Plastic surgery MSP billing codes


Referred Cases

Code Description Amount
06005 EMERGENCY VISIT - PLASTIC SURGERY $103.45
06007 VISIT, OFFICE, PLASTIC SURGERY $25.24
06008 VISIT, HOSPITAL, PLASTIC SURGERY $36.44
06009 VISIT, HOME, PLASTIC SURGERY $46.51
06010 CONSULTATION, PLASTIC SURGERY $97.77
06012 CONSULTATION, LIMITED OR REPEAT, PLASTIC SURGERY $47.91
66007 TELEHEALTH SUBSEQUENT OFFICE VISIT PLASTIC SURGERY $25.24
66008 TELEHEALTH SUBSEQUENT HOSPITAL VISIT -PLASTIC SURG $36.44
66010 TELEHEALTH MAJOR CONSULTATION, PLASTIC SURGERY $97.77
66012 TELEHEALTH REPEAT OR LIMITED CONSULT PLASTIC SURG $47.91

Skin And Subcutaneous Tissues

Code Description Amount
06028 ABSCESS - WEB SPACE OPERATION ONLY $71.00
06029 ABSCESS - WEB SPACE UNDER GENERAL ANAESTHETIC $253.02
06042 ABSCESS - MID PALMER/THENAR/DORSAL $253.02
06197 TENOSYNOVITIS, ACUTE $253.02
06198 TENOSYNOVITIS - ULNA OR RADIAL BURSA $253.02
07025 TEMPORAL ARTERY BIOPSY $139.64
07027 ABSCESS - DEEP - GENERAL ANAESTHETIC $202.07
07028 SURAL NERVE - BIOPSY OF $175.95
07041 ABDOMEN ASPIRATION/CHEST $75.44
07045 ANTERIOR CLOSED SPACE ABSCESS - OP ONLY $100.68
07059 ABSCESS - DEEP - LOCAL/REGIONAL ANESTHESIA $80.85
07061 WOUND INFECTION - POST-OP/GA $201.86
07685 PILONIDAL CYSTS OR SINUS - EXCISION OR MARSUPIALI $275.36
11402 ASPIRATION - BURSA/SYNOVIAL SHEATH, ETC. $23.06
11445 BIOPSY - OPEN - HAND/WRIST $240.93
13600 BIOPSY - MUCOSA/SKIN (OPERATION ONLY) $51.28
13601 BIOPSY - FACIAL AREA (OPERATION ONLY) $51.28
13605 ABSCESS - SUPERFICIAL $43.93
13630 PARONYCHIA $35.09
61291 BIOPSY, NOT SUTURED $25.24
61292 BIOPSY,NOT SUTURED,MULTIPLES SM SITTING,MAX4(EXTRA $5.06
70084 ABSCESS - PILONIDAL CYST/SINUS - INCISION/DRAINAGE $100.61

Debridement Of Soft Tissues For Necrotizing Infections Or Severe Trauma

Code Description Amount
70155 Debridement of skin and subcutaneous tissue restricted to genitalia and perineum for necrotizing infection (Fournier’s Gangrene) (stand alone procedure) $408.73
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

Foreign Body And Minor Laceration

Code Description Amount
06063 REMOVAL OF FOREIGN BODY REQUIRING GA $248.85
13610 MINOR LACERATION OR FOREIGN BODY - NO ANAESTHESIA $35.18
13611 MINOR LACERATION/FOREIGN BODY REQUIRING ANAES. $65.53

Ablation

Code Description Amount
00190 ELECTROSURG./CRYOTHERAPY FOR REMOVAL OF WARTS ETC. $31.23
00218 CURETTAGE AND ELECTROSURGERY OF SKIN CARCINOMA $60.92
00219 CURETTAGE SKIN CARCINOMA, ADDITIONAL LESION $30.46
06112 ABRASIVE SURGERY <1/4 OF FACE $125.76
06113 ABRASIVE SURGERY 1/4 TO 1/2 OF FACE $244.35
06114 ABRASIVE SURGERY - FULL FACE $519.89

Laser Therapy

Code Description Amount
00235 PULSED LASER- FACE/NECK: < 50CM2 $67.41
00236 PULSED LASER - FACE/NECK > 50CM2 OR EYE SHIELDS $101.11
00237 ADDITIONAL FEE FOR PULSED LASER - UNDER GA $55.66

Special Case Skin And Soft Tissue

Code Description Amount
06166 EXCISION OF AXILLARY SWEAT GLAND FOR HYPERHYDROSIS $322.72
07053 EXC OF NAIL BED, COMPLETE, W/SHORTENING OF PHALANX $136.96

Excision Of Skin And Subcutaneous Tissue Of Hidradenitis Suppurativa:

Code Description Amount
07072 HYDRADENITIS SUPPURATIVA EXCISION - AXILLARY $202.04
07075 HYDRADENITIS SUPPURATIVA EXCISION - INGUINAL $202.04
07076 HYDRADENITIS SUPPURATIVA EXCISION - PERIANAL $202.04
07082 HYDRADENITIS SUPPURATIVA EXCISION - PERINEAL $202.04

Nail Surgery

Code Description Amount
13631 NAIL REMOVAL - SIMPLE $35.09
13632 NAIL REMOVAL WITH DESTRUCTION OF NAIL BED $71.00
13633 WEDGE EXCISION OF ONE NAIL $62.65

Ganglia

Code Description Amount
06182 GANGLIA OF TENDON SHEATH OR JOINT $180.91

Torn Ear Lobe

Code Description Amount

Suture Of Lacerations And Minor Traumatic Wounds

Code Description Amount
61300 WOUNDS-UP TO 5CM-OTHER THAN FACE, SIMPLE CLOSURE $136.01
61301 WOUNDS-UP TO 5CM-FACE(BLEEDERS &/OR LAYERED CLOSUR $201.50
61302 WOUNDS-5.1 TO 10CM-OTHER THAN FACE, SIMPLE CLOSURE $241.80
61303 WOUNDS-5.1 TO 10CM-FACE(BLEEDERS &/OR LAYERED CLOS $251.88
61304 WOUNDS-10.1 TO 15CM-OTHER THAN FACE, SIMPLE CLOSUR $282.10
61305 WOUNDS-10.1 TO 15CM-FACE(BLEEDERS &/OR LAYERED CLO $352.63
61306 WOUNDS-15.1CM OR MORE-OTHER THAN FACE, SIMPLE CLOS $302.25
61307 WOUNDS-15.1CM OR MORE-FACE(BLEEDERS &/OR LAYERED $403.01
61308 COORDINATION OF ANESTHETIC SVCS-FOR LACERATION EXT $201.50

Wounds Avulsed And Complicated (In Special Areas)

Code Description Amount
06075 LIPS AND EYELID WOUNDS COMPLICATED $336.88
06076 NOSE AND EAR WOUNDS COMPLICATED $423.19
06077 COMPLICATED LACERATION OF THE SCALP CHEEK AND NECK $330.65
06238 REPAIR OF COMPLICATED FINGERTIP INJURY $199.55
70150 LACERATIONS - TONGUE/FLOOR OF MOUTH - COMPLICATED $268.49

Lesions And Scars

Code Description Amount
61310 LESIONS & SCARS-TRUNK, ARMS & LEGS-< 5CM $120.90
61311 LESIONS & SCARS-TRUNK, ARMS & LEGS - 5-10CM $156.16
61312 LESIONS & SCARS-TRUNK, ARMS & LEGS- > 10CM $231.73
61313 LESIONS & SCARS-FACE, SCALP, NECK, ETC. < 5CM $167.25
61314 LESIONS & SCARS-FACE, SCALP, NECK, ETC. 5-10 CM $221.65
61315 LESIONS & SCARS-FACE, SCALP, NECK, ETC. > 10CM $272.03
61316 LESIONS & SCARS-EYELIDS, EARS, LIPS, ETC. < 2CM $176.31
61317 LESIONS & SCARS-EYELIDS, EARS, LIPS, ETC. 2-4 CM $211.58
61318 LESIONS & SCARS-EYELIDS, EARS, LIPS, ETC. >4 CM $287.14
61319 EXCISION OF LESION(IN HOSP),TUMOUR-FREE MARGIN-EXT $100.75

