[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 33208 INSERTION OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); ATRIAL AND VENTRICULAR N/A N/A N/A $463.07 N/A 33210 INSERTION OR REPLACEMENT OF TEMPORARY TRANSVENOUS SINGLE CHAMBER CARDIAC ELECTRODE OR PACEMAKER CATHETER (SEPARATE PROCEDURE) N/A N/A N/A $164.90 N/A 33211 INSERTION OR REPLACEMENT OF TEMPORARY TRANSVENOUS DUAL CHAMBER PACING ELECTRODES (SEPARATE PROCEDURE) $27.23 N/A N/A $170.20 N/A 33213 INSERTION OR REPLACEMENT OF PACEMAKER PULSE GENERATOR ONLY; DUAL CHAMBER $58.06 N/A N/A $362.88 N/A 33216 INSERTION OF A TRANSVENOUS ELECTRODE; SINGLE CHAMBER (ONE ELECTRODE) PERMANENT PACEMAKER OR SINGLE CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR N/A N/A N/A $356.68 N/A 33217 INSERTION OF A TRANSVENOUS ELECTRODE; DUAL CHAMBER (TWO ELECTRODES) PERMANENT PACEMAKER OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR $57.03 N/A N/A $356.45 N/A 33222 REVISION OR RELOCATION OF SKIN POCKET FOR PACEMAKER N/A N/A N/A $331.20 N/A 33223 REVISION OF SKIN POCKET FOR SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR $63.34 N/A N/A $395.86 N/A 33233 REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR $37.28 N/A N/A $233.02 N/A 33238 REMOVAL OF PERMANENT TRANSVENOUS ELECTRODE(S) BY THORACOTOMY $138.19 N/A N/A $863.67 N/A 33249 INSERTION OR REPOSITIONING OF ELECTRODE LEAD(S) FOR SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR AND INSERTION OF PULSE GENERATOR $134.35 N/A N/A $839.70 N/A 33508 ENDOSCOPY, SURGICAL, INCLUDING VIDEO-ASSISTED HARVEST OF VEIN(S) FOR CORONARY ARTERY BYPASS PROCEDURE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $2.44 N/A N/A $15.24 N/A 33572 CORONARY ENDARTERECTOMY, OPEN, ANY METHOD, OF LEFT ANTERIOR DESCENDING, CIRCUMFLEX, OR RIGHT CORONARY ARTERY PERFORMED IN CONJUNCTION WITH CORONARY ARTERY BYPASS GRAFT PROCEDURE, EACH VESSEL (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE) $35.10 N/A N/A $219.39 N/A 33924 LIGATION AND TAKEDOWN OF A SYSTEMIC-TO-PULMONARY ARTERY SHUNT, PERFORMED IN CONJUNCTION WITH A CONGENITAL HEART PROCEDURE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $44.42 N/A N/A $277.63 N/A 33961 PROLONGED EXTRACORPOREAL CIRCULATION FOR CARDIOPULMONARY INSUFFICIENCY; EACH ADDITIONAL 24 HOURS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $82.63 N/A N/A $516.42 N/A 33967 INSERTION OF INTRA-AORTIC BALLOON ASSIST DEVICE, PERCUTANEOUS $39.02 N/A N/A $243.89 N/A 33968 REMOVAL OF INTRA-AORTIC BALLOON ASSIST DEVICE, PERCUTANEOUS N/A N/A N/A $32.31 N/A 33970 INSERTION OF INTRA-AORTIC BALLOON ASSIST DEVICE THROUGH THE FEMORAL ARTERY, OPEN APPROACH N/A N/A N/A $334.81 N/A 33973 INSERTION OF INTRA-AORTIC BALLOON ASSIST DEVICE THROUGH THE ASCENDING AORTA $78.20 N/A N/A $488.76 N/A 34051 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; INNOMINATE, SUBCLAVIAN ARTERY, BY THORACIC INCISION $144.29 N/A N/A $901.84 N/A 34101 