LONG_DESCRIPTION

CPT/HCPCS Code

SRHC Professional Price

SRHC Technical Price

Anesthesia, salivary gland

00100

($

152.00)

Anesthesia, repair of cleft lip

00102

($

152.00)

Anesthesia, Reconstructive Procedure

00103

($

152.00)

Anesthesia, electroconvulsive therapy

00104

($

152.00)

Anesthesia, ear surgery

00120

($

152.00)

Anesthesia, otoscopy

00124

($

152.00)

Anesthesia, tympanotomy

00126

($

152.00)

Anesthesia, procedures on eye, NOS

00140

($

152.00)

Anesthesia, procedures on eye, lens s

00142

($

152.00)

Anesthesia, procedures on eye, vitreo

00144

($

152.00)

Anesthesia, procedures on eye, iridect

00145

($

152.00)

Anesthesia, procedures on eye, ophth

00147

($

152.00)

Anesthesia, procedures on eye, corne

00148

($

152.00)

Anesthesia, nose/sinus; NOS

00160

($

152.00)

Anesthesia, nose/sinus; radical surger

00162

($

152.00)

Anesthesia, nose/sinus; biopsy

00164

($

152.00)

Anesthesia, intraoral; NOS

00170

($

152.00)

Anesthesia, intraoral; cleft palate repa

00172

($

152.00)

Anesthesia, intraoral; excision retroph

00174

($

152.00)

Anesthesia, intraoral, radical surgery

00176

($

152.00)

Anesthesia, face/skull bone surgery, N

00190

($

152.00)

Anesthesia, face/skull bone surgery, r

a00192

($

152.00)

Anesthesia, intracranial surg; NOS

00210

($

152.00)

Anesthesia, intracranial surg, cranioto

00211

($

152.00)

Anesthesia, intracranial surg, subdural

00212

($

152.00)

Anesthesia, intracranial surg, burr hol

00214

($

152.00)

Anesthesia, intracranial surg, craniopl

00215

($

152.00)

Anesthesia, intracranial surg, vascular

00216

($

152.00)

Anesthesia, intracranial surg, procedu

00218

($

152.00)

Anesthesia, intracranial surg, cerebral

00220

($

152.00)

Anesthesia, intracranial surg, Electoco

00222

($

152.00)

Anesthesia, Integumentary, muscles, n

00300

($

152.00)

Anesthesia, neck organs, NOS, age 1 +

00320

($

152.00)

Anesthesia, Needle biopsy of thyroid

00322

($

152.00)

Anesthesia, larynx/trachea, < 1 YR

00326

($

152.00)

Anesthesia, neck vessel surgery, NOS

00350

($

152.00)

Anesthesia, neck vessel surgery, simpl

00352

($

152.00)

Anesthesia, skin, extremities/perineu

00400

($

152.00)

Anesthesia, Reconstructive procedure

00402

($

152.00)

Anesthesia, surgery of breast, radical

00404

($

152.00)

Anesthesia, surgery of breast, radical

00406

($

152.00)

Anesthesia, correct heart rhythm

00410

($

152.00)

Anesthesia, surgery of clavicle, scapul

00450

($

152.00)

Anesthesia, Clavicle biopsy

00454

($

152.00)

Anesthesia, Partial Rib resection, NOS

00470

($

152.00)

Anesthesia, Partial Rib resection, thor

00472

($

152.00)

Anesthesia, Partial Rib resection, radic

00474

($

152.00)

Anesthesia, esophogeal surgery

00500

($

152.00)

LONG_DESCRIPTION

CPT/HCPCS Code

SRHC Professional Price

SRHC Technical Price

Anesthesia, closed chest procedures,

00520

($

152.00)

Anesthesia, closed chest procedures,

n00522

($

152.00)

Anesthesia, closed chest procedure, p

00524

($

152.00)

Anesthesia, closed chest procedure, m

00528

($

152.00)

Anesthesia, closed chest procedure, m

00529

($

152.00)

Anesthesia, permanent transvenous p

00530

($

152.00)

Anesthesia, vascular access

00532

($

152.00)

Anesthesia, Transvenous insertion or r

00534

($

152.00)

Anesthesia, cardiac electrophysiologic

00537

($

152.00)

Anesthesia, transbronchial reconstruc

00539

($

152.00)

Anesthesia, thoracotomy proc involvin

00540

($

152.00)

Anesthesia, thoracotomy proc involvin

00541

($

152.00)

Anesthesia, thoracotomy proc involvin

00542

($

152.00)

Anesthesia, thoracotomy involv lungs,

00546

($

152.00)

Anesthesia, thoracotomy involv lungs,

00548

($

152.00)

Anesthesia, sternal debridement

00550

($

152.00)

Anesthesia, procedures of heart, peric

00560

($

152.00)

Anesthesia, heart, Pericardial sac, grea

00561

($

152.00)

Anesthesia, heart, pericardial sac, g v

c00562

($

152.00)

Anesthesia, heart, pericardial sac, > ve

00563

($

152.00)

Anesthesia, CABG W/O PUMP oxygen

00566

($

152.00)

Anesthesia, CABG W PUMP oxygenato

00567

($

152.00)

Anesthesia, heart or heart/lung transp

00580

($

152.00)

Anesthesia, Cervical spine, cord surger

00600

($

152.00)

Anesthesia, Cervical spine, cord surger

00604

($

152.00)

Anesthesia, Thoracic spine, cord surge

00620

($

152.00)

Anesthesia, thoracic spine, cord surge

00625

($

152.00)

Anesthesia, thoracic spine, cord surge

00626

($

152.00)

Anesthesia, lumbar spine, surgery, NO

00630

($

152.00)

Anesthesia, lumbar spine, surgery, sy

m00632

($

152.00)

Anesthesia, lumbar spine, surgery, dia

00635

($

152.00)

Anesthesia, spine manipulation for pr

00640

($

152.00)

Anesthesia, extensive spine and spinal

00670

($

152.00)

Anesthesia, upper anterior abdominal

00700

($

152.00)

Anesthesia, upper anterior abdominal

00702

($

152.00)

Anesthesia, upper posterior abdomina

00730

($

152.00)

Anesthesia for upper gastrointestinal

00731

($

152.00)

Anesthesia for endoscopic retrograde

00732

($

152.00)

Anesthesia, upper GI endoscopic proc

00740

($

152.00)

Anesthesia, repair of hernia, upper ab

00750

($

152.00)

Anesthesia, repair of hernia lumbar an

00752

($

152.00)

Anesthesia, repair of hernia omphaloc

00754

($

152.00)

Anesthesia, repair of hernia, transabd

00756

($

152.00)

Anesthesia, major abdominal BLOOD

00770

($

152.00)

Anesthesia, intraperitoneal surg upper

00790

($

152.00)

Anesthesia, intraperitoneal surg upper

00792

($

152.00)

Anesthesia, intraperitoneal surg upper

00794

($

152.00)

LONG_DESCRIPTION

CPT/HCPCS Code

SRHC Professional Price

SRHC Technical Price

Anesthesia, intraperitoneal surg upper

00796

($

152.00)

Anesthesia, intraperitoneal surg upper

00797

($

152.00)

