N.Y. Comp. Codes R. & Regs. tit. 11 § 52.80

Current through Register Vol. 46, No. 45, November 2, 2024

Section 52.80 - State of New York Certified Surgical Fee Schedule

The following schedule of relative values for surgery, with $6 applied to each unit of value, shall constitute the State of New York Certified Surgical Fee Schedule:

INTEGUMENTARY SYSTEM

Skin, Mucous Membrane, Subcutaneous and Areolar Tissues

Value
Incision
0101	Incision and drainage of infected or noninfected sebaceous cyst .......	2.0
(2nd lesion 50%; each additional lesion 25%)
0102	Incision and drainage of furuncle .......	2.0
0103	Acne surgery; marsupialization, opening, or removal of multiple milia, comedones, cysts, pustules, etc. .......	1.5
0108	Incision and drainage of carbuncle, suppurative hidradenitis and other cutaneous or subcutaneous abscesses simple .......	2.0
0109	extensive .......	by report
0115	Drainage of pilonidal cyst .......	2.0
0125	Drainage of onychia or paronychia .......	2.0
0126	multiple or complicated .......	by report
0130	Incision and removal of foreign body, subcutaneous tissues, simple .......	2.0
0131	complicated by .......	by report
0140	Drainage of hematoma, simple .......	2.0
0141	complicated .......	by report
0145	Puncture aspiration of abscess or hematoma .......	1.0
Excision
Debridement (for abrasions and burns see 0164, 0330-0334, 0351-0356.)
0160	Debridement of extensively eczematized or infected skin up to 10% of the body surface .......	2.0
0161	for each additional 10% of body surface, add .......	1.0
0162	Debridement of nails, any method, five or less .......	2.0
0163	for each additional five or major portion thereof .......	1.0
0164	Debridement of abrasions .......	by report
Excision and Simple Closure-(Not reconstructive surgery; for reconstructive surgery see "Repair-Complex.")
(For electro-surgical methods see 0401, et seq.)
0171	Biopsy; excision of skin, subcutaneous tissue or mucous membrane for biopsy (including simple closure) (independent procedure) .......	3.0
Excision (including simple closure) of BENIGN cicatricial, fibrous, inflammatory, congenital, cystic, etc., lesions of skin, subcutaneous tissue or mucous membrane; one (see appropriate size below.)
0175	lesion diameter up to 1/4 inch .......	4.0
0176	lesion diameter 1/4 to 1/2 .......	5.0
0177	lesion diameter 1/2 to 3/4 .......	6.0
0178	lesion diameter more than 3/4 inch or complicated .......	by report
Excision (including simple closure) or treatment by any other method except radiation) of MALIGNANT lesions of skin or mucous membrane (except melanoma) to include local anesthesia.
Trunk, arms or legs:
0188	lesion diameter up to 1/4 inch .......	6.0
0189	lesion diameter 1/4 to 1/2 inch .......	8.0
0190	lesion diameter 1/2 to 3/4 inch .......	10.0
Face, scalp, ears, neck, hands, feet, genitalia:
0191	lesion diameter up to 1/4 inch .......	10.0
0192	lesion diameter up to 1/2 inch .......	15.0
0193	lesion diameter 1/2 to 3/4 inch .......	20.0
Eyelids, nose, lips, mucous membrane:
0194	lesion diameter up to 1/4 inch .......	15.0
0195	lesion diameter 1/4 to 1/2 inch .......	20.0
0196	lesion diameter 1/2 to 3/4 inch .......	25.0
0197	Lesions over 3/4 inch, complicated or unusually located .......	by report
0225	Avulsion, nail, partial, or complete, simple .......	2.0
0228	Excision of nail or nail matrix, partial or complete, e.g., ingrown or deformed nail for permanent removal .......	10.0
0238	Excision of pilonidal cyst or sinus .......	30.0
Miscellaneous lesions (use appropriate procedure number and state diagnosis.)
Hemangioma (see 0175-0178, 0260-0324.)
Hidradenitis (see 0108, 0175-0178, 0260-0324.)
Lipoma (see 0175-0178, 0260-0324.)
Lymph node dissection (see 2651-2672.)
Melanoma (see 0188-0197, 0260-0324.)
Ulcer-vascular or inflammatory (see 0175-0178, 0260-0324.)
Introduction
0242	Injection, intralesional (up to and including seven lesions) .......	2.0
0243	more than seven .......	3.0
Repair-Simple
0251	Wounds, recent, up to 2 1/2 inches .......	2.0
0252	for each additional inch add .......	1.0
REPAIR-COMPLEX (e.g., reconstructive surgery, complicated wound closure, skin grafts, etc.).
The following values (0260-0324) are to be applied in situations requiring unusual and time-consuming techniques of repair to obtain the maximum functional and cosmetic result. Unless otherwise noted, the stated values include the creation of the defect and necessary preparation for repair, or the debridemnet and repair of complicated laceration (excluding 0251, 0252.)
Excision and/or repair by direct closure of lesion or laceration resulting in a LINEAR REPAIR:
0260	up to 1/2 inch, forehead, cheeks, chin, mouth, neck, axilla, genitalia, hands and feet .......	8.0
0261	eyelids, nose, ears and lips .......	10.0
(See also 0290-0294, 2737-2746.)
(For other areas see 0175-0178, 0188-0197, 0251-0252.)
0262	1/2 inch to 1 inch, trunk .......	7.0
0263	scalp, arms and legs .......	10.0
0264	forehead, cheeks, chin, mouth, neck, axilla, genitalia, hands and feet .......	14.0
0265	eyelids, nose, ears and lips .......	17.0
(See also 0290-0294, 2737-2746.)
0266	1 inch to 3 inches, trunk .......	15.0
0267	scalp, arms and legs .......	22.0
0268	forehead, cheeks, chin, mouth, neck, axilla, genitalia, hands and feet .......	30.0
0269	eyelids, none, ears and lips .......	40.0
(See also 0290-0294, 2737-2746.)
0270	Unusual, complicated or over 3 inch linear repair .......	by report
Excision and/or repair by adjacent tissue transfer or rearrangement (e.g., Z-plasty, rotation flap, advanced flap, double pedicle flap, etc.):
0275	for defect up to 1 square inch, trunk .......	20.0
0276	scalp, arms and legs .......	30.0
0277	forehead, cheeks, chin, mouth, neck, axilla, genitalia, hands and feet .......	40.0
0278	eyelids, nose, ears and lips .......	50.0
0279	defect size between 1 square inch and 3 square inches, trunk .......	30.0
0280	scalp, arms and legs .......	40.0
0281	forehead, cheeks, chin, mouth, neck, axilla, genitalia, hands and feet .......	50.0
0282	eyelids, nose, ears and lips .......	60.0
0283	more than 3 square inches, unusual or complicated .......	by report
Eyelid, full thickness, excision and repair: .......
0290	by advancement flaps, up to 1/4 eyelid margin .......	37.0
0291	over 1/4 of eyelid margin .......	50.0
0292	by transfer flaps of tarso-conjunctivea from opposing eyelid, up to 2/3 of eyelid .......	50.0
0293	total eyelid, one or more stages, lower lid .......	75.0
0294	upper lid .......	85.0
SKIN GRAFTS-The value is to be determined on the basis of size and location of defect (recipient area) and type of graft. Unless otherwise noted, these values include creation and/or surgical preparation of the defect, obtaining and placing of the graft, and the care of the donor site.
0300	Pinch, split or full thickness skin to cover small ulcer, tip of digit or other minimal open area (except on face, use 0301-0304) up to defect size 3/4 inch diameter .......	5.0
(Values for items 0301-0304 include simple debridement of granulations or recent avulsions. When the recipient area for grafting is created by surgical excision of essentially intact skin, scar or other lesion (including subcutaneous tissue) add 50% to the calculated value for the graft. This includes primary or delayed application of the graft.)
0301	Split skin graft, up to 16 square inches (except 0300), trunk, scalp, arms, legs, hands and feet (except multiple digits) .......	25.0
0302	each additional 16 square inches or part thereof .......	5.0
0303	face, neck, ears, genitalia or multiple digits .......	38.0
0304	each additional 16 square inches or part thereof .......	7.0
0308	Full thickness, free, up to 3 square inches, including direct closure of donor site, trunk .......	20.0
0309	scalp, arms and legs .......	30.0
0310	forehead, cheeks, chin, mouth, neck, axilla, genitalia, hands and feet .......	40.0
0311	eyelids, nose, ears and lips .......	50.0
(For each additional 3 square inches in the above procedures, add 50% of area value.)
Values for following items (0312-0323) do NOT include extensive immobilizing; for plaster casts see 1851-1890 for values for these services.
0312	Pedicle flap, direct flap, direct or tubed, (including direct closure of donor site) trunk .......	20.0
0313	scalp, arms and legs .......	30.0
0314	forehead, cheeks, chin, mouth, neck, axilla, genitalia, hands and feet .......	40.0
0315	eyelids, nose, ears and lips .......	50.0
0316	delay, intermediate transfer or sectioning of pedicle of tubed or direct flap, trunk .......	15.0
0317	scalp, arms and legs .......	22.0
0318	forehead, cheeks, chin, mouth, neck, axilla, genitalia, hands and feet .......	30.0
0319	eyelids, nose, ears and lips .......	37.0
0320	excision of lesion and/or preparation of recipient site and attachment of direct or tubed pedicle flap, trunk .......	30.0
0321	scalp, arms and legs .......	45.0
0322	forehead, cheeks, chin, mouth, neck, axilla, genitalia, hands and feet .......	60.0
0323	eyelids, nose, ears and lips .......	75.0
(Revision, defatting or rearranging of transferred pedicle or flap skin graft, see 0260-0283 inclusive.)
0324	Composite graft (full thickness of external ear or nasal ala) .......	25.0
0325	Derma-fat-fascia-graft (except to breast-0484) .......	45.0
0330	Abrasion of skin, total face, for removal of scars, tattoos, etc. primary .......	60.0
0331	secondary, total face .......	30.0
0333	regional ( 1/4 face, cheeks, chin, forehead or elsewhere) primary .......	15.0
0334	secondary, regional .......	7.5
0335	Rhytidectomy, lower eyelids .......	60.0
0336	upper eyelids .......	40.0
0337	forehead .......	50.0
0338	glabellar frown .......	40.0
0339	cheeks, chin and neck .......	150.0
0340	Facial nerve paralysis, free fascia grafts .......	100.0
0341	re-animation-muscle transfers .......	120.0
(For nerve transfers, decompression or suture, see 5350, 6002, 6003.)
BURNS-List percentage of body surface involved and depth of burn. Does not include skin grafts
0351	Initial treatment, first degree, where no more than local treatment necessary .......	1.5
0352	Dressings, initial or subsequent under anesthesia, small .......	4.0
0353	under anesthesia, large or with major debridement, per hour .......	10.0
0354	without anesthesia, small, office or hospital .......	2.0
0355	without anesthesia, medium (whole face or whole extremity, etc.) .......	3.0
0356	without anesthesia, large (more than one extremity, etc.) .......	4.0
Destruction
0401	Electro-surgical destruction with or without surgical curettement of facial nevi, leukoplakia, actinic or senile keratoses, or keratoacanthomas, to include local anesthesia, one lesion .......	3.0
(50% for each additional lesion up to a total of three; over three, each additional lesion 25%.)
0402	complicated lesion(s) .......	by report
0403	Electro-surgical destruction (except 0401 and 0402) or chemocautery (Mono-, Bi-, Tricholoracetic acid, phenol, etc.) or cryocautery (liquid N 2, CO 2, etc.) of benign or pre-malignant lesions of skin or mucous membrane (except 0405 and 0406) with or without curettement one lesion .......	2.0
(50% for second lesion; over two, each additional lesion 25%.)
0404	complicated lesion(s) .......	by report
flat (plane, juvenile) warts, up to fifteen .......	2.0
(Retreatment same as routine office visit.)
0406	Electro-surgical destruction of multiple fibro-cutaneous tags, up to fifteen .......	2.0
0408	Chemosurgery, (Mohs type technique), malignancies of skin, includes removal of growth and microscopic delineation of margins and base, first stage -fulguration and application of chemicals .......	20.0
0409	each subsequent treatment, up to five sections .......	5.0
0410	each additional section over five .......	1.0
0411	Cryotherapy-(CO 2 slush, liquid N 2 ) .......	1.5
0412	Electrolysis epilation, each 1/2 hour .......	3.0
Breast
Incision
0430	Puncture aspiration of cyst .......	2.0
0431	Mastotomy with exploration or drainage of abscess, deep .......	10.0
Excision
0441	Biopsy of breast .......	15.0
0444	Excision of cyst, fibro-adenoma or other benign tumor, aberrant breast tissue, duct lesion (including gynecomastia) or nipple lesion (including any other partial mastectomy) male or female, unilateral .......	15.0
0445	bilateral .......	25.0
0446	Excision of chest wall tumor involving ribs .......	70.0
0447	Excision of chest wall tumor involving ribs plus plastic reconstruction .......	100.0
0457	Complete (simple) mastectomy .......	30.0
0470	Radical mastectomy, including breast, pectoral muscles and axillary lymph nodes .......	70.0
0481	Mammoplasty, plastic operation on breasts, reduction or repositioning, bilateral, one stage .......	150.0
0482	two stage .......	by report
0483	augmentation, prosthetic, unilateral .......	75.0
0484	bilateral .......	100.0
0485	derma-fat fascia, unilateral .......	100.0
MUSCULOSKELETAL SYSTEM
Listed values include the application of first cast or traction device only.
Incision
0501	Aspiration or curette biopsy of bone marrow .......	3.0
0502	Needle (trocar) biopsy vertebra .......	10.0
0506	Incision of superficial soft tissue abscess secondary to osteomyelitis .......	2.0
0507	deep or complicated .......	by report
0513	Sequestrectomy for osteomyelitis or bone abscess .......	by report
0516	Removal of metal band, plate, screw or nail (independent procedure) .......	15.0
(For pins, etc., see 0598, 0599.)
OSTEOTOMY-Cutting, division or transection of bone, with or without internal fixation
0526	Clavicle .......	40.0
0527	Humerus .......	50.0
0529	Radius .......	40.0
0530	Ulna .......	40.0
0531	Femur, neck, under age 8 .......	80.0
0532	over age 8 .......	100.0
0533	subtrochanteric .......	80.0
0534	supracondylar .......	70.0
0536	Tibia .......	55.0
0537	Smaller bones (fibula, metacarpals, metatarsals, etc.) .......	30.0
0538	Correction of bowlegs or knock-knees, unilateral .......	50.0
0539	bilateral .......	75.0
(For iliac osteotomy, see 1341, 1342.)
0540	Multiple osteotomies, single bones for realignment on intrameduliary rod, Scofield type procedure, humerus .......	50.0
0541	radius or ulna .......	50.0
0542	femur .......	100.0
0543	tibia .......	75.0
Excision
0549	Biopsy bone, radius, ulna, fibula, skull, sternum .......	10.0
0550	humerus, pelvis, femur, tibia .......	20.0
0551	vertebra .......	40.0
(For needle biopsy, see 0502.) (Value of biopsy done preceding definitive surgery is 50 percent of listed value.)
0552	Claviculectomy, partial .......	35.0
0553	total .......	65.0
0554	Astragalectomy .......	55.0
0556	Excision of head of radius .......	35.0
0557	Carpectomy .......	30.0
0560	Coccygectomy .......	30.0
0561	Patellectomy or hemipatellectomy .......	50.0
0563	Metatarsectomy .......	25.0
0566	Excision of chondroma, osteochondroma, or exostosis; humerus, pelvis, femur, tibia, radius, fibula, ulna .......	40.0
0567	small bones .......	25.0
0568	Excision of bone cyst, simple, large bones .......	40.0
0569	small bones .......	25.0
(With autogenous bone graft, add 10.0 units to 0568, 0569.)
