Orthopaedics MSP billing codes


Common Billing Procedures

Code Description Amount
00015 INJECTION, INTRA-ARTICULAR - ALL OTHER JOINTS $16.29
10001 Urgent Specialist Advice (Phone or In-Person) $60.00
51007 OFFICE VISIT - ORTHOPAEDICS $45.62
51010 CONSULTATION - ORTHOPAEDICS $101.60
51012 CONSULTATION - REPEAT/LIMITED - ORTHOPAEDICS $56.66
51016 CAST: SHORT ARM $22.79
51017 CAST - LONG ARM $22.79
51019 CAST - BELOW KNEE $22.79
51021 CAST - LONG LEG $22.79
51194 FIRST SURGICAL ASSIST OF THE DAY-ORTHOPEDICS $75.24
54701 RADIUS - FRACTURE/DISLOCATION-CLOSED REDUCTION $247.23
55662 HEMI-ARTHROPLASTY - HIP $556.68
55712 REDUCTION - HIP/GA $183.13
55751 FEMORAL NECK/SUBCAPITAL -FRACTURE-CLOSED REDUCTION $508.19

Professional Fees

Code Description Amount
51007 OFFICE VISIT - ORTHOPAEDICS $45.62
51008 HOSPITAL VISIT - ORTHOPAEDICS $30.10
51009 PAVLIC HARNESS-CASE MANAGEMENT $45.19
51010 CONSULTATION - ORTHOPAEDICS $101.60
51012 CONSULTATION - REPEAT/LIMITED - ORTHOPAEDICS $56.66
51015 CONSULTATION - SPECIAL - ORTHOPAEDICS $157.29

Professional Fees

Code Description Amount
51007 OFFICE VISIT - ORTHOPAEDICS $45.62
51008 HOSPITAL VISIT - ORTHOPAEDICS $30.10
51009 PAVLIC HARNESS-CASE MANAGEMENT $45.19
51010 CONSULTATION - ORTHOPAEDICS $101.60
51012 CONSULTATION - REPEAT/LIMITED - ORTHOPAEDICS $56.66
51015 CONSULTATION - SPECIAL - ORTHOPAEDICS $157.29

Surgical Assistant

Code Description Amount
00195 SURGICAL ASSIST-LESS THAN $317.00 INCLUSIVE $131.64
00196 SURGICAL ASSIST $317.01 TO 529.00 INCLUSIVE $185.59
00197 SURGICAL ASSISTANCE - OPERATIONS OVER $529.00 $245.47
00198 SURGICAL ASSIST TIME AFTER 3 HRS - PER 15 MINS $27.80
51194 FIRST SURGICAL ASSIST OF THE DAY-ORTHOPEDICS $75.24
70019 CERTIFIED SURGICAL ASSIST $251.70
70020 CERTIFIED SURGICAL ASSIST - TIME FROM 1-3 HOURS $26.28

Surgical Assistant

Code Description Amount
00195 SURGICAL ASSIST-LESS THAN $317.00 INCLUSIVE $131.64
00196 SURGICAL ASSIST $317.01 TO 529.00 INCLUSIVE $185.59
00197 SURGICAL ASSISTANCE - OPERATIONS OVER $529.00 $245.47
00198 SURGICAL ASSIST TIME AFTER 3 HRS - PER 15 MINS $27.80
51194 FIRST SURGICAL ASSIST OF THE DAY-ORTHOPEDICS $75.24
70019 CERTIFIED SURGICAL ASSIST $251.70
70020 CERTIFIED SURGICAL ASSIST - TIME FROM 1-3 HOURS $26.28

Application Of Cast (Incl. External Stimulator)

Code Description Amount
51016 CAST: SHORT ARM $22.79
51017 CAST - LONG ARM $22.79
51018 CAST - SHOULDER SPICA $85.28
51019 CAST - BELOW KNEE $22.79
51020 CAST - LONG LEG CYLINDER $22.79
51021 CAST - LONG LEG $22.79
51022 CAST - HIP SPICA - CHILD $85.28
51023 CAST - HIP SPICA - ADULT $85.28
51024 CAST - BODY $85.28
51025 CAST - CAST BRACE $45.59

Application Of Cast (Includes External Stimulator)

Code Description Amount
51016 CAST: SHORT ARM $22.79
51017 CAST - LONG ARM $22.79
51018 CAST - SHOULDER SPICA $85.28
51019 CAST - BELOW KNEE $22.79
51020 CAST - LONG LEG CYLINDER $22.79
51021 CAST - LONG LEG $22.79
51022 CAST - HIP SPICA - CHILD $85.28
51023 CAST - HIP SPICA - ADULT $85.28
51024 CAST - BODY $85.28
51025 CAST - CAST BRACE $45.59

Miscellaneous

Code Description Amount
51030 REPORT/INTERPRETATION OF FILMS - ORTHOPAEDICS $38.62
51035 SKELETAL TRACTION - APPLICATION $91.57
51036 COMPARTMENT PRESSURE MONITORING - EXTRA $91.18
51037 HARVESTING OF ILIAC CREST GRAFT - EXTRA $91.57
51038 HARVESTING OF SKIN GRAFT - EXTRA $100.71
51065 ILIZAROV INSTRUMENTATION, SIMPLE $1,071.31
51066 ILIZAROV INSTRUMENTATION; COMPLEX, MULTIPLE $1,469.60
51067 ILIZAROV INSTRUMENTATION EXTENSION/REVISION -FRAME $210.59

Miscellaneous Ortho

Code Description Amount
51030 REPORT/INTERPRETATION OF FILMS - ORTHOPAEDICS $38.62
51035 SKELETAL TRACTION - APPLICATION $91.57
51036 COMPARTMENT PRESSURE MONITORING - EXTRA $91.18
51037 HARVESTING OF ILIAC CREST GRAFT - EXTRA $91.57
51038 HARVESTING OF SKIN GRAFT - EXTRA $100.71
51065 ILIZAROV INSTRUMENTATION, SIMPLE $1,071.31
51066 ILIZAROV INSTRUMENTATION; COMPLEX, MULTIPLE $1,469.60
51067 ILIZAROV INSTRUMENTATION EXTENSION/REVISION -FRAME $210.59