Anesthesia, lower anterior abdominal

00800

($

152.00)

Anesthesia, lower anterior abdominal

00802

($

152.00)

Anesthesia, lower intestinal endoscop

00810

($

152.00)

Anesthesia for lower gastrointestinal e

00811

($

152.00)

Anesthesia for screening colonoscopy

00812

($

152.00)

Anesthesia for combined upper and lo

00813

($

152.00)

Anesthesia, procedures on lower post

00820

($

152.00)

Anesthesia, hernia repairs in lower ab

00830

($

152.00)

Anesthesia, hernia repairs in lower ab

00832

($

152.00)

Anesthesia, hernia repairs in the lowe

00834

($

152.00)

Anesthesia, hernia repairs lower abdo

00836

($

152.00)

Anesthesia, intraperitoneal procedure

00840

($

152.00)

Anesthesia, intraperitoneal procedure

00842

($

152.00)

Anesthesia, intraperitoneal proc. in lo

00844

($

152.00)

Anesthesia, intraperitoneal proc. in lo

00846

($

152.00)

Anesthesia, intraperitoneal proc. in lo

00848

($

152.00)

Anesthesia, intraperitoneal proc. in lo

00851

($

152.00)

Anesthesia, extraperitoneal proc.in lo

00860

($

152.00)

Anesthesia, extraperitoneal lower abd

00862

($

152.00)

Anesthesia, extraperitoneal proc.in lo

00864

($

152.00)

Anesthesia, extraperitoneal proc.in lo

00865

($

152.00)

Anesthesia, extraperitoneal proc.in lo

00866

($

152.00)

Anesthesia, extraperitoneal lower abd

00868

($

152.00)

Anesthesia, extraperitoneal proc.in lo

00870

($

152.00)

Anesthesia , lithotripsy, exracorporeal

00873

($

152.00)

Anesthesia, procedures on major lowe

00880

($

152.00)

Anesthesia, procedures on major lowe

00882

($

152.00)

Anesthesia, anorectal procedure

00902

($

152.00)

Anesthesia, radical perineal procedure

00904

($

152.00)

Anesthesia, vulvectomy

00906

($

152.00)

Anesthesia, perineal prostatectomy

00908

($

152.00)

Anesthesia, transurethral procedures

00910

($

81.93)

Anesthesia, transurethral procedures;

00912

($

152.00)

Anesthesia, transurethral procedures;

00914

($

152.00)

Anesthesia, transurethral procedures;

00916

($

152.00)

Anesthesia, transurethral procedures;

00918

($

152.00)

Anesthesia, procedures on male genit

00920

($

152.00)

Anesthesia, procedures on male genit

00921

($

152.00)

Anesthesia, procedures on male genit

00922

($

152.00)

Anesthesia, procedures on male genit

00924

($

152.00)

Anesthesia, procedures on male genit

00926

($

152.00)

Anesthesia, procedures on male genit

00928

($

152.00)

Anesthesia, procedures on male genit

00930

($

152.00)

Anesthesia, procedures on male genit

00932

($

152.00)

Anesthesia, proc. on male genitalia,ra

00934

($

152.00)

LONG_DESCRIPTION

CPT/HCPCS Code

SRHC Professional Price

SRHC Technical Price

Anesthesia, arthroscopic procedures o

01464

($

152.00)

Anesthesia, procedures on nerves, mu

01470

($

152.00)

Anesthesia, nerves, muscles, tendons,

01472

($

152.00)

Anesthesia, nerves, muscles, tendons,

01474

($

152.00)

Anesthesia, open procedures on bone

01480

($

152.00)

Anesthesia, open proc,bones of lower

01482

($

152.00)

Anesthesia, open proc,bones of lwr le

01484

($

152.00)

Anesthesia, open procedures on bone

01486

($

152.00)

Anesthesia, lower leg cast application,

01490

($

152.00)

Anesthesia, procedures on arteries of

01500

($

152.00)

Anesthesia, procedures on arteries of

01502

($

152.00)

Anesthesia, procedures on veins of lo

01520

($

152.00)

Anesthesia, procedures on veins of lo

01522

($

152.00)

Anesthesia, all procedures on nerves,

01610

($

152.00)

Anesthesia all closed proc on humeral

01620

($

152.00)

Anesthesia, diagnostic arthroscopic pr

01622

($

152.00)

Anesthesia, open/surg arthroscopic pr

01630

($

152.00)

Anesthesia, open or surgical arthrosco

01634

($

152.00)

Anesthesia, open or surg arthroscopic

01636

($

152.00)

Anesthesia, open or surgical arthrosco

01638

($

152.00)

Anesthesia, procedures on arteries of

01650

($

152.00)

Anesthesia, procedures on arteries of

01652

($

152.00)

Anesthesia, procedures on arteries of

01654

($

152.00)

Anesthesia, procedures on arteries of

01656

($

152.00)

Anesthesia, all procedures on veins of

01670

($

152.00)

Anesthesia, shoulder cast application,

01680

($

152.00)

Anesthesia, procedures on nerves, mu

01710

($

152.00)

Anesthesia, procedures on nerves, mu

01712

($

152.00)

Anesthesia, procedures on nerves, mu

01714

($

152.00)

Anesthesia, procedures on nerves, mu

01716

($

152.00)

Anesthesia, all closed procedures on h

01730

($

152.00)

Anesthesia, diagnostic arthroscopic pr

01732

($

152.00)

Anesthesia, open or surgical arthrosco

01740

($

152.00)

Anesthesia, open or surgical arthrosco

01742

($

152.00)

Anesthesia, open or surgical arthrosco

01744

($

152.00)

Anesthesia, open or surgical arthrosco

01756

($

152.00)

Anesthesia, open or surgical arthrosco

01758

($

152.00)

Anesthesia, open or surgical arthrosco

01760

($

152.00)

Anesthesia, procedures on arteries of

01770

($

152.00)

Anesthesia, procedures on arteries of

01772

($

152.00)

Anesthesia, procedures on veins of up

01780

($

152.00)

Anesthesia, procedures on veins of up

01782

($

152.00)

Anesthesia, all procedures on nerves,

01810

($

152.00)

Anesthesia, all closed procedfures on

01820

($

152.00)

Anesthesia, diagnostic arthroscopic pr

01829

($

152.00)

Anesthesia, opn or surgicl arthroscopi

01830

($

152.00)

Anesthesia, opn or surgicl arthroscopi

01832

($

152.00)

LONG_DESCRIPTION CPT/HCPCS Code SRHC Professional Price SRHC Technical Price

Incision and drainage, complex, posto

10180

($

609.51)

($

837.90)

Debridement of extensive eczematous

11000

($

107.36)

($

3,706.86)

Debridement of skin, sq tissue, muscle

11005

($

2,811.19)

($

5,659.84)

Remove prosthetic material/mesh, ab

11008

($

987.53)

Debride (inc rmvl of foreign material a

11010

($

993.44)

($

3,244.14)

Debride (inc rmvl of foreign material a

11011

($

1,007.53)

($

2,286.90)

Debride (inc rmvl of foreign material a

11012

($

1,507.24)

($

3,408.19)

Debridement; skin, and subcutaneous

11042

($

220.71)

