[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 48102 BIOPSY OF PANCREAS, PERCUTANEOUS NEEDLE N/A N/A N/A $231.34 N/A 48400 INJECTION PROCEDURE FOR INTRAOPERATIVE PANCREATOGRAPHY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A N/A N/A $94.47 N/A 49021 DRAINAGE OF PERITONEAL ABSCESS OR LOCALIZED PERITONITIS, EXCLUSIVE OF APPENDICEAL ABSCESS; PERCUTANEOUS N/A N/A N/A $157.50 N/A 49080 PERITONEOCENTESIS, ABDOMINAL PARACENTESIS OR PERITONEAL LAVAGE (DIAGNOSTIC OR THERAPEUTIC); INITIAL N/A N/A N/A $63.68 N/A 49081 PERITONEOCENTESIS, ABDOMINAL PARACENTESIS OR PERITONEAL LAVAGE (DIAGNOSTIC OR THERAPEUTIC); SUBSEQUENT N/A N/A N/A $60.26 N/A 49180 BIOPSY, ABDOMINAL OR RETROPERITONEAL MASS, PERCUTANEOUS NEEDLE N/A N/A N/A $80.97 N/A 49320 LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM, DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE) $45.09 N/A N/A $281.84 N/A 49321 LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE OR MULTIPLE) $47.14 N/A N/A $294.60 N/A 49322 LAPAROSCOPY, SURGICAL; WITH ASPIRATION OF CAVITY OR CYST (EG, OVARIAN CYST) (SINGLE OR MULTIPLE) $51.81 N/A N/A $323.82 N/A 49420 INSERTION OF INTRAPERITONEAL CANNULA OR CATHETER FOR DRAINAGE OR DIALYSIS; TEMPORARY N/A N/A N/A $120.13 N/A 49422 REMOVAL OF PERMANENT INTRAPERITONEAL CANNULA OR CATHETER N/A N/A N/A $334.92 N/A 49427 INJECTION PROCEDURE (EG, CONTRAST MEDIA) FOR EVALUATION OF PREVIOUSLY PLACED PERITONEAL-VENOUS SHUNT N/A N/A N/A $42.36 N/A 49568 IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR INCISIONAL OR VENTRAL HERNIA REPAIR (LIST SEPARATELY IN ADDITION TO CODE FOR THE INCISIONAL OR VENTRAL HERNIA REPAIR) $38.30 N/A N/A $239.39 N/A 49580 REPAIR UMBILICAL HERNIA, UNDER AGE 5 YEARS; REDUCIBLE $41.29 N/A N/A $258.08 N/A 49582 REPAIR UMBILICAL HERNIA, UNDER AGE 5 YEARS; INCARCERATED OR STRANGULATED $61.86 N/A N/A $386.62 N/A 49905 OMENTAL FLAP, INTRA-ABDOMINAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $51.10 N/A N/A $319.38 N/A 50200 RENAL BIOPSY; PERCUTANEOUS, BY TROCAR OR NEEDLE N/A N/A N/A $137.11 N/A 50390 ASPIRATION AND/OR INJECTION OF RENAL CYST OR PELVIS BY NEEDLE, PERCUTANEOUS N/A N/A N/A $91.55 N/A 50391 INSTILLATION(S) OF THERAPEUTIC AGENT INTO RENAL PELVIS AND/OR URETER THROUGH ESTABLISHED NEPHROSTOMY, PYELOSTOMY OR URETEROSTOMY TUBE (EG, ANTICARCINOGENIC OR ANTIFUNGAL AGENT) N/A N/A N/A $93.86 N/A 50392 INTRODUCTION OF INTRACATHETER OR CATHETER INTO RENAL PELVIS FOR DRAINAGE AND/OR INJECTION, PERCUTANEOUS N/A N/A N/A $170.86 N/A 50393 INTRODUCTION OF URETERAL CATHETER OR STENT INTO URETER THROUGH RENAL PELVIS FOR DRAINAGE AND/OR INJECTION, PERCUTANEOUS N/A N/A N/A $207.45 N/A 50394 INJECTION PROCEDURE FOR PYELOGRAPHY (AS NEPHROSTOGRAM, PYELOSTOGRAM, ANTEGRADE