0576	Partial ostectomy; partial excision of bone, craterization, guttering or saucerization of bone; diaphysectomy; humerus, pelvis, femur, tibia, fibula, radius, ulna .......	50.0
0577	small bones .......	25.0
0578	Excision of tumor of mandible without replacement .......	75.0
(For replacement see 0619.)
0580	Radical resection of bones for tumor with bone graft; scapula, humerus, pelvis, femur, tibia .......	100.0
0581	other bones .......	65.0
Introduction
(For associated procedures, see Fractures.)
0591	Insertion of wire, pin, caliper or tongs (independent procedure) .......	5.0
0598	Removal buried wire or pin (independent procedure) .......	2.0
0599	Removal of caliper or tongs (independent procedure) .......	1.0
Repair
0611	Osteoplasty; shortening of bone, femur, tibia, humerus .......	100.0
0612	radius, ulna .......	65.0
0613	other bones .......	45.0
0614	lengthing of bone .......	100.0
0616	mandible for prognathism or micrognathism, one or two stages .......	100.0
BONE OR CARTILAGE GRAFT-Osteoperiosteal graft, periosteal graft, or cartilage graft. Includes obtaining and placing of graft. Unless otherwise indicated, values are for autogenous grafts. When non-autogenous material is used, reduce value by 5.0 units.
0617	Bone graft; femur, tibia, humerus .......	100.0
0618	radius, ulna .......	65.0
0619	skull or significant portion of mandible .......	100.0
0620	other bones, including chin, nose, malar prominences .......	45.0
0621	Cartilage graft, autogenous, to face, nose, ear or skull .......	70.0
Spinal Fusion (For fusion of childgood scoliosis, see 0643, 0644, 0645.)
(Items 0634-0642 refer to spinal procedures at one interspace; for each additional interspace, add 10%)
0634	Spinal fusion, cervical region, posterior technique .......	90.0
0635	anterior technique .......	80.0
0636	thoracic region, posterior or posterior-lateral technique .......	90.0
0637	interbody technique, anterior, lateral or posterior .......	100.0
0638	lumbar region, posterior or posterior-laterial technique .......	90.0
(For interbody technique, anterior see 0642.)
0639	Spinal fusion with removal of intervertebral disc, cervical region, posterior, technique .......	120.0
0640	anterior interbody technique .......	80.0
0641	lumbar or thoracic region, posterior, posterior-lateral, or posterior interbody technique .......	120.0
0642	anterior interbody technique .......	100.0
0643	Spinal fusion for scoliosis, child or young adult (less than 18 years of age), up to and including five interspaces .......	120.0
0644	Harrington rod technique .......	150.0
0645	Halo technique .......	150.0
(For adult scoliotic fusion see 0634-0642.)
0647	Scapulopexy .......	65.0
0648	Patellapexy .......	50.0
0649	Pectus excavatum, infants, plastic repair .......	25.0
0650	Pectus excavatum (major) plastic repair .......	90.0
0654	Epiphyseal-diaphyseal fusion; epiphyseal arrest; epiphysiodesis or stapling; femur .......	55.0
0655	tibia and fibula, proximal or distal .......	55.0
0656	combined distal femur and proximal tibia and fibula (knee) .......	75.0
0657	combined proximal and distal, tibia and fibula .......	75.0
0658	combined distal femur and proximal and distal tibia and fibula .......	100.0
0660	Hemi-epiphyseal arrest (e.g., for genu varus or genu valgus) distal femur .......	45.0
(For removal and reinsertion of staples at same operation, use values listed above.)
(For removal of staples only, 50% of listed values.)
(Free of bone adhesions, callus or synostosis, independent procedure, see Ostectomy.)
Fractures
Skull
0681	Skull, non-operative .......	Sv. ¶*
(Depressed with operation, see 5018, 5020.)
Facial Bones
0685	Nasal, simple or compound, no reduction .......	Sv. ¶
0686	uncomplicated (digital) closed reduction .......	5.0
0687	complicated (instrumental) closed reduction .......	10.0
0688	open reduction, uncomplicated .......	25.0
0689	complicated with either internal and/or external skeletal fixation .......	40.0
0690	with concomitant open reduction of fractured septum .......	60.0
0691	Malar, simple or compound, no reduction .......	Sv. ¶
0692	closed reduction (including towel clip technique) .......	5.0
0693	depressed, open reduction .......	30.0
0694	complicated, depressed, open reduction with internal skeletal fixation and multiple surgical approaches .......	65.0
0698	Maxilla, simple or compound, no reduction .......	Sv. ¶
0699	closed reduction, with wiring of teeth .......	30.0
0701	open reduction, with wiring of teeth and/or local fixation .......	50.0
0702	complicated, open reduction, fixation by head cap, multiple surgical approaches, internal fixation, wiring teeth, etc .......	by report
(For antral approach, see 1988.)
0703	Mandible, simple or compound, no reduction .......	Sv. ¶
0704	closed reduction and wiring of teeth .......	30.0
0705	open reduction with or without wiring of teeth .......	50.0
0706	skeletal pinning with external fixation .......	40.0
Spine and Trunk
0720	Vertebral process, one or more .......	Sv. ¶
0721	Vertebral body, one or more not requiring reduction .......	Sv. ¶
0722	requiring reduction .......	30.0
0732	Sacrum, simple not requiring reduction .......	Sv. ¶
0733	compound or complex .......	by report
0735	Coccyx, simple, not requiring reduction .......	Sv. ¶
0736	compound or complicated .......	by report
0740	Clavicle, simple, no reduction .......	Sv. ¶
0741	simple, closed reduction .......	15.0
0742	compound, including uncomplicated soft tissue closure .......	20.0
0743	simple or compound, open reduction .......	40.0
0747	Scapula, simple, no reduction .......	Sv. ¶
0748	simple or compound, open reduction .......	55.0
0756	Sternum, simple .......	Sv. ¶
0757	compound or complicated .......	by report
0761	Ribs, simple .......	Sv. ¶
0762	compound or complicated .......	by report
Pelvis (Illum, Ischlum, Pubis)
0767	Fracture, simple, no reduction .......	Sv. ¶
0768	complicated, closed reduction .......	by report
0771	compound, open reduction .......	75.0
0772	Acetabulum, with or without other fractures of pelvis, simple, no reduction .......	Sv. ¶
0773	central, with displacement, requiring closed reduction .......	55.0
0775	simple or compound, open reduction .......	75.0
Upper Extremity
0778	Humerus, surgical neck, simple, not requiring reduction .......	Sv. ¶
0780	requiring manipulative reduction .......	30.0
0781	compound, with uncomplicated soft tissue closure .......	35.0
0782	simple or compound, open reduction .......	50.0
0783	shaft, simple, not requiring reduction .......	Sv. ¶
0784	simple, closed reduction .......	25.0
0785	compound, with uncomplicated soft tissue closure .......	30.0
0786	simple or compound, open reduction .......	45.0
0787	simple or compound, open reduction, skeletal pinning with external fixation .......	40.0
0788	supracondylar or dicondylar, not requiring reduction .......	Sv. ¶
0789	closed reduction .......	25.0
0790	compound, with uncomplicated soft tissue closure .......	30.0
0791	simple or compound, open reduction .......	50.0
0792	medial or lateral condyle, simple, not requiring reduction .......	Sv. ¶
0793	closed reduction .......	20.0
0794	compound, with uncomplicated soft tissue closure .......	25.0
0795	simple or compound, open reduction .......	40.0
0796	Elbow, proximal end of ulna with dislocation of radial head simple, (Monteggia fracture) closed reduction .......	20.0
0797	simple or compound, open reduction (See also 1292.) .......	55.0
0798	Radius, head, simple, no reduction .......	Sv. ¶
0799	closed reduction .......	15.0
0800	compound, with uncomplicated soft tissue closure .......	20.0
0801	simple or compound, open reduction or excision (See also 0556.) .......	35.0
0802	shaft, simple, no reduction .......	Sv. ¶
0803	simple, closed reduction .......	20.0
0804	compound, with uncomplicated soft tissue closure .......	25.0
0805	simple or compound, open reduction .......	40.0
0806	distal end (e.g., Colle's type), simple, no reduction .......	Sv. ¶
0807	closed reduction .......	15.0
0808	with severe comminution and impaction, closed reduction .......	20.0
0809	simple or compound, open reduction .......	40.0
0810	skeletal pinning, with external fixation .......	30.0
0811	Ulna, proximal end, olecranon process, simple, no reduction .......	Sv. ¶
0812	compound, with uncomplicated soft tissue closure .......	25.0
0813	simple or compound, open reduction and/or resection .......	40.0
0814	shaft, simple, no reduction .......	Sv. ¶
0815	closed reduction .......	20.0
0816	compound, with uncomplicated soft tissue closure .......	25.0
0817	simple or compound, open reduction .......	40.0
0818	skeletal pinning with external fixation .......	30.0
0820	Radius and ulna shaft, simple, no reduction .......	Sv. ¶
0821	simple, closed reduction .......	25.0
0822	compound, with uncomplicated soft tissue closure .......	30.0
0823	simple compound, open reduction .......	50.0
0824	skeletal pinning with external fixation .......	40.0
(For Colle's fracture see 0806-0810.)
0827	Carpal bones, one or more, simple reduction .......	Sv. ¶
0830	simple or compound, open reduction .......	35.0
0840	Metacarpal, simple, no reduction .......	Sv. ¶
0842	one, simple or compound, closed reduction with uncomplicated soft tissue closure .......	10.0
0843	more than one, simple or compound, closed reduction, with uncomplicated soft tissue closure .......	12.5
0844	one or more, simple or compound, open reduction .......	30.0
0848	skeletal pinning with external fixation .......	25.0
0852	Phalanx or phalanges, finger, proximal, middle or thumb, simple, no reduction .......	Sv. ¶
0853	closed reduction .......	7.5
0854	compound, with uncomplicated soft tissue closure .......	10.0
0855	simple or compound, open reduction .......	20.0
0856	Phalanx or phalanges, distal, simple, no reduction .......	Sv. ¶
0857	simple or compound, closed reduction with uncomplicated soft tissue closure .......	5.0
0858	simple or compound, open reduction .......	12.5
Lower Extremity
0865	Femur, neck, simple, no reduction .......	Sv. ¶
0866	with fixation or traction .......	50.0
0867	simple or compound, open reduction .......	80.0
0868	multiple pinning, with or without external fixation .......	80.0
0869	treatment with replacement prosthesis .......	80.0
0872	intertrochanteric, simple, no reduction .......	Sv. ¶
0873	with fixation or traction .......	45.0
0874	simple or compound, open reduction .......	80.0
0877	slipped epiphysis, no reduction, treatment by traction, bed rest or cast application .......	Sv. ¶
0878	open reduction, single or multiple pinning or bone graft .......	80.0
0879	reconstruction .......	100.0
0880	shaft, including supracondylar, simple, no reduction .......	Sv. ¶
0881	simple, closed reduction .......	40.0
0882	compound, with uncomplicated soft tissue closure .......	45.0
0883	simple or compound, open reduction .......	80.0
0884	skeletal pinning with external fixation .......	60.0
0885	distal end, medial or lateral condyle, simple, no reduction .......	Sv. ¶
0886	condyle or condyles, simple, closed reduction .......	35.0
0887	simple or compound, open reduction .......	60.0
0889	Patella, simple, no reduction .......	Sv. ¶
0890	compound, with uncomplicated soft tissue closure .......	25.0
0891	simple or compound, open reduction .......	50.0
0893	Tibia, proximal end, tibial plateaus, condyle, condyles or intercondylar spines, simple, no reduction .......	Sv. ¶
0894	closed reduction .......	25.0
0895	compound, with uncomplicated soft tissue closure .......	30.0
0896	simple or compound, open reduction .......	55.0
0901	shaft, simple, no reduction .......	Sv. ¶
0902	closed reduction .......	25.0
0903	compound, with uncomplicated soft tissue closure .......	30.0
0904	simple or compounded, open reduction .......	50.0
0905	simple or compound, open or "blind" insertion of intramedullary rod (e.g., Lottes nail) .......	50.0
0907	distal end, malleolus, simple, no reduction .......	Sv. ¶
0908	simple, closed reduction .......	15.0
0909	compound, with uncomplicated soft tissue closure .......	20.0
0910	simple or compound, open reduction .......	40.0
0914	Fibula, shaft, simple, no reduction .......	Sv. ¶
0915	compound, with uncomplicated soft tissue closure .......	20.0
0916	simple or compound, open reduction .......	30.0
0920	distal end, malleolus, simple, no reduction .......	Sv. ¶
0921	closed reduction .......	15.0
0922	compound, with uncomplicated soft tissue closure .......	20.0
0923	simple or compound, open reduction .......	40.0
0925	Tibia and fibula, shafts, simple, no reduction .......	Sv. ¶
0926	closed reduction .......	30.0
0927	compound, with uncomplicated soft tissue closure .......	35.0
0928	simple or compound, open reduction .......	60.0
0930	skeletal pinning with external fixation .......	40.0
0932	Ankle, bimalleolar (including Potts) simple, no reduction .......	Sv. ¶
0933	simple, closed reduction .......	25.0
0934	compound, with uncomplicated soft tissue closure .......	30.0
0935	simple or compound, open reduction .......	50.0
0937	trimalleolar, simple, no reduction .......	Sv. ¶
0938	closed reduction .......	30.0
0940	compound, with uncomplicated soft tissue closure .......	35.0
0941	simple or compound, open reduction .......	60.0
0943	Tarsal (except astragalus and os calcis) one or more, simple, no reduction .......	Sv. ¶
0944	closed reduction .......	10.0
0945	compound, with uncomplicated soft tissue closure .......	15.0
0946	simple or compound, open reduction .......	30.0
0954	Astragalus, simple, no reduction .......	Sv. ¶
0955	simple, closed reduction .......	20.0
0956	compound, with uncomplicated soft tissue closure .......	25.0
0957	simple or compound, open reduction .......	55.0
0960	Os calcis, simple, no reduction .......	Sv. ¶
0961	closed reduction .......	20.0
0962	compound, with uncomplicated soft tissue closure .......	25.0
0963	simple or compound, open reduction .......	50.0
0964	skeletal pinning with external fixation .......	40.0
0966	Metatarsal, simple, no reduction .......	Sv. ¶
0967	closed reduction .......	10.0
0968	compound, with uncomplicated soft tissue closure .......	15.0
0970	simple or compound, open reduction .......	25.0
0975	Phalanx or phalanges, great toe, simple, no reduction .......	Sv. ¶
0976	simple, closed reduction .......	5.0
0977	simple or compound, open reduction .......	15.0
0979	other than great toe, simple, no reduction .......	Sv. ¶
0981	closed reduction .......	5.0
0982	simple or compound, open reduction .......	12.5
Joints
Incision
ARTHROTOMY or capsulotomy with exploration, drainage, or removal of loose body, e.g., osteochondritis of foreign body.
1001	Shoulder .......	50.0
1002	Elbow .......	50.0
1003	Wrist .......	40.0
1005	Other joints of upper extremity .......	30.0
1006	Finger, one .......	15.0
1007	Hip .......	70.0
1008	Knee .......	50.0
(For miniscectomy, see 1082.)
1010	Ankle .......	50.0
1013	Other joints of lower extremity .......	30.0
1020	Toe, great toe .......	15.0
1026	other .......	10.0
1044	Arthrocentesis; puncture for aspiration of hemarthrosis, initial .......	3.0
1045	subsequent .......	2.0
1046	puncture for aspiration of joint effusion (not traumatic), or injection of medication, initial or subsequent .......	2.0
1050	Sesamoid bone, excision, one or more, unilateral .......	15.0
Excision
ARTHRECTOMY-Excision of joint (See also Arthrodesis.)