($

1,435.11)

Debridement; skin, subcutaneous tiss

u11043

($

560.62)

($

1,070.92)

Debridement; skin, subcutaneous tiss

u11044

($

832.47)

($

1,831.09)

Debridement, subcutaneous tissue; ea

11045

($

96.50)

($

903.34)

Paring or cutting of benign hyperkerat

11055

($

61.02)

($

212.87)

Paring or cutting of benign hyperkerat

11056

($

86.38)

($

243.15)

Paring or cutting of benign hyperkerat

11057

($

112.78)

($

331.71)

Biopsy of skin, subcutaneous tissue an

11100

($

175.45)

($

261.42)

Biopsy of skin, subcutaneous tissue an

11101

($

89.32)

($

157.03)

Removal of skin tags, multiple fibrocut

11200

($

250.15)

($

501.80)

Removal of skin tags, multiple fibrocut

11201

($

60.17)

($

346.86)

Shaving of single lesion, trunk, arms or

11300

($

127.45)

($

287.28)

Shaving of single lesion, trunk, arms or

11301

($

193.28)

($

304.73)

Shaving of single lesion, trunk, arms or

11302

($

226.34)

($

342.08)

Shaving of single lesion, trunk, arms, l

11303

($

267.63)

($

465.86)

Shaving of single lesion, scalp, neck, h

11305

($

146.92)

($

307.50)

Shaving of single lesion, scalp, neck, h

11306

($

190.56)

($

289.41)

Shaving of single lesion, scalp, neck, h

11307

($

243.58)

($

433.86)

Shaving of single lesion, face, ears, ey

e11310

($

170.86)

($

585.93)

Shaving of single lesion, face, ears, ey

e11311

($

235.62)

($

205.76)

Excise benign lesion,trunk,arm,leg; 0.5

11400

($

273.55)

($

1,031.42)

Excise benign lesion,trunk,arm,leg; 0.6

11401

($

356.47)

($

1,031.42)

Excision benign lesion,trunk,arm,leg; 1

11402

($

392.01)

($

962.72)

Excise benign lesion,trunk,arm,leg; 2.1

11403

($

504.92)

($

3,564.40)

Excise benign lesion,trunk,arm,leg; 3.1

11404

($

557.89)

($

4,413.47)

Excise benign lesion,trunk,arm,leg; ov

11406

($

856.18)

($

3,521.19)

Excise benign lesion,scalp,neck,hand,f

11420

($

281.96)

($

1,945.80)

Excise benign lesion,scalp,neck,hand,f

11421

($

382.22)

($

1,945.80)

Excise benign lesion,scalp,neck,hand,f

11422

($

465.59)

($

3,771.88)

Excise benign lesion,scalp,neck,hand,f

11423

($

541.34)

($

3,988.31)

Excise benign lesion,scalp,neck,hand,f

11424

($

624.57)

($

3,988.31)

Excise benign lesion,scalp,neck,hand,f

11426

($

961.73)

($

5,872.32)

Excise benign lesion,face,ear,eyelid,no

11440

($

346.01)

($

2,708.35)

Excise benign lesion,face,ear,eyelid,no

11441

($

446.33)

($

2,683.41)

Excise benign lesion,face,ear,eyelid,no

11442

($

496.81)

($

3,583.82)

Excise benign lesion,face,ear,eyelid,no

11443

($

614.94)

($

3,979.09)

Excise benign lesion,face,ear,eyelid,no

11446

($

1,141.86)

($

5,495.62)

Excise malignant lesion,trunk,arm,leg;

11600

($

415.65)

($

3,980.53)

Excise malignant lesion,trunk,arm,leg;

11601

($

520.19)

($

2,767.46)

Excise malignant lesion,trunk,arm,leg;

11602

($

571.03)

($

2,710.55)

LONG_DESCRIPTION CPT/HCPCS Code SRHC Professional Price SRHC Technical Price

Excise malignant lesion,trunk,arm,leg;

11603

($

687.34)

($

3,472.03)

Destruct malignant lesion,trunk,arm,le

11604

($

757.76)

($

2,413.72)

Excision, malignant lesion including m

11606

($

1,132.29)

($

5,049.74)

Excise malignant lesion,scalp,neck,han

11620

($

419.51)

($

2,467.42)

Excise malignant lesion,scalp,neck,han

11621

($

523.36)

($

3,202.85)

Excise malignant lesion,scalp,neck,han

11622

($

600.55)

($

3,592.60)

Excise malignant lesion,scalp,neck,han

11623

($

746.08)

($

3,967.25)

Excise malignant lesion,scalp,neck,han

11626

($

1,042.01)

($

5,451.94)

Excise malignant lesion,face,ear,eyelid

11640

($

433.37)

($

3,819.76)

Excise malignant lesion,face,ear,eyelid

11641

($

545.41)

($

3,346.55)

Excise malignant lesion,face,ear,eyelid

11642

($

645.00)

($

3,693.89)

Excise malignant lesion,face,ear,eyelid

11643

($

811.89)

($

3,828.98)

Excise malignant lesion,face,ear,eyelid

11644

($

1,006.86)

($

4,579.46)

Excise, mlg lesion + margins, face, ears

11646

($

1,404.27)

Trimming of nondystrophic nails, any

11719

($

29.26)

($

88.60)

Debridement of nail(s) by any method

11720

($

55.68)

($

181.22)

Debridement of nail(s) by any method

11721

($

93.84)

($

189.79)

Avulsion of nail plate, partial or compl

11730

($

204.61)

($

270.21)

Avulsion of nail plate, partial or compl

11732

($

67.06)

($

908.92)

Evacuation of subungual hematoma.

11740

($

111.27)

($

352.18)

Excision of nail and nail matrix, partial

11750

($

397.86)

($

870.92)

Biopsy of nail unit (separate procedur

11755

($

280.36)

($

2,660.00)

Repair of nail bed.

11760

($

401.29)

($

279.76)

Wedge excision of skin of nail fold (eg,

11765

($

327.29)

($

625.63)

Excision of pilonidal cyst or sinus; sim

p11770

($

643.59)

Excision of pilonidal cyst or sinus; exte

11771

($

1,510.61)

Excision of pilonidal cyst or sinus; com

11772

($

1,976.36)

Injection, intralesional; up to and inclu

11900

($

112.12)

($

320.19)

Injection, intralesional; more than 7 le

11901

($

174.02)

($

261.74)

Removal, implantable contraceptive c

11976

($

344.50)

($

1,061.87)

11981 Subdermal Contraceptive Inser

11981

($

298.56)

($

499.39)

Removal, non-biodegradable drug deli

11982

($

361.90)

($

564.82)

Removal w/ reinsertion, implantable c

11983

($

642.12)

($

299.52)

Simple repair of superficial wounds of

12001

($

161.71)

($

391.13)

Simple repair of superficial wounds sc

12002

($

214.82)

($

433.58)

Simple repair superficial wounds scalp

12004

($

268.59)

($

397.34)

Simple repair of superficial wounds of

12005

($

352.02)

($

745.86)

Simple repair of superficial wounds of

12011

($

201.61)

($

360.76)

Simple repair of superficial wounds of

12013

($

214.87)