Skin Flaps And Grafts

Code Description Amount
06026 SKIN GRAFT; ARTERIAL ISLAND FLAP $351.28
06030 FLAPS FROM A DISTANCE-UPPER EXTREMITY-INIT STAGE $587.07
06031 FLAPS FROM A DISTANCE -UPER EXTREMITY-2ND STAGE $467.99
06032 SKIN GRAFTS; FLAPS FROM A DISTANCE, LOWER,INITIAL $704.97
06033 FLAPS FROM A DISTANCE - FIRST STAGE -PER OPERATION $351.28
06034 FLAPS FROM A DISTANCE-MINOR 2ND STAGE PER OPERATIO $233.64
06035 FLAPS FROM A DISTANCE, DELAYING A FLAP(OPER ONLY) $162.26
06148 HAIR BEARING SCALP VACULAR ISLAND FLAP TO EYEBROW $480.38
06171 SYNDACTYLY LOCAL FLAP - FIRST CLEFT $253.02
06172 SYNDACTYLY WITH SKIN GRAFT - FIRST CLEFT $450.17
06177 NEUROVASCULAR PEDICLE $738.89
61320 EXCISION OF MALIGNANT LESIONS-10-50CM - EXTRA $60.45
61321 EXCISION OF MALIGNANT LESIONS-51-100CM-EXTRA $130.98
61322 EXCISION OF MALIGNANT LESIONS-OVER 100CM-EXTRA $181.35
61325 ADVANCEMENT FLAP-FACE, NECK OR SCALP (2.1 TO 5 CM) $231.73
61326 ADVANCEMENT FLAP-OTHER AREAS (2.1 TO 5 CM) $180.35
61327 ADVANCEMENT FLAP-FACE, NECK OR SCALP(5.1 TO 10 CM) $352.63
61328 ADVANCEMENT FLAP-OTHER AREAS (5.1 TO 10CM) $231.73
61329 ADVANCEMENT FLAP - DEFECTS MORE THAN 10 CM $390.92
61330 FLAPS - TRUNK - DEFECT UP TO 40 CM $241.80
61331 FLAPS - TRUNK - DEFECT 40 CM TO 100 CM $322.40
61332 FLAPS - TRUNK - DEFECT GREATER THAN 100 CM $420.51
61333 FLAPS - ARMS, LEGS AND SCALP - DEFECT UP TO 6 CM $181.35
61334 FLAPS - ARMS,LEGS AND SCALP-DEFECT 6 CM TO 19 CM $221.65
61335 FLAPS-ARMS,LEGS AND SCALP-DEFECT > 19 CM $455.42
61336 FLAPS-OTHER AREAS(AXILLA,CHEEKS,FACE,ETC)UPTO 6CM $303.48
61337 FLAPS-OTHER AREA(AXILLA,CHEEKS,FACE,ETC)6CM-19CM $344.20
61338 FLAPS-OTHER AREA(AXILLA,CHEEKS,FACE,ETC)-DEFECT>19 $465.52
61339 FLAPS-EARS,EYELIDS,LIPS AND NOSE-DEFECT UPTO 6 CM $344.45
61340 FLAPS-EARS,EYELIDS,LIPS AND NOSE-DEFECT 6 CM TO $454.51
61341 FLAPS-EARS,EYELIDS,LIPS AND NOSE-DEFECT > 19 CM $505.47
61342 REVISION OF GRAFT - LESS THAN 2 CM $201.50
61343 REVISION OF GRAFT - BETWEEN 2 AND 5 CM $241.80
61344 REVISION OF GRAFT - GREATER THAN 5 CM $282.10
61324 ADVANCEMENT FLAP-NOSE,LIDS,LIPS OR SCALP-UP TO 2CM $183.37

Free Skin Grafts (Including Mucosa)

Code Description Amount
06046 SPLIT THICKNESS FREE SKIN GRAFT; < 6.5 SQ. CM. $248.85
06047 SKIN GRAFTS - SPLIT THICKNESS - FREE - 65 SQ. CM $301.87
06048 SKIN GRAFTS - SPLIT THICKNESS - FREE - 650 SQ. CM $385.38
06049 SPLIT THICKNESS FREE SKIN GRAFTS; EACH 6.5 > 650 $7.36
06050 SKIN GRAFTS - REGIONS OF MAJOR JOINTS AND HANDS $429.43
06051 SKIN GRAFTS - FUNCTIONAL AREAS - FINGER TIP $248.85
06052 SKIN GRAFTS - HEAD AND NECK - 65 SQ. CM OR LESS $309.86
06053 SKIN GRAFT; FUNCTIONAL AREAS: HEAD & NECK > 65 CM $413.83
06054 SKIN GRAFTS - HEAD AND NECK - IN EXCESS OF 195 SQ $1,026.27
06058 SKIN GRAFTS; FUNCTIONAL AREAS; MAJOR JOINTS, LATE $519.89
61350 FULL-THICKNESS GRAFT-TRUNK (2 TO 19 CM) $226.69
61351 FULL-THICKNESS GRAFT-ARMS, LEGS,SCALP (2 TO 19CM) $287.14
61352 FULL-THICKNESS GRAFT-AXILLA,CHEEKS,CHIN, ETC (2 TO $352.63
61353 FULL-THICKNESS GRAFT-EARS,EYELIDS,LIPS AND NOSE (2 $392.94
61354 GRAFT (PINCH,SPLIT OR FULL THICKNESS)-OPEN AREA-UP $251.88