PYELOURETEROGRAMS) THROUGH NEPHROSTOMY OR PYELOSTOMY TUBE, OR INDWELLING URETERAL CATHETER N/A N/A N/A $48.86 N/A 50395 INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS N/A N/A N/A $171.50 N/A 50398 CHANGE OF NEPHROSTOMY OR PYELOSTOMY TUBE N/A N/A N/A $69.82 N/A 50555 RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH BIOPSY N/A N/A N/A $321.59 N/A 50561 RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH REMOVAL OF FOREIGN BODY OR CALCULUS N/A N/A N/A $371.99 N/A 50562 RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH RESECTION OF TUMOR N/A N/A N/A $550.93 N/A 50575 RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH ENDOPYELOTOMY (INCLUDES CYSTOSCOPY, URETEROSCOPY, DILATION OF URETER AND URETERAL PELVIC JUNCTION, AND INSERTION OF ENDOPYLOTOMY STENT) $108.38 N/A N/A $677.38 N/A 50684 INJECTION PROCEDURE FOR URETEROGRAPHY OR URETEROPYELOGRAPHY THROUGH URETEROSTOMY OR INDWELLING URETERAL CATHETER N/A N/A $44.75 N/A 50728 REVISION OF URINARY-CUTANEOUS ANASTOMOSIS (ANY TYPE UROSTOMY); WITH REPAIR OF FASCIAL DEFECT AND HERNIA $103.01 N/A N/A $643.84 N/A 50951 URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE N/A N/A N/A $287.65 N/A 50953 URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH URETERAL CATHETERIZATION, WITH OR WITHOUT DILATION OF URETER N/A N/A N/A $314.22 N/A 50961 URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH REMOVAL OF FOREIGN BODY OR CALCULUS N/A N/A N/A $297.93 N/A 50980 URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH REMOVAL OF FOREIGN BODY OR CALCULUS N/A N/A N/A $335.20 N/A 51040 CYSTOSTOMY, CYSTOTOMY WITH DRAINAGE $42.12 N/A N/A $263.27 N/A 51701 INSERTION OF NON-INDWELLING BLADDER CATHETER (EG, STRAIGHT CATHETERIZATION FOR RESIDUAL URINE) N/A N/A N/A $25.45 N/A 51702 INSERTION OF TEMPORARY INDWELLING BLADDERCATHETER; SIMPLE (EG, FOLEY) N/A N/A N/A $27.51 N/A 51703 INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; COMPLICATED (EG, ALTERED ANATOMY, FRACTURED CATHETER/BALLOON) N/A N/A N/A $74.61 N/A 51715 ENDOSCOPIC INJECTION OF IMPLANT MATERIAL INTO THE SUBMUCOSAL TISSUES OF THE URETHRA AND/OR BLADDER NECK N/A N/A N/A $185.69 N/A 51845 ABDOMINO-VAGINAL VESICAL NECK SUSPENSION, WITH OR WITHOUT ENDOSCOPIC CONTROL (EG, STAMEY, RAZ, MODIFIED PEREYRA) N/A N/A N/A $539.76 N/A 52235 CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECTION OF; MEDIUM BLADDER TUMOR(S) (2.0 TO 5.0 CM) N/A N/A N/A $270.01 N/A 52276 CYSTOURETHROSCOPY WITH DIRECT VISION INTERNAL URETHROTOMY N/A N/A N/A $247.83 N/A 52301 CYSTOURETHROSCOPY; WITH RESECTION OR FULGURATION OF ECTOPIC URETEROCELE(S), UNILATERAL OR BILATERAL N/A N/A N/A $270.96 N/A 52320 CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH REMOVAL OF URETERAL CALCULUS N/A N/A N/A $231.17 N/A 52325 CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH FRAGMENTATION OF URETERAL CALCULUS (EG, ULTRASONIC OR ELECTRO-HYDRAULIC TECHNIQUE) N/A N/A N/A $301.94 N/A 52327 CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH SUBURETERIC INJECTION OF IMPLANT MATERIAL N/A N/A N/A $254.87 N/A 52332 CYSTOURETHROSCOPY, WITH INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE) N/A N/A N/A $143.72 N/A 52334 CYSTOURETHROSCOPY WITH INSERTION OF URETERAL GUIDE WIRE THROUGH KIDNEY TO ESTABLISH A PERCUTANEOUS NEPHROSTOMY, RETROGRADE N/A N/A N/A $239.74 N/A 52352 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH REMOVAL OR MANIPULATION OF CALCULUS (URETERAL CATHETERIZATION IS INCLUDED) N/A N/A N/A $343.83 N/A 52353 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY (URETERAL CATHETERIZATION IS INCLUDED) N/A N/A N/A $396.05 N/A 52647 LASER COAGULATION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL URETHROTOMY ARE INCLUDED IF PERFORMED) N/A N/A N/A $578.83 N/A 52648 LASER VAPORIZATION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, INTERNAL URETHROTOMY AND TRANSURETHRAL RESECTION OF PROSTATE ARE INCLUDED IF PERFORMED) N/A N/A N/A $619.03 N/A 54065 DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY) N/A N/A N/A $135.89 N/A 54111 EXCISION OF PENILE PLAQUE (PEYRONIE DISEASE); WITH GRAFT TO 5 CM IN LENGTH $117.51 N/A N/A $734.41 N/A 54112 EXCISION OF PENILE PLAQUE (PEYRONIE DISEASE); WITH GRAFT GREATER THAN 5 CM IN LENGTH $138.14 N/A N/A $863.39 N/A 54220 IRRIGATION OF CORPORA CAVERNOSA FOR PRIAPISM N/A N/A N/A $124.04 N/A 54332 ONE STAGE PROXIMAL PENILE OR PENOSCROTAL HYPOSPADIAS REPAIR REQUIRING EXTENSIVE DISSECTION TO CORRECT CHORDEE AND URETHROPLASTY BY USE OF SKIN GRAFT TUBE AND/OR ISLAND FLAP $151.08 N/A N/A $944.25 N/A 54344 REPAIR OF HYPOSPADIAS COMPLICATIONS (IE, FISTULA, STRICTURE, DIVERTICULA); REQUIRING MOBILIZATION OF SKIN FLAPS AND URETHROPLASTY WITH FLAP OR PATCH GRAFT $145.07 N/A N/A $906.71 N/A 54348 REPAIR OF HYPOSPADIAS COMPLICATIONS (IE, FISTULA, STRICTURE, DIVERTICULA); REQUIRING EXTENSIVE DISSECTION AND URETHROPLASTY WITH FLAP, PATCH OR TUBED GRAFT (INCLUDES URINARY DIVERSION) $147.97 N/A N/A $924.80 N/A 56405 INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS N/A N/A N/A $93.81 N/A 56605 BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); ONE LESION N/A N/A N/A $56.16 N/A 56606 BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); EACH SEPARATE ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) N/A N/A N/A $27.53 N/A 56820 COLPOSCOPY OF THE VULVA N/A N/A N/A $77.81 N/A 56821 COLPOSCOPY OF THE VULVA; WITH BIOPSY(S) N/A N/A N/A $106.71 N/A 