| Code | Description | Amount |
|---|---|---|
| 77005 | EMERGENCY VISIT - VASCULAR SURGERY | $87.75 |
| 77006 | DIRECTIVE CARE - VASCULAR SURGERY | $23.89 |
| 77007 | SUBSEQUENT OFFICE VISIT - VASCULAR SURGERY | $25.58 |
| 77008 | SUBSEQUENT HOSPITAL VISIT - VASCULAR SURGERY | $21.83 |
| 77009 | SUBSEQUENT HOME VISIT - VASCULAR SURGERY | $43.97 |
| 77010 | CONSULTATION - VASCULAR SURGERY | $128.19 |
| 77012 | REPEAT OR LIMITED CONSULTATION - VASCULAR SURGERY | $57.69 |
| Code | Description | Amount |
|---|---|---|
| 01205 | 1800-2300 SURCHARGE - NONOPERATIVE | $55.56 |
| 01206 | 2300-0800 SURCHARGE - NONOPERATIVE | $75.96 |
| 01207 | WEEKEND AND STAT/HOLIDAY SURCHARGE - NONOPERATIVE | $54.82 |
| 01210 | 1800-2300 SURCHARGE - OPERATIVE | $369.94 |
| 01211 | 2300-0800 SURCHARGE - OPERATIVE | $522.08 |
| 01212 | WEEKEND AND STAT HOLIDAY SURCHARGE - OPERATIVE | $369.94 |
| Code | Description | Amount |
|---|---|---|
| 00195 | SURGICAL ASSIST-LESS THAN $317.00 INCLUSIVE | $132.23 |
| 00196 | SURGICAL ASSIST $317.01 TO 529.00 INCLUSIVE | $186.43 |
| 00197 | SURGICAL ASSISTANCE - OPERATIONS OVER $529.00 | $246.57 |
| 00198 | SURGICAL ASSIST TIME AFTER 3 HRS - PER 15 MINS | $27.93 |
| 70019 | CERTIFIED SURGICAL ASSIST | $252.83 |
| 70020 | CERTIFIED SURGICAL ASSIST - TIME FROM 1-3 HOURS | $26.40 |
| 77025 | SYNCHRONOUS COMBINED BYPASS GRAFT - EXTREMITIES | $295.73 |
| 77030 | SECOND OPERATOR: SYNCHRONOUS COMBINED BYPASS GRAFT | $295.73 |
| Code | Description | Amount |
|---|---|---|
| 06028 | ABSCESS - WEB SPACE OPERATION ONLY | $70.47 |
| 06029 | ABSCESS - WEB SPACE UNDER GENERAL ANAESTHETIC | $251.13 |
| 06063 | REMOVAL OF FOREIGN BODY REQUIRING GA | $247.00 |
| 07027 | ABSCESS - DEEP - GENERAL ANAESTHETIC | $125.82 |
| 07041 | ABDOMEN ASPIRATION/CHEST | $41.23 |
| 07045 | ANTERIOR CLOSED SPACE ABSCESS - OP ONLY | $38.77 |
| 07059 | ABSCESS - DEEP - LOCAL/REGIONAL ANESTHESIA | $56.62 |
| 07061 | WOUND INFECTION - POST-OP/GA | $80.24 |
| 07685 | PILONIDAL CYSTS OR SINUS - EXCISION OR MARSUPIALI | $273.30 |
| 13605 | ABSCESS - SUPERFICIAL | $43.08 |
| 13610 | MINOR LACERATION OR FOREIGN BODY - NO ANAESTHESIA | $34.50 |
| 13611 | MINOR LACERATION/FOREIGN BODY REQUIRING ANAES. | $64.26 |
| 13612 | EXTENSIVE LACERATION GREATER THAN 5CM | $12.89 |
| 52380 | OSTEOMYELITIS - ACUTE, DECOMPRESSION | $183.95 |
| 52385 | OSTEOMYELITIS - DEBRIDEMENT WITH/WITHOUT RECONSTR | $317.32 |
| Code | Description | Amount |
|---|---|---|
| 06017 | REMOVAL OF TUMOUR; 5 CM TO 10 CM | $258.01 |
| 06018 | REMOVAL OF TUMOR - MORE THAN 10 CM | $445.84 |