($

334.39)

12014- for coding Simple Wound Repa

12014

($

276.88)

($

676.49)

Simple repair of superficial wounds of

12015

($

349.20)

($

707.35)

Simple repair of superficial wounds of

12017

($

566.61)

($

540.14)

Treatment of superficial wound dehisc

12020

($

657.48)

($

3,813.38)

Repair, intmd, wnds scalp, axillae, trun

12031

($

530.33)

($

835.24)

Repair intermed wound scalp/axillae/t

12032

($

675.35)

($

2,218.16)

Repair, intmd, wnds scalp, axillae, trun

12034

($

726.39)

($

1,615.68)

Repair, intmd, wnds scalp, axillae, trun

12035

($

845.43)

($

1,064.48)

LONG_DESCRIPTION CPT/HCPCS Code SRHC Professional Price SRHC Technical Price

Repair, intermediate, wounds of neck, Repair, intermediate, wounds of neck,

12041

12042

($

($

526.61)

701.87)

($

($

1,370.73)

1,360.37)

Repair, intermediate, wounds of face,

12051

($

597.28)

($

1,193.81)

12052

12052

($

715.06)

($

723.97)

Repair, intmd, wnds face, ears, eyelids

12053

($

765.65)

($

783.45)

Repair, complex, scalp, arms, and/or l Repair, complex, scalp, arms, +/or legs Repair, complex, forehead, cheeks, ch

13121

13122

13131

($

($

($

945.72)

308.83)

884.18)

($

($

2,128.00)

1,847.30)

Repair, complex, forehead, cheeks, ch

13132

($

1,118.72)

Repair, complex, forehead,cheek,chin,

13133

($

472.79)

($

1,016.91)

Repair, complex, eyelids, nose, ears &

13151

($

1,017.59)

($

2,275.90)

Repair, complex, eyelids, nose, ears an Secondary closure of surgical wound o Adjacent tissue transfer or rearrange

13152

13160 m14040

($

($

($

1,238.42)

2,813.14)

2,179.35)

Surg prep/create recip site trunk, arm

15002

($

758.70)

Split-thick autograft, trunk, arms, legs;

15100

($

2,486.20)

Dressing change (for other than burns

15852

($

169.79)

($

4,184.18)

Initial treatment, first degree burn, wh Dressings and/or debridement of part Dressings and/or debridement of part

16000

16020

16025

($

($

($

168.86)

187.40)

394.56)

($

($

($

205.76)

351.22)

351.22)

Destruct of pre-malig. lesion, first

17000

($

180.88)

($

140.29)

Destruct of pre-malig. lesion, 2-14

17003

($

8.54)

($

49.23)

Destruction, premalignant lesions (eg, Destruction of cutaneous vascular pro Destruction of benign lesions other th

17004

17107

17110

($

($

($

347.06)

1,206.52)

234.80)

($

($

($

587.60)

1,837.53)

213.02)

Destruction, of benign lesions other th

17111

($

292.10)

($

291.43)

Chemical cauterization of granulation

17250

($

128.37)

($

217.89)

Destruct malignant lesion,trunk,arm,le

17260

($

244.61)

($

362.89)

Cryotherapy (CO2 slush, liquid N2) for Puncture aspiration of cyst of breast US Biopsy Breast w or wo Specimen Le

17340

19000

19083

($

($

($

173.70)

160.64)

590.09)

($

($

($

213.02)

1,060.81)

2,629.68)

US Biopsy Breast w wo Spec Ea Add Le

19084

($

294.36)

($

2,010.96)

Biopsy of breast; percutaneous, needl

19100

($

250.36)

($

3,594.19)

19120-For Coding Excise cyst, fibroadn

19120

($

1,427.07)

($

6,221.10)

MA Breast Perc Localization Left - Rep MA Breast Perc Localization Ea Add Le US Localization Breast Perc Left - Repo

19281

19282

19285

($

($

($

378.20)

189.64)

322.90)

($

($

($

861.36)

1,825.23)

301.86)

US Localization Breast Perc Ea Add Lef

19286

($

161.78)

($

1,748.64)

Mastectomy, partial (eg, lumpectomy,

19301

($

2,276.43)

Mastectomy, simple, complete

19303

($

3,531.63)

($

7,380.15)

Incision + drainage soft tissue abscess, Exploration of Extremity Wound

20005

20103

($

($

2,242.83)

1,226.85)

($

3,617.60)

Biopsy, muscle; deep

20205

($

543.52)

Injection, therapeutic (eg, local anesth

20526

($

204.91)

($

755.71)

Injection(s); single tendon sheath, or li

20550

($

144.28)

($

458.99)

Injection(s); single tendon origin/inser Injection(s); single or multiple trigger

20551 p20552

($

($

154.23)

137.47)

($

($

250.80)

301.97)

LONG_DESCRIPTION CPT/HCPCS Code SRHC Professional Price SRHC Technical Price

Injections; single or multiple trigger po Arthrocentesis, aspiration and/or injec

20553

20600

($

($

156.35)

130.05)

($

($

905.64)

430.99)

Arthrocentesis, aspiration and/or injec

20604

($

171.39)

($

1,114.65)

Arthrocentesis, aspiration and/or injec

20605

($

135.71)

($

360.80)

Drain/Inj Intmed Joint/Bursa w/US

20606

($

1,114.65)

Arthrocentesis, aspiration and/or injec Arthrocentesis, aspiration and/or injec Aspiration and/or injection of ganglion

20610

20611

20612

($

($

($

165.86)

222.51)

149.86)

($

($

($

363.64)

714.24)

298.45)

Aspiration and injection for treatment

20615

($

568.05)

($

1,985.42)

Pin Removal

20670

($

503.54)

($

3,172.03)

Removal of implant; deep (eg, buried

20680

($

1,473.25)

($

5,463.16)

Removal, under anesthesia, of externa Tendon graft, from a distance (eg, pal Tissue grafts, other (eg, paratenon, fat

20694

20924

20926

($

($

($

1,168.24)

1,746.93)

1,471.83)

($

5,509.07)

Closed treatment of nasal bone fractu

21315

($

518.15)

($

4,059.16)

Closed treatment of nasal bone fractu

21320

($

469.70)

($

4,411.54)

Closed treatment of nasal septal fract

21337

($

1,004.36)

($

4,613.50)

Closed treatment of temporomandibu Excision, tumor, soft tissue of neck or Excision of rib, partial

21480

21552

21600

($

($

($

117.25)

1,557.86)

1,906.26)

($

($

589.88)

5,723.26)

Excision, tumor, soft tissue of back or

21930

($

1,265.42)

Excision, tumor, soft tissue of back or

21931

($

1,633.01)

Excision, tumor, soft tissue of abdomi Claviculectomy; partial

Acromioplasty or acromionectomy, pa

22903

23120

23130

($

($

($

1,522.78)

1,997.27)

2,083.84)

($

($

($

4,193.47)

5,361.12)

4,829.21)

Excision or curettage of bone cyst or b

23150

($

2,297.81)

Injection procedure for shoulder arthr

23350

($

189.64)

($

778.85)

Tenotomy, shoulder area; single tend

o23405

($

2,151.83)

