| Code | Description | Amount |
|---|---|---|
| 07010 | CONSULTATION- GENERAL SURGERY | $98.21 |
| 07012 | REPEAT OR LIMITED CONSULTATION- GENERAL SURGERY | $51.97 |
| 70070 | TELEHEALTH CONSULTATION - GENERAL SURGERY | $98.21 |
| 70072 | TELEHEALTH REPEAT OR LIMITED CONSULT - GEN SURGERY | $51.97 |
| 71010 | CONSULTATION - GENERAL SURGERY - MALIGNANCY | $126.06 |
| Code | Description | Amount |
|---|---|---|
| 07005 | EMERGENCY VISIT - GENERAL SURGERY | $95.20 |
| 07006 | DIRECTIVE CARE - GENERAL SURGERY | $27.88 |
| 07007 | SUBSEQUENT OFFICE VISIT - GENERAL SURGERY | $23.93 |
| 07008 | SUBSEQUENT HOSPITAL VISIT - GENERAL SURGERY | $20.37 |
| 07009 | SUBSEQUENT HOME VISIT- GENERAL SURGERY | $47.65 |
| 07010 | CONSULTATION- GENERAL SURGERY | $98.21 |
| 07012 | REPEAT OR LIMITED CONSULTATION- GENERAL SURGERY | $51.97 |
| 71008 | POST OP VISIT IN HOSP (1-14 DAYS) | $21.75 |
| 71010 | CONSULTATION - GENERAL SURGERY - MALIGNANCY | $126.06 |
| 71017 | GENERAL SURGERY - VISIT FOR MALIGNANCY | $47.85 |
| Code | Description | Amount |
|---|---|---|
| 07005 | EMERGENCY VISIT - GENERAL SURGERY | $95.20 |
| 07006 | DIRECTIVE CARE - GENERAL SURGERY | $27.88 |
| 07007 | SUBSEQUENT OFFICE VISIT - GENERAL SURGERY | $23.93 |
| 07008 | SUBSEQUENT HOSPITAL VISIT - GENERAL SURGERY | $20.37 |
| 07009 | SUBSEQUENT HOME VISIT- GENERAL SURGERY | $47.65 |
| 70076 | TELEHEALTH DIRECTIVE CARE - GENERAL SURGERY | $27.88 |
| 70077 | TELEHEALTH SUBSEQUENT OFFICE VISIT - GENERAL SURG | $23.93 |
| 70078 | TELEHEALTH SUBSEQUENT HOSPITAL VISIT - GEN SURGERY | $20.37 |
| 71008 | POST OP VISIT IN HOSP (1-14 DAYS) | $21.75 |
| Code | Description | Amount |
|---|---|---|
| 70070 | TELEHEALTH CONSULTATION - GENERAL SURGERY | $98.21 |
| 70072 | TELEHEALTH REPEAT OR LIMITED CONSULT - GEN SURGERY | $51.97 |
| 70076 | TELEHEALTH DIRECTIVE CARE - GENERAL SURGERY | $27.88 |
| 70077 | TELEHEALTH SUBSEQUENT OFFICE VISIT - GENERAL SURG | $23.93 |
| 70078 | TELEHEALTH SUBSEQUENT HOSPITAL VISIT - GEN SURGERY | $20.37 |
| Code | Description | Amount |
|---|---|---|
| 07001 | SURGICAL SURCHARGE (AGE 75+) | $80.36 |
| 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 |
| 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 |
| Code | Description | Amount |
|---|---|---|
| 07593 | PENA POSTERIOR SAGITTAL ANOPROCTOPLASTY 2ND SURGEO | $334.10 |
| 07702 | CLOACAL ANOMALY - TOTAL CORRECTION SECOND SURGEON | $388.42 |
| 70503 | OESOPHAGECTOMY W/O THORACOTOMY - SECONDARY SURGEON | $467.09 |
| 70504 | OESOPHAGECTOMY W/ COLON INTERPOSITION - 2ND SURG | $467.09 |
| 70505 | OESOPHAGECTOMY W/ THORACOTOMY - 2ND SURGEON | $467.09 |
| 70506 | OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-2ND SURG | $467.09 |
| 70509 | PART. OESOPHAGECTOMY W/COLON INTER. - 2ND SURG | $467.09 |
| 70511 | PART.OESOPHAGECTOMY THORACOABDOMINAL - 2ND SURG. | $467.09 |
| 77025 | SYNCHRONOUS COMBINED BYPASS GRAFT - EXTREMITIES | $295.73 |
| 77030 | SECOND OPERATOR: SYNCHRONOUS COMBINED BYPASS GRAFT | $295.73 |
| Code | Description | Amount |
|---|---|---|
| 07593 | PENA POSTERIOR SAGITTAL ANOPROCTOPLASTY 2ND SURGEO | $334.10 |
| 07702 | CLOACAL ANOMALY - TOTAL CORRECTION SECOND SURGEON | $388.42 |
| 70503 | OESOPHAGECTOMY W/O THORACOTOMY - SECONDARY SURGEON | $467.09 |
| 70504 | OESOPHAGECTOMY W/ COLON INTERPOSITION - 2ND SURG | $467.09 |
| 70505 | OESOPHAGECTOMY W/ THORACOTOMY - 2ND SURGEON | $467.09 |
| 70506 | OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-2ND SURG | $467.09 |
| 70509 | PART. OESOPHAGECTOMY W/COLON INTER. - 2ND SURG | $467.09 |
| 70511 | PART.OESOPHAGECTOMY THORACOABDOMINAL - 2ND SURG. | $467.09 |
| 77025 | SYNCHRONOUS COMBINED BYPASS GRAFT - EXTREMITIES | $295.73 |
| 77030 | SECOND OPERATOR: SYNCHRONOUS COMBINED BYPASS GRAFT | $295.73 |
| Code | Description | Amount |
|---|---|---|
| 06016 | REMOVAL OF TUMOR OR SCAR UNDER GA, UP TO 5 CM | $125.82 |
| 06017 | REMOVAL OF TUMOUR; 5 CM TO 10 CM | $258.01 |
| 06018 | REMOVAL OF TUMOR - MORE THAN 10 CM | $445.84 |
| 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 |
| 06069 | EXCISION OF TUMOR OR SMALL SCAR - FACE | $87.72 |
| 06166 | EXCISION OF AXILLARY SWEAT GLAND FOR HYPERHYDROSIS | $320.31 |
| 07025 | TEMPORAL ARTERY BIOPSY | $78.07 |
| 07027 | ABSCESS - DEEP - GENERAL ANAESTHETIC | $125.82 |
| 07028 | SURAL NERVE - BIOPSY OF | $72.52 |
| 07041 | ABDOMEN ASPIRATION/CHEST | $41.23 |
| 07045 | ANTERIOR CLOSED SPACE ABSCESS - OP ONLY | $38.77 |
| 07053 | EXC OF NAIL BED, COMPLETE, W/SHORTENING OF PHALANX | $135.93 |
| 07055 | GANGLIA - WRIST | $179.56 |
| 07059 | ABSCESS - DEEP - LOCAL/REGIONAL ANESTHESIA | $56.62 |
| 07061 | WOUND INFECTION - POST-OP/GA | $80.24 |
| 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 |
| 07685 | PILONIDAL CYSTS OR SINUS - EXCISION OR MARSUPIALI | $273.30 |
| 13601 | BIOPSY - FACIAL AREA (OPERATION ONLY) | $50.29 |
| 13605 | ABSCESS - SUPERFICIAL | $43.08 |
| 13610 | MINOR LACERATION OR FOREIGN BODY - NO ANAESTHESIA | $34.50 |
| 13611 | MINOR LACERATION/FOREIGN BODY REQUIRING ANAES. | $64.26 |
| 13620 | EXCISION TUMOR OF SKIN/SCAR UP TO 5CM | $64.26 |
| 13621 | EXCISION ADDITIONAL TUMOR OF SKIN/SCAR UP TO 5CM | $32.13 |
| 13622 | LOCALIZED CARCINOMA OF SKIN PROVEN HISTOPATH. | $70.99 |
| 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 |
| 70084 | ABSCESS - PILONIDAL CYST/SINUS - INCISION/DRAINAGE | $56.62 |
| Code | Description | Amount |
|---|---|---|
| 06016 | REMOVAL OF TUMOR OR SCAR UNDER GA, UP TO 5 CM | $125.82 |
| 06017 | REMOVAL OF TUMOUR; 5 CM TO 10 CM | $258.01 |
| 06018 | REMOVAL OF TUMOR - MORE THAN 10 CM | $445.84 |
| 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 |
| 06069 | EXCISION OF TUMOR OR SMALL SCAR - FACE | $87.72 |
| 06166 | EXCISION OF AXILLARY SWEAT GLAND FOR HYPERHYDROSIS | $320.31 |
| 07025 | TEMPORAL ARTERY BIOPSY | $78.07 |
| 07027 | ABSCESS - DEEP - GENERAL ANAESTHETIC | $125.82 |
| 07028 | SURAL NERVE - BIOPSY OF | $72.52 |
| 07041 | ABDOMEN ASPIRATION/CHEST | $41.23 |
| 07045 | ANTERIOR CLOSED SPACE ABSCESS - OP ONLY | $38.77 |
| 07053 | EXC OF NAIL BED, COMPLETE, W/SHORTENING OF PHALANX | $135.93 |
| 07055 | GANGLIA - WRIST | $179.56 |
| 07059 | ABSCESS - DEEP - LOCAL/REGIONAL ANESTHESIA | $56.62 |
| 07061 | WOUND INFECTION - POST-OP/GA | $80.24 |
| 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 |
| 07685 | PILONIDAL CYSTS OR SINUS - EXCISION OR MARSUPIALI | $273.30 |
| 13601 | BIOPSY - FACIAL AREA (OPERATION ONLY) | $50.29 |
| 13605 | ABSCESS - SUPERFICIAL | $43.08 |
| 13610 | MINOR LACERATION OR FOREIGN BODY - NO ANAESTHESIA | $34.50 |
| 13611 | MINOR LACERATION/FOREIGN BODY REQUIRING ANAES. | $64.26 |
| 13620 | EXCISION TUMOR OF SKIN/SCAR UP TO 5CM | $64.26 |
| 13621 | EXCISION ADDITIONAL TUMOR OF SKIN/SCAR UP TO 5CM | $32.13 |
| 13622 | LOCALIZED CARCINOMA OF SKIN PROVEN HISTOPATH. | $70.99 |
| 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 |
| 70084 | ABSCESS - PILONIDAL CYST/SINUS - INCISION/DRAINAGE | $56.62 |
| Code | Description | Amount |
|---|---|---|
| 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 |
|---|---|---|
| 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 |
| 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 |
| 07146 | INFERIOR VENA CAVA FILTER - INSERTION | $362.38 |
| 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 |
| 07146 | INFERIOR VENA CAVA FILTER - INSERTION | $362.38 |
| Code | Description | Amount |
|---|---|---|
| 02275 | GLOSSECTOMY - SUBTOTAL | $1,040.54 |
| 02279 | RESECTION-BASE OF TONGUE &/OR TONSIL/SOFT PALATE | $1,897.77 |
| 02457 | TONGUE TIE, G.A. | $81.70 |
| 02458 | TONGUE - LOCAL EXCISION/GA | $163.37 |
| 02478 | GLOSSECTOMY - PARTIAL FOR CARCINOMA | $364.47 |
| 02480 | MANDIBLE/ FLOOR OF MOUTH-RESECTION FOR MALIGNANCY | $1,300.63 |
