Plastic surgery MSP billing codes


Referred Cases

Code Description Amount
06005 EMERGENCY VISIT - PLASTIC SURGERY $102.22
06007 VISIT, OFFICE, PLASTIC SURGERY $24.94
06008 VISIT, HOSPITAL, PLASTIC SURGERY $36.00
06009 VISIT, HOME, PLASTIC SURGERY $45.95
06010 CONSULTATION, PLASTIC SURGERY $75.24
06012 CONSULTATION, LIMITED OR REPEAT, PLASTIC SURGERY $47.34
66007 TELEHEALTH SUBSEQUENT OFFICE VISIT PLASTIC SURGERY $24.94
66008 TELEHEALTH SUBSEQUENT HOSPITAL VISIT -PLASTIC SURG $36.00
66010 TELEHEALTH MAJOR CONSULTATION, PLASTIC SURGERY $75.24
66012 TELEHEALTH REPEAT OR LIMITED CONSULT PLASTIC SURG $47.34

Skin And Subcutaneous Tissues

Code Description Amount
06028 ABSCESS - WEB SPACE OPERATION ONLY $70.15
06029 ABSCESS - WEB SPACE UNDER GENERAL ANAESTHETIC $250.00
06042 ABSCESS - MID PALMER/THENAR/DORSAL $250.00
06197 TENOSYNOVITIS, ACUTE $250.00
06198 TENOSYNOVITIS - ULNA OR RADIAL BURSA $250.00
07025 TEMPORAL ARTERY BIOPSY $77.72
07027 ABSCESS - DEEP - GENERAL ANAESTHETIC $125.26
07028 SURAL NERVE - BIOPSY OF $72.20
07041 ABDOMEN ASPIRATION/CHEST $41.05
07045 ANTERIOR CLOSED SPACE ABSCESS - OP ONLY $38.60
07059 ABSCESS - DEEP - LOCAL/REGIONAL ANESTHESIA $56.37
07061 WOUND INFECTION - POST-OP/GA $79.88
07685 PILONIDAL CYSTS OR SINUS - EXCISION OR MARSUPIALI $272.08
11402 ASPIRATION - BURSA/SYNOVIAL SHEATH, ETC. $22.79
11445 BIOPSY - OPEN - HAND/WRIST $238.06
13600 BIOPSY - MUCOSA/SKIN (OPERATION ONLY) $49.77
13601 BIOPSY - FACIAL AREA (OPERATION ONLY) $49.77
13605 ABSCESS - SUPERFICIAL $42.63
13630 PARONYCHIA $34.06
61291 BIOPSY, NOT SUTURED $24.94
61292 BIOPSY,NOT SUTURED,MULTIPLES SM SITTING,MAX4(EXTRA $5.00
70084 ABSCESS - PILONIDAL CYST/SINUS - INCISION/DRAINAGE $56.37

Debridement Of Soft Tissues For Necrotizing Infections Or Severe Trauma

Code Description Amount
70155 DEBRIDEMENT/SKIN/SUBCUTANEOUS TISSUE / INFECTION $403.86
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

Foreign Body And Minor Laceration

Code Description Amount
06063 REMOVAL OF FOREIGN BODY REQUIRING GA $245.89
13610 MINOR LACERATION OR FOREIGN BODY - NO ANAESTHESIA $34.15
13611 MINOR LACERATION/FOREIGN BODY REQUIRING ANAES. $63.59

Ablation

Code Description Amount
00190 ELECTROSURG./CRYOTHERAPY FOR REMOVAL OF WARTS ETC. $29.99
00218 CURETTAGE AND ELECTROSURGERY OF SKIN CARCINOMA $58.36
00219 CURETTAGE SKIN CARCINOMA, ADDITIONAL LESION $29.18
06112 ABRASIVE SURGERY <1/4 OF FACE $124.26
06113 ABRASIVE SURGERY 1/4 TO 1/2 OF FACE $241.44
06114 ABRASIVE SURGERY - FULL FACE $513.70

Laser Therapy

Code Description Amount
00235 PULSED LASER- FACE/NECK: < 50CM2 $66.61
00236 PULSED LASER - FACE/NECK > 50CM2 OR EYE SHIELDS $99.91
00237 ADDITIONAL FEE FOR PULSED LASER - UNDER GA $55.00

Special Case Skin And Soft Tissue

Code Description Amount
06166 EXCISION OF AXILLARY SWEAT GLAND FOR HYPERHYDROSIS $318.88
07053 EXC OF NAIL BED, COMPLETE, W/SHORTENING OF PHALANX $135.32

Excision Of Skin And Subcutaneous Tissue Of Hidradenitis Suppurativa:

Code Description Amount
07072 HYDRADENITIS SUPPURATIVA EXCISION - AXILLARY $119.77
07075 HYDRADENITIS SUPPURATIVA EXCISION - INGUINAL $119.77
07076 HYDRADENITIS SUPPURATIVA EXCISION - PERIANAL $119.77
07082 HYDRADENITIS SUPPURATIVA EXCISION - PERINEAL $119.77

Nail Surgery

Code Description Amount
13631 NAIL REMOVAL - SIMPLE $34.06
13632 NAIL REMOVAL WITH DESTRUCTION OF NAIL BED $68.91
13633 WEDGE EXCISION OF ONE NAIL $60.80

Ganglia

Code Description Amount
06182 GANGLIA OF TENDON SHEATH OR JOINT $178.76

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 $65.00
61301 WOUNDS-UP TO 5CM-FACE(BLEEDERS &/OR LAYERED CLOSUR $73.99
61302 WOUNDS-5.1 TO 10CM-OTHER THAN FACE, SIMPLE CLOSURE $88.90
61303 WOUNDS-5.1 TO 10CM-FACE(BLEEDERS &/OR LAYERED CLOS $108.43
61304 WOUNDS-10.1 TO 15CM-OTHER THAN FACE, SIMPLE CLOSUR $97.44
61305 WOUNDS-10.1 TO 15CM-FACE(BLEEDERS &/OR LAYERED CLO $121.60
61306 WOUNDS-15.1CM OR MORE-OTHER THAN FACE, SIMPLE CLOS $105.03
61307 WOUNDS-15.1CM OR MORE-FACE(BLEEDERS &/OR LAYERED $140.45
61308 COORDINATION OF ANESTHETIC SVCS-FOR LACERATION EXT $50.40

Wounds Avulsed And Complicated (In Special Areas)

Code Description Amount
06075 LIPS AND EYELID WOUNDS COMPLICATED $332.87
06076 NOSE AND EAR WOUNDS COMPLICATED $418.15
06077 COMPLICATED LACERATION OF THE SCALP CHEEK AND NECK $326.71
06238 REPAIR OF COMPLICATED FINGERTIP INJURY $197.17
70150 LACERATIONS - TONGUE/FLOOR OF MOUTH - COMPLICATED $265.30

Lesions And Scars

Code Description Amount
61310 LESIONS & SCARS-TRUNK, ARMS & LEGS-< 5CM $64.77
61311 LESIONS & SCARS-TRUNK, ARMS & LEGS - 5-10CM $107.53
61312 LESIONS & SCARS-TRUNK, ARMS & LEGS- > 10CM $173.06
61313 LESIONS & SCARS-FACE, SCALP, NECK, ETC. < 5CM $93.25
61314 LESIONS & SCARS-FACE, SCALP, NECK, ETC. 5-10 CM $112.95
61315 LESIONS & SCARS-FACE, SCALP, NECK, ETC. > 10CM $182.97
61316 LESIONS & SCARS-EYELIDS, EARS, LIPS, ETC. < 2CM $117.76
61317 LESIONS & SCARS-EYELIDS, EARS, LIPS, ETC. 2-4 CM $161.37
61318 LESIONS & SCARS-EYELIDS, EARS, LIPS, ETC. >4 CM $241.87
61319 EXCISION OF LESION(IN HOSP),TUMOUR-FREE MARGIN-EXT $50.40