1065	Temporomandibular joint, unilateral .......	75.0
1074	Excision of intervertebral disc .......	90.0
(See also 5208-5211.)
(With spinal fusion, see 0639-0642.)
(For laminectomy for spondylolisthesis, see 5225.)
1082	Meniscectomy: excision of semilunar cartilage of knee joint .......	50.0
1085	temporomandibular joint .......	75.0
1093	Synovectomy elbow .......	70.0
1101	hip .......	80.0
1102	knee .......	70.0
1103	ankle .......	50.0
Introduction
1131	Injection procedure for arthography .......	3.0
Repair
ARTHROPLASTY-Plastic or reconstructive operation on joint, any type unless otherwise specified.
1141	Shoulder (See also 1200, 1201.) .......	80.0
1142	Elbow .......	80.0
1143	Wrist .......	80.0
1144	Finger, one joint .......	30.0
1148	Hip, cup .......	100.0
1149	replacement prosthesis, primary for fracture .......	80.0
1150	secondary reconstruction .......	100.0
(For acetabuloplasty, either 1148 or 1150, add 25% to listed values.)
1151	Knee .......	100.0
1152	Ankle .......	75.0
1154	Toe, one joint .......	20.0
1159	Metatarsal-phalangeal joint; bunion operation, Silver type .......	20.0
1160	Keller, McBride, etc., types .......	30.0
1162	Joplin type .......	35.0
1163	Club foot corrective procedure, medial release, Brockman type .......	30.0
ARTHRODESIS-Fusion of joint (For spine see 0634-0645.)
1166	Shoulder .......	90.0
1167	Elbow .......	70.0
1168	Wrist .......	60.0
1170	Finger, thumb, one joint .......	20.0
1175	Hip .......	100.0
1176	Knee .......	80.0
1177	Ankle .......	70.0
1178	Toe, one or more joints .......	15.0
1179	Hammer toe operation, one toe ( e.g., inter-phalangeal fusion, filleting, phalanectomy) .......	20.0
1183	Tarsal joints, one or more ( e.g., Grice procedure) .......	50.0
1184	Other joints, lower extremity .......	40.0
1185	Foot, triple arthrodesis, unilateral under age 14 years .......	50.0
1186	over age 14 years .......	60.0
With tendon transplantation see 1585, 1586
Suture
CAPSULORRAPHY OR RECONSTRUCTION
1200	Shoulder, suture or repair of joint capsule for recurrent dislocation (independent procedure), Putti-Platt, Magnusen types .......	70.0
1201	Bankart type .......	80.0
1206	Patella (See also 0561, 1352, 1632.) .......	60.0
1211	Knee, suture of a torn, ruptured or severed collateral ligament .......	55.0
1212	suture of a torn, ruptured or severed cruciate ligament .......	55.0
1213	suture of torn, ruptured or severed collateral and cruciate ligaments .......	75.0
1214	reconstruction of a collateral or cruciate ligament .......	65.0
1215	both collateral or cruciate ligaments .......	85.0
1216	Ankle, reconstruction of a collateral ligament, ankle .......	45.0
1217	both ligaments .......	60.0
1218	Hand, reconstruction, metacarpophalangeal or interphalangeal ligaments .......	35.0
Manipulation
Manipulation of joint under general anesthesia, including application of fixation apparatus (dislocation excluded).
(For club feet and turnbuckle casts, see section on cast.)
1221	Shoulder .......	5.0
1222	Elbow .......	4.0
1223	Wrist .......	4.0
1224	Digits, one or more, under anesthesia, where no other surgical procedure is performed .......	2.5
1226	Hip .......	6.0
1227	Knee .......	5.0
1228	Ankle .......	4.0
1232	Spine .......	6.0
Dislocations
1251	Temporomandibular, simple, closed reduction, initial .......	5.0
1252	subsequent .......	1.0
1255	Vertebra, cervical, simple, closed reduction, using traction .......	Sv. ¶
1256	closed reduction with anesthesia .......	55.0
1262	thoracic, simple, closed reduction with anesthesia .......	55.0
1264	simple or compound, open reduction .......	100.0
1267	lumbar, simple, closed reduction with anesthesia .......	55.0
1270	simple or compound, open reduction .......	100.0
1273	Clavicle, sternoclavicular, simple, no reduction .......	Sv. ¶
1274	closed reduction with anesthesia .......	10.0
1275	simple or compound, open reduction .......	40.0
1278	acromioclavicular, simple, no reduction .......	Sv. ¶
1279	closed reduction with anesthesia .......	10.0
1281	simple or compound, open reduction .......	40.0
1284	Shoulder (humerus), simple, closed reduction without anesthesia .......	Sv. ¶
1285	with anesthesia .......	5.0
1286	simple or compound, open reduction .......	55.0
1290	Elbow, simple, closed reduction .......	5.0
1291	compound, with uncomplicated soft tissue closure .......	25.0
1292	simple or compound, open reduction .......	55.0
1295	Wrist, carpal, one bone, simple, closed reduction .......	5.0
1296	compound, with uncomplicated soft tissue closure .......	25.0
1297	simple or compound, open reduction .......	45.0
1298	more than one bone, simple, closed reduction .......	7.0
1300	compound, with uncomplicated soft tissue closure .......	25.0
1301	simple or compound, open reduction .......	45.0
1304	Metacarpal, one bone, simple, closed reduction .......	3.0
1305	compound, with uncomplicated soft tissue closure .......	10.0
1306	simple or compound, open reduction .......	20.0
1315	Finger, one, one or more joints, simple, closed reduction .......	3.0
1316	compound, with uncomplicated soft tissue closure .......	7.5
1317	simple or compound, open reduction .......	15.0
1326	Thumb, simple, closed reduction .......	4.0
1327	compound, with uncomplicated soft tissue closure .......	10.0
1328	simple or compound, open reduction .......	20.0
1332	Hip (femur), simple, closed reduction .......	20.0
1334	simple or compound, open reduction .......	60.0
1338	congenital, abduction splinting or traction in any form .......	Sv. ¶
1339	congenital, closed reduction with anesthesia .......	20.0
1340	congenital, open reduction and replacement of femoral head in acetabulum .......	60.0
1341	iliac or acetabular osteotomy, ( e.g., Pemberton or Salter type), under age 8 .......	80.0
1342	over age 8 .......	100.0
(For dislocated or slipped femoral head epiphyses, see 0877-0879.)
1344	Knee (femoral-tibial joint), simple, closed reduction .......	20.0
1345	compound, with uncomplicated soft tissue closure .......	25.0
1346	simple or compound, open reduction .......	60.0
1350	Patella, simple, closed reduction .......	3.0
1351	compound, with uncomplicated soft tissue closure .......	15.0
1352	simple or compound, open reduction (with or without partial or total patellectomy) .......	50.0
(See also 0561, 1206 and 1632.)
1354	Distal tibial-fibular joint (ankle mortise), open reduction and fixation .......	45.0
1355	Ankle, simple, closed reduction .......	10.0
1356	compound, with uncomplicated soft tissue closure .......	25.0
1357	simple or compound, open reduction .......	50.0
1361	Tarsal, simple, closed reduction .......	10.0
1362	compound, with uncomplicated soft tissue closure .......	17.5
1363	simple or compound, open reduction .......	45.0
1371	Astragalo-tarsal, simple, closed reduction .......	10.0
1372	compound, with uncomplicated soft tissue closure .......	17.5
1373	simple or compound, open reduction .......	45.0
1376	Metatarsal, one bone, simple, closed reduction .......	7.0
1377	compound, with uncomplicated soft tissue closure .......	12.0
1378	simple or compound, open reduction .......	25.0
1385	Toe, one, simple, closed reduction .......	2.0
1386	compound, with uncomplicated soft tissue closure .......	7.0
1387	simple or compound, open reduction .......	15.0
1391	multiple joints and/or toes, simple, closed reduction .......	7.0
1392	compound, with uncomplicated soft tissue closure .......	12.0
1393	simple or compound, open reduction .......	20.0
Bursae
Incision
1401	Drainage of infected bursa .......	3.0
1406	Removal of subdeltoid calcium deposits .......	25.0
1410	Removal of subtrochanteric calcium deposits .......	30.0
1413	Needle puncture of bursa, with or without aspiration, injection or irregation, initial or subsequent .......	2.0
Excision
1430	Radical excision of bursa, hand, wrist or forearm, ( i.e., tenosynovitis fungosa, Tbc., and other granulomas) .......	50.0
1431	Excision of bursa, olecranon .......	20.0
1433	prepatellar .......	20.0
1435	subacromial (subdeltoid) .......	25.0
1436	peritrochanteric, femur .......	30.0
(For popliteal see 1562.)
Muscles
Incision
1450	Removal of foreign body in muscle, with anesthesia .......	by report
1454	Division of scalenus anticus, without resection of cervical rib .......	35.0
1456	with resection of cervical rib .......	50.0
1458	Division of sternocleidomastoid for torticollis open operation .......	35.0
1460	Muscle biopsy, superficial .......	5.0
1462	deep .......	10.0
Suture
1495	Suture of ruptured diaphragm, chronic, transabdominal .......	70.0
1496	transthoracic or combined .......	80.0
1497	acute, traumatic .......	by report
(For other specific muscles, see 1633, 1640, 1654.)
Tendons, Tendon Sheaths and Fascia
Incision
1511	Drainage of tendon sheath, acute suppurative tenosynovitis, one digit .......	3.0
1514	single palmar and/or ulnar or radial bursa .......	30.0
1515	multiple or complicated .......	by report
1517	Injection of medication, tendon sheath .......	2.0
1519	Incision of fibrous sheath of tendon for stenosing tenosynovitis, including freeing of tendons or removal of foreign body .......	20.0
1531	Division of iliotibial band, open operation .......	30.0
1534	Stripping of ilium (Soutter operation) .......	40.0
Tenotomy
1535	Tenotomy, subcutaneous, corrective, single digit .......	5.0
1536	multiple digits .......	7.5
1537	adductor, hip .......	10.0
1538	open, elbow to shoulder, single .......	20.0
1539	multiple .......	25.0
1540	elbow to wrist, single .......	15.0
1541	multiple .......	25.0
1542	knee to hip, single .......	30.0
1543	multiple .......	40.0
1544	knee to thigh, single .......	15.0
1545	multiple .......	30.0
Excision
1550	Excision of lesion of tendon or fibrous sheath, or ganglion, digits only .......	10.0
1553	in other locations .......	15.0
(For radical excision of bursa, forearm, i.e., tenosynovitis fungosa, Tbc., and other granulomas, see 1430.)
1562	Excision of synovial cyst of popliteal space (Baker's cyst) .......	30.0
1570	Fasciotomy, palmar plantar, subcutaneous .......	10.0
1573	Fasciectomy, for Dupuytren's contracture, partial .......	30.0
1574	radical, including finger extensions and vertical bands .......	50.0
Repair
Includes necessary initial dressing (including cast and/or splint application.)
1580	Repair or suture of an extensor tendon, primary or late, hand or foot, distal to wrist or ankle .......	12.0
1582	forearm or leg .......	18.0
1583	Repair or suture of a flexor tendon, primary or late, finger, hand or forearm foot or leg .......	30.0
1585	Transfer, transplant or free tendon graft, distal to elbow, or distal to knee, single .......	40.0
1586	multiple .......	50.0
1587	elbow to shoulder or knee to hip, single .......	50.0
1588	multiple .......	60.0
1589	Tenolysis, single .......	25.0
1590	multiple (any number through same incision) .......	30.0
1591	Lengthening or shortening of tendon ( e.g. Achilles' tendon) .......	30.0
(Retrieve or reroute tendon through separate incision, add 25 percent of appropriate fee.)
1593	Multiple tendons and/or other structures through same incision or wound .......	by report
1612	Free fascial graft for reconstruction of tendon pulley or gliding surface, etc. .......	15.0
1616	Abdominal fascial transplants, bilateral (Lowman type procedure) .......	75.0
(For free fascial graft to face see 0340.)
1618	Fascia lata transplants, other .......	by report
1632	Patellar (extensor mechanism) advancement, with or without patellectomy .......	60.0
1633	Ruptured quadirceps insertion .......	45.0
1635	Ruptured Achilles' tendon from insertion at heel .......	45.0
1639	Ruptured long head of biceps, proximal .......	35.0
1640	Ruptured biceps tendon from insertion at elbow .......	45.0
1641	Flexor-plasty, elbow (e.g., Steindler type advancement or extensor release) .......	30.0
1654	Repair ruptured supraspinatus tendon or musculotendinous cuff shoulder, acute .......	50.0
1655	Repair of complete shoulder cuff avulsion, chronic .......	70.0
Extremities
Incision
1681	Drainage of felon, superficial .......	2.0
1682	in hospital .......	5.0
(For drainage of single or multiple infected spaces of hand, lumbrical, hypothenar, thenar, middle palmar, etc. with or without tendon sheath involvement, see 1514, 1515.)
Amputation
UPPER EXTREMITY:
1701	Interthoracoscapular .......	100.0
1703	Disarticulation of shoulder .......	75.0
1705	Arm through humerus .......	40.0
1708	Forearm, through radius and ulna .......	40.0
1709	Open (Guillotine) arm .......	35.0
1710	secondary closure or minor scar revision .......	5.0
1711	reamputation .......	40.0
1713	Cineplasty, complete procedure .......	75.0
1718	Disarticulation through wrist or amputation of hand through metacarpal bones .......	40.0
1725	Metacarpal, with finger or thumb, one, with or without split or Wolff graft, or skin-plasty and/or tenodesis, with or without resection of digital nerves .......	30.0
1737	Digit (finger or thumb), any joint or phalanx, one, with or without split or Wolff graft, or skin-plasty and/or tenodesis, with or without resection of digital nerves .......	15.0
LOWER EXTREMITY:
1745	Interpelviabdominal .......	by report
1748	Disarticulation of hip .......	80.0
1750	Disarticulation of knee .......	40.0
1752	Thigh, through femur, including supracondylar .......	60.0
1760	open (Guillotine) .......	50.0
1761	secondary closure or minor revision .......	5.0
1763	reamputation .......	60.0
1767	Leg, through tibia and fibula .......	50.0
1771	open (Guillotine) .......	40.0
1772	secondary closure or minor revision .......	5.0
1774	re-amputation .......	50.0
1778	Ankle (Syme, Pirogoff types), with skin-plasty and resection of nerves .......	50.0
1782	Midtarsal .......	35.0
1785	Foot, transmetatarsal .......	35.0
1788	Metatarsal with toe, with or without split or Wolff graft, or skin-plasty and/or tenodesis, with or without resection of digital nerves .......	25.0
1802	Toe, one, with or without split or Wolff graft, or skin-plasty and/or tenodesis, with or without resection of digital nerves .......	10.0
1803	more than one .......	15.0
Repair
1811	Freeing of web fingers, with flaps .......	35.0
1815	with skin graft .......	45.0
1816	complex .......	by report
Plaster Casts (Independent Procedure Only)
(Excluding Cost of Materials)
1840	Club-foot cast with molding or manipulation, long or short leg, under age of 24 months, single .......	2.0
1841	bilateral .......	3.5
(If over age 24 months, see casts, general.)
1842	Wedging club-foot cast single .......	1.0
1843	bilateral .......	1.5
(For children 10 years of age or under, reduce listed values 1851-1890 by 30%.)