Shoulder Girdle, Clavicle And Humerus

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.49
11200 ARTHROSCOPY- SHOULDER JOINT $293.02
11215 ARTHROTOMY - SHOULDER JOINT/BURSA $183.13
11230 BIOPSY - NEEDLE - SHOULDER JOINT/GA $183.13
11232 ARTHROSCOPY - BIOPSY- SHOULDER $238.06
11245 BIOPSY - SHOULDER JOINT - OPEN $238.06
51039 ASPIRATION - BURSA $22.79
51040 ASPIRATION - JOINT $22.79
52210 INCISION/DRAINAGE - BURSA -GA $183.13
52215 ABSCESS - INCISION/DRAINAGE - GA $183.13
52220 HEMATOMA - INCISION/DRAINAGE - GA $238.06
52225 ARTHROTOMY - SHOULDER JOINT - I AND D $183.13
52250 SOFT TISSUE RELEASE - MUSCLE, TENDON $373.12
52255 SHOULDER CONTRACTURE - MAJOR $531.06
52305 EXCISION - ENDOSCOPIC - REMOVAL OF LOOSE BODY $282.08
52306 EXCISION - ENDOSCOPIC - WITH/WITHOUT LOOSE BODY. $282.08
52307 PINNING - OSTEOCHONDRAL FRAGMENT $343.37
52310 DEBRIDEMENT, SYNOVECTOMY - TOTAL OR SUBTOTAL $402.97
52315 SHOULDER ABRASION $343.37
52320 LABRUM TEAR- EXCISION $238.06
52325 STABILIZATION PROCEDURE $558.54
52330 ACROMIOPLASTY - ENDOSCOPIC $402.97
52335 ARTHROSCOPIC CLAVICLE EXCISION-MEDIAL/LATERAL/EXTR $104.52
52355 EXCISION OF BURSA - SUBACROMIAL - OPEN $210.59
52356 ACROMIONECTOMY, ACROMIOPLASTY $343.37
52357 CLAVICLE EXCISION - OPEN $210.59
52360 ARTHROTOMY - SHOULDER. $398.30
52365 SUBFASCIAL SOFT TISSUE TUMOUR - BENIGN $398.30
52370 BONE TUMOUR - BENIGN $398.30
52380 OSTEOMYELITIS - ACUTE, DECOMPRESSION $183.13
52385 OSTEOMYELITIS - DEBRIDEMENT WITH/WITHOUT RECONSTR $315.90
52405 INJECTION OF JOINT - SHOULDER/CLAVICLE/HUMERUS $11.40
52410 INJECTION - BURSA,TENDON SHEATH- SHOULDER/CLAVICLE $11.40
52415 INT FIXATION DEVICE(S) - REMOVAL - GA $238.06
52420 INT FIXATION DEVICE(S), REMOVAL - WITHOUT GA $68.67
52505 ROTATOR CUFF REPAIR - SIMPLE $425.78
52506 ROTATOR CUFF RECONSTRUCTION - COMPLEX $705.04
52515 STABILIZATION - ACROMIOCLAVICULAR JOINT - ACUTE $265.54
52516 STABILIZATION - ACROMIOCLAVICULAR JOINT - CHRONIC $398.30
52517 OPEN OR ARTHROSCOPIC SLAP/BICEPS TENODESIS REPAIR $618.05
52518 SLAP/BICEPS TENODESIS REPAIR OR GLENOHUML/BANKART $897.32
52519 SLAP/BICEPS TENODESIS REPAIR OR BANK AND ROTATOR $1,014.07
52520 SLAP/BICEPS TENODESIS & BANKART,TENDON TRANS & ROT $1,323.09
52521 SLAP/BICEPS & BANK,TENDON TRANS,ROTAT CUFF & GLENO $1,548.56
52525 SHOULDER INSTABILITY - INFERIOR CAPSULAR SHIFT $558.54
52526 SHOULDER INSTABILITY -BANKART $618.05
52535 SHOULDER INSTABILITY-ANTERIOR REPAIRS $450.94
52540 SHOULDER INSTABILITY - POSTERIOR-GLENOID OSTEOTOMY $705.04
52541 SHOULDER INSTABILITY - POSTERIOR - SOFT TISSUE $586.00
52545 STABILIZATION - SHOULDER INSTABILITY -REVISION, $705.04
52550 TENDON REPAIR, PROXIMAL BICEPS, PECTORALIS MAJOR $425.78
52555 SHOULDER/CLAVICLE/HUMERUS TENDON TRANSFER $503.61
52601 PROXIMAL HUMERUS - REPAIR/REVISION $705.04
52602 CLAVICLE - REPAIR/REVISION $503.71
52603 HEMI-ARTHROPLASTY - SHOULDER $608.90
52604 SHOULDER PROSTHESIS - TOTAL $972.17
52605 SHOULDER PROSTHESIS - REMOVAL $453.24
52606 SHOULDER ARTHROPLASTY/HEMIARTHROPLASTY- TOTAL -REV $787.46
52607 SHOULDER ARTHROPLASTY - TOTAL - REVISION $1,309.65
52651 BONE GRAFTING - PROXIMAL HUMERUS $238.06
52652 BONE GRAFTING - CLAVICLE $146.50
52705 ORIF - CLAVICLE/ACROMION/CORACOID $428.16
52708 CLAVICLE/ACROMION/CORACOID - PRIMARY WOUND CARE $100.30
52709 CLAVICLE/ACROMION/CORACOID - SECONDARY WOUND MANAG $183.13
52710 STERNO-CLAVICULAR JOINT STABILIZATION $503.71
52715 SCAPULA - FRACTURE/DISLOCATION - ORIF $906.49
52718 SCAPULA - OPEN INJURY, PRIMARY WOUND CARE $100.30
52719 SCAPULA - OPEN INJURY, SECONDARY WOUND MANAGEMENT $183.13
52721 GLENOHUMERAL - CLOSED REDUCTION WITHOUT GA $91.57
52722 GLENOHUMERAL - CLOSED REDUCTION WITH GA $238.06
52725 GLENOHUMERAL - OPEN REDUCTION $398.30
52731 PROXIMAL HUMERUS - CLOSED REDUCTION WITH GA $183.13
52732 PROXIMAL HUMERUS-CLOSED RED. WITH GA TRACTION/PIN $183.13
52735 PROXIMAL HUMERUS - ORIF - TWO PART $531.06
52736 PROXIMAL HUMERUS - ORIF - THREE OR MORE PARTS $641.92
52737 PROXIMAL HUMERUS- HEMIPROSTHESIS/WIRING-FRACTURE $787.46
52738 PROXIMAL HUMERUS - OPEN INJURY-PRIMARY WOUND CARE $100.30
52739 PROXIMAL HUMERUS - OPEN INJURY -SECONDARY WOUND $183.13
52741 HUMERUS - SHAFT -CLOSED REDUCTION WITH GA $238.06
52742 HUMERUS - SHAFT-CLOSED REDUCTION-EXTERNAL FIXATION $347.95
52745 HUMERUS- SHAFT - ORIF/INTRAMEDULLARY NAILING $558.54
52748 HUMERUS - SHAFT - OPEN INJURY PRIMARY WOUND CARE $100.30
52749 HUMERUS - SHAFT-OPEN SECONDARY WOUND MANAGEMENT $183.13
52800 MANIPULATION UNDER GA - SHOULDER JOINT $91.57
52810 ARTHRODESIS - SHOULDER JOINT $933.96
52811 ARTHRODESIS - SCAPULA-THORACIC JOINT $732.52
52980 AMPUTATION - SHOULDER DISARTICULATION $759.98
52981 AMPUTATION - FOREQUARTER $906.49
52982 AMPUTATION - HUMERAL SHAFT $531.06
52998 AMPUTATION - PRIMARY WOUND CARE - OPEN INJURY $100.30
52999 AMPUTATION - SECONDARY WOUND MANAGEMENT - OPEN $183.13

Shoulder Girdle, Clavicle And Humerus

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.49
11200 ARTHROSCOPY- SHOULDER JOINT $293.02
11215 ARTHROTOMY - SHOULDER JOINT/BURSA $183.13
11230 BIOPSY - NEEDLE - SHOULDER JOINT/GA $183.13
11232 ARTHROSCOPY - BIOPSY- SHOULDER $238.06
11245 BIOPSY - SHOULDER JOINT - OPEN $238.06
51039 ASPIRATION - BURSA $22.79
51040 ASPIRATION - JOINT $22.79
52210 INCISION/DRAINAGE - BURSA -GA $183.13
52215 ABSCESS - INCISION/DRAINAGE - GA $183.13
52220 HEMATOMA - INCISION/DRAINAGE - GA $238.06
52225 ARTHROTOMY - SHOULDER JOINT - I AND D $183.13
52250 SOFT TISSUE RELEASE - MUSCLE, TENDON $373.12
52255 SHOULDER CONTRACTURE - MAJOR $531.06
52305 EXCISION - ENDOSCOPIC - REMOVAL OF LOOSE BODY $282.08
52306 EXCISION - ENDOSCOPIC - WITH/WITHOUT LOOSE BODY. $282.08
52307 PINNING - OSTEOCHONDRAL FRAGMENT $343.37
52310 DEBRIDEMENT, SYNOVECTOMY - TOTAL OR SUBTOTAL $402.97
52315 SHOULDER ABRASION $343.37
52320 LABRUM TEAR- EXCISION $238.06
52325 STABILIZATION PROCEDURE $558.54
52330 ACROMIOPLASTY - ENDOSCOPIC $402.97
52335 ARTHROSCOPIC CLAVICLE EXCISION-MEDIAL/LATERAL/EXTR $104.52
52355 EXCISION OF BURSA - SUBACROMIAL - OPEN $210.59
52356 ACROMIONECTOMY, ACROMIOPLASTY $343.37
52357 CLAVICLE EXCISION - OPEN $210.59
52360 ARTHROTOMY - SHOULDER. $398.30
52365 SUBFASCIAL SOFT TISSUE TUMOUR - BENIGN $398.30
52370 BONE TUMOUR - BENIGN $398.30
52380 OSTEOMYELITIS - ACUTE, DECOMPRESSION $183.13
52385 OSTEOMYELITIS - DEBRIDEMENT WITH/WITHOUT RECONSTR $315.90
52405 INJECTION OF JOINT - SHOULDER/CLAVICLE/HUMERUS $11.40
52410 INJECTION - BURSA,TENDON SHEATH- SHOULDER/CLAVICLE $11.40
52415 INT FIXATION DEVICE(S) - REMOVAL - GA $238.06
52420 INT FIXATION DEVICE(S), REMOVAL - WITHOUT GA $68.67
52505 ROTATOR CUFF REPAIR - SIMPLE $425.78
52506 ROTATOR CUFF RECONSTRUCTION - COMPLEX $705.04
52515 STABILIZATION - ACROMIOCLAVICULAR JOINT - ACUTE $265.54
52516 STABILIZATION - ACROMIOCLAVICULAR JOINT - CHRONIC $398.30
52525 SHOULDER INSTABILITY - INFERIOR CAPSULAR SHIFT $558.54
52526 SHOULDER INSTABILITY -BANKART $618.05
52535 SHOULDER INSTABILITY-ANTERIOR REPAIRS $450.94
52540 SHOULDER INSTABILITY - POSTERIOR-GLENOID OSTEOTOMY $705.04
52541 SHOULDER INSTABILITY - POSTERIOR - SOFT TISSUE $586.00
52545 STABILIZATION - SHOULDER INSTABILITY -REVISION, $705.04
52550 TENDON REPAIR, PROXIMAL BICEPS, PECTORALIS MAJOR $425.78
52555 SHOULDER/CLAVICLE/HUMERUS TENDON TRANSFER $503.61
52601 PROXIMAL HUMERUS - REPAIR/REVISION $705.04
52602 CLAVICLE - REPAIR/REVISION $503.71
52603 HEMI-ARTHROPLASTY - SHOULDER $608.90
52604 SHOULDER PROSTHESIS - TOTAL $972.17
52605 SHOULDER PROSTHESIS - REMOVAL $453.24
52606 SHOULDER ARTHROPLASTY/HEMIARTHROPLASTY- TOTAL -REV $787.46
52607 SHOULDER ARTHROPLASTY - TOTAL - REVISION $1,309.65
52651 BONE GRAFTING - PROXIMAL HUMERUS $238.06
52652 BONE GRAFTING - CLAVICLE $146.50
52705 ORIF - CLAVICLE/ACROMION/CORACOID $428.16
52708 CLAVICLE/ACROMION/CORACOID - PRIMARY WOUND CARE $100.30
52709 CLAVICLE/ACROMION/CORACOID - SECONDARY WOUND MANAG $183.13
52710 STERNO-CLAVICULAR JOINT STABILIZATION $503.71
52715 SCAPULA - FRACTURE/DISLOCATION - ORIF $906.49
52718 SCAPULA - OPEN INJURY, PRIMARY WOUND CARE $100.30
52719 SCAPULA - OPEN INJURY, SECONDARY WOUND MANAGEMENT $183.13
52721 GLENOHUMERAL - CLOSED REDUCTION WITHOUT GA $91.57
52722 GLENOHUMERAL - CLOSED REDUCTION WITH GA $238.06
52725 GLENOHUMERAL - OPEN REDUCTION $398.30
52731 PROXIMAL HUMERUS - CLOSED REDUCTION WITH GA $183.13
52732 PROXIMAL HUMERUS-CLOSED RED. WITH GA TRACTION/PIN $183.13
52735 PROXIMAL HUMERUS - ORIF - TWO PART $531.06
52736 PROXIMAL HUMERUS - ORIF - THREE OR MORE PARTS $641.92
52737 PROXIMAL HUMERUS- HEMIPROSTHESIS/WIRING-FRACTURE $787.46
52738 PROXIMAL HUMERUS - OPEN INJURY-PRIMARY WOUND CARE $100.30
52739 PROXIMAL HUMERUS - OPEN INJURY -SECONDARY WOUND $183.13
52741 HUMERUS - SHAFT -CLOSED REDUCTION WITH GA $238.06
52742 HUMERUS - SHAFT-CLOSED REDUCTION-EXTERNAL FIXATION $347.95
52745 HUMERUS- SHAFT - ORIF/INTRAMEDULLARY NAILING $558.54
52748 HUMERUS - SHAFT - OPEN INJURY PRIMARY WOUND CARE $100.30
52749 HUMERUS - SHAFT-OPEN SECONDARY WOUND MANAGEMENT $183.13
52800 MANIPULATION UNDER GA - SHOULDER JOINT $91.57
52810 ARTHRODESIS - SHOULDER JOINT $933.96
52811 ARTHRODESIS - SCAPULA-THORACIC JOINT $732.52
52980 AMPUTATION - SHOULDER DISARTICULATION $759.98
52981 AMPUTATION - FOREQUARTER $906.49
52982 AMPUTATION - HUMERAL SHAFT $531.06
52998 AMPUTATION - PRIMARY WOUND CARE - OPEN INJURY $100.30
52999 AMPUTATION - SECONDARY WOUND MANAGEMENT - OPEN $183.13