| 06140 | WEDGE RESECTION - LIP VERMILION | $197.60 |
| 06141 | WEDGE RESECTION OF LIP SULCUS | $247.00 |
| 07789 | LESION - TONGUE | $314.56 |
| 07790 | LESION - BENIGN - FLOOR OF MOUTH | $120.31 |
| Code | Description | Amount |
|---|---|---|
| 02275 | GLOSSECTOMY - SUBTOTAL | $1,040.54 |
| 02279 | RESECTION-BASE OF TONGUE &/OR TONSIL/SOFT PALATE | $1,897.77 |
| 02457 | TONGUE TIE, G.A. | $81.70 |
| 02458 | TONGUE - LOCAL EXCISION/GA | $163.37 |
| 02478 | GLOSSECTOMY - PARTIAL FOR CARCINOMA | $364.47 |
| 02480 | MANDIBLE/ FLOOR OF MOUTH-RESECTION FOR MALIGNANCY | $1,300.63 |
| 06140 | WEDGE RESECTION - LIP VERMILION | $197.60 |
| 06141 | WEDGE RESECTION OF LIP SULCUS | $247.00 |
| 07789 | LESION - TONGUE | $314.56 |
| 07790 | LESION - BENIGN - FLOOR OF MOUTH | $120.31 |
| Code | Description | Amount |
|---|---|---|
| 00701 | DIRECT LARYNGOSCOPY | $37.14 |
| 02399 | CRYOTHERAPY OF TONSILS AND ORAL LESIONS | $113.11 |
| 02403 | TONSILLECTOMY - UNDER LA | $253.87 |
| 02413 | OPERATIVE CONTROL OF POST-TONSILLECTOMY HAEMORRHAG | $163.37 |
| 02442 | ADENOIDECTOMY - ADULT OR CHILD OVER 14 YEARS | $126.90 |
| 02444 | INCISION OF PERITONSILLAR ABSCESS-GENERAL ANAESTHE | $126.90 |
| 02445 | TONSILLECTOMY - OVER 14 YEARS OF AGE | $210.95 |
| 02446 | TONSILLECTOMY -14 YEARS AND UNDER(INCLUDES NEONATE | $188.85 |
| 02447 | INCISION OF PERITONSILLAR ABSCESS-LOCAL ANAESTHETI | $50.27 |
| Code | Description | Amount |
|---|---|---|
| 00701 | DIRECT LARYNGOSCOPY | $37.14 |
| 02399 | CRYOTHERAPY OF TONSILS AND ORAL LESIONS | $113.11 |
| 02403 | TONSILLECTOMY - UNDER LA | $253.87 |
| 02413 | OPERATIVE CONTROL OF POST-TONSILLECTOMY HAEMORRHAG | $163.37 |
| 02442 | ADENOIDECTOMY - ADULT OR CHILD OVER 14 YEARS | $126.90 |
| 02444 | INCISION OF PERITONSILLAR ABSCESS-GENERAL ANAESTHE | $126.90 |
| 02445 | TONSILLECTOMY - OVER 14 YEARS OF AGE | $210.95 |
| 02446 | TONSILLECTOMY -14 YEARS AND UNDER(INCLUDES NEONATE | $188.85 |
| 02447 | INCISION OF PERITONSILLAR ABSCESS-LOCAL ANAESTHETI | $50.27 |
| Code | Description | Amount |
|---|---|---|
| 00844 | BIOPSY OF SALIVARY GLAND, FINE OR CORE NEEDLE | $53.22 |
| 02452 | SIALOLITHOTOMY - SIMPLE IN DUCT | $62.82 |
| 02453 | SIALOLITHOTOMY - COMPLICATED IN GLAND | $188.51 |
| 02455 | EXCISION OF SUBMANDIBULAR GLAND | $314.18 |
| 02456 | FISTULA - SALIVARY -PLASTIC TO STENSON'S DUCT | $414.74 |
| 02471 | SUBTOTAL PAROTIDECTOMY W FACIAL NERVE DISSECTION | $829.51 |
| 02472 | TOTAL PAROTIDECTOMY .. FOR MALIGNANCY OR DEEP LOBE | $955.16 |
| 07515 | ABSCESS - PARTOID/SUBMAXILLARY/SUBLINGUAL | $80.24 |
| 07516 | EXCISION OR MARSUPIALIZATION OF SALIVARY CYST | $120.31 |
| 07522 | LOCAL EXCISION OF PAROTID TUMOR | $132.50 |
| 07526 | SALIVARY DUCT - DILATION | $27.53 |
| Code | Description | Amount |
|---|---|---|
| 00844 | BIOPSY OF SALIVARY GLAND, FINE OR CORE NEEDLE | $53.22 |
| 02452 | SIALOLITHOTOMY - SIMPLE IN DUCT | $62.82 |
| 02453 | SIALOLITHOTOMY - COMPLICATED IN GLAND | $188.51 |
| 02455 | EXCISION OF SUBMANDIBULAR GLAND | $314.18 |
| 02456 | FISTULA - SALIVARY -PLASTIC TO STENSON'S DUCT | $414.74 |
| 02471 | SUBTOTAL PAROTIDECTOMY W FACIAL NERVE DISSECTION | $829.51 |
| 02472 | TOTAL PAROTIDECTOMY .. FOR MALIGNANCY OR DEEP LOBE | $955.16 |
| 07515 | ABSCESS - PARTOID/SUBMAXILLARY/SUBLINGUAL | $80.24 |
| 07516 | EXCISION OR MARSUPIALIZATION OF SALIVARY CYST | $120.31 |
| 07522 | LOCAL EXCISION OF PAROTID TUMOR | $132.50 |
| 07526 | SALIVARY DUCT - DILATION | $27.53 |
| Code | Description | Amount |
|---|---|---|
| 02407 | TRACHEOTOMY | $337.51 |
| 02459 | EXCISION CYSTIC HYGROMA | $540.42 |
| 02476 | RE-ESTABLISHMENT IN NECK | $628.41 |
| 07500 | RESECTION OF MANDIBLE | $396.26 |
| 07725 | MAXILLECTOMY | $804.17 |
| 07726 | MAXILLECTOMY WITH EXENTERATION OF ORBIT AND SKIN G | $1,036.15 |
| 07749 | PARTIAL MAXILLECTOMY FOR MALIGNANCY - FENESTRATION | $536.55 |
| 07796 | EXCISION NEUROGENIC NEOPLASM NECK | $536.55 |
| 70545 | DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-CERVICA | $528.79 |
| Code | Description | Amount |
|---|---|---|
| 02407 | TRACHEOTOMY | $337.51 |
| 02459 | EXCISION CYSTIC HYGROMA | $540.42 |
| 02476 | RE-ESTABLISHMENT IN NECK | $628.41 |
| 07500 | RESECTION OF MANDIBLE | $396.26 |
| 07725 | MAXILLECTOMY | $804.17 |
| 07726 | MAXILLECTOMY WITH EXENTERATION OF ORBIT AND SKIN G | $1,036.15 |
| 07749 | PARTIAL MAXILLECTOMY FOR MALIGNANCY - FENESTRATION | $536.55 |
| 07796 | EXCISION NEUROGENIC NEOPLASM NECK | $536.55 |
| 70545 | DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-CERVICA | $528.79 |
| Code | Description | Amount |
|---|---|---|
| 07470 | NIPPLE EXPLORATION | $167.17 |
| 07471 | MASTECTOMY - SIMPLE FOR BENIGN DISEASE | $335.89 |
| 07472 | MASTECTOMY - TOTAL FOR MALIGNANCY | $467.10 |
| 07473 | MASTECTOMY - PARTIAL FOR MALIGNANCY | $233.82 |
| 07474 | AXILLARY DISSECTION (LEVEL II) - COMPLETE | $467.10 |
| 07475 | AXILLARY DISSECTION - PARTIAL | $233.82 |
| 07479 | SENTINEL LYMPH NODE BIOPSY | $467.10 |
| 07497 | BIOPSY OR SEGMENTAL RESECTION OF NON-PALPABLE BREA | $217.54 |
| 07498 | MASTECTOMY - SKIN SPARING - UNILATERAL | $558.24 |
| 70041 | FINE NEEDLE ASPIRATION SOLID OR CYSTIC LESION | $45.04 |
| 70042 | ASPIRATION - FINE NEEDLE - ADDITIONAL CYST/ LESION | $11.27 |
| 70043 | MASTOTOMY WITH EXPLORATION OF DRAINAGE OF ABSCESS | $80.24 |
| 70044 | MASTOTOMY - GA | $157.28 |
| 70469 | BIOPSY - BREAST - NEEDLE CORE | $56.62 |
| 70470 | BIOPSY - BREAST - INCISIONAL | $113.26 |
| 70471 | BIOPSY - BREAST - EXCISIONAL | $120.98 |
| 70472 | BIOPSY - NEEDLE CORE-STEREOTACTIC/ULTRASOUND GUIDE | $83.53 |
| 70473 | BIOPSY-NEEDLE CORE-STEREOTACTIC/ULTRASOUND GUIDED | $117.92 |
| 70477 | BIOPSY BREAST LESION - EACH ADDITIONAL | $108.78 |
| 70478 | MASTECTOMY - GYNECOMASTIA | $301.35 |
| 70479 | MASTECTOMY - RADICAL | $766.05 |
| 79135 | CHEST WALL TUMOUR WITH RIB RESECTION | $982.06 |
| Code | Description | Amount |
|---|---|---|
| 07528 | PLACEMENT GASTROESOPHAGEAL VENOUS COMPRESSION BALL | $65.18 |
| 07536 | DIRECT LIGATION OF OESOPHAGEAL VARICES | $725.59 |
| 10761 | ESOPHAGOGASTRODUODENOSCOPY (EGD) | $88.40 |
| 10762 | RIGID ESOPHAGOSCOPY | $73.62 |
| 10763 | INITIAL ESOPHAGEAL, GASTRIC OR DUODENAL BIOPSY | $28.63 |
| 10764 | MULTIPLE BIOPSIES FOR DIFFERENTIAL DIAGNOSES | $42.94 |
| 33321 | REMOVAL OF FOREIGN MATERIAL CAUSING OBSTRUCTION | $100.40 |
| 33322 | THERAPEUTIC INJECTION(S), SCLEROSIS, BAND LIGATION | $114.95 |
| 33323 | TRANSENDOSCOPIC TUBE, STENT OR CATHETER | $100.35 |
| 33324 | THERMAL COAGULATION - HEATER PROBE AND LASER | $41.96 |
| 33325 | GASTRIC POLYPECTOMY | $159.07 |
| 33326 | PERCUTANEOUS ENDOSCOPICALLY PLACED FEEDING TUBE | $72.69 |
| 33327 | ENDOSCOPIC REPOSITIONING OF GASTRIC FEEDING TUBE | $14.03 |
| 33328 | ESOPHAGEAL DILATION, BLIND BOUGINAGE | $56.39 |
| 33329 | ESOPHAGEAL DILATION OR DILATION OF PATHOLOGICAL | $107.40 |
| 70500 | OESOPHAGOTOMY:CERV. APPROACH W/ REM. FOREIGN BODY | $528.79 |
| 70501 | OESOPHAGOTOMY:THORA. APPROACH W/ REM. FOREIGN BODY | $628.11 |
| 70502 | CRICOPHARYNGEAL MYOTOMY - CERVICAL APPROACH | $462.37 |
| 70503 | OESOPHAGECTOMY W/O THORACOTOMY - SECONDARY SURGEON | $467.09 |
| 70504 | OESOPHAGECTOMY W/ COLON INTERPOSITION - 2ND SURG | $467.09 |
| 70505 | OESOPHAGECTOMY W/ THORACOTOMY - 2ND SURGEON | $467.09 |
| 70506 | OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-2ND SURG | $467.09 |
| 70509 | PART. OESOPHAGECTOMY W/COLON INTER. - 2ND SURG | $467.09 |
| 70511 | PART.OESOPHAGECTOMY THORACOABDOMINAL - 2ND SURG. | $467.09 |
| 70530 | EXCISION OESOPHAGEAL LESION - CERVICAL APPROACH | $528.79 |
| 70531 | EXCISION OESOPHAGEAL LESION THORACIC/ABDOMINAL | $766.05 |
| 70532 | EXCISION - OESOPHAGEAL LESION - LAPAROSCOPIC/ THO | $766.05 |
| 70533 | OESOPHAGECTOMY W/O THORACOTOMY - PRIMARY SURGEON | $1,409.26 |