Major Flap Procedures

Code Description Amount
06110 CHEEKS -FACIAL PARALYSIS -DYNAMIC SLINGS(UNILATERL $779.84
06111 CHEEKS- FACIAL PARALYSIS STATIC SLINGS (UNILATERAL $645.70
06120 FACIAL PARALYSIS COMPOSITE REPAIR $831.83
06129 COMBINED COMPLETE REPAIR AS ABOVE AND RHYTIDECTOMY $938.37
06151 ULCER DECUBITUS PLASTIC SURGERY $860.25
06159 TRAM FLAP RECONSTRUCTION OF MASTECTOMY DEFECT $1,014.16
61152 ABDOMINAL PANNICULECTOMY, SECONDARY TO INTERTRIGO $787.29
61156 MYOCUTANEOUS/FASCIA CUTANEOUS FLAP - SM MUSCLES $439.83
61157 MYOCUTANEOUS/FASCIA CUTANEOUS FLAP - MED MUSCLES $623.87
61158 MYOCUTANEOUS/FASCIA CUTANEOUS FLAP - MAJOR MUSCLES $757.06

Cell Assisted Lipotransfer For Soft Defects (Aspiration And Injections)

Code Description Amount
61250 LIPOTRANSFER - ASPIRATION - VOLUME < 20 ML $80.96
61251 LIPOTRANSFER - ASPIRATION - VOLUME 21-60 ML $101.20
61252 LIPOTRANSFER - ASPIRATION - VOLUME > 60 ML $141.68
61260 LIPOTRANSFER - INJECTION FUNCTIONAL AREA: < 20ML $121.44
61261 LIPOTRANSFER - INJECTION FUNCTIONAL AREA: > 20 ML $182.17
61270 LIPOTRANSFER-INJECTION NONFUNCTIONAL AREA: < 20ML $101.20
61271 LIPOTRANSFER-INJECTION NONFUNC AREA: 21 TO 60 ML $141.68
61272 LIPOTRANSFER-INJECTION NONFUNCTIONAL AREA: > 60ML $182.17

Tissue Expansion

Code Description Amount
06085 TISSUE EXPANSION - MAJOR AREAS $555.66
06086 TISSUE EXPANSION - MINOR AREAS $349.36

Blepharoplasty

Code Description Amount
06125 EYELIDS - BLEPHAROPLASTY - SIMPLE $259.95
06126 BLEPHAROPLASTY - COMPLICATED $389.90
61025 EYELIDS-BLEPHAROPLASTY-SIMPLE(BILATERAL) $389.90
61026 BLEPHAROPLASTY-COMPLICATED-NON-COSMETIC(BILATERAL) $584.88

Eyebrow Ptosis

Code Description Amount
61360 EYEBROW PTOSIS REPAIR-SIMPLE SKIN EXCISION-UNILATE $259.95
61361 EYEBROW PTOSIS REPAIR-SIMPLE SKIN EXCISION-BILATER $389.90

Tenotomy

Code Description Amount
06175 POLLICIZATION $1,142.02
06176 DIGITAL TRANSPLANT $945.62
06185 TENDON GRAFT $700.38
06186 TENOPLASTY - ONE TENDON $229.90
06187 TENOPLASTY - TWO OR MORE TENDONS $374.25
06188 TENOLYSIS $389.22
06189 TENOLYSIS - EACH ADDITIONAL $144.36
06193 PALMAR FASCIECTOMY - EXTENSIVE $430.48
06194 PALMAR FASCIECTOMY - WITH SKIN GRAFTING $557.33
06195 SILASTIC ROD $458.73
06203 TENDON TRANSFER HAND AND WRIST $445.38
06204 TENDON TRANSFER HAND AND WRIST - EACH ADDITIONAL $162.26
57270 PLANTAR FASCIA: OPEN RELEASE OR PARTIAL EXCISION $268.73
61363 FLEXOR-PRIMARY OR SECONDARY REPAIR - FIRST TENDON $374.25
61364 FLEXOR - SECOND TO SIXTH TENDON REPAIR (EXTRA) $187.13
61365 FLEXOR - SEVENTH TO ELEVENTH TENDON REPAIR (EXTRA) $93.57
61366 FLEXOR - TWELFTH AND OVER TENDON REPAIR (EXTRA) $46.79
61368 EXTENSOR - PRIMARY OR SECONDARY REPAIR - FIRST TEN $235.26
61369 EXTENSOR - SECOND TO SIXTH TENDON REPAIR (EXTRA) $117.63
61370 EXTENSOR -SEVENTH TO ELEVENTH TENDON REPAIR(EXTRA) $58.80
61371 EXTENSOR - TWELFTH AND OVER TENDON REPAIR (EXTRA) $29.40

