Orthopaedics MSP billing codes


Professional Fees

Code Description Amount
51007 OFFICE VISIT - ORTHOPAEDICS $47.93
51008 HOSPITAL VISIT - ORTHOPAEDICS $30.47
51009 PAVLIC HARNESS-CASE MANAGEMENT $45.73
51010 CONSULTATION - ORTHOPAEDICS $105.61
51012 CONSULTATION - REPEAT/LIMITED - ORTHOPAEDICS $57.90
51015 CONSULTATION - SPECIAL - ORTHOPAEDICS $159.18

Professional Fees

Code Description Amount
51007 OFFICE VISIT - ORTHOPAEDICS $47.93
51008 HOSPITAL VISIT - ORTHOPAEDICS $30.47
51009 PAVLIC HARNESS-CASE MANAGEMENT $45.73
51010 CONSULTATION - ORTHOPAEDICS $105.61
51012 CONSULTATION - REPEAT/LIMITED - ORTHOPAEDICS $57.90
51015 CONSULTATION - SPECIAL - ORTHOPAEDICS $159.18

Surgical Assistant

Code Description Amount
00195 SURGICAL ASSIST-LESS THAN $317.00 INCLUSIVE $133.22
00196 SURGICAL ASSIST $317.01 TO 529.00 INCLUSIVE $187.83
00197 SURGICAL ASSISTANCE - OPERATIONS OVER $529.00 $256.18
00198 SURGICAL ASSIST TIME AFTER 3 HRS - PER 15 MINS $28.31
51194 FIRST SURGICAL ASSIST OF THE DAY-ORTHOPEDICS $76.14
70019 CERTIFIED SURGICAL ASSIST $254.72
70020 CERTIFIED SURGICAL ASSIST - TIME FROM 1-3 HOURS $31.99

Surgical Assistant

Code Description Amount
00195 SURGICAL ASSIST-LESS THAN $317.00 INCLUSIVE $133.22
00196 SURGICAL ASSIST $317.01 TO 529.00 INCLUSIVE $187.83
00197 SURGICAL ASSISTANCE - OPERATIONS OVER $529.00 $256.18
00198 SURGICAL ASSIST TIME AFTER 3 HRS - PER 15 MINS $28.31
51194 FIRST SURGICAL ASSIST OF THE DAY-ORTHOPEDICS $76.14
70019 CERTIFIED SURGICAL ASSIST $254.72
70020 CERTIFIED SURGICAL ASSIST - TIME FROM 1-3 HOURS $31.99

Application Of Cast (Incl. External Stimulator)

Code Description Amount
51016 CAST: SHORT ARM $23.06
51017 CAST - LONG ARM $23.06
51018 CAST - SHOULDER SPICA $86.30
51019 CAST - BELOW KNEE $23.06
51020 CAST - LONG LEG CYLINDER $23.06
51021 CAST - LONG LEG $23.06
51022 CAST - HIP SPICA - CHILD $86.30
51023 CAST - HIP SPICA - ADULT $86.30
51024 CAST - BODY $86.30
51025 CAST - CAST BRACE $46.14

Application Of Cast (Includes External Stimulator)

Code Description Amount
51016 CAST: SHORT ARM $23.06
51017 CAST - LONG ARM $23.06
51018 CAST - SHOULDER SPICA $86.30
51019 CAST - BELOW KNEE $23.06
51020 CAST - LONG LEG CYLINDER $23.06
51021 CAST - LONG LEG $23.06
51022 CAST - HIP SPICA - CHILD $86.30
51023 CAST - HIP SPICA - ADULT $86.30
51024 CAST - BODY $86.30
51025 CAST - CAST BRACE $46.14

Miscellaneous

Code Description Amount
51030 REPORT/INTERPRETATION OF FILMS - ORTHOPAEDICS $39.09
51035 SKELETAL TRACTION - APPLICATION $92.67
51036 COMPARTMENT PRESSURE MONITORING - EXTRA $92.28
51037 HARVESTING OF ILIAC CREST GRAFT - EXTRA $92.67
51038 HARVESTING OF SKIN GRAFT - EXTRA $101.92
51065 ILIZAROV INSTRUMENTATION, SIMPLE $1,084.22
51066 ILIZAROV INSTRUMENTATION; COMPLEX, MULTIPLE $1,487.31
51067 ILIZAROV INSTRUMENTATION EXTENSION/REVISION -FRAME $213.13

Miscellaneous Ortho

Code Description Amount
51030 REPORT/INTERPRETATION OF FILMS - ORTHOPAEDICS $39.09
51035 SKELETAL TRACTION - APPLICATION $92.67
51036 COMPARTMENT PRESSURE MONITORING - EXTRA $92.28
51037 HARVESTING OF ILIAC CREST GRAFT - EXTRA $92.67
51038 HARVESTING OF SKIN GRAFT - EXTRA $101.92
51065 ILIZAROV INSTRUMENTATION, SIMPLE $1,084.22
51066 ILIZAROV INSTRUMENTATION; COMPLEX, MULTIPLE $1,487.31
51067 ILIZAROV INSTRUMENTATION EXTENSION/REVISION -FRAME $213.13

Shoulder Girdle, Clavicle And Humerus

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.84
11200 ARTHROSCOPY- SHOULDER JOINT $296.55
11215 ARTHROTOMY - SHOULDER JOINT/BURSA $185.33
11230 BIOPSY - NEEDLE - SHOULDER JOINT/GA $185.33
11232 ARTHROSCOPY - BIOPSY- SHOULDER $240.93
11245 BIOPSY - SHOULDER JOINT - OPEN $240.93
51039 ASPIRATION - BURSA $23.06
51040 ASPIRATION - JOINT $23.06
52210 INCISION/DRAINAGE - BURSA -GA $185.33
52215 ABSCESS - INCISION/DRAINAGE - GA $185.33
52220 HEMATOMA - INCISION/DRAINAGE - GA $240.93
52225 ARTHROTOMY - SHOULDER JOINT - I AND D $185.33
52250 SOFT TISSUE RELEASE - MUSCLE, TENDON $377.61
52255 SHOULDER CONTRACTURE - MAJOR $537.46
52305 EXCISION - ENDOSCOPIC - REMOVAL OF LOOSE BODY $285.48
52306 EXCISION - ENDOSCOPIC - WITH/WITHOUT LOOSE BODY. $285.48
52307 PINNING - OSTEOCHONDRAL FRAGMENT $347.51
52310 DEBRIDEMENT, SYNOVECTOMY - TOTAL OR SUBTOTAL $407.82
52315 SHOULDER ABRASION $347.51
52320 LABRUM TEAR- EXCISION $240.93
52325 STABILIZATION PROCEDURE $565.26
52330 ACROMIOPLASTY - ENDOSCOPIC $407.82
52335 ARTHROSCOPIC CLAVICLE EXCISION-MEDIAL/LATERAL/EXTR $105.78
52355 EXCISION OF BURSA - SUBACROMIAL - OPEN $213.13
52356 ACROMIONECTOMY, ACROMIOPLASTY $347.51
52357 CLAVICLE EXCISION - OPEN $213.13
52360 ARTHROTOMY - SHOULDER. $403.10
52365 SUBFASCIAL SOFT TISSUE TUMOUR - BENIGN $403.10
52370 BONE TUMOUR - BENIGN $403.10
52380 OSTEOMYELITIS - ACUTE, DECOMPRESSION $185.33
52385 OSTEOMYELITIS - DEBRIDEMENT WITH/WITHOUT RECONSTR $319.70
52405 INJECTION OF JOINT - SHOULDER/CLAVICLE/HUMERUS $11.54
52410 INJECTION - BURSA,TENDON SHEATH- SHOULDER/CLAVICLE $11.54
52415 INT FIXATION DEVICE(S) - REMOVAL - GA $240.93
52420 INT FIXATION DEVICE(S), REMOVAL - WITHOUT GA $69.50
52505 ROTATOR CUFF REPAIR - SIMPLE $430.92
52506 ROTATOR CUFF RECONSTRUCTION - COMPLEX $713.53
52515 STABILIZATION - ACROMIOCLAVICULAR JOINT - ACUTE $268.73
52516 STABILIZATION - ACROMIOCLAVICULAR JOINT - CHRONIC $403.10
52525 SHOULDER INSTABILITY - INFERIOR CAPSULAR SHIFT $565.26
52526 SHOULDER INSTABILITY -BANKART $625.49
52535 SHOULDER INSTABILITY-ANTERIOR REPAIRS $456.38
52540 SHOULDER INSTABILITY - POSTERIOR-GLENOID OSTEOTOMY $713.53
52541 SHOULDER INSTABILITY - POSTERIOR - SOFT TISSUE $593.06
52545 STABILIZATION - SHOULDER INSTABILITY -REVISION, $713.53
52550 TENDON REPAIR, PROXIMAL BICEPS, PECTORALIS MAJOR $430.92
52555 SHOULDER/CLAVICLE/HUMERUS TENDON TRANSFER $509.68
52601 PROXIMAL HUMERUS - REPAIR/REVISION $713.53
52602 CLAVICLE - REPAIR/REVISION $509.78
52603 HEMI-ARTHROPLASTY - SHOULDER $616.24
52604 SHOULDER PROSTHESIS - TOTAL $983.88
52605 SHOULDER PROSTHESIS - REMOVAL $458.70
52606 SHOULDER ARTHROPLASTY/HEMIARTHROPLASTY- TOTAL -REV $796.95
52607 SHOULDER ARTHROPLASTY - TOTAL - REVISION $1,325.42
52651 BONE GRAFTING - PROXIMAL HUMERUS $240.93
52652 BONE GRAFTING - CLAVICLE $148.27
52705 ORIF - CLAVICLE/ACROMION/CORACOID $433.33
52708 CLAVICLE/ACROMION/CORACOID - PRIMARY WOUND CARE $101.50
52709 CLAVICLE/ACROMION/CORACOID - SECONDARY WOUND MANAG $185.33
52710 STERNO-CLAVICULAR JOINT STABILIZATION $509.78
52715 SCAPULA - FRACTURE/DISLOCATION - ORIF $917.42
52718 SCAPULA - OPEN INJURY, PRIMARY WOUND CARE $101.50
52719 SCAPULA - OPEN INJURY, SECONDARY WOUND MANAGEMENT $185.33
52721 GLENOHUMERAL - CLOSED REDUCTION WITHOUT GA $92.67
52722 GLENOHUMERAL - CLOSED REDUCTION WITH GA $240.93
52725 GLENOHUMERAL - OPEN REDUCTION $403.10
52731 PROXIMAL HUMERUS - CLOSED REDUCTION WITH GA $185.33
52732 PROXIMAL HUMERUS-CLOSED RED. WITH GA TRACTION/PIN $185.33
52735 PROXIMAL HUMERUS - ORIF - TWO PART $537.46
52736 PROXIMAL HUMERUS - ORIF - THREE OR MORE PARTS $649.66
52737 PROXIMAL HUMERUS- HEMIPROSTHESIS/WIRING-FRACTURE $796.95
52738 PROXIMAL HUMERUS - OPEN INJURY-PRIMARY WOUND CARE $101.50
52739 PROXIMAL HUMERUS - OPEN INJURY -SECONDARY WOUND $185.33
52741 HUMERUS - SHAFT -CLOSED REDUCTION WITH GA $240.93
52742 HUMERUS - SHAFT-CLOSED REDUCTION-EXTERNAL FIXATION $352.14
52745 HUMERUS- SHAFT - ORIF/INTRAMEDULLARY NAILING $565.26
52748 HUMERUS - SHAFT - OPEN INJURY PRIMARY WOUND CARE $101.50
52749 HUMERUS - SHAFT-OPEN SECONDARY WOUND MANAGEMENT $185.33
52800 MANIPULATION UNDER GA - SHOULDER JOINT $92.67
52810 ARTHRODESIS - SHOULDER JOINT $945.21
52811 ARTHRODESIS - SCAPULA-THORACIC JOINT $741.35
52980 AMPUTATION - SHOULDER DISARTICULATION $769.13
52981 AMPUTATION - FOREQUARTER $917.42
52982 AMPUTATION - HUMERAL SHAFT $537.46
52998 AMPUTATION - PRIMARY WOUND CARE - OPEN INJURY $101.50
52999 AMPUTATION - SECONDARY WOUND MANAGEMENT - OPEN $185.33

