.70
*	*	64400	NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH	465.60	000	N	351.42
*	*	64402	INJECTION ANESTHETIC AGENT FACIAL NERVE	514.80	000	N	151.20
*	*	64405	INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV	284.40	000	N	351.42
*	*	64408	INJECTION ANESTHETIC AGENT VAGUS NERVE	402.00	000	N	351.42
*	*	64410	INJECTION ANESTHETIC AGENT PHRENIC NERVE	531.60	000	N	1086.07
*	*	64413	INJECTION ANESTHETIC AGENT CERVICAL PLEXUS	432.00	000	N	850.31
*	*	64415	SINGLE NERVE BLOCK INJECTION ARM NERVE	405.60	000	N	1086.07
*	*	64416	INJECTION ANES BRACHIAL PLEXUS CONT NFS CATH	273.60	000	N	1086.07
*	*	64417	INJECTION ANESTHETIC AGENT AXILLARY NERVE	451.20	000	N	1086.07
*	*	64418	INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE	325.20	000	N	850.31
*	*	64420	INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE	378.00	000	N	850.31
*	*	64421	MULTIPLE NERVE BLOCK INJECTIONS RIB NERVES	535.20	000	N	1086.07
*	*	64425	INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS	471.60	000	N	850.31
*	*	64430	INJECTION ANESTHETIC AGENT PUDENDAL NERVE	496.80	000	N	1086.07
*	*	64435	INJECTION ANESTHETIC PARACERVICAL UTERINE NERVE	480.00	000	N	850.31
*	*	64445	INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE	466.80	000	N	850.31
*	*	64446	INJECTION ANES SCIATIC NERVE CONT INFUSION CATH	273.60	000	N	1086.07
*	*	64447	INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE	415.20	000	N	850.31
*	*	64448	INJECTION ANES FEMORAL NERVE CONT INFUSION CATH	246.00	000	N	1086.07
*	*	64449	INJECTION ANES LUMBAR PLEXUS POST CONT NFS CATH	292.80	000	N	1086.07
*	*	64450	INJECTION ANES OTHER PERIPHERAL NERVE/BRANCH	262.80	000	N	850.31
*	*	64455	NJX ANES&/STEROID PLANTAR COMMON DIGITAL NERVE	163.20	000	N	351.42
*	*	64461	PVB THORACIC SINGLE INJECTION SITE W/IMG GID	475.20	000	N	850.31
+	*	64462	PVB THORACIC SECOND & ADDL INJ SITE W/IMG GID	264.00	ZZZ	N
*	*	64463	PVB THORACIC CONT CATHETER INFUSION W/IMG GID	615.60	000	N	850.31
*	*	64479	NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL	834.00	000	N	1086.07
+	*	64480	NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV	410.40	ZZZ	N
*	*	64483	NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	772.80	000	N	1086.07
+	*	64484	NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV	334.80	ZZZ	N
*	*	64486	TAP BLOCK UNILATERAL BY INJECTION(S)	374.40	000	N
*	*	64487	TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)	538.80	000	N
*	*	64488	TAP BLOCK BILATERAL BY INJECTION(S)	459.60	000	N
*	*	64489	TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)	798.00	000	N
*	*	64490	NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL	646.80	000	Y	1086.07
+	*	64491	NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL	321.60	ZZZ	Y
+	*	64492	NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL	324.00	ZZZ	Y
*	*	64493	NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL	589.20	000	Y	1086.07
+	*	64494	NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL	298.80	ZZZ	Y
+	*	64495	NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL	298.80	ZZZ	Y
*	*	64505	INJECTION ANES AGENT SPHENOPALATINE GANGLION	403.20	000	N	351.42
*	*	64510	NJX ANES STELLATE GANGLION CRV SYMPATHETIC	453.60	000	N	1086.07
*	*	64517	INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS	651.60	000	N	1086.07
*	*	64520	INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC	690.00	000	N	1086.07
*	*	64530	INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG	687.60	000	N	1086.07
*	*	J1	64553	PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE	5857.20	010	N	10355.35
*	*	J1	64555	PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV	5317.20	010	N	10355.35
*	*	J1	64561	PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING	2510.40	010	N	10355.35
*	*	64566	POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE	434.40	000	N	351.42
*	*	J1	64568	INC IMPLTJ CRNL NRV NSTIM ELTRDS & PULSE GENER	2211.60	090	N	43809.69
*	*	J1	64569	REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV	2653.20	090	N	10355.35
*	*	64570	REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATO	2554.80	090	N	6483.81
*	*	J1	64575	INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD	1152.00	090	N	29514.29
*	*	J1	64580	INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR	1063.20	090	Y	29514.29
*	*	J1	64581	INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE	2290.80	090	N	10355.35
*	*	64585	REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE	843.60	010	N	4089.32
*	*	J1	64590	INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR	912.00	010	N	29514.29
*	*	64595	REVISION/RMVL PERIPHERAL/GASTRIC NPGR	826.80	010	N	4089.32
*	*	64600	DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH	1482.00	010	N	1086.07
*	*	J1	64605	DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH	2026.80	010	N	3259.45
*	*	J1	64610	DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR	2650.80	010	N	3259.45
*	*	64611	CHEMODENERV PAROTID&SUBMANDIBL SALIVARY GLNDS	414.00	010	N	351.42
*	*	64612	CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL	459.60	010	N	351.42
*	*	64615	CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	512.40	010	N	351.42
*	*	64616	CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA	456.00	010	N	351.42
*	*	64617	CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG	554.40	010	N	351.42
*	*	64620	DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE	709.20	010	N	1086.07
