| Code | Description | Amount |
|---|---|---|
| 06005 | EMERGENCY VISIT - PLASTIC SURGERY | $104.23 |
| 06007 | SUBSEQUENT VISIT, OFFICE, PLASTIC SURGERY | $25.43 |
| 06008 | SUBSEQUENT VISIT, HOSPITAL, PLASTIC SURGERY | $36.71 |
| 06009 | SUBSEQUENT VISIT, HOME, PLASTIC SURGERY | $80.00 |
| 06010 | CONSULTATION, PLASTIC SURGERY | $98.50 |
| 06012 | CONSULTATION, LIMITED OR REPEAT, PLASTIC SURGERY | $48.27 |
| 66007 | TELEHEALTH SUBSEQUENT OFFICE VISIT PLASTIC SURGERY | $25.43 |
| 66008 | TELEHEALTH SUBSEQUENT HOSPITAL VISIT -PLASTIC SURG | $36.71 |
| 66010 | TELEHEALTH MAJOR CONSULTATION, PLASTIC SURGERY | $98.50 |
| 66012 | TELEHEALTH REPEAT OR LIMITED CONSULT PLASTIC SURG | $48.27 |
| Code | Description | Amount |
|---|---|---|
| 06028 | ABSCESS - WEB SPACE OPERATION ONLY | $254.92 |
| 06029 | ABSCESS - WEB SPACE UNDER GENERAL ANAESTHETIC | $290.00 |
| 06042 | ABSCESS - MID PALMER/THENAR/DORSAL | $254.92 |
| 06197 | Acute tenosynovitis - finger | $290.00 |
| 06198 | Acute tenosynovitis - ulnar or radial bursa | $290.00 |
| 07025 | TEMPORAL ARTERY BIOPSY | $140.69 |
| 07027 | ABSCESS - DEEP - GENERAL ANAESTHETIC | $203.59 |
| 07028 | SURAL NERVE - BIOPSY OF | $177.27 |
| 07041 | ABDOMEN ASPIRATION/CHEST | $76.01 |
| 07045 | ANTERIOR CLOSED SPACE ABSCESS - OP ONLY | $101.44 |
| 07059 | ABSCESS - DEEP - LOCAL/REGIONAL ANESTHESIA | $81.46 |
| 07061 | Abscess - deep, post operative wound infection under general anesthesia | $203.37 |
| 07685 | PILONIDAL CYSTS OR SINUS - EXCISION OR MARSUPIALIZATION | $277.43 |
| 11402 | ASPIRATION - BURSA/SYNOVIAL SHEATH, ETC. | $23.23 |
| 11445 | BIOPSY - OPEN - HAND/WRIST | $242.74 |
| 13600 | Biopsy of skin or mucosa (operation only) | $51.92 |
| 13601 | BIOPSY - FACIAL AREA (OPERATION ONLY) | $51.92 |
| 13605 | Opening superficial abscess, including furuncle - operation only | $44.48 |
| 13630 | PARONYCHIA | $35.53 |
| 61291 | BIOPSY, NOT SUTURED | $89.10 |
| 61292 | BIOPSY,NOT SUTURED,MULTIPLES SM SITTING,MAX4(EXTRA | $25.02 |
| 70084 | ABSCESS - PILONIDAL CYST/SINUS - INCISION/DRAINAGE | $101.36 |
| Code | Description | Amount |
|---|---|---|
| 70155 | Debridement of skin and subcutaneous tissue restricted to genitalia and perineum for necrotizing infection (Fournier’s Gangrene) (stand alone procedure) | $411.80 |
| 70158 | DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE,UP TO 5% BODY SURFACE AREA | $235.72 |
| 70159 | DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE; EACH SUB 5% OF BODY SURFACE AREA | $117.87 |
| 70162 | DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA / 1ST 5% OF BODY SURFACE AREA | $261.93 |
| 70163 | DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA/EACH SUB 5% OF BODY SURFACE AREA | $130.96 |
| 70165 | DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE;UP TO 1ST 5% OF BODY SURFACE AREA | $288.10 |
| 70166 | DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE; EACH SUB 5% OF BODY SURFACE AREA | $144.06 |
| 70168 | ACTIVE WOUND MGMT-ACUTE PHASE AFTER DEBRIDEMENT | $78.57 |
