Public data · Federal IDR

    The out-of-network payment picture.

    See how federal IDR disputes were decided. Explore dollar benchmarks by procedure and region, then compare reported outcomes across payers.

    Reporting periodQ4 2025
    CPT codes in the data3,715

    MedRes analysis of CMS public-use files · Released Jul 22, 2026 · Updated Sep 17, 2026

    Sources & methodology
    Q4 2025 · Federal IDR

    Explore reimbursement by CPT code

    Historical out-of-network payment determinations, with initial payments shown separately. Dollar records do not identify the payer.

    3,715 CPT codes · select a code to compare regions and payers

    Scroll the table sideways to see all metrics.

    CPT codes — dollar payment determinations, Q4 2025
    CPT / PROCEDUREMEDIAN DETERMINATIONMIDDLE 50%INITIAL PAYMENTVALID AWARDSOpen code
    99284Emergency department visit, level 4$759n = 221,538$573 – $2,314$174n = 217,445221,538
    99285Emergency department visit, level 5$970n = 127,082$762 – $1,609$268n = 124,894127,082
    99283Emergency department visit, level 3$1,336n = 67,665$446 – $2,873$107n = 66,67567,665
    71045Chest X-ray, single view$57n = 22,369$36 – $122$11n = 22,65622,369
    85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$268n = 20,260$128 – $309$24n = 19,36720,260
    74177CT of the abdomen and pelvis with contrast$1,100n = 19,950$429 – $1,876$136n = 19,68819,950
    99291Critical care, first 30–74 minutes$1,118n = 17,251$837 – $1,855$301n = 17,93717,251
    80053Blood test, comprehensive group of blood chemicals$606n = 16,683$180 – $824$30n = 15,96216,683
    77067Screening mammography$192n = 14,844$179 – $193$67n = 15,00814,844
    71046Chest X-ray, two views$127n = 13,810$52 – $348$13n = 13,65813,810

    1–10 of 3715

    1 / 372

    A determination is the selected out-of-network payment amount, not additional recovery or verified cash received. Initial-payment and determination medians may use different observations. Small cohorts are omitted; totals can exceed the visible rows. Read the methodology.

    What this data can tell you

    Compare the distribution of reported outcomes, the number of observations behind them, and differences between service settings. Every metric here comes from published federal IDR records; it is independent of MedRes client performance.

    Keep the claim context in view

    These are selected disputes that reached a determination. Awards are not verified collections. CPT codes alone do not establish eligibility, and professional, technical and other modifiers are pooled in this release.

    Review eligibility factors

    Reading the benchmarks

    What do these out-of-network benchmarks measure?

    They summarize federal IDR payment determinations closed in Q4 2025. They are not contracted fee schedules, all out-of-network paid claims, expected recovery, or MedRes client results.

    Why are dollar benchmarks and payer outcomes separate?

    CMS publishes payer-named outcome records and a separate anonymous dollar file. The files do not share reliable dispute identifiers. We calculate each view independently and do not infer payer-specific dollar awards.

    Why are some codes or cohorts missing?

    The directory includes every explicitly reported CPT code in the Q4 2025 dollar and named emergency/non-emergency files. Codes with fewer than 11 usable dollar awards open in payer view. We exclude bundled primary and component records, and only display metrics supported by at least 11 valid observations. Missing or suppressed data are not zero.

    Browse 1,435 CPT codes with reportable outcomes

    This directory includes codes with at least 11 valid observations for a reported metric. Use the explorer above to search all 3,715 codes, including codes with smaller samples.