Skin Flaps And Grafts

Code Description Amount
06026 SKIN GRAFT; ARTERIAL ISLAND FLAP $347.10
06030 FLAPS FROM A DISTANCE-UPPER EXTREMITY-INIT STAGE $580.08
06031 FLAPS FROM A DISTANCE -UPER EXTREMITY-2ND STAGE $462.42
06032 SKIN GRAFTS; FLAPS FROM A DISTANCE, LOWER,INITIAL $696.58
06033 FLAPS FROM A DISTANCE - FIRST STAGE -PER OPERATION $347.10
06034 FLAPS FROM A DISTANCE-MINOR 2ND STAGE PER OPERATIO $230.86
06035 FLAPS FROM A DISTANCE, DELAYING A FLAP(OPER ONLY) $160.33
06148 HAIR BEARING SCALP VACULAR ISLAND FLAP TO EYEBROW $474.66
06171 SYNDACTYLY LOCAL FLAP - FIRST CLEFT $250.00
06172 SYNDACTYLY WITH SKIN GRAFT - FIRST CLEFT $444.82
06177 NEUROVASCULAR PEDICLE $730.09
61320 EXCISION OF MALIGNANT LESIONS-10-50CM - EXTRA $40.75
61321 EXCISION OF MALIGNANT LESIONS-51-100CM-EXTRA $87.87
61322 EXCISION OF MALIGNANT LESIONS-OVER 100CM-EXTRA $134.24
61325 ADVANCEMENT FLAP-FACE, NECK OR SCALP (2.1 TO 5 CM) $170.00
61326 ADVANCEMENT FLAP-OTHER AREAS (2.1 TO 5 CM) $101.60
61327 ADVANCEMENT FLAP-FACE, NECK OR SCALP(5.1 TO 10 CM) $328.49
61328 ADVANCEMENT FLAP-OTHER AREAS (5.1 TO 10CM) $160.60
61329 ADVANCEMENT FLAP - DEFECTS MORE THAN 10 CM $386.94
61330 FLAPS - TRUNK - DEFECT UP TO 40 CM $239.78
61331 FLAPS - TRUNK - DEFECT 40 CM TO 100 CM $318.49
61332 FLAPS - TRUNK - DEFECT GREATER THAN 100 CM $415.50
61333 FLAPS - ARMS, LEGS AND SCALP - DEFECT UP TO 6 CM $150.57
61334 FLAPS - ARMS,LEGS AND SCALP-DEFECT 6 CM TO 19 CM $200.59
61335 FLAPS-ARMS,LEGS AND SCALP-DEFECT > 19 CM $450.00
61336 FLAPS-OTHER AREAS(AXILLA,CHEEKS,FACE,ETC)UPTO 6CM $299.87
61337 FLAPS-OTHER AREA(AXILLA,CHEEKS,FACE,ETC)6CM-19CM $340.10
61338 FLAPS-OTHER AREA(AXILLA,CHEEKS,FACE,ETC)-DEFECT>19 $459.98
61339 FLAPS-EARS,EYELIDS,LIPS AND NOSE-DEFECT UPTO 6 CM $340.35
61340 FLAPS-EARS,EYELIDS,LIPS AND NOSE-DEFECT 6 CM TO $449.10
61341 FLAPS-EARS,EYELIDS,LIPS AND NOSE-DEFECT > 19 CM $499.45
61342 REVISION OF GRAFT - LESS THAN 2 CM $142.66
61343 REVISION OF GRAFT - BETWEEN 2 AND 5 CM $348.79
61344 REVISION OF GRAFT - GREATER THAN 5 CM $362.00
61324 ADVANCEMENT FLAP-NOSE,LIDS,LIPS OR SCALP-UP TO 2CM $125.00

Free Skin Grafts (Including Mucosa)

Code Description Amount
06046 SPLIT THICKNESS FREE SKIN GRAFT; < 6.5 SQ. CM. $245.89
06047 SKIN GRAFTS - SPLIT THICKNESS - FREE - 65 SQ. CM $190.40
06048 SKIN GRAFTS - SPLIT THICKNESS - FREE - 650 SQ. CM $380.79
06049 SPLIT THICKNESS FREE SKIN GRAFTS; EACH 6.5 > 650 $7.27
06050 SKIN GRAFTS - REGIONS OF MAJOR JOINTS AND HANDS $424.32
06051 SKIN GRAFTS - FUNCTIONAL AREAS - FINGER TIP $245.89
06052 SKIN GRAFTS - HEAD AND NECK - 65 SQ. CM OR LESS $306.17
06053 SKIN GRAFT; FUNCTIONAL AREAS: HEAD & NECK > 65 CM $408.90
06054 SKIN GRAFTS - HEAD AND NECK - IN EXCESS OF 195 SQ $1,014.05
06058 SKIN GRAFTS; FUNCTIONAL AREAS; MAJOR JOINTS, LATE $513.70
61350 FULL-THICKNESS GRAFT-TRUNK (2 TO 19 CM) $121.00
61351 FULL-THICKNESS GRAFT-ARMS, LEGS,SCALP (2 TO 19CM) $207.00
61352 FULL-THICKNESS GRAFT-AXILLA,CHEEKS,CHIN, ETC (2 TO $261.00
61353 FULL-THICKNESS GRAFT-EARS,EYELIDS,LIPS AND NOSE (2 $305.00
61354 GRAFT (PINCH,SPLIT OR FULL THICKNESS)-OPEN AREA-UP $124.26