| 70169 | ACTIVE WOUND MGMT/IN OR ACUTE PHASE AFT DEBRIDEMNT | $125.72 |
| Code | Description | Amount |
|---|---|---|
| 00190 | ELECTROSURG./CRYOTHERAPY FOR REMOVAL OF WARTS ETC. | $31.62 |
| 00218 | Curettage and electrosurgery of skin carcinoma proven histopathologically (operation only) | $61.38 |
| 00219 | For each additional lesion – to a maximum of two additional lesions per day (operation only) | $30.69 |
| 06112 | ABRASIVE SURGERY <1/4 OF FACE | $126.70 |
| 06113 | ABRASIVE SURGERY 1/4 TO 1/2 OF FACE | $246.18 |
| 06114 | ABRASIVE SURGERY - FULL FACE | $523.79 |
| Code | Description | Amount |
|---|---|---|
| 06182 | GANGLIA OF TENDON SHEATH OR JOINT | $182.27 |
| Code | Description | Amount |
|---|
| Code | Description | Amount |
|---|---|---|
| 61300 | WOUNDS-UP TO 5CM-OTHER THAN FACE, SIMPLE CLOSURE | $137.54 |
| 61301 | WOUNDS-UP TO 5CM-FACE(BLEEDERS &/OR LAYERED CLOSUR | $203.77 |
| 61302 | WOUNDS-5.1 TO 10CM-OTHER THAN FACE, SIMPLE CLOSURE | $244.52 |
| 61303 | WOUNDS-5.1 TO 10CM-FACE(BLEEDERS &/OR LAYERED CLOS | $254.72 |
| 61304 | WOUNDS-10.1 TO 15CM-OTHER THAN FACE, SIMPLE CLOSUR | $285.29 |
| 61305 | WOUNDS-10.1 TO 15CM-FACE(BLEEDERS &/OR LAYERED CLO | $356.60 |
| 61306 | WOUNDS-15.1CM OR MORE-OTHER THAN FACE, SIMPLE CLOS | $305.66 |
| 61307 | WOUNDS-15.1CM OR MORE-FACE(BLEEDERS &/OR LAYERED | $407.55 |
| 61308 | COORDINATION OF ANESTHETIC SVCS-FOR LACERATION EXT | $203.77 |
| Code | Description | Amount |
|---|---|---|
| 06075 | LIPS AND EYELID WOUNDS COMPLICATED | $339.41 |
| 06076 | NOSE AND EAR WOUNDS COMPLICATED | $426.36 |
| 06077 | COMPLICATED LACERATION OF THE SCALP CHEEK AND NECK | $333.13 |
| 06238 | REPAIR OF COMPLICATED FINGERTIP INJURY | $201.05 |
| 70150 | LACERATIONS - TONGUE/FLOOR OF MOUTH - COMPLICATED | $270.50 |
| Code | Description | Amount |
|---|---|---|
| 61310 | LESIONS & SCARS-TRUNK, ARMS & LEGS-< 5CM | $122.27 |
| 61311 | LESIONS & SCARS-TRUNK, ARMS & LEGS - 5-10CM | $157.92 |
| 61312 | LESIONS & SCARS-TRUNK, ARMS & LEGS- > 10CM | $234.35 |
| 61313 | LESIONS & SCARS-FACE, SCALP, NECK, ETC. < 5CM | $169.13 |
| 61314 | LESIONS & SCARS-FACE, SCALP, NECK, ETC. 5-10 CM | $224.15 |
| 61315 | LESIONS & SCARS-FACE, SCALP, NECK, ETC. > 10CM | $275.10 |
| 61316 | LESIONS & SCARS-EYELIDS, EARS, LIPS, ETC. < 2CM | $178.30 |
| 61317 | LESIONS & SCARS-EYELIDS, EARS, LIPS, ETC. 2-4 CM | $213.97 |
| 61318 | LESIONS & SCARS-EYELIDS, EARS, LIPS, ETC. >4 CM | $290.38 |
| 61319 | EXCISION OF LESION(IN HOSP),TUMOUR-FREE MARGIN-EXT | $101.89 |
| Code | Description | Amount |
|---|---|---|
| 06026 | SKIN GRAFT; ARTERIAL ISLAND FLAP | $353.91 |
| 06030 | FLAPS FROM A DISTANCE-UPPER EXTREMITY-INIT STAGE | $591.47 |
| 06031 | FLAPS FROM A DISTANCE -UPER EXTREMITY-2ND STAGE | $471.50 |
| 06032 | SKIN GRAFTS; FLAPS FROM A DISTANCE, LOWER,INITIAL | $710.26 |
| 06033 | FLAPS FROM A DISTANCE - FIRST STAGE -PER OPERATION | $353.91 |
| 06034 | FLAPS FROM A DISTANCE-MINOR 2ND STAGE PER OPERATIO | $235.39 |
| 06035 | FLAPS FROM A DISTANCE, DELAYING A FLAP(OPER ONLY) | $163.48 |