    Emergency medicine 7 codes
    99284Emergency department visit, level 499285Emergency department visit, level 599283Emergency department visit, level 399291Critical care, first 30–74 minutes99282Emergency department visit with straightforward medical decision making99292Critical care, each additional 30 minutes99281Emergency department visit for problem that may not require health care professional
    Radiology 249 codes
    71045Chest X-ray, single view74177CT of the abdomen and pelvis with contrast77067Screening mammography71046Chest X-ray, two views70450CT of the head without contrast77063Screening breast tomosynthesis74176CT of the abdomen and pelvis without contrast71275CT angiography of the chest76705Limited abdominal ultrasound74018Abdominal X-ray, single view72125CT scan of upper spine without contrast73630X-ray of foot, minimum of 3 views76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina70498CT scan of blood vessels of neck with contrast70496CT scan of blood vessels of head with contrast73610X-ray of ankle, minimum of 3 views71260CT scan of chest with contrast71250CT scan of chest without contrast76856Complete ultrasound scan of pelvis72131CT scan of lower spine without contrast73562X-ray of knee, 3 views73030X-ray of shoulder, minimum of 2 views73130X-ray of hand, minimum of 3 views70551MRI scan of brain without contrast70553MRI scan of brain before and after contrast76642Limited ultrasound scan of 1 breast76641Complete ultrasound scan of 1 breast73110X-ray of wrist, minimum of 3 views72148MRI scan of lower spinal canal without contrast76817Vaginal ultrasound of pregnant uterus76815Limited ultrasound of pregnant uterus70486CT scan of face without contrast73721MRI scan of leg joint without contrast76536Ultrasound scan of head and neck soft tissue76770Complete ultrasound scan behind abdominal cavity76700Complete ultrasound scan of abdomen72100X-ray of lower and sacral spine, 2-3 views77066Diagnostic mammography of both breasts77065Diagnostic mammography of 1 breast70491CT scan of soft tissue of neck with contrast74174CT scan of blood vessels of abdomen and pelvis with contrast72141MRI scan of upper spinal canal without contrast76870Ultrasound scan of scrotum73590X-ray of lower leg, 2 views77080DXA bone density measurement of hip, pelvis, spine73502X-ray of hip, 2-3 views74183MRI scan of abdomen before and after contrast76801Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus73080X-ray of elbow, minimum of 3 views73090X-ray of forearm, 2 views73140X-ray of finger, minimum of 2 views73560X-ray of knee, 1-2 views73221MRI scan of arm joint without contrast73700CT scan of leg without contrast74178CT scan of abdomen and pelvis before and after contrast72128CT scan of middle spine without contrast76819Ultrasound scan of fetus72040X-ray of upper spine, 2-3 views72197MRI scan of pelvis before and after contrast73564X-ray of knee, 4 or more views76882Limited ultrasound scan of joint or other extremity structure except blood vessels78815Nuclear medicine study from skull base to mid-thigh with CT scan72170X-ray of pelvis, 1-2 views77049MRI scan of both breasts74019X-ray of abdomen, 2 views74181MRI scan of abdomen without contrast76857Limited ultrasound scan of pelvis71101X-ray of ribs on side of body, minimum of 3 views73552X-ray of thigh bone, minimum 2 views73060X-ray of upper arm, minimum of 2 views72156MRI scan of upper spinal canal before and after contrast70544MRI scan of blood vessels of head without contrast71271Low dose CT scan of chest for lung cancer screening72146MRI scan of middle spinal canal without contrast72158MRI scan of lower spinal canal before and after contrast73070X-ray of elbow, 2 views75574CT scan of blood vessels and grafts of heart with contrast72110X-ray of lower and sacral spine, minimum of 4 views72132CT scan of lower spine with contrast76937Ultrasonic guidance for blood vessel access73620X-ray of foot, 2 views73200CT scan of arm without contrast73718MRI scan of leg without contrast72192CT scan of pelvis without contrast73660X-ray of toe, minimum of 2 views72157MRI scan of middle spinal canal before and after contrast76942Ultrasonic guidance for needle placement78227Nuclear medicine study of liver and bile duct system with use of drugs72070X-ray of middle spine, 2 views72129CT scan of middle spine with contrast76775Limited ultrasound scan behind abdominal cavity77012Review by radiologist of CT guidance for needle placement70487CT scan of face with contrast77001Fluoroscopic guidance for insertion or removal of central vein access device70360X-ray of soft tissue of neck76506Ultrasound scan of brain73600X-ray of ankle, 2 views76000Imaging guidance for procedure, 60 minutes or less72072X-ray of middle spine, 3 views75571CT scan of heart with evaluation of blood vessel calcium74240Single contrast X-ray of upper digestive tract70490CT scan of soft tissue of neck without contrast70543MRI scan of bone of eye socket, face, and/or neck before and after contrast73701CT scan of leg with contrast material74230Imaging for evaluation of swallowing function78264Nuclear medicine study of stomach to assess emptying72050X-ray of upper spine, 4-5 views73000X-ray of collar bone73100X-ray of wrist, 2 views70480CT scan of cranial cavity without contrast73120X-ray of hand, 2 views76604Ultrasound scan of chest70547MRI scan of blood vessels of neck without contrast74170CT scan of abdomen before and after contrast72195MRI scan of pelvis without contrast77002Fluoroscopic guidance for needle placement74220Single contrast X-ray of esophagus78226Nuclear medicine study of liver and bile duct system72193CT scan of pelvis with contrast74022X-ray series of abdomen with single X-ray of chest763763D radiographic procedure76981Ultrasound scan of organ tissue for measuring elasticity74246Double contrast X-ray of upper digestive tract71100X-ray of ribs on side of body, 2 views72082X-ray of entire middle and lower spine, 2-3 views74221Double contrast X-ray of esophagus78306Nuclear medicine study of bone and/or joint whole body770613D breast mammography of 1 breast72220X-ray of sacrum and tailbone, minimum of 2 views770623D breast mammography of both breasts70470CT scan of head or brain before and after contrast76805Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus78452Nuclear medicine studies of heart muscle at rest and with stress and SPECT73222MRI scan of arm joint with contrast73522X-ray of both hips, 3-4 views75635CT scan of abdominal aorta and both leg arteries with contrast76816Follow-up ultrasound scan of pregnant uterus74250Single contrast X-ray of small intestine71270CT scan of chest before and after contrast70481CT scan of cranial cavity with contrast77003Fluoroscopic guidance for spine or back muscle injection77092Interpretation of trabecular bone score (TBS) and report on fracture risk73218MRI scan of arm without contrast78195Nuclear medicine study of lymphatic system78582Nuclear medicine study of lung ventilation and circulation76776Ultrasound scan of transplanted kidney70548MRI scan of blood vessels of neck with contrast74300Review by radiologist of bile and/or pancreatic duct image during surgery763773D radiographic procedure with computerized image postprocessing76820Ultrasound scan of fetal umbilical artery blood flow rate76885Ultrasound scan of infant hip during movement70549MRI scan of blood vessels of neck before and after contrast72020X-ray of spine, 1 view72114X-ray lower and sacral spine, minimum of 6 views73521X-ray of both hips, 2 views70545MRI scan of blood vessels of head with contrast74160CT scan of abdomen with contrast74175CT scan of blood vessels of abdomen with contrast73706CT scan of blood vessels of lower leg with contrast76391MRI and low frequency vibrations for measuring tissue stiffness77072X-ray for estimating bone age73720MRI scan of leg before and after contrast76706Ultrasound scan of abdominal aorta70220X-ray of paranasal sinus, minimum of 3 views73723MRI scan of leg joint before and after contrast78708Nuclear medicine study of kidney, blood, flow, and function with drug administration70552MRI scan of brain with contrast73201CT scan of arm with contrast73220MRI scan of arm before and after contrast70492CT scan of soft tissue of neck before and after contrast74248Follow-through X-ray of small intestines78803Nuclear medicine study, SPECT imaging, 1 area or single acquisition, single day imaging73523X-ray of both hips, minimum of 5 views75970Review by radiologist of image for biopsy of blood vessel with tube70160X-ray of nose bones, minimum of 3 views73223MRI scan of arm joint before and after contrast74150CT scan of abdomen without contrast72202X-ray of joint between lower spine and hip bone, 3 or more views73650X-ray of heel, minimum of 2 views76010X-ray from nose to rectum72126CT scan of upper spine with contrast73020X-ray of shoulder, 1 view73501X-ray of hip, 1 view74270Single contrast X-ray of large intestine75774Review by radiologist of additional artery image78315Nuclear medicine study of bone taken at different times70250X-ray of skull, 1-3 views72052X-ray of upper spine, 6 or more views73722MRI scan of leg joint with contrast78709Nuclear medicine studies of kidney, blood flow, and function78816Nuclear medicine study whole body with CT scan70030X-ray of eye for detection of foreign body70110X-ray of lower jaw, minimum of 4 views70150X-ray of face bones, minimum of 3 views70210X-ray of paranasal sinus, 1-2 views70260X-ray of skull, minimum of 4 views70355X-ray of lower jaws, upper jaws and teeth70460CT scan head or brain with contrast70488CT scan of face before and after contrast70540MRI scan of bone of eye socket, face, and/or neck without contrast70546MRI scan of blood vessels of head before and after contrast71047X-ray of chest, 3 views71110X-ray of ribs on both sides of body, 3 views71111X-ray of ribs on both sides of body, minimum of 4 views71550MRI scan of chest without contrast71552MRI scan of chest before and after contrast72074X-ray of middle spine, minimum of 4 views72080X-ray of middle and lower spine, 2 views72081X-ray of entire middle and lower spine, 1 view72190X-ray of pelvis, minimum of 3 views72200X-ray of joint between lower spine and hip bone, 1-2 views73010X-ray of shoulder blade73040Review by radiologist of shoulder joint image73206CT scan of blood vessels of arm with contrast73503X-ray of hip, minimum of 4 views73551X-ray of thigh bone, 1 view73565X-ray of both knees while standing74021X-ray of abdomen, minimum of 3 views74328Review by radiologist of image from tube placement into bile duct using an endoscope74420Imaging of urinary tract following injection of a contrast agent74740Review by radiologist of uterine tube and ovary image75561MRI scan of heart before and after contrast75565MRI scan of blood flow of heart75580Analysis of data from CT study of heart blood vessels to assess severity of heart artery disease, with interpretation and report75710Review by radiologist of arm or leg artery image75726Review by radiologist of abdominal artery image75736Review by radiologist of pelvis artery image75820Review by radiologist of 1 arm or leg vein of 1 arm or leg image75889Review by radiologist of liver vein image with assessment of blood flow75894Review by radiologist of image for insertion of material to block blood flow75898Imaging of blood vessel75984Review by radiologist of image for replacement of stomach or large bowel tube76080Review by radiologist of abscess or sinus cavity study76098X-ray of surgical specimen76380Limited or follow-up CT scan76800Ultrasound scan of spinal canal76818Ultrasound and monitoring of heart of fetus76872Ultrasound scan of pelvic region through rectum76881Complete ultrasound scan of joint76998Ultrasonic guidance during surgery77075Complete X-ray of body bones78014Nuclear medicine study of thyroid and thyroid function78018Nuclear medicine study of whole body for thyroid cancer78070Nuclear medicine study of parathyroid78071Nuclear medicine study of parathyroid with SPECT78072Nuclear medicine study of parathyroid with SPECT and CT scan78580Nuclear medicine study of lung circulation78814Nuclear medicine study limited area with CT scan78830Nuclear medicine study, SPECT imaging with concurrent CT scan, 1 area or single acquisition, single day imaging