| 06075 | LIPS AND EYELID WOUNDS COMPLICATED | $334.37 |
| 06076 | NOSE AND EAR WOUNDS COMPLICATED | $420.03 |
| 06077 | COMPLICATED LACERATION OF THE SCALP CHEEK AND NECK | $328.18 |
| 06166 | EXCISION OF AXILLARY SWEAT GLAND FOR HYPERHYDROSIS | $320.31 |
| 07025 | TEMPORAL ARTERY BIOPSY | $78.07 |
| 07028 | SURAL NERVE - BIOPSY OF | $72.52 |
| 07053 | EXC OF NAIL BED, COMPLETE, W/SHORTENING OF PHALANX | $135.93 |
| 07072 | HYDRADENITIS SUPPURATIVA EXCISION - AXILLARY | $120.31 |
| 07073 | TENOTOMY CONGENITAL TORTICOLLIS | $132.50 |
| 07074 | TENOTOMY RESECTION OF TENDON | $254.16 |
| 07075 | HYDRADENITIS SUPPURATIVA EXCISION - INGUINAL | $120.31 |
| 07076 | HYDRADENITIS SUPPURATIVA EXCISION - PERIANAL | $120.31 |
| 07082 | HYDRADENITIS SUPPURATIVA EXCISION - PERINEAL | $120.31 |
| 13630 | PARONYCHIA | $34.41 |
| 13631 | NAIL REMOVAL - SIMPLE | $34.41 |
| 13632 | NAIL REMOVAL WITH DESTRUCTION OF NAIL BED | $69.63 |
| 13633 | WEDGE EXCISION OF ONE NAIL | $61.43 |
| 70023 | EXC BIOPSY OF LYMPH GLAND FOR SUSP MALIG - NECK | $131.83 |
| 70024 | EXC BIOPSY OF LYMPH GLANDS FOR SUSP MALIG -AXILLA | $233.81 |
| 70025 | EXC BIOPSY OF LYMPH GLANDS FOR SUSP MALIG - GROIN | $80.23 |
| 70150 | LACERATIONS - TONGUE/FLOOR OF MOUTH - COMPLICATED | $266.49 |
| 70155 | Debridement of skin and subcutaneous tissue restricted to genitalia and perineum for necrotizing infection (Fournier's Gangrene) (stand alone procedure) | $405.68 |
| 70158 | DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE,UP TO 5% BODY SURFACE AREA | $232.23 |
| 70159 | DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE; EACH SUB 5% OF BODY SURFACE AREA | $116.11 |
| 70162 | DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA / 1ST 5% OF BODY SURFACE AREA | $258.04 |
| 70163 | DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA/EACH SUB 5% OF BODY SURFACE AREA | $129.02 |
| 70165 | DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE;UP TO 1ST 5% OF BODY SURFACE AREA | $283.83 |
| 70166 | DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE; EACH SUB 5% OF BODY SURFACE AREA | $141.92 |
| 70168 | ACTIVE WOUND MGMT-ACUTE PHASE AFTER DEBRIDEMENT | $77.41 |
| 70169 | ACTIVE WOUND MGMT/IN OR ACUTE PHASE AFT DEBRIDEMNT | $123.85 |
| Code | Description | Amount |
|---|---|---|
| 07141 | Permcath Removal | $37.76 |
| 00319 | CENTRAL CATHETER INSERTION - TPN | $55.71 |
| 00526 | INSERTION OF INTRAVENOUS INFUSION LINE, UNDER 5 | $55.46 |
| 00801 | INTRA-ARTERIAL CANNULATION | $21.77 |
| 07134 | PERITONEAL VENOUS SHUNT FOR ASCITES | $384.57 |
| 07139 | BROVIAC CATHETER - INSERTION OF | $160.14 |