Major Flap Procedures

Code Description Amount
06110 CHEEKS -FACIAL PARALYSIS -DYNAMIC SLINGS(UNILATERL $770.55
06111 CHEEKS- FACIAL PARALYSIS STATIC SLINGS (UNILATERAL $638.02
06120 FACIAL PARALYSIS COMPOSITE REPAIR $821.93
06129 COMBINED COMPLETE REPAIR AS ABOVE AND RHYTIDECTOMY $927.20
06151 ULCER DECUBITUS PLASTIC SURGERY $850.00
06159 TRAM FLAP RECONSTRUCTION OF MASTECTOMY DEFECT $1,002.09
61152 ABDOMINAL PANNICULECTOMY, SECONDARY TO INTERTRIGO $777.92
61156 MYOCUTANEOUS/FASCIA CUTANEOUS FLAP - SM MUSCLES $434.59
61157 MYOCUTANEOUS/FASCIA CUTANEOUS FLAP - MED MUSCLES $616.44
61158 MYOCUTANEOUS/FASCIA CUTANEOUS FLAP - MAJOR MUSCLES $748.04

Cell Assisted Lipotransfer For Soft Defects (Aspiration And Injections)

Code Description Amount
61250 LIPOTRANSFER - ASPIRATION - VOLUME < 20 ML $80.00
61251 LIPOTRANSFER - ASPIRATION - VOLUME 21-60 ML $100.00
61252 LIPOTRANSFER - ASPIRATION - VOLUME > 60 ML $140.00
61260 LIPOTRANSFER - INJECTION FUNCTIONAL AREA: < 20ML $120.00
61261 LIPOTRANSFER - INJECTION FUNCTIONAL AREA: > 20 ML $180.00
61270 LIPOTRANSFER-INJECTION NONFUNCTIONAL AREA: < 20ML $100.00
61271 LIPOTRANSFER-INJECTION NONFUNC AREA: 21 TO 60 ML $140.00
61272 LIPOTRANSFER-INJECTION NONFUNCTIONAL AREA: > 60ML $180.00

Tissue Expansion

Code Description Amount
06085 TISSUE EXPANSION - MAJOR AREAS $540.95
06086 TISSUE EXPANSION - MINOR AREAS $345.21

Blepharoplasty

Code Description Amount
06125 EYELIDS - BLEPHAROPLASTY - SIMPLE $256.85
06126 BLEPHAROPLASTY - COMPLICATED $385.27
61025 EYELIDS-BLEPHAROPLASTY-SIMPLE(BILATERAL) $385.27
61026 BLEPHAROPLASTY-COMPLICATED-NON-COSMETIC(BILATERAL) $577.92

Eyebrow Ptosis

Code Description Amount
61360 EYEBROW PTOSIS REPAIR-SIMPLE SKIN EXCISION-UNILATE $256.85
61361 EYEBROW PTOSIS REPAIR-SIMPLE SKIN EXCISION-BILATER $385.27

Tenotomy

Code Description Amount
06175 POLLICIZATION $1,128.42
06176 DIGITAL TRANSPLANT $934.37
06185 TENDON GRAFT $695.16
06186 TENOPLASTY - ONE TENDON $227.16
06187 TENOPLASTY - TWO OR MORE TENDONS $369.80
06188 TENOLYSIS $386.32
06189 TENOLYSIS - EACH ADDITIONAL $143.28
06193 PALMAR FASCIECTOMY - EXTENSIVE $425.35
06194 PALMAR FASCIECTOMY - WITH SKIN GRAFTING $550.69
06195 SILASTIC ROD $453.27
06203 TENDON TRANSFER HAND AND WRIST $440.08
06204 TENDON TRANSFER HAND AND WRIST - EACH ADDITIONAL $160.33
57270 PLANTAR FASCIA: OPEN RELEASE OR PARTIAL EXCISION $265.54
61363 FLEXOR-PRIMARY OR SECONDARY REPAIR - FIRST TENDON $371.46
61364 FLEXOR - SECOND TO SIXTH TENDON REPAIR (EXTRA) $185.73
61365 FLEXOR - SEVENTH TO ELEVENTH TENDON REPAIR (EXTRA) $92.45
61366 FLEXOR - TWELFTH AND OVER TENDON REPAIR (EXTRA) $46.23
61368 EXTENSOR - PRIMARY OR SECONDARY REPAIR - FIRST TEN $232.45
61369 EXTENSOR - SECOND TO SIXTH TENDON REPAIR (EXTRA) $116.23
61370 EXTENSOR -SEVENTH TO ELEVENTH TENDON REPAIR(EXTRA) $58.11
61371 EXTENSOR - TWELFTH AND OVER TENDON REPAIR (EXTRA) $29.05