| 06148 | HAIR BEARING SCALP VACULAR ISLAND FLAP TO EYEBROW | $483.98 |
| 06171 | SYNDACTYLY LOCAL FLAP - FIRST CLEFT | $254.92 |
| 06172 | SYNDACTYLY WITH SKIN GRAFT - FIRST CLEFT | $453.55 |
| 06177 | NEUROVASCULAR PEDICLE | $744.43 |
| 61320 | EXCISION OF MALIGNANT LESIONS-10-50CM - EXTRA | $61.13 |
| 61321 | EXCISION OF MALIGNANT LESIONS-51-100CM-EXTRA | $132.45 |
| 61322 | EXCISION OF MALIGNANT LESIONS-OVER 100CM-EXTRA | $183.40 |
| 61325 | ADVANCEMENT FLAP-FACE, NECK OR SCALP (2.1 TO 5 CM) | $234.35 |
| 61326 | ADVANCEMENT FLAP-OTHER AREAS (2.1 TO 5 CM) | $182.38 |
| 61327 | ADVANCEMENT FLAP-FACE, NECK OR SCALP(5.1 TO 10 CM) | $355.27 |
| 61328 | ADVANCEMENT FLAP-OTHER AREAS (5.1 TO 10CM) | $233.47 |
| 61329 | ADVANCEMENT FLAP - DEFECTS MORE THAN 10 CM | $393.85 |
| 61330 | FLAPS - TRUNK - DEFECT UP TO 40 CM | $243.61 |
| 61331 | FLAPS - TRUNK - DEFECT 40 CM TO 100 CM | $324.82 |
| 61332 | FLAPS - TRUNK - DEFECT GREATER THAN 100 CM | $423.66 |
| 61333 | FLAPS - ARMS, LEGS AND SCALP - DEFECT UP TO 6 CM | $305.76 |
| 61334 | FLAPS - ARMS,LEGS AND SCALP-DEFECT 6 CM TO 19 CM | $325.00 |
| 61335 | FLAPS-ARMS,LEGS AND SCALP-DEFECT > 19 CM | $458.84 |
| 61336 | FLAPS-OTHER AREAS(AXILLA,CHEEKS,FACE,ETC)UPTO 6CM | $305.76 |
| 61337 | FLAPS-OTHER AREA(AXILLA,CHEEKS,FACE,ETC)6CM-19CM | $346.78 |
| 61338 | FLAPS-OTHER AREA(AXILLA,CHEEKS,FACE,ETC)-DEFECT>19 | $469.01 |
| 61339 | FLAPS-EARS,EYELIDS,LIPS AND NOSE-DEFECT UPTO 6 CM | $347.03 |
| 61340 | FLAPS-EARS,EYELIDS,LIPS AND NOSE-DEFECT 6 CM TO | $457.92 |
| 61341 | FLAPS-EARS,EYELIDS,LIPS AND NOSE-DEFECT > 19 CM | $509.26 |
| 61342 | REVISION OF GRAFT - LESS THAN 2 CM | $203.01 |
| 61343 | REVISION OF GRAFT - BETWEEN 2 AND 5 CM | $243.61 |
| 61344 | REVISION OF GRAFT - GREATER THAN 5 CM | $284.22 |
| 61324 | ADVANCEMENT FLAP-NOSE,LIDS,LIPS OR SCALP-UP TO 2CM | $185.44 |
| Code | Description | Amount |
|---|---|---|
| 06046 | SPLIT THICKNESS FREE SKIN GRAFT; < 6.5 SQ. CM. | $250.72 |
| 06047 | SKIN GRAFTS - SPLIT THICKNESS - FREE - 65 SQ. CM | $304.13 |
| 06048 | SKIN GRAFTS - SPLIT THICKNESS - FREE - 650 SQ. CM | $388.27 |
| 06049 | SPLIT THICKNESS FREE SKIN GRAFTS; EACH 6.5 > 650 | $7.42 |
| 06050 | SKIN GRAFTS - REGIONS OF MAJOR JOINTS AND HANDS | $432.65 |
| 06051 | SKIN GRAFTS - FUNCTIONAL AREAS - FINGER TIP | $250.72 |
| 06052 | SKIN GRAFTS - HEAD AND NECK - 65 SQ. CM OR LESS | $312.18 |
| 06053 | SKIN GRAFT; FUNCTIONAL AREAS: HEAD & NECK > 65 CM | $416.93 |
| 06054 | SKIN GRAFTS - HEAD AND NECK - IN EXCESS OF 195 SQ | $1,033.97 |
| 06058 | SKIN GRAFTS; FUNCTIONAL AREAS; MAJOR JOINTS, LATE | $523.79 |
| 61350 | FULL-THICKNESS GRAFT-TRUNK (2 TO 19 CM) | $228.39 |
| 61351 | FULL-THICKNESS GRAFT-ARMS, LEGS,SCALP (2 TO 19CM) | $289.29 |
| 61352 | FULL-THICKNESS GRAFT-AXILLA,CHEEKS,CHIN, ETC (2 TO | $355.27 |
| 61353 | FULL-THICKNESS GRAFT-EARS,EYELIDS,LIPS AND NOSE (2 | $392.94 |
| 61354 | GRAFT (PINCH,SPLIT OR FULL THICKNESS)-OPEN AREA-UP | $253.77 |
| Code | Description | Amount |
|---|---|---|
