[37 Pa.B. 6610]
[Saturday, December 15, 2007]
[Continued from previous Web Page]
Procedure Code Procedure Code Description Assistant Surgeon Fee Revision (Billing with Modifier 80) Professional Component Fee Revision (Billing with Modifier 26) Technical Component Fee Revision (Billing with Modifier TC) Billing with No Modifier or Pricing Modifiers U6, U7, U8, U9, SU or TH Billing with NU (New) or RR (Rental) Modifiers 76936 ULTRASOUND GUIDED COMPRESSION REPAIR OF ARTERIAL PSEUDOANEURYSM OR ARTERIOVENOUS FISTULAE (INCLUDES DIAGNOSTIC ULTRASOUND EVALUATION, COMPRESSION OF LESION AND IMAGING) N/A No Change $122.19 $191.36 N/A 76941 ULTRASONIC GUIDANCE FOR INTRAUTERINE FETAL TRANSFUSION OR CORDOCENTESIS, IMAGING SUPERVISION AND INTERPRETATION N/A $63.72 No Change $110.97 N/A 76945 ULTRASONIC GUIDANCE FOR CHORIONIC VILLUS SAMPLING, IMAGING SUPERVISION AND INTERPRETATION N/A $31.18 No Change $78.42 N/A 76946 ULTRASONIC GUIDANCE FOR AMNIOCENTESIS, IMAGING SUPERVISION AND INTERPRETATION N/A $17.94 $44.80 $62.74 N/A 76970 ULTRASOUND STUDY FOLLOW-UP (SPECIFY) N/A $18.70 No Change $56.43 N/A 76977 ULTRASOUND BONE DENSITY MEASUREMENT AND INTERPRETATION, PERIPHERAL SITE(S), ANY METHOD N/A $2.50 $23.43 $25.93 N/A 77261 THERAPEUTIC RADIOLOGY TREATMENT PLANNING; SIMPLE N/A N/A N/A $66.95 N/A 77262 THERAPEUTIC RADIOLOGY TREATMENT PLANNING; INTERMEDIATE N/A N/A N/A $100.66 N/A 77263 THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; THREE-DIMENSIONAL N/A N/A N/A $149.36 N/A 77295 THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; THREE-DIMENSIONAL N/A $213.00 No Change $1,003.25 N/A 77301 INTENSITY MODULATED RADIOTHERAPY PLAN, INCLUDING DOSE-VOLUME HISTOGRAMS FOR TARGET AND CRITICAL STRUCTURE PARTIAL TOLERANCE SPECIFICATIONS N/A $373.24 No Change $1,081.07 N/A 77326 BRACHYTHERAPY ISODOSE PLAN; SIMPLE (CALCULATION MADE FROM SINGLE PLANE, ONE TO FOUR SOURCES/RIBBON APPLICATION, REMOTE AFTERLOADING BRACHYTHERAPY, 1 TO 8 SOURCES) N/A $43.96 No Change $116.46 N/A 77331 SPECIAL DOSIMETRY (EG, TLD, MICRODOSIMETRY) (SPECIFY), ONLY WHEN PRESCRIBED BY THE TREATING PHYSICIAN N/A $40.35 No Change $58.05 N/A 77421 STEREOSCOPIC X-RAY GUIDANCE FOR LOCALIZATION OF TARGET VOLUME FOR THE DELIVERY OF RADIATION THERAPY N/A No Change $63.81 $79.54 N/A 77432 STEREOTACTIC RADIATION TREATMENT MANAGEMENT OF CEREBRAL LESION(S) (COMPLETE COURSE OF TREATMENT CONSISTING OF ONE SESSION) N/A No Change No Change $379.79 N/A 77610 HYPERTHERMIA GENERATED BY INTERSTITIAL PROBE(S); 5 OR FEWER INTERSTITIAL APPLICATORS N/A $72.93 No Change $182.42 N/A 77615 HYPERTHERMIA GENERATED BY INTERSTITIAL PROBE(S); MORE THAN 5 INTERSTITIAL APPLICATORS N/A $97.51 No