($

5,255.44)

Repair of ruptured musculotendinous Repair of ruptured musculotendinous Tenodesis of long tendon of biceps

23410

23412

23430

($

($

($

2,687.40)

2,951.57)

2,574.27)

($

6,084.49)

Capsulorrhaphy, anterior, any type; w

23462

($

3,510.30)

Arthroplasty, glenohumeral jnt;total s

23472

($

5,139.86)

Closed treatment of clavicular fracture

23500

($

737.12)

($

527.32)

Open treatment of clavicular fracture, Open tx acromioclavicular disloc, acut Clsd tx prox humeral (surg/anatomical

23515

23552

23605

($

($

($

2,482.37)

2,269.25)

1,445.16)

($

($

16,658.06)

2,289.89)

Closed treatment of shoulder dislocati

23650

($

980.51)

($

941.85)

Closed treatment of shoulder dislocati

23655

($

1,371.16)

($

2,340.80)

Unlisted procedure, shoulder

23929

($

629.65)

Incision and drainage, upper arm or el Arthrotomy, elbow, including explorat

23931

24000

($

($

541.68)

1,544.13)

($

4,468.65)

Biopsy, soft tissue of upper arm or elb

24065

($

580.07)

Excision, tumor, soft tissue of upper ar

24071

($

1,402.67)

($

4,124.01)

Excision, tumor, soft tissue of upper ar

24075

($

1,138.27)

Repair, tendon/muscle, upper arm/elb Reinsertion of ruptured biceps or trice

24341

24342

($

($

2,553.71)

2,687.29)

($

($

6,555.84)

12,952.07)

LONG_DESCRIPTION CPT/HCPCS Code SRHC Professional Price SRHC Technical Price

Tenotomy, elbow, lateral/medial; deb Closed treatment of humeral shaft fra

24358

24500

($

($

1,788.26)

1,088.31)

($

($

7,183.66)

662.87)

Closed treatment of humeral condylar

24576

($

1,014.74)

($

575.62)

Treatment of closed elbow dislocation

24600

($

1,143.19)

($

619.49)

Closed treatment of radial head sublu

24640

($

300.24)

($

745.86)

Closed treatment of radial head or nec Open tx ulnar fx, prox end (eg,olecran Excision of ganglion, wrist (dorsal or v

24650

24685

25111

($

($

($

794.86)

2,255.50)

1,077.03)

($

($

572.43)

6,309.52)

Injection procedure for wrist arthrogr

25246

($

278.69)

($

526.68)

Repair, tendon or muscle, extensor, fo

25270

($

1,689.24)

($

4,250.89)

Tendon transplantation or transfer, fle

25310

($

2,145.64)

Repair of nonunion or malunion, radiu Repair nonunion, scaphoid carpal (nav Arthroplasty, interposition, intercarpa

25400

25440

25447

($

($

($

2,805.91)

2,685.06)

2,858.44)

($

9,092.41)

Closed treatment of radial shaft fractu

25500

($

837.37)

($

469.22)

Closed treatment of radial shaft fractu

25505

($

1,550.76)

($

990.32)

Closed Treatment of ulnar shaft fractu

25530

($

783.80)

($

481.46)

Closed treatment of radial and ulnar s Closed treatment of radial and ulnar s Open tx radial + ulnar shaft fxs, w/int f

25560

25565

25575

($

($

($

838.06)

1,591.83)

2,940.35)

($

($

772.87)

1,435.34)

Closed treatment of distal radial fract

u25600

($

1,020.09)

($

684.15)

Clsd tx dist radial fx (eg,Colles/Smith t

25605

($

1,745.65)

($

1,217.22)

Percutaneous skeletal fixation of dista Open tx dist radial extra-articular fx/e Open tx dist radial intra-articular fx/ep

25606

25607

25609

($

($

($

2,260.68)

2,521.25)

3,646.31)

($

13,532.40)

Closed treatment of carpal scaphoid fr

25622

($

923.55)

($

696.92)

Closed treatment carpal bone fracture

25630

($

940.08)

($

596.90)

Percutaneous skeletal fixation of ulnar

25651

($

1,561.70)

Open treatment of ulnar styloid fractu Drainage of finger abscess; simple.

Drainage of tendon sheath, digit and/

25652

26010

26020

($

($

($

2,150.98)

466.19)

1,480.03)

($

($

712.77)

3,985.65)

Tendon sheath incision (eg, for trigger

26055

($

1,033.09)

($

3,522.38)

Excise, tumor, soft tissue,/vascular ma

26113

($

1,885.09)

($

6,513.54)

Fasciectomy,partial palmar w/rel sgl d

26123

($

2,866.55)

($

8,658.83)

Excise lesion tendon sheath/jnt capsul Partial excise (craterize, saucerize,/dia Removal of implant from finger or han

26160

26236

26320

($

($

($

1,130.85)

1,516.71)

1,175.86)

($

($

3,672.82)

5,130.61)

Repair of collateral ligament, metacar

26540

($

2,056.28)

Closed treatment of metacarpal fractu

26600

($

913.42)

($

568.18)

Closed treatment of metacarpal fractu

26605

($

975.40)

($

1,142.20)

Percutaneous skeletal fixation of meta Open treatment of metacarpal fractur

26608

26615

($

($

1,622.97)

1,858.88)

Closed treatment of carpometacarpal

26641

($

1,160.54)

($

1,006.44)

Closed treatment of carpometacarpal

26645

($

1,320.88)

($

1,099.11)

Closed Tx of Metacarpophalangeal dis

26700

($

1,035.73)

($

712.54)

Closed treatment of phalangeal shaft f Closed treatment of phalangeal shaft f

26720

26725

($

($

609.65)

1,022.00)

($

($

618.44)

933.13)

LONG_DESCRIPTION CPT/HCPCS Code SRHC Professional Price SRHC Technical Price

Perc skeletal fix unstable phalangeal s Open tx phalangeal shaft fx, prox/mid

26727

26735

($

($

1,585.55)

2,035.04)

($

($

7,363.05)

9,261.28)

Closed treatment of articular fracture,

26740

($

715.33)

($

665.38)

Closed treatment of articular fracture,

26742

($

1,132.61)

($

352.45)

Closed treatment of distal phalangeal

26750

($

611.51)

($

557.54)

Closed treatment of distal phalangeal Percutaneous skeletal fixation of dista Open tx dist phalangeal fx, finger/thu

26755

26756

26765

($

($

($

923.07)

1,327.38)

1,710.47)

($

798.00)

Closed treatment of interphalangeal j

o26770

($

867.30)

($

694.79)

Clsd tx interphalangeal jnt disloc, singl

26775

($

1,172.90)

Arthrodesis, metacarpophalangeal joi

26850

($

2,308.70)

Arthrodesis, interphalangeal joint, wit Amputation, finger/thumb, prim/sec, Injection procedure for hip arthrograp

26860

26951

27093

($

($

($

1,855.91)

2,132.87)

257.22)

($

($

4,163.93)

779.81)

Inj Hip Arthro w Anesthesia

27095

($

1,306.17)

Injection procedure for sacroiliac joint

27096

($

305.00)

($

1,180.20)

Arthroplasty, acetabular + prox femor

27130

($

4,764.57)