| 06110 | CHEEKS -FACIAL PARALYSIS - dynamic slings with local functional muscle transfer (unilateral) | $785.69 |
| 06111 | CHEEKS- FACIAL PARALYSIS STATIC SLINGS (UNILATERAL | $650.54 |
| 06120 | Complete repair for facial paralysis, plication of paralyzed muscles, meloplasty, and resection of overactive muscles – bilateral | $838.07 |
| 06129 | Combined complete repair as above and rhytidectomy – unilateral | $945.41 |
| 06151 | Decubitus ulcers - excision and treatment of bone, rotation flaps, and skin grafts to secondary defect | $866.70 |
| 06159 | TRAM FLAP RECONSTRUCTION OF MASTECTOMY DEFECT | $1,021.77 |
| 61152 | Abdominal panniculectomy – where medically indicated, secondary to chronic subpanus intertrigo, which has been unresponsive to a reasonable period of medical treatment | $910.00 |
| 61156 | Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving small muscles | $444.79 |
| 61157 | Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving medium muscles | $630.91 |
| 61158 | Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving major muscles | $765.60 |
| Code | Description | Amount |
|---|---|---|
| 61250 | LIPOTRANSFER - ASPIRATION - VOLUME < 20 ML | $81.88 |
| 61251 | LIPOTRANSFER - ASPIRATION - VOLUME 21-60 ML | $102.34 |
| 61252 | LIPOTRANSFER - ASPIRATION - VOLUME > 60 ML | $143.28 |
| 61260 | LIPOTRANSFER - INJECTION FUNCTIONAL AREA: < 20ML | $122.81 |
| 61261 | LIPOTRANSFER - INJECTION FUNCTIONAL AREA: > 20 ML | $184.23 |
| 61270 | LIPOTRANSFER-INJECTION NONFUNCTIONAL AREA: < 20ML | $102.34 |
| 61271 | LIPOTRANSFER-INJECTION NONFUNC AREA: 21 TO 60 ML | $143.28 |
| 61272 | LIPOTRANSFER-INJECTION NONFUNCTIONAL AREA: > 60ML | $184.23 |
| Code | Description | Amount |
|---|---|---|
| 06175 | POLLICIZATION | $1,150.59 |
| 06176 | DIGITAL TRANSPLANT | $952.71 |
| 06185 | TENDON GRAFT | $705.63 |
| 06186 | TENOPLASTY - ONE TENDON | $231.62 |
| 06187 | TENOPLASTY - TWO OR MORE TENDONS | $377.06 |
| 06188 | TENOLYSIS | $392.14 |
| 06189 | TENOLYSIS - EACH ADDITIONAL | $145.44 |
| 06193 | PALMAR FASCIECTOMY - EXTENSIVE | $433.71 |
| 06194 | PALMAR FASCIECTOMY - WITH SKIN GRAFTING | $561.51 |
| 06195 | SILASTIC ROD PRIOR TO TENDON GRAFTING | $462.17 |
| 06203 | TENDON TRANSFER HAND AND WRIST | $448.72 |
| 06204 | TENDON TRANSFER HAND AND WRIST - EACH ADDITIONAL | $163.48 |
| 57270 | PLANTAR FASCIA: OPEN RELEASE OR PARTIAL EXCISION | $270.75 |
| 61363 | FLEXOR-PRIMARY OR SECONDARY REPAIR - FIRST TENDON | $377.06 |
| 61364 | FLEXOR - SECOND TO SIXTH TENDON REPAIR (EXTRA) | $188.53 |
| 61365 | FLEXOR - SEVENTH TO ELEVENTH TENDON REPAIR (EXTRA) | $94.27 |
| 61366 | FLEXOR - TWELFTH AND OVER TENDON REPAIR (EXTRA) | $47.14 |
| 61368 | EXTENSOR - PRIMARY OR SECONDARY REPAIR - FIRST TEN | $237.02 |
| 61369 | EXTENSOR - SECOND TO SIXTH TENDON REPAIR (EXTRA) | $118.51 |
| 61370 | EXTENSOR -SEVENTH TO ELEVENTH TENDON REPAIR(EXTRA) | $59.24 |
| 61371 | EXTENSOR - TWELFTH AND OVER TENDON REPAIR (EXTRA) | $29.62 |
| Code | Description | Amount |
|---|---|---|