Elbow, Proximal Radius And Ulna

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.49
11300 ARTHROSCOPY - ELBOW JOINT $263.26
11302 ASPIRATION - BURSA/TENDON SHEATH - DIAGNOSTIC $22.79
11315 ARTHROTOMY - ELBOW JOINT $183.13
11330 BIOPSY - NEEDLE - ELBOW JOINT/GA $183.13
11332 ARTHROSCOPY/BIOPSY- ELBOW JOINT $290.73
11345 BIOPSY - OPEN - ELBOW JOINT $238.06
51039 ASPIRATION - BURSA $22.79
51040 ASPIRATION - JOINT $22.79
53210 ELBOW, PROXIMAL RADIUS/ULNA - I & D $183.13
53215 ELBOW, PROXIMAL RADIUS- ABSCESS I&D UNDER GA $183.13
53220 ELBOW, PROXIMAL RADIUS/ULNA - HEMATOMA UNDER GA $238.06
53225 ELBOW JOINT ARTHROTOMY I AND D $183.13
53250 ELBOW,PROXIMAL RADIUS/ULNA- DECOMPRESSION/NEUROLY $238.06
53255 ELBOW, INCISION-DECOMPRESSION,NEUROLYSIS $398.30
53260 ELBOW, FASCIOTOMY, COMPARTMENT SYNDROME $210.59
53269 ELBOW, INCISION - FASCIOTOMY, SECONDARY WOUND $183.13
53305 ELBOW, EXCISION -REMOVAL LOOSE BODY $327.42
53310 ELBOW, EXCISION - DEBRIDEMENT, SYNOVECTOMY-TOTAL $629.64
53355 ELBOW, EXCISION -THERAPEUTIC - BURSA/GANGLION $210.59
53360 ELBOW ARTHROTOMY - OPEN SYNOVECTOMY $398.30
53365 ELBOW EXCISION BENIGN SOFT TISSUE TUMOR,SUBFACIAL $265.54
53370 ELBOW - BONE TUMOUR, BENIGN $265.54
53380 BONE TUMOUR - ELBOW - OSTEOMYELITIS, ACUTE $183.13
53385 BONE TUMOUR - ELBOW - OSTEOMYELITIS-DEBRIDEMENT $315.90
53386 RADIAL HEAD RESECTION - ELBOW $238.06
53405 INJECTION OF JOINT - ELBOW $11.40
53410 INJECTION OF BURSA/TENDON SHEATH - ELBOW $11.40
53415 INT FIXATION DEVICE(S)-ELBOW-REMOVAL WITH GA $210.59
53420 INT FIXATION DEVICE(S)-ELBOW-REMOVAL/WITHOUT GA $68.67
53505 ELBOW INSTABILITY- CHRONIC $663.82
53510 RECURRENT DISLOCATION - RADIAL HEAD - ELBOW $558.54
53515 TRICEPS TENDON - ACUTE - ELBOW $345.65
53516 TRICEPS TENDON, FASCIAL RECONSTRUCTION - ELBOW $398.30
53520 BICEPS TENDON, LONGHEAD, TENODESIS - ELBOW $265.54
53521 BICEPS TENDON, DISTAL INSERTION - ELBOW $558.54
53530 TENDON TRANSFER - MAJOR - ELBOW $705.04
53531 TENDON TRANSFER- MINOR - ELBOW $425.78
53540 EPICONDYLITIS - FASCIAL STRIPPING - ELBOW $210.59
53601 HUMERAL SHAFT - REPAIR - ELBOW $698.18
53602 DISTAL HUMERUS - REPAIR - ELBOW $705.04
53603 RADIUS SHAFT -REPAIR - ELBOW $583.70
53604 ULNA SHAFT - REPAIR - ELBOW $510.90
53605 RADIUS AND ULNA SHAFTS - REPAIR/REVISION - ELBOW $705.04
53606 EPIPHYSIODESIS - REPAIR/REVISION - ELBOW $265.54
53607 PHYSEAL BAR EXCISION/HARVEST - ELBOW $439.50
53641 ARTHROPLASTY - ELBOW - INTERPOSITION/DISTRACTION $906.49
53642 ARTHROPLASTY- TOTAL ELBOW $972.17
53643 ARTHROPLASTY- TOTAL ELBOW - REVISION $1,309.65
53644 OSTEOCAPSULAR ARTHROPLASTY $906.68
53651 BONE GRAFTING: HUMERUS - ELBOW $238.06
53652 BONE GRAFTING - RADIUS AND/OR ULNA - ELBOW $238.06
53653 BONE GRAFTING - OLECRANON - ELBOW $146.50
53701 HUMERAL EPICONDYLE - FRACTURE/DISLOCATION/GA $238.06
53702 HUMERAL EPICONDYLE - CLOSED REDUCTION $265.54
53705 HUMERAL EPICONDYLE - ORIF $265.54
53708 HUMERAL EPICONDYLE - PRIMARY WOUND CARE $100.30
53709 HUMERAL EPICONDYLE - SECONDARY WOUND $183.13
53711 DISTAL HUMERUS: CLOSED REDUCTION $183.13
53712 DISTAL HUMERUS - CLOSED REDUCTION $378.64
53715 DISTAL HUMERUS - ORIF $436.32
53718 DISTAL HUMERUS - PRIMARY WOUND CARE $100.30
53719 DISTAL HUMERUS - SECONDARY WOUND MANAGEMENT $183.13
53721 DISTAL HUMERUS: INTRA-ARTICULAR - CLOSED RED W/ GA $183.13
53722 DISTAL HUMERUS-CLOSED REDUCTION EXTERNAL FIXATION $347.95
53725 DISTAL HUMERUS - ORIF - UNICONDYLAR $398.30
53726 DISTAL HUMERUS - ORIF - BICONDYLAR $851.55
53727 DISTAL HUMERUS - PRIMARY WOUND CARE $100.30
53728 DISTAL HUMERUS - SECONDARY WOUND MANAGEMENT $183.13
53735 OLECRANON - FRACTURE/DISLOCATION - ORIF $408.73
53738 OLECRANON - PRIMARY WOUND CARE $100.30
53739 OLECRANON - SECONDARY WOUND MANAGEMENT $183.13
53741 RADIAL HEAD/NECK - FRACTURE/DISLOCATION - CLOSED $238.06
53742 RADIAL HEAD/NECK - CLOSED REDUCTION PERCUTANEOUS $265.54
53745 RADIAL HEAD/NECK - ORIF $398.30
53748 RADIAL HEAD/NECK - PRIMARY WOUND CARE $100.30
53749 RADIAL HEAD/NECK - SECONDARY WOUND MANAGEMENT $183.13
53751 ELBOW JOINT - DISLOCATION - CLOSED REDUCTION $146.50
53752 ELBOW JOINT - DISLOCATION - CLOSED REDUCTION/GA $238.06
53755 ELBOW JOINT - DISLOCATION - OPEN REDUCTION $293.02
53761 RADIUS/ULNA SHAFT - FRACTURE/DISLOCATION - CLOSED $91.57
53762 RADIUS/ULNA SHAFT- FRACTURE/DISLOCATION- CLOSED/GA $293.02
53765 RADIUS/ULNA SHAFT - ORIF $531.06
53768 RADIUS/ULNA SHAFT - OPEN INJURY-PRIMARY WOUND CARE $100.30
53769 RADIUS/ULNA SHAFT-SECONDARY WOUND MGMT-OPEN INJURY $183.13
53771 RADIUS OR ULNA SHAFT/MONTEGGIA-CLOSED REDUCTION/GA $265.54
53772 RADIUS OR ULNA SHAFT/MONTEGGIA - CLOSED REDUCTION $265.54
53775 RADIUS OR ULNA SHAFT/MONTEGGIA - ORIF $408.73
53778 RADIUS OR ULNA SHAFT/MONTEGGIA - PRIMARY WOUND $100.30
53779 RADIUS OR ULNA SHAFT/MONTEGGIA - SECONDARY WOUND $183.13
53800 MANIPULATION - UNDER GA - ELBOW JOINT $91.57
53810 ARTHRODESIS - ELBOW JOINT $705.04
53980 AMPUTATION - ELBOW $398.30
53981 AMPUTATION - FOREARM $398.30
53998 AMPUTATION - FOREARM - PRIMARY WOUND CARE $100.30
53999 AMPUTATION - FOREARM - SECONDARY WOUND MANAGEMENT $183.13