Cavity Grafting

Code Description Amount
06055 SKIN GRAFTS - CAVITY GRAFTING - EYE SOCKET $432.53
06056 SKIN GRAFTS/CAVITY GRAFTING/EYE SOCKET WITH MUCOSA $662.67
06057 SKIN GRAFTS - CAVITY GRAFTING - NOSE $386.31
06060 SKIN GRAFTS - CAVITY GRAFTING - MOUTH $513.70
06061 SKIN GRAFTS/CAVITY GRAFTING - LINING PEDICLE FLAPS $294.87
06062 BONE CAVITY GRAFTING IN LARGE BONE OVER 7.5 CM $432.53
06064 BONE CAVITY IN SMALL BONE - CAVITY GRAFTING $250.00
06065 BONE CAVITY IN LARGE BONE - CAVITY GRAFTING $305.14
06066 CAVITY GRAFTING; ABSENCE OF VAGINA - CONGENITAL $571.23

Burns (With Or Without General Anesthesia Per Operation)

Code Description Amount
06078 MINOR BURNS; DRESSING (IN HOSP CARE ONLY) $56.51
06079 SURGICAL DEBRIDEMENT; MINOR BURNS, EACH 5% OF BODY $120.00
06080 BURNS; SUBSEQUENT SURG DEBRIDEMENT; EACH 5% BODY $29.79
06081 BURNS SURGICAL EXCISION - FIRST 5% OF BODY SURFACE $368.83
06082 BURNS SURGICAL EXCISION/EACH ADDITIONAL 5% OF BODY $200.00
06083 BURNS, SEVERE, GENERAL CARE - FIRST HOUR $250.00
06084 BURNS, SEVERE, GENERAL CARE - SUBSEQUENT HOURS $200.00

Osteomyelitis

Code Description Amount
06087 INCISION SUBPERIOSTEAL ABSCESS $250.00

Regional Mandibulo Facial

Code Description Amount
06240 INTERDENTAL AND INTERMAXILLARY WIRING $367.69
06241 GUNNING SPLINTS IMPRESSION $449.05
06242 MANDIBLE -OPEN REDUCTION - UNILATERAL $550.00
06243 MANDIBLE -OPEN REDUCTION - BILATERAL $750.00
06244 MANDIBLE -OPEN REDUCTION AND WIRING - UNILATERAL $650.00
06245 MANDIBLE -OPEN REDUCTION AND WIRING - BILATERAL $850.00
06246 REMOVAL OF SUTURES, INTRA-ORAL SPLINTS, UNDER GA $245.89
06250 FACE, FRACTURE LE FORTE - HORIZONTAL $850.00
06251 FACE, FRACTURE LE FORTE - PYRAMIDAL $950.00
06252 FACE, FRACTURE LE FORTE/CRANIO-FACIAL DYSJUNCTION $1,090.39
06253 WIRE SUSPENSION, CRANIOMAXILLARY $1,090.39
06260 MAXILLARY FRACTURE ZYGOMATIC - TEMPORAL ELEVATION $250.00
06261 MAXILLARY FRACTURE ZYGOMATIC - OPEN REDUCTION AND $619.15
06262 MAXILLARY FRACTURE ZYGOMATIC - REDUCTION $250.00
06265 MAXILLARY FRACTURE ZYGOMATIC - ARCH - TEMPORAL $250.00
06266 ZYGOMATIC ARCH/OPEN REDUCTION/INTEROSSEOUS WIRING $338.11
06270 ORBITAL FLOOR FRACTURE $650.00
06271 ALVEOLAR FRACTURE - ONE TOOTH EXTRACTION $125.73
06272 ALVEOLAR FRACTURE - ADDITIONAL TEETH $78.18
06273 FRACTURE-ALVEOLUS; ARCH BAR FIXATION $302.18
06280 TEMPORO-MANDIBULAR JOINT; MENISCECTOMY $338.11
06281 TEMPORO-MANDIBULAR JOINT; CONDYLECTOMY $500.82
06282 TEMPORO-MANDIBULAR ARTHROPLASTY $712.14
06291 MANDIBULAR RESECTION; TUMOURS; ENUCLEATION $594.85
06292 MANDIBULAR RESECTION; TUMOURS; WITH BONE GRAFT $844.20
06293 BONE GRAFT JAW, AUTOLOGOUS $531.46
06294 BONE GRAFT JAW, NON-AUTOLOGOUS $490.25