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; AXILLARY, BRACHIAL, INNOMINATE, SUBCLAVIAN ARTERY, BY ARM INCISION $93.97 N/A N/A $587.32 N/A 34111 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; RADIAL OR ULNAR ARTERY, BY ARM INCISION $94.03 N/A N/A $587.70 N/A 35005 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND GRAFT INSERTION, WITH OR WITHOUT PATCH GRAFT; FOR ANEURYSM, PSEUDOANEURYSM, AND ASSOCIATED OCCLUSIVE DISEASE, VERTEBRAL ARTERY $159.81 N/A N/A $998.81 N/A 35180 REPAIR, CONGENITAL ARTERIOVENOUS FISTULA; HEAD AND NECK $123.06 N/A N/A $769.15 N/A 35188 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA; HEAD AND NECK $132.39 N/A N/A $827.45 N/A 35190 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA; EXTREMITIES $115.23 N/A N/A $720.21 N/A 35207 REPAIR BLOOD VESSEL, DIRECT; HAND, FINGER $105.71 N/A N/A $660.68 N/A 35390 REOPERATION, CAROTID, THROMBOENDARTERECTOMY, MORE THAN ONE MONTH AFTER ORIGINAL OPERATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $25.15 N/A N/A $157.19 N/A 35450 TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; RENAL OR OTHER VISCERAL ARTERY $79.85 N/A N/A $499.04 N/A 35454 TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; ILIAC $49.05 N/A N/A $306.58 N/A 35456 TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; FEMORAL-POPLITEAL N/A N/A N/A $371.82 N/A 35458 TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; BRACHIOCEPHALIC TRUNK OR BRANCHES, EACH VESSEL $76.04 N/A N/A $475.22 N/A 35459 TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; TIBIOPERONEAL TRUNK AND BRANCHES $69.31 N/A N/A $433.19 N/A 35470 TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; TIBIOPERONEAL TRUNK OR BRANCHES, EACH VESSEL $68.78 N/A N/A $429.90 N/A 35471 TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; RENAL OR VISCERAL ARTERY $80.68 N/A N/A $504.22 N/A 35472 TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; AORTIC $55.52 N/A N/A $346.99 N/A 35473 TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; ILIAC $48.64 N/A N/A $303.98 N/A 35474 TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; FEMORAL-POPLITEAL $58.72 N/A N/A $366.98 N/A 35475 TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; BRACHIOCEPHALIC TRUNK OR BRANCHES, EACH VESSEL $73.78 N/A N/A $461.12 N/A 35476 TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; VENOUS $46.89 N/A N/A $293.05 N/A 35480 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; RENAL OR OTHER VISCERAL ARTERY $88.58 N/A N/A $553.61 N/A 35481 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; AORTIC $62.15 N/A N/A $388.42 N/A 35482 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; ILIAC $53.91 N/A N/A $336.93 N/A 35483 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; FEMORAL-POPLITEAL $65.90 N/A N/A $411.86 N/A 35484 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; BRACHIOCEPHALIC TRUNK OR BRANCHES, EACH VESSEL $82.60 N/A N/A $516.26 N/A 35485 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; TIBIOPERONEAL TRUNK AND BRANCHES $76.85 N/A N/A $480.32 N/A 35491 TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; AORTIC $64.00 N/A N/A $400.00 N/A 35492 TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; ILIAC $56.36 N/A N/A $352.23 N/A 35493 TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; FEMORAL-POPLITEAL $68.16 N/A N/A $425.99 N/A 35572 HARVEST OF FEMOROPOPLITEAL VEIN, ONE SEGMENT, FOR VASCULAR RECONSTRUCTION PROCEDURE (EG, AORTIC, VENA CAVAL, CORONARY, PERIPHERAL ARTERY) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $53.65 N/A N/A $335.34 N/A 35612 BYPASS GRAFT, WITH OTHER THAN VEIN; SUBCLAVIAN-SUBCLAVIAN $142.30 N/A N/A $889.35 N/A 35642 BYPASS GRAFT, WITH OTHER THAN VEIN; CAROTID-VERTEBRAL $159.95 N/A N/A $999.69 N/A 35645 BYPASS GRAFT, WITH OTHER THAN VEIN; SUBCLAVIAN-VERTEBRAL $156.03 N/A N/A $975.16 N/A 35681 BYPASS GRAFT; COMPOSITE, PROSTHETIC AND VEIN (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $12.58 N/A N/A $78.61 N/A 35682 BYPASS GRAFT; AUTOGENOUS COMPOSITE, TWO SEBYPASS GRAFT; AUTOGENOUS COMPOSITE, TWO SEGMENTS OF VEINS FROM TWO LOCATIONS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $56.41 N/A N/A $352.55 N/A 35683 BYPASS GRAFT; AUTOGENOUS COMPOSITE, THREE OR MORE SEGMENTS OF VEIN FROM TWO OR MORE LOCATIONS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $66.57 N/A N/A $416.04 N/A 35685 PLACEMENT OF VEIN PATCH OR CUFF AT DISTAL ANASTOMOSIS OF BYPASS GRAFT, SYNTHETIC CONDUIT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $31.71 N/A N/A $198.17 N/A 35686 CREATION OF DISTAL ARTERIOVENOUS FISTULA DURING LOWER EXTREMITY BYPASS SURGERY (NON-HEMODIALYSIS) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $26.26 N/A N/A $164.13 N/A 35691 TRANSPOSITION AND/OR REIMPLANTATION; VERTEBRAL TO CAROTID ARTERY $155.52 N/A N/A $972.01 N/A 35700 REOPERATION, FEMORAL-POPLITEAL OR FEMORAL (POPLITEAL)-ANTERIOR TIBIAL, POSTERIOR TIBIAL, PERONEAL ARTERY OR OTHER DISTAL VESSELS, MORE THAN ONE MONTH AFTER ORIGINAL OPERATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $24.26 N/A N/A $151.43 N/A 35875 THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT (OTHER THAN HEMODIALYSIS GRAFT OR FISTULA) $92.11 N/A N/A $575.66 N/A 35901 EXCISION OF INFECTED GRAFT; NECK $78.26 N/A N/A $489.15 N/A 36000 INTRODUCTION OF NEEDLE OR INTRACATHETER, VEIN N/A N/A N/A $8.08 N/A 36002 INJECTION PROCEDURES (EG, THROMBIN) FOR PERCUTANEOUS TREATMENT OF EXTREMITY PSEUDOANEURYSM N/A N/A N/A $103.33 N/A 36120 INTRODUCTION OF NEEDLE OR INTRACATHETER; RETROGRADE BRACHIAL ARTERY N/A N/A N/A $94.39 N/A 36140 INTRODUCTION OF NEEDLE OR INTRACATHETER; EXTREMITY ARTERY N/A N/A N/A $95.67 N/A 36145 INTRODUCTION OF NEEDLE OR INTRACATHETER; ARTERIOVENOUS SHUNT CREATED FOR DIALYSIS (CANNULA, FISTULA, OR GRAFT) N/A N/A N/A $93.83 N/A 36217 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL THIRD ORDER OR MORE SELECTIVE THORACIC OR BRACHIOCEPHALIC BRANCH, WITHIN A VASCULAR FAMILY N/A N/A N/A $302.07 N/A 36218 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; ADDITIONAL SECOND ORDER, THIRD ORDER AND BEYOND, THORACIC OR BRACHIOCEPHALIC BRANCH, WITHIN A VASCULAR FAMILY (LIST IN ADDITION TO CODE FOR INITIAL SECOND OR THIRD ORDER VESSEL AS APPROPRIATE) N/A N/A N/A $48.24 N/A 36246 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL SECOND ORDER ABDOMINAL, PELVIC OR LOWER EXTREMITY ARTERY BRANCH, WITHIN A VASCULAR FAMILY N/A N/A N/A $254.09 N/A 36248 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; ADDITIONAL SECOND ORDER, THIRD ORDER AND BEYOND, ABDOMINAL, PELVIC OR LOWER EXTREMITY ARTERY BRANCH, WITHIN A VASCULAR FAMILY (LIST IN ADDITION TO CODE FOR INITIAL SECOND OR THIRD ORDER VESSEL AS APPROPRIATE) N/A N/A N/A $48.58 N/A 36420 VENIPUNCTURE, CUTDOWN; UNDER AGE 1 YEAR N/A N/A N/A $45.50 N/A 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS N/A N/A N/A $27.84 N/A 36450 EXCHANGE TRANSFUSION, BLOOD; NEWBORN N/A N/A N/A $107.49 N/A 36455 EXCHANGE TRANSFUSION, BLOOD; OTHER THAN NEWBORN N/A N/A N/A $120.05 N/A 36471 INJECTION OF SCLEROSING SOLUTION; MULTIPLE VEINS, SAME LEG N/A N/A N/A $91.80 N/A 36481 PERCUTANEOUS PORTAL VEIN CATHETERIZATION BY ANY METHOD N/A N/A N/A $338.80 N/A 36516 THERAPEUTIC APHERESIS; WITH EXTRACORPOREAL SELECTIVE ADSORPTION OR SELECTIVE FILTRATION AND PLASMA REINFUSION N/A N/A N/A $59.85 N/A 36522 PHOTOPHERESIS, EXTRACORPOREAL N/A N/A N/A $92.96 N/A 36550 DECLOTTING BY THROMBOLYTIC AGENT OF IMPLANTED VASCULAR ACCESS DEVICE OR CATHETER N/A N/A N/A $21.74 N/A 36555 INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; UNDER 5 YEARS OF AGE N/A N/A N/A $120.68 N/A 36556 INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; AGE 5 YEARS OR OLDER N/A N/A N/A $114.96 N/A 36557 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP; UNDER 5 YEARS OF AGE N/A N/A N/A $278.82 N/A 36558 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP; AGE 5 YEARS OR OLDER N/A N/A N/A $265.50 N/A 36560 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT; UNDER 5 YEARS OF AGE N/A N/A N/A $329.85 N/A 36561 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT; AGE 5 YEARS OR OLDER N/A N/A N/A $319.79 N/A 36563 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE WITH SUBCUTANEOUS PUMP N/A N/A N/A $336.10 N/A 36565 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, REQUIRING TWO CATHETERS VIA TWO SEPARATE VENOUS ACCESS SITES; WITHOUT SUBCUTANEOUS PORT OR PUMP (EG, TESIO TYPE CATHETER) N/A N/A N/A $319.11 N/A 36566 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, REQUIRING TWO CATHETERS VIA TWO SEPARATE VENOUS ACCESS SITES; WITH SUBCUTANEOUS PORT(S) N/A N/A N/A $341.64 N/A 36568 INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER (PICC), WITHOUT SUBCUTANEOUS PORT OR PUMP; UNDER 5 YEARS OF AGE N/A N/A N/A $88.40 