    Laboratory 197 codes
    85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count80053Blood test, comprehensive group of blood chemicals81003Automated urinalysis test84484Troponin (protein) analysis, quantitative87880Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep)81025Urine pregnancy test87804Detection test by immunoassay with direct visual observation for influenza virus82150Amylase (enzyme) level85027Complete blood cell count (red cells, white blood cell, platelets), automated test82977Glutamyltransferase (liver enzyme) level82550Creatine kinase (cardiac enzyme) level, total80048Blood test, basic group of blood chemicals (Calcium, total)83690Lipase (fat enzyme) level87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus82947Blood glucose (sugar) level83735Magnesium level84703Gonadotropin (reproductive hormone) analysis83605Lactic acid level82565Blood creatinine level80051Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)84520Urea nitrogen level to assess kidney function, quantitative80076Liver function blood test panel85379Coagulation function measurement, D-dimer; quantitative81001Manual urinalysis test with examination using microscope, automated87086Bacterial colony count, urine82553Creatine kinase (cardiac enzyme) level, MB fraction only87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza83880Natriuretic peptide (heart and blood vessel protein) level83874Myoglobin (muscle protein) level84702Gonadotropin, chorionic (reproductive hormone) level87633Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 12-25 targets86140Measurement C-reactive protein for detection of infection or inflammation82040Albumin (protein) level84075Phosphatase (enzyme) level, alkaline84450Liver enzyme (SGOT), level84460Liver enzyme (SGPT), level82247Bilirubin level, total84155Total protein level, blood85610Blood test, clotting time87081Screening test for pathogenic organisms87040Bacterial blood culture80305Testing for presence of drug, read by direct observation80307Testing for presence of drug, by chemistry analyzers81420Test for detecting genes associated with fetal disease, aneuploidy genomic sequence analysis panel87635Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen87798Detection test by nucleic acid for organism, amplified probe technique80069Kidney function blood test panel87637Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID-19), influenza virus types A and B, and respiratory syncytial virus87631Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets85730Coagulation assessment blood test, plasma or whole blood0202UTest for detection of respiratory disease-causing organisms from back of nose and throat (nasopharynx) specimen, 22 target organisms including severe acute respiratory syndrome coronavirus 286308Screening test for mononucleosis (mono)84443Blood test, thyroid stimulating hormone (TSH)84100Phosphate level87591Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique80047Blood test, basic group of blood chemicals (Calcium, ionized)87491Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique87632Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 6-11 targets81007Urinalysis for bacteria84550Uric acid level, blood87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (COVID-19)81002Urinalysis, manual test87088Bacterial urine culture82803Blood gases measurement87581Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), amplified probe technique82962Blood glucose (sugar) test performed by hand-held instrument84439Thyroxine (thyroid chemical), free87486Detection test by nucleic acid for Chlamydia pneumoniae, amplified probe technique87186Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution87651Detection test by nucleic acid for Strep (Streptococcus, group A), amplified probe technique86901Blood typing for Rh (D) antigen86900Blood group typing (ABO)88305Pathology examination of tissue using a microscope, intermediate complexity80320Alcohols levels87807Detection test by immunoassay with direct visual observation for respiratory syncytial virus85007Microscopic examination for white blood cells with manual cell count82948Blood glucose (sugar) measurement using reagent strip88313Special stained specimen slides to examine tissue including interpretation and report86677Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)87070Bacterial culture, any other source except urine, blood or stool, aerobic87077Bacterial culture for aerobic isolates86850Screening test for red blood cell antibodies84481Thyroid hormone, T3 measurement, free87507Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets83036Hemoglobin A1C level0241URespiratory infectious agent detection by RNA for severe acute respiratory syndrome coronavirus 2 (COVID 19), influenza A, influenza B, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected87205Special Gram or Giemsa stain for microorganism82075Measurement of alcohol level in breath specimen88342Special stained specimen slides to examine tissue, initial procedure80061Blood test, lipids (cholesterol and triglycerides)86592Syphilis detection test85652Red blood cell sedimentation rate, to detect inflammation, automated87184Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)87661Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique87389Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies80074Acute hepatitis panel88312Special stained specimen slides to identify organisms including interpretation and report82554Creatine kinase (cardiac enzyme) level, isoforms0326UTargeted genomic sequence analysis of 83 or more genes in cell free circulating DNA for detection of abnormalities associated with solid organ cancers82077Measurement of alcohol level in specimen other than breath or urine86141Measurement C-reactive protein for detection of infection or inflammation, high sensitivity87582Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), quantification87420Detection test by immunoassay technique for respiratory syncytial virus (RSV)80329Analgesics levels, 1 or 287076Bacterial culture for anaerobic isolates84145Procalcitonin (hormone) level80050General health panel86891Processing and storage of blood unit or component, intra- or postoperative salvage87046Stool culture, additional pathogens0242UGene analysis of 55-74 genes associated with solid organ cancer in cell-free circulating DNA, targeted genomic sequence analysis panel82607Cyanocobalamin (vitamin B-12) level88341Special stained specimen slides to examine tissue, each additional procedure85380Coagulation function measurement, ultrasensitive, qualitative or semiquantitative0340UDNA assays for detection of minimal residual disease in cancer0351UBiochemical assays for markers of bacterial infection87210Smear for infectious agents82657Enzyme activity measurement, nonradioactive substrate85651Red blood cell sedimentation rate, to detect inflammation, non-automated82805Blood gases measurement, with O2 saturation80143Measurement of acetaminophen87481Detection test for candida species (yeast), amplified probe technique86738Analysis for antibody to Mycoplasma (bacteria)86923Blood unit compatibility test, electronic81514Measurement of DNA of bacteria in vaginal fluid specimen82010Ketone bodies analysis, quantitative86480Tuberculosis test, gamma interferon81000Manual urinalysis test with examination using microscope, non-automated81513Measurement of RNA of bacteria in vaginal fluid specimen87510Detection test for gardnerella vaginalis (bacteria), direct probe technique87529Detection test by nucleic acid for herpes simplex virus, amplified probe technique81329Gene analysis (survival of motor neuron 1, telomeric) for dosage/deletion81443Genomic sequence analysis panel for severe inherited conditions with sequencing of 15 or more genes86780Analysis for antibody, Treponema pallidum87265Detection test for bordetella pertussis or parapertussis (respiratory bacteria)80177Levetiracetam level81220Gene analysis (cystic fibrosis transmembrane conductance regular) common variants86703Analysis for antibody to HIV-1 and HIV-2 virus87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID-19) and influenza virus types A and B87801Detection test by nucleic acid for multiple organisms, amplified probe(s) technique80354Fentanyl level82330Calcium level, ionized82746Folic acid level, serum85014Red blood cell concentration measurement85018Blood count, hemoglobin85378Coagulation function measurement, qualitative or semiquantitative87660Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), direct probe technique88304Pathology examination of tissue using a microscope, moderately low complexity0240URespiratory infectious agent detection by RNA for severe acute respiratory syndrome coronavirus 2 (COVID-19), influenza A, and influenza B) in upper respiratory specimen, each reported as detected or not detected80178Lithium level80179Measurement of salicylate81432Test for detecting genes associated with inherited breast cancer-related disorders82009Ketone bodies analysis, qualitative82140Ammonia level82248Bilirubin level, direct82270Stool analysis for blood to screen for colon tumors82272Stool analysis for blood, by peroxidase activity82274Stool analysis for blood, by fecal hemoglobin determination by immunoassay82306Vitamin D-3 level82310Calcium level, total82375Carboxyhemoglobin (protein) level82570Creatinine level to test for kidney function or muscle injury82728Ferritin (blood protein) level83050Methemoglobin (hemoglobin) analysis, quantitative83540Iron level83550Iron binding capacity83615Lactate dehydrogenase (enzyme) level83930Blood osmolality (concentration) measurement84132Blood potassium level84156Total protein level, urine84436Thyroxine (thyroid chemical), total84480Thyroid hormone, T3 measurement, total85044Red blood count, manual test85045Red blood count, automated test85384Fibrinogen (factor 1) activity measurement86038Screening test for autoimmune disorder86695Analysis for antibody to Herpes simplex virus, type 186696Analysis for antibody to Herpes simplex virus, type 286704Hepatitis B core antibody measurement86706Hepatitis B surface antibody measurement86803Hepatitis C antibody measurement87045Stool culture87075Bacterial culture, any source, except blood, anaerobic87177Smear for parasites87181Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), agar dilution method87324Detection test by immunoassay technique for Clostridium difficile toxins (stool pathogen)87340Detection test by immunoassay technique for hepatitis B surface antigen87430Detection test by immunoassay technique for Streptococcus, group A (strep)87480Detection test for candida species (yeast), direct probe technique87490Detection test by nucleic acid for chlamydia, direct probe technique87493Detection test by nucleic acid for clostridium difficile, amplified probe technique87511Detection test for gardnerella vaginalis (bacteria), amplified probe technique87541Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique87563Detection of Mycoplasma genitalium by DNA or RNA probe87640Detection test by nucleic acid for Staphylococcus aureus (bacteria), amplified probe technique87808Detection test by immunoassay with direct visual observation for Trichomonas vaginal (genital parasite)87905Infectious agent enzymatic activity to detect organism89055White blood cell measure, stool specimen
    Anesthesiology 156 codes