| 06055 | SKIN GRAFTS - CAVITY GRAFTING - EYE SOCKET | $441.02 |
| 06056 | SKIN GRAFTS/CAVITY GRAFTING/EYE SOCKET WITH MUCOSA | $675.68 |
| 06057 | SKIN GRAFTS - CAVITY GRAFTING - NOSE | $393.90 |
| 06060 | SKIN GRAFTS - CAVITY GRAFTING - MOUTH | $523.79 |
| 06061 | SKIN GRAFTS/CAVITY GRAFTING - LINING PEDICLE FLAPS | $300.67 |
| 06062 | BONE CAVITY GRAFTING IN LARGE BONE OVER 7.5 CM | $441.02 |
| 06064 | BONE CAVITY IN SMALL BONE - CAVITY GRAFTING | $254.92 |
| 06065 | BONE CAVITY IN LARGE BONE - CAVITY GRAFTING | $311.13 |
| 06066 | CAVITY GRAFTING; ABSENCE OF VAGINA - CONGENITAL | $582.45 |
| Code | Description | Amount |
|---|---|---|
| 06078 | MINOR BURNS; DRESSING (IN HOSP CARE ONLY) | $57.62 |
| 06079 | SURGICAL DEBRIDEMENT; MINOR BURNS, EACH 5% OF BODY | $122.35 |
| 06080 | BURNS; SUBSEQUENT SURG DEBRIDEMENT; EACH 5% BODY | $30.37 |
| 06081 | BURNS SURGICAL EXCISION - FIRST 5% OF BODY SURFACE | $376.08 |
| 06082 | BURNS SURGICAL EXCISION/EACH ADDITIONAL 5% OF BODY | $203.93 |
| 06083 | BURNS, SEVERE, GENERAL CARE - FIRST HOUR | $254.92 |
| 06084 | BURNS, SEVERE, GENERAL CARE - SUBSEQUENT HOURS | $203.93 |
| Code | Description | Amount |
|---|---|---|
| 06087 | INCISION SUBPERIOSTEAL ABSCESS | $254.92 |
| Code | Description | Amount |
|---|---|---|
| 06240 | INTERDENTAL AND INTERMAXILLARY WIRING | $445.96 |
| 06241 | GUNNING SPLINTS IMPRESSION | $457.87 |
| 06242 | MANDIBLE -OPEN REDUCTION - UNILATERAL | $662.31 |
| 06243 | MANDIBLE -OPEN REDUCTION - BILATERAL | $866.25 |
| 06244 | MANDIBLE -OPEN REDUCTION AND WIRING - UNILATERAL | $764.28 |
| 06245 | MANDIBLE -OPEN REDUCTION AND WIRING - BILATERAL | $968.21 |
| 06246 | REMOVAL OF SUTURES, INTRA-ORAL SPLINTS, UNDER GA | $301.47 |
| 06250 | FACE, FRACTURE LE FORTE - HORIZONTAL | $968.21 |
| 06251 | FACE, FRACTURE LE FORTE - PYRAMIDAL | $1,070.17 |
| 06252 | FACE, FRACTURE LE FORTE/CRANIO-FACIAL DYSJUNCTION | $1,213.31 |
| 06253 | WIRE SUSPENSION, CRANIOMAXILLARY | $1,111.81 |
| 06260 | MAXILLARY FRACTURE ZYGOMATIC - TEMPORAL ELEVATION | $328.22 |
| 06261 | MAXILLARY FRACTURE ZYGOMATIC - OPEN REDUCTION AND | $637.40 |
| 06262 | MAXILLARY FRACTURE ZYGOMATIC - REDUCTION | $457.93 |
| 06265 | MAXILLARY FRACTURE ZYGOMATIC - ARCH - TEMPORAL | $356.42 |
| 06266 | ZYGOMATIC ARCH/OPEN REDUCTION/INTEROSSEOUS WIRING | $446.25 |
| 06270 | ORBITAL FLOOR FRACTURE - OPEN REDUCTION | $743.98 |
| 06271 | ALVEOLAR FRACTURE - ONE TOOTH EXTRACTION | $128.20 |
| 06272 | ALVEOLAR FRACTURE - ADDITIONAL TEETH | $79.71 |
| 06273 | FRACTURE-ALVEOLUS; ARCH BAR FIXATION | $409.62 |
| 06280 | TEMPORO-MANDIBULAR JOINT; MENISCECTOMY | $446.25 |
| 06281 | TEMPORO-MANDIBULAR JOINT; CONDYLECTOMY | $510.65 |
| 06282 | TEMPORO-MANDIBULAR ARTHROPLASTY | $726.12 |
| 06291 | MANDIBULAR RESECTION; TUMOURS; ENUCLEATION | $606.54 |
| 06292 | MANDIBULAR RESECTION; TUMOURS; WITH BONE GRAFT | $860.78 |
| 06293 | BONE GRAFT JAW, AUTOLOGOUS | $541.89 |
| 06294 | BONE GRAFT JAW, NON-AUTOLOGOUS | $499.88 |
| Code | Description | Amount |
|---|---|---|