Shoulder Girdle, Clavicle And Humerus

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.84
11200 ARTHROSCOPY- SHOULDER JOINT $296.55
11215 ARTHROTOMY - SHOULDER JOINT/BURSA $185.33
11230 BIOPSY - NEEDLE - SHOULDER JOINT/GA $185.33
11232 ARTHROSCOPY - BIOPSY- SHOULDER $240.93
11245 BIOPSY - SHOULDER JOINT - OPEN $240.93
51039 ASPIRATION - BURSA $23.06
51040 ASPIRATION - JOINT $23.06
52210 INCISION/DRAINAGE - BURSA -GA $185.33
52215 ABSCESS - INCISION/DRAINAGE - GA $185.33
52220 HEMATOMA - INCISION/DRAINAGE - GA $240.93
52225 ARTHROTOMY - SHOULDER JOINT - I AND D $185.33
52250 SOFT TISSUE RELEASE - MUSCLE, TENDON $377.61
52255 SHOULDER CONTRACTURE - MAJOR $537.46
52305 EXCISION - ENDOSCOPIC - REMOVAL OF LOOSE BODY $285.48
52306 EXCISION - ENDOSCOPIC - WITH/WITHOUT LOOSE BODY. $285.48
52307 PINNING - OSTEOCHONDRAL FRAGMENT $347.51
52310 DEBRIDEMENT, SYNOVECTOMY - TOTAL OR SUBTOTAL $407.82
52315 SHOULDER ABRASION $347.51
52320 LABRUM TEAR- EXCISION $240.93
52325 STABILIZATION PROCEDURE $565.26
52330 ACROMIOPLASTY - ENDOSCOPIC $407.82
52335 ARTHROSCOPIC CLAVICLE EXCISION-MEDIAL/LATERAL/EXTR $105.78
52355 EXCISION OF BURSA - SUBACROMIAL - OPEN $213.13
52356 ACROMIONECTOMY, ACROMIOPLASTY $347.51
52357 CLAVICLE EXCISION - OPEN $213.13
52360 ARTHROTOMY - SHOULDER. $403.10
52365 SUBFASCIAL SOFT TISSUE TUMOUR - BENIGN $403.10
52370 BONE TUMOUR - BENIGN $403.10
52380 OSTEOMYELITIS - ACUTE, DECOMPRESSION $185.33
52385 OSTEOMYELITIS - DEBRIDEMENT WITH/WITHOUT RECONSTR $319.70
52405 INJECTION OF JOINT - SHOULDER/CLAVICLE/HUMERUS $11.54
52410 INJECTION - BURSA,TENDON SHEATH- SHOULDER/CLAVICLE $11.54
52415 INT FIXATION DEVICE(S) - REMOVAL - GA $240.93
52420 INT FIXATION DEVICE(S), REMOVAL - WITHOUT GA $69.50
52505 ROTATOR CUFF REPAIR - SIMPLE $430.92
52506 ROTATOR CUFF RECONSTRUCTION - COMPLEX $713.53
52515 STABILIZATION - ACROMIOCLAVICULAR JOINT - ACUTE $268.73
52516 STABILIZATION - ACROMIOCLAVICULAR JOINT - CHRONIC $403.10
52517 OPEN OR ARTHROSCOPIC SLAP/BICEPS TENODESIS REPAIR $625.49
52518 SLAP/BICEPS TENODESIS REPAIR OR GLENOHUML/BANKART $908.13
52519 SLAP/BICEPS TENODESIS REPAIR OR BANK AND ROTATOR $1,026.29
52520 SLAP/BICEPS TENODESIS & BANKART,TENDON TRANS & ROT $1,339.02
52521 SLAP/BICEPS & BANK,TENDON TRANS,ROTAT CUFF & GLENO $1,567.21
52525 SHOULDER INSTABILITY - INFERIOR CAPSULAR SHIFT $565.26
52526 SHOULDER INSTABILITY -BANKART $625.49
52535 SHOULDER INSTABILITY-ANTERIOR REPAIRS $456.38
52540 SHOULDER INSTABILITY - POSTERIOR-GLENOID OSTEOTOMY $713.53
52541 SHOULDER INSTABILITY - POSTERIOR - SOFT TISSUE $593.06
52545 STABILIZATION - SHOULDER INSTABILITY -REVISION, $713.53
52550 TENDON REPAIR, PROXIMAL BICEPS, PECTORALIS MAJOR $430.92
52555 SHOULDER/CLAVICLE/HUMERUS TENDON TRANSFER $509.68
52601 PROXIMAL HUMERUS - REPAIR/REVISION $713.53
52602 CLAVICLE - REPAIR/REVISION $509.78
52603 HEMI-ARTHROPLASTY - SHOULDER $616.24
52604 SHOULDER PROSTHESIS - TOTAL $983.88
52605 SHOULDER PROSTHESIS - REMOVAL $458.70
52606 SHOULDER ARTHROPLASTY/HEMIARTHROPLASTY- TOTAL -REV $796.95
52607 SHOULDER ARTHROPLASTY - TOTAL - REVISION $1,325.42
52651 BONE GRAFTING - PROXIMAL HUMERUS $240.93
52652 BONE GRAFTING - CLAVICLE $148.27
52705 ORIF - CLAVICLE/ACROMION/CORACOID $433.33
52708 CLAVICLE/ACROMION/CORACOID - PRIMARY WOUND CARE $101.50
52709 CLAVICLE/ACROMION/CORACOID - SECONDARY WOUND MANAG $185.33
52710 STERNO-CLAVICULAR JOINT STABILIZATION $509.78
52715 SCAPULA - FRACTURE/DISLOCATION - ORIF $917.42
52718 SCAPULA - OPEN INJURY, PRIMARY WOUND CARE $101.50
52719 SCAPULA - OPEN INJURY, SECONDARY WOUND MANAGEMENT $185.33
52721 GLENOHUMERAL - CLOSED REDUCTION WITHOUT GA $92.67
52722 GLENOHUMERAL - CLOSED REDUCTION WITH GA $240.93
52725 GLENOHUMERAL - OPEN REDUCTION $403.10
52731 PROXIMAL HUMERUS - CLOSED REDUCTION WITH GA $185.33
52732 PROXIMAL HUMERUS-CLOSED RED. WITH GA TRACTION/PIN $185.33
52735 PROXIMAL HUMERUS - ORIF - TWO PART $537.46
52736 PROXIMAL HUMERUS - ORIF - THREE OR MORE PARTS $649.66
52737 PROXIMAL HUMERUS- HEMIPROSTHESIS/WIRING-FRACTURE $796.95
52738 PROXIMAL HUMERUS - OPEN INJURY-PRIMARY WOUND CARE $101.50
52739 PROXIMAL HUMERUS - OPEN INJURY -SECONDARY WOUND $185.33
52741 HUMERUS - SHAFT -CLOSED REDUCTION WITH GA $240.93
52742 HUMERUS - SHAFT-CLOSED REDUCTION-EXTERNAL FIXATION $352.14
52745 HUMERUS- SHAFT - ORIF/INTRAMEDULLARY NAILING $565.26
52748 HUMERUS - SHAFT - OPEN INJURY PRIMARY WOUND CARE $101.50
52749 HUMERUS - SHAFT-OPEN SECONDARY WOUND MANAGEMENT $185.33
52800 MANIPULATION UNDER GA - SHOULDER JOINT $92.67
52810 ARTHRODESIS - SHOULDER JOINT $945.21
52811 ARTHRODESIS - SCAPULA-THORACIC JOINT $741.35
52980 AMPUTATION - SHOULDER DISARTICULATION $769.13
52981 AMPUTATION - FOREQUARTER $917.42
52982 AMPUTATION - HUMERAL SHAFT $537.46
52998 AMPUTATION - PRIMARY WOUND CARE - OPEN INJURY $101.50
52999 AMPUTATION - SECONDARY WOUND MANAGEMENT - OPEN $185.33