*	*	64630	DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE	812.40	010	N	1086.07
*	*	64632	DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE	294.00	010	N	351.42
*	*	J1	64633	DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA	1426.80	010	N	3259.45
+	*	64634	DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA	640.80	ZZZ	N
*	*	J1	64635	DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	1411.20	010	N	3259.45
+	*	64636	DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL	582.00	ZZZ	N
*	*	64640	DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE	463.20	010	N	1086.07
*	*	64642	CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE	498.00	000	N	850.31
+	*	64643	CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE	318.00	ZZZ	N
*	*	64644	CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES	578.40	000	N	850.31
+	*	64645	CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES	399.60	ZZZ	N
*	*	64646	CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES	522.00	000	N	850.31
*	*	64647	CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES	614.40	000	N	850.31
*	*	64650	CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE	270.00	000	N	351.42
*	*	64653	CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY	331.20	000	N	351.42
*	*	64680	DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS	1088.40	010	N	1086.07
*	*	64681	DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS	1971.60	010	N	1086.07
*	*	J1	64702	NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT	1736.40	090	N	3259.45
*	*	J1	64704	NEUROPLASTY NERVE HAND/FOOT	1107.60	090	Y	3259.45
*	*	J1	64708	NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC	1730.40	090	Y	3259.45
*	*	J1	64712	NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV	2014.80	090	Y	3259.45
*	*	J1	64713	NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS	2697.60	090	Y	3259.45
*	*	J1	64714	NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS	2497.20	090	Y	3259.45
*	*	J1	64716	NEUROPLASTY &/TRANSPOSITION CRANIAL NERVE	1800.00	090	Y	3259.45
*	*	J1	64718	NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW	2044.80	090	N	3259.45
*	*	J1	64719	NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST	1387.20	090	N	3259.45
*	*	J1	64721	NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	1494.00	090	N	3259.45
*	*	J1	64722	DECOMPRESSION UNSPECIFIED NERVE	1230.00	090	Y	3259.45
*	*	J1	64726	DECOMPRESSION PLANTAR DIGITAL NERVE	936.00	090	N	3259.45
+	*	64727	INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE	637.20	ZZZ	N
*	*	J1	64732	TRANSECTION/AVULSION SUPRAORBITAL NERVE	1546.80	090	Y	3259.45
*	*	J1	64734	TRANSECTION/AVULSION INFRAORBITAL NERVE	1748.40	090	N	3259.45
*	*	J1	64736	TRANSECTION/AVULSION MENTAL NERVE	1287.60	090	Y	3259.45
*	*	J1	64738	TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO	1604.40	090	Y	3259.45
*	*	J1	64740	TRANSECTION/AVULSION LINGUAL NERVE	1681.20	090	Y	3259.45
*	*	J1	64742	TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL	1693.20	090	Y	3259.45
*	*	J1	64744	TRANSECTION/AVULSION GREATER OCCIPITAL NERVE	1714.80	090	N	3259.45
*	*	J1	64746	TRANSECTION/AVULSION PHRENIC NERVE	1490.40	090	Y	3259.45
*	*	64755	TRANSECTION/AVULSION VAGUS NERVES	3157.20	090	Y
*	*	64760	TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL	1773.60	090	Y
*	*	J1	64763	TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY	1771.20	090	Y	3259.45
*	*	J1	64766	TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY	2145.60	090	Y	8627.34
*	*	J1	64771	TRANSECTION/AVULSION OTH CRANIAL NRV XDRL	2050.80	090	Y	3259.45
*	*	J1	64772	TRANSECTION/AVULSION OTH SPINAL NRV XDRL	1950.00	090	Y	3259.45
*	*	J1	64774	EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE	1405.20	090	N	3259.45
*	*	J1	64776	EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT	1341.60	090	N	3259.45
+	*	64778	EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT	636.00	ZZZ	N
*	*	J1	64782	EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE	1586.40	090	N	3259.45
+	*	64783	EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT	759.60	ZZZ	N
*	*	J1	64784	EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC	2510.40	090	N	3259.45
*	*	J1	64786	EXCISION NEUROMA SCIATIC NERVE	3477.60	090	Y	8627.34
+	*	64787	IMPLANTATION NERVE END BONE/MUSCLE	835.20	ZZZ	N
*	*	J1	64788	EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV	1386.00	090	N	3259.45
*	*	J1	64790	EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV	2902.80	090	N	3259.45
*	*	J1	64792	EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV	3776.40	090	Y	8627.34
*	*	J1	64795	BIOPSY NERVE	676.80	000	N	3259.45
*	*	J1	64802	SYMPATHECTOMY CERVICAL	2920.80	090	Y	3259.45
*	*	J1	64804	SYMPATHECTOMY CERVICOTHORACIC	4102.80	090	Y	3259.45
*	*	64809	SYMPATHECTOMY THORACOLUMBAR	3723.60	090	Y
*	*	64818	SYMPATHECTOMY LUMBAR	2706.00	090	Y
*	*	J1	64820	SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT	2469.60	090	N	3259.45
*	*	J1	64821	SYMPATHECTOMY RADIAL ARTERY	2401.20	090	N	5184.51
*	*	J1	64822	SYMPATHECTOMY ULNAR ARTERY	2401.20	090	N	5184.51
*	*	J1	64823	SYMPATHECTOMY SUPERFICIAL PALMAR ARCH	2731.20	090	N	5184.51
*	*	J1	64831	SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE	2374.80	090	N	8627.34
+	*	64832	SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV	1167.60	ZZZ	N
*	*	J1	64834	SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE	2566.80	090	N	8627.34