Hand And Wrist

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.49
06218 AMPUTATION - TRANSMETACARPAL $250.00
06219 AMPUTATION - FINGER $250.00
07055 GANGLIA - WRIST $178.76
11400 ARTHROSCOPY - WRIST JOINT $282.08
11402 ASPIRATION - BURSA/SYNOVIAL SHEATH, ETC. $22.79
11415 ARTHROTOMY - WRIST JOINT $183.13
11416 ARTHROTOMY - MP/PIP/DIP JOINTS $183.13
11430 BIOPSY - NEEDLE - WRIST JOINT/GA $183.13
11432 ARTHROSCOPY/BIOPSY - WRIST /HAND JOINT(S) $183.13
11445 BIOPSY - OPEN - HAND/WRIST $238.06
51039 ASPIRATION - BURSA $22.79
51040 ASPIRATION - JOINT $22.79
54305 REMOVAL OF LOOSE BODY - HAND/WRIST $238.06
54310 DEBRIDEMENT/ SYNOVECTOMY- HAND/WRIST - TOTAL $318.19
54315 TRIANGULAR FIBRO CARTILAGE COMPLEX (TFCC) $318.19
54350 FOREIGN BODY REMOVAL - HAND/WRIST/GA $210.59
54351 EXCISION - OPEN - MENISCUS/RADIOCARPAL $318.19
54372 BONE TUMOR - BENIGN - CARPALS/DISTAL RADIUS $318.19
54380 OSTEOMYELITIS, ACUTE - CARPALS, DISTAL/RADIUS $183.13
54385 OSTEOMYELITIS/DEBRIDEMENT - CARPALS/DISTAL RADIUS $315.90
54386 STYLOID - RADIAL/ULNAR - EXCISION $210.59
54387 CARPECTOMY - PROXIMAL ROW $531.06
54405 INJECTION - THERAPEUTIC - HAND/WRIST JOINT $22.79
54410 INJECTION - THERAPEUTIC - BURSA/TENDON SHEATH $22.79
54415 INT FIXATION DEVICE(S) AND/WRIST- REMOVAL/GA $210.59
54420 INT FIXATION DEVICE(S) - HAND/WRIST -REMOVAL $45.78
54505 CARPAL INSTABILITY - ACUTE $586.00
54510 CARPAL INSTABILITY: CHRONIC $645.53
54515 DISTAL RADIO-ULNAR INSTABILITY - CHRONIC $478.42
54601 OSTEOTOMY - DISTAL RADIUS $645.53
54602 OSTEOTOMY - DISTAL ULNA $320.48
54603 CARPAL BONE (SCAPHOID) - REPAIR/REVISION $531.06
54604 OSTEOTOMY - EPIPHYSIODESIS/EPIPHYSIOPLASTY/RADIUS/ $398.30
54631 ARTHROPLASTY - ULNA - DISTAL EXCISION $238.06
54632 JOINT REPLACEMENT - TOTAL WRIST $705.04
54633 ARTHROPLASTY- SILASTIC WRIST $531.06
54634 WRIST PROSTHESIS - REMOVAL $265.54
54635 ARTHROPLASTY - TOTAL WRIST - REVISION $933.96
54651 BONE GRAFTING - DISTAL RADIUS/ULNA $238.06
54652 BONE GRAFTING - METACARPAL/PHALANX $119.02
54701 RADIUS - FRACTURE/DISLOCATION-CLOSED REDUCTION $247.23
54702 RADIUS - CLOSED REDUCTION/GA $293.02
54703 RADIUS - EXTERNAL/PERCUTANEOUS FIXATION. $320.48
54705 RADIUS - ORIF $508.19
54708 RADIUS - PRIMARY WOUND CARE $50.14
54709 RADIUS - SECONDARY WOUND MANAGEMENT $91.57
54715 CARPAL BONE FRACTURE(SCAPHOID) - OPEN REDUCTION $425.78
54721 CARPUS-DISLOCATION-W/WO FRACTURE-CLOSED REDUCTION $247.23
54722 CARPUS - CLOSED REDUCTION/PERCUTANEOUS FIXATION $293.02
54725 CARPUS - ORIF $586.00
54728 CARPUS - PRIMARY WOUND CARE $50.14
54729 CARPUS - SECONDARY WOUND MANAGEMENT $91.57
54800 MANIPULATION - HAND/WRIST JOINT UNDER GA $91.57
54810 ARTHRODESIS - WRIST - LIMITED OR TOTAL $645.53