($

16,142.37)

Treatment of slipped femoral epiphysi Open treatment of femoral fracture, p Tx intertrochanteric, peritrochanteric,

27176

27236

27244

($

($

($

3,202.53)

4,179.00)

4,325.88)

Tx intertrochanteric, peritrochanteric,

27245

($

4,302.32)

($

12,721.18)

Closed treatment of hip dislocation, tr

27250

($

669.79)

($

1,010.80)

Closed treatment of hip dislocation, tr Tx spontaneous hip dislocation, by ab Closed treatment of post hip arthropla

27252

27257

27265

($

($

($

2,638.11)

1,204.13)

1,370.30)

($

($

1,889.21)

633.77)

Incision and drainage, deep abscess, b

27301

($

2,386.68)

($

6,310.51)

Excision of synovial cyst of popliteal sp

27345

($

1,652.85)

Excision of lesion of meniscus or capsu

27347

($

2,465.23)

Excision or curettage of bone cyst or b Excise/curettage bone cyst/b9 tumor f Suture of infrapatellar tendon; primar

27355

27358

27380

($

($

($

2,072.57)

996.10)

2,038.71)

($

($

8,145.98)

3,585.92)

Suture of quadriceps or hamstring mu

27385

($

1,966.17)

Lateral retinacular release, open

27425

($

1,519.80)

($

8,709.49)

Arthroplasty, knee, condyle and plate

a27446

($

4,064.72)

Arthroplasty, knee, condyle + plateau; Osteotomy, femur, shaft or supracond Revision of total knee arthroplasty, wi

27447

27450

27486

($

($

($

4,762.84)

3,521.39)

4,930.24)

($

18,489.13)

Revision of total knee arthroplasty, wi

27487

($

6,220.62)

Remove prosthesis, incl total knee pro

27488

($

3,961.23)

Open tx femoral shaft fx, w/or w/o ext

27506

($

4,724.48)

Open treatment of femoral shaft fract Open tx femoral fx, dist end, medial/la

27507

27514

($

($

3,419.46)

3,405.97)

Closed treatment of patellar fracture,

27520

($

982.82)

($

618.18)

Open tx patellar fx, w/int fix +/or parti

27524

($

2,599.86)

($

14,756.26)

Closed treatment of patellar dislocatio

27560

($

1,126.70)

($

851.20)

Closed treatment of patellar dislocatio Manipulation knee jnt under general a

27562

27570

($

($

1,622.63)

514.71)

($

1,518.56)

LONG_DESCRIPTION CPT/HCPCS Code SRHC Professional Price SRHC Technical Price

Repair, primary, open or percutaneou Repair, primary, open/Perc, ruptured

27650

27652

($

($

2,293.38)

2,426.80)

($

10,945.28)

Lengthening or shortening of tendon,

27685

($

1,628.40)

Transfer/transplant single tendon (w/

27691

($

2,613.85)

Repair, primary, disrupted ligament, a

27695

($

1,665.27)

Closed treatment of tibial shaft fractur Open tx tibial shaft fx (w/or w/o fibula Tx tibial shaft fx (w/or w/o fibular fx) b

27752

27758

27759

($

($

($

1,688.97)

3,109.31)

3,477.45)

($

3,557.51)

Closed treatment of medial malleolus

27760

($

1,016.81)

($

629.83)

Open treatment of medial malleolus fr

27766

($

1,973.00)

Closed treatment of posterior malleol

27767

($

932.17)

($

632.02)

Closed treatment of proximal fibula or Closed treatment of distal fibular fract Closed treatment of distal fibular fract

27780

27786

27788

($

($

($

936.69)

957.07)

1,304.25)

($

($

($

422.40)

657.55)

1,271.48)

Open tx dist fibular fx (lateral malleolu

27792

($

2,249.38)

Clsd tx bimalleolar ankle fx; with mani

27810

($

1,451.59)

($

1,116.22)

Open tx bimalleolar ankle fx, i

27814

($

2,668.57)

Closed treatment of trimalleolar ankle Open tx trimalleolar ankle fx, incl int fi Open tx dist tibiofibular jnt (syndesmo

27818

27822

27829

($

($

1,487.08)

2,951.96)

($

($

($

1,361.73)

14,440.54)

2,383.47)

Arthrodesis, ankle, open

27870

($

3,412.58)

Amputation, leg, through tibia and fib

27880

($

3,260.50)

Excision, interdigital (Morton) neurom Excise lesion, tendon, tendon sheath,/ Excise lesion, tendon, tendon sheath,/

28080

28090

28092

($

($

($

1,212.18)

1,030.95)

949.97)

($

3,504.28)

Excision or curettage of bone cyst or b

28108

($

1,026.10)

Partial excise (crater/saucer/sequestr-

28122

($

1,576.90)

Partial Excise (craterization, saucerizat

28124

($

1,184.23)

Removal of foreign body, foot; subcut Repair, tendon, flexor, foot; primary o Reconstruct (advancement), post tibia

28190

28200

28238

($

($

($

476.25)

1,150.08)

1,758.47)

($

3,034.53)

Correction, hammertoe (eg, interphal

28285

($

1,349.50)

Hallux rigidus correction w/cheilectom

28289

($

1,649.13)

Correction, hallux valgus (bunion), w/

28292

($

1,744.00)

Closed treatment of metatarsal fractu Open treatment of metatarsal fractur Closed treatment of fracture great toe

28470 e28485 28490

($

($

($

684.02)

1,905.84)

417.62)

($

($

611.80)

545.83)

Closed treatment of fracture, phalanx

28515

($

485.82)

($

754.11)

Open tx fx, phalanx/phalanges, other t

28525

($

2,474.07)

Arthrodesis; triple

28715

($

3,297.79)

Arthrodesis; subtalar

Amputation, foot; transmetatarsal

28725

28805

($

($

2,723.34)

2,255.50)

($

7,044.11)

Amputation, metatarsal, with toe, sing

28810

($

1,525.38)

Amputation, toe; metatarsophalangea

28820

($

1,316.02)

Amputation, toe; interphalangeal joint

28825

($

1,307.60)

Unlisted procedure, foot or toes Application, cast; shoulder to hand (lo

28899

29065

($

234.54)

($

($

1,086.61)

480.93)

LONG_DESCRIPTION CPT/HCPCS Code SRHC Professional Price SRHC Technical Price

Application, cast; elbow to finger (sho

29075

($

213.54)

($

486.25)

Application, cast; hand and lower fore

29085

($

233.47)

($

408.58)

Application, cast; finger

29086

($

171.71)

($

345.80)

Application of long arm splint (should

e29105

($

208.76)

($

442.93)

Application of short arm splint (forear

29125

($

135.80)

($

414.69)

Application of short arm splint (forear

29126

($

168.22)

($

546.36)

Application of finger splint; static.

29130

($

102.89)

($

206.24)

Application of finger splint; dynamic

29131

($

118.53)

($

446.41)

Strapping; elbow or wrist.