*	*	J1	64835	SUTURE 1 NERVE MEDIAN MOTOR THENAR	2816.40	090	Y	8627.34
*	*	J1	64836	SUTURE 1 NERVE ULNAR MOTOR	2818.80	090	Y	8627.34
+	*	64837	SUTURE EACH ADDITIONAL NERVE HAND/FOOT	1278.00	ZZZ	Y
*	*	J1	64840	SUTURE POSTERIOR TIBIAL NERVE	3338.40	090	Y	8627.34
*	*	J1	64856	SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS	3507.60	090	N	8627.34
*	*	J1	64857	SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS	3652.80	090	Y	8627.34
*	*	J1	64858	SUTURE SCIATIC NERVE	4088.40	090	Y	8627.34
+	*	64859	SUTURE EACH ADDITIONAL PERIPHERAL NERVE	862.80	ZZZ	Y
*	*	J1	64861	SUTURE BRACHIAL PLEXUS	5342.40	090	Y	8627.34
*	*	J1	64862	SUTURE LUMBAR PLEXUS	4717.20	090	Y	8627.34
*	*	J1	64864	SUTURE FACIAL NERVE EXTRACRANIAL	2989.20	090	Y	8627.34
*	*	J1	64865	SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT	3768.00	090	Y	8627.34
*	*	64866	ANASTOMOSIS FACIAL-SPINAL ACCESSORY	4414.80	090	Y
*	*	64868	ANASTOMOSIS FACIAL HYPOGLOSSAL	3462.00	090	Y
+	*	64872	SUTURE NERVE REQ SECONDARY/DELAYED SUTURE	406.80	ZZZ	Y
+	*	64874	SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE	607.20	ZZZ	Y
+	*	64876	SUTURE NERVE REQ SHORTENING BONE EXTREMITY	690.00	ZZZ	Y
*	*	J1	64885	NERVE GRAFT HEAD/NECK </ 4 CM	3856.80	090	Y	8627.34
*	*	J1	64886	NERVE GRAFT HEAD/NECK >4 CM	4473.60	090	Y	8627.34
*	*	J1	64890	NERVE GRAFT 1 STRAND HAND/FOOT </4 CM	3745.20	090	Y	8627.34
*	*	J1	64891	NRV GRF 1 STRAND HAND/FOOT >4 CM	3973.20	090	Y	8627.34
*	*	J1	64892	NERVE GRAFT 1 STRAND ARM/LEG <4 CM	3615.60	090	Y	8627.34
*	*	J1	64893	NERVE GRAFT 1 STRAND ARM/LEG >4 CM	3894.00	090	Y	8627.34
*	*	J1	64895	NERVE GRAFT MLT STRANDS HAND/FOOT </4 CM	4593.60	090	Y	8627.34
*	*	J1	64896	NERVE GRAFT MLT STRANDS HAND/FOOT > 4 CM	4976.40	090	Y	8627.34
*	*	J1	64897	NERVE GRAFT MLT STRANDS ARM/LEG </4 CM	4378.80	090	Y	8627.34
*	*	J1	64898	NERVE GRAFT MLT STRANDS ARM/LEG >4 CM	4756.80	090	Y	8627.34
+	*	64901	NERVE GRAFT EACH NERVE 1 STRAND	2089.20	ZZZ	Y
+	*	64902	NERVE GRAFT EACH NERVE MULTIPLE STRANDS	2418.00	ZZZ	Y
*	*	J1	64905	NERVE PEDICLE TRANSFER FIRST STAGE	3536.40	090	Y	8627.34
*	*	J1	64907	NERVE PEDICAL TRANSFER SECOND STAGE	4526.40	090	Y	8627.34
*	*	J1	64910	NERVE REPAIR W/CONDUIT EACH NERVE	2746.80	090	Y	8627.34
*	*	J1	64911	NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE	3544.80	090	Y	8627.34
*	*	J1	64912	NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND	2678.40	090	Y	8627.34
+	*	64913	NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND	540.00	ZZZ	Y
*	*	64999	UNLISTED PROCEDURE NERVOUS SYSTEM	BR	YYY	N	351.42
*	*	J1	65091	EVISCERATION OCULAR CONTENTS W/O IMPLANT	2208.00	090	N	5848.19
*	*	J1	65093	EVISCERATION OCULAR CONTENTS W/IMPLANT	2185.20	090	N	5848.19
*	*	J1	65101	ENUCLEATION OF EYE W/O IMPLANT	2564.40	090	N	5848.19
*	*	J1	65103	ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT	2670.00	090	N	5848.19
*	*	J1	65105	ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT	2938.80	090	Y	5848.19
*	*	J1	65110	EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY	4206.00	090	Y	5848.19
*	*	J1	65112	EXENTERATION ORBIT RMVL ORBIT CONTENTS & BONE	4869.60	090	Y	5848.19
*	*	J1	65114	EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP	5102.40	090	Y	5848.19
*	*	J1	65125	MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX	1563.60	090	N	3609.14
*	*	J1	65130	INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL	2540.40	090	N	5848.19
*	*	J1	65135	INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED	2576.40	090	N	5848.19
*	*	J1	65140	INSJ OC IMPLT AFTER ENCL MUSC ATTACHED	2798.40	090	N	5848.19
*	*	J1	65150	REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT	2016.00	090	N	5848.19
*	*	J1	65155	REINSERTION OCULAR IMPLT RNFCMT &/ ATTACH MUSCLE	2928.00	090	N	5848.19
*	*	J1	65175	REMOVAL OCULAR IMPLANT	2286.00	090	N	5848.19
*	*	65205	REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL	157.20	000	N	151.20
*	*	65210	RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR	192.00	000	N	494.39
*	*	65220	RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP	201.60	000	N	494.39
*	*	65222	RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP	231.60	000	N	151.20
*	*	J1	65235	RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS	2431.20	090	N	3707.69
*	*	J1	65260	RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE	3289.20	090	Y	3707.69
*	*	J1	65265	RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ	3694.80	090	Y	3707.69
*	*	J1	65270	RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR	934.80	010	N	3609.14
*	*	J1	65272	RPR LAC CJNC MOBLJ& REARGMT W/O HOSPITALIZATION	1747.20	090	N	3609.14
*	*	65273	RPR LAC CJNC MOBLJ & REARGMT W/HOSPIZATION	1302.00	090	N
*	*	J1	65275	RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY	1986.00	090	N	5848.19
*	*	J1	65280	RPR LAC CORNEA&/SCLERA PERFOR X INVG UVEAL TIS	2292.00	090	N	7014.24
*	*	J1	65285	RPR LAC CORN&/SCLRA PERF W/REPOS/RESCJ UVEAL T	3788.40	090	N	7014.24
*	*	J1	65286	RPR LAC APPL TISSUE GLUE WOUND CORNEA&/SCLERA	2408.40	090	N	3707.69
*	*	J1	65290	RPR WND EXTRAOCULAR MUSCLE TENDON&/TENON CAPSU	1675.20	090	N	5848.19
*	*	65400	EXCISION LESION CORNEA XCP PTERYGIUM	2332.80	090	N	1146.35
*	*	J1	65410	BIOPSY CORNEA	493.20	000	N	3609.14
*	*	J1	65420	EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT	1791.60	090	N	3609.14
*	*	J1	65426	EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG	2251.20	090	N	3609.14