Cavity Grafting

Code Description Amount
06055 SKIN GRAFTS - CAVITY GRAFTING - EYE SOCKET $437.74
06056 SKIN GRAFTS/CAVITY GRAFTING/EYE SOCKET WITH MUCOSA $670.65
06057 SKIN GRAFTS - CAVITY GRAFTING - NOSE $390.97
06060 SKIN GRAFTS - CAVITY GRAFTING - MOUTH $519.89
06061 SKIN GRAFTS/CAVITY GRAFTING - LINING PEDICLE FLAPS $298.43
06062 BONE CAVITY GRAFTING IN LARGE BONE OVER 7.5 CM $437.74
06064 BONE CAVITY IN SMALL BONE - CAVITY GRAFTING $253.02
06065 BONE CAVITY IN LARGE BONE - CAVITY GRAFTING $308.81
06066 CAVITY GRAFTING; ABSENCE OF VAGINA - CONGENITAL $578.11

Burns (With Or Without General Anesthesia Per Operation)

Code Description Amount
06078 MINOR BURNS; DRESSING (IN HOSP CARE ONLY) $57.19
06079 SURGICAL DEBRIDEMENT; MINOR BURNS, EACH 5% OF BODY $121.44
06080 BURNS; SUBSEQUENT SURG DEBRIDEMENT; EACH 5% BODY $30.14
06081 BURNS SURGICAL EXCISION - FIRST 5% OF BODY SURFACE $373.28
06082 BURNS SURGICAL EXCISION/EACH ADDITIONAL 5% OF BODY $202.41
06083 BURNS, SEVERE, GENERAL CARE - FIRST HOUR $253.02
06084 BURNS, SEVERE, GENERAL CARE - SUBSEQUENT HOURS $202.41

Osteomyelitis

Code Description Amount
06087 INCISION SUBPERIOSTEAL ABSCESS $253.02

Regional Mandibulo Facial

Code Description Amount
06240 INTERDENTAL AND INTERMAXILLARY WIRING $442.64
06241 GUNNING SPLINTS IMPRESSION $454.46
06242 MANDIBLE -OPEN REDUCTION - UNILATERAL $657.38
06243 MANDIBLE -OPEN REDUCTION - BILATERAL $859.80
06244 MANDIBLE -OPEN REDUCTION AND WIRING - UNILATERAL $758.59
06245 MANDIBLE -OPEN REDUCTION AND WIRING - BILATERAL $961.00
06246 REMOVAL OF SUTURES, INTRA-ORAL SPLINTS, UNDER GA $299.23
06250 FACE, FRACTURE LE FORTE - HORIZONTAL $961.00
06251 FACE, FRACTURE LE FORTE - PYRAMIDAL $1,062.20
06252 FACE, FRACTURE LE FORTE/CRANIO-FACIAL DYSJUNCTION $1,204.28
06253 WIRE SUSPENSION, CRANIOMAXILLARY $1,103.53
06260 MAXILLARY FRACTURE ZYGOMATIC - TEMPORAL ELEVATION $325.78
06261 MAXILLARY FRACTURE ZYGOMATIC - OPEN REDUCTION AND $632.66
06262 MAXILLARY FRACTURE ZYGOMATIC - REDUCTION $454.52
06265 MAXILLARY FRACTURE ZYGOMATIC - ARCH - TEMPORAL $353.77
06266 ZYGOMATIC ARCH/OPEN REDUCTION/INTEROSSEOUS WIRING $442.93
06270 ORBITAL FLOOR FRACTURE $738.44
06271 ALVEOLAR FRACTURE - ONE TOOTH EXTRACTION $127.25
06272 ALVEOLAR FRACTURE - ADDITIONAL TEETH $79.12
06273 FRACTURE-ALVEOLUS; ARCH BAR FIXATION $406.57
06280 TEMPORO-MANDIBULAR JOINT; MENISCECTOMY $442.93
06281 TEMPORO-MANDIBULAR JOINT; CONDYLECTOMY $506.85
06282 TEMPORO-MANDIBULAR ARTHROPLASTY $720.71
06291 MANDIBULAR RESECTION; TUMOURS; ENUCLEATION $602.02
06292 MANDIBULAR RESECTION; TUMOURS; WITH BONE GRAFT $854.37
06293 BONE GRAFT JAW, AUTOLOGOUS $537.86
06294 BONE GRAFT JAW, NON-AUTOLOGOUS $496.16