| 70534 | OESOPHAGECTOMY W/ COLON INTERPOSITION - PRIM. SURG | $1,648.35 |
| 70535 | OESOPHAGECTOMY W/ THORACOTOMY - PRIMARY SURGEON | $1,610.61 |
| 70536 | OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-1ST SURG | $1,837.10 |
| 70538 | PARTIAL OESOPHAGECTOMY - DISTAL 2/3 | $1,610.61 |
| 70539 | PART. OESOPHAGECTOMY W/COLON INTER. - PRIM. SURG | $1,837.10 |
| 70540 | PART. OESOPHAGECTOMY THORACO-ABDOM. OR ABDOMINAL | $1,409.26 |
| 70541 | PART. OESOPHAGECTOMY THROACOABDOMINAL - 1ST SURG | $1,648.35 |
| 70542 | OESOPHAGECTOMY,TOTAL OR PARTIAL,W/O RECONSTRUCTION | $1,057.56 |
| 70544 | DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-THORACI | $644.24 |
| 70545 | DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-CERVICA | $528.79 |
| 71530 | OESOPHAGOSTOMY - CERVICAL | $523.47 |
| 71531 | REPAIR TRACHEO-OESOPHAGAL FISTULA-CERVICAL APPR. | $792.50 |
| 71532 | OESOPHAGOPLASTY - W/O TRACHEO-OESOPHAGEAL FISTULA | $1,104.95 |
| 71533 | OESOPHAGOPLASTY - W/ TRACHEO-OESOPHAGEAL FISTULA | $1,356.08 |
| 71534 | DIVISION OF TRACHEO-OESOPHAGEAL FISTULA | $792.50 |
| 71535 | OESOPHAGOGASTRIC FUNDOPLASTY - LAPAROSCOPIC | $906.99 |
| 71536 | OESOPHAGOGASTRIC FUNDOPLASTY - OPEN | $725.59 |
| 71537 | OESOPHAGOGASTRIC FUNDOPLASTY WITH FUNDIC PATCH | $780.11 |
| 71538 | OESOPHAGOGASTRIC FUNDOPLASTY - WITH GASTROPLASTY | $979.39 |
| 71539 | PLASTIC OPERATION: CARDIOSPASM -THORACIC APPROACH | $662.59 |
| 71540 | PLASTIC OPERATION: CARDIOSPASM - LAPAROSCOPIC | $828.24 |
| 71541 | CARDIOSPASM - WITH FUNDOPLICATION - OPEN | $926.09 |
| 71542 | CARDIOSPASM WITH FUNDOPLICATION - LAPAROSCOPIC | $1,157.62 |
| 71543 | GASTROINTESTINAL RECONSTRUCTION - WITH STOMACH | $1,409.26 |
| 71544 | GASTROINTESTINAL RECONSTRUCTION - COLON INTERPOSIT | $1,648.35 |
| 71546 | TRANSECTION OF OESOPHAGUS WITH REPAIR | $817.88 |
| 71547 | LIGATION/STAPLING - OESOPHAGEAL PERFORATION | $662.59 |
| 71548 | OESOPHAGEAL WOUND OR INJURY - CERVICAL APPROACH | $703.15 |
| 71549 | OESOPHAGEAL WOUND - TRANSTHORACIC/TRANSABDOMINAL | $843.78 |
| 71550 | OESOPHAGOSTOMY/FISTULA CLOSURE-CERVICAL APPROACH | $703.15 |
| 71551 | OESOPHAGOSTOMY OR FISTULA CLOSURE - TRANSTHORACIC | $843.78 |
| Code | Description | Amount |
|---|---|---|
| 07470 | NIPPLE EXPLORATION | $167.17 |
| 07497 | BIOPSY OR SEGMENTAL RESECTION OF NON-PALPABLE BREA | $217.54 |
| 70472 | BIOPSY - NEEDLE CORE-STEREOTACTIC/ULTRASOUND GUIDE | $83.53 |
| 70473 | BIOPSY-NEEDLE CORE-STEREOTACTIC/ULTRASOUND GUIDED | $117.92 |
| 70477 | BIOPSY BREAST LESION - EACH ADDITIONAL | $108.78 |
| Code | Description | Amount |
|---|---|---|
| 70601 | REPAIR PARA-OESOPHAGEAL HIATUS HERNIA | $748.66 |
| 70602 | DIAPHRAGMATIC OR OTHER HERNIA - OPEN | $748.66 |
| 70603 | DIAPHRAGMATIC OR OTHER HERNIA - LAPAROSCOPIC | $748.66 |
| 70604 | CONGENITAL DIAPHRAGMATIC HERNIA | $1,130.06 |
| 70605 | REPAIR DIAPHRAGMATIC HERNIA OR LACERATION - ACUTE | $792.50 |
| 70606 | REPAIR DIAPHRAGMATIC HERNIA OR LACERATION -CHRONIC | $725.59 |
| 70607 | IMBRICATION OF DIAPHRAGM FOR EVENTRATION | $662.67 |
| Code | Description | Amount |
|---|---|---|
| 07471 | MASTECTOMY - SIMPLE FOR BENIGN DISEASE | $335.89 |
| 07472 | MASTECTOMY - TOTAL FOR MALIGNANCY | $467.10 |
| 07473 | MASTECTOMY - PARTIAL FOR MALIGNANCY | $233.82 |
| 07474 | AXILLARY DISSECTION (LEVEL II) - COMPLETE | $467.10 |
| 07475 | AXILLARY DISSECTION - PARTIAL | $233.82 |
| 07479 | SENTINEL LYMPH NODE BIOPSY | $467.10 |
| 07498 | MASTECTOMY - SKIN SPARING - UNILATERAL | $558.24 |
| 70478 | MASTECTOMY - GYNECOMASTIA | $301.35 |
| 70479 | MASTECTOMY - RADICAL | $766.05 |
| 79135 | CHEST WALL TUMOUR WITH RIB RESECTION | $982.06 |
| Code | Description | Amount |
|---|---|---|
| 07578 | VAGOTOMY - HIGHLY SELECTIVE | $627.18 |
| 07623 | GASTRECTOMY REVISION AFTER PREVIOUS GASTRECTOMY | $989.31 |
| 07624 | GASTRECTOMY EMERGENCY FOR CONTINUED HAEMORRHAGE | $989.31 |
| 07626 | PYLOROPLASTY | $396.26 |
| 07627 | GASTROJEJUNOSTOMY - OPEN | $427.74 |
| 07628 | GASTROJEJUNOSTOMY OR PYLOROPLASTY | $627.18 |
| 07630 | GASTROSTOMY - OPEN | $330.65 |
| 07632 | GASTROTOMY, OPEN | $450.47 |
| 07633 | CLOSURE OF GASTROJEJUNOCOLIC FISTULA | $1,123.13 |
| 33394 | PEG PROCEDURE-ASSISTANT'S FEE | $110.80 |
| 70620 | GASTROTOMY | $396.26 |
| 70621 | GASTROTOMY WITH SUTURE REPAIR OF BLEEDING ULCER | $664.37 |
| 70622 | GASTROTOMY-SUTURE REPAIR OESOPHAGOGASTRIC LACER. | $692.04 |
| 70624 | PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE | $396.26 |
| 70625 | LIMITED/WEDGE EXCISION-ULCER OR BENIGN TUM STOMACH | $563.72 |
| 70626 | LIMITED/WEDGE EXCISION MALIGNANT TUM-STOMACH-OPEN | $644.24 |
| 70627 | GASTRECTOMY - TOTAL - OPEN | $1,305.85 |
| 70628 | GASTRECTOMY - RECONSTRUCTION - ROUX-EN-Y - OPEN | $1,305.85 |
| 70629 | GASTRECTOMY WITH FORMATION/INTESTINAL POUCH - OPEN | $1,305.85 |
| 70630 | GASTRECTOMY PARTIAL/DISTAL WITH GASTRODUODENOSTOMY | $966.37 |
| 70631 | GASTRECTOMY PARTIAL/DISTAL/GASTROJEJUNOSTOMY-OPEN | $966.37 |
| 70632 | GASTRECTOMY PARTIAL/DISTAL RECONSTRUCTION-ROUX-EN | $1,006.61 |
| 70633 | GASTRECTOMY, PARTIAL, DISTAL-INTESTINAL POUCH-OPEN | $1,087.17 |
| 70634 | VAGOTOMY (EXTRA) | $62.91 |
| 70635 | GASTRECTOMY - PROXIMAL - OPEN | $1,184.81 |
| 70637 | TUBE CHANGE - GASTROSTOMY | $30.19 |
| 70641 | GASTROTOMY - LAPAROSCOPIC | $527.36 |
| 70642 | GASTRIC RESTRICTIVE PROCEDURE | $775.46 |
| 70643 | GASTRIC RESTRICTIVE PROCEDURE/BYPASS - OPEN | $979.39 |
| 70644 | GASTRIC RESTRICTIVE PROCEDURE/SMALL BOWEL RECONSTR | $915.99 |
| 70645 | GASTRIC RESTRICT PROCEDURE/REVISION/REVERSAL/OPEN | $1,004.50 |
| 70646 | GASTROSTOMY - CLOSURE - SURGICAL | $396.26 |
| 70649 | FISTULA - GASTROCOLIC | $775.10 |
| 72723 | REVISION GASTRECTOMY/AFTER PRV GASTRECTOMY LAP | $1,236.64 |
| 72725 | LIMITED/WEDGE EXCISION - ULCER OR BENIGN TUMOUR | $704.65 |
| 72726 | LIMITED/WEDGE EXCISION - MALIGNANT TUMOUR STOMACH | $805.30 |
| 72727 | GASTRECTOMY,TOTAL:OESOPHAGOENTEROSTOMY-LAPAROSCOP | $1,403.92 |
| 72728 | GASTRECTOMY, TOTAL: WITH ROUX-EN-Y RECONSTRUCTION | $1,459.62 |
| 72729 | GASTRECTOMY, TOTAL: WITH POUCH - LAPAROSCOPIC | $1,505.20 |
| 72730 | GASTRECTOMY,PARTIAL,DISTAL(BILLROTH I)LAPAROSCOPIC | $1,207.96 |
| 72731 | GASTRECTOMY,PARTIAL,DISTAL(BILLROTH II)LAPAROSCOPE | $1,207.96 |
| 72732 | GASTRECTOMY,PARTIAL,DISTAL/ROUX-EN-Y-LAPAROSCOPIC | $1,258.27 |
| 72733 | GASTRECTOMY, PARTIAL, WITH POUCH - LAPAROSCOPIC | $1,358.97 |
| 72735 | PROXIMAL GASTRECTOMY - LAPAROSCOPIC | $1,481.01 |
| 72737 | GASTROJEJUNOSTOMY - LAPAROSCOPIC | $534.68 |
| 72739 | LAPAROSCOPIC VERTICAL SLEEVE GASTRECTOMY | $1,088.66 |
| 72743 | GASTRIC RESTRICTIVE PROCEDURE - LAPAROSCOPIC | $1,040.89 |
| 72775 | REVISION/REVERSAL OF GASTRIC RESTRICTIVE PROCEDURE | $1,038.06 |
| Code | Description | Amount |
|---|---|---|
| 07447 | MESENTERIC INJURY - REPAIR OF | $564.22 |
| 07455 | EMERGENCY RESECTION OF OBSTRUCTED COLON | $988.70 |
| 07565 | TAKEDOWN PELVIC POUCH TO INCLUDE ILEOSTOMY - OPEN | $814.47 |
| 07566 | RECTAL MUCOSECTOMY, ILEOANAL ANASTOMOSIS | $736.65 |
| 07567 | PROCTECTOMY WITH RECTAL MUCOSECTOMY - OPEN | $1,525.83 |
| 07569 | COLECTOMY AND HEMIPROCTECTOMY - OPEN | $1,072.25 |
| 07570 | COLO-COLOSTOMY OR ENTERO-COLOSTOMY - OPEN | $790.90 |
| 07588 | COLOSTOMY OR ILEOSTOMY - LOOP - END - OPEN | $464.68 |
| 07589 | TOTAL PROCTOCOLECTOMY SYNCHRONOUS ABDOMINAL PORTIO | $1,297.55 |
| 07634 | ENTEROTOMY OR COLOTOMY (SINGLE); FOR EXPLORATION | $480.14 |
| 07635 | MULTIPLE COLOTOMY WITH OPERATIVE SIGMOIDOSCOPY | $630.36 |
| 07636 | SMALL INTESTINE RESECTION/WITH ANASTOMOSIS - OPEN | $594.39 |
| 07640 | COLECTOMY,TOTAL,ABDOMINAL,WITHOUT PROCTECTOMY/OPEN | $1,110.50 |
| 07641 | PROCTOCOLECTOMY TOTAL WITH PERINEAL EXCISION-OPEN | $1,621.40 |
| 07643 | ENTEROENTEROSTOMY | $480.14 |