*	*	65430	CORNEA SCRAPING DIAGNOSTIC SMEAR &/CULTURE	397.20	000	N	494.39
*	*	65435	RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION	278.40	000	N	1146.35
*	*	J1	65436	RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT	1326.00	090	N	3609.14
*	*	65450	DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION	1116.00	090	N	402.60
*	*	J1	65600	MULTIPLE PUNCTURES ANTERIOR CORNEA	1365.60	090	N	3609.14
*	*	J1	65710	KERATOPLASTY ANTERIOR LAMELLAR	3811.20	090	Y	7014.24
*	*	J1	65730	KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA	4218.00	090	Y	7014.24
*	*	J1	65750	KERATOPLASTY PENETRAING APHAKIA	4238.40	090	Y	7014.24
*	*	J1	65755	KERATOPLASTY PENETRATING PSEUDOPHAKIA	4216.80	090	Y	7014.24
*	*	J1	65756	KERATOPLASTY ENDOTHELIAL	4038.00	090	Y	7014.24
+	*	65757	BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT	871.20	ZZZ	N
*	*	65760	KERATOMILEUSIS	4296.00	XXX	N
*	*	65765	KERATOPHAKIA	4036.13	XXX	N
*	*	65767	EPIKERATOPLASTY	3757.93	XXX	N
*	*	J1	65770	KERATOPROSTHESIS	4755.60	090	Y	17339.92
*	*	65771	RADIAL KERATOTOMY	690.00	XXX	N	1221.00
*	*	65772	CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM	1545.60	090	N	1146.35
*	*	J1	65775	CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM	1898.40	090	N	3609.14
*	*	65778	PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES	4809.60	000	N	1146.35
*	*	65779	PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED	4141.20	000	N	4224.88
*	*	J1	65780	OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE	2274.00	090	N	5848.19
*	*	J1	65781	OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT	4549.20	090	Y	7014.24
*	*	J1	65782	OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT	3921.60	090	N	5848.19
*	*	J1	65785	IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS	8347.20	090	N	7014.24
*	*	J1	65800	PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX	410.40	000	N	3707.69
*	*	J1	65810	PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX	1587.60	090	N	3707.69
*	*	J1	65815	PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG&/AIR IN	2191.20	090	N	3707.69
*	*	J1	65820	GONIOTOMY	2584.80	090	N	7014.24
*	*	J1	65850	TRABECULOTOMY AB EXTERNO	2864.40	090	N	3707.69
*	*	65855	TRABECULOPLASTY BY LASER SURGERY	841.20	010	N	704.58
*	*	65860	SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX	1057.20	090	N	704.58
*	*	J1	65865	SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE	1615.20	090	N	3707.69
*	*	J1	65870	SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE	2013.60	090	N	3707.69
*	*	J1	65875	SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE	2150.40	090	N	3707.69
*	*	J1	65880	SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL	2263.20	090	N	7014.24
*	*	J1	65900	RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE	3315.60	090	Y	3707.69
*	*	J1	65920	RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE	2689.20	090	N	3707.69
*	*	J1	65930	RMVL BLOOD CLOT ANTERIOR SEGMENT EYE	2170.80	090	N	3707.69
*	*	J1	66020	INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX	651.60	010	N	3707.69
*	*	J1	66030	INJX ANTERIOR CHAMBER EYE MEDICATION SPX	584.40	010	N	3707.69
*	*	J1	66130	EXCISION LESION SCLERA	2394.00	090	N	3609.14
*	*	J1	66150	FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY	2992.80	090	N	7014.24
*	*	J1	66155	FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC	2990.40	090	N	7014.24
*	*	J1	66160	FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT	3372.00	090	N	3707.69
*	*	J1	66170	FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO	3734.40	090	Y	3707.69
*	*	J1	66172	FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING	4068.00	090	Y	3707.69
*	*	J1	66174	TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT	3232.80	090	Y	7014.24
*	*	J1	66175	TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT	3386.40	090	Y	7014.24
*	*	J1	66179	AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT	3679.20	090	Y	7014.24
*	*	J1	66180	AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT	3882.00	090	Y	7014.24
*	*	J1	66183	INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR	3514.80	090	Y	7014.24
*	*	J1	66184	REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT	2680.80	090	Y	3707.69
*	*	J1	66185	REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT	2886.00	090	Y	3707.69
*	*	J1	66225	REPAIR SCLERAL STAPHYLOMA W/GRAFT	3177.60	090	N	7014.24
*	*	J1	66250	REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT	2569.20	090	N	3609.14
*	*	J1	66500	IRIDOTOMY STAB INC SPX XCP TRANSFIXION	1224.00	090	N	3707.69
*	*	J1	66505	IRIDOTOMY STAB INC SPX TRANSFIXION	1340.40	090	N	3707.69
*	*	J1	66600	IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES	2872.80	090	N	7014.24
*	*	J1	66605	IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY	3640.80	090	N	3707.69
*	*	J1	66625	IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX	1464.00	090	N	3707.69
*	*	J1	66630	IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX	1940.40	090	N	3707.69
*	*	J1	66635	IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX	1959.60	090	N	3707.69
*	*	J1	66680	REPAIR IRIS CILIARY BODY	1765.20	090	N	3707.69
*	*	J1	66682	SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE	2206.80	090	N	3707.69
*	*	J1	66700	CILIARY BODY DESTRUCTION DIATHERMY	1543.20	090	N	3707.69
*	*	J1	66710	CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL	1512.00	090	N	3609.14
*	*	J1	66711	CILIARY BODY DSTRJ CYCLOPHOTOCOAG ENDOSCOPIC	2193.60	090	N	3707.69