Maxillo Facial

Code Description Amount
03080 BILAT ORBITAL ADVANCEMENT-HYPERTELORISM TEAM-NEURO $2,192.20
03081 UNILATERAL ORBITAL ADVANCEMENT-TEAM PROC-NEUR $2,033.71
03082 BILATERAL ORBITAL ADVANCEMENT-TEAM PROC-NEURO $2,720.22
06300 OSTEOTOMIES, MAXILLO-FACIAL; LE FORT 1, HORIZONTAL $1,108.34
06301 OSTEOTOMIES, MAXILLO-FACIAL LE FORT II - PYRAMIDAL $1,372.49
06302 MAXILLO-FACIAL OSTEOTOMY; LE FORT III INTRACRANIAL $2,851.69
06303 MAXILLO-FACIAL OSTEOTOMY; LE FORT III EXTRACRANIAL $2,429.07
06304 OSTEOTOMIES, MAXILLO-FACIAL - MALAR MAXILLIARY $1,266.83
06305 OSTEOTOMIES, MANDIBULAR MAXILLO-FACIAL/UNILATERAL $791.37
06306 OSTEOTOMIES, MANDIBULAR MAXILLO-FACIAL - BILATERAL $949.86
06307 OSTEOTOMIES, PRE-MAXILLARY SET BACK $791.37
06308 MANDIBULAR OSTEOTOMY/INTERNAL FIXATION/UNILATERAL $807.22
06309 MANDIBULAR OSTEOTOMY - INTERNAL FIXATION/BILATERAL $1,161.17
06310 OSTEOTOMY - ORBITAL ADVANCEMENT - UNILATERAL $2,746.04
06311 OSTEOTOMY - ORBITAL ADVANCEMENT $3,063.01
06312 OSTEOTOMY - INTRACRANIAL CORRECTION HYPERTELORISM $3,696.95
06313 OSTEOTOMY - ORBITAL EXPANSION $2,957.35
06314 OSTEOTOMY - CANTHOPEXY $553.65
61380 BIL ORBITAL ADVANCEMENT-HYPERTELORISM(TEAM PLAST $2,192.20
61381 UNILATERAL ORBITAL ADVANCEMENT-TEAM PROC-PLASTIC $2,033.71
61382 BILATERAL ORBITAL ADVANCEMENT-TEAM PROC-PLASTIC $2,720.22

Nose And Sinuses

Code Description Amount
02298 CRYOSURGICAL TREATMENT OF TURBINATES - UNILATERAL $150.13
02299 CRYOSURGICAL TREATMENT OF TURBINATES - BILATERAL $187.67
02306 SUBMUCOUS RESECTION OF SEPTUM $162.64
02351 NASAL REFRACTURE REQUIRING LATERAL OSTEOTOMIES $350.31
02352 RECONSTRUCTION OF NASAL TIP, ALA AND COLUMELLA $412.88
02353 NASAL TIP, ALA AND COLUMELLA/EXTERNAL RECONSTRUCT $553.02
02354 RHINOPLASTY/COMPLETE - WITH SMR TO INCLUDE NASAL $600.56
02355 RHINOPLASTY/SMR, COMPLETE - WITHOUT SKIN GRAFTING $761.21
02364 NASAL FRACTURE - SIMPLE REDUCTION $62.54
02365 NASAL FRACTURE - REDUCTION AND SPLINTING $125.12
06109 RHINOPLASTY - REMOVAL OF HUMP $233.51
06115 RHINOPLASTY - FOREHEAD, 2 OPERATIONS $900.01
06116 RHINOPLASTY - COMPOSITE GRAFT $324.66
06117 RHINOPHYMA $328.60
06118 RHINOPLASTY; BONE GRAFT TO NOSE - AUTOLOGOUS $589.57
06119 RHINOPLASTY; BONE GRAFT NOSE, NON-AUTOLOGOUS $483.91
06123 NASAL FRACTURE-COMMINUTED-WIRE PLATE FIXATION $301.13
06124 NASAL FRACTURE - WIRE PLATE FIXATION - OPEN REDUCT $523.00

Ears

Code Description Amount
06130 AURICLE - ACCESSORY $250.00
06131 OTOPLASTY - OUTSTANDING EARS(UNILATERAL) $311.69
06132 MICROTIA - PARTIAL $369.80
06133 MICROTIA - TOTAL MAJOR $920.28
06134 MICROTIA - TOTAL MINOR $301.13
06135 PREAURICULAR SINUS - SIMPLE $250.00
06180 PREAURICULAR SINUS - COMPLICATED $245.89
61031 OTOPLASTY-OUTSTANDING EARS(BILATERAL) $467.54

Mouth

Code Description Amount
06136 ABBE OPERATION $628.77
06137 MOUTH ROTATION FLAP TO LIP $538.36
06138 CLEFT LIP - BILATERAL $1,040.72
06139 CLEFT LIP - UNILATERAL $547.30
06140 WEDGE RESECTION - LIP VERMILION $196.71
06141 WEDGE RESECTION OF LIP SULCUS $245.89
06142 PHARYNGOPLASTY, PHARYNGEAL FLAP $532.51
06143 PHARYNGEAL FLAP PUSH BACK $736.44
06144 CLEFT LIP, BILATERAL $736.44
06145 CLEFT PALATE $543.08
06146 LIP SHAVE - VERMILLIONECTOMY $391.44
06147 PALATAL CLEFT - BONE GRAFT $601.19
06181 LIP ADHESION FOR CLEFT PALATE $385.64