N/A 36569 INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER (PICC), WITHOUT SUBCUTANEOUS PORT OR PUMP; AGE 5 YEARS OR OLDER N/A N/A N/A $87.39 N/A 36570 INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT; UNDER 5 YEARS OF AGE N/A N/A N/A $288.08 N/A 36571 INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT; AGE 5 YEARS OR OLDER N/A N/A N/A $288.04 N/A 36575 REPAIR OF TUNNELED OR NON-TUNNELED CENTRAL VENOUS ACCESS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP, CENTRAL OR PERIPHERAL INSERTION SITE N/A N/A N/A $37.31 N/A 36576 REPAIR OF CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENTRAL OR PERIPHERAL INSERTION SITE N/A N/A N/A $175.53 N/A 36578 REPLACEMENT, CATHETER ONLY, OF CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENTRAL OR PERIPHERAL INSERTION SITE N/A N/A N/A $200.15 N/A 36580 REPLACEMENT, COMPLETE, OF A NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP, THROUGH SAME VENOUS ACCESS N/A N/A N/A $64.48 N/A 36581 REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP, THROUGH SAME VENOUS ACCESS N/A N/A N/A $185.89 N/A 36582 REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT, THROUGH SAME VENOUS ACCESS N/A N/A N/A $275.95 N/A 36583 REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PUMP, THROUGH SAME VENOUS ACCESS N/A N/A N/A $278.49 N/A 36584 REPLACEMENT, COMPLETE, OF A PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER (PICC), WITHOUT SUBCUTANEOUS PORT OR PUMP, THROUGH SAME VENOUS ACCESS N/A N/A N/A $65.14 N/A 36585 REPLACEMENT, COMPLETE, OF A PERIPHERALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT, THROUGH SAME VENOUS ACCESS N/A N/A N/A $258.54 N/A 36589 REMOVAL OF TUNNELED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP N/A N/A N/A $130.43 N/A 36590 REMOVAL OF TUNNELED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENTRAL OR PERIPHERAL INSERTION N/A N/A N/A $184.09 N/A 36595 MECHANICAL REMOVAL OF PERICATHETER OBSTRUCTIVE MATERIAL (EG, FIBRIN SHEATH) FROM CENTRAL VENOUS DEVICE VIA SEPARATE VENOUS ACCESS N/A N/A N/A $176.34 N/A 36596 MECHANICAL REMOVAL OF INTRALUMINAL (INTRACATHETER) OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS DEVICE THROUGH DEVICE LUMEN N/A N/A N/A $43.00 N/A 36597 REPOSITIONING OF PREVIOUSLY PLACED CENTRAL VENOUS CATHETER UNDER FLUOROSCOPIC GUIDANCE N/A N/A N/A $58.14 N/A 36620 ARTERIAL CATHETERIZATION OR CANNULATION FOR SAMPLING, MONITORING OR TRANSFUSION (SEPARATE PROCEDURE); PERCUTANEOUS N/A N/A N/A $48.68 N/A 36800 INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE (SEPARATE PROCEDURE); VEIN TO VEIN N/A N/A N/A $150.12 N/A 36810 INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE (SEPARATE PROCEDURE); ARTERIOVENOUS, EXTERNAL (SCRIBNER TYPE) N/A N/A N/A $203.25 N/A 36815 INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE (SEPARATE PROCEDURE); ARTERIOVENOUS, EXTERNAL REVISION, OR CLOSURE N/A N/A N/A $139.01 N/A 36821 ARTERIOVENOUS