1851	Molded plaster to forearm (splint) .......	2.0
1854	Elbow to fingers (short arm) .......	2.0
1856	Hand and wrist (gauntlet) .......	2.0
1860	Shoulder to hand (full arm) .......	3.0
1862	Shoulder spica .......	6.0
1863	Thigh-foot, molded splint .......	3.0
1864	Leg-foot, molded splint .......	2.0
1865	Ankle (foot to midleg) (short leg) .......	3.0
1867	Knee (foot to thigh) (long leg) .......	4.0
1871	Ambulatory leg cast (walking boot cast) .......	3.5
1878	Hip spica, unilateral .......	7.0
1882	bilateral .......	8.0
1884	Body, shoulder to hips .......	8.0
1885	including head .......	10.0
1886	Risser jacket, localizer, body only .......	12.5
1887	including head .......	15.0
1888	Turnbuckle jacket, body only for scoliosis .......	12.5
1889	including head .......	15.0
1890	"Halo" type fixation and cast .......	20.0
1891	Unna boot .......	2.0
1896	large, (e.g., long leg, shoulder or hip spica, Minerva, Calot jacket, turnbuckle, etc.) .......	2.0
1897	Repair of spica, body cast or jacket .......	3.0
(For change of cast, unit value will be that of application only.)
RESPIRATORY SYSTEM
Nose
Incision
1901	Drainage of nasal abscess or hematoma .......	2.0
1905	Drainage of septal abscess or hematoma .......	2.5
Excision
1911	Biopsy, soft tissue, nose .......	3.0
1916	Excision of nasal polyp(s) one or more, unilateral or bilateral, one or more stages, office .......	7.0
1917	complicated, requiring hospitalization .......	20.0
(For excision of nasopharyngeal fibroma, see 3006.)
1924	Excision or surgical planning of skin of nose for rhinophyma .......	35.0
1928	Submucous resection, classic, nasal septum .......	30.0
(For septoplasty, see 1952.)
1935	Resection of inferior turbinate (submucous), complete or partial, unilateral or bilateral (independent procedure) .......	15.0
Endoscopy
1941	Removal of intranasal foreign body by rhinoscopy .......	2.0
1942	by lateral rhinotomy .......	by report
Repair
See also Repair-Complex 0260-0324, and 0620, 0621.)
1950	Rhinoplasty, lateral and alar cartilages and/or elevation of nasal tip .......	40.0
1951	complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip .......	80.0
1952	including major septal repair .......	90.0
1953	secondary minor revision .......	15.0
(For total or major partial reconstruction, see 0260-0324, 0620, 0621.)
(For nasal bridge collapse, bone or cartilage graft, see 0620, 0621.)
1954	Septoplasty, (not 1928) independent procedure .......	40.0
1959	Repair choanal altresia, intranasal .......	10.0
1960	transpalantine .......	60.0
1961	Lysis of synechia .......	2.0
1962	Repair of oromaxillary fistula .......	by report
1963	with radical antrotomy .......	50.0
1964	Repair oronasal fistula .......	20.0
1965	Reconstruction, functional, of the internal nose .......	40.0
Destruction
1966	Cauterization of turbinates, unilateral or bilateral (independent procedure) .......	2.0
Manipulation
(For reduction of fracture, see 0685-0690.)
1971	Nasal hemorrhage, anterior, control of, unilateral or bilateral, with or without cauterization or anterior packs .......	2.0
1973	posterior, with cauterzation or posterior nasal packs, with or without anterior pack, initial .......	10.0
1974	subsequent .......	2.0
1978	by ligation of anterior ethmoidal artery .......	30.0
Accessory Sinuses
Incision
1981	Antrum lavage. puncture or natural ostium, unilateral .......	2.0
1982	bilateral .......	3.0
1983	Antroscopy .......	4.0
1985	Antrotomy, intranasal, unilateral .......	15.0
1986	bilateral .......	25.0
1988	Radical (Caldwell-Luc), unilateral .......	50.0
1989	bilateral .......	65.0
1991	Sphenoid sinusotomy .......	30.0
1992	Frontal sinusotomy, external, simple (trephine operation) .......	20.0
1993	transorbital, unilateral .......	40.0
1994	radical, obliterative .......	60.0
1995	Combined external frontal, ethmoidal and sphenoidal sinusotomy, unilateral .......	80.0
Excision
2006	Ethmoidectomy, intranasal or external, unilateral .......	30.0
2017	Maxillectomy, unilateral, with or without orbital exenteration and/or lateral rhinotomy .......	100.0
2019	Hypophisectomy, transeptal .......	70.0
(See also 5130.)
Larynx
Incision
2041	Laryngofissure with removal of tumor or laryngocele .......	60.0
2042	Thyrotomy, diagnostic .......	35.0
2043	for laryngeal web, two stage, with Keel insertion, (McNaught type) .......	90.0
2044	for laryngeal stenosis with graft or core mold, including tracheotomy .......	by report
Excision
2051	Laryngectomy, without neck dissection .......	100.0
2054	with neck dissection .......	140.0
2055	Hemilaryngectomy .......	60.0
2056	Arytenoidectomy, external approach (See also 2084.) .......	70.0
2057	Epiglottidectomy, external approach .......	60.0
2058	endoral approach .......	25.0
Introduction
2060	Injection procedure for bronchography, indirect method .......	3.0
2061	with insertion of catheter, (independent procedure) .......	4.0
2062	Endotracheal intubation, emergency procedure .......	5.0
Endoscopy
2070	Laryngoscopy, indirect with biopsy .......	4.0
2071	direct, diagnostic (independent procedure) .......	10.0
2072	operative, including foreign body removal .......	30.0
2073	with biopsy .......	15.0
2074	including excision of tumor .......	25.0
2075	with Lynch suspension .......	30.0
2084	Endoscopic arytenoidectomy .......	50.0
Trachea and Bronchi
Incision
2101	Tracheotomy (independent procedure) .......	20.0
2102	Tracheal fenestration .......	50.0
Endoscopy
2111	Bronchoscopy, diagnostic .......	15.0
2113	with biopsy .......	20.0
2117	with removal of foreign body .......	25.0
2120	with excision of tumor .......	25.0
2121	with therapeutic aspiration of bronchus .......	15.0
2122	with drainage of lung abscess or cavity, initial .......	15.0
2123	with injection of contrast media .......	15.0
2124	subsequent .......	10.0
2126	Catheterization for bronchospirometry (independent procedure) (exclusive of gas analysis) .......	10.0
2127	Tracheal aspiration (independent procedure) under direct vision .......	10.0
2128	indirect .......	1.0
Repair
2131	Tracheoplasty: plastic operation on trachea, cervical .......	by report
2132	intrathoracic .......	by report
2133	Bronchoplasty, graft repair .......	by report
2134	excision of stenosis and anastomosis .......	by report
2135	with lobectomy and anastomosis .......	by report
Suture
2141	Tracheorrhaphy: suture of external tracheal wound or injury, depending on structure and extent of injury, cervical .......	by report
2142	intrathoracic .......	by report
2144	Closure of tracheostomy or tracheal fistula .......	25.0
2147	Closure of tracheo-esophageal fistula .......	90.0
2148	complicated .......	by report
Incision
2151	Thoracotomy, exploratory, including biopsy .......	50.0
2152	including control of hemorrhage and/or repair of lung fistula .......	75.0
2153	for postoperative complications .......	75.0
2154	with open drainage of empyema cavity by rib resection (independent procedure) .......	40.0
2155	with cyst removal .......	75.0
2157	with closed drainage of empyema cavity; tube drainage with negative pressure (independent procedure), in hospital .......	5.0
2160	with removal of intrapleural foreign body or fibrin body .......	70.0
2161	with cardiac massage .......	by report
2163	with open intrapleural pneumonolysis (See also 2207.) .......	75.0
2170	Pneumonotomy, with open drainage of pulmonary abscess or cyst .......	60.0
2173	with removal of foreign body from lung .......	75.0
2177	Decortication, pulmonary, total .......	100.0
2180	Pneumonocentesis: puncture of lung for aspiration biopsy .......	5.0
2183	Thoracentesis: puncture of pleural cavity for aspiration, initial or subsequent .......	3.0
Excision
2191	Pneumonectomy, total .......	100.0
2193	Lobectomy, total, subtotal or segmental .......	100.0
2194	with concomitant decortication .......	125.0
2195	Wedge resection, single or multiple .......	80.0
2196	Pulmonary resection with concomitant thoracoplasty .......	150.0
2197	Pleurectomy, any type (independent procedure) .......	50.0
Endoscopy
2201	Thoracoscopy, exploratory (independent procedure) .......	20.0
2204	with biopsy .......	20.0
2207	Closed intrapleural pneumonolysis .......	30.0
Surgical Collapse Therapy
Thoracoplasty
2211	Extrapleural resection of ribs, any type, first stage .......	60.0
2212	second stage .......	30.0
2213	third stage .......	30.0
2217	Extrapleural pneumonolysis, including associated filling or packing procedures .......	60.0
2218	Extraperiosteal pneumonolysis, including associated filling or packing procedures .......	70.0
2221	Pneumothorax: intrapleural injection of air, initial .......	5.0
2222	subsequent .......	2.0
CARDIOVASCULAR SYSTEM
Heart and Pericardium
Values for principal surgeon only.
Incision
2301	Cardiotomy, exploratory (includes removal of foreign body) .......	100.0
2305	Pericardiotomy with exploration, drainage or removal of foreign body .......	100.0
2309	pericardiocentesis, initial .......	5.0
2310	subsequent .......	4.0
2311	Blalock-Hanlon procedure (creation of atrial-septal defect) (closed) .......	150.0
Excision
2316	Pericardiectomy, extensive .......	120.0
2317	Excision intracardiac tumor .......	200.0
2319	Infundibular stenosis .......	by report
Introduction
Listed values include usual preassessment of clinical problem and recording of intracardiac pressures.
2330	Catheterization of heart, including recording of intracardiac pressures where indicated (independent procedure) right .......	35.0
2331	left, percutaneous .......	15.0
2332	trans-septal .......	20.0
2333	retrograde .......	20.0
2334	combined left and right .......	45.0
2335	final evaluation and report only .......	5.0
Suture
2337	Cardiorrhaphy: suture of heart wound or injury .......	100.0
Repair
2340	Aortic valve, valvotomy (commissurotomy) (closed) .......	150.0
2341	valvuloplasty for stenosis or insufficiency (open) .......	200.0
2342	replacement (open) .......	200.0
2343	Pulmonic valve, valvotomy (commissurotomy) (closed) .......	150.0
2344	valvotomy; infundibular stenosis (open) .......	200.0
2345	Mitral valve, valvotomy (commissurotomy) (closed) .......	140.0
2346	valvuloplasty for stenosis or insufficiency (open) .......	200.0
2347	replacement (open) .......	200.0
2348	Tricuspid valve .......	by report
2349	Coronary endarterectomy, myocardial revascularization by implantation or anastomosis .......	100.0
2350	Myocardial aneurysm .......	200.0
2351	Atrial septal defect (secundum type; endocardial cushion defect) (open) .......	180.0
2352	Ventricular septal defect (open) .......	180.0
2353	Tetralogy of Fallot (with or without previous shunt) (open) .......	200.0
2354	Aortic sinus of Valsalva fistula (open) .......	200.0
2355	Repair anomaleus pulmonary venous connection, total (open) .......	200.0
2356	Insert internal pacemaker with myocardial electrodes, initial .......	100.0
2357	replacement or repair .......	30.0
2358	Pervenous or transvenous insertion of a pacemaker and subcutaneous implantation of a battery .......	50.0
2359	Subcutaneous implantation of a battery (used with code 2330, right heart catheterization, currently in fee schedule) .......	18.75
Arteries and Veins
Incision
Arteriotomy - With removal of embolus:
2373	Trunk .......	80.0
2374	Neck .......	60.0
2375	Extremity .......	60.0
Phlebotomy - With removal of thrombus:
2380	Trunk .......	70.0
2381	Extremity .......	45.0
Excision
2390	Thromboendarterectomy, abdominal aorta and iliac arteries and/or femoral arteries .......	150.0
2392	femoral and/or popliteal arteries .......	120.0
2394	carotid artery .......	120.0
2400	Excision and graft or bypass graft of arch of aorta .......	by report
2404	Excision and graft, thoracic aorta .......	150.0
2408	abdominal aorta .......	150.0
2412	extremity .......	120.0
2420	Excision of arteriovenous fistula (See also 2474.) .......	by report
Introduction
2441	Venopuncture, withdrawal of venous blood, intravenous injection (femoral, internal or external jugular or sagittal sinus) for diagnostic study or introduction of intravenous therapy, up to three years of age .......	2.0
2442	scalp vein, for fluid therapy or indirect transfusion, up to three years of age .......	3.0
2443	Exposure of and incision into vein ("cutdown") for fluid therapy or indirect transfusion, under one year of age .......	4.0
2445	Blood transfusion, indirect method .......	2.0
2446	replacement type, infant, initial or subsequent .......	30.0
2448	direct method .......	5.0
2450	"push" transfusion, given under two years of age .......	5.0
2454	Injection of sclerosing solution into vein of leg, one .......	1.0
2455	two or more injections, same leg .......	2.0
Repair
2460	Repair aneurysm of aorta, lateral repair .......	150.0
2464	dissecting ("window" operation) .......	150.0
2466	Banding of pulmonary artery .......	100.0
2472	Repair of aortic arch anomalies (vascular ring) .......	120.0
2473	Repair of atrial septal defect .......	200.0
2474	Repair of arterio-venous fistula, plastic procedure .......	by report
(For aortic anastomosis, see also 2400-2408, 2472.)
2475	Excision of coarctation of aorta with primary anastomosis (See also 2400-2408.) .......	150.0
2478	Pulmonary-subclavian anastomosis, Potts .......	150.0
2482	Blalock .......	120.0
2486	Pulmonary-superiorcaval anastomosis, Glenn .......	150.0
2487	Baffes procedure: inferior cava to left atrium-right pulmonary vein to right antrium .......	150.0
2490	Portocaval anastomosis .......	100.0
2496	Splenorenal anastomosis .......	100.0
Suture
2511	Arteriorrhaphy: suture of wound or injury of artery (independent procedure), trunk .......	60.0
2512	extremity .......	30.0
2515	Phleborrhaphy: suture of wound or injury of vein (independent procedure), trunk .......	60.0
2516	extremity .......	20.0
2520	Ligation and division of ductus arteriosus .......	100.0
2522	Ligation of carotid artery .......	40.0
2525	Ligation and division of inferior vena cava .......	60.0
2526	Ligation of femoral vein .......	25.0
2530	Ligation and division of common iliac vein .......	50.0
2558	Ligation and division of long saphenous vein at saphenofemoral junction, with or without retrograde injection or distal interruptions .......	20.0
2561	Ligation and division and complete stripping of long or short saphenous veins, unilateral .......	30.0
2562	bilateral .......	50.0
2563	long and short saphenous veins, unilateral .......	40.0
2565	bilateral .......	60.0
2576	Ligation and division of short saphenous vein at saphenopopliteal junction (independent procedure) .......	12.5
2581	minor varicose vein of leg, initial .......	5.0
2585	subsequent .......	3.0
Hemodialysis-Related Surgical Procedures
2590	Insertion of initial arterio-venous shunt (Including revisions during 21 follow-up days) .......	50.0
2591	Revision of either arterial or venous cannula .......	31.25
2592	Construction of arterio-venous fistula .......	50.0
HEMIC AND LYMPHATIC SYSTEMS
Spleen
Excision
2601	Splenectomy .......	60.0
Introduction
2610	Injection procedure for splenoportography .......	10.0
Lymph Nodes and Lymphatic Channels
Incision
2631	Drainage of lymph node abscess or lymphadenitis, simple .......	3.0
2632	extensive .......	by report
Excision
2641	Biopsy or excision of lymph node (independent procedure) (except 2642) .......	5.0
2642	anterior scalene .......	15.0
Radical Lymphadenectomy
(Radical resection of lymph nodes):
2651	Supra-hyoid, unilateral .......	50.0
2652	bilateral .......	60.0
2655	Cervical (complete), unilateral .......	80.0
2658	Axilla .......	50.0
2671	Groin, superficial .......	50.0
2672	deep, with common iliac dissection .......	80.0
2673	Retroperitoneal, extensive, including pelvic, aortic and renal dissection .......	100.0
Introduction
2676	Injection procedure for lymph-angiography, unilateral .......	10.0
2677	bilateral .......	15.0
MEDIASTINUM
Incision
2680	Mediastinotomy with exploration or drainage, cervical approach .......	40.0
2681	transthoracic .......	80.0
2683	Foreign body removal, cervical approach .......	70.0
2684	transthoracic .......	80.0
Excision
2691	Excision of mediastinal cyst .......	80.0
2693	Excision of mediastinal tumor .......	100.0
2696	Ligation or repair, thoracic duct .......	75.0
DIGESTIVE SYSTEM
Mouth
Incision
2701	Drainage of sublingual abscess .......	2.0
2705	Drainage of Ludwig's angina .......	8.0
Lips
Excision
(For excision of mucocele see 0175-0178 or 0260-0269.)