Orbit

Code Description Amount
06153 BONE GRAFT ORBIT, AUTOLOGOUS $601.19
06154 BONE GRAFT ORBIT, NON-AUTOLOGOUS IMPLANT $453.27

Trunk

Code Description Amount
06150 MAMMOPLASTY(UNILATERAL) $517.68
06157 NIPPLE-AREOLAR RECONSTRUCTION $332.98
06164 BREAST REPLACEMENT - UNILATERAL $295.07
06165 BREAST REPLACEMENT - BILATERAL $516.37
06178 BREAST IMPLANT - EXCISION/PATHOLOGIC CAPSULE $339.86
06179 BREAST IMPLANT - EXCISION ONLY $240.97
61050 MAMMOPLASTY (BILATERAL) $776.52
61054 BILATERAL MASTECTOMY IN THE CONTEXT OF GRS $1,447.82
61166 MASTOPEXY, BALANCING UNILATERAL(ISOLATED PROCEDURE $314.45
61167 MASTOPEXY BALANCING WITH CONTRALATERAL BREAST SURG $235.83

Leg

Code Description Amount
06127 LYMPHOEDEMA - ENTIRE LEG $686.56
06128 LYMPHOEDEMA - LOWER LIMB $1,026.42
06167 THOMPSON PROCEDURE LYMPHOEDEMA - FOREARM $347.10
06168 THOMPSON PROCEDURE LYMPHOEDEMA - UPPER EXTREMITY $230.86
06169 THOMPSON PROCEDURE LYMPHOEDEMA-LOWER EXTREMITY LEG $580.09
06170 THOMPSON PROCEDURE LYMPHOEDEMA - LOWER EXTREMITY $580.09

Microsurgery

Code Description Amount
03207 MICROSURGICAL REMOVAL OF NEOPLASM/MAJOR PERIPHERAL $799.49
06210 MICRONEURAL SURGERY; NEUROLYSIS - EXTERNAL $282.54
06211 MICRONEURAL SURGERY; NEUROLYSIS - INTRANEURAL $430.48
06212 MICROFASCICULAR NEURORRAPHY - DIGITAL OR PALMAR $282.54
06213 MICROFASCICULAR NEURORRAPHY - MAJOR NERVE $603.09
06214 INTRAFASCICULAR NERVE GRAFT - DIGITAL OR PALMAR $423.29
06215 INTRAFASCICULAR NERVE GRAFT - MAJOR NERVE $1,232.88
06216 MICROVASCULAR SURGERY - ARTERY OR VEIN $662.47
06217 MICROREIMPLANTATION - DIGIT OR EXTREMITY $3,049.01
06220 MICROVASCULAR SURGICAL FREE FLAP $3,048.22
06259 MICROSURGICAL REMOVAL NEOPLASM, DIGITAL/PALMAR $329.57

Amputations

Code Description Amount
06218 AMPUTATION - TRANSMETACARPAL $250.00
06219 AMPUTATION - FINGER $250.00

Bone Grafting

Code Description Amount
06221 BONE GRAFT - METACARPAL, PHALANX $250.00

Fractures

Code Description Amount
06222 FINGER FRACTURE - PHALANX $124.26
06223 FRACTURE - METACARPAL $124.26
06224 FRACTURE - DISTAL PHALANGES, FIRST $147.74
06225 FRACTURE - DISTAL PHALANGES, EACH ADDITIONAL $124.26
61222 CRIF PHALANGEAL OR METACARPAL FRACTURE (MID/PRXML) $192.61
61223 ORIF PHALANGEAL OR METACARPAL FRACTURE (MID/PRXML) $262.73
61224 OPEN (COMPOUND) HAND FRACTURES PRIMARY WOUND MGMT $40.18
61225 OPEN (COMPOUND)HAND FRACTURES-SECONDARY WOUND MGMT $80.27

Joints Interphalangeal Or Metacarpophalangeal

Code Description Amount
06228 ARTHROPLASTY OF METACARPOPHALANGEAL/INTERPHALANGEA $338.11
06229 ARTHRODESIS OF METACARPOPHALANGEAL/INTERPHALANGEAL $301.13
06231 HAND JOINTS - RHEUMATOID - RECONSTRUCTION $973.10
06232 PROSTHESIS - FINGER JOINT - FIRST JOINT $254.63
06233 PROSTHESIS - FINGER JOINT - SUBSEQUENT JOINTS $144.75
06234 SYNOVECTOMY - RHEUMATOID DISEASE $344.44
06235 INTRINSIC RELEASE - JOINTS $250.00
06236 METACARPO/INTERPHALANGEAL JOINT - CLOSED REDUCTION $122.94
06237 METACARPO/INTERPHALANGEAL JOINT - OPEN REDUCTION $250.00