Pelvis, Hip And Femur

Code Description Amount
11501 ASPIRATION - HIP JOINT $22.79
11502 ASPIRATION - HIP -BURSA/TENDON SHEATH, ETC. $11.40
11515 ARTHROTOMY - HIP JOINT $293.02
11530 BIOPSY - NEEDLE- HIP/GA $183.13
11532 ARTHROSCOPY/BIOPSY - HIP $508.19
11545 ARTHROTOMY/BIOPSY - HIP $238.06
11546 BIOPSY - HIP - SOFT TISSUE/BONE $238.06
51039 ASPIRATION - BURSA $22.79
51040 ASPIRATION - JOINT $22.79
55210 PELVIS/HIP/FEMUR- INCISION/DRAINAGE/GA $183.13
55215 ABSCESS - PELVIS/HIP/FEMUR -INCISION/DRAINAGE/GA $183.13
55220 HEMATOMA - PELVIS/HIP/FEMUR - DRAINAGE UNDER GA $293.02
55225 ARTHROTOMY - HIP JOINT - I AND D $315.90
55255 SOFT TISSUE RELEASE - HIP- PERCUTANEOUS $265.54
55270 MINOR RELEASE - HIP - ONE TENDON $293.02
55275 MAJOR RELEASE - TWO OR MORE - HIP $398.30
55305 LOOSE BODY - HIP - REMOVAL $370.83
55310 DEBRIDEMENT/SYNOVECTOMY - HIP - TOTAL $586.00
55355 EXCISION - OPEN - HIP - BURSA/TROCHANTERIC $210.59
55360 ARTHROTOMY - HIP - OPEN SYNOVECTOMY - TOTAL $558.54
55365 SOFT TISSUE TUMOUR - BENIGN -HIP - SUBFASCIAL $398.30
55370 BONE TUMOUR, BENIGN - HIP $425.78
55371 HETEROTOPIC BONE RESECTION $506.00
55380 OSTEOMYELITIS, ACUTE - HIP - DECOMPRESSION $183.13
55385 OSTEOMYELITIS, DEBRIDEMENT - HIP $315.90
55405 INJECTION OF JOINT - HIP $11.40
55410 INJECTION OF BURSA/TENDON SHEATH - HIP $11.40
55415 INT FIXATION DEVICE(S) - REMOVAL - HIP/GA $238.06
55420 INT FIXATION DEVICE(S) - REMOVAL - HIP/WITHOUT G $68.67
55505 SOFT TISSUE REPAIR - HIP INSTABILITY $640.96
55510 TENDON-MUSCLE TRANSFER - HIP $645.53
55515 TENDON AVULSION REPAIR - HIP $320.48
55601 OSTEOTOMY - PELVIS - ADULT $732.52
55602 OSTEOTOMY - PELVIS - PAEDIATRIC $586.00
55603 OSTEOTOMY - PROXIMAL FEMUR - ADULT $732.52
55604 OSTEOTOMY - PROXIMAL FEMUR - PAEDIATRIC $732.52
55605 OSTEOTOMY - FEMORAL SHAFT - ADULT $759.98
55606 OSTEOTOMY - FEMORAL SHAFT - PAEDIATRIC $759.98
55607 OSTEOTOMY - MULTIPLE FOR OSTEOGENESIS IMPERFECTA $874.44
55631 PELVIS: NON-UNION OR MALUNION $1,336.84
55632 NONUNION OR MALUNION - ACETABULUM $1,812.97
55633 NONUNION OR MALUNION - PROXIMAL FEMUR $879.03
55634 NONUNION OR MALUNION - SHAFT FEMUR $759.98
55635 NONUNION OR MALUNION - FEMORAL LENGTHENING, OPEN $879.03
55636 NONUNION OR MALUNION - FEMORAL SHORTENING, CLOSED $879.03
55651 BONE GRAFTING - FEMUR $265.54
55652 BONE GRAFTING - EPIPHYSIODESIS, GREATER TROCHANTER $320.48
55661 ARTHROPLASTY - RESECTION - HIP $480.71
55662 HEMI-ARTHROPLASTY - HIP $556.68
55663 TOTAL HIP PROSTHESIS $787.46
55671 REVISION TOTAL HIP ARTHROPLASTY: COMPONENTS $787.46
55672 TOTAL HIP ARTHROPLASTY- EXCHG OF MODULAR COMPONENT $425.78
55673 REVISION - FEMUR OR ACETABULUM $970.58
55674 REVISION - FEMUR AND ACETABULUM,INCLUDES PROSTALAC $1,281.89
55675 PROXIMAL FEMORAL REPLACEMENT $1,602.38
55701 FRACTURE-PELVIS-CLOSED REDUCTION-SKELETAL TRACTION $91.57
55702 PELVIS - CLOSED REDUCTION - EXTERNAL FIXATION $485.30
55705 PELVIS - EXTERNAL FIXATION/ORIF $1,071.31
55706 PELVIS -ORIF- ANTERIOR OR POSTERIOR $750.82
55707 PELVIS -ORIF - ANTERIOR AND POSTERIOR $1,149.13
55711 HIP - DISLOCATION - TRAUMATIC $91.57
55712 REDUCTION - HIP/GA $183.13
55715 REDUCTION - HIP - OPEN $480.71
55721 DISLOCATION- CONGENITAL- HIP- CLOSED REDUCTION/GA $265.54
55725 DISLOCATION - CONGENITAL - OPEN REDUCTION -HIP $700.47
55726 HIP DISLOC.OPEN REDUCTION FEM OR PELVIC OSTEOTOMY $1,027.79
55727 HIP DISLOC. OPEN REDUCTION FEM & PELVIC OSTEOTOMY $1,293.35
55731 HIP - FRACTURE/DISLOCATION - REDUCTION $91.57
55732 HIP - REDUCTION/GA $183.13
55735 HIP - OPEN REDUCTION $480.71
55736 HIP - ORIF $933.96
55738 HIP - PRIMARY WOUND CARE $100.30
55739 HIP - SECONDARY WOUND MANAGEMENT $183.13
55741 ACETABULUM - FRACTURE- CLOSED REDUCTION $183.13
55745 ACETABULUM - ORIF - ONE APPROACH $1,281.89
55746 ACETABULUM - TWO/EXTENSILE APPROACH $1,812.97
55751 FEMORAL NECK/SUBCAPITAL -FRACTURE-CLOSED REDUCTION $508.19
55755 FEMORAL NECK/SUBCAPITAL - ORIF $814.92
55758 FEMORAL NECK/SUBCAPITAL - PRIMARY WOUND CARE $100.30
55759 FRAC. FEMORAL NECK OR SUBCAPITAL: OPEN -SEC. WOUND $183.13
55760 FEMORAL NECK/SUBCAPITAL - SCFE INSITU FIXATION $508.19
55761 HIP - INTERTROCHANTERIC - REDUCTION $640.96
55768 HIP FRACTURE INTERTROCHANTERIC PRIMARY WOUND CARE $100.30
55769 HIP-INTERTROCHANTERIC - SECONDARY WOUND MANAGEMENT $183.13
55771 HIP: SUBTROCHANTERIC - INTERNAL FIXATION $874.44
55778 SUBTROCHANTERIC - PRIMARY WOUND CARE $100.30
55779 SUBTROCHANTERIC - SECONDARY WOUND MANAGEMENT $183.13
55780 FEMUR/SHAFT - CAST/TRACTION - CLOSED REDUCTION $119.02
55781 FEMUR/SHAFT - CLOSED REDUCTION/GA $210.59
55782 FEMUR/SHAFT - EXTERNAL SKELETAL FIXATION $347.95
55783 FEMUR/SHAFT - CLOSED REDUCTION, IM NAIL $759.98
55785 FEMUR/SHAFT - ORIF $759.98
55788 FEMUR/SHAFT - PRIMARY WOUND CARE $100.30
55789 FEMUR/SHAFT - SECONDARY WOUND MANAGEMENT $183.13
55800 MANIPULATION - HIP JOINT UNDER GA $91.57
55810 ARTHRODESIS - HIP JOINT $1,204.07
55980 AMPUTATION - HEMICORPECTOMY $2,398.97
55981 AMPUTATION - HEMIPELVECTOMY $1,336.84
55982 AMPUTATION - HIP DISARTICULATION $1,016.37
55983 AMPUTATION - ABOVE KNEE $640.96
55984 AMPUTATION - KNEE DISARTICULATION $640.96
55985 REVISION,AMPUTATION, BELOW KNEE $508.19
55998 AMPUTATION - PRIMARY WOUND CARE - ABOVE KNEE $100.30
55999 AMPUTATION - SECONDARY WOUND MANAGEMENT-ABOVE KNEE $183.13