Elbow, Proximal Radius And Ulna

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.84
11300 ARTHROSCOPY - ELBOW JOINT $266.43
11302 ASPIRATION - BURSA/TENDON SHEATH - DIAGNOSTIC $23.06
11315 ARTHROTOMY - ELBOW JOINT $185.33
11330 BIOPSY - NEEDLE - ELBOW JOINT/GA $185.33
11332 ARTHROSCOPY/BIOPSY- ELBOW JOINT $294.23
11345 BIOPSY - OPEN - ELBOW JOINT $240.93
51039 ASPIRATION - BURSA $23.06
51040 ASPIRATION - JOINT $23.06
53210 ELBOW, PROXIMAL RADIUS/ULNA - I & D $185.33
53215 ELBOW, PROXIMAL RADIUS- ABSCESS I&D UNDER GA $185.33
53220 ELBOW, PROXIMAL RADIUS/ULNA - HEMATOMA UNDER GA $240.93
53225 ELBOW JOINT ARTHROTOMY I AND D $185.33
53250 ELBOW,PROXIMAL RADIUS/ULNA- DECOMPRESSION/NEUROLY $240.93
53255 ELBOW, INCISION-DECOMPRESSION,NEUROLYSIS $403.10
53260 ELBOW, FASCIOTOMY, COMPARTMENT SYNDROME $213.13
53269 ELBOW, INCISION - FASCIOTOMY, SECONDARY WOUND $185.33
53305 ELBOW, EXCISION -REMOVAL LOOSE BODY $331.36
53310 ELBOW, EXCISION - DEBRIDEMENT, SYNOVECTOMY-TOTAL $637.22
53355 ELBOW, EXCISION -THERAPEUTIC - BURSA/GANGLION $213.13
53360 ELBOW ARTHROTOMY - OPEN SYNOVECTOMY $403.10
53365 ELBOW EXCISION BENIGN SOFT TISSUE TUMOR,SUBFACIAL $268.73
53370 ELBOW - BONE TUMOUR, BENIGN $268.73
53380 BONE TUMOUR - ELBOW - OSTEOMYELITIS, ACUTE $185.33
53385 BONE TUMOUR - ELBOW - OSTEOMYELITIS-DEBRIDEMENT $319.70
53386 RADIAL HEAD RESECTION - ELBOW $240.93
53405 INJECTION OF JOINT - ELBOW $11.54
53410 INJECTION OF BURSA/TENDON SHEATH - ELBOW $11.54
53415 INT FIXATION DEVICE(S)-ELBOW-REMOVAL WITH GA $213.13
53420 INT FIXATION DEVICE(S)-ELBOW-REMOVAL/WITHOUT GA $69.50
53505 ELBOW INSTABILITY- CHRONIC $671.82
53510 RECURRENT DISLOCATION - RADIAL HEAD - ELBOW $565.26
53515 TRICEPS TENDON - ACUTE - ELBOW $349.82
53516 TRICEPS TENDON, FASCIAL RECONSTRUCTION - ELBOW $403.10
53520 BICEPS TENDON, LONGHEAD, TENODESIS - ELBOW $268.73
53521 BICEPS TENDON, DISTAL INSERTION - ELBOW $565.26
53530 TENDON TRANSFER - MAJOR - ELBOW $713.53
53531 TENDON TRANSFER- MINOR - ELBOW $430.92
53540 EPICONDYLITIS - FASCIAL STRIPPING - ELBOW $213.13
53601 HUMERAL SHAFT - REPAIR - ELBOW $706.59
53602 DISTAL HUMERUS - REPAIR - ELBOW $713.53
53603 RADIUS SHAFT -REPAIR - ELBOW $590.73
53604 ULNA SHAFT - REPAIR - ELBOW $517.06
53605 RADIUS AND ULNA SHAFTS - REPAIR/REVISION - ELBOW $713.53
53606 EPIPHYSIODESIS - REPAIR/REVISION - ELBOW $268.73
53607 PHYSEAL BAR EXCISION/HARVEST - ELBOW $444.80
53641 ARTHROPLASTY - ELBOW - INTERPOSITION/DISTRACTION $917.42
53642 ARTHROPLASTY- TOTAL ELBOW $983.88
53643 ARTHROPLASTY- TOTAL ELBOW - REVISION $1,325.42
53644 OSTEOCAPSULAR ARTHROPLASTY $917.61
53651 BONE GRAFTING: HUMERUS - ELBOW $240.93
53652 BONE GRAFTING - RADIUS AND/OR ULNA - ELBOW $240.93
53653 BONE GRAFTING - OLECRANON - ELBOW $148.27
53701 HUMERAL EPICONDYLE - FRACTURE/DISLOCATION/GA $240.93
53702 HUMERAL EPICONDYLE - CLOSED REDUCTION $268.73
53705 HUMERAL EPICONDYLE - ORIF $268.73
53708 HUMERAL EPICONDYLE - PRIMARY WOUND CARE $101.50
53709 HUMERAL EPICONDYLE - SECONDARY WOUND $185.33
53711 DISTAL HUMERUS: CLOSED REDUCTION $185.33
53712 DISTAL HUMERUS - CLOSED REDUCTION $383.20
53715 DISTAL HUMERUS - ORIF $441.57
53718 DISTAL HUMERUS - PRIMARY WOUND CARE $101.50
53719 DISTAL HUMERUS - SECONDARY WOUND MANAGEMENT $185.33
53721 DISTAL HUMERUS: INTRA-ARTICULAR - CLOSED RED W/ GA $185.33
53722 DISTAL HUMERUS-CLOSED REDUCTION EXTERNAL FIXATION $352.14
53725 DISTAL HUMERUS - ORIF - UNICONDYLAR $403.10
53726 DISTAL HUMERUS - ORIF - BICONDYLAR $861.80
53727 DISTAL HUMERUS - PRIMARY WOUND CARE $101.50
53728 DISTAL HUMERUS - SECONDARY WOUND MANAGEMENT $185.33
53735 OLECRANON - FRACTURE/DISLOCATION - ORIF $413.66
53738 OLECRANON - PRIMARY WOUND CARE $101.50
53739 OLECRANON - SECONDARY WOUND MANAGEMENT $185.33
53741 RADIAL HEAD/NECK - FRACTURE/DISLOCATION - CLOSED $240.93
53742 RADIAL HEAD/NECK - CLOSED REDUCTION PERCUTANEOUS $268.73
53745 RADIAL HEAD/NECK - ORIF $403.10
53748 RADIAL HEAD/NECK - PRIMARY WOUND CARE $101.50
53749 RADIAL HEAD/NECK - SECONDARY WOUND MANAGEMENT $185.33
53751 ELBOW JOINT - DISLOCATION - CLOSED REDUCTION $148.27
53752 ELBOW JOINT - DISLOCATION - CLOSED REDUCTION/GA $240.93
53755 ELBOW JOINT - DISLOCATION - OPEN REDUCTION $296.55
53761 RADIUS/ULNA SHAFT - FRACTURE/DISLOCATION - CLOSED $92.67
53762 RADIUS/ULNA SHAFT- FRACTURE/DISLOCATION- CLOSED/GA $296.55
53765 RADIUS/ULNA SHAFT - ORIF $537.46
53768 RADIUS/ULNA SHAFT - OPEN INJURY-PRIMARY WOUND CARE $101.50
53769 RADIUS/ULNA SHAFT-SECONDARY WOUND MGMT-OPEN INJURY $185.33
53771 RADIUS OR ULNA SHAFT/MONTEGGIA-CLOSED REDUCTION/GA $268.73
53772 RADIUS OR ULNA SHAFT/MONTEGGIA - CLOSED REDUCTION $268.73
53775 RADIUS OR ULNA SHAFT/MONTEGGIA - ORIF $413.66
53778 RADIUS OR ULNA SHAFT/MONTEGGIA - PRIMARY WOUND $101.50
53779 RADIUS OR ULNA SHAFT/MONTEGGIA - SECONDARY WOUND $185.33
53800 MANIPULATION - UNDER GA - ELBOW JOINT $92.67
53810 ARTHRODESIS - ELBOW JOINT $713.53
53980 AMPUTATION - ELBOW $403.10
53981 AMPUTATION - FOREARM $403.10
53998 AMPUTATION - FOREARM - PRIMARY WOUND CARE $101.50
53999 AMPUTATION - FOREARM - SECONDARY WOUND MANAGEMENT $185.33