| 03080 | BILAT ORBITAL ADVANCEMENT-HYPERTELORISM TEAM-NEUROSURGERY PORTION | $2,235.25 |
| 03081 | UNILATERAL ORBITAL ADVANCEMENT-TEAM PROC-NEUROSURGERY PORTION | $2,073.65 |
| 03082 | BILATERAL ORBITAL ADVANCEMENT-TEAM PROC-NEUROSURGERY PORTION | $2,773.64 |
| 06300 | OSTEOTOMIES, MAXILLO-FACIAL; LE FORT 1, HORIZONTAL | $1,130.11 |
| 06301 | OSTEOTOMIES, MAXILLO-FACIAL LE FORT II - PYRAMIDAL | $1,399.45 |
| 06302 | MAXILLO-FACIAL OSTEOTOMY; LE FORT III INTRACRANIAL | $2,907.70 |
| 06303 | MAXILLO-FACIAL OSTEOTOMY; LE FORT III EXTRACRANIAL | $2,476.77 |
| 06304 | OSTEOTOMIES, MAXILLO-FACIAL - MALAR MAXILLIARY | $1,291.71 |
| 06305 | OSTEOTOMIES, MANDIBULAR MAXILLO-FACIAL/UNILATERAL | $806.91 |
| 06306 | OSTEOTOMIES, MANDIBULAR MAXILLO-FACIAL - BILATERAL | $968.51 |
| 06307 | OSTEOTOMIES, PRE-MAXILLARY SET BACK | $806.91 |
| 06308 | MANDIBULAR OSTEOTOMY/INTERNAL FIXATION/UNILATERAL | $832.07 |
| 06309 | MANDIBULAR OSTEOTOMY - INTERNAL FIXATION/BILATERAL | $1,183.97 |
| 06310 | OSTEOTOMY - ORBITAL ADVANCEMENT - UNILATERAL | $2,799.96 |
| 06311 | OSTEOTOMY - ORBITAL ADVANCEMENT | $3,123.16 |
| 06312 | OSTEOTOMY - INTRACRANIAL CORRECTION HYPERTELORISM | $3,769.56 |
| 06313 | OSTEOTOMY - ORBITAL EXPANSION | $3,015.43 |
| 06314 | OSTEOTOMY - CANTHOPEXY | $564.52 |
| 61380 | Plastic Surgery portion | $2,235.25 |
| 61381 | Plastic Surgery portion | $2,073.65 |
| 61382 | Plastic Surgery portion | $2,773.64 |
| Code | Description | Amount |
|---|---|---|
| 02298 | CRYOSURGICAL TREATMENT OF TURBINATES - UNILATERAL | $153.09 |
| 02299 | CRYOSURGICAL TREATMENT OF TURBINATES - BILATERAL | $191.35 |
| 02306 | SUBMUCOUS RESECTION OF SEPTUM | $165.83 |
| 02351 | NASAL REFRACTURE REQUIRING LATERAL OSTEOTOMIES | $357.19 |
| 02352 | RECONSTRUCTION OF NASAL TIP, ALA AND COLUMELLA | $420.98 |
| 02353 | External reconstruction of nasal tip, ala and columella (such as for cleft lip or open trauma) | $563.88 |
| 02354 | Complete rhinoplasty with S.M.R. to include nasal hump removal, nasal refracture, and reconstruction of nasal tip, without skin grafting | $612.35 |
| 02355 | Complete rhinoplasty with SMR to include nasal hump removal, nasal refracture and external reconstruction of nasal tip without skin grafting | $776.17 |
| 02364 | NASAL FRACTURE - SIMPLE REDUCTION | $63.76 |
| 02365 | NASAL FRACTURE - REDUCTION AND SPLINTING | $127.57 |
| 06109 | RHINOPLASTY - REMOVAL OF HUMP | $238.09 |
| 06115 | RHINOPLASTY - FOREHEAD, 2 OPERATIONS | $917.68 |
| 06116 | RHINOPLASTY - COMPOSITE GRAFT | $331.03 |
| 06117 | RHINOPHYMA | $335.05 |
| 06118 | RHINOPLASTY; BONE GRAFT TO NOSE - AUTOLOGOUS | $601.15 |
| 06119 | RHINOPLASTY; BONE GRAFT NOSE, NON-AUTOLOGOUS | $493.41 |
| 06123 | NASAL FRACTURE- comminuted nasal fractures – transosseous wire plate fixation | $307.05 |
| 06124 | NASAL FRACTURE - WIRE PLATE FIXATION - OPEN REDUCT | $533.27 |
| Code | Description | Amount |
|---|---|---|
| 06130 | AURICLE - ACCESSORY | $254.92 |
| 06131 | OTOPLASTY - OUTSTANDING EARS(UNILATERAL) | $317.82 |
| 06132 | MICROTIA - PARTIAL | $377.06 |