| 07140 | CATHETER INSERTION - BROVIAC TYPE, <3 MO OR <3 KG | $265.04 |
| 07142 | VENOUS ACCESS PORT - IMPLANTABLE - INSERTION | $252.18 |
| 07143 | VENOUS ACCESS PORT - IMPLANTABLE/REVISION/REMOVAL | $289.40 |
| 07145 | INTRA OSSEOUS - ACCESS | $40.08 |
| 77142 | REMOVAL OF TOTALLY IMPLANT ACCESS DEVICE,OP ONLY | $126.05 |
| Code | Description | Amount |
|---|---|---|
| 07108 | STRIPPING LONG SAPHENOUS | $252.39 |
| 07109 | STRIPPING SHORT SAPHENOUS | $145.50 |
| 07110 | LIGATIONS AND STRIPPINGS - 3 TO 5 INCISIONS | $108.77 |
| 07111 | LIGATIONS AND STRIPPINGS - 6 OR MORE INCISIONS | $188.96 |
| 07112 | LIGATION OF 2 OR MORE PERFORATORS | $197.08 |
| 07116 | MULTIPLE LIGATIONS, STRIPPINGS, PERFORATORS | $515.64 |
| 07146 | INFERIOR VENA CAVA FILTER - INSERTION | $362.38 |
| 77045 | VARICOSE VEIN INJECTION | $13.26 |
| 77050 | COMPRESSION SCLEROTHERAPY - UNCOMPLICATED | $79.62 |
| 77055 | COMPRESSION SCLEROTHERAPY - COMPLICATED | $119.84 |
| 77060 | COMPRESSION SCLEROTHERAPY - REPEAT | $37.31 |
| 77065 | HIGH LIGATION, LONG SAPHENOUS | $219.72 |
| 77070 | FASCIOTOMY - COMPLETE | $314.51 |
| 77075 | GROIN - RE-EXPLORATION, AND/OR POPLITEAL FOSSA | $295.73 |
| 77077 | ULCER EXCISION AND GRAFTING | $118.49 |
| 77079 | VENOUS CROSSOVER GRAFT FOR ILIAC OBSTRUCTION | $600.82 |
| 77082 | FEMORAL VEIN - LIGATION | $146.63 |
| 77084 | ACUTE VENOUS: LIGATION OF FEMORAL VEIN | $487.91 |
| 77086 | THROMBECTOMY/ACUTE ILIO-FEMORAL THROMBOPHLEBITIS | $611.39 |
| 77090 | SPLENO-RENAL SHUNT | $931.01 |
| 77092 | PORTO-CAVAL SHUNT | $931.01 |
| 77094 | MESOCAVAL GRAFT - SYNTHETIC | $931.01 |
| 77096 | MESOCAVAL GRAFT - AUTOGENOUS | $991.27 |
| Code | Description | Amount |
|---|---|---|
| 10900 | ABDOMINAL AORTIC ANEURYSM | $502.25 |
| Code | Description | Amount |
|---|---|---|
| 00722 | ARTERIOGRAPHY, OPERATIVE | $74.39 |
| 07447 | MESENTERIC INJURY - REPAIR OF | $564.22 |
| 57250 | TIBIAL METAPHYSIS/ANKLE/FOOT-DECOMP/NEUROLYS NERVE | $294.34 |
| 57260 | TIBIAL METAPHYSIS/ANKLE/FOOT- FACIOTOMY,COMPAR SYN | $211.54 |
| 57269 | TIBIAL METAPHYSIS/ANKLE/FOOT-FACIOTOMY,SEC CLOSURE | $183.95 |
| 77115 | THROMBECTOMY WITH OR WITHOUT ANGIOPLASTY | $548.47 |
| 77120 | EMBOLECTOMY - TRUNK OR EXTREMITIES | $611.39 |
| 77125 | EMBOLECTOMY - ONE SIDE | $439.48 |
| 77130 | CAROTID ARTERIES - BYPASS GRAFT (SYNTHETIC) | $957.00 |
| 77135 | INOMINATE - NECK OR THORACIC - BYPASS GRAFT | $767.56 |
| 77140 | SUBCLAVIAN - NECK OR THORACIC - BYPASS GRAFT | $833.93 |
| 77145 | LIGATION OF CAROTID ARTERY - NECK OR THORACIC | $251.59 |