Hand And Wrist

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.84
06218 AMPUTATION - TRANSMETACARPAL $253.02
06219 AMPUTATION - FINGER $253.02
07055 GANGLIA - WRIST $200.72
11400 ARTHROSCOPY - WRIST JOINT $285.48
11402 ASPIRATION - BURSA/SYNOVIAL SHEATH, ETC. $23.06
11415 ARTHROTOMY - WRIST JOINT $185.33
11416 ARTHROTOMY - MP/PIP/DIP JOINTS $185.33
11430 BIOPSY - NEEDLE - WRIST JOINT/GA $185.33
11432 ARTHROSCOPY/BIOPSY - WRIST /HAND JOINT(S) $185.33
11445 BIOPSY - OPEN - HAND/WRIST $240.93
51039 ASPIRATION - BURSA $23.06
51040 ASPIRATION - JOINT $23.06
54305 REMOVAL OF LOOSE BODY - HAND/WRIST $240.93
54310 DEBRIDEMENT/ SYNOVECTOMY- HAND/WRIST - TOTAL $322.02
54315 TRIANGULAR FIBRO CARTILAGE COMPLEX (TFCC) $322.02
54350 FOREIGN BODY REMOVAL - HAND/WRIST/GA $213.13
54351 EXCISION - OPEN - MENISCUS/RADIOCARPAL $322.02
54372 BONE TUMOR - BENIGN - CARPALS/DISTAL RADIUS $322.02
54380 OSTEOMYELITIS, ACUTE - CARPALS, DISTAL/RADIUS $185.33
54385 OSTEOMYELITIS/DEBRIDEMENT - CARPALS/DISTAL RADIUS $319.70
54386 STYLOID - RADIAL/ULNAR - EXCISION $213.13
54387 CARPECTOMY - PROXIMAL ROW $537.46
54405 INJECTION - THERAPEUTIC - HAND/WRIST JOINT $23.06
54410 INJECTION - THERAPEUTIC - BURSA/TENDON SHEATH $23.06
54415 INT FIXATION DEVICE(S) AND/WRIST- REMOVAL/GA $213.13
54420 INT FIXATION DEVICE(S) - HAND/WRIST -REMOVAL $46.33
54505 CARPAL INSTABILITY - ACUTE $593.06
54510 CARPAL INSTABILITY: CHRONIC $653.30
54515 DISTAL RADIO-ULNAR INSTABILITY - CHRONIC $484.18
54601 OSTEOTOMY - DISTAL RADIUS $653.30
54602 OSTEOTOMY - DISTAL ULNA $324.34
54603 CARPAL BONE (SCAPHOID) - REPAIR/REVISION $537.46
54604 OSTEOTOMY - EPIPHYSIODESIS/EPIPHYSIOPLASTY/RADIUS/ $403.10
54631 ARTHROPLASTY - ULNA - DISTAL EXCISION $240.93
54632 JOINT REPLACEMENT - TOTAL WRIST $713.53
54633 ARTHROPLASTY- SILASTIC WRIST $537.46
54634 WRIST PROSTHESIS - REMOVAL $268.73
54635 ARTHROPLASTY - TOTAL WRIST - REVISION $945.21
54651 BONE GRAFTING - DISTAL RADIUS/ULNA $240.93
54652 BONE GRAFTING - METACARPAL/PHALANX $120.46
54701 RADIUS - FRACTURE/DISLOCATION-CLOSED REDUCTION $250.21
54702 RADIUS - CLOSED REDUCTION/GA $296.55
54703 RADIUS - EXTERNAL/PERCUTANEOUS FIXATION. $324.34
54705 RADIUS - ORIF $514.32
54708 RADIUS - PRIMARY WOUND CARE $50.75
54709 RADIUS - SECONDARY WOUND MANAGEMENT $92.67
54715 CARPAL BONE FRACTURE(SCAPHOID) - OPEN REDUCTION $430.92
54721 CARPUS-DISLOCATION-W/WO FRACTURE-CLOSED REDUCTION $250.21
54722 CARPUS - CLOSED REDUCTION/PERCUTANEOUS FIXATION $296.55
54725 CARPUS - ORIF $593.06
54728 CARPUS - PRIMARY WOUND CARE $50.75
54729 CARPUS - SECONDARY WOUND MANAGEMENT $92.67
54800 MANIPULATION - HAND/WRIST JOINT UNDER GA $92.67
54810 ARTHRODESIS - WRIST - LIMITED OR TOTAL $653.30

Pelvis, Hip And Femur

Code Description Amount
11501 ASPIRATION - HIP JOINT $23.06
11502 ASPIRATION - HIP -BURSA/TENDON SHEATH, ETC. $11.54
11515 ARTHROTOMY - HIP JOINT $296.55
11530 BIOPSY - NEEDLE- HIP/GA $185.33
11532 ARTHROSCOPY/BIOPSY - HIP $514.32
11545 ARTHROTOMY/BIOPSY - HIP $240.93
11546 BIOPSY - HIP - SOFT TISSUE/BONE $240.93
51039 ASPIRATION - BURSA $23.06
51040 ASPIRATION - JOINT $23.06
55210 PELVIS/HIP/FEMUR- INCISION/DRAINAGE/GA $185.33
55215 ABSCESS - PELVIS/HIP/FEMUR -INCISION/DRAINAGE/GA $185.33
55220 HEMATOMA - PELVIS/HIP/FEMUR - DRAINAGE UNDER GA $296.55
55225 ARTHROTOMY - HIP JOINT - I AND D $319.70
55255 SOFT TISSUE RELEASE - HIP- PERCUTANEOUS $268.73
55270 MINOR RELEASE - HIP - ONE TENDON $296.55
55275 MAJOR RELEASE - TWO OR MORE - HIP $403.10
55305 LOOSE BODY - HIP - REMOVAL $375.30
55310 DEBRIDEMENT/SYNOVECTOMY - HIP - TOTAL $593.06
55355 EXCISION - OPEN - HIP - BURSA/TROCHANTERIC $213.13
55360 ARTHROTOMY - HIP - OPEN SYNOVECTOMY - TOTAL $565.26
55365 SOFT TISSUE TUMOUR - BENIGN -HIP - SUBFASCIAL $403.10
55370 BONE TUMOUR, BENIGN - HIP $430.92
55371 HETEROTOPIC BONE RESECTION $512.10
55380 OSTEOMYELITIS, ACUTE - HIP - DECOMPRESSION $185.33
55385 OSTEOMYELITIS, DEBRIDEMENT - HIP $319.70
55405 INJECTION OF JOINT - HIP $11.54
55410 INJECTION OF BURSA/TENDON SHEATH - HIP $11.54
55415 INT FIXATION DEVICE(S) - REMOVAL - HIP/GA $240.93
55420 INT FIXATION DEVICE(S) - REMOVAL - HIP/WITHOUT G $69.50
55505 SOFT TISSUE REPAIR - HIP INSTABILITY $648.67
55510 TENDON-MUSCLE TRANSFER - HIP $653.30
55515 TENDON AVULSION REPAIR - HIP $324.34
55601 OSTEOTOMY - PELVIS - ADULT $741.35
55602 OSTEOTOMY - PELVIS - PAEDIATRIC $593.06
55603 OSTEOTOMY - PROXIMAL FEMUR - ADULT $741.35
55604 OSTEOTOMY - PROXIMAL FEMUR - PAEDIATRIC $741.35
55605 OSTEOTOMY - FEMORAL SHAFT - ADULT $769.13
55606 OSTEOTOMY - FEMORAL SHAFT - PAEDIATRIC $769.13
55607 OSTEOTOMY - MULTIPLE FOR OSTEOGENESIS IMPERFECTA $884.97
55631 PELVIS: NON-UNION OR MALUNION $1,352.95
55632 NONUNION OR MALUNION - ACETABULUM $1,834.81
55633 NONUNION OR MALUNION - PROXIMAL FEMUR $889.62
55634 NONUNION OR MALUNION - SHAFT FEMUR $769.13
55635 NONUNION OR MALUNION - FEMORAL LENGTHENING, OPEN $889.62
55636 NONUNION OR MALUNION - FEMORAL SHORTENING, CLOSED $889.62
55651 BONE GRAFTING - FEMUR $268.73
55652 BONE GRAFTING - EPIPHYSIODESIS, GREATER TROCHANTER $324.34
55661 ARTHROPLASTY - RESECTION - HIP $486.50
55662 HEMI-ARTHROPLASTY - HIP $563.39
55663 TOTAL HIP PROSTHESIS $796.95
55671 REVISION TOTAL HIP ARTHROPLASTY: COMPONENTS $796.95
55672 TOTAL HIP ARTHROPLASTY- EXCHG OF MODULAR COMPONENT $430.92
55673 REVISION - FEMUR OR ACETABULUM $982.27
55674 REVISION - FEMUR AND ACETABULUM,INCLUDES PROSTALAC $1,297.34
55675 PROXIMAL FEMORAL REPLACEMENT $1,621.68
55701 FRACTURE-PELVIS-CLOSED REDUCTION-SKELETAL TRACTION $92.67
55702 PELVIS - CLOSED REDUCTION - EXTERNAL FIXATION $491.15
55705 PELVIS - EXTERNAL FIXATION/ORIF $1,084.22
55706 PELVIS -ORIF- ANTERIOR OR POSTERIOR $759.87
55707 PELVIS -ORIF - ANTERIOR AND POSTERIOR $1,162.97
55711 HIP - DISLOCATION - TRAUMATIC $92.67
55712 REDUCTION - HIP/GA $185.33
55715 REDUCTION - HIP - OPEN $486.50
55721 DISLOCATION- CONGENITAL- HIP- CLOSED REDUCTION/GA $268.73
55725 DISLOCATION - CONGENITAL - OPEN REDUCTION -HIP $708.90
55726 HIP DISLOC.OPEN REDUCTION FEM OR PELVIC OSTEOTOMY $1,040.17
55727 HIP DISLOC. OPEN REDUCTION FEM & PELVIC OSTEOTOMY $1,308.93
55731 HIP - FRACTURE/DISLOCATION - REDUCTION $92.67
55732 HIP - REDUCTION/GA $185.33
55735 HIP - OPEN REDUCTION $486.50
55736 HIP - ORIF $945.21
55738 HIP - PRIMARY WOUND CARE $101.50
55739 HIP - SECONDARY WOUND MANAGEMENT $185.33
55741 ACETABULUM - FRACTURE- CLOSED REDUCTION $185.33
55745 ACETABULUM - ORIF - ONE APPROACH $1,297.34
55746 ACETABULUM - TWO/EXTENSILE APPROACH $1,834.81
55751 FEMORAL NECK/SUBCAPITAL -FRACTURE-CLOSED REDUCTION $514.32
55755 FEMORAL NECK/SUBCAPITAL - ORIF $824.75
55758 FEMORAL NECK/SUBCAPITAL - PRIMARY WOUND CARE $101.50
55759 FRAC. FEMORAL NECK OR SUBCAPITAL: OPEN -SEC. WOUND $185.33
55760 FEMORAL NECK/SUBCAPITAL - SCFE INSITU FIXATION $514.32
55761 HIP - INTERTROCHANTERIC - REDUCTION $648.67
55768 HIP FRACTURE INTERTROCHANTERIC PRIMARY WOUND CARE $101.50
55769 HIP-INTERTROCHANTERIC - SECONDARY WOUND MANAGEMENT $185.33
55771 HIP: SUBTROCHANTERIC - INTERNAL FIXATION $884.97
55778 SUBTROCHANTERIC - PRIMARY WOUND CARE $101.50
55779 SUBTROCHANTERIC - SECONDARY WOUND MANAGEMENT $185.33
55780 FEMUR/SHAFT - CAST/TRACTION - CLOSED REDUCTION $120.46
55781 FEMUR/SHAFT - CLOSED REDUCTION/GA $213.13
55782 FEMUR/SHAFT - EXTERNAL SKELETAL FIXATION $352.14
55783 FEMUR/SHAFT - CLOSED REDUCTION, IM NAIL $769.13
55785 FEMUR/SHAFT - ORIF $769.13
55788 FEMUR/SHAFT - PRIMARY WOUND CARE $101.50
55789 FEMUR/SHAFT - SECONDARY WOUND MANAGEMENT $185.33
55800 MANIPULATION - HIP JOINT UNDER GA $92.67
55810 ARTHRODESIS - HIP JOINT $1,218.57
55980 AMPUTATION - HEMICORPECTOMY $2,427.87
55981 AMPUTATION - HEMIPELVECTOMY $1,352.95
55982 AMPUTATION - HIP DISARTICULATION $1,028.61
55983 AMPUTATION - ABOVE KNEE $648.67
55984 AMPUTATION - KNEE DISARTICULATION $648.67
55985 REVISION,AMPUTATION, BELOW KNEE $514.32
55998 AMPUTATION - PRIMARY WOUND CARE - ABOVE KNEE $101.50
55999 AMPUTATION - SECONDARY WOUND MANAGEMENT-ABOVE KNEE $185.33