Femur, Knee Joint, Tibia And Fibula

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.49
11600 ARTHROSCOPY - KNEE JOINT $210.59
11602 ASPIRATION - KNEE JOINT - BURSA/TENDON SHEATH, E $22.79
11615 ARTHROTOMY - KNEE JOINT $238.06
11630 BIOPSY - NEEDLE - KNEE JOINT/GA $183.13
11632 ARTHROSCOPY/BIOPSY - KNEE JOINT $210.59
11645 BIOPSY - OPEN - KNEE JOINT $238.06
51039 ASPIRATION - BURSA $22.79
51040 ASPIRATION - JOINT $22.79
56210 FEMUR, KNEE JOINT/TIBIA/FIBULA - I & D/GA $183.13
56215 FEMUR/KNEE JOINT/TIBIA/FIBULA - ABSCESS I & D/GA $183.13
56220 HEMATOMA - FEMUR/KNEE JOINT/TIBIA/FIBULA $293.02
56225 ARTHROTOMY - KNEE JOINT $183.13
56250 DECOMPRESSION - KNEE JOINT $210.59
56260 FASCIOTOMY, COMPARTMENT SYNDROME - KNEE JOINT $230.68
56269 KNEE JOINT - SECONDARY WOUND CLOSURE $183.13
56270 SOFT TISSUE RELEASE - KNEE - MINOR $338.80
56275 SOFT TISSUE RELEASE - KNEE - MAJOR $478.42
56280 KNEE LIBERATION/MAJOR RELEASE $755.40
56285 QUADRICEPS PLASTY - KNEE $613.48
56290 RETINACULAR RELEASE - LATERAL/MEDIAL KNEE - OPEN $238.06
56305 REMOVAL SYMPTOMATIC LOOSE BODY - KNEE $282.08
56306 KNEE - PINNING/DRILLING OSTEOCHONDRAL FRAGMENT $402.97
56310 SYNOVECTOMY KNEE, TOTAL $478.53
56315 RESECTION 'PLICA' $282.08
56320 MENISECTOMY - KNEE $282.08
56321 ARTHROPLASTY - KNEE - ARTHROSCOPIC $282.08
56322 ABRASION DEBRIDEMENT, EXTRA - FIRST 15 MIN. $141.04
56323 ABRASION DEBRIDEMENT,EXTRA-EACH ADDITIONAL 15 MIN. $70.52
56325 MENISCAL REPAIR $402.97
56330 ABRASION/DEBRIDEMENT - KNEE $282.08
56335 LATERAL/MEDIAL RELEASE - ENDOSCOPIC KNEE $282.08
56353 GANGLION/CYST - KNEE $210.59
56354 POPLITEAL CYST - KNEE $293.02
56355 OPEN EXCISION - KNEE - BURSA/PREPATELLAR $210.59
56356 ARTHROTOMY - REMOVAL OF LOOSE BODY - KNEE $238.06
56357 ARTHROTOMY KNEE - PINNING/DRILLING $345.65
56360 SYNOVECTOMY - KNEE, TOTAL $455.53
56361 MENISECTOMY - KNEE $238.06
56362 MENISCAL REPAIR - KNEE $345.65
56365 SOFT TISSUE TUMOUR - BENIGN - KNEE $320.48
56370 BONE TUMOUR - BENIGN - KNEE $265.54
56380 OSTEOMYELITIS ACUTE - KNEE - DECOMPRESSION $183.13
56385 OSTEOMYELITIS/DEBRIDEMENT - KNEE. $210.59
56390 PATELLECTOMY $320.48
56405 INJECTION OF JOINT - KNEE $22.79
56410 INJECTION - BURSA/TENDON SHEATH - KNEE $22.79
56415 KNEE - REMOVAL OF INT FIXATION DEVICE(S)/GA $238.06
56420 KNEE - REMOVAL OF INTERNAL FIXATION DEVICE(S) $68.67
56505 KNEE LIGAMENT INSTABILITY - ONE REPAIR $604.46
56510 KNEE LIGAMENT INSTABILITY - POSTERIOR CRUCIATE $732.52
56515 KNEE LIGAMENT INSTABILITY - TWO LIGAMENTS $704.78
56520 KNEE LIGAMENT INSTABILITY - THREE LIGAMENTS $819.50
56525 REVISION OF KNEE LIGAMENT RECONSTRUCTION $705.04
56528 KNEE LIGAMENT - OPEN INJURY - PRIMARY WOUND CARE $100.30
56529 KNEE LIGAMENT - OPEN INJURY - SECONDARY WOUND CARE $183.13
56530 RECUR. SUBLUX./DISLOC. PATELLA-EXTENSOR REALIGNMEN $425.78
56531 RECURR. SUBLUX./DISLOC. PATELLA-LATERAL RELEASE $238.06
56540 RECURR. SUBLUX./DISLOC. QUAD. TENDON RUPTURE,ACUTE $338.80
56541 RECURR. SUBLUX./DISLOC. QUAD. TENDON RUPT.-CHRONIC $480.71
56542 PATELLAR TENDON REPAIR $471.64
56545 TENDON TRANSFER, TRANSPLANT - PATELLA $320.48
56601 OSTEOTOMY DISTAL FEMUR - NON-UNION/MALUNION $787.46
56602 OSTEOTOMY PROXIMAL TIBIA - NON-UNION/MALUNION $558.54
56603 OSTEOTOMY TIBIA/SHAFT/FIBULA - NON-UNION/MALUNION $732.52
56604 OSTEOTOMY FIBULA -NON-UNION/MALUNION $265.54
56651 FEMUR - BONE GRAFTING $265.54
56652 BONE GRAFTING - TIBIA $265.54
56653 BONE GRAFTING - EPIPHYSIODESIS $293.02
56654 BONE GRAFTING - PHYSEAL BAR EXCISION $499.03
56661 ARTHROPLASTY - KNEE JOINT $787.46
56662 TOTAL KNEE REPLACEMENT $787.46
56663 TOTAL KNEE, REMOVAL PROSTHESIS, INCLUDES PROSTALAC $480.71
56664 REVISION - TOTAL KNEE $1,082.73
56665 REVISION - PATELLAR COMPONENT $398.30
56701 FRAC./DISLOC. FEMUR (SUPRACOND) -CLOSED W/O GA $119.02
56702 FRAC./DISLOC. FEMUR (SUPRACOND) - CLOSED W/ GA $210.59
56703 FRAC./DISLOC. FEMUR (SUPRACOND)-CLOSED, EXTERN FIX $347.95
56704 FRAC./DISLOC. FEMUR (SUPRACOND)- CLOSED W/ IM NAIL $759.98
56705 FRAC./DISLOC. FEMUR (SUPRACONDYLAR) - ORIF $759.98
56708 FRAC./DISLOC. FEMUR (SUPRACOND)- PRIM. WOUND CARE $100.30
56709 FRAC./DISLOC. FEMUR (SUPRACOND)- SEC. WOUND CARE $183.13
56711 FRAC./DISLOC. FEMUR COND./INTRACOND-CLOSED W/O GA $91.57
56712 FRAC./DISLOC. FEMUR COND./INTRACOND.-CLOSED W/ GA $183.13
56713 FRAC./DISLOC. FEMUR COND/INTRACOND-CLOSED EX FIX $347.95
56715 FRAC/DISLOC FEMUR COND/INTRACOND-ORIF-UNICONDYLAR $759.98
56716 FRAC/DISLOC FEMUR COND/INTRACOND-ORIF-BICONDYLAR $1,094.20
56718 FRAC/DISLOC FEMUR CON/INTRACOND-OP PRIM WOUND CARE $100.30
56719 FRAC/DISLOC FEMUR COND/INTRACOND-OP SEC WOUND CARE $183.13
56725 PATELLAR DISLOCATION - OPEN REDUCTION & REPAIR $238.06
56728 PATELLAR DISLOCATION - OPEN - PRIMARY WOUND CARE $100.30
56729 PATELLAR DISLOCATION - OPEN -SEC. WOUND MANAGEMENT $183.13
56734 PATELLECTOMY - PATELLA FRACTURE $320.48
56735 PATELLAR FRACTURE - ORIF $453.24
56738 PATELLAR FRACTURE - OPEN - PRIMARY WOUND CARE $100.30
56739 PATELLAR FRACTURE - OPEN - SEC. WOUND MANAGEMENT $183.13
56741 TIBIAL PLATEAU FRACTURE - CLOSED RED. W/ GA $183.13
56742 TIBIAL PLATEAU FRACTURE - CLOSED RED, EXTERN FIX $375.41
56745 TIBIAL PLATEAU FRACTURE - ORIF - UNICONDYLAR $640.96
56746 TIBIAL PLATEAU FRACTURE - ORIF - BICONDYLAR $906.49
56748 TIBIAL PLATEAU FRACTURE - OPEN - PRIM. WOUND CARE $100.30
56749 TIBIAL PLATEAU FRACTURE - OPEN - SEC. WOUND MANAGE $183.13
56751 TIBIAL SHAFT FRACTURE - CLOSED RED. W/O GA $91.57
56752 TIBIAL SHAFT FRACTURE - CLOSED RED. W/ GA $210.59
56753 TIBIAL SHAFT FRACTURE - CLOSED RED. EXTERN FIX $347.95
56754 TIBIAL SHAFT FRACTURE - CLOSED REDUCTION IM NAIL $672.98
56755 TIBIAL SHAFT FRACTURES - ORIF $558.54
56758 TIBIAL SHAFT FRACTURE - OPEN - PRIM. WOUND CARE $100.30
56759 TIBIAL SHAFT FRACTURE - OPEN - SEC. WOUND MANAG. $183.13
56769 FIBULAR SHAFT FRACTURE - OPEN - PRIM. WOUND CARE $183.13
56800 MANIPULATION - KNEE JOINT W/ GA $91.57
56810 ARTHRODESIS - KNEE JOINT $787.46
56980 AMPUTATION - BELOW THE KNEE $508.19
56998 AMPUTATION: BELOW KNEE - OPEN - PRIM. WOUND CARE $100.30
56999 AMPUTATION: BELOW KNEE - OPEN - SEC. WOUND MANA $183.13