*	*	J1	66720	CILIARY BODY DESTRUCTION CRYOTHERAPY	1579.20	090	N	3609.14
*	*	J1	66740	CILIARY BODY DESTRUCTION CYCLODIALYSIS	1500.00	090	N	3609.14
*	*	66761	IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION	1020.00	010	N	704.58
*	*	66762	IRIDOPLASTY PHOTOCOAGULATION 1/> SESSIONS	1628.40	090	N	704.58
*	*	66770	DSTRJ CYST/LESION IRIS/CILIARY BODY	1808.40	090	N	704.58
*	*	J1	66820	DISCISSION SECONDARY MEMBRANOUS CATARACT	1375.20	090	N	3707.69
*	*	66821	POST-CATARACT LASER SURGERY	1130.40	090	N	704.58
*	*	J1	66825	REPOSITIONING IO LENS PROSTHESIS REQ INC SPX	2622.00	090	N	3707.69
*	*	J1	66830	RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ	2418.00	090	N	3707.69
*	*	J1	66840	RMVL LENS MATERIAL ASPIR TQ 1/> STAGES	2374.80	090	N	3707.69
*	*	J1	66850	RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR	2702.40	090	N	3707.69
*	*	J1	66852	RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY	2878.80	090	N	7014.24
*	*	J1	66920	RMVL LENS MATERIAL INTRACAPSULAR	2569.20	090	N	3707.69
*	*	J1	66930	REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS	2919.60	090	N	7014.24
*	*	J1	66940	REMOVAL LENS MATERIAL EXTRACAPSULAR	2667.60	090	N	3707.69
*	*	J1	66982	XCAPSULAR CATARACT RMVL INSJ LENS PROSTH 1 STG	2707.20	090	N	3707.69
*	*	J1	66983	ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG	2530.80	090	N	3707.69
*	*	J1	66984	CATARACT REMOVAL INSERTION OF LENS	2179.20	090	N	3707.69
*	*	J1	66985	INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL	2623.20	090	N	3707.69
*	*	J1	66986	EXCHANGE INTRAOCULAR LENS	3099.60	090	N	3707.69
+	*	66990	USE OPHTHALMIC ENDOSCOPE	307.20	ZZZ	N
*	*	J1	66999	UNLISTED PROCEDURE ANTERIOR SEGMENT EYE	BR	YYY	N	3707.69
*	*	J1	67005	RMVL VITREOUS ANT APPR PARTIAL REMOVAL	1611.60	090	N	3707.69
*	*	J1	67010	RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT	1850.40	090	N	3707.69
*	*	J1	67015	ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL	1989.60	090	N	3707.69
*	*	J1	67025	INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX	2502.00	090	N	3707.69
*	*	J1	67027	IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS	2906.40	090	Y	32207.07
*	*	67028	INTRAVITREAL NJX PHARMACOLOGIC AGT SPX	346.80	000	N	409.50
*	*	J1	67030	DISCISSION VITREOUS STRANS PARS PLANA APPROACH	1825.20	090	N	3707.69
*	*	67031	SEVERING VITREOUS STRANS LASER 1/> STAGES	1333.20	090	N	704.58
*	*	J1	67036	VITRECTOMY MECHANICAL PARS PLANA	3073.20	090	Y	7014.24
*	*	J1	67039	VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC	3291.60	090	Y	7014.24
*	*	J1	67040	VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC	3556.80	090	Y	7014.24
*	*	J1	67041	VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE	3930.00	090	Y	7014.24
*	*	J1	67042	VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA	3930.00	090	Y	7014.24
*	*	J1	67043	VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE	4146.00	090	Y	7014.24
*	*	J1	67101	RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX	1128.00	010	N	3707.69
*	*	67105	RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC	1014.00	010	N	704.58
*	*	J1	67107	REPAIR RETINAL DETACHMENT SCLERAL BUCKLING	3862.80	090	Y	7014.24
*	*	J1	67108	RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH	4092.00	090	Y	7014.24
*	*	J1	67110	RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS	3010.80	090	N	3707.69
*	*	J1	67113	RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL	4567.20	090	Y	7014.24
*	*	J1	67115	RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT	1702.80	090	N	7014.24
*	*	J1	67120	RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR	2263.20	090	N	3707.69
*	*	J1	67121	RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR	3097.20	090	Y	3707.69
*	*	67141	PROPH RTA DTCHMNT W/O DRG 1/> SESS CRTX DTHRM	1790.40	090	N	402.60
*	*	67145	PROPH RTA DTCHMNT W/O DRG 1/> SESS	1802.40	090	N	704.58
*	*	67208	DSTRJ LOCLZD LESION RETINA 1/> SESS CRTX DTHRM	2048.40	090	N	402.60
*	*	67210	DSTRJ LOCLZD LESION RETINA 1/> SESS PC	1766.40	090	N	704.58
*	*	J1	67218	DSTRJ LESION RETINA 1/> SESS RADJ IMPLTJ	4725.60	090	N	5848.19
*	*	67220	DSTRJ LESION CHOROID PC 1/> SESS	1821.60	090	N	704.58
*	*	67221	DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY	968.40	000	N	704.58
+	*	67225	DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION	100.80	ZZZ	N
*	*	J1	67227	DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY	1000.80	010	N	5848.19
*	*	67228	TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION	1167.60	010	N	704.58
*	*	67229	EXTENSIVE RETINOPATHY 1/> SESS PRETERM INFANT	3976.80	090	N	704.58
*	*	J1	67250	SCLERAL REINFORCEMENT SPX W/O GRAFT	2713.20	090	N	3609.14
*	*	J1	67255	SCLERAL REINFORCEMENT SPX W/GRAFT	2330.40	090	Y	3707.69
*	*	J1	67299	UNLISTED PROCEDURE POSTERIOR SEGMENT	BR	YYY	N	3707.69
*	*	J1	67311	STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC	2035.20	090	N	3609.14
*	*	J1	67312	STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC	2427.60	090	N	5848.19
*	*	J1	67314	STRABISMUS RECESSION/RESCJ 1 VER MUSC	2292.00	090	N	3609.14
*	*	J1	67316	STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC	2728.80	090	N	3609.14
*	*	J1	67318	STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE	2395.20	090	N	3609.14
+	*	67320	TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC	1100.40	ZZZ	N
+	*	67331	STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC	1044.00	ZZZ	N