Femur, Knee Joint, Tibia And Fibula

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.84
11600 ARTHROSCOPY - KNEE JOINT $213.13
11602 ASPIRATION - KNEE JOINT - BURSA/TENDON SHEATH, E $23.06
11615 ARTHROTOMY - KNEE JOINT $240.93
11630 BIOPSY - NEEDLE - KNEE JOINT/GA $185.33
11632 ARTHROSCOPY/BIOPSY - KNEE JOINT $213.13
11645 BIOPSY - OPEN - KNEE JOINT $240.93
51039 ASPIRATION - BURSA $23.06
51040 ASPIRATION - JOINT $23.06
56210 FEMUR, KNEE JOINT/TIBIA/FIBULA - I & D/GA $185.33
56215 FEMUR/KNEE JOINT/TIBIA/FIBULA - ABSCESS I & D/GA $185.33
56220 HEMATOMA - FEMUR/KNEE JOINT/TIBIA/FIBULA $296.55
56225 ARTHROTOMY - KNEE JOINT $185.33
56250 DECOMPRESSION - KNEE JOINT $213.13
56260 FASCIOTOMY, COMPARTMENT SYNDROME - KNEE JOINT $233.46
56269 KNEE JOINT - SECONDARY WOUND CLOSURE $185.33
56270 SOFT TISSUE RELEASE - KNEE - MINOR $342.88
56275 SOFT TISSUE RELEASE - KNEE - MAJOR $484.18
56280 KNEE LIBERATION/MAJOR RELEASE $764.51
56285 QUADRICEPS PLASTY - KNEE $620.87
56290 RETINACULAR RELEASE - LATERAL/MEDIAL KNEE - OPEN $240.93
56305 REMOVAL SYMPTOMATIC LOOSE BODY - KNEE $285.48
56306 KNEE - PINNING/DRILLING OSTEOCHONDRAL FRAGMENT $407.82
56310 SYNOVECTOMY KNEE, TOTAL $484.29
56315 RESECTION 'PLICA' $285.48
56320 MENISECTOMY - KNEE $285.48
56321 ARTHROPLASTY - KNEE - ARTHROSCOPIC $285.48
56322 ABRASION DEBRIDEMENT, EXTRA - FIRST 15 MIN. $142.74
56323 ABRASION DEBRIDEMENT,EXTRA-EACH ADDITIONAL 15 MIN. $71.37
56325 MENISCAL REPAIR $407.82
56330 ABRASION/DEBRIDEMENT - KNEE $285.48
56335 LATERAL/MEDIAL RELEASE - ENDOSCOPIC KNEE $285.48
56353 GANGLION/CYST - KNEE $213.13
56354 POPLITEAL CYST - KNEE $296.55
56355 OPEN EXCISION - KNEE - BURSA/PREPATELLAR $213.13
56356 ARTHROTOMY - REMOVAL OF LOOSE BODY - KNEE $240.93
56357 ARTHROTOMY KNEE - PINNING/DRILLING $349.82
56360 SYNOVECTOMY - KNEE, TOTAL $461.02
56361 MENISECTOMY - KNEE $240.93
56362 MENISCAL REPAIR - KNEE $349.82
56365 SOFT TISSUE TUMOUR - BENIGN - KNEE $324.34
56370 BONE TUMOUR - BENIGN - KNEE $268.73
56380 OSTEOMYELITIS ACUTE - KNEE - DECOMPRESSION $185.33
56385 OSTEOMYELITIS/DEBRIDEMENT - KNEE. $213.13
56390 PATELLECTOMY $324.34
56405 INJECTION OF JOINT - KNEE $23.06
56410 INJECTION - BURSA/TENDON SHEATH - KNEE $23.06
56415 KNEE - REMOVAL OF INT FIXATION DEVICE(S)/GA $240.93
56420 KNEE - REMOVAL OF INTERNAL FIXATION DEVICE(S) $69.50
56505 KNEE LIGAMENT INSTABILITY - ONE REPAIR $611.75
56510 KNEE LIGAMENT INSTABILITY - POSTERIOR CRUCIATE $741.35
56515 KNEE LIGAMENT INSTABILITY - TWO LIGAMENTS $713.27
56520 KNEE LIGAMENT INSTABILITY - THREE LIGAMENTS $829.37
56525 REVISION OF KNEE LIGAMENT RECONSTRUCTION $713.53
56528 KNEE LIGAMENT - OPEN INJURY - PRIMARY WOUND CARE $101.50
56529 KNEE LIGAMENT - OPEN INJURY - SECONDARY WOUND CARE $185.33
56530 RECUR. SUBLUX./DISLOC. PATELLA-EXTENSOR REALIGNMEN $430.92
56531 RECURR. SUBLUX./DISLOC. PATELLA-LATERAL RELEASE $240.93
56540 RECURR. SUBLUX./DISLOC. QUAD. TENDON RUPTURE,ACUTE $342.88
56541 RECURR. SUBLUX./DISLOC. QUAD. TENDON RUPT.-CHRONIC $486.50
56542 PATELLAR TENDON REPAIR $477.32
56545 TENDON TRANSFER, TRANSPLANT - PATELLA $324.34
56601 OSTEOTOMY DISTAL FEMUR - NON-UNION/MALUNION $796.95
56602 OSTEOTOMY PROXIMAL TIBIA - NON-UNION/MALUNION $565.26
56603 OSTEOTOMY TIBIA/SHAFT/FIBULA - NON-UNION/MALUNION $741.35
56604 OSTEOTOMY FIBULA -NON-UNION/MALUNION $268.73
56651 FEMUR - BONE GRAFTING $268.73
56652 BONE GRAFTING - TIBIA $268.73
56653 BONE GRAFTING - EPIPHYSIODESIS $296.55
56654 BONE GRAFTING - PHYSEAL BAR EXCISION $505.04
56661 ARTHROPLASTY - KNEE JOINT $796.95
56662 TOTAL KNEE REPLACEMENT $796.95
56663 TOTAL KNEE, REMOVAL PROSTHESIS, INCLUDES PROSTALAC $486.50
56664 REVISION - TOTAL KNEE $1,095.78
56665 REVISION - PATELLAR COMPONENT $403.10
56701 FRAC./DISLOC. FEMUR (SUPRACOND) -CLOSED W/O GA $120.46
56702 FRAC./DISLOC. FEMUR (SUPRACOND) - CLOSED W/ GA $213.13
56703 FRAC./DISLOC. FEMUR (SUPRACOND)-CLOSED, EXTERN FIX $352.14
56704 FRAC./DISLOC. FEMUR (SUPRACOND)- CLOSED W/ IM NAIL $769.13
56705 FRAC./DISLOC. FEMUR (SUPRACONDYLAR) - ORIF $769.13
56708 FRAC./DISLOC. FEMUR (SUPRACOND)- PRIM. WOUND CARE $101.50
56709 FRAC./DISLOC. FEMUR (SUPRACOND)- SEC. WOUND CARE $185.33
56711 FRAC./DISLOC. FEMUR COND./INTRACOND-CLOSED W/O GA $92.67
56712 FRAC./DISLOC. FEMUR COND./INTRACOND.-CLOSED W/ GA $185.33
56713 FRAC./DISLOC. FEMUR COND/INTRACOND-CLOSED EX FIX $352.14
56715 FRAC/DISLOC FEMUR COND/INTRACOND-ORIF-UNICONDYLAR $769.13
56716 FRAC/DISLOC FEMUR COND/INTRACOND-ORIF-BICONDYLAR $1,107.38
56718 FRAC/DISLOC FEMUR CON/INTRACOND-OP PRIM WOUND CARE $101.50
56719 FRAC/DISLOC FEMUR COND/INTRACOND-OP SEC WOUND CARE $185.33
56725 PATELLAR DISLOCATION - OPEN REDUCTION & REPAIR $240.93
56728 PATELLAR DISLOCATION - OPEN - PRIMARY WOUND CARE $101.50
56729 PATELLAR DISLOCATION - OPEN -SEC. WOUND MANAGEMENT $185.33
56734 PATELLECTOMY - PATELLA FRACTURE $324.34
56735 PATELLAR FRACTURE - ORIF $458.70
56738 PATELLAR FRACTURE - OPEN - PRIMARY WOUND CARE $101.50
56739 PATELLAR FRACTURE - OPEN - SEC. WOUND MANAGEMENT $185.33
56741 TIBIAL PLATEAU FRACTURE - CLOSED RED. W/ GA $185.33
56742 TIBIAL PLATEAU FRACTURE - CLOSED RED, EXTERN FIX $379.93
56745 TIBIAL PLATEAU FRACTURE - ORIF - UNICONDYLAR $648.67
56746 TIBIAL PLATEAU FRACTURE - ORIF - BICONDYLAR $917.42
56748 TIBIAL PLATEAU FRACTURE - OPEN - PRIM. WOUND CARE $101.50
56749 TIBIAL PLATEAU FRACTURE - OPEN - SEC. WOUND MANAGE $185.33
56751 TIBIAL SHAFT FRACTURE - CLOSED RED. W/O GA $92.67
56752 TIBIAL SHAFT FRACTURE - CLOSED RED. W/ GA $213.13
56753 TIBIAL SHAFT FRACTURE - CLOSED RED. EXTERN FIX $352.14
56754 TIBIAL SHAFT FRACTURE - CLOSED REDUCTION IM NAIL $681.09
56755 TIBIAL SHAFT FRACTURES - ORIF $565.26
56758 TIBIAL SHAFT FRACTURE - OPEN - PRIM. WOUND CARE $101.50
56759 TIBIAL SHAFT FRACTURE - OPEN - SEC. WOUND MANAG. $185.33
56769 FIBULAR SHAFT FRACTURE - OPEN - PRIM. WOUND CARE $185.33
56800 MANIPULATION - KNEE JOINT W/ GA $92.67
56810 ARTHRODESIS - KNEE JOINT $796.95
56980 AMPUTATION - BELOW THE KNEE $514.32
56998 AMPUTATION: BELOW KNEE - OPEN - PRIM. WOUND CARE $101.50
56999 AMPUTATION: BELOW KNEE - OPEN - SEC. WOUND MANA $185.33