| 77150 | AORTA AND/OR ILIAC BYPASS GRAFT - UNILATERAL | $878.99 |
| 77155 | AORTA AND/OR ILIAC BYPASS GRAFT - BILATERAL | $1,082.24 |
| 77160 | AORTO-FEMORAL AND ILIO-FEMORAL BYPASS, UNILATERAL | $853.52 |
| 77165 | AORTO-ILIAC, AORTO-FEMORAL, ILIO-FEMORAL BYPASS | $1,082.24 |
| 77170 | ARTERIOVENOUS ANEURYSM | $487.91 |
| 77175 | ABDOMINAL ANEURYSM, WITH GRAFTING | $1,205.00 |
| 77177 | ABDOMINAL AORTIC ANEURYSM REPAIR | $1,205.00 |
| 77180 | RESECTION OF ABDOMINAL ANEURYSM | $122.27 |
| 77185 | RUPTURED ANEURYSM, WITH GRAFTING | $1,334.58 |
| 77190 | SUPERIOR MESENTERIC BYPASS GRAFT (SYNTHETIC) | $878.98 |
| 77195 | SUPERIOR MESENTERIC BYPASS GRAFT (AUTOGENOUS VEIN) | $878.98 |
| 77200 | RENAL BYPASS GRAFT (SYNTHETIC) | $878.98 |
| 77205 | RENAL BYPASS GRAFT (AUTOGENOUS VEIN) | $878.98 |
| 77210 | AXILLO-FEMORAL BYPASS GRAFT (SYNTHETIC)/UNILATERAL | $731.26 |
| 77215 | AXILLO-FEMORAL BYPASS GRAFT(SYNTHETIC)/BILATERAL | $853.52 |
| 77220 | AXILLO-FEMORAL BYPASS GRAFT (AUTOGENOUS VEIN) | $814.77 |
| 77230 | FEMORO-FEMORAL CROSSOVER BYPASS GRAFT (SYNTHETIC) | $769.11 |
| 77235 | FEMORO-FEMORAL CROSSOVER BYPASS GRAFT/AUTOGENOUS | $769.11 |
| 77240 | FEMORAL BYPASS GRAFT (SYNTHETIC) | $487.91 |
| 77245 | INFRAINGUINAL POPLITEAL (ENDARTERECTOMY) | $669.50 |
| 77250 | INTRAGUINAL - POPLITEAL (SYNTHETIC) | $611.32 |
| 77255 | INTRAGUINAL - ANTERIOR, POST TIBIAL OR PERONEAL | $731.26 |
| 77260 | BYPASS GRAFT (AUTOGENOUS VEIN) - FEMORAL | $705.83 |
| 77265 | BYPASS GRAFT (AUTOGENOUS VEIN) - POPLITEAL | $934.27 |
| 77270 | BYPASS GRAFT/ANTERIOR/POSTERIOR TIBIAL OR PERONEAL | $981.10 |
| 77275 | VEIN GRAFT - IN SITU | $253.20 |
| 77280 | NON-IPSILATERAL LONG SAPHENOUS GRAFT - AUTOGENOUS | $250.87 |
| 77285 | SHORT SAPHENOUS GRAFT | $250.87 |
| 77290 | SUPERFICIAL FEMORAL VEIN GRAFT(EXTRA) | $250.87 |
| 77295 | ARM VEIN GRAFT | $250.87 |
| 77300 | A-V FISTULA WITH BYPASS GRAFT IN LIMB SALVAGE | $182.81 |
| 77310 | PROFUNDOPLASTY BYPASS GRAFT (SYNTHETIC) | $544.80 |
| 77315 | PROFUNDOPLASTY - EXTENDED | $739.73 |
| 77330 | REPAIR OF INJURY OF MAJOR VESSEL IN EXTREMITY - SU | $575.08 |
| 77335 | REPAIR OF INJURY OF MAJOR VESSEL IN EXTREMITY | $739.73 |
| 77340 | REPAIR OF INJURY OF MAJOR VESSEL IN TRUNK - SUTURE | $863.21 |
| 77345 | REPAIR OF INJURY OF MAJOR VESSEL IN TRUNK - GRAFT | $1,151.36 |
| 77350 | SUPRA RENAL AORTIC CROSS-CLAMP | $112.52 |
| 77352 | PERCUTANEOUS ENDOVASCULAR AORTIC VALVE IMPLANT | $555.21 |
| 77353 | PERCUTANEOUS ENDOVASCULAR AORTIC VALVE - GRAFT | $714.16 |
| 77354 | PERCUTANEOUS ENDOVASCULAR AORTIC /TRUNK-SUTURE | $833.38 |