+	*	67332	STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY	1132.80	ZZZ	N
+	*	67334	STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION	1030.80	ZZZ	N
+	*	67335	PLACEMENT ADJUSTABLE SUTURE STRABISMUS	505.20	ZZZ	N
+	*	67340	STRABISMUS EXPL&/RPR DETACHED EXTROCULAR MUSC	1222.80	ZZZ	Y
*	*	J1	67343	RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX	2224.80	090	N	3609.14
*	*	67345	CHEMODENERVATION EXTRAOCULAR MUSCLE	835.20	010	N	402.60
*	*	J1	67346	BIOPSY EXTRAOCULAR MUSCLE	660.00	000	N	5848.19
*	*	67399	UNLISTED PROCEDURE EXTRAOCULAR MUSCLE	BR	YYY	Y	402.60
*	*	J1	67400	ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY	3214.80	090	N	5848.19
*	*	J1	67405	ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY	2743.20	090	N	3609.14
*	*	J1	67412	ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION	2961.60	090	N	3609.14
*	*	J1	67413	ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY	2964.00	090	Y	3609.14
*	*	J1	67414	ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN	4574.40	090	Y	5848.19
*	*	J1	67415	FINE NEEDLE ASPIRATION ORBITAL CONTENTS	356.40	000	N	3609.14
*	*	J1	67420	ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION	5553.60	090	Y	5848.19
*	*	J1	67430	ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB	4312.80	090	Y	5848.19
*	*	J1	67440	ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG	4173.60	090	Y	5848.19
*	*	J1	67445	ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN	4838.40	090	Y	5848.19
*	*	J1	67450	ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX	4338.00	090	Y	5848.19
*	*	67500	RETROBULBAR INJECTION MEDICATION SPX	242.40	000	N	402.60
*	*	67505	RETROBULBAR INJECTION ALCOHOL	285.60	000	N	402.60
*	*	67515	INJECTION MEDICATION/OTHER SUBST TENON CAPSULE	268.80	000	N	402.60
*	*	J1	67550	ORBITAL IMPLANT INSERTION	3338.40	090	N	5848.19
*	*	J1	67560	ORBITAL IMPLANT REMOVAL/REVISION	3421.20	090	N	5848.19
*	*	J1	67570	OPTIC NERVE DECOMPRESSION	4074.00	090	Y	5848.19
*	*	67599	UNLISTED PROCEDURE ORBIT	BR	YYY	Y	402.60
*	*	67700	BLEPHAROTOMY DRAINAGE ABSCESS EYELID	938.40	010	N	402.60
*	*	67710	SEVERING TARSORRHAPHY	787.20	010	N	1146.35
*	*	J1	67715	CANTHOTOMY SEPARATE PROCEDURE	848.40	010	N	3609.14
*	*	67800	EXCISION CHALAZION SINGLE	436.80	010	N	402.60
*	*	67801	EXCISION CHALAZION MULTIPLE SAME LID	556.80	010	N	1146.35
*	*	67805	EXCISION CHALAZION MULTIPLE DIFFERENT LIDS	691.20	010	N	402.60
*	*	J1	67808	EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT	1254.00	090	N	3609.14
*	*	67810	INCISIONAL BIOPSY EYELID SKIN & LID MARGIN	598.80	000	N	402.60
*	*	67820	CORRECTION TRICHIASIS EPILATION FORCEPS ONLY	111.60	000	N	151.20
*	*	67825	CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS	445.20	010	N	402.60
*	*	67830	CORRECTION TRICHIASIS INCCISION LID MARGIN	916.80	010	N	1146.35
*	*	J1	67835	CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF	1496.40	090	N	3609.14
*	*	67840	EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE	949.20	010	N	1146.35
*	*	67850	DESTRUCTION LESION LID MARGIN </ 1 CM	735.60	010	N	1146.35
*	*	67875	TEMPORARY CLOSURE EYELIDS SUTURE	595.20	000	N	1146.35
*	*	J1	67880	CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY	1574.40	090	N	3609.14
*	*	J1	67882	CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS	1932.00	090	N	3609.14
*	*	J1	67900	REPAIR BROW PTOSIS	2193.60	090	N	3609.14
*	*	J1	67901	RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL	2630.40	090	N	3609.14
*	*	J1	67902	RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING	2464.80	090	N	5848.19
*	*	J1	67903	RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL	2037.60	090	N	3609.14
*	*	J1	67904	RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL	2512.80	090	N	3609.14
*	*	J1	67906	RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING	1732.80	090	N	5848.19
*	*	J1	67908	RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ	1700.40	090	N	3609.14
*	*	J1	67909	REDUCTION OVERCORRECTION PTOSIS	1843.20	090	N	3609.14
*	*	J1	67911	CORRECTION LID RETRACTION	1916.40	090	N	3609.14
*	*	J1	67912	CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD	3050.40	090	N	3609.14
*	*	J1	67914	REPAIR ECTROPION SUTURE	1623.60	090	N	3609.14
*	*	J1	67915	REPAIR ECTROPION THERMOCAUTERIZATION	1022.40	090	N	3609.14
*	*	J1	67916	REPAIR ECTROPION EXCISION TARSAL WEDGE	2046.00	090	N	3609.14
*	*	J1	67917	REPAIR ECTROPION EXTENSIVE	2083.20	090	N	3609.14
*	*	J1	67921	REPAIR ENTROPION SUTURE	1593.60	090	N	3609.14
*	*	J1	67922	REPAIR ENTROPION THERMOCAUTERIZATION	1004.40	090	N	3609.14
*	*	J1	67923	REPAIR ENTROPION EXCISION TARSAL WEDGE	2046.00	090	N	3609.14
*	*	J1	67924	REPAIR ENTROPION EXTENSIVE	2179.20	090	N	3609.14
*	*	J1	67930	SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK	1251.60	010	N	3609.14
*	*	J1	67935	SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK	2035.20	090	N	3609.14
*	*	67938	REMOVAL EMBEDDED FOREIGN BODY EYELID	862.80	010	N	402.60
*	*	J1	67950	CANTHOPLASTY	1966.80	090	N	3609.14
*	*	J1	67961	EXCISION & REPAIR EYELID < ONE-FOURTH LID MARGIN	1976.40	090	N	3609.14
*	*	J1	67966	EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN	2635.20	090	N	3609.14
*	*	J1	67971	RCNSTJ EYELID FULL THICKNESS 1 STG	2469.60	090	N	3609.14
*	*	J1	67973	RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG	3176.40	090	Y	3609.14
*	*	J1	67974	RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG	3169.20	090	Y	5848.19