Change $243.35 N/A 77620 HYPERTHERMIA GENERATED BY INTRACAVITARY PROBE(S) N/A $75.85 No Change $185.34 N/A 77781 REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 1-4 SOURCE POSITIONS OR CATHETERS N/A $60.84 No Change $180.84 N/A 77782 REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 5-8 SOURCE POSITIONS OR CATHETERS N/A $99.64 No Change $279.64 N/A 77784 REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; OVER 12 SOURCE POSITIONS OR CATHETERS N/A $245.16 No Change $635.16 N/A 77789 SURFACE APPLICATION OF RADIOELEMENT N/A $53.86 $13.35 $67.21 N/A 78000 THYROID UPTAKE; SINGLE DETERMINATION N/A $8.80 No Change $28.80 N/A 78001 THYROID UPTAKE; MULTIPLE DETERMINATIONS N/A $12.10 No Change $31.10 N/A 78006 THYROID IMAGING, WITH UPTAKE; SINGLE DETERMINATION N/A $22.76 No Change $60.26 N/A 78011 THYROID IMAGING; WITH VASCULAR FLOW N/A $20.90 No Change $65.90 N/A 78102 BONE MARROW IMAGING; LIMITED AREA N/A $25.34 No Change $64.34 N/A 78103 BONE MARROW IMAGING; MULTIPLE AREAS N/A $34.86 No Change $106.36 N/A 78110 PLASMA VOLUME, RADIOPHARMACEUTICAL VOLUME-DILUTION TECHNIQUE (SEPARATE PROCEDURE); SINGLE SAMPLING N/A $9.14 No Change $29.14 N/A 78111 PLASMA VOLUME, RADIOPHARMACEUTICAL VOLUME-DILUTION TECHNIQUE (SEPARATE PROCEDURE); MULTIPLE SAMPLINGS N/A $10.62 No Change $34.62 N/A 78120 RED CELL VOLUME DETERMINATION (SEPARATE PROCEDURE); SINGLE SAMPLING N/A $11.00 No Change $30.00 N/A 78121 RED CELL VOLUME DETERMINATION (SEPARATE PROCEDURE); MULTIPLE SAMPLINGS N/A $15.06 No Change $42.56 N/A 78122 WHOLE BLOOD VOLUME DETERMINATION, INCLUDING SEPARATE MEASUREMENT OF PLASMA VOLUME AND RED CELL VOLUME (RADIOPHARMACEUTICAL VOLUME-DILUTION TECHNIQUE) N/A $20.90 No Change $88.90 N/A 78130 RED CELL SURVIVAL STUDY N/A $28.60 No Change $75.10 N/A 78135 RED CELL SURVIVAL STUDY; DIFFERENTIAL ORGAN/TISSUE KINETICS, (EG, SPLENIC AND/OR HEPATIC SEQUESTRATION) N/A $30.08 No Change $195.08 N/A 78185 SPLEEN IMAGING ONLY, WITH OR WITHOUT VASCULAR FLOW N/A $18.70 No Change $57.70 N/A 78201 LIVER IMAGING; STATIC ONLY N/A $20.56 No Change $67.06 N/A 78202 LIVER IMAGING; WITH VASCULAR FLOW N/A $23.52 No Change $73.52 N/A 78205 LIVER IMAGING (SPECT) N/A $33.04 No Change $168.04 N/A 78206 LIVER IMAGING (SPECT); WITH VASCULAR FLOW N/A $44.76 No Change $183.64 N/A 78215 LIVER AND SPLEEN IMAGING; STATIC ONLY N/A $22.76 No Change $69.26 N/A 78216 LIVER AND SPLEEN IMAGING; WITH VASCULAR FLOW N/A $26.10 No Change $87.60 N/A 78220 LIVER FUNCTION STUDY WITH HEPATOBILIARY AGENTS, WITH SERIAL IMAGES N/A $22.76 No Change $66.76 N/A 78223 HEPATOBILIARY DUCTAL SYSTEM IMAGING, INCLUDING GALLBLADDER, WITH OR WITHOUT PHARMACOLOGIC INTERVENTION, WITH