    00812Anesthesia for colonoscopy00731Anesthesia for upper GI endoscopy00813Anesthesia for combined GI endoscopy00840Anesthesia for lower abdominal procedures01967Labor epidural anesthesia00811Anesthesia for lower GI endoscopy00790Anesthesia for other procedure on upper abdomen00142Anesthesia for lens surgery01400Anesthesia for other procedure or exam of knee joint using an endoscope01992Anesthesia for nerve block and injection procedure, prone position01961Anesthesia for cesarean delivery01480Anesthesia for other procedure on lower leg, ankle, and foot bones00400Anesthesia for other procedure on skin of arms, legs, and front body00170Anesthesia for other procedure on mouth01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand00952Anesthesia for exam of uterus using an endoscope01630Anesthesia for other procedure on top of arm bone and shoulder joint00160Anesthesia for other procedure on nose and sinuses01402Anesthesia for procedure for total knee joint replacement00670Anesthesia for extensive surgery on spine00902Anesthesia for procedure on anus and rectum00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back00918Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance01214Anesthesia for total hip replacement01830Anesthesia for other procedure on forearm, wrist, or hand bones01922Anesthesia for X-ray or radiation therapy00910Anesthesia for other procedure on urinary system through urethra00402Anesthesia for reconstruction of breast01930Anesthesia for other X-ray on vein or lymph system00126Anesthesia for incision of ear drum00940Anesthesia for other procedure on female genitals01968Anesthesia for cesarean delivery following labor00537Anesthesia for procedure to assess heart electrical activity00320Anesthesia for other procedure on neck area (1 year or older)00630Anesthesia for other procedure on lower spine01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance00920Anesthesia for other procedure on male genitals00873Anesthesia for shock wave therapy for urinary system stones without water bath00520Anesthesia for other closed procedure on chest01937Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance01610Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm00145Anesthesia for retinal surgery00732Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope01965Anesthesia for incomplete or missed abortion00797Anesthesia for procedure on stomach for weight loss01470Anesthesia for other procedure on nerves, muscles, tendons, and tissue of lower leg, ankle, and foot00140Anesthesia for other procedure on eye00532Anesthesia for access to central vein01939Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance00860Anesthesia for other procedure on lower abdomen outside abdominal cavity01942Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance01320Anesthesia for procedure on nerves, muscles, tendons, and tissue of knee00862Anesthesia for procedure on upper urinary tubes or removal of kidney for transplant00914Anesthesia for removal of prostate including use of an endoscope00830Anesthesia for other repair of lower abdomen hernia (1 year or older)01966Anesthesia for induced abortion00752Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening01991Anesthesia for nerve block and injection01710Anesthesia for other procedures on nerves, muscles, tendons, and tissue of upper arm and elbow00865Anesthesia for extensive removal of prostate01472Anesthesia for repair of Achilles tendon01202Anesthesia for procedure on hip joint using an endoscope01638Anesthesia for open or endoscopic total shoulder joint replacement00120Anesthesia for other procedure on external middle and inner ear00103Anesthesia for procedure on eyelid00912Anesthesia for removal of urinary bladder tumors including use of an endoscope01464Anesthesia for procedure on ankle or foot using an endoscope01392Anesthesia for procedure on kneecap and/or upper part of lower leg bones01916Anesthesia for X-ray exam of arteries and veins using contrast00210Anesthesia for other procedure on brain00600Anesthesia for other procedure on upper spine01926Anesthesia for X-ray on artery of brain, heart, or chest00832Anesthesia for repair of abdominal wall hernia00534Anesthesia for insertion or replace of pacing heart defibrillator00944Anesthesia for vaginal removal of uterus00562Anesthesia for procedure on heart and large blood vessels using heart-lung machine (1 year or older)00921Anesthesia for vasectomy01112Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone01160Anesthesia for closed procedure on pubic bone or pelvic joint01250Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg00942Anesthesia for repair or removal of vagina and urinary procedure00450Anesthesia for other procedure on collar bone and shoulder blade00530Anesthesia for insertion of permanent heart pacemaker01380Anesthesia for closed procedure on knee joint01740Anesthesia for other procedure on elbow00567Anesthesia for heart artery bypass grafting on heart-lung machine01230Anesthesia for procedure on upper 2/3rd of thigh bone00635Anesthesia for spinal tap00192Anesthesia for extensive surgery on face bones or skull01200Anesthesia for closed procedure on hip joint01920Anesthesia for X-ray on heart vessels and chambers01714Anesthesia for repair of elbow to shoulder tendon01820Anesthesia for closed procedure on bones of forearm, wrist, or hand01924Anesthesia for X-ray on arteries01712Anesthesia for procedure on tendon of elbow to shoulder01925Anesthesia for X-ray on artery of neck or heart00750Anesthesia for other repair of upper abdomen hernia00560Anesthesia for procedure on heart and large blood vessels00566Anesthesia for heart artery bypass grafting01844Anesthesia for placement or revision of blood flow shunt00541Anesthesia for procedure on chest with 1 lung inflated00800Anesthesia for other procedure on lower front abdomen01170Anesthesia for procedure on pubic bone or pelvic joint01474Anesthesia for repair of calf muscle01716Anesthesia for procedure on tendon of upper arm muscle00104Anesthesia for electroshock therapy00350Anesthesia for other procedure on large blood vessel of neck01620Anesthesia for closed procedure on top of arm bone and shoulder joint00410Anesthesia for procedure to correct abnormal heart rhythm01360Anesthesia for procedure on lower 1/3rd of thigh bone00100Anesthesia for procedure on saliva gland00124Anesthesia for exam of ear using an endoscope00144Anesthesia for procedure on eye for corneal transplant00190Anesthesia for other procedure on face bones or skull00211Anesthesia for removal of blood collection from brain00214Anesthesia for procedure to create holes in skull including X-ray imaging00215Anesthesia for procedure to repair skull or skull fracture00216Anesthesia for procedure on blood vessels in brain00220Anesthesia for procedure to drain brain and spinal cord fluid00404Anesthesia for removal of all or part of breast00470Anesthesia for other partial removal of rib00540Anesthesia for other procedure on chest00542Anesthesia for removal of tissue from around lung00563Anesthesia for procedure on heart and large blood vessels using heart-lung machine and stopping blood flow00620Anesthesia for other procedure on middle spine00700Anesthesia for other procedure on upper front abdomen00702Anesthesia for biopsy of liver00792Anesthesia for partial removal of liver or management of bleeding including use of an endoscope00794Anesthesia for removal of pancreas including use of an endoscope00802Anesthesia for removal of excess tissue of lower rear abdomen00846Anesthesia for removal of uterus including use of an endoscope00851Anesthesia for tying or incision of fallopian tubes using an endoscope00866Anesthesia for removal of adrenal gland00904Anesthesia for extensive procedure on perineum00906Anesthesia for removal of external female genitals00926Anesthesia for removal of testicle through groin00930Anesthesia for relocation of undescended testicle into scrotum00938Anesthesia for insertion of penile prosthesis00948Anesthesia for suture closure of cervix01120Anesthesia for procedure on hip bone01210Anesthesia for other procedure on hip joint01215Anesthesia for revision of total hip replacement01220Anesthesia for closed procedure on upper 2/3rd of thigh bone01270Anesthesia for other procedure on artery of upper leg01382Anesthesia for exam of knee joint using an endoscope01390Anesthesia for closed procedure on kneecap and/or upper part of lower leg bones01462Anesthesia for closed procedure on lower leg, ankle, and foot01482Anesthesia for open amputation below the knee01486Anesthesia for open total ankle joint replacement01520Anesthesia for other procedure on vein of lower leg01622Anesthesia for exam of shoulder joint using an endoscope01730Anesthesia for closed procedure on upper arm and elbow01744Anesthesia for repair of nonhealed broken upper arm bone01931Anesthesia for X-ray on vein of liver01941Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of neck or upper back accessed through skin using imaging guidance
    Medicine 125 codes
    95938Placement of skin electrodes and measurement of stimulated sites on arms and legs96375Injection of additional new drug or substance into vein93010Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report only96374Injection of drug or substance into vein96361Infusion into a vein for hydration, each additional hour93005Routine electrocardiogram (ECG) using at least 12 leads with tracing96372Injection of drug or substance under skin or into muscle95941Continuous remote monitoring of nervous system during operation, each hour95939Placement of skin electrodes and measurement of central motor stimulation in arms and legs96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less95861Needle measurement of electrical activity in arm or leg muscles, 2 extremities95870Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study95937Testing of nerve-muscle junction95955Measurement of brain wave activity (EEG) outside the brain during surgery93971Ultrasound study of one arm or leg veins with compression and maneuvers96376Injection of additional drug or substance into vein provided in a facility96360Infusion into a vein for hydration, 31-60 minutes94640Inhalation treatment for airway obstruction or sputum production94761Test to measure oxygen level in blood using ear or finger device multiple times93976Ultrasound of abdomen and pelvis artery and vein blood flow90471Administration of vaccine95868Needle measurement of electrical activity in muscles on both sides of body96366Infusion into a vein for therapy, prevention, or diagnosis, each additional hour90715Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)96367Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less93975Complete ultrasound of abdomen and pelvis artery and vein blood flow93970Ultrasound study of arm or leg veins with compression and maneuvers96368Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion99053Service provided between 10:00 pm and 8:00 am at a 24-hour facility95886Needle measurement of electrical activity in arm or leg muscles, complete study95865Needle measurement of electrical activity in voice box muscles95940Continuous monitoring of nervous system during operation, each 15 minutes96523Irrigation of implanted venous access drug delivery device95957Measurement of brain wave activity (EEG), digital analysis94760Test to measure oxygen level in blood using ear or finger device95908Nerve conduction, 3-4 studies95927Placement of skin electrodes and measurement of stimulated sites in trunk or head93041Electrocardiogram (ECG) 1 to 3 leads99001Handling and/or conveyance of specimen for transfer to a laboratory95907Nerve conduction, 1-2 studies95867Needle measurement of electrical activity in muscles on side of body95885Needle measurement of electrical activity in arm or leg muscles, limited study93880Ultrasound of both sides of head and neck