Maxillo Facial

Code Description Amount
03080 BILAT ORBITAL ADVANCEMENT-HYPERTELORISM TEAM-NEURO $2,218.61
03081 UNILATERAL ORBITAL ADVANCEMENT-TEAM PROC-NEUR $2,058.21
03082 BILATERAL ORBITAL ADVANCEMENT-TEAM PROC-NEURO $2,752.99
06300 OSTEOTOMIES, MAXILLO-FACIAL; LE FORT 1, HORIZONTAL $1,121.70
06301 OSTEOTOMIES, MAXILLO-FACIAL LE FORT II - PYRAMIDAL $1,389.03
06302 MAXILLO-FACIAL OSTEOTOMY; LE FORT III INTRACRANIAL $2,886.05
06303 MAXILLO-FACIAL OSTEOTOMY; LE FORT III EXTRACRANIAL $2,458.33
06304 OSTEOTOMIES, MAXILLO-FACIAL - MALAR MAXILLIARY $1,282.09
06305 OSTEOTOMIES, MANDIBULAR MAXILLO-FACIAL/UNILATERAL $800.90
06306 OSTEOTOMIES, MANDIBULAR MAXILLO-FACIAL - BILATERAL $961.30
06307 OSTEOTOMIES, PRE-MAXILLARY SET BACK $800.90
06308 MANDIBULAR OSTEOTOMY/INTERNAL FIXATION/UNILATERAL $816.94
06309 MANDIBULAR OSTEOTOMY - INTERNAL FIXATION/BILATERAL $1,175.16
06310 OSTEOTOMY - ORBITAL ADVANCEMENT - UNILATERAL $2,779.12
06311 OSTEOTOMY - ORBITAL ADVANCEMENT $3,099.91
06312 OSTEOTOMY - INTRACRANIAL CORRECTION HYPERTELORISM $3,741.50
06313 OSTEOTOMY - ORBITAL EXPANSION $2,992.98
06314 OSTEOTOMY - CANTHOPEXY $560.32
61380 BIL ORBITAL ADVANCEMENT-HYPERTELORISM(TEAM PLAST $2,218.61
61381 UNILATERAL ORBITAL ADVANCEMENT-TEAM PROC-PLASTIC $2,058.21
61382 BILATERAL ORBITAL ADVANCEMENT-TEAM PROC-PLASTIC $2,752.99

Nose And Sinuses

Code Description Amount
02298 CRYOSURGICAL TREATMENT OF TURBINATES - UNILATERAL $151.95
02299 CRYOSURGICAL TREATMENT OF TURBINATES - BILATERAL $189.93
02306 SUBMUCOUS RESECTION OF SEPTUM $164.60
02351 NASAL REFRACTURE REQUIRING LATERAL OSTEOTOMIES $354.53
02352 RECONSTRUCTION OF NASAL TIP, ALA AND COLUMELLA $417.85
02353 NASAL TIP, ALA AND COLUMELLA/EXTERNAL RECONSTRUCT $559.68
02354 RHINOPLASTY/COMPLETE - WITH SMR TO INCLUDE NASAL $607.79
02355 RHINOPLASTY/SMR, COMPLETE - WITHOUT SKIN GRAFTING $770.39
02364 NASAL FRACTURE - SIMPLE REDUCTION $63.29
02365 NASAL FRACTURE - REDUCTION AND SPLINTING $126.62
06109 RHINOPLASTY - REMOVAL OF HUMP $236.32
06115 RHINOPLASTY - FOREHEAD, 2 OPERATIONS $910.85
06116 RHINOPLASTY - COMPOSITE GRAFT $328.57
06117 RHINOPHYMA $332.56
06118 RHINOPLASTY; BONE GRAFT TO NOSE - AUTOLOGOUS $596.67
06119 RHINOPLASTY; BONE GRAFT NOSE, NON-AUTOLOGOUS $489.74
06123 NASAL FRACTURE-COMMINUTED-WIRE PLATE FIXATION $304.76
06124 NASAL FRACTURE - WIRE PLATE FIXATION - OPEN REDUCT $529.30

Ears

Code Description Amount
06130 AURICLE - ACCESSORY $253.02
06131 OTOPLASTY - OUTSTANDING EARS(UNILATERAL) $315.45
06132 MICROTIA - PARTIAL $374.25
06133 MICROTIA - TOTAL MAJOR $931.37
06134 MICROTIA - TOTAL MINOR $304.76
06135 PREAURICULAR SINUS - SIMPLE $253.02
06180 PREAURICULAR SINUS - COMPLICATED $302.06
61031 OTOPLASTY-OUTSTANDING EARS(BILATERAL) $473.17

Mouth

Code Description Amount
06136 ABBE OPERATION $636.35
06137 MOUTH ROTATION FLAP TO LIP $544.84
06138 CLEFT LIP - BILATERAL $1,053.26
06139 CLEFT LIP - UNILATERAL $553.89
06140 WEDGE RESECTION - LIP VERMILION $199.08
06141 WEDGE RESECTION OF LIP SULCUS $248.85
06142 PHARYNGOPLASTY, PHARYNGEAL FLAP $538.93
06143 PHARYNGEAL FLAP PUSH BACK $745.31
06144 CLEFT LIP, BILATERAL $745.31
06145 CLEFT PALATE $549.62
06146 LIP SHAVE - VERMILLIONECTOMY $396.16
06147 PALATAL CLEFT - BONE GRAFT $608.43
06181 LIP ADHESION FOR CLEFT PALATE $390.29