*	*	J1	67975	RCNSTJ EYELID FULL THICKNESS SECOND STAGE	2336.40	090	N	3609.14
*	*	67999	UNLISTED PROCEDURE EYELIDS	BR	YYY	N	402.60
*	*	68020	INCISION CONJUNCTIVA DRAINAGE OF CYST	412.80	010	N	1146.35
*	*	68040	EXPRESSION CONJUNCTIVAL FOLLICLES	213.60	000	N	402.60
*	*	J1	68100	BIOPSY CONJUNCTIVA	596.40	000	N	3609.14
*	*	J1	68110	EXCISION LESION CONJUNCTIVA </1 CM	787.20	010	N	3609.14
*	*	J1	68115	EXCISION LESION CONJUNCTIVA > 1 CM	1088.40	010	N	3609.14
*	*	J1	68130	EXCISION LESION CONJUNCTIVA ADJACENT SCLERA	1857.60	090	N	3609.14
*	*	J1	68135	DESTRUCTION LESION CONJUNCTIVA	538.80	010	N	3609.14
*	*	68200	SUBCONJUNCTIVAL INJECTION	141.60	000	N	151.20
*	*	J1	68320	CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT	2498.40	090	N	3609.14
*	*	J1	68325	CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT	2242.80	090	N	5848.19
*	*	J1	68326	CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT	2202.00	090	N	5848.19
*	*	J1	68328	CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT	2414.40	090	N	3609.14
*	*	J1	68330	RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT	2086.80	090	N	3707.69
*	*	J1	68335	RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB	2210.40	090	N	5848.19
*	*	J1	68340	RPR & DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE	1923.60	090	N	3609.14
*	*	J1	68360	CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX	1836.00	090	N	5848.19
*	*	J1	68362	CONJUNCTIVAL FLAP TOTAL	2240.40	090	N	3609.14
*	*	J1	68371	HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR	1408.80	010	N	3609.14
*	*	68399	UNLISTED PROCEDURE CONJUNCTIVA	BR	YYY	N	402.60
*	*	68400	INCISION DRAINAGE LACRIMAL GLAND	988.80	010	N	1146.35
*	*	J1	68420	INCISION DRAINAGE LACRIMAL SAC	1113.60	010	N	3609.14
*	*	68440	SNIP INCISION LACRIMAL PUNCTUM	350.40	010	N	402.60
*	*	J1	68500	EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL	3344.40	090	N	5848.19
*	*	J1	68505	EXCISION LACRIMAL GLAND XCPT TUMOR PRTL	3328.80	090	N	5848.19
*	*	J1	68510	BIOPSY LACRIMAL GLAND	1540.80	000	N	3609.14
*	*	J1	68520	EXCISION LACRIMAL SAC	2352.00	090	N	5848.19
*	*	J1	68525	BIOPSY LACRIMAL SAC	902.40	000	N	3609.14
*	*	68530	RMVL FB/DACRYOLITH LACRIMAL PASSAGES	1471.20	010	N	402.60
*	*	J1	68540	EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH	3181.20	090	N	3609.14
*	*	J1	68550	EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY	3903.60	090	N	5848.19
*	*	J1	68700	PLASTIC REPAIR CANALICULI	2060.40	090	N	3609.14
*	*	68705	CORRECTION EVERTED PUNCTUM CAUTERY	838.80	010	N	402.60
*	*	J1	68720	DACRYOCSTORHINOSTOMY	2592.00	090	Y	5848.19
*	*	J1	68745	CONJUNCTIVORHINOSTOMY W/O TUBE	2602.80	090	Y	5848.19
*	*	J1	68750	CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT	2698.80	090	Y	5848.19
*	*	68760	CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER	710.40	010	N	402.60
*	*	68761	CLSR LACRIMAL PUNCTUM PLUG EACH	506.40	010	N	402.60
*	*	J1	68770	CLOSURE LACRIMAL FISTULA SPX	2145.60	090	N	3609.14
*	*	68801	DILATION LACRIMAL PUNCTUM W/WO IRRGATION	308.40	010	N	494.39
*	*	68810	PROBE NASOLACRIMAL DUCT W/WO IRRIGATION	536.40	010	N	402.60
*	*	J1	68811	PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES	464.40	010	N	3609.14
*	*	J1	68815	PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT	1345.20	010	N	3609.14
*	*	J1	68816	PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION	2460.00	010	N	3609.14
*	*	68840	PROBE LACRIMAL CANALICULI W/WO IRRIGATION	440.40	010	N	402.60
*	*	68850	INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY	214.80	000	N
*	*	68899	UNLISTED PROCEDURE LACRIMAL SYSTEM	BR	YYY	N	402.60
*	*	69000	DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE	634.80	010	N	822.66
*	*	J1	69005	DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX	735.60	010	N	2734.29
*	*	69020	DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS	788.40	010	N	822.66
*	*	69090	EAR PIERCING	92.40	XXX	N
*	*	69100	BIOPSY EXTERNAL EAR	334.80	000	N	292.72
*	*	J1	69105	BIOPSY EXTERNAL AUDITORY CANAL	478.80	000	N	2543.11
*	*	J1	69110	EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR	1560.00	090	N	4742.07
*	*	J1	69120	EXCISION EXTERNAL EAR COMPLETE AMPUTATION	1365.60	090	N	8765.29
*	*	J1	69140	EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL	3002.40	090	N	8765.29
*	*	J1	69145	EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL	1336.80	090	N	4742.07
*	*	J1	69150	RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ	3540.00	090	N	8765.29
*	*	69155	RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ	5643.60	090	Y
*	*	69200	RMVL FB XTRNL AUDITORY CANAL W/O ANES	278.40	000	N	151.20
*	*	J1	69205	RMVL FB XTRNL AUDITORY CANAL ANES	338.40	010	N	2734.29
*	*	69209	REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	48.00	000	N	79.38
*	*	69210	REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	160.80	000	N	79.38
*	*	69220	DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE	274.80	000	N	250.56
*	*	69222	DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX	734.40	010	N	691.72
*	*	J1	69300	OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ	2181.60	YYY	N	4449.71
*	*	J1	69310	RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX	3724.80	090	N	8765.29
*	*	J1	69320	RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG	5226.00	090	Y	8765.29
*	*	69399	UNLISTED PROCEDURE EXTERNAL EAR	BR	YYY	N	292.72
*	*	69420	MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ	643.20	010	N	292.72