blood flow95720Measurement of brain wave activity with video (VEEG), 12-26 hours with review and report by health care professional99135Use of low blood pressure complicating anesthesia95822Measurement of brain wave activity (EEG), in coma or asleep95909Nerve conduction, 5-6 studies99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes95813Measurement of brain wave activity (EEG), 61-119 minutes95887Needle measurement of electrical activity in trunk or head muscles99100Age complicating anesthesia (younger than 1 year and older than 70 years)90714Diphtheria and tetanus vaccine (7 years or older)93042Electrocardiogram (ECG) 1 to 3 leads with review by physician only93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function99140Emergency condition complicating anesthesia93224Electrocardiogram (ECG) 2-day continuous with review and report by health care professional95999Other diagnostic neurological or neuromuscular procedure97116Therapy procedure for walking training, each 15 minutes99190Assembly and operation of heart-lung machine, each hour95718Measurement of brain wave activity with video (VEEG), 2-12 hours with review and report by health care professional99000Handling and/or conveyance of specimen for transfer from physician office to laboratory93000Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report93926Ultrasound of one leg arteries or artery grafts92653Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report93925Ultrasound of leg arteries or artery grafts95717Measurement of brain wave activity (EEG), 2-12 hours with health care professional review and report95970Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator90675Rabies vaccine for injection into muscle95812Measurement of brain wave activity (EEG), 41-60 minutes95929Placement of skin electrodes and measurement of central motor stimulation in legs97010Application of hot or cold packs99191Assembly and operation of heart-lung machine, 45 minutes95910Nerve conduction, 7-8 studies92950Manual attempt to restore blood circulation and breathing95869Needle measurement of electrical activity in middle spine muscles90833Psychotherapy with evaluation and management visit, 30 minutes95012Test to measure the level of nitric oxide gas99173Screening for visual sharpness93931Ultrasound of one arm arteries or artery grafts93923Complete ultrasound study of arm and leg arteries90375Rabies immune globulin for injection93308Ultrasound of heart, follow-up97165Evaluation for occupational therapy, typically 30 minutes93017Exercise or drug-induced heart stress test with electrocardiogram (ECG)95911Nerve conduction, 9-10 studies93623Programming of heart rhythm stimulation after drug infusion99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes92960External shock to heart to regulate heart beat95800Sleep study including heart rate, breathing, and sleep time97161Evaluation for physical therapy, typically 20 minutes97606Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm99192Assembly and operation of heart-lung machine, 30 minutes90377Rabies immune globulin for injection beneath the skin and/or into muscle90472Administration of vaccine, each additional vaccine90791Psychiatric diagnostic evaluation90935Hemodialysis procedure with physician evaluation92610Evaluation of swallowing function92650Screening evaluation of brain response to sound with automated analysis93312Ultrasound of heart with probe in esophagus, with report93313Insertion of probe in esophagus for heart ultrasound93458Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist93503Insertion of tube in pulmonary artery for monitoring93888Ultrasound of within the brain blood flow94644Inhalation treatment for acute airway obstruction, first hour94645Inhalation treatment for acute airway obstruction, each additional hour95816Measurement of brain wave activity (EEG), awake and drowsy95819Measurement of brain wave activity (EEG), awake and asleep95829Measurement of brain wave activity (EEG) during surgery95860Needle measurement of electrical activity in arm or leg muscles, 1 extremity95864Needle measurement of electrical activity in arm or leg muscles, 4 extremities95912Nerve conduction, 11-12 studies95913Nerve conduction, 13 or more studies95925Placement of skin electrodes and measurement of stimulated sites in arms95926Placement of skin electrodes and measurement of stimulated sites in legs95928Placement of skin electrodes and measurement of central motor stimulation in arms95961Measurement of brain wave activity (EEG) with electrodes on brain to provoke seizures or identify brain structures, first hour96450Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes97162Evaluation for physical therapy, typically 30 minutes97530Therapy procedure using functional activities97597Removal of tissue from wound, 20.0 sq cm or less99151Use of a drug to induce depression of consciousness by physician performing a procedure (younger than 5 years), initial 15 minutes99156Use of a drug to induce depression of consciousness by physician not performing a procedure (5 years or older), initial 15 minutes99157Use of a drug to induce depression of consciousness by physician not performing a procedure, each additional 15 minutes99183Management of oxygen chamber therapy
    Evaluation & management 40 codes
    99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes99239Hospital discharge day management, more than 30 minutes99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes99236Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes99238Hospital discharge day management, 30 minutes or less99479Follow-up intensive care of recovering low birth weight infant per day99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes99469Follow-up inpatient hospital critical care of newborn per day (28 days or younger)99480Follow-up intensive care of recovering medium birth weight infant per day99472Follow-up inpatient hospital critical care of infant or young child per day (29 days to 2 years)99235Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more99418Prolonged inpatient or observation service, each 15 minutes of total time beyond required time of primary service99497Advance care planning, first 30 minutes99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes99234Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more99255Hospital consultation with high level of medical decision making, if using time, at least 80 minutes99478Follow-up intensive care of recovering very low birth weight infant per day99468Initial inpatient hospital critical care of newborn per day (28 days or younger)99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes99254Hospital consultation with moderate level of medical decision making, if using time, at least 45 minutes99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional99360Extended physician standby service, each 30 minutes99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more99462Follow-up hospital care of newborn per day99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more99401Preventive medicine counseling, typically 15 minutes99406Smoking and tobacco use intensive counseling, 4-10 minutes99202New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more99217Hospital observation care on day of discharge99460Initial evaluation and management of newborn per day99464Physician attendance at delivery and stabilization of newborn99465Reviving newborn at delivery99477Initial intensive care of newborn per day (28 days or younger)
    Surgery 658 codes
    36415Venous blood collection12001Simple wound repair, up to 2.5 cm22853Spinal fusion interbody device12011Simple facial wound repair, up to 2.5 cm36000Introduction of an intravenous needle or catheter36475Radiofrequency vein ablation12002Simple wound repair, 2.6–7.5 cm64447Femoral nerve block19318Breast reduction64415Brachial plexus nerve block64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level10061Complicated or multiple drainage of skin abscess58662Destruction or removal of ovary or growth of pelvis using an endoscope64484Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level64636Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint29584Application of vein wound compression bandages on upper arm, forearm, hand, and fingers64493Injection of lower or sacral spine facet joint using imaging guidance, single level44970Removal of appendix using an endoscope63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment64494Injection of lower or sacral spine facet joint using imaging guidance, second level22551Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment27447Replacement of knee joint, both sides of knee14301Repair of wound by transferring skin, 30.1-60.0 sq cm29826Shaving of part of shoulder bone and repair of ligament using an endoscope29125Application of nonmoveable forearm to hand splint29827Repair of shoulder rotator cuff using an endoscope47562Removal of gallbladder using an endoscope64488Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance64491Injection of upper or middle spine facet joint using imaging guidance, second level64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint22845Placement of stabilizing device to front, 2-3 spine bone segments20610Aspiration and/or injection of fluid from large joint63030Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc64450Injection of anesthetic agent and/or steroid into other nerve or branch64495Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level22614Fusion of additional segment of spine64490Injection of upper or middle spine facet joint using imaging guidance, single level64634Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint15734Creation of muscle graft to trunk43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope22552Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc22612Fusion of spine in lower back27130Replacement of thigh bone and hip joint with prosthesis47563Removal of gallbladder with X-ray study of bile ducts using an endoscope22558Fusion of lower spine bone through abdomen with partial removal of disc64492Injection of upper or middle spine facet joint using imaging guidance, third and any additional level62321Injection of substance into middle or upper spine canal using imaging guidance14302Repair of wound by transferring skin, each additional 30.0 sq cm22842Placement of stabilizing device to back, 3-6 spine bone segments22840Placement of stabilizing device to back of 1 spine bone in neck58558Biopsy of lining of uterus and/or removal of polyp using an endoscope29881Removal of knee cartilage using an endoscope29888Repair of anterior cruciate ligament of knee using an endoscope29823Removal of extensive shoulder joint tissue using an endoscope36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance10060Simple or single drainage of skin abscess13131Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm64633Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint29515Application of short leg splint from calf to foot15777Implantation of biologic implant to soft tissue45499Other procedure on rectum using an endoscope64999Other procedure on nervous system49650Repair of groin hernia using an endoscope49083Drainage of fluid from abdominal cavity using imaging guidance50949Other procedure on ureter using an endoscope19083Biopsy of breast and placement of locating device using ultrasound, first growth29824Partial removal of collar bone at shoulder using an endoscope64445Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)22633Fusion of spine in lower back with partial removal of spine bone and disc69990Use of operating microscope19357Reconstruction of breast using tissue expander58571Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less62323Injection of substance into lower spine canal using imaging