(For excision of small lesion of lip see 0175-0178 or 0260-0269.)
2737	Vermilionectomy ("lip peel") .......	40.0
2739	Transverse wedge excision, lip .......	25.0
2743	V-excision of large lesion of lip up to one-half lip .......	25.0
2746	Resection of more than one-half lip without plastic closure .......	25.0
(With plastic closure, primary or secondary see 0260-0324.)
Repair (Cheiloplasty)
2754	Plastic repair of cleft lip, primary, unilateral .......	70.0
2758	bilateral, one stage .......	90.0
2759	bilateral, two stages, per stage .......	60.0
(For secondary, local revision, unilateral or bilateral see 0260-0324.)
2762	Plastic repair (secondary) of unilateral cleft lip by recreation of defect and reclosure .......	70.0
2765	Plastic repair (secondary) of bilateral harelip by recreation of defect and reclosure-per major stage .......	60.0
(For plastic or reconstruction operation on lip see also 0260-0324.)
Tongue
Incision (Glossotomy)
2771	Drainage of lingual abscess .......	2.0
Excision (Glossectomy)
2781	Biopsy of tongue, anterior third .......	3.0
2782	posterior two-thirds .......	5.0
2785	Partial glossectomy or hemiglossectomy .......	40.0
2787	Complete or total glossectomy .......	70.0
Repair (Glossoplasty)
(For plastic repair of tongue see 0260-0324.)
Suture (Glossorrhaphy)
(For suture of injury see 0251, 0260-0270.)
Teeth and Gums
Incision
2815	Drainage of alveolar abscess, acute with cellulitis, intraoral .......	2.0
2820a	General anesthesia for multiple extractions in hospital
Palate and Uvula
Incision
2871	Incision and drainage of abscess of palate .......	2.0
Excision
2881	Biopsy of palate .......	3.0
(For excision of local lesion of palate see 0175-0196, 0260-0270)
(For graft or flap closure see 0275-0283, 0300-0304)
2885	Resection of palate or extensive excision of lesion of palate .......	40.0
(For resection of palate with reconstruction see 0277-0283, 0312-0323.)
2887	Uvulectomy: excision of uvula .......	3.0
Repair
2890	Palatoplasty: plastic operation for cleft palate, partial .......	60.0
2892	complete, including alveolar ridge .......	80.0
2895	major revision .......	60.0
2897	secondary lengthening procedure .......	70.0
2898	attachment pharyngeal flap .......	60.0
2899	alveolar ridge, anterior palate defect .......	30.0
(For secondary minor revision see 0260-0270, 0277-0283.)
Suture
For suture of palate injury see 0260-0270, 0277-0283.)
Salivary Glands and Ducts
Incision
2911	Drainage of parotid abscess .......	5.0
2912	Drainage of submaxillary abscess .......	5.0
2914	Sialolithotomy, submaxillary or parotid, uncomplicated .......	3.0
2915	Sialolithotomy, submaxillary, complicated .......	10.0
2916	Sialolithotomy, parotid extraoral .......	25.0
Excision
2921	Biopsy of salivary gland .......	5.0
2927	Excision of parotid tumor or gland, superficial without nerve dissection .......	20.0
2928	with nerve dissection .......	60.0
2934	Excision of parotid gland, total, with dissection of facial nerve .......	70.0
2937	with sacrifice of facial nerve .......	60.0
2938	Excision of submaxillary tumor and/or gland .......	40.0
Repair (Sialodochoplasty)
2941	Plastic repair of salivary duct, simple .......	35.0
2942	complicated .......	by report
Introduction
2945	Injection procedure for sialography .......	1.0
Suture
2951	Closure of salivary fistula .......	40.0
Manipulation
2961	Dilation of salivary duct; ptyalectasis .......	1.0
Pharynx, Adenoids and Tonsils
Incision
2970	Drainage of peritonsillar abscess .......	3.0
2971	Drainage of retropharyngeal or parapharyngeal abscess, intraoral .......	10.0
2973	external approach .......	by report
Excision
2981	Biopsy of oropharynx .......	3.0
2982	hypopharynx .......	5.0
2983	nasopharynx .......	5.0
(For larynx, see 2070 or 2073.)
2984	Excision of pharyngoesophageal diverticulum, single stage .......	50.0
2985	multiple stages .......	60.0
2989	Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues .......	15.0
2990	extending beneath subcutaneous tissues .......	50.0
2992	Tonsillectomy, with or without adenoidectomy, under age 18 years .......	15.0
2993	18 years or over .......	20.0
2994	Adenoidectomy (independent procedure), primary or secondary .......	10.0
3000	Excision of tonsil tag(s), hospital .......	10.0
3002	office .......	6.0
3004	Excision of lingual tonsil (independent procedure) .......	10.0
3005	Excision of nasopharyngeal fibroma .......	by report
Suture
3006	Suture of wound or injury of pharynx .......	by report
Repair
3011	Pharyngoplasty: plastic or reconstructive operation on pharynx .......	by report
(For pharyngeal flap, see 2898.)
Esophagus
Incision
3031	Esophagotomy, cervical .......	60.0
3032	for removal of foreign body, cervical .......	60.0
3033	thoracic .......	80.0
Excision
3043	Esophagectomy: resection of esophagus, transpleural or extrapleural (upper two-thirds) .......	120.0
3045	Esophagogastrectomy, combined thoraco-abdominal .......	120.0
3046	Local excision, end-to-end anastomosis .......	90.0
Endoscopy
3051	Esophagoscopy, diagnostic .......	15.0
3053	with insertion of radioactive substance .......	20.0
3055	with biopsy .......	20.0
3057	with foreign body removal .......	25.0
3061	with dilation, direct .......	20.0
3063	subsequent dilation .......	15.0
(See also 3092, 3095.)
Repair
3071	Esophagoplasty: plastic repair or reconstruction of esophagus .......	by report
3072	Esophagogastrostomy (cardioplasty) .......	80.0
3073	Esophagomyotomy (Heller type) .......	80.0
3074	Esophagoduodenostomy (including total gastrectomy) .......	100.0
3075	Esophagojejunostomy, including total gastrectomy .......	100.0
3076	Esophagostomy: fistulization of esophagus, external .......	60.0
Suture
3077	Direct ligation of esophageal varices .......	80.0
3081	Suture of esophageal wound, injury or rupture, cervical approach .......	by report
3083	transthoracic .......	70.0
3086	Closure of esophagostomy or other external esophageal fistula, cervical .......	45.0
3087	thoracic .......	70.0
Manipulation
3092	Dilation of esophagus by sound, bougie or bag, indirect, initial .......	5.0
3095	subsequent .......	3.0
(For direct see 3061 and 3063.)
Stomach
Incision
3101	Gastrotomy with exploration or foreign body removal .......	50.0
3105	Pyloromyotomy: cutting of pyloric muscle (Fredet-Ramsted type operation) .......	50.0
Excision
3111	Biopsy by laparotomy .......	50.0
3112	Local excision of ulcer or tumor .......	60.0
3114	Total gastrectomy .......	100.0
3115	Subtotal or hemi-gastrectomy, without vagotomy .......	80.0
3116	with vagotomy .......	90.0
3117	Vagotomy and pylorplasty .......	70.0
(See also 3131.)
Endoscopy (independent procedure)
3121	Gastroscopy, diagnostic .......	15.0
3123	with biopsy .......	15.0
Suture
3131	Pyloroplasty .......	50.0
3133	Gastroduodenostomy .......	60.0
3135	Gastrojejunostomy .......	60.0
3136	with vagotomy .......	75.0
3137	Gastrostomy .......	40.0
3141	Gastrorrhaphy: suture of perforated duodenal or gastric ulcer, wound or injury .......	50.0
3144	Revision of gastroduodenal anatomosis (gastroduodenostomy) with reconstruction, without vagotomy .......	90.0
3145	with vagotomy .......	100.0
3146	Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, without vagotomy .......	90.0
3147	with vagotomy .......	100.0
3153	Closure of gastrostomy, surgical .......	40.0
Intestines (Except Rectum)
Incision
3161	Enterotomy with exploration or foreign body removal, small bowel .......	60.0
3162	large bowel .......	65.0
3166	Exteriorization of intestine (Mikulicz resection of colon, with or without crushing of spur) .......	70.0
Excision
3171	Excision of one or more lesions of small or large bowel not requiring anastomosis, exteriorization or fistulization, single enterotomy .......	60.0
3172	multiple enterotomies .......	70.0
3174	Enterectomy: resection of small intestine with anastomosis .......	70.0
3176	with enterostomy .......	70.0
3178	Colectomy, partial resection of large intestine in two stages, including first stage colostomy or cecostomy .......	100.0
3179	Colectomy, partial, with anastomosis with or without concomitant proximal colostomy .......	80.0
3180	total, with ileostomy or ilioproctostomy .......	110.0
3181	with proctectomy and ileostomy .......	120.0
3191	Enteroenterostomy; anastomosis of intestine .......	60.0
ENTEROSTOMY - External fistulization of intestines (independent procedure):
3193	small bowel (ileostomy or jejunostomy) .......	50.0
3195	large bowel, (colostomy or cecostomy) .......	50.0
3197	small or large bowel, for ulcerative colitis .......	75.0
3200	Reduction of volvulus, intussusception, internal hernia, by laparotomy .......	60.0
3203	Revision of colostomy, simple, (release of superficial scar) .......	5.0
3204	complicated (reconstruction in depth) .......	25.0
Destruction
3211	Enterolysis (freeing of intestinal adhesion) .......	40.0
3212	with acute bowel obstruction .......	60.0
3213	Intestinal plication (Noble type) .......	60.0
Suture
3220	Suture of intestine (enterorrhaphy), large or small, for perforated ulcer, wound, injury or rupture, single .......	60.0
3221	multiple .......	by report
3222	Suture of intestine with colostomy .......	70.0
3225	Closure of enterostomy, large or small intestine .......	40.0
3227	Closure of fecal fistula .......	by report
Meckel's Diverticulum and the Mesentery
Excision
3231	Excision of Meckel's diverticulum (diverticulectomy) .......	50.0
3235	Excision of lesion of mesentery .......	50.0
(With bowel resection, see 3174.)
Suture
3241	Suture of mesentery .......	40.0
Appendix
Incision
3251	Incision and drainage of appendicular abscess, transabdominal .......	30.0
Excision
3261	Appendectomy .......	40.0
Rectum
Incision
3282	Transrectal drainage of pelvic abscess .......	15.0
3283	Incision and drainage of deep supralevator, pelvirectal or retrorectal abscess .......	20.0
(See also 3357, 3358.)
Excision
3291	Complete proctectomy, combined abdomino-perineal, one or two stages .......	100.0
3292	Complete proctectomy for congenital megacolon (Swenson type procedure) .......	100.0
3294	Excision of rextal procidentia, with anastomosis, perineal approach .......	60.0
3295	abdominal and perineal approach .......	100.0
3296	Division of stricture in rectum .......	20.0
3298	Perineal excision of primary or recurrent malignant tumor (Kraske type) .......	80.0
3299	Local excision of extensive villous papilloma of rectum .......	40.0
Endoscopy (independent procedure)
3310	Proctosigmoidoscopy, diagnostic, initial .......	3.0
3311	subsequent .......	2.0
3312	with biopsy, initial .......	5.0
3313	subsequent for same lesion .......	3.0
3314	with removal of papilloma or polyp, initial .......	7.0
3315	subsequent for same lesion .......	5.0
3316	with removal of multiple papillomas or polyps .......	9.0
3317	complicated .......	by report
3318	Endoscopic control of hemmorrhage .......	by report
3319	Endoscopic removal of foreign body, anus or rectum .......	by report
Repair
3320	Proctoplasty, for stenosis .......	40.0
3321	for prolapse of mucous membrane .......	40.0
3322	Perirectal injection of sclerosing solution for prolapse, in hospital .......	10.0
3323	Proctopexy for prolapse, abdominal approach .......	60.0
3325	Proctopexy combined with sigmoid resection, abdominal approach .......	90.0
Suture
3331	Closure of rectovesical fistula .......	60.0
(See also 3965.)
3333	Closure of rectourethral fistula .......	70.0
(See also 4026.)
3335	Closure of rectovaginal fistula .......	60.0
(When a colostomy is part of the above procedures, add 10 units.)
Manipulation
3341	Reduction of procidentia (independent procedure) .......	2.0
Anus
Incision
3351	Fistulotomy or fistulectomy, subcutaneous .......	10.0
3352	submuscular .......	40.0
3353	complex or multiple .......	by report
3354	second stage .......	10.0
3355	Remove seton, office .......	2.0
3356	Incision and drainage of ischiorectal abscess (independent procedure) .......	10.0
3357	Incision and drainage, perianal abscess (See also 3283.) .......	2.0
3358	Incision and drainage of ischiorectal abscess with fistulotomy or fistulectomy, submuscular (See also 3283.) .......	40.0
3364	Sphincterotomy, anal: division of anal sphincter (independent procedure) .......	5.0
Excision
3371	Fissurectomy, with or without sphincterotomy .......	20.0
3372	Cryptectomy, single, office .......	5.0
3373	multiple, hospital procedure .......	30.0
3374	Papillectomy or excision of single tab (independent procedure), office .......	3.0
3375	Excision of external hemorrhoidal tags and/or multple papillae, office .......	5.0
3377	Hemorrhoidectomy, external, complete .......	20.0
3380	internal and external .......	30.0
3381	radical (Buie or amputative type) .......	40.0
3382	Fistulotomy or fistulectomy, submuscular, and hemorrhoidectomy .......	40.0
3386	Fissurectomy and hemorrhoidectomy .......	30.0
3392	Enucleation or excision of external thrombotic hemorrhoid .......	3.0
Introduction
3401	Hemorrhoids, injection of sclerosing solution .......	2.0
Endoscopy (independent procedure)
3411	Anoscopy, diagnostic with or without biopsy .......	1.0
(For with removal of foreign body see 3319.)
(For control of hemorrhage, endoscopic, see 3318.)