OR WITHOUT QUANTITATIVE MEASUREMENT OF GALLBLADDER FUNCTION N/A $39.25 No Change $112.25 N/A 78230 SALIVARY GLAND IMAGING N/A $20.56 No Change $59.56 N/A 78232 SALIVARY GLAND FUNCTION STUDY N/A $21.66 No Change $60.66 N/A 78258 ESOPHAGEAL MOTILITY N/A $34.86 No Change $98.86 N/A 78264 GASTRIC EMPTYING STUDY N/A $35.99 No Change $134.99 N/A 78270 VITAMIN B-12 ABSORPTION STUDIES COMBINED, WITHOUT INTRINSIC FACTOR N/A $9.52 No Change $29.52 N/A 78271 VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITH INTRINSIC FACTOR N/A $9.52 No Change $28.52 N/A 78282 GASTROINTESTINAL PROTEIN LOSS N/A $17.60 No Change $56.60 N/A 78291 PERITONEAL-VENOUS SHUNT PATENCY TEST (EG, FOR LEVEEN, DENVER SHUNT) N/A $41.08 No Change $150.91 N/A 78306 BONE AND/OR JOINT IMAGING; WHOLE BODY N/A $39.98 No Change $101.48 N/A 78315 BONE AND/OR JOINT IMAGING; THREE PHASE STUDY N/A $47.37 No Change $166.37 N/A 78320 BONE AND/OR JOINT IMAGING; TOMOGRAPHIC (SPECT) N/A $48.47 No Change $248.44 N/A 78414 DETERMINATION OF CENTRAL C-V HEMODYNAMICS (NON-IMAGING) (EG, EJECTION FRACTION WITH PROBE TECHNIQUE) WITH OR WITHOUT PHARMACOLOGIC INTERVENTION OR EXERCISE, SINGLE OR MULTIPLE DETERMINATIONS N/A $21.24 No Change $82.24 N/A 78428 CARDIAC SHUNT DETECTION N/A $38.05 No Change $113.05 N/A 78456 ACUTE VENOUS THROMBOSIS IMAGING, PEPTIDE N/A $48.33 No Change $154.99 N/A 78457 VENOUS THROMBOSIS IMAGING, VENOGRAM; UNILATERAL N/A $35.62 No Change $100.62 N/A 78458 VENOUS THROMBOSIS IMAGING, VENOGRAM; BILATERAL N/A $42.18 No Change $107.18 N/A 78460 MYOCARDIAL PERFUSION IMAGING; (PLANAR) SINGLE STUDY, AT REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC), WITH OR WITHOUT QUANTIFICATION N/A $40.32 No Change $125.30 N/A 78461 MYOCARDIAL PERFUSION IMAGING; MULTIPLE STUDIES, (PLANAR) AT REST AND/OR STRESS (EXERCISE AND/OR PHARMACOLOGIC), AND REDISTRIBUTION AND/OR REST INJECTION, WITH OR WITHOUT QUANTIFICATION N/A $57.96 $157.91 $215.87 N/A 78464 MYOCARDIAL PERFUSION IMAGING; TOMOGRAPHIC (SPECT), SINGLE STUDY (INCLUDING ATTENUATION CORRECTION WHEN PERFORMED), AT REST OR STRESS (EXERCISE AND/ OR PHARMACOLOGIC), WITH OR WITHOUT QUANTIFICATION N/A $52.39 No Change $265.39 N/A 78465 MYOCARDIAL PERFUSION IMAGING; TOMOGRAPHIC (SPECT), MULTIPLE STUDIES (INCLUDING ATTENUATION CORRECTION WHEN PERFORMED), AT REST AND/OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) AND REDISTRIBUTION AND/OR REST INJECTION, WITH OR WITHOUT QUANTIFICATION N/A $70.68 No Change $333.48 N/A 78466 MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; QUALITATIVE OR QUANTITATIVE N/A $32.62 No Change $88.62 N/A 78469 MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; TOMOGRAPHIC