57065 DESTRUCTION OF VAGINAL LESION(S); EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY) N/A N/A N/A $154.98 N/A 57100 BIOPSY OF VAGINAL MUCOSA; SIMPLE (SEPARATE PROCEDURE) N/A N/A N/A $60.55 N/A 57130 EXCISION OF VAGINAL SEPTUM N/A N/A N/A $144.13 N/A 57150 IRRIGATION OF VAGINA AND/OR APPLICATION OF MEDICAMENT FOR TREATMENT OF BACTERIAL, PARASITIC OR FUNGOID DISEASE N/A N/A N/A $27.53 N/A 57284 PARAVAGINAL DEFECT REPAIR (INCLUDING REPAIR OF CYSTOCELE, STRESS URINARY INCONTINENCE AND/OR INCOMPLETE VAGINAL PROLAPSE) $119.04 N/A N/A $744.01 N/A 57291 CONSTRUCTION OF ARTIFICIAL VAGINA; WITHOUT GRAFT N/A N/A N/A $482.76 N/A 57308 CLOSURE OF RECTOVAGINAL FISTULA; TRANSPERINEAL APPROACH, WITH PERINEAL BODY RECONSTRUCTION, WITH OR WITHOUT LEVATOR PLICATION $90.29 N/A N/A $564.30 N/A 57420 COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT N/A N/A N/A $82.55 N/A 57421 COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT; WITH BIOPSY(S) OF VAGINA/CERVIX N/A N/A N/A $113.98 N/A 57455 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE CERVIX N/A N/A N/A $103.14 N/A 57456 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH ENDOCERVICAL CURETTAGE N/A N/A N/A $95.90 N/A 57460 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE BIOPSY(S) OF THE CERVIX N/A N/A N/A $151.74 N/A 57461 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE CONIZATION OF THE CERVIX N/A N/A N/A $175.98 N/A 57500 BIOPSY, SINGLE OR MULTIPLE, OR LOCAL EXCISION OF LESION, WITH OR WITHOUT FULGURATION (SEPARATE PROCEDURE) N/A N/A N/A $66.12 N/A 57522 CONIZATION OF CERVIX, WITH OR WITHOUT FULGURATION, WITH OR WITHOUT DILATION AND CURETTAGE, WITH OR WITHOUT REPAIR; LOOP ELECTRODE EXCISION N/A N/A N/A $218.09 N/A 57556 EXCISION OF CERVICAL STUMP, VAGINAL APPROACH; WITH REPAIR OF ENTEROCELE $81.80 N/A N/A $507.78 N/A 58356 ENDOMETRIAL CRYOABLATION WITH ULTRASONIC GUIDANCE, INCLUDING ENDOMETRIAL CURETTAGE, WHEN PERFORMED N/A N/A N/A $326.38 N/A 58555 HYSTEROSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE) N/A N/A N/A $176.07 N/A 58565 HYSTEROSCOPY, STERILIZATION N/A N/A N/A $405.57 N/A 58605 LIGATION OR TRANSECTION OF FALLOPIAN TUB $47.90 N/A N/A $299.39 N/A 58611 LIGATION OR TRANSECTION OF FALLOPIAN TUB $11.65 N/A N/A $72.83
$72.83
(TH)
N/A 58615 OCCLUSION OF FALLOPIAN TUBE(S) BY DEVICE (EG, BAND, CLIP, FALOPE RING) VAGINAL OR SUPRAPUBIC APPROACH N/A N/A N/A $233.86 N/A 58960 LAPAROTOMY, FOR STAGING OR RESTAGING OF OVARIAN, TUBAL OR PRIMARY PERITONEAL MALIGNANCY (SECOND LOOK), WITH OR WITHOUT OMENTECTOMY, PERITONEAL WASHING, BIOPSY OF ABDOMINAL AND PELVIC PERITONEUM, DIAPHRAGMATIC ASSESSMENT WITH PELVIC AND LIMITED PARA-A-AORTIC LYMPHADENECTOMY $133.02 N/A N/A $831.35 N/A 59050 