guidance12013Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm22856Insertion of artificial upper spine disc, anterior approach29828Release of tendon connecting biceps muscle and shoulder using an endoscope20930Placement of fragmented bone graft or material to spine to promote bone growth63052Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back45380Biopsy of large bowel using a flexible endoscope64722Release of unspecified nerve13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm19380Surgical change to reconstructed breast15002Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less22585Fusion of spine bones through front of body with partial removal of disc, each additional disc51785Needle measurement and recording of electrical activity of muscles at bladder and bowel openings43775Partial removal of stomach for weight loss using an endoscope15771Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, 50.0 cc or less27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance29876Removal of joint lining from multiple knee joint compartments using an endoscope20936Harvest of bone from same spine incision for graft13152Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm62328Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance58661Removal of ovaries and/or tubes using an endoscope69209Removal of impacted ear wax by washing59400Vaginal delivery with care before and after delivery13151Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm23430Anchoring of biceps tendon29882Repair of inside or outside knee joint cartilage using an endoscope15830Removal of extra skin and tissue of abdomen29130Application of nonmoveable finger splint58999Other procedure on female genital system (nonobstetrical)36620Insertion of artery tube for blood sampling or infusion through skin36226Insertion of tube into brain artery for diagnosis or treatment with review by radiologist45378Diagnostic exam of large bowel using a flexible endoscope15004Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less37799Other procedure on blood vessel15772Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, each additional 50.0 cc29879Repair of knee joint with drilling and or scraping of joint using an endoscope29880Removal of both knee cartilages using an endoscope36476Destruction of subsequent incompetent veins of arm or leg using radiofrequency and imaging guidance19081Biopsy of breast and placement of locating device using X-ray with needle, first growth61783Computer-assisted spinal procedure20680Removal of deep implant from bone43281Repair of hernia of muscle at esophagus and stomach using an endoscope59514Cesarean delivery19371Removal of capsule around breast implant19342Placement of implant on separate day of breast reconstruction10005Fine needle aspiration biopsy using ultrasound guidance, first growth45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare22846Placement of stabilizing device to front, 4-7 spine bone segments29914Reshaping of thigh bone at hip joint using an endoscope29916Repair of hip joint socket cartilage using an endoscope31500Emergent insertion of breathing tube into windpipe using an endoscope38530Biopsy or removal of lymph nodes of breast23650Closed treatment of dislocated shoulder with manipulation49594Initial repair of entrapped hernia of abdomen, 3-10 cm in length52260Dilation of bladder using an endoscope under general or spinal anesthesia28285Correction of toe joint deformity19364Reconstruction of breast with tissue graft12051Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less29825Removal of shoulder scar tissue using an endoscope44238Other procedure on bowel using an endoscope59510Cesarean delivery with care before and after delivery44180Release of small bowel scar tissue using an endoscope13101Complicated repair of wound of trunk, 2.6-7.5 cm22600Fusion of spine in neck by posterior approach32555Aspiration of fluid from chest cavity using imaging guidance13102Complicated repair of wound of trunk, each additional 5.0 cm or less36561Insertion of central venous tube with port (5 years or older)33948Daily management of ECMO external vein to vein blood circulation in heart and lungs using a pump64912Repair of nerve using nerve graft, first strand20103Exploration of wound of arm or leg25605Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation36224Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist29806Repair of shoulder joint capsule using an endoscope52005Insertion of tube into ureter using an endoscope through bladder area11042Removal of skin and tissue, 20.0 sq cm or less29105Application of lower and upper arm splint52356Crushing of stone of ureter with insertion of stent using an endoscope69210Removal of impacted ear wax47379Other procedure on liver using an endoscope51999Other procedure on bladder using an endoscope58578Other procedure on uterus using an endoscope22857Insertion of artificial disc between bones of lower spine, single space29999Other procedure on joint using an endoscope12041Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less10120Removal of foreign body from tissue, accessed beneath the skin, simple11730Simple separation of fingernail or toenail from nail bed, first nail11970Replacement of tissue expander with permanent implant43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance50715Release of scar tissue at ureter52344Repair of stricture of ureter using an endoscope59840Induced abortion by dilation and scraping of uterine62322Injection of substance into lower spine canal14040Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less47000Needle biopsy of liver through skin61781Computer-assisted procedure inside brain15847Extensive removal of extra skin and tissue of abdomen20605Aspiration and/or injection of fluid from medium joint22858Insertion of artificial upper spine disc anterior approach49329Other procedure on abdomen using an endoscope29505Application of long leg splint from thigh to ankle or toe49591Initial repair of sliding hernia of abdomen, less than 3 cm in length63045Partial removal of spine bone with release of upper spinal cord and/or nerves, 1 segment58340Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes63042Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace22899Other procedure on spine29822Limited removal of abnormal shoulder joint tissue using endoscope38222Biopsy and aspiration of bone marrow sample for diagnosis64905Transfer of nerve to injured nerve, stage 1 of 244979Other procedure on appendix using an endoscope64772Incision or removal of spinal nerve22830Exploration of spine fusion58545Removal of growth of uterus using an endoscope, 250.0 g or less22216Incision or removal of spine bone segment, each additional segment27650Repair of ruptured Achilles tendon12032Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm16020Dressing change or removal of burn tissue, less than 5% of total body surface49322Aspiration of abdominal cavity or cyst using an endoscope63053Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back13160Extensive or complicated repair of surface wound reopening24342Reinsertion of torn upper arm tendon25600Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation29821Removal of entire shoulder joint lining using an endoscope15003Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less45300Diagnostic exam of rectum and lower large bowel using an endoscope19303Simple complete removal of breast13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm52352Removal or manipulation of stone in ureter or kidney using an endoscope63056Release of lower spinal cord and/or nerves, single segment19316Repair for sagging of the breast24341Repair of tendon or muscle of upper arm or elbow27829Treatment of ligament tear at ankle joint36227Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist36558Insertion of tunneled central venous tube for infusion (5 years or older)11012Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone20937Harvest of bone fragment for spine bone graft23350Injection of contrast for imaging of shoulder joint19370Revision of capsule around breast implant22634Fusion of additional segment of spine with partial removal of spine bone and disc38792Injection of radioactive material for X-ray identification of lymph node64479Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level58573Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, more than 250.0 g36223Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist44204Partial removal of large bowel using an endoscope49593Initial repair of sliding hernia of abdomen, 3-10 cm in length52330Manipulation of stone in ureter using an endoscope63035Partial removal of spine bone with release of upper or lower spinal cord or nerves and/or removal of disc, each additional interspace23472Prosthetic repair of shoulder joint, total shoulder11043Removal of muscle and/or tissue, 20.0 sq cm or less19350Reconstruction of nipple or area around nipple26356Primary repair of finger tendon on underside of the hand without a graft in zone 229877Removal or shaving of knee joint cartilage using an endoscope30000Drainage of abscess or blood accumulation of nose11760Repair of fingernail or toenail bed26765Treatment of broken end of finger or thumb26770Closed treatment of dislocated finger joint with manipulation36590Removal of central venous tube with port or pump11772Complicated removal of cyst of tailbone22214Incision or removal of lower spine bone segment49592Initial repair of entrapped hernia of abdomen, less than 3 cm in length52332Insertion of stent in ureter using an endoscope20611Aspiration and/or injection of fluid large joint using ultrasound guidance36416Puncture of skin for collection of blood sample38571Removal of lymph nodes of both sides of pelvis using an endoscope43251Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare12042Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm64446Continuous infusion of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve) through catheter64714Release of upper leg nerve16000First degree burn treatment29898Removal of extensive dead or infected tissue using an endoscope69200Removal of foreign body in ear canal19340Placement of implant on same day of breast reconstruction21743Repair of breast bone depression using an endoscope25609Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device40654Repair of vertical lip wound extending to over half of lip64721Release and/or relocation of hand nerve11044Removal of bone, 20.0 sq cm or less36225Insertion of tube into chest artery for diagnosis or treatment with review by radiologist36430Transfusion of blood or blood products38570Biopsy and removal of lymph nodes of abdominal cavity using an endoscope61624Occlusion of central nervous system or spinal cord artery64421Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block64480Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, each additional level11406Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm13122Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less14060Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less22860Insertion of artificial disc between bones of lower spine, additional space36222Insertion of tube into extracranial artery for diagnosis or treatment with review by radiologist50200Needle biopsy of kidney63650Insertion of spinal neurostimulator electrode array through skin66984Removal of cataract with insertion of prosthetic lens15836Removal of extra skin and tissue of arm20245Biopsy of deep bone30520Reshaping of nasal cartilage57425Surgical repair of vaginal defect using an endoscope58146Removal of 5 or more growths of uterus through abdomen10160Aspiration of abscess, blood, or cyst25565Closed treatment of broken midpart of both forearm bones with manipulation29807Repair of shoulder socket using an endoscope43659Other procedure on stomach using