Tibial Metaphysis (Distal), Ankle And Foot

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.84
11700 ARTHROSCOPY - ANKLE /SUBTALAR JOINT $185.33
11702 ASPIRATION - ANKLE JOINT - BURSA/TENDON SHEATH, ET $23.06
11715 ANKLE JOINT - INCISION -DIAGNOSTIC $185.33
11716 SUBTALAR JOINT - INCISION - DIAGNOSTIC $185.33
11717 MIDTARSAL JOINT - INCISION - DIAGNOSTIC $185.33
11718 TARSO-METATAR/METATAR-PHALANG/INTERPHALANG JOINTS $185.33
11730 TIBIAL METAPHYSIS/ANKLE/FOOT - NEEDLE BIOPSY W/ GA $185.33
11745 TIBIAL METAPHYSIS/ANKLE/FOOT - OPEN BIOPSY W/ GA $240.93
51039 ASPIRATION - BURSA $23.06
51040 ASPIRATION - JOINT $23.06
57210 TIBIAL METAPHYSIS/ANKLE/FOOT: I&D BURSA W/ GA $185.33
57215 TIBIAL METAPHYSIS/ANKLE/FOOT - I&D ABSCESS W/ GA $185.33
57220 TIBIAL METAPHYSIS/ANKLE/FOOT-HEMATOMA DRAIN. W/ GA $296.55
57225 ANKLE/FOOT JOINT - I&D W/ GA $185.33
57250 TIBIAL METAPHYSIS/ANKLE/FOOT-DECOMP/NEUROLYS NERVE $296.55
57260 TIBIAL METAPHYSIS/ANKLE/FOOT- FACIOTOMY,COMPAR SYN $213.13
57269 TIBIAL METAPHYSIS/ANKLE/FOOT-FACIOTOMY,SEC CLOSURE $185.33
57270 PLANTAR FASCIA: OPEN RELEASE OR PARTIAL EXCISION $268.73
57275 PLANTAR FASCIECTOMY - TOTAL $403.10
57280 ACHILLES TENDON LENGTHENING, PERCUTANEOUS $213.13
57285 POSTERIOR HINDFOOT RELEASE $430.92
57286 POSTEROMEDIAL RELEASE (CLUB FOOT/VERTICAL TALUS) $713.53
57290 TIBIAL METAPHYSIS/ANKLE/FOOT -TENDON LENGTH.- OPEN $268.73
57295 TIBIAL METAPHYSIS/ANKLE/FOOT - TENOSYNOVECTOMY $268.73
57305 REMOVAL OF LOOSE BODY-TIBIAL METAPHYSIS/ANKLE/FOOT $285.48
57306 PINNING/DRILLING FRAGMENTS: TIBIAL/ANKLE FOOT $407.82
57310 SYNOVECTOMY - ANKLE, TOTAL $458.80
57330 ABRASION/DEBRIDEMENT- TIBIAL METAPHYSIS/ANKLE/FOOT $285.48
57354 GANGLION - TIBIAL METAPHYSIS/ANKLE/FOOT $213.13
57355 EXCISION BURSA - ACHILLES $213.13
57356 NEUROMA - TIBIAL METAPHYSIS/ANKLE/FOOT $213.13
57360 TOTAL SYNOVECTOMY-TIBIAL METAPHYSIS/ANKLE/FOOT $352.14
57365 BENIGN SOFT TISSUE TUMOUR - TIBIAL/ANKLE/FOOT $213.13
57370 BENIGN BONE TUMOUR - TIBIAL/ANKLE/FOOT $349.82
57371 TARSAL COALITION - ANKLE/FOOT $349.82
57372 SESAMOIDECTOMY - TIBIAL METAPHYSIS/ANKLE/FOOT $240.93
57373 ACCESSORY NAVICULAR - TIBIAL METAPHYSIS/ANKLE/FOOT $240.93
57374 TALECTOMY - TIBIAL METAPHYSIS/ANKLE/FOOT $537.46
57375 EXCISION - NAIL BED - ANKLE/FOOT/GA $213.13
57380 OSTEOMYELITIS, ACUTE- TIBIAL METAPHYSIS/ANKLE/FOOT $185.33
57385 OSTEOMYELITIS,DEBRIDEMENT- TIBIAL/ANKLE/FOOT $319.70
57405 INJECTION OF JOINT - TIBIAL METAPHYSIS/ANKLE/FOOT $11.54
57410 INJECTION OF BURSA - TIBIAL METAPHYSIS/ANKLE/FOOT $11.54
57415 REM. OF INT. FIX. DEV(S) - ANKLE/FOOT W/ GA $213.13
57420 REM. OF INT. FIX. DEV(S) - ANKLE/FOOT W/O GA $46.33
57505 ANKLE INSTABILITY: CAPSULE/LIGAMENT REPAIR $240.93
57510 ANKLE INSTABILITY - RECONSTRUCTION $377.61
57515 TENDO-ACHILLES REPAIR, ACUTE (W/IN 6 WKS POST-INJ) $349.82
57516 TENDO-ACHILLES REPAIR, CHRONIC (> 6 WKS POST-INJ) $537.46
57520 FLEXOR TENDON REPAIR - ANKLE/FOOT, SINGLE/MULTI $349.82
57525 EXTENSOR TENDON REPAIR - ANKLE/FOOT/WITHOUT GA $120.46
57526 EXTENSOR TENDON REPAIR - ANKLE/FOOT - SINGLE/GA $240.93
57527 EXTENSOR TENDON REPAIR - ANKLE/FOOT - MULTIPLE/GA $333.60
57535 REPAIR/RECONSTRUCTION - TENDON SHEATH $377.61
57550 TENDON TRANSFER- TIBIAL METAPHYSIS/ANKLE/FOOT $430.92
57555 JONES PROCEDURE- TIBIAL METAPHYSIS/ANKLE/FOOT $324.34
57601 OSTEOTOMY/MALUNION - DISTAL TIBIAL $644.04
57602 OSTEOTOMY/MALUNION - MALLEOLUS $430.92
57603 CALCANEAL OSTEOTOMY $517.11
57604 MIDTARSAL OSTEOTOMY $593.06
57605 OSTEOTOMY/MALUNION - METATARSALS $349.82
57606 OSTEOTOMY - OPEN - PHALANGES $240.93
57631 OSTEOTOMY/NON-UNION - DISTAL TIBIAL $537.46
57632 OSTEOTOMY/NON-UNION - MALLEOLUS, LATERAL/MEDIAL $324.34
57633 OSTEOTOMY/NON-UNION - TARSALS $377.61
57634 OSTEOTOMY/NON-UNION - METATARSALS $213.13
57635 OSTEOTOMY/NON-UNION - PHALANGES (FOOT) $213.13
57636 OSTEOTOMY/NON-UNION - EPIPHYSIODESIS $296.55
57637 OSTEOTOMY/NON-UNION - PHYSEAL BAR EXCISION $403.10
57651 BONE GRAFTING - DISTAL TIBIA $240.93
57662 TOTAL ANKLE ARTHROPLASTY- REVISION $1,325.42
57663 TOTAL ANKLE ARTHROPLASTY - REMOVAL $185.33
57671 EXCISION ARTHROPLASTY GREAT TOE (KELLER'S) $268.73
57672 METATARSAL/PHALANGEAL JOINT RESECTION/RECONSTRUCT. $296.55
57673 OSTEOTOMY - DISTAL METATARSAL $296.55