| 77355 | PERCUTANEOUS ENDOVASCULAR AORTIC/TRUNK-GRAFT | $1,111.56 |
| 77360 | DECOMPRESSION FASCIOTOMY - SUBCUTANEOUS | $329.61 |
| 77370 | RELEASE OF POPLITEAL ENTRAPMENT SYNDROME | $329.61 |
| Code | Description | Amount |
|---|---|---|
| 77385 | Peritoneal Catheter Removal | $130.30 |
| 77380 | Peritoneal Catheter Insertion | $187.85 |
| 06127 | LYMPHOEDEMA - ENTIRE LEG | $689.65 |
| 06128 | LYMPHOEDEMA - LOWER LIMB | $1,031.04 |
| 07360 | SPLENECTOMY | $635.06 |
| 07361 | TB GLANDS - RADICAL REMOVAL | $265.04 |
| 07363 | RADICAL FEMORAL, INGUINAL AND ILIAC DISSECTION | $528.79 |
| 07365 | LIMB PERFUSION - ISOLATED | $925.03 |
| 07366 | LAPAROTOMY AND STAGING OF LYMPHOMA | $768.88 |
| 77395 | CREATION OF INTERNAL ARTERIO-VENOUS FISTU | $365.64 |
| 77396 | REVISION OF AV FISTULA | $453.96 |
| 77402 | BRACHIOBASILIC ARTERIOVENOUS FISTULA,VEIN TRANSPOT | $616.49 |
| 77403 | ARM REVASCULARIZATION WITH DRIL | $612.36 |
| 77405 | THROMBECTOMY OF ARTERIO-VENOUS FISTULA | $343.83 |
| 77420 | LUMBAR SYMPATHECTOMY - UNILATERAL | $365.64 |
| 77422 | CERVICAL SYMPATHECTOMY - UNILATERAL | $494.42 |
| 77424 | PREGANGLIONIC SYMPATHECTOMY; UPPER DORSAL REGION | $451.58 |
| 77426 | LUMBO-DORSAL SYMPATHECTOMY & SPLANCHNIC NEURECTOMY | $451.58 |
| 77428 | LUMBAR SYMPATHECTOMY - UNILATERAL (EXTRA) | $122.28 |
| 77430 | LUMBAR SYMPATHECTOMY - BILATERAL (EXTRA) | $244.57 |
| Code | Description | Amount |
|---|---|---|
| 77440 | IMPLANTATION OF KIDNEY GRAFT - VASCULAR SURGEON | $824.04 |
| Code | Description | Amount |
|---|---|---|
| 06218 | AMPUTATION - TRANSMETACARPAL | $251.13 |
| 06219 | AMPUTATION - FINGER | $251.13 |
| 55980 | AMPUTATION - HEMICORPECTOMY | $2,409.77 |
| 55981 | AMPUTATION - HEMIPELVECTOMY | $1,342.86 |
| 55982 | AMPUTATION - HIP DISARTICULATION | $1,020.94 |
| 55983 | AMPUTATION - ABOVE KNEE | $643.84 |
| 55984 | AMPUTATION - KNEE DISARTICULATION | $643.84 |
| 55998 | AMPUTATION - PRIMARY WOUND CARE - ABOVE KNEE | $100.75 |
| 55999 | AMPUTATION - SECONDARY WOUND MANAGEMENT-ABOVE KNEE | $183.95 |
| 56980 | AMPUTATION - BELOW THE KNEE | $510.48 |
| 56998 | AMPUTATION: BELOW KNEE - OPEN - PRIM. WOUND CARE | $100.75 |
| 56999 | AMPUTATION: BELOW KNEE - OPEN - SEC. WOUND MANA | $183.95 |
| 57980 | AMPUTATION - SYME | $524.25 |
| 57981 | AMPUTATION - MIDTARSAL | $482.87 |
| 57982 | AMPUTATION - TRANSMETATARSAL | $400.09 |
| 57983 | AMPUTATION - SINGLE METATARSAL/RAY RESECTION | $349.52 |
| 57984 | AMPUTATION - TOE | $183.95 |
| 57998 | AMPUTATION - OPEN INJURY, PRIMARY WOUND CARE | $50.37 |
| 57999 | AMPUTATION - OPEN INJURY, SECONDARY WOUND CARE | $91.98 |