an endoscope15275Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less15832Removal of extra skin and tissue of thigh22855Removal of stabilizing device from front of spine29884Removal of scar tissue from knee using an endoscope37252Ultrasound evaluation of blood vessel with review by radiologist, initial vessel62273Injection of blood or blood clot into spinal canal63081Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment14001Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm27814Treatment of both broken lower leg bones at ankle28296Correction of bunion with alignment correction of midfoot bone toward toe area35221Repair of blood vessel of abdomen44213Partial release of large bowel and partial removal of large bowel using an endoscope58542Partial removal of uterus, tubes, and/or ovaries with retention of cervix using an endoscope, 250.0 g or less61510Removal of skull bone for removal of growth of upper brain11603Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm12004Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 7.6-12.5 cm21600Partial removal of rib22849Reinsertion of spinal fixation device29873Release of ligaments at outer side of knee joint using an endoscope64712Release of sciatic nerve14000Repair of wound of trunk by transferring skin, 10.0 sq cm or less21931Removal of growth under skin of back or lower sides, 3.0 cm or more26418Repair of tendon on top side of finger37200Biopsy of blood vessel using tube54150Removal of foreskin using clamp or device58679Other procedure on fallopian tube or ovary using an endoscope61107Creation of opening in skull for insertion of brain tube or monitoring device64831Suture of hand or foot digital nerve, first digital nerve19301Partial removal of breast20525Complicated removal of foreign body in deep muscle or tendon20553Injection of trigger points, 3 or more muscles22843Placement of stabilizing device to back, 7-12 spine bone segments22848Insertion of instrumentation to pelvic bones22852Removal of segmental stabilizing device from back of spine27427Reconstruction of ligaments outside knee joint27698Secondary repair of disrupted collateral ligament of ankle29875Partial removal of knee joint lining using an endoscope32408Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin36247Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch43774Removal of stomach reduction device and port using an endoscope49320Diagnostic exam of abdomen using an endoscope58300Insertion of IUD for pregnancy prevention10140Drainage of blood or fluid accumulation20660Placement of device to skull20939Aspiration of bone marrow for spine bone graft21172Reconstruction of outer side of eye and lower forehead bones26720Closed treatment of broken finger or thumb at midportion or part near hand29540Placement of strapping to ankle or foot49406Drainage of fluid collection of abdominal cavity by tube using imaging guidance49595Initial repair of sliding hernia of abdomen, more than 10 cm in length52000Diagnostic exam of bladder and urethra using an endoscope58559Release of scar tissue of uterus using an endoscope63057Release of middle or lower spinal cord and/or nerves, single segment15240Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less19085Biopsy of breast and placement of locating device using MRI, first growth26350Repair of finger tendon of under side of hand other than upper most part of palm and fingers28299Correction of bunion with 2 areas of realignment30930Therapeutic fracture of nasal passages64418Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve64420Injection of anesthetic agent and/or steroid into rib nerve11740Removal of blood accumulation under fingernail or toenail14020Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less19328Removal of intact breast implant20550Injection into tendon or ligament20931Graft of donor bone to spine22854Insertion of cage or mesh device in disc space during spine fusion26055Incision of tendon covering of finger26725Closed treatment of broken finger or thumb at midportion or part near hand with manipulation27380Primary suture of tendon below knee27792Treatment of broken outer lower leg bone at ankle28289Correction of rigid deformity of first joint of big toe28308Incision or partial removal of foot bone (other than big toe) to straighten toe29848Release of wrist ligament using an endoscope36556Insertion of non-tunneled central venous tube for infusion (5 years or older)58555Diagnostic exam of uterus using an endoscope63082Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment64832Suture of hand or foot digital nerve, each additional digital nerve10006Fine needle aspiration biopsy using ultrasound guidance, each additional growth15733Creation of flap graft to head and/or neck19120Removal of growth and tissue of breast, duct, or nipple21014Removal of growth of muscle of face or scalp, 2.0 cm or more21256Reconstruction of eye socket bone with bone graft22554Fusion of upper spine bones through front of neck with partial removal of disc22610Fusion of spine in upper back23515Treatment of broken collar bone29883Repair of inside and outside knee joint cartilage using an endoscope38525Biopsy or removal of deep lymph nodes of underarm49505Repair of groin hernia (5 years or older)55866Surgical removal of prostate and surrounding lymph nodes using an endoscope58560Release of scar tissue of uterus and release or removal and septum using an endoscope59610Vaginal delivery and care before and after delivery after previous cesarean delivery61645Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance63020Partial removal of spine bone with release of upper spinal cord or nerves and/or removal of disc, 1 interspace12031Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less13133Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less15834Removal of extra skin and tissue of hip21320Closed treatment of broken nose bone with placement of stabilizing device22212Incision or removal of middle spine bone segment22325Treatment of broken or dislocated lower spine bone22590Fusion of skull and first 2 upper spine bones through back27245Treatment of broken neck of thigh bone with bone implant36600Artery puncture collection of blood sample50433Placement of tube of kidney and urinary tube through new skin access using imaging guidance with review by radiologist64704Release of hand or foot nerve64708Release of arm or leg nerve64718Release and/or relocation of elbow nerve11602Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm15877Suction assisted removal of fat of body22850Removal of stabilizing device from back of spine23406Incision of shoulder multiple tendons through same incision24530Closed treatment of upper arm bone broken at elbow24640Closed treatment of dislocated forearm bone on thumb side at elbow with manipulation, child26011Complicated drainage of abscess in finger26605Closed treatment of broken hand bone with manipulation27680Release of leg and/or ankle tendon29530Placement of strapping to knee33949Daily management of ECMO external vein to artery blood circulation in heart and lungs using a pump37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel50590Shock wave crushing of kidney stones57288Creation of sling around urethra in female to control leakage64448Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter11642Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm15860Injection of agent into vein to assess blood flow of skin graft or flap20552Injection of trigger points, 1-2 muscles20694Removal of external bone stabilizing device under anesthesia21932Removal of growth of muscle of back or lower sides, less than 5.0 cm27385Primary suture of ruptured muscle of thigh27786Closed treatment of broken outside lower leg bone at ankle30465Repair of nasal passage37248Balloon dilation of vein with review by radiologist, initial vein44120Partial removal of small bowel with reconnection55520Removal of growth of sperm cord58301Removal of IUD59025Fetal test63044Partial removal of spine bone with re-exploration, release of upper or lower spinal cord or nerves and/or removal of disc, each additional interspace63046Partial removal of spine bone with release of middle spinal cord and/or nerves, 1 segment64520Injection of anesthetic agent into middle or lower spine sympathetic nerve64727Release of nerve using operating microscope12052Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm15738Creation of muscle graft to leg15879Suction assisted removal of fat of leg20551Injection into tendon at attachment to bone or muscle20985Computer-assisted surgery for muscle and bone procedure21193Reconstruction of jaw bone22210Incision or removal of upper spine bone segment22328Treatment of broken or dislocated spine bone, each additional segment25575Treatment of broken midpart of both forearm bones with placement of stabilizing device on both bones27405Primary repair of torn ligament or joint capsule at outside part of knee27446Replacement of knee joint on side of knee29846Removal or repair of wrist cartilage using an endoscope30420Reshaping of bony cartilage dividing nasal passages32557Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance36011Insertion of tube into vein, first order branch36478Laser destruction of incompetent vein of arm or leg using imaging guidance36589Removal of tunneled central venous tube38900Imaging of lymph nodes during surgery43282Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope43644Bypass of stomach using an endoscope44160Partial removal of small and large bowel with attachment of small and large bowel44207Partial removal of large bowel and reattachment to rectum using an endoscope44955Removal of appendix during other major procedure49002Reopening of recent abdominal incision50435Replacement of kidney drainage tube using imaging guidance with review by radiologist57265Repair of bulging of rectum and bladder into vaginal wall58544Partial removal of uterus, tubes, and/or ovaries with retention of cervix using an endoscope, more than 250.0 g59410Vaginal delivery with post delivery care62223Creation of brain fluid drainage shunt, ventriculo-peritoneal, -pleural, other terminus63075Removal of upper spine disc and release of spinal cord and/or nerves, single interspace63267Removal of growth of lower spine bone outside spine membrane28122Partial removal of foot or heel bone10030Drainage of fluid collection in soft tissue using imaging guidance10035Placement of soft tissue locating device using X-ray, first growth10080Simple drainage of cyst of tailbone10081Complicated drainage of cyst of tailbone10121Removal of foreign body from tissue, accessed beneath the skin, complex11046Removal of muscle and/or tissue, each additional 20.0 sq cm or less11402Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm11750Permanent removal fingernail or toenail11971Removal of tissue expander11981Insertion of drug delivery implant into tissue12005Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 12.6-20.0 cm12014Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm12015Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm12034Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm12044Intermediate repair of wound of neck, hands, feet, or genitals, 7.6-12.5 cm12053Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm13120Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm14061Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm15100Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less15200Full thickness skin graft to trunk, 20.0 sq cm or less15260Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less15273Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less15274Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less15736Creation of muscle graft to arm15756Muscle graft with repair of small blood vessel15769Self soft tissue graft15773Graft using