SPECT WITH OR WITHOUT QUANTIFICATION N/A $44.00 No Change $221.44 N/A 78473 CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM; MULTIPLE STUDIES, WALL MOTION STUDY PLUS EJECTION FRACTION, AT REST AND STRESS (EXERCISE AND/OR PHARMACOLOGIC), WITH OR WITHOUT ADDITIONAL QUANTIFICATION N/A $69.99 No Change $296.99 N/A 78478 MYOCARDIAL PERFUSION STUDY WITH WALL MOTION, QUALITATIVE OR QUANTITATIVE STUDY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A $25.53 No Change $65.13 N/A 78480 MYOCARDIAL PERFUSION STUDY WITH EJECTION FRACTION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A $17.69 No Change $57.29 N/A 78494 CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM, SPECT, AT REST, WALL MOTION STUDY PLUS EJECTION FRACTION, WITH OR WITHOUT QUANTITATIVE PROCESSING N/A $57.47 No Change $228.22 N/A 78496 CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM, SINGLE STUDY, AT REST, WITH RIGHT VENTRICULAR EJECTION FRACTION BY FIRST PASS TECHNIQUE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A $24.51 No Change $72.94 N/A 78586 PULMONARY VENTILATION IMAGING, AEROSOL; SINGLE PROJECTION N/A $18.70 No Change $61.20 N/A 78587 PULMONARY VENTILATION IMAGING, AEROSOL; MULTIPLE PROJECTIONS (EG, ANTERIOR, POSTERIOR, LATERAL VIEWS) N/A $22.76 No Change $71.76 N/A 78588 PULMONARY PERFUSION IMAGING, PARTICULATE, WITH VENTILATION IMAGING, AEROSOL, ONE OR MULTIPLE PROJECTIONS N/A $50.63 No Change $165.86 N/A 78591 PULMONARY VENTILATION IMAGING, GASEOUS, SINGLE BREATH, SINGLE PROJECTION N/A $18.70 No Change $82.70 N/A 78593 PULMONARY VENTILATION IMAGING, GASEOUS, WITH REBREATHING AND WASHOUT WITH OR WITHOUT SINGLE BREATH; SINGLE PROJECTION N/A $22.76 No Change $66.76 N/A 78594 PULMONARY VENTILATION IMAGING, GASEOUS, WITH REBREATHING AND WASHOUT WITH OR WITHOUT SINGLE BREATH; MULTIPLE PROJECTIONS (EG, ANTERIOR, POSTERIOR, LATERAL VIEWS) N/A $24.62 No Change $82.12 N/A 78600 BRAIN IMAGING, LIMITED PROCEDURE; STATIC N/A $20.56 No Change $78.06 N/A 78601 BRAIN IMAGING, LIMITED PROCEDURE; WITH VASCULAR FLOW N/A $23.52 No Change $93.52 N/A 78605 BRAIN IMAGING, COMPLETE STUDY; STATIC N/A $24.62 No Change $78.62 N/A 78606 BRAIN IMAGING, COMPLETE STUDY; WITH VASCULAR FLOW N/A $29.73 No Change $88.73 N/A 78607 BRAIN IMAGING, COMPLETE STUDY; TOMOGRAPHIC (SPECT) N/A $57.62 No Change $279.81 N/A 78610 BRAIN IMAGING, VASCULAR FLOW ONLY N/A $14.30 No Change $48.30 N/A 78615 CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF MATERIAL); CISTERNOGRAPHY N/A $19.80 No Change $53.80 N/A 78630 CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF MATERIAL); CISTERNOGRAPHY N/A $31.56 No Change $113.06 N/A 78645 CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF MATERIAL); SHUNT EVALUATION N/A $26.10 No Change $136.10 N/A 78647 CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF MATERIAL); TOMOGRAPHIC (SPECT) N/A $41.83 No Change $224.39 N/A 78650 CEREBROSPINAL FLUID LEAKAGE DETECTION AND LOCALIZATION N/A $28.60 No Change $82.60 N/A 78660 RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY N/A $24.96 No Change $82.46 N/A 78700 KIDNEY IMAGING MORPHOLOGY N/A $20.90 No Change $62.40 N/A 78701 KIDNEY IMAGING; WITH VASCULAR FLOW N/A $22.76 No Change $77.76 N/A 78707 KIDNEY IMAGING MORPHOLOGY; WITH VASCULAR FLOW AND FUNCTION, SINGLE STUDY WITHOUT PHARMACOLOGICAL INTERVENTION N/A $44.41 No Change $113.41 N/A 78710 KIDNEY IMAGING MORPHOLOGY; TOMOGRAPHIC (SPECT) N/A $30.46 $198.81 $229.27 N/A 78725 KIDNEY FUNCTION STUDY, NON-IMAGING RADIOISOTOPIC STUDY N/A $17.94 No Change $82.48 N/A 78730 URINARY BLADDER RESIDUAL STUDY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A $9.30 $35.42 $44.72 N/A 78740 URETERAL REFLUX STUDY (RADIOPHARMACEUTICAL VOIDING CYSTOGRAM) N/A $26.40 No Change $76.40 N/A 78761 TESTICULAR IMAGING WITH VASCULAR FLOW N/A $33.04 No Change $128.04 N/A 78800 RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR OR DISTRIBUTION OF RADIOPHARMACEUTICAL AGENT(S); LIMITED AREA N/A $30.76 No Change $85.76 N/A 78801 RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR; MULTIPLE AREAS N/A $37.32 No Change $96.32 N/A 78802 RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR OR DISTRIBUTION OF RADIOPHARMACEUTICAL AGENT(S); WHOLE BODY, SINGLE DAY IMAGING N/A $39.98 No Change $109.98 N/A 78803 RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR; TOMOGRAPHIC (SPECT) N/A $50.98 No Change $273.17 N/A 78805 RADIOPHARMACEUTICAL LOCALIZATION OF INFLAMMATORY PROCESS; LIMITED AREA N/A $34.14 No Change $89.14 N/A 78806 RADIOPHARMACEUTICAL LOCALIZATION OF INFLAMMATORY PROCESS; WHOLE BODY N/A $39.98 No Change $109.98 N/A 79200 RADIOPHARMACEUTICAL THERAPY, BY INTRACAVITARY ADMINISTRATION N/A No Change $84.72 $149.72 N/A 79300 RADIOPHARMACEUTICAL THERAPY, BY INTERSTITIAL RADIOACTIVE COLLOID ADMINISTRATION N/A $77.66 No Change $185.16 N/A 80182 NORTRIPTYLINE N/A N/A N/A $18.93 N/A 80184 PHENOBARBITAL N/A N/A N/A $16.01 N/A 80410 CALCITONIN STIMULATION PANEL (EG, CALCIUM, PENTAGASTRIN) N/A N/A N/A $112.23 N/A 80438 THYROTROPIN RELEASING HORMONE (TRH) STIMULATION PANEL; ONE HOUR N/A N/A N/A $70.41 N/A 81002 URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPY N/A N/A N/A $3.57 N/A 82530 CORTISOL; FREE N/A N/A N/A $23.35 N/A 82608 CYANOCOBALAMIN (VITAMIN B-12); UNSATURATED BINDING CAPACITY N/A N/A N/A $20.01 N/A 