ANASTOMOSIS, OPEN; DIRECT, ANY SITE (EG, CIMINO TYPE) (SEPARATE PROCEDURE) N/A N/A N/A $502.69 N/A 36825 CREATION OF ARTERIOVENOUS FISTULA BY OTHER THAN DIRECT ARTERIOVENOUS ANASTOMOSIS (SEPARATE PROCEDURE); AUTOGENOUS GRAFT N/A N/A N/A $548.11 N/A 36830 CREATION OF ARTERIOVENOUS FISTULA BY OTHER THAN DIRECT ARTERIOVENOUS ANASTOMOSIS (SEPARATE PROCEDURE); NONAUTOGENOUS GRAFT (EG, BIOLOGICAL COLLAGEN, THERMOPLASTIC GRAFT) $100.71 N/A N/A $629.41 N/A 36832 REVISION, OPEN, ARTERIOVENOUS FISTULA; WITHOUT THROMBECTOMY, AUTOGENOUS OR NONAUTOGENOUS DIALYSIS GRAFT (SEPARATE PROCEDURE) $88.83 N/A N/A $555.20 N/A 36834 PLASTIC REPAIR OF ARTERIOVENOUS ANEURYSM (SEPARATE PROCEDURE) $92.82 N/A N/A $580.10 N/A 36835 INSERTION OF THOMAS SHUNT (SEPARATE PROCEDURE) $68.29 N/A N/A $426.84 N/A 36860 EXTERNAL CANNULA DECLOTTING (SEPARATE PROCEDURE); WITHOUT BALLOON CATHETER N/A N/A N/A $94.85 N/A 36861 EXTERNAL CANNULA DECLOTTING (SEPARATE PROCEDURE); WITH BALLOON CATHETER N/A N/A N/A $142.79 N/A 36870 THROMBECTOMY, PERCUTANEOUS, ARTERIOVENOUS FISTULA, AUTOGENOUS OR NONAUTOGENOUS GRAFT (INCLUDES MECHANICAL THROMBUS EXTRACTION AND INTRA-GRAFT THROMBOLYSIS) $45.98 N/A N/A $287.37 N/A 37182 INSERTION OF TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT(S) (TIPS) (INCLUDES VENOUS ACCESS, HEPATIC AND PORTAL VEIN CATHETERIZATION, PORTOGRAPHY WITH HEMODYNAMIC EVALUATION, INTRAHEPATIC TRACT FORMATION/DILATATION, STENT PLACEMENT AND ALL ASSOCIATED IMAGING GUIDANCE AND DOCUMENTATION) $129.24 N/A N/A $807.76 N/A 37183 REVISION OF TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT(S) (TIPS) (INCLUDES VENOUS ACCESS, HEPATIC AND PORTAL VEIN CATHETERIZATION, PORTOGRAPHY WITH HEMODYNAMIC EVALUATION, INTRAHEPATIC TRACT RECANULIZATION/DILATATION, STENT PLACEMENT AND ALL ASSOCIATED IMAGING GUIDANCE AND DOCUMENTATION) $61.70 N/A N/A $385.62 N/A 37203 TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVASCULAR FOREIGN BODY (EG, FRACTURED VENOUS OR ARTERIAL CATHETER) N/A N/A N/A $247.47 N/A 37207 TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S), (NON-CORONARY VESSEL), OPEN; INITIAL VESSEL N/A N/A N/A $419.21 N/A 37208 TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S), (NON-CORONARY VESSEL), OPEN; EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A N/A N/A $202.87 N/A 37700 LIGATION AND DIVISION OF LONG SAPHENOUS VEIN AT SAPHENOFEMORAL JUNCTION, OR DISTAL INTERRUPTIONS $37.84 N/A N/A $236.52 N/A 38102 SPLENECTOMY; TOTAL, EN BLOC FOR EXTENSIVE DISEASE, IN CONJUNCTION WITH OTHER PROCEDURE (LIST IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $37.66 N/A N/A $235.37 N/A 38205 BLOOD-DERIVED HEMATOPOIETIC PROGENITOR CELL HARVESTING FOR TRANSPLANTATION, PER COLLECTION; ALLOGENIC N/A N/A N/A $75.19 N/A 38206 BLOOD-DERIVED HEMATOPOIETIC PROGENITOR CELL HARVESTING FOR TRANSPLANTATION, PER COLLECTION; AUTOLOGOUS N/A N/A N/A $75.19 N/A 38220 BONE MARROW; ASPIRATION ONLY N/A N/A