29260

($

72.35)

($

345.27)

Strapping; hand or finger

29280

($

75.17)

($

257.49)

Application of long leg cast (thigh to t

o29345

($

350.80)

($

675.70)

Application of long leg cast brace

29358

($

363.04)

Application of short leg cast (below kn

29405

($

208.68)

($

532.00)

Application of short leg cast (below kn

29425

($

198.84)

($

550.07)

Yes - Total Contact Cast Leg

29445

($

381.64)

Application of long leg splint (thigh to

29505

($

173.91)

($

502.71)

Application of short leg splint (calf to f

29515

($

175.40)

($

462.41)

Yes - Strapping Knee

29530

($

420.28)

Strapping; ankle and/or foot

29540

($

68.50)

($

328.78)

Strapping toes

29550

($

43.52)

($

325.35)

Strapping unna boot

29580

($

125.98)

($

428.00)

Application of multi-layer venous wou

29581

($

360.22)

Full arm or leg cast

29705

($

167.53)

($

366.02)

Arthroscopy, shoulder, diagnostic, wit

29805

($

1,627.39)

Arthroscopy, shoulder, surgical; capsu

29806

($

3,708.98)

Arthroscopy, shoulder, surgical; repair

29807

($

3,618.93)

Arthroscopy, shoulder, surgical; synov

29821

($

2,020.66)

Arthroscopy, shoulder, surgical; debri

29822

($

1,961.68)

($

5,277.91)

Arthroscopy, shoulder, surgical; debri

29823

($

2,142.72)

($

5,836.04)

Arthroscopy, shoulder, surg;dist clavic

29824

($

2,308.33)

($

5,248.78)

Arthroscopy, shoulder, surgical; with l

29825

($

1,998.33)

($

4,832.37)

Arthroscopy, shoulder, surg; decompr

29826

($

629.87)

($

5,634.20)

Arthroscopy, shoulder, surgical; with r

29827

($

3,702.49)

($

6,377.26)

Arthroscopy, shoulder, surgical; bicep

29828

($

3,183.15)

($

6,418.65)

Arthroscopy, elbow, surgical; synovect

29835

($

1,727.88)

($

12,997.64)

Arthroscopy, knee, diagnostic, with or

29870

($

1,409.35)

Arthroscopy, knee, surgery;for remov

a29874

($

1,861.84)

Arthroscopy, knee, surgery; abrasion a

29879

($

2,287.71)

Arthroscopy, knee, surgical; with meni

29880

($

1,831.30)

Arthroscopy, knee, surgical; with meni

29881

($

1,859.61)

($

5,954.68)

Arthroscopy, knee, surgical; with meni

29882

($

2,423.66)

($

8,600.51)

Arthroscopy, knee, surgical; with meni

29883

($

2,927.12)

Arthroscopically aided anterior cruciat

29888

($

3,435.69)

Arthroscopy, ankle, surg, Excise osteo

29891

($

2,351.55)

($

9,946.27)

Arthroscopy, hip, surgical; with femor

29914

($

3,470.02)

Arthroscopy, hip, surgical; with labral

29916

($

3,576.10)

Unlisted procedure, arthroscopy

29999

($

6,351.96)

LONG_DESCRIPTION CPT/HCPCS Code SRHC Professional Price SRHC Technical Price

Biopsy, intranasal

30100

($

237.89)

($

1,750.94)

Excision inferior turbinate, partial or c

30130

($

1,255.15)

($

4,835.51)

Submucous resection inferior turbinat

30140

($

1,435.00)

Removal foreign body, intranasal; offi

c30300

($

354.52)

($

417.83)

Removal foreign body, intranasal; req

30310

($

669.93)

Septoplasty/submucous Resect, w/or

30520

($

2,094.94)

($

4,860.22)

Ablation, soft tissue of inferior turbina

30801

($

447.31)

($

1,750.94)

Ablation, soft tissue of inferior turbina

30802

($

637.71)

($

3,532.29)

Control nasal hemorrhage, anterior, si

30901

($

207.64)

($

407.17)

Control nasal hemorrhage, anterior, c

30903

($

293.82)

($

251.31)

Control nasal hemorrhage, posterior,

30905

($

386.00)

($

645.85)

Control nasal hemorrhage, posterior,

30906

($

494.53)

($

699.05)

Fracture nasal inferior turbinate(s), th

30930

($

412.09)

($

3,990.00)

Unlisted procedure, nose

30999

($

1,054.75)

Lavage by cannulation; maxillary sinus

31000

($

357.45)

($

3,184.55)

Nasal endoscopy, diagnostic, unilatera

31231

($

232.43)

($

1,095.92)

Nasal/sinus endoscopy, surgical w/bio

31237

($

571.47)

($

5,501.76)

Nasal/sinus endoscopy, surgical; with

31254

($

827.43)

Nasal/sinus endoscopy, surgical; with

31255

($

1,434.91)

Nasal/sinus endoscopy, surgical, with

31256

($

704.67)

Nasal/sinus endoscopy, surgical with e

31257

($

1,520.58)

Nasal/sinus endoscopy, surg w/frontal

31276

($

1,288.08)

Intubation, endotracheal, emergency

31500

($

529.37)

($

787.29)

Laryngoscopy diagnostic indirect

31505

($

169.21)

($

480.93)

Laryngoscopy, flexible fiberoptic; diag

31575

($

235.78)

($

897.58)

Tracheostomy, emergency procedure;

31605

($

672.43)

($

1,403.42)

Bronchoscopy, rigid or flexible, ; diagn

31622

($

487.42)

($

3,863.38)

Bronchoscopy, rigid or flexible, includi

31623

($

499.79)

($

2,285.46)

Bronchoscopy, rigid or flexible, includi

31624

($

504.71)

($

2,124.94)

Bronchoscopy, rigid or flexible, incl flu

31625

($

585.34)

($

2,635.42)

Bronchoscopy rigid or flexible w place

31626

($

739.41)

($

5,222.11)

Bronchoscopy, rigid or flexible, ; w co

31627

($

365.38)

($

3,059.00)

Bronchoscopy, rigid or flexible, w tran

31628

($

661.10)

($

3,079.93)

Bronchoscopy, rigid/flex;w transbronc

31629

($

701.23)

($

4,287.32)

Bronchoscopy, rigid or flexible, incl flu

31630

($

736.66)

($

6,333.70)

Bronchoscopy, rigid or flexible, ; w pla

31631

($

841.89)

($

6,331.04)

Bronchoscopy, rigid or flexible, ;w tran

31632

($

185.83)

($

2,369.09)

Bronchoscopy, rigid or flexible, incl flu

31633

($

238.95)

($

2,319.49)

Bronchoscopy, rigid or flexible; w ball

o31634

($

717.56)

($

3,262.73)

Bronchoscopy, rigid or flexible, with re

31635

($

651.47)

($

4,196.42)

Bronchoscopy, rigid or flexible; w plac

31636

($

816.30)

($

6,078.63)

Bronchoscopy, rigid or flexible, ea add

31637

($

281.09)

Bronchoscopy, rigid or flexible, w revis

31638

($

928.43)

($

6,639.36)

Bronchoscopy, rigid or flexible, ; with

31640

($

935.29)

($

6,130.95)

Bronchoscopy, rigid or flex; w destruct

31641

($

955.31)

($

6,335.75)