57674 OSTEOTOMY - PROXIMAL METATARSAL/DISTAL REALIGNMENT $430.92
57675 IMPLANT ARTHROPLASTY - METATARSAL PHALANGEAL JOINT $296.55
57676 INTERPHALANGEAL JOINT ARTHROPLASTY, SINGLE/MULTI $268.73
57677 RECONSTRUCTION - MINOR FOREFOOT (LESSER TOES) $377.61
57678 RECONSTRUCTION - MAJOR FOREFOOT $590.73
57701 FRAC/DISLOC ANKLE - CLOSED REDUC. W/ GA $185.33
57702 FRAC/DISLOC ANKLE - EXTERNAL FIXATION $486.50
57705 FRAC/DISLOC ANKLE - ORIF $889.62
57708 FRAC/DISLOC ANKLE - OPEN - PRIMARY WOUND CARE $101.50
57709 FRAC/DISLOC ANKLE - OPEN - SECOND. WOUND CARE $185.33
57711 FRAC/DISLOC ANKLE(MALLEOLAR) - CLOSED RED. W/O GA $92.67
57712 FRAC/DISLOC ANKLE(MALLEOLAR) - CLOSED RED. W/ GA $268.73
57713 FRAC/DISLOC ANKLE(MALLEOLAR) - CLOSED RED. EX FIX $268.73
57715 FRAC/DISLOC ANKLE(MALLEOLAR) - ORIF - ONE $349.82
57716 FRAC/DISLOC ANKLE(MALLEOLAR) - ORIF - TWO OR MORE $403.10
57718 FRAC/DISLOC ANKLE(MALLEOLAR) - PRIM. WOUND CARE $101.50
57719 FRAC/DISLOC ANKLE(MALLEOLAR) - SECOND. WOUND CARE $185.33
57721 HINDFOOT/MIDFOOT/LISFRANC DISLOC - CLOSED W/O GA $92.67
57722 HINDFOOT/MIDFOOT/LISFRANC DISLOC - CLOSED W/ GA $185.33
57723 HINDFOOT/MIDFOOT/LISFRANC DISLOC - CLOSED W/ FIXAT $296.55
57725 HINDFOOT/MIDFOOT/LISFRANC DISLOC - OPEN REDUCTION $472.02
57728 HINDFOOT/MIDFOOT/LISFRANC DISLOC - PRIM.WOUND CARE $101.50
57729 HINDFOOT/MIDFOOT/LISFRANC DISLOC - SEC.WOUND CARE $185.33
57732 OS CALCIS FRACTURE - CLOSED REDUCTION W/ GA $185.33
57733 OS CALCIS FRACTURE - CLOSED REDUCTION W/ FIXATION $296.55
57735 OS CALCIS FRACTURE - ORIF $620.87
57738 OS CALCIS FRACTURE - OPEN - PRIM. WOUND CARE $101.50
57739 OS CALCIS FRACTURE - OPEN - SEC. WOUND CARE $185.33
57741 TALUS FRACTURE - CLOSED REDUCTION W/O GA $92.67
57742 TALUS FRACTURE - CLOSED REDUCTION W/ GA $185.33
57743 TALUS FRACTURE - CLOSED REDUCTION, FIXATION $324.34
57745 TALUS FRACTURE - ORIF $484.18
57748 TALUS FRACTURE - OPEN - PRIM. WOUND CARE $101.50
57749 TALUS FRACTURE - OPEN - SEC. WOUND CARE $185.33
57751 TARSAL FRACTURE - CLOSED REDUCTION W/O GA $92.67
57752 TARSAL FRACTURE - CLOSED REDUCTION W/ GA $185.33
57753 TARSAL FRACTURE - CLOSED REDUCTION, FIXATION $296.55
57755 TARSAL FRACTURE - ORIF $324.34
57758 TARSAL FRACTURE - OPEN - PRIM. WOUND CARE $101.50
57759 TARSAL FRACTURE - OPEN - SEC. WOUND CARE $185.33
57761 METATARSAL FRACTURE - CLOSED REDUCTION, FIXATION $268.73
57765 METATARSAL FRACTURE - ORIF - ONE $296.55
57766 METATARSAL FRACTURE - ORIF - TWO OR MORE $349.82
57768 METATARSAL FRACTURE - OPEN - PRIMARY WOUND CARE $101.50
57769 METATARSAL FRACTURE - OPEN - SECONDARY WOUND CARE $185.33
57771 METATARSO-PHALANGEAL DISLOC.- CLOSED RED. W/O GA $92.67
57772 METATARSO-PHALANGEAL DISLOC. - CLOSED RED. W/ GA $185.33
57773 METATARSO-PHALANGEAL DISLOC. - CLOSED RED, FIX $213.13
57775 METATARSO-PHALANGEAL DISLOC. - ORIF $296.55
57778 METATARSO-PHALANGEAL DISLOC. - OPEN - PRIM. WOUND $101.50
57779 METATARSO-PHALANGEAL DISLOC. - OPEN - SEC. WOUND $185.33
57781 PHALANGEAL FRACTURE - CLOSED REDUCTION, FIXATION $268.73
57785 PHALANGEAL FRACTURE - ORIF $296.55
57788 PHALANGEAL FRACTURE - OPEN - PRIM. WOUND CARE $50.75
57789 PHALANGEAL FRACTURE - OPEN - SEC. WOUND CARE $92.67
57791 INTERPHALANGEAL DISLOC. - CLOSED RED. W/O GA $46.33
57792 INTERPHALANGEAL DISLOC. - CLOSED RED. W/ GA $185.33
57793 INTERPHALANGEAL DISLOC. - CLOSED RED. FIXATION $268.73
57795 INTERPHALANGEAL DISLOC. - OPEN RED. W/WO FIXATION $296.55
57798 INTERPHALANGEAL DISLOC. - OPEN - PRIM.WOUND CARE $50.75
57799 INTERPHALANGEAL DISLOC. - OPEN - SEC.WOUND CARE $92.67
57800 MANIPULATION - ANKLE/FOOT W/ GA $92.67
57810 ARTHRODESIS - TIBIOCALCANEAL $593.06
57811 ARTHRODESIS - PANTALAR $834.00
57812 ARTHRODESIS - ANKLE JOINT $713.53
57813 ARTHRODESIS - SUBTALAR JOINT/TRIPLE $711.67
57814 ARTHRODESIS - MIDTARSAL JOINT $537.46
57815 ARTHRODESIS - TARSO-METATARSAL JOINTS $653.30
57816 ARTHRODESIS - METATARSOPHALANGEAL $349.82
57817 ARTHRODESIS - INTERPHANGEAL, SINGLE OR MULTIPLE $268.73
57980 AMPUTATION - SYME $528.18
57981 AMPUTATION - MIDTARSAL $486.50
57982 AMPUTATION - TRANSMETATARSAL $403.10
57983 AMPUTATION - SINGLE METATARSAL/RAY RESECTION $352.14
57984 AMPUTATION - TOE $185.33
57998 AMPUTATION - OPEN INJURY, PRIMARY WOUND CARE $50.75
57999 AMPUTATION - OPEN INJURY, SECONDARY WOUND CARE $92.67