Tibial Metaphysis (Distal), Ankle And Foot

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.49
11700 ARTHROSCOPY - ANKLE /SUBTALAR JOINT $183.13
11702 ASPIRATION - ANKLE JOINT - BURSA/TENDON SHEATH, ET $22.79
11715 ANKLE JOINT - INCISION -DIAGNOSTIC $183.13
11716 SUBTALAR JOINT - INCISION - DIAGNOSTIC $183.13
11717 MIDTARSAL JOINT - INCISION - DIAGNOSTIC $183.13
11718 TARSO-METATAR/METATAR-PHALANG/INTERPHALANG JOINTS $183.13
11730 TIBIAL METAPHYSIS/ANKLE/FOOT - NEEDLE BIOPSY W/ GA $183.13
11745 TIBIAL METAPHYSIS/ANKLE/FOOT - OPEN BIOPSY W/ GA $238.06
51039 ASPIRATION - BURSA $22.79
51040 ASPIRATION - JOINT $22.79
57210 TIBIAL METAPHYSIS/ANKLE/FOOT: I&D BURSA W/ GA $183.13
57215 TIBIAL METAPHYSIS/ANKLE/FOOT - I&D ABSCESS W/ GA $183.13
57220 TIBIAL METAPHYSIS/ANKLE/FOOT-HEMATOMA DRAIN. W/ GA $293.02
57225 ANKLE/FOOT JOINT - I&D W/ GA $183.13
57250 TIBIAL METAPHYSIS/ANKLE/FOOT-DECOMP/NEUROLYS NERVE $293.02
57260 TIBIAL METAPHYSIS/ANKLE/FOOT- FACIOTOMY,COMPAR SYN $210.59
57269 TIBIAL METAPHYSIS/ANKLE/FOOT-FACIOTOMY,SEC CLOSURE $183.13
57270 PLANTAR FASCIA: OPEN RELEASE OR PARTIAL EXCISION $265.54
57275 PLANTAR FASCIECTOMY - TOTAL $398.30
57280 ACHILLES TENDON LENGTHENING, PERCUTANEOUS $210.59
57285 POSTERIOR HINDFOOT RELEASE $425.78
57286 POSTEROMEDIAL RELEASE (CLUB FOOT/VERTICAL TALUS) $705.04
57290 TIBIAL METAPHYSIS/ANKLE/FOOT -TENDON LENGTH.- OPEN $265.54
57295 TIBIAL METAPHYSIS/ANKLE/FOOT - TENOSYNOVECTOMY $265.54
57305 REMOVAL OF LOOSE BODY-TIBIAL METAPHYSIS/ANKLE/FOOT $282.08
57306 PINNING/DRILLING FRAGMENTS: TIBIAL/ANKLE FOOT $402.97
57310 SYNOVECTOMY - ANKLE, TOTAL $453.34
57330 ABRASION/DEBRIDEMENT- TIBIAL METAPHYSIS/ANKLE/FOOT $282.08
57354 GANGLION - TIBIAL METAPHYSIS/ANKLE/FOOT $210.59
57355 EXCISION BURSA - ACHILLES $210.59
57356 NEUROMA - TIBIAL METAPHYSIS/ANKLE/FOOT $210.59
57360 TOTAL SYNOVECTOMY-TIBIAL METAPHYSIS/ANKLE/FOOT $347.95
57365 BENIGN SOFT TISSUE TUMOUR - TIBIAL/ANKLE/FOOT $210.59
57370 BENIGN BONE TUMOUR - TIBIAL/ANKLE/FOOT $345.65
57371 TARSAL COALITION - ANKLE/FOOT $345.65
57372 SESAMOIDECTOMY - TIBIAL METAPHYSIS/ANKLE/FOOT $238.06
57373 ACCESSORY NAVICULAR - TIBIAL METAPHYSIS/ANKLE/FOOT $238.06
57374 TALECTOMY - TIBIAL METAPHYSIS/ANKLE/FOOT $531.06
57375 EXCISION - NAIL BED - ANKLE/FOOT/GA $210.59
57380 OSTEOMYELITIS, ACUTE- TIBIAL METAPHYSIS/ANKLE/FOOT $183.13
57385 OSTEOMYELITIS,DEBRIDEMENT- TIBIAL/ANKLE/FOOT $315.90
57405 INJECTION OF JOINT - TIBIAL METAPHYSIS/ANKLE/FOOT $11.40
57410 INJECTION OF BURSA - TIBIAL METAPHYSIS/ANKLE/FOOT $11.40
57415 REM. OF INT. FIX. DEV(S) - ANKLE/FOOT W/ GA $210.59
57420 REM. OF INT. FIX. DEV(S) - ANKLE/FOOT W/O GA $45.78
57505 ANKLE INSTABILITY: CAPSULE/LIGAMENT REPAIR $238.06
57510 ANKLE INSTABILITY - RECONSTRUCTION $373.12
57515 TENDO-ACHILLES REPAIR, ACUTE (W/IN 6 WKS POST-INJ) $345.65
57516 TENDO-ACHILLES REPAIR, CHRONIC (> 6 WKS POST-INJ) $531.06
57520 FLEXOR TENDON REPAIR - ANKLE/FOOT, SINGLE/MULTI $345.65
57525 EXTENSOR TENDON REPAIR - ANKLE/FOOT/WITHOUT GA $119.02
57526 EXTENSOR TENDON REPAIR - ANKLE/FOOT - SINGLE/GA $238.06
57527 EXTENSOR TENDON REPAIR - ANKLE/FOOT - MULTIPLE/GA $329.63
57535 REPAIR/RECONSTRUCTION - TENDON SHEATH $373.12
57550 TENDON TRANSFER- TIBIAL METAPHYSIS/ANKLE/FOOT $425.78
57555 JONES PROCEDURE- TIBIAL METAPHYSIS/ANKLE/FOOT $320.48
57601 OSTEOTOMY/MALUNION - DISTAL TIBIAL $636.37
57602 OSTEOTOMY/MALUNION - MALLEOLUS $425.78
57603 CALCANEAL OSTEOTOMY $510.95
57604 MIDTARSAL OSTEOTOMY $586.00
57605 OSTEOTOMY/MALUNION - METATARSALS $345.65
57606 OSTEOTOMY - OPEN - PHALANGES $238.06
57631 OSTEOTOMY/NON-UNION - DISTAL TIBIAL $531.06
57632 OSTEOTOMY/NON-UNION - MALLEOLUS, LATERAL/MEDIAL $320.48
57633 OSTEOTOMY/NON-UNION - TARSALS $373.12
57634 OSTEOTOMY/NON-UNION - METATARSALS $210.59
57635 OSTEOTOMY/NON-UNION - PHALANGES (FOOT) $210.59
57636 OSTEOTOMY/NON-UNION - EPIPHYSIODESIS $293.02
57637 OSTEOTOMY/NON-UNION - PHYSEAL BAR EXCISION $398.30
57651 BONE GRAFTING - DISTAL TIBIA $238.06
57662 TOTAL ANKLE ARTHROPLASTY- REVISION $1,309.65
57663 TOTAL ANKLE ARTHROPLASTY - REMOVAL $183.13
57671 EXCISION ARTHROPLASTY GREAT TOE (KELLER'S) $265.54
57672 METATARSAL/PHALANGEAL JOINT RESECTION/RECONSTRUCT. $293.02
57673 OSTEOTOMY - DISTAL METATARSAL $293.02
57674 OSTEOTOMY - PROXIMAL METATARSAL/DISTAL REALIGNMENT $425.78
57675 IMPLANT ARTHROPLASTY - METATARSAL PHALANGEAL JOINT $293.02
57676 INTERPHALANGEAL JOINT ARTHROPLASTY, SINGLE/MULTI $265.54
57677 RECONSTRUCTION - MINOR FOREFOOT (LESSER TOES) $373.12
57678 RECONSTRUCTION - MAJOR FOREFOOT $583.70
57701 FRAC/DISLOC ANKLE - CLOSED REDUC. W/ GA $183.13
57702 FRAC/DISLOC ANKLE - EXTERNAL FIXATION $480.71
57705 FRAC/DISLOC ANKLE - ORIF $879.03
57708 FRAC/DISLOC ANKLE - OPEN - PRIMARY WOUND CARE $100.30
57709 FRAC/DISLOC ANKLE - OPEN - SECOND. WOUND CARE $183.13
57711 FRAC/DISLOC ANKLE(MALLEOLAR) - CLOSED RED. W/O GA $91.57
57712 FRAC/DISLOC ANKLE(MALLEOLAR) - CLOSED RED. W/ GA $265.54
57713 FRAC/DISLOC ANKLE(MALLEOLAR) - CLOSED RED. EX FIX $265.54
57715 FRAC/DISLOC ANKLE(MALLEOLAR) - ORIF - ONE $345.65
57716 FRAC/DISLOC ANKLE(MALLEOLAR) - ORIF - TWO OR MORE $398.30
57718 FRAC/DISLOC ANKLE(MALLEOLAR) - PRIM. WOUND CARE $100.30
57719 FRAC/DISLOC ANKLE(MALLEOLAR) - SECOND. WOUND CARE $183.13
57721 HINDFOOT/MIDFOOT/LISFRANC DISLOC - CLOSED W/O GA $91.57
57722 HINDFOOT/MIDFOOT/LISFRANC DISLOC - CLOSED W/ GA $183.13
57723 HINDFOOT/MIDFOOT/LISFRANC DISLOC - CLOSED W/ FIXAT $293.02
57725 HINDFOOT/MIDFOOT/LISFRANC DISLOC - OPEN REDUCTION $466.40
57728 HINDFOOT/MIDFOOT/LISFRANC DISLOC - PRIM.WOUND CARE $100.30
57729 HINDFOOT/MIDFOOT/LISFRANC DISLOC - SEC.WOUND CARE $183.13
57732 OS CALCIS FRACTURE - CLOSED REDUCTION W/ GA $183.13
57733 OS CALCIS FRACTURE - CLOSED REDUCTION W/ FIXATION $293.02
57735 OS CALCIS FRACTURE - ORIF $613.48
57738 OS CALCIS FRACTURE - OPEN - PRIM. WOUND CARE $100.30
57739 OS CALCIS FRACTURE - OPEN - SEC. WOUND CARE $183.13
57741 TALUS FRACTURE - CLOSED REDUCTION W/O GA $91.57
57742 TALUS FRACTURE - CLOSED REDUCTION W/ GA $183.13
57743 TALUS FRACTURE - CLOSED REDUCTION, FIXATION $320.48
57745 TALUS FRACTURE - ORIF $478.42
57748 TALUS FRACTURE - OPEN - PRIM. WOUND CARE $100.30
57749 TALUS FRACTURE - OPEN - SEC. WOUND CARE $183.13
57751 TARSAL FRACTURE - CLOSED REDUCTION W/O GA $91.57
57752 TARSAL FRACTURE - CLOSED REDUCTION W/ GA $183.13
57753 TARSAL FRACTURE - CLOSED REDUCTION, FIXATION $293.02
57755 TARSAL FRACTURE - ORIF $320.48
57758 TARSAL FRACTURE - OPEN - PRIM. WOUND CARE $100.30
57759 TARSAL FRACTURE - OPEN - SEC. WOUND CARE $183.13
57761 METATARSAL FRACTURE - CLOSED REDUCTION, FIXATION $265.54
57765 METATARSAL FRACTURE - ORIF - ONE $293.02
57766 METATARSAL FRACTURE - ORIF - TWO OR MORE $345.65
57768 METATARSAL FRACTURE - OPEN - PRIMARY WOUND CARE $100.30
57769 METATARSAL FRACTURE - OPEN - SECONDARY WOUND CARE $183.13
57771 METATARSO-PHALANGEAL DISLOC.- CLOSED RED. W/O GA $91.57
57772 METATARSO-PHALANGEAL DISLOC. - CLOSED RED. W/ GA $183.13
57773 METATARSO-PHALANGEAL DISLOC. - CLOSED RED, FIX $210.59
57775 METATARSO-PHALANGEAL DISLOC. - ORIF $293.02
57778 METATARSO-PHALANGEAL DISLOC. - OPEN - PRIM. WOUND $100.30
57779 METATARSO-PHALANGEAL DISLOC. - OPEN - SEC. WOUND $183.13
57781 PHALANGEAL FRACTURE - CLOSED REDUCTION, FIXATION $265.54
57785 PHALANGEAL FRACTURE - ORIF $293.02
57788 PHALANGEAL FRACTURE - OPEN - PRIM. WOUND CARE $50.14
57789 PHALANGEAL FRACTURE - OPEN - SEC. WOUND CARE $91.57
57791 INTERPHALANGEAL DISLOC. - CLOSED RED. W/O GA $45.78
57792 INTERPHALANGEAL DISLOC. - CLOSED RED. W/ GA $183.13
57793 INTERPHALANGEAL DISLOC. - CLOSED RED. FIXATION $265.54
57795 INTERPHALANGEAL DISLOC. - OPEN RED. W/WO FIXATION $293.02
57798 INTERPHALANGEAL DISLOC. - OPEN - PRIM.WOUND CARE $50.14
57799 INTERPHALANGEAL DISLOC. - OPEN - SEC.WOUND CARE $91.57
57800 MANIPULATION - ANKLE/FOOT W/ GA $91.57
57810 ARTHRODESIS - TIBIOCALCANEAL $586.00
57811 ARTHRODESIS - PANTALAR $824.07
57812 ARTHRODESIS - ANKLE JOINT $705.04
57813 ARTHRODESIS - SUBTALAR JOINT/TRIPLE $703.20
57814 ARTHRODESIS - MIDTARSAL JOINT $531.06
57815 ARTHRODESIS - TARSO-METATARSAL JOINTS $645.53
57816 ARTHRODESIS - METATARSOPHALANGEAL $345.65
57817 ARTHRODESIS - INTERPHANGEAL, SINGLE OR MULTIPLE $265.54
57980 AMPUTATION - SYME $521.90
57981 AMPUTATION - MIDTARSAL $480.71
57982 AMPUTATION - TRANSMETATARSAL $398.30
57983 AMPUTATION - SINGLE METATARSAL/RAY RESECTION $347.95
57984 AMPUTATION - TOE $183.13
57998 AMPUTATION - OPEN INJURY, PRIMARY WOUND CARE $50.14
57999 AMPUTATION - OPEN INJURY, SECONDARY WOUND CARE $91.57