Repair
3420	Anoplasty: plastic operation for stricture .......	40.0
3421	infant, minor thin septum .......	5.0
3422	Construction of anus for congenital absence, perineal approach .......	50.0
3423	combined abdominal and perineal approach .......	80.0
3425	Sphincteroplasty, anal, for incontinence .......	40.0
3426	muscle transplant .......	by report
3427	Thiersch procedure for incontinence and/or prolapse .......	25.0
Destruction
3433	Condyloma, single or multiple, internal and external, in hospital .......	20.0
3434	external, electrodesiccation, initial .......	3.0
3435	subsequent .......	2.0
Liver
Incision
3456	Aspiration biopsy of liver .......	5.0
Excision
3464	Hepatectomy, partial: resection of liver .......	80.0
Repair
3471	Marsupialization of cyst or abscess of liver .......	70.0
Suture
3481	Hepatorrhaphy: suture of liver wound or injury .......	60.0
Biliary Tract
Incision
3491	Hepaticotomy or hepaticostomy with exploration, drainage or removal of calculus .......	70.0
3495	Choledochotomy or choledochostomy with exploration, drainage or removal of calculus, with or without cholecystotomy .......	70.0
3500	Duodenocholedochotomy: transduodenal choledocholithotomy .......	80.0
3501	Transduodenal sphincterotomy .......	80.0
3504	Cholecystotomy or cholecystostomy with exploration, drainage or removal of calculus .......	50.0
Introduction
3509	Injection procedure for percutaneous trans-hepatic cholangiography (independent procedure) .......	10.0
Excision
3515	Cholecystectomy .......	60.0
3517	with open exploration of common duct .......	70.0
Repair
3518	Exploration for congenital atresia of bile ducts .......	50.0
3519	Direct anastomosis of gallbladder and gastrointestinal tract .......	65.0
3520	Roux-en-y anastomosis of gallbladder and gastrointestinal tract .......	65.0
3521	Direct anastomosis of extrahepatic biliary ducts and gastrointestinal tract .......	75.0
3522	Roux-en-y anastomosis of extrahepatic biliary ducts and gastrointestinal tract .......	85.0
3523	Plastic reconstruction of extrahepatic biliary ducts with end-to-end anastomosis .......	80.0
Pancreas
Incision
3541	Abdominal drainage of pancreatitis .......	50.0
3544	Removal of calculus .......	70.0
Excision
3550	Pancreatectomy, subtotal .......	80.0
3551	subtotal (Whipple type) .......	140.0
3552	.......	140.0
3553	Pancreatico-jejunostomy .......	80.0
Repair
3565	Marsupialization of cyst of pancreas .......	60.0
3566	Internal direct anastomosis of cyst to gastrointestinal tract .......	70.0
3567	Rouxeny internal anastomosis, cyst to gastrointestinal tract .......	80.0
Abdomen, Peritoneum and Omentum
Incision
3571	Exploratory laparotomy: exploratory celiotomy .......	40.0
3573	Drainage of peritoneal abscess or localized peritonitis exclusive of appendicular abscess .......	40.0
3575	Subdiaphragmatic or subphrenic abscess .......	50.0
3578	Retroperitoneal abscess .......	40.0
3588	Peritoneocentesis: abdominal paracentesis, initial .......	4.0
3590	subsequent .......	3.0
Excision
3591	Trans-peritoneal excision of intra-abdominal or retroperitoneal tumors or cysts .......	70.0
Endoscopy
3595	Peritoneoscopy .......	15.0
Introduction
3611	Pneumoperitoneum: intraperitoneal injection of air, initial .......	4.0
3612	subsequent .......	2.0
3614	Injection procedure for retroperitoneal pneumography, unilateral or bilateral (independent procedure) .......	5.0
3615	Injection procedure for pelvic pneumography (independent procedure) .......	4.0
(See also 4462.)
Repair
Hernioplasty, Herniorrhaphy, Herniotomy:
3631	Inguinal, unilateral .......	35.0
3633	with orchiectomy .......	40.0
3634	with excision of hydrocele .......	40.0
3635	recurrent .......	40.0
3646	Femoral, unilateral .......	35.0
3651	recurrent .......	45.0
3661	Ventral, incisional .......	45.0
3662	recurrent .......	50.0
3663	Epigastric .......	35.0
3664	recurrent .......	45.0
3665	Umbilical, under age five years .......	30.0
3666	over age five years .......	35.0
3667	Omphalocele, in newborn, one stage .......	40.0
3668	Gross type procedure, first stage .......	50.0
3669	second stage .......	50.0
(For diaphragmatic hernia, see 1495, 1496.)
Suture
3734	Secondary suture of abdominal wall for evisceration or disruption .......	20.0
(For suture of ruptured diaphragm, see 1495, 1496.)
URINARY SYSTEM
Kidney
Incision
3802	Drainage of perirenal abscess (independent procedure) .......	50.0
3808	Nephrotomy with drainage: nephrostomy .......	80.0
3811	Nephrolithotomy, removal of calculus .......	80.0
3812	large (staghorn) calculus .......	90.0
3813	Division or transection of aberrant renal vessels (independent procedure) .......	70.0
3815	Pyelotomy with exploration .......	70.0
3816	Pyelotomy with drainage, pyelostomy .......	70.0
3817	Pyelotomy with removal of calculus; pyelolithotomy; pelviolithotomy .......	70.0
Excision
3820	Renal biopsy, trochar or needle .......	5.0
3821	Nephrectomy, including partial ureterectomy .......	80.0
3822	with total ureterectomy through same or separate incision .......	100.0
3824	Heminephrectomy .......	100.0
3827	Excision of cyst of kidney .......	70.0
3829	Aspiration or injection of renal cyst or renal pelvis .......	5.0
Introduction
(For perirenal insufflation, unilateral or bilateral, see 3614.)
Repair
3831	Pyeloplasty: plastic operation on renal pelvis with or without plastic operation on ureter or nephropexy .......	80.0
3835	Nephropexy: fixation or suspension of kidney (independent procedure) .......	70.0
Suture
3841	Nephrorrhaphy: suture of kidney wound or injury .......	80.0
3845	Closure of nephrostomy, pyelostomy or other renal fistula (e.g., renocolic fistula) .......	80.0
3846	Symphysiotomy for horseshoe kidney .......	100.0
Transplant
3850	Kidney transplant .......	125.0
Ureter
Incision
3851	Ureterotomy with exploration or drainage (independent procedure) .......	70.0
3857	Ureterolithotomy, upper three quarters of ureter .......	70.0
3858	lower one quarter .......	80.0
Excision
3861	Ureterectomy, with bladder cuff (independent procedure) .......	80.0
Repair
3871	Ureteroplasty: plastic operation on ureter (stricture) .......	80.0
3872	Ureterolysis, with or without repositioning of ureter, unilateral .......	70.0
3873	bilateral .......	90.0
3874	Ureteropyelostomy: anastomosis of ureter and renal pelvis .......	80.0
3875	Ureteroureterostomy .......	80.0
3876	Ureteroneocystostomy: anastomosis of ureter to bladder, unilateral .......	80.0
3877	bilateral .......	100.0
3880	Ureteroenterostomy: anastomosis of ureter to intestine, unilateral .......	80.0
3881	bilateral .......	100.0
3884	Ureterostomy: transplantation of ureter to skin, unilateral .......	70.0
3885	bilateral .......	90.0
Suture
3891	Ureterorrhaphy: suture of ureter (independent procedure) .......	80.0
3895	Closure of fistula of ureter .......	by report
Bladder
Incision
3900	Aspiration of bladder by needle or trochar .......	5.0
3902	with insertion of suprapubic catheter .......	10.0
3904	Cystotomy or cystostomy with fulguration .......	60.0
3905	Cystotomy with drainage; cystostomy .......	50.0
3907	Cystotomy with removal of calculus (cystolithotomy) without vesical neck resection .......	50.0
3908	Drainage of perivesical or prevesical space abscess .......	50.0
Excision
3911	Cystectomy, partial .......	70.0
3912	with re-implantation of ureter into bladder (ureteroneocystostomy) .......	80.0
3913	complete .......	100.0
3914	radical with ureteral transplants .......	120.0
3915	with ureteral-ileo conduit .......	140.0
3918	Transurethral resection, vesical neck, female or child (See also 4321.) .......	50.0
3919	Cystotomy for excision of vesical neck (independent procedure) .......	60.0
3920	Excision of bladder diverticulum (independent procedure) .......	70.0
3922	Excision of bladder tumor (See also 3904.) .......	60.0
3924	Transurethral resection of bladder tumors, large (For small tumors, see 3936, 3937.) .......	60.0
Introduction
3926	Bladder irrigation, simple, lavage and/or instillation .......	1.0
3927	Injection procedure for cystography or urethro-cystography .......	1.0
Cystoscopy (independent procedure):
3930	Diagnostic, office, initial .......	5.0
3931	subsequent within 30 days .......	3.0
3932	with ureteral catheterization .......	8.0
3933	hospital .......	8.0
3934	with ureteral catheterization .......	15.0
(For Howard or Stamey type renal function test see 3948.)
3935	With biopsy .......	10.0
3936	With fulguration or treatment of minor (less than 0.5 cm.) lesion, with or without biopsy .......	10.0
3937	With fulguration of small bladder tumors (0.5 cm. to 2 cm.) (For larger tumors, see 3924.) .......	25.0
3938	With subsequent fulguration of bladder tumor .......	10.0
3939	With insertion of radioactive substance, with or without biopsy or fulguration .......	30.0
3940	With dilatation of bladder for interstitial cystitis, general anesthesia .......	15.0
3942	With ureteral meatotomy .......	20.0
3943	With resection of fulguration of ureterocele .......	20.0
3944	With removal of foreign body from urethra or bladder .......	20.0
3945	With removal of calculus from ureter .......	30.0
3946	With manipulation of ureteral calculus, primary .......	20.0
3947	subsequent .......	10.0
3948	Differential quantitative and chemical renal function test (e.g., Howard or Stamey type) .......
Destruction
3951	Litholaplaxy: crushing of calculus in bladder and removal of fragments .......	50.0
Repair
3952	Cystoplasty; plastic operation on bladder (anterior Y-plasty, vesical fundus resection, etc.) any procedure .......	80.0
Suture
3961	Cystorrhaphy: suture of bladder wound, injury or rupture .......	60.0
3963	Closure of cycstostomy (independent procedure) .......	30.0
3965	Closure of vesicovaginal, vesicouterine, or vesicoenteric fistula (See also 3331.) .......	60.0
Urethra
Incision
3971	Urethrotomy, external (independent procedure) anterior .......	10.0
3973	perineal, external .......	25.0
3977	Meatotomy: cutting of meatus (independent procedure) .......	3.0
3978	Drainage of deep periurethral abscess, hospital .......	10.0
3979	Drainage of simple perineal urinary extravasation (independent procedure), uncomplicated .......	15.0
3980	complicated, with or without diversion of urinary stream .......	50.0
(See also 3908.)
Excision
(For excision or fulguration of urethral caruncle, see 4437.)
3987	Excision or fulguration of carcinoma of urethra .......	by report
3991	Excision or diverticulum of urethra (independent procedure) .......	50.0
3994	Excision of fulguration of urethral polyps, distal 3/4 inch of urethra .......	5.0
(For posterior urethra, see 4006.)
Endoscopy
4000	Urethroscopy, diagnostic .......	5.0
4001	with removal of calculus or foreign body .......	20.0
4004	with internal urethrotomy .......	20.0
4006	with fulguration of posterior urethra .......	10.0
4008	subsequent, within 30 days .......	5.0
Repair
4011	Urethroplasty: plastic operation on urethra (except 4132 and 4135) .......	by report
Suture
4021	Urethrorrhaphy: suture of urethral wound or injury .......	by report
4023	Closure of urethrostomy or fistula of urethra (independent procedure) .......	30.0
4025	Closure of urethrovaginal fistula .......	50.0
4026	Closure of urethrorectal fistula (See also 3333.) .......	70.0
Manipulation
4031	Dilation of urethral stricture by passage of sound, initial, male .......	3.0
4032	subsequent within 30 days .......	1.5
4033	Dilation of urethral stricture by passage of filiform and follower, male .......	5.0
4034	subsequent within 30 days .......	2.5
4035	Passage of filiform and follower for acute vesical retention, male .......	5.0
4036	Dilation of female urethra including suppository and/or installation .......	2.0
4037	subsequent within 30 days .......	1.0
MALE GENITAL SYSTEM
Penis
Incision
4101	Dorsal or lateral "slit" of prepuce (independent procedure) .......	3.0
Excision
4111	Biopsy of penis (independent procedure) .......	3.0
4114	Amputation of penis, partial .......	40.0
4115	complete .......	60.0
4116	radical .......	100.0
(For local excision of lesion of penis, see Integumentary System.)
4122	Circumcision, clamp procedure, newborn .......	3.0
4123	except newborn .......	5.0
4124	surgical excision other than clamp or dorsal slit, any age (except newborn) .......	10.0
(For excision or fulguration of warts, see 0403, 0405.)
Repair
4131	Plastic operation on penis for hypospadias, straightening of chordee .......	30.0
(For urethroplasty for hypospadias, see 0260 to 0324.)
4134	Plastic operation on penis for injury .......	by report
4135	Plastic operation on penis for epispadias with exstrophy of bladder .......	by report
4136	Plastic operation for penile epispadias distal to external sphincter .......	50.0
Testis
Excision
4140	Biopsy, needle (independent procedure) .......	2.0
4141	incisional (independent procedure) .......	10.0
4143	Orchiectomy, simple unilateral .......	20.0
4144	bilateral .......	30.0
4145	with superficial inguinal node dissection, unilateral .......	50.0
(For radical retroperitoneal node dissection, see 2673.)
Repair
4152	Reduction of torsion of testis by surgical means .......	30.0
4153	with fixation of contralateral testis .......	45.0
4154	Fixation of contralateral testis (independent procedure) .......	20.0
4156	Orchiopexy, any type, with or without hernia repair .......	50.0
4157	second stage (Torek type) .......	10.0
(For orchiectomy with repair of hernia, see 3633.)
Epididymis
Incision
4161	Drainage of abscess of epididymis .......	3.0
Excision
4171	Biopsy of epididymis, needle .......	2.0
4172	Exploration of epididymis with or without biopsy .......	10.0
4174	Excision of spermatocele with or without epididymectomy .......	30.0
4176	Epididymectomy, unilateral .......	30.0
Repair
4181	Epididymovasostomy (anastomosis of epididymis to vas deferens), unilateral .......	40.0
4182	bilateral .......	50.0
Tunica Vaginalis
Incision
4191	Puncture aspiration of hydrocele with or without injection of medication .......	2.0
4200	Repair of hydrocele (Bottle type) .......	20.0
4201	Excision of hydrocele, unilateral .......	30.0
4202	with hernia repair .......	40.0
Scrotum
Incision
4211	Drainage of scrotal abscess .......	2.0
4215	Removal of foreign body in scrotum .......	by report
Excision
(For local excision of lesion of skin of scrotum, see 0175-0197, 0260-0270.)
4224	Resection of scrotum .......	by report
4227	Scrotoplasty; plastic operation on scrotum .......	by report
Vas Deferens
Incision
4231	Vasotomy: incision or transection of vas, unilateral or bilateral (independent procedure) .......	15.0
Excision
4241	Vasectomy, unilateral or bilateral (independent procedure) .......	15.0
Repair
4251	Vasovasostomy unilateral .......	30.0
4252	bilateral .......	40.0
Suture
4261	Ligation (percutaneous of vas deferens (independent procedure) .......	5.0
Spermatic Cord
Excision
4271	Excision of hydrocele of spermatic cord (independent procedure), unilateral .......	30.0
4275	Excision of varicocele (independent procedure), unilateral .......	30.0
4278	with hernia repair .......	40.0
Seminal Vesicles
Incision
4281	Vesiculotomy, unilateral .......	by report
Excision
4291	Vesiculectomy .......	80.0
Prostate
Incision
4300	Biopsy, prostate, needle, single or multiple .......	5.0
4301	incisional, perineal approach .......	30.0
4302	transrectal .......	20.0
4303	Prostatotomy: external drainage of prostatic abscess .......	30.0
4304	Prostatolithotomy: removal of prostatic calculus (independent procedure) .......	70.0
Excision
4311	Prostatectomy, perineal, subtotal .......	80.0
4313	radical .......	100.0
4316	suprapubic, one or two stages .......	80.0
4318	retropubic .......	80.0
4319	radical .......	100.0
Endoscopy
4321	Transurethral resection of prostate, including control of postoperative bleeding, complete (See also 3918.) .......	80.0
FEMALE GENITAL SYSTEM
Vulva and Introitus
Incision
4403	Incision and drainage, abscess of vulva .......	5.0
4405	Incision and drainage of Bartholin's gland abscess, unilateral .......	5.0
Excision
4421	Biopsy of vulva (independent procedure) .......	3.0
(For local excision or fulguration of lesion(s) of external genitalia, see 0175-0197, 0260-0324, 0401-0406.)