Vertebra, Facette And Spine

Code Description Amount
00757 ASPIRATION OTHER JOINTS $11.84
03155 LAMINECTOMY FOR HAEMATOMA, TUMOR OR VASULAR MALFOR $941.80
03160 LAMINECTOMY, TETHERED SPINAL CORD OR CONGENITAL $2,012.77
03161 LAMINECTOMY FOR LOCALIZED SPINAL STENOSIS $783.26
03162 LAMINECTOMY FOR GENERALIZED SPINAL STENOSIS $1,204.95
03167 SKULL TONGS - INSERTION $125.35
03180 LAMINECTOMY FOR CERVICAL CORD, MULTIPLE LEVEL $1,420.10
11830 BIOPSY - NEEDLE - THORACIC SPINE/GA $213.13
11831 BIOPSY - NEEDLE - LUMBAR SPINE/GA $185.33
11845 BIOPSY - SPINE - OPEN $240.93
51039 ASPIRATION - BURSA $23.06
58205 INJECTION/ASPIRATION - FACET JOINT $92.28
58210 DISCOGRAM $92.28
58250 ABSCESS/HEMATOMA - EXTRASPINAL/GA $185.33
58305 DISCECTOMY $268.73
58370 DISCECTOMY - CERVICAL, SINGLE LEVEL $620.87
58375 DISCECTOMY - CERVICAL - >2 LEVELS $801.57
58376 DISCECTOMY - THORACOLUMBAR $1,431.69
58385 VERTEBRAL BODY RESECTION - CERVICAL $1,621.68
58386 VERTEBRAL BODY RESECTION - THORACOLUMBAR $1,890.40
58410 SPINAL INSTRUMENTATION - REMOVAL $509.68
58605 STABILIZATION - POSTERIOR - CERVICAL $537.46
58610 STABILIZATION - SEGMENTAL - CERVICAL $1,079.57
58615 STABILIZATION THORACOLUMBAR/WITHOUT INSTRUMENTATIO $486.50
58620 STABILIZATION THORACOLUMBAR/SIMPLE INSTRUMENTATION $769.13
58625 STABILIZATION - THORACOLUMBAR/SEGMENTAL INSTRUMENT $1,241.74
58630 STABILIZATION THORACOLUMBAR, FUSION/DECOMPRESSION $1,566.07
58635 THORACOLUMBAR FUSION/DECOMPRESSION/MULTIPLE LEVELS $1,834.81
58640 STABILIZATION - ANTERIOR: CERVICAL $500.39
58645 STABILIZATION - CERVICAL - PLATES/DISCECTOMY $982.27
58650 STABILIZATION - CERVICAL - PLATES/VERTEBRECTOMY $1,756.05
58655 STABILIZATION - ANTERIOR - THORACOLUMBAR $945.21
58660 STABILIZATION; ANTERIOR, THORACOLUMBAR/INSTRUMENT $2,024.76
58670 DEFORMITY CORRECTION - THORACOLUMBAR $1,431.69
58675 DEFORMITY CORRECTION - THORACOLUMBAR/ANTERIOR INST $1,700.44
58680 DEFORMITY CORRECTION - CERVICAL $2,427.87
58685 OSTEOTOMY - THORACOLUMBAR- POSTERIOR $2,427.87
58690 DEFORMITY; INSTRUMENTATION/FUSION/POSTERIOR, ADULT $1,756.05
58695 DEFORMITY; INSTRUMENTATION/FUSION/POSTERIOR, CHILD $1,431.69
58710 APPLICATION OF HALO - C-SPINE FRACTURE/DISLOCATION $185.33
58715 CERVICAL SPINE - ORIF $1,000.81
58725 FRACTURE/DISLOCATION, THORACOLUMBAR SPINE/FIXATION $1,297.34
58726 THORACOLUMBAR SPINE; ORIF/FIXATION + DECOMPRESSION $1,566.07

Musculoskeletal Oncology

Code Description Amount
51051 MALIGNANT SUBFASCIAL SOFT TISSUE TUMOUR -SIMPLE $593.06
51052 MALIGNANT SUBFASCIAL SOFT TISSUE TUMOUR - COMPLEX $1,269.53
51053 MALIGNANT BONE TUMOUR - LIMB $1,074.95
51054 SKELETAL DEFECT - RECONSTRUCTION $1,084.22
51055 MALIGNANT GIRDLE TUMOUR - SCAPULA $1,074.95
51056 MALIGNANT GIRDLE TUMOUR - PELVIS/SACRUM $1,612.41
51057 SHOULDER/PELVIS/SACRUM - RECONSTRUCTION $1,084.22
51058 MALIGNANT TUMOR/ROTATION PLASTY - RESECTION $2,159.14

Minor Procedures

Code Description Amount
13610 MINOR LACERATION OR FOREIGN BODY - NO ANAESTHESIA $35.18
13611 MINOR LACERATION/FOREIGN BODY REQUIRING ANAES. $65.53
13612 EXTENSIVE LACERATION GREATER THAN 5CM $13.15
13620 EXCISION TUMOR OF SKIN/SCAR UP TO 5CM $65.53
13630 PARONYCHIA $35.09
13631 NAIL REMOVAL - SIMPLE $35.09
13632 NAIL REMOVAL WITH DESTRUCTION OF NAIL BED $71.00
13633 WEDGE EXCISION OF ONE NAIL $62.65

Peripheral Nerve

Code Description Amount
03196 PERIPHERAL NERVE - MOBILIZATION AND TRANSPOSITION $279.38
03198 NEURECTOMY OF MAJOR PERIPHERAL NERVE $220.77
06258 PERIPHERAL NERVE/NEUROLYSIS - EXPLORATION $254.74

Spinal

Code Description Amount
03151 STEREOTAXIC SURGERY $785.28
03152 MYELOTOMY, BISCHOFF`S $929.13
03153 LAMINECTOMY WITH DREZ LESION FOR PAIN $1,398.20
03155 LAMINECTOMY FOR HAEMATOMA, TUMOR OR VASULAR MALFOR $941.80
03156 LAMINECTOMY FOR CERVICAL DISC - ONE LEVEL $1,327.49
03157 LAMINECTOMY FOR CERVICAL DISC - MULTIPLE LEVELS $1,796.92
03158 LAMINECTOMY FOR LUMBAR DISC - ONE LEVEL $665.95
03159 LAMINECTOMY FOR LUMBAR DISC - MULTIPLE LEVELS $1,323.50
03160 LAMINECTOMY, TETHERED SPINAL CORD OR CONGENITAL $2,012.77
03161 LAMINECTOMY FOR LOCALIZED SPINAL STENOSIS $783.26
03162 LAMINECTOMY FOR GENERALIZED SPINAL STENOSIS $1,204.95
03163 DISCECTOMY, ANTERIOR CERVICAL - ONE LEVEL $1,419.24
03164 DISCECTOMY, ANTERIOR CERVICAL - MULTIPLE LEVELS $1,921.75
03166 THORACIC DISC, REMOVAL $1,904.53
03167 SKULL TONGS - INSERTION $125.35
03168 LAMINECTOMY FOR INTRADURAL SPINAL CORD $1,998.99
03169 SPINE FRACTURE WITHOUT CORD INJURY $681.63
03180 LAMINECTOMY FOR CERVICAL CORD, MULTIPLE LEVEL $1,420.10
03185 POSTERO-LATERAL MICROSURGICAL THORACIC DISCECTOMY $1,901.30
03231 REPAIR OF SPINAL CSF LEAK OR PSEUDOMENINGOCOELE $594.50

Skin Grafts

Code Description Amount
06015 REMOVAL OF EXTENSIVE SCARS PER CM OVER 5 CM $8.44
06016 REMOVAL OF TUMOR OR SCAR UNDER GA, UP TO 5 CM $126.26
06017 REMOVAL OF TUMOUR; 5 CM TO 10 CM $258.91
06018 REMOVAL OF TUMOR - MORE THAN 10 CM $447.40
06019 SKIN GRAFTS - SINGLE OR MULTIPLE FLAPS < 2CM $156.57
06050 SKIN GRAFTS - REGIONS OF MAJOR JOINTS AND HANDS $429.43
06051 SKIN GRAFTS - FUNCTIONAL AREAS - FINGER TIP $248.85
07055 GANGLIA - WRIST $200.72

Debridement Of Soft Tissues For Necrotizing Infections Or Severe Trauma

Code Description Amount
70158 DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE,UP TO 5% BODY SURFACE AREA $233.97
70159 DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE; EACH SUB 5% OF BODY SURFACE AREA $116.99
70162 DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA / 1ST 5% OF BODY SURFACE AREA $259.98
70163 DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA/EACH SUB 5% OF BODY SURFACE AREA $129.99
70165 DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE;UP TO 1ST 5% OF BODY SURFACE AREA $285.96
70166 DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE; EACH SUB 5% OF BODY SURFACE AREA $142.99
70168 ACTIVE WOUND MGMT-ACUTE PHASE AFTER DEBRIDEMENT $77.99
70169 ACTIVE WOUND MGMT/IN OR ACUTE PHASE AFT DEBRIDEMNT $124.78

Other

Code Description Amount
11500 ARTHROSCOPY - HIP JOINT $514.32
57652 BONE GRAFTING - MALLEOLUS, MEDIAL/LATERAL-TARSALS $148.27
57661 TOTAL ANKLE PROSTHESIS $983.88