| 07645 | COLOSTOMY OR ILEOSTOMY - LOOP - OPEN | $403.33 |
| 07646 | CLOSURE OF LOOP ENTEROSTOMY, LARGE/SMALL INTESTINE | $371.15 |
| 07647 | CLOSURE OF LOOP ENTEROSTOMY WITH RESECTION | $555.24 |
| 07648 | REVISION OF COLOSTOMY, ILEOSTOMY - SIMPLE INCISION | $221.22 |
| 07649 | REVISION OF COLOSTOMY, ILEOSTOMY - RADICAL | $413.54 |
| 07650 | INTESTINAL OBSTRUCTION; RESECTION OF BANDS | $494.65 |
| 07651 | VOLVULUS REDUCTION, INTUSSUSCEPTION BY LAPAROTOMY | $518.42 |
| 07654 | INTESTINAL OBSTRUCTION, PLICATION/INSERTION - TUBE | $561.58 |
| 07655 | EXCISION OF MECKEL'S DIVERTICULUM | $363.10 |
| 07658 | EXTERIORIZATION OF BOWEL | $593.57 |
| 07662 | ABDOMINO-PERINEAL RESECTION (SINGLE SURGEON)-OPEN | $1,328.33 |
| 07663 | ABDOMINO-PERINEAL RESECTION (SYNCHRONOUS ABDOMINAL | $1,108.95 |
| 07664 | PROCTECTOMY,COMBINED WITH ABDOM RESECTION/PERINEAL | $371.15 |
| 70648 | TUBE OR NEEDLE CATHETER JEJUNOSTOMY | $351.58 |
| 70650 | LYSIS OF INTRA-ABDOM ADHESIONS-FIRST 30 MIN EXTRA | $150.68 |
| 70651 | LYSIS OF INTRA-ABDOMINAL ADHESIONS-ADD. 15 MIN | $75.34 |
| 70660 | LYSIS OF INTRA-ABD ADHESIONS-LAP-FIRST 30 MIN EX | $150.68 |
| 70661 | LYSIS OF INTRA-ABD ADHESIONS-LAP-ADD 15MIN EXTRA | $75.34 |
| 71650 | HERNIA REPAIR - CORRECTION - MALROTATION | $461.85 |
| 72620 | RESECTION OF SMALL INTESTINE-WITH ENTEROSTOMY/OPEN | $801.69 |
| 72621 | MOBILIZATION - SPLENIC FLEXURE | $94.37 |
| 72622 | RESECTION - COLON - LIMITED - OPEN | $776.18 |
| 72623 | RESECTION - COLON - LIMITED - LAPAROSCOPIC | $970.23 |
| 72624 | HEMICOLECTOMY - RIGHT - OPEN | $814.47 |
| 72625 | HEMICOLECTOMY - RIGHT - LAPAROSCOPIC | $1,018.09 |
| 72626 | HEMICOLECTOMY - LEFT - OPEN | $864.41 |
| 72631 | HEMICOLECTOMY - LEFT - LAPAROSCOPIC | $1,080.52 |
| 72632 | SIGMOID RESECTION - OPEN | $899.88 |
| 72633 | SIGMOID RESECTION - LAPAROSCOPIC | $1,124.85 |
| 72634 | SIGMOID RESECTION/END COLOSTOMY - OPEN | $850.28 |
| 72635 | ANTERIOR RESECTION - RECTOSIGMOID-CARCINOMA - OPEN | $1,104.95 |
| 72636 | PROCTECTOMY - ABDOMINAL/TRANSANAL | $1,108.95 |
| 72640 | PARTIAL RIGHT COLECTOMY (CAECUM) - OPEN | $776.82 |
| 72641 | CAECOSTOMY/TUBE - DECOMPRESSION | $297.51 |
| 72644 | REVISION OF COLOSTOMY, ILEOSTOMY - WITH REPAIR | $555.24 |
| 72645 | CONTINENT ILEOSTOMY - OPEN | $989.31 |
| 72646 | COLOSTOMY OR ILEOSTOMY - MULTIPLE BIOPSIES | $132.50 |
| 72647 | INTESTINAL STRICTUROPLASTY - SINGLE | $503.30 |
| 72648 | INTESTINAL STRICTUROPLASTY - MULTIPLE | $692.04 |
| 72651 | RECONSTRUCTION HARTMANN PROCEDURE - OPEN | $814.47 |
| 72652 | HARTMAN PROCEDURE - RECONSTRUCTION - LAPAROSCOPIC | $1,018.09 |
| 72653 | FISTULA - ENTEROVESICAL/COLOVESICAL/COLOVAGINAL | $776.82 |
| 72654 | FISTULA - CLOSURE/BOWEL RESECTION | $333.32 |
| 72656 | APPENDECTOMY - OPEN | $338.75 |
| 72657 | APPENDECTOMY - PERFORATED | $497.80 |
| 72658 | APPENDECTOMY - LAPAROSCOPIC | $338.75 |
| 72659 | APPENDECTOMY - LAPAROSCOPIC - PERFORATED | $497.80 |
| 72660 | APPENDICEAL ABSCESS - INCISION/DRAINAGE | $427.74 |
| 72715 | COLOSTOMY OR ILEOSTOMY - LOOP - LAPAROSCOPIC | $504.16 |
| 72720 | RESECTION SMALL INTESTINE/ENTEROSTOMY-LAPAROSCOPIC | $1,002.12 |
| 72734 | SIGMOID RESECTION-WITH END COLOSTOMY-LAPAROSCOPIC | $1,062.85 |
| 72736 | RESECTION OF SMALL INTESTINE WITH ANASTOMOSIS | $742.99 |
| 72740 | PARTIAL RIGHT COLECTOMY - LAPAROSCOPIC | $971.03 |
| 72741 | TOTAL PROCTOCOLECTOMY-SINGLE SURGEON/LAPAROSCOPIC | $2,026.76 |
| 72745 | CONTINENT ILEOSTOMY (KOCH PROCEDURE) LAPAROSCOPIC | $1,236.64 |
| 72755 | ANTERIOR RESECTION OF RECTOSIGMOID - LAPAROSCOPIC | $1,381.19 |
| 72760 | COLECTOMY - TOTAL, ABDOMINAL - LAPAROSCOPIC | $1,388.13 |
| 72762 | ABDOMINO-PERINEAL RESECTION-SINGLE SURGEON | $1,660.42 |
| 72763 | ABDOMINO-PERINEAL RESECTION-SYNCHRONOUS | $1,386.19 |
| 72765 | TAKE-DOWN OF PELVIC POUCH - LAPAROSCOPIC | $1,018.09 |
| 72767 | PROCTECTOMY WITH RECTAL MUCOSECTOMY-LAPAROSCOPIC | $1,907.28 |
| 72769 | COLECTOMY AND HEMIPROCTECTOMY - LAPAROSCOPIC | $1,340.31 |
| 72770 | COLO-COLOSTOMY OR ENTERO-COLOSTOMY-LAPAROSCOPIC | $988.63 |
| 72788 | COLOSTOMY OF ILEOSTOMY - END - LAPAROSCOPIC | $580.85 |
| 72789 | TOTAL PROCTOCOLOECTOMY - SYN.ABD.PORTION | $1,621.95 |
| 71651 | CORRETION OF MALROTATION - LAPAROSCOPIC | $577.32 |
| 72601 | CAECOSTOMY TUBE FOR DECOMPRESSION-LAP. (EXTRA) | $371.90 |
| 72650 | INTESTINAL OBSTRUCTION, RESECTION OF BANDS-LAP | $618.31 |
| 72721 | MOBILIZATION OF SPLENIC FLEXURE - LAP (EXTRA) | $117.97 |
| Code | Description | Amount |
|---|---|---|
| 00715 | SIGMOIDOSCOPY WITH BIOPSY | $35.72 |
| 00716 | SIGMOIDOSCOPY; FLEXIBLE; DIAGNOSTIC | $62.93 |
| 00718 | SIGMOIDOSCOPY, FLEXIBLE AND WITH BIOPSY | $76.18 |
| 07460 | SIGMOIDOSCOPY - DECOMPRESSION - VOLVULUS | $225.44 |
| 07461 | SIGMOIDOSCOPY - REMOVAL OF FOREIGN BODY | $105.93 |
| 07462 | SIGMOIDOSCOPY - CONTROL BLEEDING | $141.23 |
| 07463 | SIGMOIDOSCOPY - DECOMPRESSION VOLVULUS, ANY METHOD | $225.44 |
| 07464 | SIGMOIDOSCOPY - POLYP REMOVAL | $247.29 |
| 07465 | SIGMOIDOSCOPY - ABLATION OF TUMOR/OTHER LESION | $167.23 |
| 07580 | RECTAL TUMOR EXCISION BY POSTERIOR PARASACRAL | $635.59 |
| 07660 | PELVIC ABSCESS - TRANSRECTAL DRAINAGE | $221.08 |
| 07662 | ABDOMINO-PERINEAL RESECTION (SINGLE SURGEON)-OPEN | $1,328.33 |
| 07663 | ABDOMINO-PERINEAL RESECTION (SYNCHRONOUS ABDOMINAL | $1,108.95 |
| 07664 | PROCTECTOMY,COMBINED WITH ABDOM RESECTION/PERINEAL | $371.15 |
| 07665 | ANORECTAL WALL, BIOPSY - ANAL APPROACH | $148.74 |
| 07672 | COMPLETE RECTAL PROLAPSE | $688.33 |
| 10714 | PROCTOSIGMOIDOSCOPY, RIGID - DIAGNOSTIC | $33.72 |
| 10730 | COLONOSCOPY,FLEXIBLE-TRANSABDOMINAL VIA COLOTOMY | $236.57 |
| 10732 | COLONOSCOPY - REMOVAL OF FOREIGN BODY | $268.02 |
| 10733 | COLONOSCOPY - CONTROL BLEEDING | $299.48 |
| 72662 | PROCTECTOMY, COMPLETE - SYNCHRONOUS ABDOMINAL | $1,271.85 |
| 72664 | PROCTECTOMY, COMPLETE - SUBTOTAL/TOTAL COLECTOMY | $1,621.40 |
| 72665 | PROCTECTOMY, PARTIAL - WITHOUT ANASTOMOSIS | $494.35 |
| 72666 | ALTEMEIER TRANSPERINEAL EXCISION OF RECTAL PROCIDE | $667.21 |
| 72667 | DIVISION OF STRICTURE OF RECTUM | $176.54 |
| 72669 | EXCISION OF RECTAL TUMOUR, 0 TO 2.5 CM | $180.81 |
| 72670 | TUMOR - RECTAL - EXCISION - 2.6 TO 5 CM. | $204.82 |
| 72671 | EXCISION OF RECTAL TUMOUR GREATER THAN 5 CM | $423.73 |
| 72672 | TUMOR - RECTAL - MALIGNANT - ELECTRODESICCATION | $180.81 |
| 72673 | TRANSANAL ENDO. MICRO. RESECTION OF RECTAL TUMOUR | $904.05 |
| 72762 | ABDOMINO-PERINEAL RESECTION-SINGLE SURGEON | $1,660.42 |
| 72763 | ABDOMINO-PERINEAL RESECTION-SYNCHRONOUS | $1,386.19 |
| Code | Description | Amount |
|---|---|---|
| 04401 | FISTULA RECTO-VAGINAL REPAIR | $480.40 |
| 07452 | EXTRA-PERITONEAL RECTUM +/- COLOSTOMY - REPAIR | $948.48 |
| 07666 | FISTULA-IN-ANO; SECOND STAGE; DIVISION - SPHINCTER | $154.22 |
| 07675 | FISTULA-IN-ANO - SUBCUTANEOUS OR SUBMUCOUS | $148.74 |
| 07676 | FISTULA-IN-ANO - SUBMUSCULAR | $332.71 |
| 07677 | FISTULA-IN-ANO - MULTIPLE OR HORSESHOE | $444.79 |
| 07678 | INCISION AND DRAINAGE PERIANAL ABSCESS,SUPERFICIAL | $90.07 |
| 07679 | INCISION/DRAIN ABSCESS - ISCHIORECTAL, INTRAMURAL | $131.23 |
| 07683 | HEMORRHOIDECTOMY | $264.07 |
| 07687 | ANAL FISSURE, EXCISION | $90.07 |
| 07689 | ANAL DILATION UNDER GENERAL ANAESTHETIC | $89.99 |
| 07690 | ANOPLASTY FOR IMPERFORATE ANUS | $593.57 |
| 07691 | ANUS IMPERFORATE SIMPLE INCISION | $43.67 |
| 70665 | ANOPLASTY - ADULT | $444.79 |
| 70666 | SPHINCTEROPLASTY - ANAL - ADULT | $444.79 |
| 70668 | GRAFT - RECTAL INCONTINENCE/PROLAPSE: | $200.90 |
| 70670 | SPHINCTEROPLASTY - ANAL - INCONTINENCE | $692.09 |
| 70671 | IMBRICATION - LEVATOR MUSCLE | $444.79 |
| 70672 | IMPLANTATION - ARTIFICIAL SPHINCTER | $994.34 |
| 70674 | DESTRUCTION - ANAL LESION | $74.29 |
| 70675 | ANAL SETON - REMOVAL | $28.25 |
| 70676 | ABSCESS - ISCHIORECTAL/ INTRAMURAL - INCISION | $384.17 |