4423	Vulvectomy, complete, bilateral .......	55.0
4424	partial, less than 80% of vulvar area .......	40.0
4425	radical, including unilateral regional lymph nodes .......	100.0
4426	including bilateral regional lymph nodes .......	150.0
4428	Clitoridotomy: circumcision, female .......	7.5
4429	Clitoridectomy .......	10.0
4431	Hymenectomy, partial excision of hymen .......	10.0
4433	Excision of Bartholin's gland or cyst .......	20.0
4434	Marsupialization or cautery destruction of Bartholin's gland or cyst .......	15.0
4436	Excision or fulguration of Skene's glands .......	7.0
4437	Excision or fulguration of urethral caruncle .......	7.0
(For excision of urethral diverticulum see 3991.)
(For excision or fulguration of urethral carcinoma see 3987.)
Repair
4441	Episioplasty: plastic repair of vulva (non-obstetrical) .......	20.0
4443	Plastic operation on urethral sphincter, vaginal approach .......	30.0
4445	Plastic repair of urethra for mucosal prolapse (independent procedure) .......	by report
4447	Plastic repair of urethrocele (independent procedure) .......	30.0
Suture
(For eposiorrhaphy or episioperineorrhaphy: for recent injury of vulva and/or perineum [nonobstetrical], see 4480.)
Vagina
Incision
4461	Colpotomy with exploration or drainage of pelvic abscess .......	15.0
4462	Colpocentesis (independent procedure) .......	4.0
4463	Puncture and aspiration of cul de sac .......	3.0
4471	Biopsy of vaginal mucosa (independent procedure) .......	3.0
(For excision and/or fulguration of local lesion(s) see 0175-0197, 0401-0406.)
4473	Colpocleisis, complete obliteration of vagina .......	50.0
4475	Le Fort type .......	35.0
4477	Excision of vaginal septum .......	by report
Introduction
4478	Irrigation and/or application of any medicament for treatment of bacterial, parasitic or fungoid disease .......	1.0
Repair
4479	Colporrhaphy: suture of injury of vagina (nonobstetrical) .......	by report
4480	Colpoperineorrhaphy: suture of injury of vagina and/or perineum (nonobstetrical) .......	by report
4481	Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (independent procedure) .......	35.0
4484	Posterior colporrhaphy, repair of rectocele (independent procedure) .......	30.0
4485	with perineoplasty or perineorrhaphy .......	35.0
4488	Combined anterior-posterior colporrhaphy .......	50.0
4492	Urethral suspension, abdominal approach (Marshall-Marchetti type) .......	40.0
4493	Repair of enterocele (independent procedure) abdominal approach .......	45.0
4494	vaginal approach .......	45.0
4495	Colpopexy, abdominal approach .......	45.0
4497	Construction of artificial vagina (vaginal atresia or absence) with or without graft .......	by report
(For closure of vaginal fistulae, see 3335, 3965, 4025.)
Manipulation
4511	Dilation of vagina under anesthesia .......	2.0
4512	Pelvic examination under anesthesia .......	2.0
Endoscopy
4521	Culdoscopy (independent procedure) .......	15.0
Oviduct
Incision
4531	Transection of Fallopian tube, unilateral or bilateral, abdominal or vaginal approach .......	40.0
4532	post-partum, during same hospitalization .......	30.0
Excision
4541	Salpingectomy, complete or partial, unilateral or bilateral (independent procedure) .......	45.0
4545	Salpingo-oophorectomy, complete or partial, unilateral or bilateral (independent procedure) .......	45.0
4551	Salpingoplasty, unilateral or bilateral (independent procedure) .......	50.0
Oviduct
Incision
4561	Drainage of ovarian cyst, vaginal approach, unilateral or bilateral .......	25.0
4562	abdominal approach, unilateral or bilateral .......	40.0
4564	Drainage of ovarian abscess, vaginal approach .......	20.0
4565	abdominal approach .......	40.0
Excision
4566	Biopsy of ovary, unilateral or bilateral (independent procedure) .......	45.0
4568	Partial oophorectomy, bilateral or unilateral .......	45.0
Cervix Uteri
Excision
(For radical surgical procedures, see 4620, 4626.)
4571	Biopsy or local excision of lesion, with or without fulguration, quadrant biopsy (independent procedure) .......	3.0
4572	Cauterization of cervix, office .......	3.0
4573	Biopsy of cervix, circumferential (cone) with or without dilation and curettage, with or without Sturmdorff type repair .......	20.0
4575	Trachelectomy: cervicectomy: amputation of cervix (independent procedure) .......	20.0
4577	total excision of cervical stump, with or without pelvic floor repair, abdominal approach .......	50.0
4578	vaginal approach .......	60.0
Introduction
*4581	Insertion of any hemostatic agent for control of hemorrhage (independent procedure) .......	3.0
(For insertion of any radioactive material, see 7615.)
4583	Insertion of intracervical or intrauterine device .......	3.0
Repair
4585	Tracheloplasty: surgical repair of incompetent cervix, loop type .......	8.0
4586	Shirodkar type .......	20.0
4587	Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach .......	by report
Manipulation
4588	Dilation of cervical canal, instrumental (independent procedure) .......	3.0
4589	Dilation and curettement of cervical canal .......	15.0
Corpus Uteri
Excision
4610	Endometrial biopsy (independent procedure) .......	3.0
4612	Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) .......	15.0
4613	Myomectomy: excision of fibroid tumor of uterus (independent procedure, nonobstetrical) .......	50.0
4614	Total hysterectomy (corpus and cervix) with or without tubes, and/or ovaries, one or both .......	60.0
4618	Supracervical hysterectomy: subtotal hysterectomy, with or without tubes, and/or ovaries, one or both .......	55.0
4620	Radical hysterectomy for cancer including regional lymph nodes .......	100.0
4626	plus removal of bladder and ureteral transplantations and/or abdominoperineal resection of rectum and colon and colostomy or any combination thereof .......	by report
4631	Vaginal hysterectomy .......	60.0
4632	with plastic repair of vagina, anterior and/or posterior colporrhaphy .......	70.0
4634	with repair of enterocele .......	75.0
Introduction
*4675	Insufflation of uterus and tubes with air or CO 2 .......	*3.0
*4676	Injection procedure for hystero-salpingography .......	*3.0
Repair
4683	Uterine suspension with or without shortening of round ligaments (independent procedure) .......	40.0
4684	with presacral sympathectomy .......	45.0
4685	with interposition operation, with or without pelvic floor repair .......	50.0
4690	with shortening of endopelvic fascia: parametrial fixation with or without pelvic floor repair (Manchester type) .......	50.0
4692	with shortening of sacro-uterine ligaments .......	50.0
4694	Hysterosalpingostomy: anastomosis of tubes of uterus .......	50.0
4695	Hysterorrhaphy: repair of ruptured uterus (nonobstetrical) .......	40.0
Perineum
Excision
4710	Biopsy of perineum (independent procedure) .......	3.0
(For excision of local lesion see 0175-0178, 0260-0324.)
Incision
*4720	Incision and drainage of perineal abscess (nonobstetrical) .......	*3.0
Repair
4731	Perincoplasty: repair of perineum (independent procedure) .......	15.0
4735	third degree laceration, old (independent procedure) .......	40.0
(Also see 4441, 4480.)
4742	Perineorrhaphy, postpartum, by other than delivering physician .......	20.0
4745	Repair of perineal fistula .......	25.0
(For repair of recent injury of perineum, nonobstetrical, see 4480.)
MATERNITY
(Fees for all maternity procedures include prenatal and postpartum care unless otherwise specified.)
Incision
4801	Classic cesarean section .......	50.0
4802	Low cervical (lower uterine segment) cesarean section .......	50.0
4803	Cesarean section and hysterectomy, total or subtotal .......	60.0
4804	Extraperitoneal cesarean section .......	60.0
Excision
4809	Hysterotomy induced abortion .......	50.0
4811	Ectopic pregnancy, tubal, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach .......	50.0
4812	ovarian, requiring oophorectomy .......	by report
4815	Hysterotomy, abdominal, for removal of hydatidiform mole .......	45.0
Manipulation
4821	Total obstetrical care including antepartum care, obstetrical delivery and postpartum care (with or without low forceps, and/or episiotomy) .......	35.0
4822	Obstetrical delivery (with or without low forceps, and/or episiotomy) and including hospital postpartum care .......	20.0
4823	Antepartum care only (independent procedure) .......	Sv.!
4824	Postpartum care only (independent procedure) .......	Sv.!
4841	Amniocentesis, diagnostic .......	5.0
4842	Amniocentesis with hypertonic solution including terminal curettage, induced abortion .......	40.0
4843	Dilation and curettage, and/or suction, induced abortion .......	20.0
4850	Abortion, first trimester, completed medically .......	Sv.!
4851	(incomplete) completed surgically, (dilataion and curettage) .......	15.0
4853	second trimester, completed medically .......	Sv.!
4854	(incomplete) completed surgically, (dilatation and curettage) .......	15.0
4856	missed, first or second trimester, completed medically or surgically .......	by report
4858	incomplete, septic, requiring dilatation and curettage and additional care .......	by report
4870	Dilatation and curettage of uterus for postpartum bleeding .......	15.0
ENDOCRINE SYSTEM
Thyroid Gland
Incision
4904	Incision and drainage of thyroglossal cyst (infected) .......	3.0
Excision
4911	Local excision of small cyst or adenoma of thyroid .......	40.0
4912	Total thyroid lobectomy, unilateral .......	50.0
4914	Thyroidectomy, total or complete .......	70.0
4917	subtotal or partial .......	60.0
4924	total or subtotal for malignancy with radical neck dissection .......	100.0
4925	total or subtotal for malignancy with limited neck dissection .......	80.0
4937	secondary, unilateral .......	60.0
4938	bilateral .......	70.0
4941	Excision of thyroglossal duct, cyst or sinus .......	45.0
Parathyroid, Thymus, Pituitary, Pineal, Adrenal Glands and Carotid Body
(For hypophysectomy, see 2019 and 5130.)
Excision
4971	Parathyroidectomy or exploration of parathyroid .......	70.0
4972	with mediastinal exploration with or without splitting of sternum .......	90.0
4985	Adrenalectomy, transabdominal, lumbar or dorsal, unilateral .......	80.0
4986	bilateral, one stage .......	100.0
4987	two stages .......	120.0
4989	Biopsy adrenal, unilateral .......	60.0
4990	bilateral .......	70.0
4993	Excision of carotid body tumor, with excision of carotid artery .......	100.0
4994	without excision of carotid artery .......	70.0
NERVOUS SYSTEM
Skull, Meninges and Brain
CRANIOTOMY FOLLOWING TRAUMA:
Incision
5001	Burr holes, unilateral, exploratory for subdural puncture, not followed by surgery .......	30.0
5002	multiple, bilateral, not followed by surgery .......	50.0
5003	Evacuation of hematoma, subdural, extradural, or intracerebral by burr holes only .......	90.0
5004	requiring craniotomy .......	100.0
5012	Removal of foreign body from brain .......	100.0
Excision
5015	Removal of brain scar .......	by report
Repair
5018	Elevation of depressed skull fracture, simple .......	75.0
5020	with debridement of brain and repair of dura .......	100.0
5022	Cranioplasty for skull defect, bone, metal or plastic .......	100.0
5024	Repair of dura by graft, including repair for cerebrospinal rhinorrhea .......	100.0
CRANIOTOMY FOR NON-TRAUMATIC CAUSES:
Incision
5101	Burr holes, exploratory or ventricular puncture, not followed by surgery .......	30.0
5102	Ventricular puncture through previous burr holes or fontanelle .......	5.0
5106	Craniotomy for drainage of brain abscess .......	75.0
5108	Subsequent tapping (aspiration) abscess in operating room .......	10.0
5110	at bedside .......	5.0
5112	Suboccipital craniectomy for tractotomy or section of 5th, 8th, 9th or other cranial nerves .......	125.0
5113	Intratemporal (mastoid) craniectomy for decompression, neurolysis or excision of acoustic nerve tumor .......	100.0
5114	Craniotomy for surgery of sensory root of grasserian ganglion .......	100.0
5116	Craniotomy for lobotomy, unilateral .......	40.0
5117	bilateral .......	60.0
5119	Craniotomy for orbital decompression, unilateral .......	100.0
5121	Cisternal puncture (independent procedure) .......	3.0
5122	Subdural tap through fontanelle (infant) .......	3.0
Excision
(For trans-septal hypophysectomy see 2019.)
5130	Osteoplastic craniotomy for excision of brain tumor, abscess, or cyst, supratentorial .......	125.0
5132	Suboccipital craniectomy for brain tumor .......	150.0
5134	Osteoplastic craniotomy for arteriovenous malformation .......	by report
5136	Osteoplastic craniotomy for obliteration of aneurysm .......	150.0
5140	Craniotomy for pallidectomy, any method, including localizing techniques, single or multiple stages .......	100.0
5144	for topectomy .......	100.0
5146	for excision of choroid plexus .......	50.0
5148	Craniectomy for osteomyelitis of skull .......	by report
Introduction
5152	Burr holes with ventriculography, not followed by surgery .......	30.0
5153	followed by surgery .......	20.0
5154	Ventriculography through fontanelle or previous burr holes .......	10.0
5155	Ventricular puncture with introduction of dye and recovery by spinal puncture .......	12.0
5159	Injection procedure for pneumoencephalography .......	10.0
Repair
5160	Ventriculocisternostomy .......	100.0
5162	Repair of encephalocele .......	by report
5166	Ventriculoauricular shunt .......	100.0
5167	replacement or irrigation of obstructed valve .......	90.0
5168	replacement or irrigation of ventricular catheter .......	30.0
5169	removal of shunt in toto without replacement .......	30.0
5170	Ventriculo-auricular-peritoneal-pleural-uretera l shunt .......	100.0
5171	co-surgeon .......	80.0
5174	Craniectomy for craniostenosis, single suture .......	75.0
5175	multiple sutures .......	100.0
Spine and Spinal Cord
Incision
5190	Laminectomy for decompression of the spinal cord and nerve roots (See also 5208-5210, 5225.) .......	100.0
5192	Cordotomy, cervico-dorsal .......	100.0
5194	Rhizotomy .......	75.0
5198	Spinal puncture, lumbar, simple (independent procedure) .......	2.0
5199	diagnostic, initial, with study of hydrodynamics .......	4.0
(Add one unit to value assigned to 5198 and 5199 if patient is under 4 years.)
Excision
5206	Laminectomy for lesion of spinal cord or meninges .......	100.0
5208	Laminotomy for removal of intervertebral discs, cervical .......	90.0
5209	thoracic .......	90.0
5210	lumbar .......	90.0
5211	Excision of intervertebral discs, anterior approach, cervical .......	80.0
(See also 0634-0642.)