FETAL MONITORING DURING LABOR BY CONSULTING PHYSICIAN (IE, NON-ATTENDING PHYSICIAN) WITH WRITTEN REPORT; SUPERVISION AND INTERPRETATION N/A N/A N/A $47.93 N/A 59051 FETAL MONITORING DURING LABOR BY CONSULTING PHYSICIAN (IE, NON-ATTENDING PHYSICIAN) WITH WRITTEN REPORT; INTERPRATATION ONLY N/A N/A N/A $39.75 N/A 59070 TRANSABDOMINAL AMNIOINFUSION, INCLUDING ULTRASOUND GUIDANCE N/A N/A N/A $261.25 N/A 59074 FETAL FLUID DRAINAGE (EG, VESICOCENTESIS, THORACOCENTESIS, PARACENTESIS), INCLUDING ULTRASOUND GUIDANCE $41.75 N/A N/A $260.91 N/A 59300 EPISIOTOMY OR VAGINAL REPAIR, BY OTHER THAN ATTENDING PHYSICIAN N/A N/A N/A $132.94 N/A 59320 CERCLAGE OF CERVIX, DURING PREGNANCY; VAGINAL $22.83 N/A N/A $142.67 N/A 59350 HYSTERORRHAPHY OF RUPTURED UTERUS $42.14 N/A N/A $263.38 N/A 59414 DELIVERY OF PLACENTA (SEPARATE PROCEDURE) $13.85 N/A N/A $86.58 N/A 59856 INDUCED ABORTION, BY ONE OR MORE VAGINAL SUPPOSITORIES (EG, PROSTAGLANDIN) WITH OR WITHOUT CERVICAL DILATION (EG, LAMINARIA), INCLUDING HOSPITAL ADMISSION AND VISITS, DELIVERY OF FETUS AND SECUNDINES; WITH DILATION AND CURETTAGE AND/OR EVACUATION N/A N/A N/A $454.94 N/A 59857 INDUCED ABORTION, BY ONE OR MORE VAGINAL SUPPOSITORIES (EG, PROSTAGLANDIN) WITH OR WITHOUT CERVICAL DILATION (EG, LAMINARIA), INCLUDING HOSPITAL ADMISSION AND VISITS, DELIVERY OF FETUS AND SECUNDINES; WITH HYSTEROTOMY (FAILED MEDICAL EVACUTATION) N/A N/A N/A $525.53 N/A 60001 ASPIRATION AND/OR INJECTION, THYROID CYST N/A N/A N/A $46.04 N/A 60210 PARTIAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY $96.83 N/A N/A $605.16 N/A 60212 PARTIAL THYROID LOBECTOMY, UNILATERAL; WITH CONTRALATERAL SUBTOTAL LOBECTOMY, INCLUDING ISTHMUSECTOMY $139.23 N/A N/A $870.17 N/A 60271 THYROIDECTOMY, INCLUDING SUBSTERNAL THYROID; CERVICAL APPROACH $148.72 N/A N/A $929.49 N/A 60512 PARATHYROID AUTOTRANSPLANTATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $35.02 N/A N/A $218.87 N/A 61000 SUBDURAL TAP THROUGH FONTANELLE OR SUTURE, INFANT, UNILATERAL OR BILATERAL; INITIAL N/A N/A N/A $92.67 N/A 61001 SUBDURAL TAP THROUGH FONTANELLE OR SUTURE, INFANT, UNILATERAL OR BILATERAL; SUBSEQUENT TAPS N/A N/A N/A $93.28 N/A 61020 VENTRICULAR PUNCTURE THROUGH PREVIOUS BURR HOLE, FONTANELLE, SUTURE OR IMPLANTED VENTRICULAR CATHETER/RESERVOIR; WITHOUT INJECTION N/A N/A N/A $109.72 N/A 61026 VENTRICULAR PUNCTURE THROUGH PREVIOUS BURR HOLE, FONTANELLE, SUTURE OR IMPLANTED VENTRICULAR CATHETER/RESERVOIR; WITH INJECTION OF MEDICATION OR OTHER SUBSTANCE FOR DIAGNOSIS OR TREATMENT N/A N/A N/A $116.17 N/A 61050 CISTERNAL OR LATERAL CERVICAL (C1-C2) PUNCTURE; WITHOUT INJECTION (SEPARATE PROCEDURE) N/A N/A N/A $96.99 N/A 61105 TWIST DRILL HOLE FOR SUBDURAL OR VENTRICULAR PUNCTURE