| 70680 | DESTRUCTION OF ANAL LESION - COMPLICATED | $200.90 |
| 70683 | EUA WITH OR WITHOUT SIGMOIDOSCOPY | $150.68 |
| 71681 | SPHINCTEROTOMY WITH/WITHOUT FISSURECTOMY | $200.90 |
| 71682 | BOTOX INJECTION FOR ANAL FISSURE | $115.35 |
| 71684 | PAPILLECTOMY - SINGLE - EXTRA | $66.86 |
| 71686 | PAPILLECTOMY - MULTIPLE - EXTRA | $121.46 |
| 71689 | HEMMORHOID(S); OFFICE PROCEDURE (EG BAND LIGATION) | $79.38 |
| 71690 | HEMORRHOID(S); OFFICE PROCEDURE-INFRARED PHOTOCOAG | $79.38 |
| 71700 | FISTULA-IN-ANO; CLOSURE OF CONGENITAL ANAL FISTULA | $635.59 |
| 72673 | TRANSANAL ENDO. MICRO. RESECTION OF RECTAL TUMOUR | $904.05 |
| Code | Description | Amount |
|---|---|---|
| 70505 | OESOPHAGECTOMY W/ THORACOTOMY - 2ND SURGEON | $467.09 |
| 70506 | OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-2ND SURG | $467.09 |
| 70509 | PART. OESOPHAGECTOMY W/COLON INTER. - 2ND SURG | $467.09 |
| 70511 | PART.OESOPHAGECTOMY THORACOABDOMINAL - 2ND SURG. | $467.09 |
| 70535 | OESOPHAGECTOMY W/ THORACOTOMY - PRIMARY SURGEON | $1,610.61 |
| 70536 | OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-1ST SURG | $1,837.10 |
| 70538 | PARTIAL OESOPHAGECTOMY - DISTAL 2/3 | $1,610.61 |
| 70539 | PART. OESOPHAGECTOMY W/COLON INTER. - PRIM. SURG | $1,837.10 |
| 70540 | PART. OESOPHAGECTOMY THORACO-ABDOM. OR ABDOMINAL | $1,409.26 |
| 70541 | PART. OESOPHAGECTOMY THROACOABDOMINAL - 1ST SURG | $1,648.35 |
| 70542 | OESOPHAGECTOMY,TOTAL OR PARTIAL,W/O RECONSTRUCTION | $1,057.56 |
| 70544 | DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-THORACI | $644.24 |
| 70545 | DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-CERVICA | $528.79 |
| Code | Description | Amount |
|---|---|---|
| 07402 | HEPATOTAMY - ABSCESS/CYST - SINGLE | $427.74 |
| 07403 | HEPATOTAMY - MULTIPLE, INCLUDING MARSUPIALIZATION | $644.24 |
| 07404 | LIVER MASS - SUBSEGMENTAL EXCISION | $528.79 |
| 07405 | HEPATECTOMY - SEGMENTAL RESECTION - ONE OR MORE | $994.56 |
| 07406 | HEPATECTOMY - TWO OR MORE SEGMENTS | $1,167.69 |
| 07407 | HEPATECTOMY - TOTAL LEFT LOBECTOMY | $1,288.48 |
| 07408 | HEPATECTOMY - TOTAL RIGHT LOBECTOMY | $1,288.48 |
| 07409 | HEPATECTOMY - EXTENDED LEFT LOBECTOMY | $1,409.26 |
| 07410 | HEPATECTOMY - CAUDATE LOBECTOMY | $1,449.53 |
| 07411 | HEPATECTOMY - EXTENDED RIGHT LOBECTOMY | $1,615.63 |
| 07412 | HEPATORRHAPHY - SIMPLE | $541.32 |
| 07413 | HEPATORRHAPHY - WITH PACKING | $635.06 |
| 07440 | LIVER - RESECTIONAL DEBRIDEMENT | $994.56 |
| 07441 | HEPATIC ARTERY LIGATION | $935.52 |
| 07442 | HEPATIC LOBECTOMY FOR TRAUMA | $1,270.10 |
| 71380 | OPEN OR LAPAROSCOPIC LIVER TUMOUR NON-RESECTIONAL | $703.15 |
| 72794 | LAP. NON-ANATOMIC SUB-SEGMENTAL EXCISION-LIVER MAS | $904.05 |
| 72795 | LAP. HEPATECTOMY, SEGMENTAL RESECTION-ONE OR MORE, | $1,243.20 |
| 72796 | LAP. SEG. RESECTION LIVER:2 OR MORE SEGMENTS,BILAT | $1,506.75 |
| 72797 | LAPAROSCOPIC TOTAL LEFT LOBECTOMY | $1,610.61 |
| 72798 | LAPAROSCOPIC TOTAL RIGHT LOBECTOMY | $1,610.61 |
| Code | Description | Amount |
|---|---|---|
| 07517 | ERCP - PAPILLOTOMY/SPHINCTEROTOMY | $440.41 |
| 07518 | ERCP - STONE EXTRACTION | $522.19 |
| 07519 | ERCP - BILIARY STENTING | $427.80 |
| 07554 | ERCP - BALLOON DILATATION | $427.80 |
| 07556 | ERCP - STONE EXTRACTION REQUIRING LITHOTRIPSY | $547.36 |
| 07560 | NASO-BILIARY DRAINAGE TUBE - INSERTION | $101.95 |
| 07561 | CHOLEDOCHAL STENT - PLACEMENT | $169.90 |
| 07562 | DUODENAL BILIARY STENT - REPLACEMENT | $169.90 |
| 07698 | CHOLECYSTOSTOMY - OPEN | $415.94 |
| 07699 | CHOLECYSTECTOMY - OPEN | $522.22 |
| 07703 | CHOLEDOCHODUODENOSTOMY | $817.88 |
| 07705 | CHOLEDOCHOJEJUNOSTOMY/ANASTOMOSIS OF EXTRA-HEPATIC | $905.98 |
| 07706 | CHOLECYSTOENTEROSTOMY - DIRECT (LOOP) | $644.50 |
| 07707 | CHOLECYSTECTOMY - LAPAROSCOPIC | $522.21 |
| 07769 | DUODENOTOMY AND SPHINCTEROPLASTY | $650.81 |
| 07776 | REPAIR OF CHOLECYSTENTERIC FISTULA | $754.96 |
| 07780 | BILIARY ENDOSCOPY - INTRAOPERATIVE | $131.22 |
| 07781 | BILIARY ENDOSCOPY - PERCUTANEOUS | $80.53 |
| 07782 | BILIARY ENDOSCOPY -STONE REMOVAL | $131.22 |
| 07783 | BILIARY ENDOSCOPY; WITH DILATION OF DUCT STRICTURE | $131.22 |
| 70694 | CHOLEDOCHOTOMY/CHOLEDOCHOSTOMY OPEN | $617.77 |
| 70695 | CHOLEDOCHOTOMY/CHOLEDOCHOSTOMY - LAPAROSCOPIC | $617.77 |
| 70696 | CHOLEDOCHOTOMY/TRANSDUODENAL SPHINCTEROPLASTY | $911.90 |
| 70698 | CHOLECYSTOSTOMY - LAPAROSCOPIC | $415.94 |
| 70700 | CHOLECYSTECTOMY; OPEN PRECEDED BY CHOLECYSTECTOMY | $640.23 |
| 70701 | CHOLECYSTECTOMY - CBD (LAPAROSCOPIC) | $904.05 |
| 70702 | CHOLECYSTECTOMY - CBD (OPEN) | $904.05 |
| 70703 | CHOLECYSTECTOMY/CHOLEDOCHODUODENOSTOMY | $1,006.61 |
| 70704 | CHOLECYSTECTOMY WITH CHOLEDOCHOJEJUNOSTOMY | $1,031.79 |
| 70705 | CHOLECYSTECTOMY/TRANSDUODENAL SPHINCTEROTOMY | $1,006.61 |
| 70710 | ATRESIA - BILE DUCTS - CONGENITAL | $434.75 |
| 70711 | PORTOENTEROSTOMY | $1,561.36 |
| 70712 | TUMOR/STRICTURE - BILE DUCT - LOWER | $1,042.85 |
| 70713 | TUMOR/STRICTURE - BILE DUCT - UPPER | $1,561.26 |
| 70714 | TUMOR/STRICTURE - BILE DUCT - MULTIPLE ANASTOMOSES | $1,687.11 |
| 70715 | CYST - CHOLEDOCHAL | $981.48 |
| 70716 | CYST - CHOLEDOCHAL/DUCTOPLASTY | $1,449.53 |
| 70717 | CYST; CHOLEDOCHAL - EXCISION, MULTIPLE ANASTOMOSES | $1,570.33 |
| 70720 | CHOLECYSTOENTEROSTOMY/GASTROENTEROSTOMY | $857.65 |
| 70721 | CHOLECYSTOENTEROSTOMY/ROUX-EN-Y | $803.60 |
| 70722 | CHOLECYSTOENTEROSTOMY/ROUX-EN-Y/GASTROENTEROSTOMY | $982.47 |
| 70725 | CHOLEDOCHOJEJUNOSTOMY WITH GASTROJEJUNOSTOMY | $1,069.55 |
| 70726 | CHOLEDOCHOJEJUNOSTOMY/ROUX-EN-Y | $981.48 |
| 70727 | CHOLEDOCHOJEJUNOSTOMY/ROUX-EN-Y/GASTROJEJUNOSTOMY | $1,195.38 |
| 70728 | ANASTOMOSIS - INTRA-HEPATIC DUCTS/GI TRACT | $1,207.96 |
| 70730 | U-TUBE HEPATICO ENTEROSTOMY | $1,205.40 |
| 70731 | EXTRA-HEPATIC BILIARY DUCT: PRIMARY REPAIR | $1,006.61 |
| 71698 | CHOLECYSTOSTOMY - PERCUTANEOUS | $162.40 |
| 70718 | PORTAL LYMPHADENECTOMY | $753.38 |
| Code | Description | Amount |
|---|---|---|
| 33321 | REMOVAL OF FOREIGN MATERIAL CAUSING OBSTRUCTION | $100.40 |
| 33322 | THERAPEUTIC INJECTION(S), SCLEROSIS, BAND LIGATION | $114.95 |
| 33323 | TRANSENDOSCOPIC TUBE, STENT OR CATHETER | $100.35 |
| 33324 | THERMAL COAGULATION - HEATER PROBE AND LASER | $41.96 |
| 33325 | GASTRIC POLYPECTOMY | $159.07 |
| 33326 | PERCUTANEOUS ENDOSCOPICALLY PLACED FEEDING TUBE | $72.69 |
| 33327 | ENDOSCOPIC REPOSITIONING OF GASTRIC FEEDING TUBE | $14.03 |
| 33328 | ESOPHAGEAL DILATION, BLIND BOUGINAGE | $56.39 |
| 33329 | ESOPHAGEAL DILATION OR DILATION OF PATHOLOGICAL | $107.40 |
| Code | Description | Amount |
|---|---|---|
| 00744 | THYROID BIOPSY | $65.12 |
| 07740 | BIOPSY OF THYROID - OPEN | $188.75 |
| 07741 | THYROIDECTOMY; SUBTOTAL UNILATERAL (LOCAL EXCISION | $330.65 |
| 07743 | THYROIDECTOMY - TOTAL OR COMPLETE | $816.12 |
| 07771 | PICKING OPERATION; METASTATIC NECK NODES | $402.07 |
| 70740 | CYST - THYROGLOSSAL - INFECTED | $200.90 |
| 70742 | LOBECTOMY - TOTAL THYROID | $579.11 |
| 70743 | THYROIDECTOMY; TOTAL; UNILATERAL INC'L ISTHMUS | $717.23 |
| 70745 | THYROIDECTOMY - SUBTOTAL - BILATERAL | $696.31 |
| 70747 | THYROID TISSUE - REMAINING - REMOVAL | $684.52 |
| 70748 | SUBSTERNAL THYROID - STERNAL SPLIT | $161.05 |
| Code | Description | Amount |
|---|---|---|
| 71530 | OESOPHAGOSTOMY - CERVICAL | $523.47 |
| 71531 | REPAIR TRACHEO-OESOPHAGAL FISTULA-CERVICAL APPR. | $792.50 |
| 71532 | OESOPHAGOPLASTY - W/O TRACHEO-OESOPHAGEAL FISTULA | $1,104.95 |
| 71533 | OESOPHAGOPLASTY - W/ TRACHEO-OESOPHAGEAL FISTULA | $1,356.08 |
| 71534 | DIVISION OF TRACHEO-OESOPHAGEAL FISTULA | $792.50 |
| Code | Description | Amount |
|---|---|---|
| 07744 | PARATHYROIDECTOMY - SUBTOTAL PARATHYROIDECTOMY | $724.76 |
| 07745 | PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROIDS | $661.86 |