| 06133 | MICROTIA - TOTAL MAJOR | $938.36 |
| 06134 | MICROTIA - TOTAL MINOR | $307.05 |
| 06135 | PREAURICULAR SINUS - SIMPLE | $254.92 |
| 06180 | PREAURICULAR SINUS - COMPLICATED | $304.33 |
| 61031 | OTOPLASTY-OUTSTANDING EARS(BILATERAL) | $476.72 |
| Code | Description | Amount |
|---|---|---|
| 06136 | PLASTIC REPAIR ABBE OPERATION | $641.12 |
| 06137 | Full lip thickness transfer by rotation flap | $548.93 |
| 06138 | CLEFT LIP - BILATERAL | $1,061.16 |
| 06139 | CLEFT LIP - UNILATERAL | $558.04 |
| 06140 | WEDGE RESECTION - LIP VERMILION | $200.57 |
| 06141 | WEDGE RESECTION OF LIP SULCUS | $250.72 |
| 06142 | PHARYNGOPLASTY, PHARYNGEAL FLAP | $542.97 |
| 06143 | PHARYNGEAL FLAP PUSH BACK | $750.90 |
| 06144 | CLEFT LIP, BILATERAL - INCOMPLETE | $750.90 |
| 06145 | CLEFT PALATE | $553.74 |
| 06146 | LIP SHAVE - VERMILLIONECTOMY | $399.13 |
| 06147 | PALATAL CLEFT - BONE GRAFT | $612.99 |
| 06181 | LIP ADHESION FOR CLEFT PALATE | $393.22 |
| Code | Description | Amount |
|---|---|---|
| 06150 | Reduction mammoplasty for hypermastia - unilateral | $527.85 |
| 06157 | NIPPLE-AREOLAR RECONSTRUCTION | $339.52 |
| 06164 | BREAST REPLACEMENT - UNILATERAL | $405.66 |
| 06165 | BREAST REPLACEMENT - BILATERAL | $608.76 |
| 06178 | BREAST IMPLANT - EXCISION/PATHOLOGIC CAPSULE | $410.00 |
| 06179 | BREAST IMPLANT - EXCISION ONLY | $245.70 |
| 61050 | Reduction mammoplasty for hypermastia – bilateral | $791.76 |
| 61054 | Bilateral mastectomy in the context of gender affirming surgery, female to male (FtM) - (to include bilateral subcutaneous mastectomy, nipple-areolar reconstruction and chest wall reconstruction | $1,476.26 |
| 61166 | Mastopexy, balancing unilateral (isolated procedure) | $458.02 |
| 61167 | Mastopexy, balancing – when performed at same time as contralateral breast surgery | $305.44 |
| Code | Description | Amount |
|---|---|---|
| 06127 | LYMPHOEDEMA - ENTIRE LEG | $700.04 |
| 06128 | LYMPHOEDEMA - LOWER LIMB | $1,046.58 |
| 06167 | Treatment of lymphoedema, using the Thompson procedure- upper extremity forearm | $353.91 |
| 06168 | Treatment of lymphoedema, using the Thompson procedure-arm | $235.39 |
| 06169 | Treatment of lymphoedema, using the Thompson procedure - lower extremity leg | $591.48 |
| 06170 | Treatment of lymphoedema, using the Thompson procedure-thigh | $591.48 |
| Code | Description | Amount |
|---|---|---|
| 03207 | MICROSURGICAL REMOVAL OF NEOPLASM/MAJOR PERIPHERAL NERVE | $815.19 |
| 06210 | MICRONEURAL SURGERY; NEUROLYSIS - EXTERNAL | $288.08 |
| 06211 | MICRONEURAL SURGERY; NEUROLYSIS - INTRANEURAL | $438.94 |
| 06212 | MICROFASCICULAR NEURORRAPHY - DIGITAL OR PALMAR | $288.08 |
| 06213 | MICROFASCICULAR NEURORRAPHY - MAJOR NERVE | $614.93 |
| 06214 | INTRAFASCICULAR NERVE GRAFT - DIGITAL OR PALMAR | $533.59 |
| 06215 | INTRAFASCICULAR NERVE GRAFT - MAJOR NERVE | $1,600.00 |
| 06216 | MICROVASCULAR SURGERY - ARTERY OR VEIN | $675.48 |
| 06217 | MICROREIMPLANTATION - DIGIT OR EXTREMITY | $3,108.88 |
| 06220 | MICROVASCULAR SURGICAL FREE FLAP | $3,108.09 |