N/A N/A N/A $367.06 N/A 61107 TWIST DRILL HOLE(S) FOR SUBDURAL, INTRACEREBRAL OR VENTRICULAR PUNCTURE; FOR IMPLANTING VENTRICULAR CATHETER, PRESSURE RECORDING DEVICE OR OTHER INTRACEREBRAL MONITORING DEVICE N/A N/A N/A $290.12 N/A 61210 BURR HOLE(S); FOR IMPLANTING VENTRICULAR CATHETER, RESERVOIR, EEG ELECTRODE(S), PRESSURE RECORDING DEVICE OR OTHER CEREBRAL MONITORING DEVICE (SEPARATE PROCEDURE) N/A N/A N/A $337.53 N/A 61316 INCISION AND SUBCUTANEOUS PLACEMENT OF CRANIAL BONE GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $12.44 N/A N/A $77.76 N/A 61550 CRANIECTOMY FOR CRANIOSYNOSTOSIS; SINGLE CRANIAL SUTURE $125.17 N/A N/A $782.30 N/A 61623 ENDOVASCULAR TEMPORARY BALLOON ARTERIAL OCCLUSION, HEAD OR NECK (EXTRACRANIAL/INTRACRANIAL) INCLUDING SELECTIVE CATHETERIZATION OF VESSEL TO BE OCCLUDED, POSITIONING AND INFLATION OF OCCLUSION BALLOON, CONCOMITANT NEUROLOGICAL MONITORING AND RADIOLOGIC SUPERVISION AND INTERPRETATION OF ALL ANGIOGRAPHY REQUIRED FOR BALLOON OCCLUSION AND TO EXCLUDE VASCULAR INJURY POST OCCLUSION $80.42 N/A N/A $502.64 N/A 61624 TRANSCATHETER PERMANENT OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, TO ACHIEVE HEMOSTASIS, TO OCCLUDE A VASCULAR MALFORMATION), PERCUTANEOUS, ANY METHOD; CENTRAL NERVOUS SYSTEM (INTRACRANIAL, SPINAL CORD) N/A N/A N/A $975.76 N/A 61626 TRANSCATHETER OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, TO ACHIEVE HEMOSTASIS, TO OCCLUDE A VASCULAR MALFORMATION), PERCUTANEOUS, ANY METHOD; NON-CENTRAL NERVOUS SYSTEM, HEAD OR NECK (EXTRACRANIAL, BRACHIOCEPHALIC BRANCH) N/A N/A N/A $786.71 N/A 61888 REVISION OR REMOVAL OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER N/A N/A N/A $342.72 N/A 62140 CRANIOPLASTY FOR SKULL DEFECT; UP TO 5 CM DIAMETER $141.67 N/A N/A $885.41 N/A 62141 CRANIOPLASTY FOR SKULL DEFECT; LARGER THAN 5 CM DIAMETER $155.25 N/A N/A $970.34 N/A 62142 REMOVAL OF BONE FLAP OR PROSTHETIC PLATE OF SKULL $116.56 N/A N/A $728.53 N/A 62143 REPLACEMENT OF BONE FLAP OR PROSTHETIC PLATE OF SKULL $138.07 N/A N/A $862.94 N/A 62148 INCISION AND RETRIEVAL OF SUBCUTANEOUS CRANIAL BONE GRAFT FOR CRANIOPLASTY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $17.83 N/A N/A $111.42 N/A 62192 CREATION OF SHUNT; SUBARACHNOID/SUBDURAL- PERITONEAL, -PLEURAL, OTHER TERMINUS $129.77 N/A N/A $811.09 N/A 62201 VENTRICULOCISTERNOSTOMY, THIRD VENTRICLE; STEREOTACTIC, NEUROENDOSCOPIC METHOD $157.73 N/A N/A $985.84 N/A 62281 INJECTION/INFUSION OF NEUROLYTIC SUBSTANCE (EG, ALCOHOL, PHENOL, ICED SALINE SOLUTIONS), WITH OR WITHOUT OTHER THERAPEUTIC SUBSTANCE; EPIDURAL, CERVICAL OR THORACIC N/A N/A N/A $126.78 N/A 62282 INJECTION/INFUSION OF NEUROLYTIC SUBSTANCE (EG, ALCOHOL, PHENOL, ICED SALINE SOLUTIONS), WITH