| 71746 | PARATHYROIDECTOMY - RE-EXPLORATION | $924.14 |
| 71747 | PARATHYROIDECTOMY - MEDIASTINAL EXPLORATION | $943.71 |
| 71748 | PARATHYROID AUTOTRANSPLANTATION | $100.45 |
| Code | Description | Amount |
|---|---|---|
| 71703 | ADRENALECTOMY FOR PHEOCHROMOCYTOMA - OPEN | $1,004.05 |
| 71704 | ADRENALECTOMY - UNILATERAL - OPEN | $792.50 |
| 71705 | ADRENALECTOMY - BILATERAL - OPEN | $1,087.17 |
| 72703 | ADRENALECTOMY FOR PHEOCHROMOCYTOMA-LAPAROSCOPIC | $1,255.06 |
| 72704 | ADRENALECTOMY;ANY APPROACH-UNILATERAL-LAPAROSCOPIC | $990.63 |
| 72705 | ADRENALECTOMY; ANY APPROACH-BILATERAL-LAPAROSCOPIC | $1,358.97 |
| Code | Description | Amount |
|---|---|---|
| 71536 | OESOPHAGOGASTRIC FUNDOPLASTY - OPEN | $725.59 |
| 71543 | GASTROINTESTINAL RECONSTRUCTION - WITH STOMACH | $1,409.26 |
| 71544 | GASTROINTESTINAL RECONSTRUCTION - COLON INTERPOSIT | $1,648.35 |
| 71546 | TRANSECTION OF OESOPHAGUS WITH REPAIR | $817.88 |
| 71547 | LIGATION/STAPLING - OESOPHAGEAL PERFORATION | $662.59 |
| Code | Description | Amount |
|---|---|---|
| 00826 | BIOPSY OF PANCREAS - PERCUTANEOUS | $80.53 |
| 07711 | PANCREATIC PSEUDOCYST INTERNAL DRAINAGE | $594.39 |
| 07714 | PANCREATICOJEJUNOSTOMY; SIDE-TO-SIDE ANASTOMOSIS | $925.03 |
| 07732 | PANCREATIC PSEUDOCYST - DRAINAGE, TRANSDUODENAL | $725.59 |
| 07733 | ANASTOMOSIS OF PANCREATIC PSEUDOCYST, ROUX-EN-Y- | $754.96 |
| 07756 | PANCREATIC PSEUDOCYST - OPEN | $427.74 |
| 07758 | PANCREATIC PSEUDOCYST - LAPAROSCOPIC | $427.74 |
| 71708 | PANCREATITIS - ACUTE - DRAINAGE | $427.74 |
| 71709 | RESECTIONAL DEBRIDEMENT - PANCREAS | $753.38 |
| 71710 | BIOPSY - PANCREAS - OPEN | $80.53 |
| 71712 | PANCREATIC LESION - EXCISION - LIMITED | $778.49 |
| 71713 | PANCREATECTOMY - DISTAL SUBTOTAL - OPEN | $805.30 |
| 71714 | PANCREATECTOMY - WITH SPLENIC PRESERVATION - OPEN | $1,006.61 |
| 71715 | PANCREATECTOMY - PANCREATICOJEJUNOSTOMY | $1,006.61 |
| 71716 | PANCREATECTOMY -SPLENIC PRESERVATION/PANCREATIC | $1,056.94 |
| 71717 | PANCREATECTOMY -DISTAL/NEAR TOTAL | $1,255.63 |
| 71718 | AMPULLA OF VATER - EXCISION | $1,046.90 |
| 71719 | PANCREATECTOMY - PROXIMAL/SUBTOTAL | $2,410.80 |
| 71720 | PANCREATECTOMY - PYLORIC SPARING | $2,410.80 |
| 71721 | PANCREATECTOMY - REGIONAL | $2,410.80 |
| 71722 | PANCREATECTOMY - TOTAL | $1,447.02 |
| 72713 | PANCREATECTOMY, DISTAL SUBTOTAL-LAPAROSCOPIC | $1,006.62 |
| 72714 | PANCREATECTOMY, WITH SPLENIC PRESERV-LAPAROSCOPIC | $1,258.27 |
| Code | Description | Amount |
|---|---|---|
| 07596 | HERNIA; INCISIONAL; REPAIR FOLLOWING LAPAROTOMY | $80.53 |
| 07610 | HERNIA, EPIGASTRIC | $244.78 |
| 70604 | CONGENITAL DIAPHRAGMATIC HERNIA | $1,130.06 |
| 71600 | REPAIR INGUINAL OR FEMORAL HERNIA < 6 MONTHS | $377.49 |
| 71601 | REPAIR INQUINAL OR FEMORAL HERNIA < 6 MONTHS BILAT | $503.30 |
| 71602 | REPAIR INQUINAL OR FEMORAL HERNIA < 6 MONTHS-INCAR | $426.56 |
| 71603 | REPAIR INGUINAL OR FEMORAL HERNIA;AGE 6 MTHS TO 12 | $351.58 |
| 71604 | REPAIR INGUINAL OR FEMORAL HERNIA;AGE 6 MTHS TO 12 | $527.36 |
| 71605 | REPAIR INGUINAL OR FEMORAL HERNIA;AGE 6 MTHS TO 12 | $426.91 |
| 71606 | REPAIR INGUINAL OR FEMORAL HERNIA;> AGE 12 - OPEN | $350.64 |
| 71607 | REPAIR INGUINAL OR FEMORAL HERNIA; > AGE 12-LAPARO | $350.64 |
| 71608 | REPAIR INGUINAL OR FEMORAL HERNIA; > AGE 12 INCARC | $405.73 |
| 71609 | REPAIR RECURRENT INGUINAL OR FEMORAL HERNIA;ANY AG | $438.31 |
| 71610 | REPAIR RECURRENT INGUINAL OR FEMORAL HERNIA;ANY AG | $438.31 |
| 71611 | REPAIR RECURRENT INGUINAL OR FEMORAL HERNIA;ANY AG | $507.14 |
| 71612 | BILATERAL PRIMARY INGUINAL OR FEMORAL HERNIAS > AG | $525.96 |
| 71613 | BILATERAL PRIMARY INGUINAL OR FEMORAL HERNIAS > AG | $525.96 |
| 71614 | HERNIA - INITIAL INCISIONAL - REPAIR - REDUCIBLE | $437.96 |
| 71615 | HERNIA; INITIAL INCISIONAL REPAIR, INCARCERATED | $506.46 |
| 71616 | HERNIA; INITIAL INCISIONAL REPAIR, PROSTHETIC MESH | $494.64 |
| 71617 | HERNIA; REPAIR RECURRENT INCISIONAL, REDUCIBLE | $547.46 |
| 71618 | HERNIA; REPAIR RECURRENT INCISIONAL, INCARCERATED | $633.09 |
| 71619 | HERNIA - UMBILICAL - REPAIR - REDUCIBLE | $244.78 |
| 71620 | HERNIA; REPAIR UMBILICAL INCARCERATED/STRANGULATED | $309.23 |
| 71621 | HERNIA REPAIR WITH RESECTION OF BOWEL | $626.61 |
| 71622 | HERNIA REPAIR, BOWEL RESECTION, SEPARATE INCISION | $754.96 |
| 71623 | HERNIA-LAPAROSCOPIC INITIAL VENTRAL OR INCISION | $567.67 |
| 71624 | HERNIA, LAPAROSCOPIC RECURRENT VENTRAL OR INCISION | $722.50 |
| 71625 | MYOFASCIAL ABDOMINAL WALL ADVANCEMENT FLAPS FOR | $853.83 |
| Code | Description | Amount |
|---|---|---|
| 70601 | REPAIR PARA-OESOPHAGEAL HIATUS HERNIA | $748.66 |
| 70602 | DIAPHRAGMATIC OR OTHER HERNIA - OPEN | $748.66 |
| 70603 | DIAPHRAGMATIC OR OTHER HERNIA - LAPAROSCOPIC | $748.66 |
| 70604 | CONGENITAL DIAPHRAGMATIC HERNIA | $1,130.06 |
| 70605 | REPAIR DIAPHRAGMATIC HERNIA OR LACERATION - ACUTE | $792.50 |
| 70606 | REPAIR DIAPHRAGMATIC HERNIA OR LACERATION -CHRONIC | $725.59 |
| 70607 | IMBRICATION OF DIAPHRAGM FOR EVENTRATION | $662.67 |
| Code | Description | Amount |
|---|---|---|
| 07141 | Permcath Removal | $37.76 |
| 07139 | BROVIAC CATHETER - INSERTION OF | $160.14 |
| 07140 | CATHETER INSERTION - BROVIAC TYPE, <3 MO OR <3 KG | $265.04 |
| 07466 | ANAL STRICTURE - CHILD | $443.81 |
| 07552 | AORTOPEXY FOR TRACHEOMALACIA | $629.15 |
| 07571 | PENA POSTERIOR SAGITTAL ANAL PROCTOPLASTY | $1,133.06 |
| 07593 | PENA POSTERIOR SAGITTAL ANOPROCTOPLASTY 2ND SURGEO | $334.10 |
| 07614 | OMPHALOCELE OR GASTROSCHESIS - TEMPORARY REPAIR | $396.26 |
| 07615 | OMPHALOCELE OR GASTROSCHESIS - PERMANENT REPAIR | $603.98 |
| 07630 | GASTROSTOMY - OPEN | $330.65 |
| 07651 | VOLVULUS REDUCTION, INTUSSUSCEPTION BY LAPAROTOMY | $518.42 |
| 07653 | ATRESIA; SMALL BOWEL; EXCISION OR BYPASS | $725.59 |
| 07655 | EXCISION OF MECKEL'S DIVERTICULUM | $363.10 |
| 07690 | ANOPLASTY FOR IMPERFORATE ANUS | $593.57 |
| 07692 | REPAIR MAJOR ANO-RECTAL ANOMALIES, SACRAL APPROACH | $889.58 |
| 07697 | SACROCOCCYGEAL TERATOMA- EXCISION | $1,038.35 |
| 07700 | CLOACAL ANOMALIES; PRIMARY SURGEON, TOTAL CORRECT | $2,118.61 |
| 07702 | CLOACAL ANOMALY - TOTAL CORRECTION SECOND SURGEON | $388.42 |
| 33394 | PEG PROCEDURE-ASSISTANT'S FEE | $110.80 |
| 70604 | CONGENITAL DIAPHRAGMATIC HERNIA | $1,130.06 |
| 70624 | PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE | $396.26 |
| 71531 | REPAIR TRACHEO-OESOPHAGAL FISTULA-CERVICAL APPR. | $792.50 |
| 71532 | OESOPHAGOPLASTY - W/O TRACHEO-OESOPHAGEAL FISTULA | $1,104.95 |
| 71533 | OESOPHAGOPLASTY - W/ TRACHEO-OESOPHAGEAL FISTULA | $1,356.08 |
| 71534 | DIVISION OF TRACHEO-OESOPHAGEAL FISTULA | $792.50 |
| 71535 | OESOPHAGOGASTRIC FUNDOPLASTY - LAPAROSCOPIC | $906.99 |
| 71536 | OESOPHAGOGASTRIC FUNDOPLASTY - OPEN | $725.59 |
| 71550 | OESOPHAGOSTOMY/FISTULA CLOSURE-CERVICAL APPROACH | $703.15 |
| 71551 | OESOPHAGOSTOMY OR FISTULA CLOSURE - TRANSTHORACIC | $843.78 |
| 72647 | INTESTINAL STRICTUROPLASTY - SINGLE | $503.30 |
| 72648 | INTESTINAL STRICTUROPLASTY - MULTIPLE | $692.04 |
| 72662 | PROCTECTOMY, COMPLETE - SYNCHRONOUS ABDOMINAL | $1,271.85 |
| 72751 | RED OF VOLVULUS, INTUSSUSPECTION; HERNIA(LAP) | $648.03 |
| Code | Description | Amount |
|---|---|---|
| 07412 | HEPATORRHAPHY - SIMPLE | $541.32 |
| 07413 | HEPATORRHAPHY - WITH PACKING | $635.06 |
| 07430 | PERITONEAL LAVAGE (CATHETER) - DIAGNOSTIC | $101.30 |
| 07431 | DIAPHRAGMATIC INJURY - REPAIR | $792.50 |
| 07432 | LAPAROTOMY FOR TRAUMA | $447.66 |
| 07433 | LAPAROTOMY AND REMOVAL OF INJURED SPLEEN | $635.06 |
| 07434 | SPLENIC REPAIR, ANY METHOD | $735.74 |
| 07435 | LACERATIONS TO STOMACH - REPAIR | $564.22 |
| 07436 | DUODENUM/PANCREAS - EXPLORATION AND MOBILIZATION | $635.06 |
| 07437 | DUODENUM - REPAIR OF LACERATION TO | $844.98 |