Orbit

Code Description Amount
06153 BONE GRAFT ORBIT, AUTOLOGOUS $608.43
06154 BONE GRAFT ORBIT, NON-AUTOLOGOUS IMPLANT $458.73

Trunk

Code Description Amount
06150 MAMMOPLASTY(UNILATERAL) $523.92
06157 NIPPLE-AREOLAR RECONSTRUCTION $336.99
06164 BREAST REPLACEMENT - UNILATERAL $402.64
06165 BREAST REPLACEMENT - BILATERAL $604.23
06178 BREAST IMPLANT - EXCISION/PATHOLOGIC CAPSULE $343.95
06179 BREAST IMPLANT - EXCISION ONLY $243.87
61050 MAMMOPLASTY (BILATERAL) $785.87
61054 BILATERAL MASTECTOMY IN THE CONTEXT OF GRS $1,465.27
61166 MASTOPEXY, BALANCING UNILATERAL(ISOLATED PROCEDURE $452.91
61167 MASTOPEXY BALANCING WITH CONTRALATERAL BREAST SURG $302.03

Leg

Code Description Amount
06127 LYMPHOEDEMA - ENTIRE LEG $694.83
06128 LYMPHOEDEMA - LOWER LIMB $1,038.79
06167 THOMPSON PROCEDURE LYMPHOEDEMA - FOREARM $351.28
06168 THOMPSON PROCEDURE LYMPHOEDEMA - UPPER EXTREMITY $233.64
06169 THOMPSON PROCEDURE LYMPHOEDEMA-LOWER EXTREMITY LEG $587.08
06170 THOMPSON PROCEDURE LYMPHOEDEMA - LOWER EXTREMITY $587.08

Microsurgery

Code Description Amount
03207 MICROSURGICAL REMOVAL OF NEOPLASM/MAJOR PERIPHERAL $809.12
06210 MICRONEURAL SURGERY; NEUROLYSIS - EXTERNAL $285.94
06211 MICRONEURAL SURGERY; NEUROLYSIS - INTRANEURAL $435.67
06212 MICROFASCICULAR NEURORRAPHY - DIGITAL OR PALMAR $285.94
06213 MICROFASCICULAR NEURORRAPHY - MAJOR NERVE $610.35
06214 INTRAFASCICULAR NERVE GRAFT - DIGITAL OR PALMAR $428.39
06215 INTRAFASCICULAR NERVE GRAFT - MAJOR NERVE $1,247.73
06216 MICROVASCULAR SURGERY - ARTERY OR VEIN $670.45
06217 MICROREIMPLANTATION - DIGIT OR EXTREMITY $3,085.74
06220 MICROVASCULAR SURGICAL FREE FLAP $3,084.95
06259 MICROSURGICAL REMOVAL NEOPLASM, DIGITAL/PALMAR $333.54

Amputations

Code Description Amount
06218 AMPUTATION - TRANSMETACARPAL $253.02
06219 AMPUTATION - FINGER $253.02

Bone Grafting

Code Description Amount
06221 BONE GRAFT - METACARPAL, PHALANX $253.02

Fractures

Code Description Amount
06222 FINGER FRACTURE - PHALANX $125.76
06223 FRACTURE - METACARPAL $125.76
06224 FRACTURE - DISTAL PHALANGES, FIRST $149.52
06225 FRACTURE - DISTAL PHALANGES, EACH ADDITIONAL $125.76
61222 CRIF PHALANGEAL OR METACARPAL FRACTURE (MID/PRXML) $194.05
61223 ORIF PHALANGEAL OR METACARPAL FRACTURE (MID/PRXML) $264.70
61224 OPEN (COMPOUND) HAND FRACTURES PRIMARY WOUND MGMT $40.66
61225 OPEN (COMPOUND)HAND FRACTURES-SECONDARY WOUND MGMT $81.23

Joints Interphalangeal Or Metacarpophalangeal

Code Description Amount
06228 ARTHROPLASTY OF METACARPOPHALANGEAL/INTERPHALANGEA $342.18
06229 ARTHRODESIS OF METACARPOPHALANGEAL/INTERPHALANGEAL $304.76
06231 HAND JOINTS - RHEUMATOID - RECONSTRUCTION $984.82
06232 PROSTHESIS - FINGER JOINT - FIRST JOINT $257.71
06233 PROSTHESIS - FINGER JOINT - SUBSEQUENT JOINTS $146.49
06234 SYNOVECTOMY - RHEUMATOID DISEASE $348.59
06235 INTRINSIC RELEASE - JOINTS $253.02
06236 METACARPO/INTERPHALANGEAL JOINT - CLOSED REDUCTION $124.42
06237 METACARPO/INTERPHALANGEAL JOINT - OPEN REDUCTION $253.02