82646 DIHYDROCODEINONE N/A N/A N/A $28.85 N/A 82652 DIHYDROXYVITAMIN D, 1,25- N/A N/A N/A $53.78 N/A 82787 GAMMAGLOBULIN; IMMUNOGLOBULIN SUBCLASSES, (IGG1, 2, 3, OR 4), EACH N/A N/A N/A $11.20 N/A 86901 BLOOD TYPING; RH (D) N/A N/A N/A $4.17 N/A 87076 CULTURE, BACTERIAL; ANAEROBIC ISOLATE, ADDITIONAL METHODS REQUIRED FOR DEFINITIVE IDENTIFICATION, EACH ISOLATE N/A N/A N/A $8.97 N/A 88300 LEVEL I--SURGICAL PATHOLOGY, GROSS EXAMINATION ONLY N/A $3.98 No Change $5.48 N/A 88302 LEVEL II--SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION N/A $6.90 No Change $11.90 N/A 88304 LEVEL III--SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION N/A $10.62 No Change $17.12 N/A 88311 DECALCIFICATION PROCEDURE (LIST SEPARATELY IN ADDITION TO CODE FOR SURGICAL PATHOLOGY EXAMINATION) N/A N/A N/A $16.82 N/A 88314 SPECIAL STAINS (LIST SEPARATELY IN ADDITION TO CODE FOR SURGICAL PATHOLOGY EXAMINATION); HISTOCHEMICAL STAINING WITH FROZEN SECTION(S) N/A $21.93 No Change $30.52 N/A 88332 PATHOLOGY CONSULTATION DURING SURGERY; EACH ADDITIONAL TISSUE BLOCK WITH FROZEN SECTION(S) N/A $28.57 No Change $36.36 N/A 88349 ELECTRON MICROSCOPY; SCANNING N/A $36.95 No Change $61.55 N/A 88355 MORPHOMETRIC ANALYSIS; SKELETAL MUSCLE N/A $88.65 No Change $120.15 N/A 88358 MORPHOMETRIC ANALYSIS; TUMOR (EG, DNA PLOIDY) N/A $46.87 No Change $68.50 N/A 89105 DUODENAL INTUBATION AND ASPIRATION; COLLECTION OF MULTIPLE FRACTIONAL SPECIMENS WITH PANCREATIC OR GALLBLADDER STIMULATION, SINGLE OR DOUBLE LUMEN TUBE N/A N/A N/A $25.88 N/A 89190 NASAL SMEAR FOR EOSINOPHILS N/A N/A N/A $6.64 N/A 89230 SWEAT COLLECTION BY IONTOPHORESIS N/A N/A N/A $4.03 N/A 91055 GASTRIC INTUBATION, WASHINGS AND PREPARING SLIDES FOR CYTOLOGY (SEPARATE PROCEDURE) N/A $42.97 No Change $63.48 N/A 92270 ELECTRO-OCULOGRAPHY WITH INTERPRETATION AND REPORT N/A No Change $41.37 $79.37 N/A 92283 COLOR VISION EXAMINATION, EXTENDED, EG, ANOMALOSCOPE OR EQUIVALENT N/A $8.38 No Change $11.92 N/A 92284 DARK ADAPTATION EXAMINATION WITH INTERPRETATION AND REPORT N/A $11.38 No Change $53.38 N/A 92285 EXTERNAL OCULAR PHOTOGRAPHY WITH INTERPRETATION AND REPORT FOR DOCUMENTATION OF MEDICAL PROGRESS (EG, CLOSE-UP PHOTOGRAPHY, SLIT LAMP PHOTOGRAPHY, GONIOPHOTOGRAPHY, STEREO-PHOTOGRAPHY) N/A $10.21 No Change $13.46 N/A 92516 FACIAL NERVE FUNCTION STUDIES (EG, ELECTRONEURONOGRAPHY) N/A N/A N/A $21.93 N/A 92541 SPONTANEOUS NYSTAGMUS TEST, INCLUDING GAZE AND FIXATION NYSTAGMUS, WITH RECORDING N/A $20.07 No Change $28.01 N/A 92542 POSITIONAL NYSTAGMUS TEST, MINIMUM OF 4 POSITIONS, WITH RECORDING N/A $16.47 No Change $25.85 N/A 92543 CALORIC VESTIBULAR TEST, EACH IRRIGATION (BINAURAL, BITHERMAL