| 07438 | DUODENAL INJURY - RESECTION AND DEBRIDEMENT | $1,057.56 |
| 07440 | LIVER - RESECTIONAL DEBRIDEMENT | $994.56 |
| 07441 | HEPATIC ARTERY LIGATION | $935.52 |
| 07442 | HEPATIC LOBECTOMY FOR TRAUMA | $1,270.10 |
| 07443 | DISTAL PANCREAS - RESECTION FOR TRAUMA | $844.98 |
| 07444 | WHIPPLE PROCEDURE FOR TRAUMA | $2,410.80 |
| 07445 | BOWEL - SMALL - REPAIR OF LACERATIONS | $564.22 |
| 07446 | BOWEL - SMALL - RESECTION OF INJURED | $635.06 |
| 07447 | MESENTERIC INJURY - REPAIR OF | $564.22 |
| 07448 | COLONIC INJURY +/- COLOSTOMY - REPAIR | $948.48 |
| 07449 | RESECTION OF COLONIC INJURY | $948.48 |
| 07450 | COLONIC INJURY- EXTERIORIZATION | $593.57 |
| 07452 | EXTRA-PERITONEAL RECTUM +/- COLOSTOMY - REPAIR | $948.48 |
| 32031 | CLOSED DRAINAGE OF CHEST, OPERATION ONLY. | $105.55 |
| 77350 | SUPRA RENAL AORTIC CROSS-CLAMP | $112.52 |
| 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 |
| 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 |
|---|---|---|
| 70627 | GASTRECTOMY - TOTAL - OPEN | $1,305.85 |
| 70628 | GASTRECTOMY - RECONSTRUCTION - ROUX-EN-Y - OPEN | $1,305.85 |
| 70629 | GASTRECTOMY WITH FORMATION/INTESTINAL POUCH - OPEN | $1,305.85 |
| 72727 | GASTRECTOMY,TOTAL:OESOPHAGOENTEROSTOMY-LAPAROSCOP | $1,403.92 |
| 72728 | GASTRECTOMY, TOTAL: WITH ROUX-EN-Y RECONSTRUCTION | $1,459.62 |
| 72729 | GASTRECTOMY, TOTAL: WITH POUCH - LAPAROSCOPIC | $1,505.20 |
| Code | Description | Amount |
|---|---|---|
| 00722 | ARTERIOGRAPHY, OPERATIVE | $74.39 |
| 77025 | SYNCHRONOUS COMBINED BYPASS GRAFT - EXTREMITIES | $295.73 |
| 77030 | SECOND OPERATOR: SYNCHRONOUS COMBINED BYPASS GRAFT | $295.73 |
| 77100 | REMOVAL OF SYNTHETIC GRAFT - WITHOUT REPLACEMENT | $1,334.58 |
| 77102 | REMOVAL OF SYNTHETIC GRAFT, REPLACEMENT SAME SITE | $667.29 |
| 77104 | REMOVAL OF SYNTHETIC GRAFT - WITH REPLACEMENT | $1,000.91 |
| 77110 | RE-EXPLORATION OF GROIN FOR BLEEDING OR HAEMATOMA | $123.61 |
| 77112 | RE-DISSECTION OF GROIN (AFTER 21 DAYS), EXTRA | $130.50 |
| 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 |
| 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 |
| 77360 | DECOMPRESSION FASCIOTOMY - SUBCUTANEOUS | $329.61 |
| 77370 | RELEASE OF POPLITEAL ENTRAPMENT SYNDROME | $329.61 |
| Code | Description | Amount |
|---|---|---|
| 07578 | VAGOTOMY - HIGHLY SELECTIVE | $627.18 |
| 07624 | GASTRECTOMY EMERGENCY FOR CONTINUED HAEMORRHAGE | $989.31 |
| 07628 | GASTROJEJUNOSTOMY OR PYLOROPLASTY | $627.18 |
| 70630 | GASTRECTOMY PARTIAL/DISTAL WITH GASTRODUODENOSTOMY | $966.37 |
| 70631 | GASTRECTOMY PARTIAL/DISTAL/GASTROJEJUNOSTOMY-OPEN | $966.37 |
| 70632 | GASTRECTOMY PARTIAL/DISTAL RECONSTRUCTION-ROUX-EN | $1,006.61 |
| 70633 | GASTRECTOMY, PARTIAL, DISTAL-INTESTINAL POUCH-OPEN | $1,087.17 |
| 70634 | VAGOTOMY (EXTRA) | $62.91 |
| 70635 | GASTRECTOMY - PROXIMAL - OPEN | $1,184.81 |
| 72730 | GASTRECTOMY,PARTIAL,DISTAL(BILLROTH I)LAPAROSCOPIC | $1,207.96 |
| 72731 | GASTRECTOMY,PARTIAL,DISTAL(BILLROTH II)LAPAROSCOPE | $1,207.96 |
| 72732 | GASTRECTOMY,PARTIAL,DISTAL/ROUX-EN-Y-LAPAROSCOPIC | $1,258.27 |
| 72733 | GASTRECTOMY, PARTIAL, WITH POUCH - LAPAROSCOPIC | $1,358.97 |
| 72735 | PROXIMAL GASTRECTOMY - LAPAROSCOPIC | $1,481.01 |
| Code | Description | Amount |
|---|---|---|
| 77385 | Peritoneal Catheter Removal | $130.30 |
| 77380 | Peritoneal Catheter Insertion | $187.85 |
| 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 |
| 77400 | SYNTHETIC AV GRAFT FOR HEMODIALYSIS | $550.00 |
| Code | Description | Amount |
|---|---|---|
| 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 |
|---|---|---|
| 07623 | GASTRECTOMY REVISION AFTER PREVIOUS GASTRECTOMY | $989.31 |
| 07626 | PYLOROPLASTY | $396.26 |
| 07627 | GASTROJEJUNOSTOMY - OPEN | $427.74 |
| 07632 | GASTROTOMY, OPEN | $450.47 |
| 07633 | CLOSURE OF GASTROJEJUNOCOLIC FISTULA | $1,123.13 |
| 70641 | GASTROTOMY - LAPAROSCOPIC | $527.36 |
| 70642 | GASTRIC RESTRICTIVE PROCEDURE | $775.46 |
| 70643 | GASTRIC RESTRICTIVE PROCEDURE/BYPASS - OPEN | $979.39 |
| 70644 | GASTRIC RESTRICTIVE PROCEDURE/SMALL BOWEL RECONSTR | $915.99 |
| 70645 | GASTRIC RESTRICT PROCEDURE/REVISION/REVERSAL/OPEN | $1,004.50 |
| 70646 | GASTROSTOMY - CLOSURE - SURGICAL | $396.26 |
| 70649 | FISTULA - GASTROCOLIC | $775.10 |
| 72723 | REVISION GASTRECTOMY/AFTER PRV GASTRECTOMY LAP | $1,236.64 |
| 72737 | GASTROJEJUNOSTOMY - LAPAROSCOPIC | $534.68 |
| 72739 | LAPAROSCOPIC VERTICAL SLEEVE GASTRECTOMY | $1,088.66 |
| 72743 | GASTRIC RESTRICTIVE PROCEDURE - LAPAROSCOPIC | $1,040.89 |
| 72775 | REVISION/REVERSAL OF GASTRIC RESTRICTIVE PROCEDURE | $1,038.06 |
| Code | Description | Amount |
|---|---|---|
| 07634 | ENTEROTOMY OR COLOTOMY (SINGLE); FOR EXPLORATION | $480.14 |
| 07635 | MULTIPLE COLOTOMY WITH OPERATIVE SIGMOIDOSCOPY | $630.36 |
| 07650 | INTESTINAL OBSTRUCTION; RESECTION OF BANDS | $494.65 |
| 07651 | VOLVULUS REDUCTION, INTUSSUSCEPTION BY LAPAROTOMY | $518.42 |
| 07654 | INTESTINAL OBSTRUCTION, PLICATION/INSERTION - TUBE | $561.58 |
| 70648 | TUBE OR NEEDLE CATHETER JEJUNOSTOMY | $351.58 |
| 71650 | HERNIA REPAIR - CORRECTION - MALROTATION | $461.85 |
| 71651 | CORRETION OF MALROTATION - LAPAROSCOPIC | $577.32 |
| 72650 | INTESTINAL OBSTRUCTION, RESECTION OF BANDS-LAP | $618.31 |
| Code | Description | Amount |
|---|---|---|
| 04001 | LAPAROSCOPY | $188.18 |
| 07451 | THORACIC EXTENSION OF ABDOMINAL INCISION(EXTRA) | $281.44 |
| 07597 | HAEMORRHAGE; INTRA-ABDOMINAL MANAGEMENT - POST OPE | $373.94 |
| 07600 | LAPAROTOMY TO INCLUDE BIOPSY - EXPLORATORY | $341.13 |
| 07601 | INTRA-ABDOMINAL ABSCESS EXCLUDING INTRAHEPATIC | $427.74 |
| 07603 | ABDOMINAL WOUND EVISCERATION - RESUTURE | $265.04 |
| 71280 | INDWELLING ENTERAL TUBES, REMOVAL - NO ANES | $30.19 |
| 71281 | INDWELLING ENTERAL TUBES,REMOVAL-LOCAL/REGIONAL | $62.12 |
| 71282 | INDWELLING ENTERAL TUBES, REMOVAL- GEN ANAES | $200.90 |
| 71283 | INDWELLING ENTEREAL TUBES, REPLACEMENT - EXTRA | $30.19 |
| 71290 | RESECTION OF SOFT TISSUE TUMOUR 10CM OR GREATER | $652.93 |
| 71291 | RESECTION OF SOFT ISSUE TUMOUR 10CMOR >-ADD 15MIN | $75.34 |
| 72600 | TEMP OR DELAYED ABDOMINAL CLOSURE WITH VAC | $370.66 |
| 71292 | PERITONECTOMY, WITH OR WITHOUT CHEMOTHERAPY | $650.00 |
| 71293 | PERITONECTOMY, WITH/WITHOUT CHEMOTHERAPY ADD 15MIN | $50.00 |
| Code | Description | Amount |
|---|---|---|
| 07565 | TAKEDOWN PELVIC POUCH TO INCLUDE ILEOSTOMY - OPEN | $814.47 |
| 07566 | RECTAL MUCOSECTOMY, ILEOANAL ANASTOMOSIS | $736.65 |
| 07567 | PROCTECTOMY WITH RECTAL MUCOSECTOMY - OPEN | $1,525.83 |
| 07569 | COLECTOMY AND HEMIPROCTECTOMY - OPEN | $1,072.25 |
| 07570 | COLO-COLOSTOMY OR ENTERO-COLOSTOMY - OPEN | $790.90 |
| 07588 | COLOSTOMY OR ILEOSTOMY - LOOP - END - OPEN | $464.68 |
| 07589 | TOTAL PROCTOCOLECTOMY SYNCHRONOUS ABDOMINAL PORTIO | $1,297.55 |
| 07636 | SMALL INTESTINE RESECTION/WITH ANASTOMOSIS - OPEN | $594.39 |
| 07640 | COLECTOMY,TOTAL,ABDOMINAL,WITHOUT PROCTECTOMY/OPEN | $1,110.50 |
| 07641 | PROCTOCOLECTOMY TOTAL WITH PERINEAL EXCISION-OPEN | $1,621.40 |
| 07643 | ENTEROENTEROSTOMY | $480.14 |
| 07645 | COLOSTOMY OR ILEOSTOMY - LOOP - OPEN | $403.33 |
| 07648 | REVISION OF COLOSTOMY, ILEOSTOMY - SIMPLE INCISION | $221.22 |
| 07649 | REVISION OF COLOSTOMY, ILEOSTOMY - RADICAL | $413.54 |
| 07662 | ABDOMINO-PERINEAL RESECTION (SINGLE SURGEON)-OPEN | $1,328.33 |
| 07663 | ABDOMINO-PERINEAL RESECTION (SYNCHRONOUS ABDOMINAL | $1,108.95 |
| 07664 | PROCTECTOMY,COMBINED WITH ABDOM RESECTION/PERINEAL | $371.15 |
| 72620 | RESECTION OF SMALL INTESTINE-WITH ENTEROSTOMY/OPEN | $801.69 |
| 72621 | MOBILIZATION - SPLENIC FLEXURE | $94.37 |
| 72622 | RESECTION - COLON - LIMITED - OPEN | $776.18 |
| 72623 | RESECTION - COLON - LIMITED - LAPAROSCOPIC | $970.23 |
| 72624 | HEMICOLECTOMY - RIGHT - OPEN | $814.47 |