Vertebra, Facette And Spine

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.49
03155 LAMINECTOMY FOR HAEMATOMA, TUMOR OR VASULAR MALFOR $930.59
03160 LAMINECTOMY, TETHERED SPINAL CORD OR CONGENITAL $1,333.45
03161 LAMINECTOMY FOR LOCALIZED SPINAL STENOSIS $773.94
03162 LAMINECTOMY FOR GENERALIZED SPINAL STENOSIS $1,190.60
03167 SKULL TONGS - INSERTION $123.85
03180 LAMINECTOMY FOR CERVICAL CORD, MULTIPLE LEVEL $1,403.20
11830 BIOPSY - NEEDLE - THORACIC SPINE/GA $210.59
11831 BIOPSY - NEEDLE - LUMBAR SPINE/GA $183.13
11845 BIOPSY - SPINE - OPEN $238.06
51039 ASPIRATION - BURSA $22.79
58205 INJECTION/ASPIRATION - FACET JOINT $91.18
58210 DISCOGRAM $91.18
58250 ABSCESS/HEMATOMA - EXTRASPINAL/GA $183.13
58305 DISCECTOMY $265.54
58370 DISCECTOMY - CERVICAL, SINGLE LEVEL $613.48
58375 DISCECTOMY - CERVICAL - >2 LEVELS $792.04
58376 DISCECTOMY - THORACOLUMBAR $1,414.65
58385 VERTEBRAL BODY RESECTION - CERVICAL $1,602.38
58386 VERTEBRAL BODY RESECTION - THORACOLUMBAR $1,867.89
58410 SPINAL INSTRUMENTATION - REMOVAL $503.61
58605 STABILIZATION - POSTERIOR - CERVICAL $531.06
58610 STABILIZATION - SEGMENTAL - CERVICAL $1,066.72
58615 STABILIZATION THORACOLUMBAR/WITHOUT INSTRUMENTATIO $480.71
58620 STABILIZATION THORACOLUMBAR/SIMPLE INSTRUMENTATION $759.98
58625 STABILIZATION - THORACOLUMBAR/SEGMENTAL INSTRUMENT $1,226.96
58630 STABILIZATION THORACOLUMBAR, FUSION/DECOMPRESSION $1,547.43
58635 THORACOLUMBAR FUSION/DECOMPRESSION/MULTIPLE LEVELS $1,812.97
58640 STABILIZATION - ANTERIOR: CERVICAL $494.44
58645 STABILIZATION - CERVICAL - PLATES/DISCECTOMY $970.58
58650 STABILIZATION - CERVICAL - PLATES/VERTEBRECTOMY $1,735.14
58655 STABILIZATION - ANTERIOR - THORACOLUMBAR $933.96
58660 STABILIZATION; ANTERIOR, THORACOLUMBAR/INSTRUMENT $2,000.66
58670 DEFORMITY CORRECTION - THORACOLUMBAR $1,414.65
58675 DEFORMITY CORRECTION - THORACOLUMBAR/ANTERIOR INST $1,680.20
58680 DEFORMITY CORRECTION - CERVICAL $2,398.97
58685 OSTEOTOMY - THORACOLUMBAR- POSTERIOR $2,398.97
58690 DEFORMITY; INSTRUMENTATION/FUSION/POSTERIOR, ADULT $1,735.14
58695 DEFORMITY; INSTRUMENTATION/FUSION/POSTERIOR, CHILD $1,414.65
58710 APPLICATION OF HALO - C-SPINE FRACTURE/DISLOCATION $183.13
58715 CERVICAL SPINE - ORIF $988.89
58725 FRACTURE/DISLOCATION, THORACOLUMBAR SPINE/FIXATION $1,281.89
58726 THORACOLUMBAR SPINE; ORIF/FIXATION + DECOMPRESSION $1,547.43

Musculoskeletal Oncology

Code Description Amount
51051 MALIGNANT SUBFASCIAL SOFT TISSUE TUMOUR -SIMPLE $586.00
51052 MALIGNANT SUBFASCIAL SOFT TISSUE TUMOUR - COMPLEX $1,254.42
51053 MALIGNANT BONE TUMOUR - LIMB $1,062.16
51054 SKELETAL DEFECT - RECONSTRUCTION $1,071.31
51055 MALIGNANT GIRDLE TUMOUR - SCAPULA $1,062.16
51056 MALIGNANT GIRDLE TUMOUR - PELVIS/SACRUM $1,593.22
51057 SHOULDER/PELVIS/SACRUM - RECONSTRUCTION $1,071.31
51058 MALIGNANT TUMOR/ROTATION PLASTY - RESECTION $2,133.44

Minor Procedures

Code Description Amount
13610 MINOR LACERATION OR FOREIGN BODY - NO ANAESTHESIA $34.15
13611 MINOR LACERATION/FOREIGN BODY REQUIRING ANAES. $63.59
13612 EXTENSIVE LACERATION GREATER THAN 5CM $12.75
13620 EXCISION TUMOR OF SKIN/SCAR UP TO 5CM $64.26
13630 PARONYCHIA $34.06
13631 NAIL REMOVAL - SIMPLE $34.06
13632 NAIL REMOVAL WITH DESTRUCTION OF NAIL BED $68.91
13633 WEDGE EXCISION OF ONE NAIL $60.80

Peripheral Nerve

Code Description Amount
03196 PERIPHERAL NERVE - MOBILIZATION AND TRANSPOSITION $276.06
03198 NEURECTOMY OF MAJOR PERIPHERAL NERVE $218.14
06258 PERIPHERAL NERVE/NEUROLYSIS - EXPLORATION $252.85

Spinal

Code Description Amount
03151 STEREOTAXIC SURGERY $775.93
03152 MYELOTOMY, BISCHOFF`S $918.07
03153 LAMINECTOMY WITH DREZ LESION FOR PAIN $1,381.55
03155 LAMINECTOMY FOR HAEMATOMA, TUMOR OR VASULAR MALFOR $930.59
03156 LAMINECTOMY FOR CERVICAL DISC - ONE LEVEL $722.59
03157 LAMINECTOMY FOR CERVICAL DISC - MULTIPLE LEVELS $792.88
03158 LAMINECTOMY FOR LUMBAR DISC - ONE LEVEL $658.03
03159 LAMINECTOMY FOR LUMBAR DISC - MULTIPLE LEVELS $655.18
03160 LAMINECTOMY, TETHERED SPINAL CORD OR CONGENITAL $1,333.45
03161 LAMINECTOMY FOR LOCALIZED SPINAL STENOSIS $773.94
03162 LAMINECTOMY FOR GENERALIZED SPINAL STENOSIS $1,190.60
03163 DISCECTOMY, ANTERIOR CERVICAL - ONE LEVEL $792.88
03164 DISCECTOMY, ANTERIOR CERVICAL - MULTIPLE LEVELS $1,023.31
03166 THORACIC DISC, REMOVAL $845.51
03167 SKULL TONGS - INSERTION $123.85
03168 LAMINECTOMY FOR INTRADURAL SPINAL CORD $1,975.20
03169 SPINE FRACTURE WITHOUT CORD INJURY $673.51
03180 LAMINECTOMY FOR CERVICAL CORD, MULTIPLE LEVEL $1,403.20
03185 POSTERO-LATERAL MICROSURGICAL THORACIC DISCECTOMY $1,264.78
03231 REPAIR OF SPINAL CSF LEAK OR PSEUDOMENINGOCOELE $587.42

Skin Grafts

Code Description Amount
06015 REMOVAL OF EXTENSIVE SCARS PER CM OVER 5 CM $8.37
06016 REMOVAL OF TUMOR OR SCAR UNDER GA, UP TO 5 CM $125.26
06017 REMOVAL OF TUMOUR; 5 CM TO 10 CM $256.85
06018 REMOVAL OF TUMOR - MORE THAN 10 CM $443.84
06019 SKIN GRAFTS - SINGLE OR MULTIPLE FLAPS < 2CM $155.32
06050 SKIN GRAFTS - REGIONS OF MAJOR JOINTS AND HANDS $424.32
06051 SKIN GRAFTS - FUNCTIONAL AREAS - FINGER TIP $245.89
07055 GANGLIA - WRIST $178.76

Debridement Of Soft Tissues For Necrotizing Infections Or Severe Trauma

Code Description Amount
70158 DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE,UP TO 5% BODY $231.19
70159 DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE; EACH SUB 5% $115.59
70162 DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA / 1ST 5% $258.04
70163 DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA/EACH SUB 5% $128.44
70165 DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE;UP TO 1ST 5% $282.56
70166 DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE;EACH SUB 5% $141.28
70168 ACTIVE WOUND MGMT-ACUTE PHASE AFTER DEBRIDEMENT $77.06
70169 ACTIVE WOUND MGMT/IN OR ACUTE PHASE AFT DEBRIDEMNT $123.30

Other

Code Description Amount
11500 ARTHROSCOPY - HIP JOINT $508.19
57652 BONE GRAFTING - MALLEOLUS, MEDIAL/LATERAL-TARSALS $146.50
57661 TOTAL ANKLE PROSTHESIS $972.17