STIMULATION CONSTITUTES FOUR TESTS), WITH RECORDING N/A $5.42 No Change $20.35 N/A 92544 OPTOKINETIC NYSTAGMUS TEST, BIDIRECTIONAL, FOVEAL OR PERIPHERAL STIMULATION, WITH RECORDING N/A $12.79 No Change $20.10 N/A 92545 OSCILLATING TRACKING TEST, WITH RECORDING N/A $11.68 No Change $18.99 N/A 92546 SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING N/A $14.26 No Change $22.52 N/A 92564 SHORT INCREMENT SENSITIVITY INDEX (SISI) N/A N/A N/A $17.26 N/A 92565 STENGER TEST, PURE TONE N/A N/A N/A $13.54 N/A 92569 ACOUSTIC REFLEX TESTING; DECAY N/A N/A N/A $13.19 N/A 92577 STENGER TEST, SPEECH N/A N/A N/A $22.66 N/A 92586 AUDITORY EVOKED POTENTIALS FOR EVOKED RESPONSE AUDIOMETRY AND/OR TESTING OF THE CENTRAL NERVOUS SYSTEM; LIMITED N/A N/A N/A $63.82 N/A 92587 EVOKED OTOACOUSTIC EMISSIONS; LIMITED (SINGLE STIMULUS LEVEL, EITHER TRANSIENT OR DISTORTION PRODUCTS) N/A $6.90 No Change $48.26 N/A 92588 EVOKED OTOACOUSTIC EMISSIONS; COMPREHENSIVE OR DIAGNOSTIC EVALUATION (COMPARISON OF TRANSIENT AND/OR DISTORTION PRODUCT OTOACOUSTIC EMISSIONS AT MULTIPLE LEVELS AND FREQUENCIES) N/A $17.57 No Change $64.40 N/A 92612 FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING BY CINE OR VIDEO RECORDING N/A N/A N/A $64.62 N/A 92613 FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING BY CINE OR VIDEO RECORDING; PHYSICIAN INTERPRETATION AND REPORT ONLY N/A N/A N/A $37.75 N/A 92614 FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION, LARYNGEAL SENSORY TESTING BY CINE OR VIDEO RECORDING N/A N/A N/A $64.62 N/A 92615 FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION, LARYNGEAL SENSORY TESTING BY CINE OR VIDEO RECORDING; PHYSICIAN INTERPRETATION AND REPORT ONLY N/A N/A N/A $33.72 N/A 92616 FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING AND LARYNGEAL SENSORY TESTING BY CINE OR VIDEO RECORDING N/A N/A N/A $96.00 N/A 92617 FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING AND LARYNGEAL SENSORY TESTING BY CINE OR VIDEO RECORDING; PHYSICIAN INTERPRETATION AND REPORT ONLY N/A N/A N/A $41.77 N/A 92973 PERCUTANEOUS TRANSLUMINAL CORONARY THROMBECTOMY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A N/A N/A $167.36 N/A 92975 THROMBOLYSIS, CORONARY; BY INTRACORONARY INFUSION, INCLUDING SELECTIVE CORONARY ANGIOGRAPHY N/A N/A N/A $367.60 N/A 92978 INTRAVASCULAR ULTRASOUND (CORONARY VESSEL OR GRAFT) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION INCLUDING IMAGING SUPERVISION, INTERPRETATION AND REPORT; INITIAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A $89.92 No Change $240.05 N/A 92980 TRANSCATHETER PLACEMENT OF AN INTRACORONARY STENT(S), PERCUTANEOUS, WITH OR WITHOUT OTHER THERAPEUTIC