N/A $55.39 N/A 38221 BONE MARROW; BIOPSY, NEEDLE OR TROCAR N/A N/A N/A $70.30 N/A 38230 BONE MARROW HARVESTING FOR TRANSPLANTATION N/A N/A N/A $285.03 N/A 38240 BONE MARROW OR BLOOD-DERIVED PERIPHERAL STEM CELL TRANSPLANTATION; ALLOGENIC N/A N/A N/A $114.08 N/A 38241 BONE MARROW OR BLOOD-DERIVED PERIPHERAL STEM CELL TRANSPLANTATION; AUTOLOGOUS $18.31 N/A N/A $114.42 N/A 38381 SUTURE AND/OR LIGATION OF THORACIC DUCT; THORACIC APPROACH $118.15 N/A N/A $738.46 N/A 38382 SUTURE AND/OR LIGATION OF THORACIC DUCT; ABDOMINAL APPROACH $95.02 N/A N/A $593.90 N/A 38505 BIOPSY OR EXCISION OF LYMPH NODE(S); BY NEEDLE, SUPERFICIAL (EG, CERVICAL, INGUINAL, AXILLARY) N/A N/A N/A $67.43 N/A 38570 LAPAROSCOPY, SURGICAL; WITH RETROPERITONEAL LYMPH NODE SAMPLING (BIOPSY), SINGLE OR MULTIPLE $77.88 N/A N/A $486.76 N/A 38747 ABDOMINAL LYMPHADENECTOMY, REGIONAL, INCLUDING CELIAC, GASTRIC, PORTAL, PERIPANCREATIC, WITH OR WITHOUT PARA-AORTIC AND VENA CAVAL NODES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $38.30 N/A N/A $239.39 N/A 38770 PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGASTRIC, AND OBTURATOR NODES (SEPARATE PROCEDURE) $116.11 N/A N/A $725.71 N/A 38790 INJECTION PROCEDURE; LYMPHANGIOGRAPHY N/A N/A N/A $73.56 N/A 39501 REPAIR, LACERATION OF DIAPHRAGM, ANY APPROACH $118.94 N/A N/A $743.35 N/A 39502 REPAIR, PARAESOPHAGEAL HIATUS HERNIA, TRANSABDOMINAL, WITH OR WITHOUT FUNDOPLASTY, VAGOTOMY, AND/OR PYLOROPLASTY, EXCEPT NEONATAL $142.06 N/A N/A $887.86 N/A 39540 REPAIR, DIAPHRAGMATIC HERNIA (OTHER THAN NEONATAL), TRAUMATIC; ACUTE $121.06 N/A N/A $756.61 N/A 39541 REPAIR, DIAPHRAGMATIC HERNIA (OTHER THAN NEONATAL), TRAUMATIC; CHRONIC $130.24 N/A N/A $813.98 N/A 39545 IMBRICATION OF DIAPHRAGM FOR EVENTRATION, TRANSTHORACIC OR TRANSABDOMINAL, PARALYTIC OR NONPARALYTIC $129.23 N/A N/A $807.71 N/A 40500 VERMILIONECTOMY (LIP SHAVE), WITH MUCOSAL ADVANCEMENT N/A N/A N/A $307.60 N/A 40510 EXCISION OF LIP; TRANSVERSE WEDGE EXCISION WITH PRIMARY CLOSURE N/A N/A N/A $309.44 N/A 40525 EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH LOCAL FLAP (EG, ESTLANDER OR FAN) N/A N/A N/A $492.38 N/A 40527 EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH CROSS LIP FLAP (ABBE-ESTLANDER) N/A N/A N/A $582.72 N/A 40650 REPAIR LIP, FULL THICKNESS; VERMILION ONLY N/A N/A N/A $248.93 N/A 40652 REPAIR LIP, FULL THICKNESS; UP TO HALF VERTICAL HEIGHT N/A N/A N/A $307.28 N/A 40654 REPAIR LIP, FULL THICKNESS; OVER ONE-HALF VERTICAL HEIGHT, OR COMPLEX N/A N/A N/A $368.26 N/A 40818 EXCISION OF MUCOSA OF VESTIBULE OF MOUTH AS DONOR GRAFT N/A N/A N/A $233.11 N/A 41112 EXCISION OF LESION OF TONGUE WITH CLOSURE; ANTERIOR TWO-THIRDS N/A N/A N/A $212.75 N/A 41113 EXCISION OF LESION OF TONGUE WITH CLOSURE; POSTERIOR ONE-THIRD N/A N/A N/A $238.35 N/A 41114 EXCISION OF LESION OF TONGUE WITH CLOSURE; WITH LOCAL TONGUE FLAP N/A N/A N/A $558.07 N/A
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