Nerves

Code Description Amount
03196 PERIPHERAL NERVE - MOBILIZATION AND TRANSPOSITION $279.38
03198 NEURECTOMY OF MAJOR PERIPHERAL NERVE $220.77
03200 PERIPHERAL NERVE SUTURE SECONDARY & TRANSPOSITION $570.96
03201 PERIPHERAL NERVE SUTURE SECONDARY $434.47
03205 NERVE GRAFT $428.60
06156 NEUROMA TRANSPLANT $253.02
06255 PERIPHERAL NERVE SUTURE: MINOR $253.02
06256 NERVE REPAIR - PALMAR $253.02
06257 PERIPHERAL NERVE SUTURE: MAJOR $400.31
06258 PERIPHERAL NERVE/NEUROLYSIS - EXPLORATION $254.74

Tattooing Surgery (For Haemangiomata, Vitiligo, Lentigines, Etc.)

Code Description Amount
06200 TATTOOING SURGERY FACIAL AREA - < 1/4 OF FACE $113.84
06201 TATTOOING SURGERY FACIAL AREA - 1/4 TO 1/2 FACE $233.64
06202 TATTOOING SURGERY FACIAL AREA - FULL FACE $351.28
06205 TATTOOING SURGERY NON-FACIAL AREA - < 6.5 SQ. CM $59.31
06206 TATTOOING SURGERY NON-FACIAL AREA - < 65 SQ. CM $117.43
06207 TATTOOING SURGERY NON-FACIAL AREA - < 650 SQ. CM $233.64

Salivary Gland And Ducts Excision

Code Description Amount
07522 LOCAL EXCISION OF PAROTID TUMOR $202.10

Arteries

Code Description Amount
77330 REPAIR OF INJURY OF MAJOR VESSEL IN EXTREMITY - SU $579.40
77335 REPAIR OF INJURY OF MAJOR VESSEL IN EXTREMITY $745.29

Elbow, Proximal Radius And Ulna

Code Description Amount
53250 ELBOW,PROXIMAL RADIUS/ULNA- DECOMPRESSION/NEUROLY $240.93
53255 ELBOW, INCISION-DECOMPRESSION,NEUROLYSIS $403.10
53520 BICEPS TENDON, LONGHEAD, TENODESIS - ELBOW $268.73

Shoulder Girdle, Clavicle And Humerus

Code Description Amount
52555 SHOULDER/CLAVICLE/HUMERUS TENDON TRANSFER $509.68

Skin Grafts

Code Description Amount
06019 SKIN GRAFTS - SINGLE OR MULTIPLE FLAPS < 2CM $156.57
06020 SKIN GRAFTS - SINGLE $321.04
06021 SKIN GRAFTS/SINGLE WITH FREE SKIN GRAFT SECONDARY $403.90
06022 SKIN GRAFTS - MULTIPLE $565.45
06023 SKIN GRAFTS - MULTIPLE WITH FREE SKIN GRAFT $643.13
06024 SKIN GRAFT; EYEBROW/EYELID, LIP, EAR, NOSE SINGLE $291.77
06025 SKIN GRAFT; EYEBROW/EYELID/LIP/EAR/NOSE; TWO STAGE $466.13

Free Skin Grafts (Including Mucosa)

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
06040 FINGER, PHALANX MULTIPLE SKIN GRAFT FREE $291.77
06041 FULL THICKNESS FREE SKIN GRAFTS; EYELID/NOSE/LIP $349.88
06043 SKIN GRAFT - FINGER TIP - FULL THICKNESS $247.86
06044 SKIN GRAFTS - FULL THICKNESS - FREE - SOLE OR PALM $291.77
06045 FREE SKIN GRAFT; FULL THICKNESS - TOE PULP GRAFT $247.86
06069 EXCISION OF TUMOR OR SMALL SCAR - FACE $88.03
13612 EXTENSIVE LACERATION GREATER THAN 5CM $13.15
13620 EXCISION TUMOR OF SKIN/SCAR UP TO 5CM $65.53
13621 EXCISION ADDITIONAL TUMOR OF SKIN/SCAR UP TO 5CM $32.76

Other

Code Description Amount
06027 SKIN GRAFT; REPAIR OF TORN (SPLIT) EARLOBE (SIMPLE $117.43
61057 NIPPLE AREOLAR RECONSTRUCTION AND TATTOOING $454.43