*	*	J1	69421	MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ ANES	506.40	010	N	4449.71
*	*	69424	VENTILATING TUBE RMVL REQUIRING GENERAL ANES	435.60	000	N	3168.40
*	*	69433	TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA	680.40	010	N	691.72
*	*	J1	69436	TYMPANOSTOMY GENERAL ANESTHESIA	541.20	010	N	2543.11
*	*	J1	69440	MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC	2346.00	090	N	4449.71
*	*	J1	69450	TYMPANOLYSIS TRANSCANAL	1856.40	090	N	4449.71
*	*	J1	69501	TRANSMASTOID ANTROTOMY	2474.40	090	N	8765.29
*	*	J1	69502	MASTOIDECTOMY COMPLETE	3283.20	090	N	8765.29
*	*	J1	69505	MASTOIDECTOMY MODIFIED RADICAL	4113.60	090	N	8765.29
*	*	J1	69511	MASTOIDECTOMY RADICAL	4215.60	090	N	8765.29
*	*	J1	69530	PETROUS APICECTOMY RADICAL MASTOIDECTOMY	5655.60	090	Y	8765.29
*	*	69535	RESCJ TEMPORAL BONE EXTERNAL APPROACH	9205.20	090	N
*	*	J1	69540	EXCISION AURAL POLYP	704.40	010	N	2543.11
*	*	J1	69550	EXCISION AURAL GLOMUS TUMOR TRANSCANAL	3558.00	090	Y	8765.29
*	*	J1	69552	EXCISION AURAL GLOMUS TUMOR TRANSMASTOID	5370.00	090	Y	8765.29
*	*	69554	EXCISION AURAL GLOMUS TUMOR EXTENDED	8622.00	090	Y
*	*	J1	69601	REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY	3540.00	090	N	8765.29
*	*	J1	69602	REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC	3714.00	090	N	8765.29
*	*	J1	69603	REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY	4311.60	090	N	8765.29
*	*	J1	69604	REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY	3799.20	090	N	8765.29
*	*	J1	69605	REVJ MASTOIDECTOMY W/APICECTOMY	5336.40	090	Y	8765.29
*	*	J1	69610	TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH	1299.60	010	N	4449.71
*	*	J1	69620	MYRINGOPLASTY	2378.40	090	N	4449.71
*	*	J1	69631	TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ	3015.60	090	N	8765.29
*	*	J1	69632	TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ	3678.00	090	N	8765.29
*	*	J1	69633	TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP	3565.20	090	N	8765.29
*	*	J1	69635	TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ	4246.80	090	N	8765.29
*	*	J1	69636	TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ	4720.80	090	N	8765.29
*	*	J1	69637	TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP	4788.00	090	N	8765.29
*	*	J1	69641	TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ	3554.40	090	N	8765.29
*	*	J1	69642	TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ	4569.60	090	N	8765.29
*	*	J1	69643	TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR	4174.80	090	N	8765.29
*	*	J1	69644	TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR	5061.60	090	N	8765.29
*	*	J1	69645	TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR	4972.80	090	N	8765.29
*	*	J1	69646	TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR	5292.00	090	N	8765.29
*	*	J1	69650	STAPES MOBILIZATION	2739.60	090	N	4449.71
*	*	J1	69660	STAPEDECTOMY/STAPEDOTOMY	3163.20	090	N	8765.29
*	*	J1	69661	STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT	4122.00	090	N	8765.29
*	*	J1	69662	REVISION STAPEDECTOMY/STAPEDOTOMY	3954.00	090	N	8765.29
*	*	J1	69666	REPAIR OVAL WINDOW FISTULA	2755.20	090	N	4449.71
*	*	J1	69667	REPAIR ROUND WINDOW FISTULA	2766.00	090	N	4449.71
*	*	J1	69670	MASTOID OBLITERATION SEPARATE PROCEDURE	3218.40	090	Y	8765.29
*	*	J1	69676	TYMPANIC NEURECTOMY	2832.00	090	N	4449.71
*	*	J1	69700	CLOSURE POSTAURICULAR FISTULA MASTOID SPX	2316.00	090	N	2543.11
*	*	69710	IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE	3990.00	XXX	N	3728.20
*	*	J1	69711	RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE	2914.80	090	Y	4449.71
*	*	J1	69714	IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID	3656.40	090	N	19120.53
*	*	J1	69715	IMPLJ OSSEOINTEGRATED TEMPORAL BONE W/O MASTOID	4515.60	090	N	26078.68
*	*	J1	69717	RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY	3831.60	090	N	10775.65
*	*	J1	69718	RPLMCT OSSEOINTEGRATE IMPLNT W/MASTOIDECTOMY	4561.20	090	N	19120.53
*	*	J1	69720	DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION	4099.20	090	N	8765.29
*	*	J1	69725	DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE	6427.20	090	Y	8765.29
*	*	J1	69740	SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE	3986.40	090	Y	8765.29
*	*	J1	69745	SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE	4242.00	090	Y	8765.29
*	*	69799	UNLISTED PROCEDURE MIDDLE EAR	BR	YYY	N	292.72
*	*	J1	69801	LABYRINTHOTOMY TRANSCANAL	699.60	000	N	2543.11
*	*	J1	69805	ENDOLYMPHATIC SAC W/O SHUNT	3578.40	090	Y	8765.29
*	*	J1	69806	ENDOLYMPHATIC SAC SHUNT	3194.40	090	N	8765.29
*	*	J1	69905	LABYRINTHECTOMY TRANSCANAL	3127.20	090	N	8765.29
*	*	J1	69910	LABYRINTHECTOMY W/MASTOIDECTOMY	3444.00	090	N	8765.29
*	*	J1	69915	VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR	5233.20	090	Y	4449.71
*	*	J1	69930	COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY	4183.20	090	N	50908.68
*	*	69949	UNLISTED PROCEDURE INNER EAR	BR	YYY	N	292.72
*	*	69950	VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH	6073.20	090	Y
*	*	J1	69955	TOTAL FACIAL NERVE DECOMPRESSION &/REPAIR	6747.60	090	Y	8765.29
*	*	J1	69960	DECOMPRESSION INTERNAL AUDITORY CANAL	6555.60	090	Y	8765.29
*	*	J1	69970	REMOVAL TUMOR TEMPORAL BONE	7326.00	090	Y	8765.29
*	*	69979	UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA	BR	YYY	N	292.72
+	*	69990	MICROSURG TQS REQ USE OPERATING MICROSCOPE	768.00	ZZZ	Y

20 Miss. Code. R. 2-VI

Amended 6/14/2017

Amended 6/15/2019