OR WITHOUT OTHER THERAPEUTIC SUBSTANCE; EPIDURAL, LUMBAR, SACRAL (CAUDAL) N/A N/A N/A $117.58 N/A 62284 INJECTION PROCEDURE FOR MYELOGRAPHY AND/OR COMPUTED TOMOGRAPHY, SPINAL (OTHER THAN C1-C2 AND POSTERIOR FOSSA) N/A N/A N/A $79.54 N/A 62287 ASPIRATION OR DECOMPRESSION PROCEDURE, PERCUTANEOUS, OF NUCLEUS PULPOSUS OF INTERVERTEBRAL DISK, ANY METHOD, SINGLE OR MULTIPLE LEVELS, LUMBAR (EG, MANUAL OR AUTOMATED PERCUTANEOUS DISKECTOMY, PERCUTANEOUS LASER DISKECTOMY) $79.63 N/A N/A $497.69 N/A 62290 INJECTION PROCEDURE FOR DISKOGRAPHY, EACH LEVEL; LUMBAR N/A N/A N/A $154.12 N/A 62310 INJECTION, SINGLE (NOT VIA INDWELLING CATHETER), NOT INCLUDING NEUROLYTIC SUBSTANCES, WITH OR WITHOUT CONTRAST (FOR EITHER LOCALIZATION OR EPIDUROGRAPHY), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (INCLUDING ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION) EPIDURAL OR SUBARACHNOID; CERVICAL OR THORACIC N/A N/A N/A $90.37 N/A 62311 INJECTION, SINGLE (NOT VIA INDWELLING CATHETER), NOT INCLUDING NEUROLYTIC SUBSTANCES, WITH OR WITHOUT CONTRAST (FOR EITHER LOCALIZATION OR EPIDUROGRAPHY), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (INCLUDING ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION), EPIDURAL OR SUBARACHNOID; LUMBAR, SACRAL (CAUDAL) N/A N/A N/A $75.25 N/A 62318 INJECTION, INCLUDING CATHETER PLACEMENT, CONTINUOUS INFUSION OR INTERMITTENT BOLUS, NOT INCLUDING NEUROLYTIC SUBSTANCES, WITH OR WITHOUT CONTRAST (FOR EITHER LOCALIZATION OR EPIDUROGRAPHY), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (INCLUDING ANESTHETIC, ANTISPASMODIC, OPIOD, STEROID, OTHER SOLUTION), EPIDURAL OR SUBARACHNOID; CERVICAL OR THORACIC N/A N/A N/A $93.86 N/A 62319 INJECTION, INCLUDING CATHETER PLACEMENT, CONTINUOUS INFUSION OR INTERMITTENT BOLUS, NOT INCLUDING NEUROLYTIC SUBSTANCES, WITH OR WITHOUT CONTRAST (FOR EITHER LOCALIZATION OR EPIDUROGRAPHY), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (INCLUDING ANESTHETIC, ANTISPASMODIC, OPIOD, STEROID, OTHER SOLUTION), EPIDURAL OR SUBARACHNOID; LUMBAR, SACRAL (CAUDAL) N/A N/A N/A $86.84 N/A 62368 ELECTRONIC ANALYSIS OF PROGRAMMABLE, IMPLANTED PUMP FOR INTRATHECAL OR EPIDURAL DRUG INFUSION (INCLUDES EVALUATION OF RESERVOIR STATUS, ALARM STATUS, DRUG PRESCRIPTION STATUS); WITH REPROGRAMMING N/A N/A N/A $33.02 N/A 63030 LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISK; ONE INTERSPACE, LUMBAR (INCLUDING OPEN OR ENDOSCOPICALLY-ASSISTED APPROACH) $132.13 N/A N/A $825.82 N/A 63035 LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISK; EACH ADDITIONAL INTERSPACE, CERVICAL OR LUMBAR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $29.18 N/A N/A $182.38 N/A
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