| 06259 | MICROSURGICAL REMOVAL NEOPLASM, DIGITAL/PALMAR | $336.04 |
| Code | Description | Amount |
|---|---|---|
| 06221 | BONE GRAFT - Inlay bone grafting of metacarpal or phalanx | $354.92 |
| Code | Description | Amount |
|---|---|---|
| 06222 | FINGER FRACTURE - PHALANX | $126.70 |
| 06223 | FRACTURE - METACARPAL | $126.70 |
| 06224 | FRACTURE - DISTAL PHALANGES, FIRST | $150.64 |
| 06225 | FRACTURE - DISTAL PHALANGES, EACH ADDITIONAL | $126.70 |
| 61222 | CRIF PHALANGEAL OR METACARPAL FRACTURE (MID/PRXML) | $227.73 |
| 61223 | ORIF PHALANGEAL OR METACARPAL FRACTURE (MID/PRXML) | $340.00 |
| 61224 | OPEN (COMPOUND) HAND FRACTURES PRIMARY WOUND MGMT | $41.11 |
| 61225 | OPEN (COMPOUND)HAND FRACTURES-SECONDARY WOUND MGMT | $82.15 |
| Code | Description | Amount |
|---|---|---|
| 06228 | ARTHROPLASTY OF METACARPOPHALANGEAL/INTERPHALANGEA | $344.75 |
| 06229 | ARTHRODESIS OF METACARPOPHALANGEAL/INTERPHALANGEAL | $344.75 |
| 06231 | HAND JOINTS - RHEUMATOID - RECONSTRUCTION | $992.21 |
| 06232 | PROSTHESIS - FINGER JOINT - FIRST JOINT | $259.64 |
| 06233 | PROSTHESIS - FINGER JOINT - SUBSEQUENT JOINTS | $147.59 |
| 06234 | SYNOVECTOMY - RHEUMATOID DISEASE | $351.20 |
| 06235 | INTRINSIC RELEASE - JOINTS | $254.92 |
| 06236 | METACARPO/INTERPHALANGEAL JOINT - CLOSED REDUCTION | $125.35 |
| 06237 | METACARPO/INTERPHALANGEAL JOINT - OPEN REDUCTION | $254.92 |
| Code | Description | Amount |
|---|---|---|
| 03196 | Exploration, mobilization and transposition | $281.48 |
| 03198 | NEURECTOMY OF MAJOR PERIPHERAL NERVE | $222.43 |
| 03200 | Secondary suture including transposition | $575.24 |
| 03201 | Secondary suture of major nerve | $437.73 |
| 03205 | NERVE GRAFT | $431.81 |
| 06156 | NEUROMA TRANSPLANT | $254.92 |
| 06255 | PERIPHERAL NERVE SUTURE: MINOR | $254.92 |
| 06256 | NERVE REPAIR - PALMAR | $254.92 |
| 06257 | PERIPHERAL NERVE SUTURE: MAJOR | $403.31 |
| 06258 | PERIPHERAL NERVE/NEUROLYSIS - EXPLORATION | $256.65 |
| Code | Description | Amount |
|---|---|---|
| 06200 | TATTOOING SURGERY FACIAL AREA - < 1/4 OF FACE | $114.69 |
| 06201 | TATTOOING SURGERY FACIAL AREA - 1/4 TO 1/2 FACE | $235.39 |
| 06202 | TATTOOING SURGERY FACIAL AREA - FULL FACE | $353.91 |
| 06205 | TATTOOING SURGERY NON-FACIAL AREA - < 6.5 SQ. CM | $59.75 |
| 06206 | TATTOOING SURGERY NON-FACIAL AREA - < 65 SQ. CM | $118.31 |
| 06207 | TATTOOING SURGERY NON-FACIAL AREA - < 650 SQ. CM | $235.39 |
| Code | Description | Amount |
|---|---|---|
| 07522 | LOCAL EXCISION OF PAROTID TUMOR | $203.62 |
| Code | Description | Amount |
|---|---|---|
| 52555 | SHOULDER/CLAVICLE/HUMERUS TENDON TRANSFER | $513.50 |
| 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 |
| 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 | $13.32 |
| 13620 | Excision of tumour of skin or subcutaneous tissue or small scar under local anesthetic - up to 5 cm (operation only) | $66.35 |
| 13621 | - additional lesions removed at the same sitting (maximum per sitting, five) each (operation only) | $33.18 |