Introduction
5214	Injection procedure for myelography .......	10.0
5216	for discography .......	10.0
Repair
5225	Laminectomy for spondylolisthesis (See also 5190.) .......	100.0
5227	Repair of meningocele .......	75.0
5229	Repair of meningomyelocele .......	90.0
5231	Lumbar subarachnoid-peritoneal-ureteral shunt .......	80.0
5232	co-surgeon .......	75.0
5233	Application crutchfield tongs or other skeletal traction device .......	5.0
Peripheral Nerves, Other Extracranial Nerves and Ganglia
Incision
(For transection of trigeminal or glossopharyngeal nerves, see 5112, 5114.)
5252	Phrenic nerve transection or avulsion .......	15.0
5255	Transection, spinal nerve .......	40.0
5257	Transection, occipital nerve .......	40.0
Excision
(For excision of tender scar, skin and subcutaneous tissues with or without tiny neuroma, see 0175, 0178, 0265, 0266.)
5273	Excision of surgically identifiable neuroma of cutaneous nerve .......	8.0
5274	digital nerve, one or both, same digit .......	10.0
5275	hand or foot, one (add 10 percent each additional) .......	15.0
5276	arm or leg .......	25.0
5277	Avulsion infraorbital nerve .......	20.0
5280	Stoefel's neurectomy .......	40.0
5282	Obturator neurectomy .......	40.0
Introduction
5290	Alcohol injection, subarachnoid .......	5.0
5294	2nd or 3rd branch of trigeminal nerve .......	7.5
5295	under x-ray control (excluding x-ray charge) .......	10.0
Nerve Block
5298	Paravertebral block, lumbar or thoracic .......	5.0
5300	Sympathetic block (cervical) .......	5.0
5302	Stellate ganglion .......	5.0
5311	Brachial plexus block .......	5.0
5312	Intercostal nerves .......	3.0
5313	Lumbar, sacral and coccygeal nerves .......	5.0
5314	Pudendal nerve .......	5.0
5315	Splanchnic nerves .......	5.0
5316	Ilioinguinal and iliohypogastric nerves .......	5.0
5317	Sciatic nerve .......	3.0
5318	Phrenic nerve .......	3.0
5319	Other peripheral nerves .......	3.0
Repair
NEURORRHAPHY-suture of nerve.
Primary
5320	Digital, one (add 25 percent each additional nerve) .......	15.0
5822	Hand or foot (except motor thenar or ulnar motor) .......	20.0
5323	Motor thenar or ulnar motor .......	30.0
5325	Arm or leg (except sciatic) .......	40.0
5326	Sciatic .......	by report
5328	Brachial or lumbar plexus .......	by report
5330	Cranial, extra-cranial .......	75.0
(For facial nerve, see 6002, 6003.)
Secondary or delayed anastomosis or reanastomosis including local advancement to overcome gap. (Add 25 percent to primary repair.)
Secondary or delayed anastomosis involving additional procedures such as nerve graft and/or rerouting of nerve to overcome gap .......	by report
(See 6003 for facial nerve.)
NEUROPLASTIES: plastic procedure on intact nerve.
5335	Freeing nerve from scar, including internal and external lysis and transposition away from scarred area, digital, one or both .......	15.0
5337	hand or foot .......	20.0
5339	arm or leg (except sciatic) .......	40.0
5340	sciatic .......	by report
5341	brachial or lumbar plexus .......	by report
5343	cranial, extra-cranial .......	75.0
(For facial nerve, see 6002, 6003.)
5345	Transplantation ulnar nerve, elbow (independent procedure) (includes neurolysis) .......	25.0
5347	Median nerve decompression at carpal tunnel, simple .......	30.0
(If complex, see also 1550, 1553.)
NEURO-ANASTOMOSIS to establish other than normal anatomical continuity.
5350	Spinal accessory-facial, hypoglossal-facial, spinal accessory-hypoglossal, etc. .......	75.0
Vegetative Nervous System
Excision
SYMPATHECTOMIES:
5371	Cervical, unilateral .......	60.0
5372	bilateral .......	80.0
5375	Cervico-thoracic (Smithwicke type, supra- and infra-diaphragmatic), unilateral .......	70.0
5376	bilateral, concomitant or delayed .......	100.0
5381	Lumbar, unilateral .......	55.0
5382	bilateral .......	75.0
5385	Splanchnicectomy (Peet type) unilateral .......	65.0
5386	bilateral .......	80.0
5390	Presacral neurectomy, hypogastric plexus .......	50.0
Eyeball
Incision
5420	Goniotomy .......	50.0
Excision
5421	Enucleation of eyeball with or without sphere implant .......	40.0
5422	with integrated implant .......	50.0
5424	Secondary implantation of integrated implant .......	60.0
5427	Evisceration of eyeball .......	40.0
5428	with implantation in scleral shell .......	50.0
5431	Suture of eyeball for wound or injury .......	by report
Cornea
Incision
5441	Keratotomy, any type .......	10.0
5443	Paracentesis of cornea .......	10.0
5445	Removal of foreign body from surface of cornea .......	2.0
5448	under slit lamp .......	3.0
Excision
5451	Keratectomy, partial .......	30.0
5452	complete .......	40.0
5457	Pterygium .......	25.0
Introduction
5461	Tattoo of cornea, mechanical or chemical .......	30.0
5465	Curettage and cauterization of corneal ulcer .......	5.0
5466	Iontophoresis of corneal ulcer .......	5.0
Repair
5471	Keratoplasty, (corneal transplant) lamellar .......	100.0
5472	partial or complete, penetrating .......	110.0
Suture
5481	Suture of perforated cornea .......	by report
Scelera
Incision
5491	Sclerotomy, operative incision, with removal of intraocular foreign body (with or without magnet) .......	50.0
5492	with removal of foreign body from anterior chamber (with or without magnet) .......	50.0
5495	Sclerotomy, posterior .......	30.0
5496	Aspiration of anterior chamber, diagnostic .......	4.0
Excision
5501	Sclerectomy for glaucoma, with scissors, punch or trephination .......	60.0
5503	Scleral resection .......	100.0
Introduction
5511	Irrigation and/or air injection into anterior chamber .......	15.0
Suture
5521	Suture of sclera for wound or injury .......	by report
Iris and Ciliary Body
Incision
5531	Iridotomy .......	20.0
5532	with transfixion of iris; iris bombe .......	20.0
5534	Iridotomy-performed with photocoagulator .......	10.0
Excision
5541	Excision of lesion of iris .......	60.0
5542	and/or ciliary body (iridocylectomy) .......	80.0
5544	Iridectomy; basal, optical or preliminary .......	50.0
5546	peripheral .......	50.0
Repair
5552	Iridodialysis .......	40.0
5561	Repair of prolapsed iris with suture of perforated sclera or cornea .......	by report
Manipulation
5571	Iridenclesis or comparable procedure .......	50.0
Destruction
5580	Diathermy of the ciliary body; cyclodiathermy .......	30.0
5582	Cyclodialysis .......	50.0
Crystalline Lens
Incision
5601	Discission (needling of lens), initial .......	20.0
5602	subsequent .......	10.0
5603	Aspiration of lens material for congenital cataract, one or more stages .......	60.0
Excision
5611	Extraction of lens, intracapsular, extracapsular or linear, unilateral .......	80.0
5616	Removal of dislocated lens .......	80.0
Crystalline Lens
Introduction
5622	Transplantation of vitreous .......	50.0
Retina
Repair
5630	Reattachment of retina, electrocoagulation, scleral resection, buckling or partial tubing .......	100.0
5631	encircling tube, initial .......	100.0
5632	subsequent .......	by report
5633	Removal of encirclng tube .......	40.0
5634	Reattachment of retina, light coagulation of retinal break(s), one or more stages during same period of hospitalization .......	40.0
5635	with drainage of subretinal fluid .......	50.0
5636	Light coagulation of retina for tumor, Eales disease, etc., initial .......	40.0
5637	subsequent .......	20.0
Retina
Incision, Excision and Repair
5641	Any type of muscle operation involving one or more muscles in one or both eyes done in one stage .......	60.0
5647	Muscle transplant (Hummelscheim type, etc. .......	70.0
Orbit
Incision
5651	Orbitomy with exploration .......	60.0
5652	with drainage of intraorbital abscess .......	60.0
5653	with removal of intraorbital foreign body .......	60.0
5662	Excision of benign lesion of orbit, requiring bone flap .......	90.0
5664	Exenteration or evisceration of orbital contents with or without graft .......	60.0
5665	including orbital bone .......	by report
Introduction
5671	Orbital injection of alcohol for hemorrhagic glaucoma or intractable pain .......	10.0
Repair
(For plastic repair of orbit, see 0260-0324, 0619-0621.)
Eyelids
Incision
5691	Blepharotomy with drainage of abscess of eyelid .......	2.0
5692	with drainage of Meibomian glands; hordeolum (stye) .......	2.0
Excision
(For blepharectomy, see 0175-0197, 0260-0324,)
5702	Excision or incision of Meibomian gland (chalazion), single .......	5.0
5703	multiple, same lid .......	6.0
5704	multiple, different lids .......	7.0
(For excision of lesion of eyelid, malignant, see 0194-0197, 0260-0324.)
5712	Epilation, electrolysis .......	4.0
(For excision of xantholasma, 0175-0178, 0260-0324.)
Repair
(Blepharoplasty: plastic repair of eyelid with or without graft, any type, see 0251, 0252, 0260-0324.)
(Canthoplasty: plastic repair of canthus, see 0251, 0252, 0260-0324.)
(Plastic restoration of eyebrow, by graft, see 0308-0324.)
(Tarsoplasty: plastic repair of tarsal cartilage, see 0261-0275.)
(Reposition of ciliary base, see 0260-0324.)
5727	Blepharoptosis repair, superior rectus, levator, or frontalis methods, unilateral .......	60.0
5728	fascia sling method .......	40.0
5729	lid suture method .......	25.0
5730	Cautery puncture for entropion or ectropion .......	5.0
5731	Ectropion repair ( e.g., Kuhnt-Szymanowski type) .......	40.0
5732	Entropion repair ( e.g., Wheeler type) .......	40.0
Suture
(Blepharorrhaphy: suture of eyelid, see 0251, 0261-0269.)
(Tarsorrhaphy: suture of tarsal cartilage see 0251, 0261-0269.)
(Canthorrhaphy: suture of palpebral fissure of canthus, see 0251, 0261-0269.)
Conjunctiva
Incision
5741	Removal of foreign body from surface of conjunctiva .......	1.0
5742	embedded in conjunctiva .......	2.0
5743	Suture of conjunctiva .......	5.0
Excision
5751	Biopsy of conjunctiva .......	5.0
5753	Excision of lesion of conjunctiva, e.g., cyst .......	5.0
(For epithelioma, see 0175-0196, 0261-0269.)
For nevus see 0175-0196, 0261-0269.)
Repair
5760	Conjunctivoplasty, free graft using conjunctiva .......	50.0
5762	using buccal mucous membrane .......	60.0
5774	Flap operation of corneal ulcer .......	20.0
5775	Flap operation: "flapping" of conjunctiva for perforating injuries or operative wound .......	20.0
(For repair of symblepharon without graft, see 0175-0178, 0260-0276.)
Lacrimal Tract
Incision
5801	Drainage of lacrimal gland (abscess) .......	10.0
5803	Drainage of lacrimal sac, (dacryocystotomy or dacryocystostomy) .......	7.5
Excision
5811	Excision of lacrimal gland (dacryoadenectomy) .......	50.0
5813	Excision of lacrimal sac (dacryocystectomy) .......	50.0
5815	Excision of lacrimal gland tumor .......	60.0
Introduction
5821	Catheterization of nasolacrimal duct with implantation of tube or stent .......	10.0
5823	Injection procedure for dacryocystography .......	3.0
Repair
5831	Plastic operation on canaliculi .......	by report
5833	Dacryocystorrhinostomy: fistulization of lacrimal sac into nasal cavity, with or without anterior ethmoidectomy .......	70.0
5835	Closure of punctum by cautery .......	4.0
Manipulation
5841	Dilation of punctum .......	2.0
5843	Probing of nasolocrimal duct .......	3.0
5846	Probing and/or irrigation of canaliculus .......	*2.0
EAR
External Ear
Incision
5901	Drainage of abscess or hematoma of auricle, simple .......	2.0
5902	complicated, including suppurative chondritis .......	by report
5905	Drainage of abscess of external auditory canal .......	2.0
Excision
5911	Biopsy of ear .......	3.0
(For local destruction or excision of lesion of ear, see 0175-0197.)
(For plastic closure see 0260-0324.)
5916	Excision; ear, partial, simple repair .......	10.0
5917	Complete amputation, auricle .......	20.0
5920	Excision; osteoma, external canal, simple .......	5.0
5923	Excision of exostosis of external auditory canal, endaural or post-aural approach, complicated .......	50.0
5924	Radical excision of malignant lesion of external auditory canal .......	by report
5926	with neck dissection .......	by report
Endoscopy
5931	Otoscopy with removal of foreign body in external auditory canal .......	2.0
Repair
(Otolasty: plastic operation on ear, see 0260-0324.)
(Reconstruction of ear with graft of skin plus cartilage, bone or other implant, see 0260-0324, 0620 and 0621.)
5947	Otoplasty, of cartilage ("lop-ear"), with or without reduction in size, unilateral .......	50.0
5948	bilateral .......	70.0
5949	Reconstruct external auditory canal for congenital astresia, single stage .......	100.0
Suture
(For suture of wound or injury of ear, see 0251, 0252, 0260-0270.)
Middle Ear
Introduction
5955	Eustachian tube catheterization and insufflation, unilateral or bilateral .......	1.5
Incision
5961	Myringotomy; tympanotomy; plicotomy, with or without Eustachian inflation and/or aspiration .......	3.0
5962	Tympanotomy, diagnostic, exploratory for middle ear exposure .......	50.0
5963	with insertion of tube for serous otitis media, unilateral .......	5.0
5964	with insertion of collar button tube for muco-serous otitis media, unilateral or bilateral .......	25.0
5968	Tympanolysis, transtympanic .......	80.0
Excision
5971	Mastoidectomy, simple .......	50.0
5972	Mastoidectomy, modified radical or radical, without skin graft .......	80.0
5975	with skin graft .......	90.0
5980	Petrous apicectomy including radical mastoidectomy .......	by report
5982	Removal of middle ear polyp .......	10.0
Repair
5990	Revision of radical mastoidectomy, with or without skin graft .......	90.0
5991	Patching tympanic membrane, with or without cauterization .......	2.0
5992	Myringoplasty, uncomplicated .......	80.0
5993	Tympanoplasty without mastoidectomy (may include change in contours of external auditory canal and be combined with middle ear, including ossicular chain construction and/or attic surgery), post auricular or endaural approach .......	100.0
5994	Typanoplasty with mastoidectomy .......	120.0
5996	Incudo-stapedial arthrodesis, with or without graft .......	70.0
5997	Stapes mobilization, primary or secondary .......	70.0
5998	Stapedectomy with insertion of prosthetic stapes with fenestration of the oval window .......	100.0
5999	Mastoid obliteration .......	80.0
Suture
6001	Closure of fistula, mastoid (independent procedure) .......	25.0
6002	Decompression, intratemporal, facial nerve, with or without neurolysis .......	100.0
(See also 5330.)
6003	Suture and/or graft, facial nerve, intratemporal .......	120.0
Internal Ear
Incision
6011	Labyrinthotomy, any type .......	100.0
6012	Fenestration of semicircular canal .......	100.0
6014	Revision of fenestration operation .......	60.0
Excision
6021	Labyrinthectomy .......	100.0

Footnotes

^* Value is to be calculated as the sum of the various services rendered (e.g., hospital visit, application of cast or splint, detention with patient, office visit, etc.).

N.Y. Comp. Codes R. & Regs. Tit. 11 § 52.80