Nerves

Code Description Amount
03196 PERIPHERAL NERVE - MOBILIZATION AND TRANSPOSITION $276.06
03198 NEURECTOMY OF MAJOR PERIPHERAL NERVE $218.14
03200 PERIPHERAL NERVE SUTURE SECONDARY & TRANSPOSITION $564.17
03201 PERIPHERAL NERVE SUTURE SECONDARY $429.30
03205 NERVE GRAFT $423.49
06156 NEUROMA TRANSPLANT $250.00
06255 PERIPHERAL NERVE SUTURE: MINOR $251.13
06256 NERVE REPAIR - PALMAR $250.00
06257 PERIPHERAL NERVE SUTURE: MAJOR $395.55
06258 PERIPHERAL NERVE/NEUROLYSIS - EXPLORATION $252.85

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

Code Description Amount
06200 TATTOOING SURGERY FACIAL AREA - < 1/4 OF FACE $112.48
06201 TATTOOING SURGERY FACIAL AREA - 1/4 TO 1/2 FACE $230.86
06202 TATTOOING SURGERY FACIAL AREA - FULL FACE $347.10
06205 TATTOOING SURGERY NON-FACIAL AREA - < 6.5 SQ. CM $58.60
06206 TATTOOING SURGERY NON-FACIAL AREA - < 65 SQ. CM $116.03
06207 TATTOOING SURGERY NON-FACIAL AREA - < 650 SQ. CM $230.86

Salivary Gland And Ducts Excision

Code Description Amount
07522 LOCAL EXCISION OF PAROTID TUMOR $131.91

Arteries

Code Description Amount
77330 REPAIR OF INJURY OF MAJOR VESSEL IN EXTREMITY - SU $572.50
77335 REPAIR OF INJURY OF MAJOR VESSEL IN EXTREMITY $736.42

Elbow, Proximal Radius And Ulna

Code Description Amount
53250 ELBOW,PROXIMAL RADIUS/ULNA- DECOMPRESSION/NEUROLY $238.06
53255 ELBOW, INCISION-DECOMPRESSION,NEUROLYSIS $398.30
53520 BICEPS TENDON, LONGHEAD, TENODESIS - ELBOW $265.54

Shoulder Girdle, Clavicle And Humerus

Code Description Amount
52555 SHOULDER/CLAVICLE/HUMERUS TENDON TRANSFER $503.61

Skin Grafts

Code Description Amount
06019 SKIN GRAFTS - SINGLE OR MULTIPLE FLAPS < 2CM $155.32
06020 SKIN GRAFTS - SINGLE $318.49
06021 SKIN GRAFTS/SINGLE WITH FREE SKIN GRAFT SECONDARY $400.69
06022 SKIN GRAFTS - MULTIPLE $560.96
06023 SKIN GRAFTS - MULTIPLE WITH FREE SKIN GRAFT $638.02
06024 SKIN GRAFT; EYEBROW/EYELID, LIP, EAR, NOSE SINGLE $289.45
06025 SKIN GRAFT; EYEBROW/EYELID/LIP/EAR/NOSE; TWO STAGE $462.42

Free Skin Grafts (Including Mucosa)

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
06040 FINGER, PHALANX MULTIPLE SKIN GRAFT FREE $289.45
06041 FULL THICKNESS FREE SKIN GRAFTS; EYELID/NOSE/LIP $347.10
06043 SKIN GRAFT - FINGER TIP - FULL THICKNESS $245.89
06044 SKIN GRAFTS - FULL THICKNESS - FREE - SOLE OR PALM $289.45
06045 FREE SKIN GRAFT; FULL THICKNESS - TOE PULP GRAFT $245.89
06069 EXCISION OF TUMOR OR SMALL SCAR - FACE $87.33
13612 EXTENSIVE LACERATION GREATER THAN 5CM $12.75
13620 EXCISION TUMOR OF SKIN/SCAR UP TO 5CM $64.26
13621 EXCISION ADDITIONAL TUMOR OF SKIN/SCAR UP TO 5CM $31.80

Other

Code Description Amount
06027 SKIN GRAFT; REPAIR OF TORN (SPLIT) EARLOBE (SIMPLE $116.03
61057 NIPPLE AREOLAR RECONSTRUCTION AND TATTOOING $449.02