patient's fat removed by liposuction and inserted into face, eyelids, mouth, neck, ears, around eyes, genitals, hands, or feet, 25.0 cc or less15853Removal of sutures or staples17999Other procedure on skin, mucous membrane, and tissue19000Aspiration of cyst of breast, first cyst19020Drainage of abscess of breast19082Biopsy of breast and placement of locating device using X-ray with needle, each additional growth19084Biopsy of breast and placement of locating device using ultrasound, each additional growth19281Placement of locating device in breast using imaging guidance, first growth19285Placement of locating device in breast using ultrasound guidance, first growth19325Insertion of breast implant19330Removal of ruptured breast implant and implant material20206Needle biopsy of muscle20225Deep biopsy of bone using needle or trocar20600Aspiration and/or injection of fluid from small joint20692Placement of multiple direction external bone stabilizing device to arm or leg20900Harvest of graft from small bone20902Harvest of graft from large bone20912Graft of nose cartilage21122Enlargement of chin by movement of multiple bones21139Repair of frontal sinus through forehead21365Treatment of complicated broken cheek bone with placement of internal stabilizing device22220Incision or removal of upper spine bone segment and removal of disc22226Incision or removal of spine bone segment and removal of disc, each additional segment22630Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc22802Fusion of spine bones for correction of deformity, posterior approach, 7 to 12 vertebral segments23395Relocation of one muscle of shoulder or upper arm23405Incision of shoulder tendon23500Closed treatment of broken collar bone23550Treatment of dislocated joint between collar bone and shoulder23655Closed treatment of dislocated shoulder with manipulation under anesthesia24343Repair of ligament of thumb side of elbow24359Incision and repair of elbow tendon with removal of tissue or bone24515Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws)24600Repair of dislocated elbow24650Closed treatment of broken forearm bone on thumb side at elbow25000Incision or the tendon covering on the top side of the wrist25260Primary repair of tendon or muscle of palm side of forearm or wrist25280Lengthening or shortening of tendon of forearm and/or wrist25290Incision of tendon of forearm and/or wrist, open procedure25447Removal of bone joints between wrist and fingers25607Treatment of broken forearm bone on thumb side of wrist, above wrist, with placement of stabilizing device25608Treatment of 2 broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device25650Closed treatment of broken base of forearm bone on small finger side at wrist26010Simple drainage of abscess of finger26020Drainage of tendon of finger and/or palm26340Manipulation of finger joint under anesthesia26591Repair of hand muscle26600Closed treatment of broken hand bone26615Treatment of broken midhand bone26727Placement of stabilizing device for broken finger or thumb at midportion or part near hand with manipulation26746Treatment of broken finger or hand at base of finger26750Closed treatment of broken end of finger or thumb26775Closed treatment of dislocated finger joint with manipulation under anesthesia26951Amputation of finger or thumb with direct closure27093Injection of contrast for imaging of hip joint27236Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement27250Closed treatment of dislocated hip27279Fusion of pelvic joint using imaging guidance27357Removal of cyst or growth of thigh bone with self bone graft27428Reconstruction ligaments inside knee joint27487Revision of thigh and lower leg bone components of total knee joint prosthesis27506Treatment of broken shaft of thigh bone with implant27524Treatment of broken kneecap with placement of stabilizing device and/or removal of kneecap27560Closed treatment of dislocated kneecap27654Secondary repair of ruptured Achilles tendon27658Primary repair of tendon on back of leg27687Lengthening of calf muscle27750Closed treatment of broken middle part of shin bone27759Treatment of broken part of shin bone with rod27810Closed treatment of 2 broken lower leg bones at ankle with manipulation27818Closed treatment of 3 broken lower leg bones at ankle with manipulation27822Treatment of 3 broken lower leg bones at ankle27840Closed treatment of dislocated ankle28003Drainage of fluid filled sacs beneath connective tissue in multiple foot joints28118Removal of heel bone28124Partial removal of toe bone28190Removal of foreign body of foot tissue, accessed beneath the skin28300Incision or partial removal of heel bone28470Closed treatment of broken bone in forefoot or midfoot28490Closed treatment of broken great toe28510Closed treatment of broken toe28515Closed treatment of broken toe with manipulation29280Placement of strapping to hand or finger29550Placement of strapping to toes29581Application of vein wound compression bandages on lower leg, ankle, and foot29820Partial removal of shoulder joint lining using an endoscope29874Removal of loose or foreign body in knee joint using an endoscope29891Removal of shin and/or ankle bone defect using an endoscope29915Reshaping of hip socket using an endoscope30300Removal of foreign body in nose30901Simple control of nose bleed30903Complex control of nose bleed31267Removal of nasal sinus tissue using an endoscope31622Diagnostic exam of lung airway using an endoscope31624Irrigation and suction of lung airways to obtain cells using an endoscope32551Removal of fluid from between lung and chest cavity32900Removal of ribs33533Coronary artery bypass using artery graft, 1 graft35216Repair of blood vessel of chest35703Exploration of leg artery36010Insertion of tube into vena cava36012Insertion of tube into vein, second order branch36217Insertion of tube into chest or arm artery, initial third order branch36245Insertion of tube into abdominal, pelvic, or leg artery, each first order branch36248Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond36573Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older37187Removal and dissolving of blood clot from vein using fluoroscopic guidance, initial treatment37191Insertion of vena cava filter with review by radiologist37193Removal of vena cava filter with review by radiologist37238Insertion of stent in vein with review by radiologist, initial vein37243Occlusion of growths or obstructed vessels with review by radiologist37244Occlusion of artery or vein bleeding with review by radiologist37617Tying of major artery of the abdomen38505Needle biopsy or removal of surface lymph nodes40650Repair of lip and border41800Drainage of abscess, cyst, or blood accumulation of dental bone42700Drainage of abscess near tonsil43246Insertion of stomach tube using a flexible endoscope43249Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm43255Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope43840Suture of perforated ulcer, wound, or injury of stomach or upper small bowel44005Release of intestinal scar tissue44140Partial removal of large bowel with connection44143Partial removal of large bowel with creation of opening from large bowel to skin44202Partial removal and reconnection of small bowel using an endoscope44205Partial removal of small and large bowel with attachment of small and large bowel using an endoscope44625Closure of surgically created large or small bowel opening with bowel removal and reattachment45381Injection beneath lining of large bowel using a flexible endoscope46040Drainage of deep abscess in rectum46050Drainage of superficial rectal abscess surrounding anus46083Incision of external hemorrhoid with blood clot47490Insertion of tube into gallbladder using imaging guidance with review by radiologist49020Drainage of abdominal abscess or infection49084Irrigation of abdominal cavity49180Needle biopsy of growth of abdominal cavity49440Insertion of stomach tube using fluoroscopic guidance with contrast49507Repair of trapped groin hernia (5 years or older)49596Initial repair of entrapped hernia of abdomen, more than 10 cm in length49905Repair of abdomen using abdominal lining graft50432Placement of tube of kidney using imaging guidance with review by radiologist50543Partial removal of kidney using an endoscope51600Injection procedure for imaging of bladder during voiding51702Simple insertion of temporary bladder tube51798Ultrasound measurement of bladder capacity after voiding53899Other procedure on urinary system55559Other procedure on sperm cord using an endoscope56405Incision and drainage of abscess of external female genitals56420Incision and drainage of abscess of female genital gland56805Reconstruction or creation of the external female sexual organ for intersex state57250Repair of herniated rectum into vaginal wall57423Repair of vaginal defect using an endoscope58120Dilation and scraping of uterus58140Removal of growth of uterus through abdomen, 1-4 growths58150Removal of uterus and cervix through abdomen58350Injection of X-ray contrast into fallopian tube58546Removal of growth of uterus using an endoscope, more than 250.0 g58548Removal of uterus, cervix, and lymph nodes of pelvis with biopsy of aortic lymph node using an endoscope58561Removal of growth of muscle of uterus using an endoscope58570Removal of uterus through abdomen using an endoscope, 250.0 g or less58660Removal of scar tissue of ovaries or fallopian tubes using an endoscope59409Vaginal delivery59812Treatment of miscarriage61210Burr hole for insertion of brain tube or monitoring device61312Removal of skull bone for aspiration of blood accumulation in upper brain outside or below brain membrane61322Removal of skull bone to reduce brain pressure61343Removal of skull base bone and upper spine bone to release spinal cord61458Removal of skull base bone for exploration or release of cranial nerves61798Computer-assisted radiosurgery of complex growth of brain, first growth62141Repair of skull bone defect, more than 5.0 cm62270Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test62284Injection of contrast for imaging of lower spinal canal63090Removal of middle, lower, or sacral spine bone with release of spinal cord or nerves, transperitoneal or retroperitoneal approach, single segment63091Removal of middle, lower, or sacral spine bone with release of spinal cord or nerves, transperitoneal or retroperitoneal approach, each additional segment63655Removal of spine bone for insertion of neurostimulator electrode plate in spine63662Removal of spinal neurostimulator electrode plate using fluoroscopic guidance63685Insertion or replacement of spinal neurostimulator generator or receiver64400Injection of anesthetic agent and/or steroid into face nerve64416Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter64417Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)64454Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance64620Injection of agent to destroy rib nerve64910Repair of nerve with graft64913Repair of nerve using nerve graft, each additional strand65205Removal of foreign body from external eye (conjunctiva)65220Removal of foreign body in cornea65222Removal of foreign body in cornea using slit lamp65855Laser repair to improve eye fluid flow66174Dilation of fluid outflow drainage within eye
    Category III 3 codes
    0042TComputed tomography (CT) of brain blood flow, volume, and timing of flow analysis with contrast0232THarvest and injections of platelet rich plasma using imaging guidance0055TMusculoskeletal surgical navigational orthopedic operation using imaging guidance

    Put your claims in context.

    MedRes can review the facts, eligibility and recovery options for your practice.

    Start with a conversation. Do not include patient information in the public contact form.

    Review my eligible OON claims