Bronchoscopy, rigid or flexible, incl flu

31643

($

661.28)

($

3,677.31)

Bronchoscopy

31645

($

3,258.67)

LONG_DESCRIPTION CPT/HCPCS Code SRHC Professional Price SRHC Technical Price

Bronchoscopy, rigid or flexible, incl flu Bronchoscopy, rigid or flexible, w inse

31646

31647

($

($

473.69)

783.24)

($

($

3,265.68)

5,682.82)

Bronchoscopy, rigid or flexible, w rem

31648

($

724.94)

($

5,320.00)

Bronchoscopy, rigid or flexible, w rem

31649

($

261.35)

($

1,103.90)

Bronchoscopy, rigid or flexible; w inse

31651

($

281.78)

Bronchoscopy, rigid or flexible w bron Catheterization with bronchial brush b Catheter aspiration; nasotracheal

31661

31717

31720

($

($

($

778.51)

403.61)

194.29)

($

($

($

8,283.24)

399.14)

250.04)

Tube thoracostomy, includes water se

32551

($

577.11)

($

1,856.15)

Thoracentesis, pleural space; w/o guid

32554

($

335.05)

($

1,800.93)

Thoracentesis, pleural space; w/ guida

32555

($

421.80)

($

2,133.97)

Pleural drainage, percutaneous, with i CT Guide-Perc Pleural Drainage w Cat Thoracoscopy, diagnostic; lungs, peric

32556 h32557 32601

($

($

($

459.79)

575.46)

1,105.92)

($

($

2,881.31)

5,446.62)

Injection of needle or intracatheter, v

e36000

($

41.34)

($

259.83)

Collection of venous blood by venipun

36415

($

43.57)

($

43.57)

36416 - for Coding - Collect cap blood

36416

($

28.82)

Transfusion, blood / blood component Catheterization of umbilical vein for di Therapeutic apheresis; for plasma phe

36430

36510

36514

($

($

($

104.33)

206.98)

343.49)

($

($

1,511.07)

4,390.27)

Central line (non tunneled) Insertion a

36556

($

450.90)

($

1,720.68)

Insert tunneled centrally inserted cent

36558

($

956.20)

Insertion of (PICC), without subcutane Remove tunneled central venous acce Collection of blood specimen from a c

36569

36590

36591

($

($

($

342.59)

680.37)

70.73)

($

($

($

2,476.24)

4,346.18)

303.72)

Collection of blood specimen using est

36592

($

79.25)

($

184.98)

Declotting by thrombolytic agent of i

m36593

($

93.72)

($

494.70)

Arterial puncture, withdrawal of blood

36600

($

57.81)

($

169.91)

Ligation or biopsy, temporal artery Ligation, major artery (eg, post-traum Ligation, division, and/or excision of v

37609

37618

37785

($

($

($

726.53)

1,274.40)

916.16)

($

($

4,604.15)

5,315.45)

Diagnostic Bone marrow; aspiration

38220

($

223.21)

($

1,581.05)

Bone marrow; biopsy, needle or troca

38221

($

275.52)

($

1,489.60)

Biopsy or excision of lymph node(s); o

38500

($

886.18)

($

5,775.50)

Biopsy or excision of lymph node(s); b Biopsy or excision of lymph node(s); o Biopsy or excision of lymph node(s); o

38505

38510

38525

($

($

($

256.69)

1,395.85)

1,518.75)

($

1,549.40)

Biopsy of lip

40490

($

264.78)

($

730.99)

Drainage of abscess, cyst, hematoma,

40800

($

446.59)

($

832.05)

Biopsy, vestibule of mouth

40808

($

366.74)

($

2,251.42)

Excision of lesion of mucosa and subm Excision of lesion of mucosa and subm

40810

40812

($

($

409.10)

686.39)

($

($

3,351.15)

5,333.83)

Excision of frenum, labial or buccal (fr

40819

($

820.45)

($

4,101.75)

Incision of lingual frenum (frenotomy)

41010

($

365.11)

($

2,398.79)

Biopsy of tongue; posterior one-third

41105

($

391.69)

($

4,708.20)

Biopsy of floor of mouth

Excision of lesion of tongue without cl

41108

41110

($

($

314.47)

454.47)

($

5,186.47)

LONG_DESCRIPTION CPT/HCPCS Code SRHC Professional Price SRHC Technical Price

Exicision of lesion of tongue with closu

41112

($

873.12)

($

3,958.77)

Excision of lingual frenum (frenectom

y41115

($

503.25)

($

1,750.94)

Drainage of abscess, cyst, hematoma f

41800

($

473.83)

Unlisted procedure, dentoalveolar str

41899

($

740.97)

Biopsy of palate, uvula

42100

($

379.90)

($

2,725.97)

Excision, lesion of palate, uvula; witho

42104

($

482.56)

($

4,959.56)

Uvulectomy, excision of uvula

42140

($

527.90)

Palatopharyngoplasty (eg, uvulopalato

42145

($

2,465.23)

Unlisted procedure, palate, uvula

42299

($

3,825.08)

Drainage of abscess, parotid, simple

42300

($

530.35)

($

5,240.20)

Sialolithotomy; submandibular (subm

42330

($

577.41)

($

5,685.87)

Excision of sublingual salivary cyst(ran

42408

($

1,150.08)

Marsupialization of sublingual salivary

42409

($

720.55)

Incision and drainage abscess; periton

42700

($

467.71)

($

1,129.97)

Biopsy; oropharynx

42800

($

388.18)

($

3,815.34)

Excision or destruction of lesion of ph

42808

($

570.81)

($

6,482.20)

Tonsillectomy and adenoidectomy; yo

42820

($

1,016.49)

Tonsillectomy and adenoidectomy; ag

42821

($

1,058.77)

Tonsillectomy, primary or secondary;

42825

($

906.03)

Tonsillectomy, primary or secondary;

42826

($

878.23)

($

6,305.80)

Adenoidectomy, primary; younger tha

42830

($

717.33)

Adenoidectomy, primary; age 12 or ov

42831

($

773.45)

($

5,193.38)

Adenoidectomy, secondary; age 12 or

42836

($

833.86)

Control oropharyngeal hemorrhage, p

42960

($

591.67)

Esophagoscopy, rigid, transoral; diagn

43191

($

552.54)

($

2,978.31)

Esophagoscopy, rigid, transoral; with

b43192

($

610.66)

($

4,776.03)

Esophagoscopy, rigid, transoral; with r

43194

($

703.28)

($

5,787.10)

Esophagoscopy, rigid, transoral; with

b43195

($

665.46)

($

5,082.73)

Esophagoscopy, rigid, transoral; with i

43196

($

710.62)

($

5,008.25)

Esophagoscopy, flexible, transnasal; di

43197

($

302.92)

($

2,926.00)

Esophagoscopy, flexible, transnasal; w

43198

($

362.40)

($

2,707.73)

Esophagoscopy, flexible, transoral; dia

43200

($

315.90)

($

3,108.31)

Esophagoscopy, flexible, transoral; wit

43201

($

374.72)

($

3,489.92)

Esophagoscopy, flexible, transoral; wit

43202

($

375.38)

($

3,137.20)

Esophagoscopy, flexible, transoral; wit