INTERVENTION, ANY METHOD; SINGLE VESSEL N/A N/A N/A $763.95 N/A 92981 DUPLEX SCAN OF ARTERIAL INFLOW AND VENOUS OUTFLOW OF PENILE VESSELS; FOLLOW-UP OR LIMITED STUDY N/A N/A N/A $212.12 N/A 92982 PERCUTANEOUS TRANSLUMINAL CORONARY BALLOON ANGIOPLASTY; SINGLE VESSEL N/A N/A N/A $566.78 N/A 92984 PERCUTANEOUS TRANSLUMINAL CORONARY BALLOON ANGIOPLASTY; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A N/A N/A $151.35 N/A 92995 PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, BY MECHANICAL OR OTHER METHOD, WITH OR WITHOUT BALLOON ANGIOPLASTY; SINGLE VESSEL N/A N/A N/A $623.52 N/A 92996 PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, BY MECHANICAL OR OTHER METHOD, WITH OR WITHOUT BALLOON ANGIOPLASTY; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A N/A N/A $162.35 N/A 92997 PERCUTANEOUS TRANSLUMINAL PULMONARY ARTERY BALLOON ANGIOPLASTY; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A N/A N/A $589.08 N/A 92998 PERCUTANEOUS TRANSLUMINAL PULMONARY ARTERY BALLOON ANGIOPLASTY; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A N/A N/A $293.19 N/A 93014 TELEPHONIC TRANSMISSION OF POST-SYMPTOM ELECTROCARDIOGRAM RHYTHM STRIP(S), 24 HOUR ATTENDED MONITORING, PER 30 DAY PERIOD OF TIME; PHYSICIAN REVIEW WITH INTERPRETATION AND REPORT ONLY N/A N/A N/A $25.26 N/A 93015 CARDIOVASCULAR STRESS TEST USING MAXIMAL OR SUBMAXIMAL TREADMILL OR BICYCLE EXERCISE, CONTINUOUS ELECTROCARDIOGRAPHIC MONITORING AND/OR PHARMACOLOGICAL STRESS; WITH PHYSICIAN SUPERVISION, WITH INTERPRETATION AND REPORT N/A N/A N/A $96.40 N/A 93016 CARDIOVASCULAR STRESS TEST USING MAXIMAL OR SUBMAXIMAL TREADMILL OR BICYCLE EXERCISE, CONTINUOUS ELECTROCARDIOGRAPHIC MONITORING AND/OR PHARMACOLOGICAL STRESS; PHYSICIAN SUPERVISION ONLY, WITHOUT INTERPRETATION AND REPORT N/A N/A N/A $22.27 N/A 93018 CARDIOVASCULAR STRESS TEST USING MAXIMAL OR SUBMAXIMAL TREADMILL OR BICYCLE EXERCISE, CONTINUOUS ELECTROCARDIOGRAPHIC MONITORING AND/OR PHARMACOLOGICAL STRESS; INTERPRETATION AND REPORT ONLY N/A N/A N/A $14.64 N/A 93040 RHYTHM ECG, ONE TO THREE LEADS; WITH INTERPRETATION AND REPORT N/A N/A N/A $12.76 N/A 93042 RHYTHM ECG, ONE TO THREE LEADS; INTERPRETATION AND REPORT ONLY N/A N/A N/A $7.32 N/A 93224 ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORDING AND STORAGE, WITH VISUAL SUPERIMPOSITION SCANNING; INCLUDES RECORDING, SCANNING ANALYSIS WITH REPORT, PHYSICIAN REVIEW AND INTERPRETATION N/A N/A N/A $137.74 N/A 93227 ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORDING AND STORAGE, WITH VISUAL SUPERIMPOSITION SCANNING; PHYSICIAN REVIEW AND INTERPRETATION N/A N/A N/A $25.61 N/A
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