| 72625 | HEMICOLECTOMY - RIGHT - LAPAROSCOPIC | $1,018.09 |
| 72626 | HEMICOLECTOMY - LEFT - OPEN | $864.41 |
| 72631 | HEMICOLECTOMY - LEFT - LAPAROSCOPIC | $1,080.52 |
| 72632 | SIGMOID RESECTION - OPEN | $899.88 |
| 72633 | SIGMOID RESECTION - LAPAROSCOPIC | $1,124.85 |
| 72634 | SIGMOID RESECTION/END COLOSTOMY - OPEN | $850.28 |
| 72635 | ANTERIOR RESECTION - RECTOSIGMOID-CARCINOMA - OPEN | $1,104.95 |
| 72636 | PROCTECTOMY - ABDOMINAL/TRANSANAL | $1,108.95 |
| 72640 | PARTIAL RIGHT COLECTOMY (CAECUM) - OPEN | $776.82 |
| 72641 | CAECOSTOMY/TUBE - DECOMPRESSION | $297.51 |
| 72644 | REVISION OF COLOSTOMY, ILEOSTOMY - WITH REPAIR | $555.24 |
| 72645 | CONTINENT ILEOSTOMY - OPEN | $989.31 |
| 72646 | COLOSTOMY OR ILEOSTOMY - MULTIPLE BIOPSIES | $132.50 |
| 72715 | COLOSTOMY OR ILEOSTOMY - LOOP - LAPAROSCOPIC | $504.16 |
| 72720 | RESECTION SMALL INTESTINE/ENTEROSTOMY-LAPAROSCOPIC | $1,002.12 |
| 72734 | SIGMOID RESECTION-WITH END COLOSTOMY-LAPAROSCOPIC | $1,062.85 |
| 72736 | RESECTION OF SMALL INTESTINE WITH ANASTOMOSIS | $742.99 |
| 72740 | PARTIAL RIGHT COLECTOMY - LAPAROSCOPIC | $971.03 |
| 72741 | TOTAL PROCTOCOLECTOMY-SINGLE SURGEON/LAPAROSCOPIC | $2,026.76 |
| 72745 | CONTINENT ILEOSTOMY (KOCH PROCEDURE) LAPAROSCOPIC | $1,236.64 |
| 72755 | ANTERIOR RESECTION OF RECTOSIGMOID - LAPAROSCOPIC | $1,381.19 |
| 72760 | COLECTOMY - TOTAL, ABDOMINAL - LAPAROSCOPIC | $1,388.13 |
| 72762 | ABDOMINO-PERINEAL RESECTION-SINGLE SURGEON | $1,660.42 |
| 72763 | ABDOMINO-PERINEAL RESECTION-SYNCHRONOUS | $1,386.19 |
| 72765 | TAKE-DOWN OF PELVIC POUCH - LAPAROSCOPIC | $1,018.09 |
| 72767 | PROCTECTOMY WITH RECTAL MUCOSECTOMY-LAPAROSCOPIC | $1,907.28 |
| 72769 | COLECTOMY AND HEMIPROCTECTOMY - LAPAROSCOPIC | $1,340.31 |
| 72770 | COLO-COLOSTOMY OR ENTERO-COLOSTOMY-LAPAROSCOPIC | $988.63 |
| 72788 | COLOSTOMY OF ILEOSTOMY - END - LAPAROSCOPIC | $580.85 |
| 72789 | TOTAL PROCTOCOLOECTOMY - SYN.ABD.PORTION | $1,621.95 |
| 72601 | CAECOSTOMY TUBE FOR DECOMPRESSION-LAP. (EXTRA) | $371.90 |
| 72721 | MOBILIZATION OF SPLENIC FLEXURE - LAP (EXTRA) | $117.97 |
| Code | Description | Amount |
|---|---|---|
| 00046 | HYPERBARIC CHAMBER - ADDITIONAL CHARGE PER HOUR | $27.52 |
| Code | Description | Amount |
|---|---|---|
| 77440 | IMPLANTATION OF KIDNEY GRAFT - VASCULAR SURGEON | $824.04 |
| Code | Description | Amount |
|---|---|---|
| 00710 | MEDIASTINOSCOPY OR ANTERIOR MEDIASTINOTOMY | $189.69 |
| 00716 | SIGMOIDOSCOPY; FLEXIBLE; DIAGNOSTIC | $62.93 |
| 00718 | SIGMOIDOSCOPY, FLEXIBLE AND WITH BIOPSY | $76.18 |
| 00780 | DIAGNOSTIC SCHIRMER TEST | $12.95 |
| 00788 | OESOPHAGEAL, MOTILITY TEST - TECHNICAL FEE | $73.25 |
| 00789 | PERITONEAL LAVAGE | $84.46 |
| 00797 | OESOPHAGEAL, MOTILITY TEST | $135.19 |
| 00798 | OESOPHAGEAL, MOTILITY TEST - PROFESSIONAL FEE | $61.94 |
| 00809 | RETROGRADE PANCREATOGRAPHY | $213.32 |
| 00817 | OESOPHAGEAL PH STUDY - TECHNICAL FEE | $12.26 |
| 00818 | OESOPHAGEAL PH STUDY - PROFESSIONAL FEE | $40.22 |
| 00826 | BIOPSY OF PANCREAS - PERCUTANEOUS | $80.53 |
| 00869 | MANOMETRY - ANAL - ADULT | $61.94 |
| 07710 | PANCREATOGRAM W/ OR W/O SPHINCTEROTOMY - EXTRA | $66.19 |
| 07764 | CHOLANGIOGRAPHY; OPERATIVE | $64.53 |
| 10761 | ESOPHAGOGASTRODUODENOSCOPY (EGD) | $88.40 |
| 10762 | RIGID ESOPHAGOSCOPY | $73.62 |
| 10763 | INITIAL ESOPHAGEAL, GASTRIC OR DUODENAL BIOPSY | $28.63 |
| 10764 | MULTIPLE BIOPSIES FOR DIFFERENTIAL DIAGNOSES | $42.94 |
| 33373 | COLONOSCOPY-BIOPSY | $231.66 |
| 33374 | COLONOSCOPY - REMOVAL OF POLYP | $346.34 |
| Code | Description | Amount |
|---|---|---|
| 07660 | PELVIC ABSCESS - TRANSRECTAL DRAINAGE | $221.08 |
| 07662 | ABDOMINO-PERINEAL RESECTION (SINGLE SURGEON)-OPEN | $1,328.33 |
| 07663 | ABDOMINO-PERINEAL RESECTION (SYNCHRONOUS ABDOMINAL | $1,108.95 |
| 07664 | PROCTECTOMY,COMBINED WITH ABDOM RESECTION/PERINEAL | $371.15 |
| 07665 | ANORECTAL WALL, BIOPSY - ANAL APPROACH | $148.74 |
| 72762 | ABDOMINO-PERINEAL RESECTION-SINGLE SURGEON | $1,660.42 |
| 72763 | ABDOMINO-PERINEAL RESECTION-SYNCHRONOUS | $1,386.19 |
| Code | Description | Amount |
|---|---|---|
| 07580 | RECTAL TUMOR EXCISION BY POSTERIOR PARASACRAL | $635.59 |
| 07664 | PROCTECTOMY,COMBINED WITH ABDOM RESECTION/PERINEAL | $371.15 |
| 72662 | PROCTECTOMY, COMPLETE - SYNCHRONOUS ABDOMINAL | $1,271.85 |
| 72664 | PROCTECTOMY, COMPLETE - SUBTOTAL/TOTAL COLECTOMY | $1,621.40 |
| 72665 | PROCTECTOMY, PARTIAL - WITHOUT ANASTOMOSIS | $494.35 |
| 72666 | ALTEMEIER TRANSPERINEAL EXCISION OF RECTAL PROCIDE | $667.21 |
| 72667 | DIVISION OF STRICTURE OF RECTUM | $176.54 |
| Code | Description | Amount |
|---|---|---|
| 72669 | EXCISION OF RECTAL TUMOUR, 0 TO 2.5 CM | $180.81 |
| 72670 | TUMOR - RECTAL - EXCISION - 2.6 TO 5 CM. | $204.82 |
| 72671 | EXCISION OF RECTAL TUMOUR GREATER THAN 5 CM | $423.73 |
| 72672 | TUMOR - RECTAL - MALIGNANT - ELECTRODESICCATION | $180.81 |
| 72673 | TRANSANAL ENDO. MICRO. RESECTION OF RECTAL TUMOUR | $904.05 |
| Code | Description | Amount |
|---|---|---|
| 07672 | COMPLETE RECTAL PROLAPSE | $688.33 |
| Code | Description | Amount |
|---|---|---|
| 00715 | SIGMOIDOSCOPY WITH BIOPSY | $35.72 |
| 00716 | SIGMOIDOSCOPY; FLEXIBLE; DIAGNOSTIC | $62.93 |
| 00718 | SIGMOIDOSCOPY, FLEXIBLE AND WITH BIOPSY | $76.18 |
| 07460 | SIGMOIDOSCOPY - DECOMPRESSION - VOLVULUS | $225.44 |
| 07461 | SIGMOIDOSCOPY - REMOVAL OF FOREIGN BODY | $105.93 |
| 07462 | SIGMOIDOSCOPY - CONTROL BLEEDING | $141.23 |
| 07463 | SIGMOIDOSCOPY - DECOMPRESSION VOLVULUS, ANY METHOD | $225.44 |
| 07464 | SIGMOIDOSCOPY - POLYP REMOVAL | $247.29 |
| 07465 | SIGMOIDOSCOPY - ABLATION OF TUMOR/OTHER LESION | $167.23 |
| 10714 | PROCTOSIGMOIDOSCOPY, RIGID - DIAGNOSTIC | $33.72 |
| 10730 | COLONOSCOPY,FLEXIBLE-TRANSABDOMINAL VIA COLOTOMY | $236.57 |
| 10731 | COLONOSCOPY - FLEXIBLE - DIAGNOSTIC | $228.17 |
| 10732 | COLONOSCOPY - REMOVAL OF FOREIGN BODY | $268.02 |
| 10733 | COLONOSCOPY - CONTROL BLEEDING | $299.48 |
| Code | Description | Amount |
|---|---|---|
| 04401 | FISTULA RECTO-VAGINAL REPAIR | $480.40 |
| 07452 | EXTRA-PERITONEAL RECTUM +/- COLOSTOMY - REPAIR | $948.48 |
| 07689 | ANAL DILATION UNDER GENERAL ANAESTHETIC | $89.99 |
| 07690 | ANOPLASTY FOR IMPERFORATE ANUS | $593.57 |
| 70665 | ANOPLASTY - ADULT | $444.79 |
| 70666 | SPHINCTEROPLASTY - ANAL - ADULT | $444.79 |
| 70668 | GRAFT - RECTAL INCONTINENCE/PROLAPSE: | $200.90 |
| 70670 | SPHINCTEROPLASTY - ANAL - INCONTINENCE | $692.09 |
| 70671 | IMBRICATION - LEVATOR MUSCLE | $444.79 |
| 70672 | IMPLANTATION - ARTIFICIAL SPHINCTER | $994.34 |
| 70674 | DESTRUCTION - ANAL LESION | $74.29 |
| 70680 | DESTRUCTION OF ANAL LESION - COMPLICATED | $200.90 |
| 70683 | EUA WITH OR WITHOUT SIGMOIDOSCOPY | $150.68 |
| 72673 | TRANSANAL ENDO. MICRO. RESECTION OF RECTAL TUMOUR | $904.05 |
| Code | Description | Amount |
|---|---|---|
| 07666 | FISTULA-IN-ANO; SECOND STAGE; DIVISION - SPHINCTER | $154.22 |
| 07675 | FISTULA-IN-ANO - SUBCUTANEOUS OR SUBMUCOUS | $148.74 |
| 07676 | FISTULA-IN-ANO - SUBMUSCULAR | $332.71 |
| 07677 | FISTULA-IN-ANO - MULTIPLE OR HORSESHOE | $444.79 |
| 07683 | HEMORRHOIDECTOMY | $264.07 |
| 07687 | ANAL FISSURE, EXCISION | $90.07 |
| 71681 | SPHINCTEROTOMY WITH/WITHOUT FISSURECTOMY | $200.90 |
| 71682 | BOTOX INJECTION FOR ANAL FISSURE | $115.35 |
| 71684 | PAPILLECTOMY - SINGLE - EXTRA | $66.86 |
| 71686 | PAPILLECTOMY - MULTIPLE - EXTRA | $121.46 |
| 71689 | HEMMORHOID(S); OFFICE PROCEDURE (EG BAND LIGATION) | $79.38 |
| 71690 | HEMORRHOID(S); OFFICE PROCEDURE-INFRARED PHOTOCOAG | $79.38 |
| 71700 | FISTULA-IN-ANO; CLOSURE OF CONGENITAL ANAL FISTULA | $635.59 |
| Code | Description | Amount |
|---|---|---|
| 07404 | LIVER MASS - SUBSEGMENTAL EXCISION | $528.79 |
| 07405 | HEPATECTOMY - SEGMENTAL RESECTION - ONE OR MORE | $994.56 |
| 07406 | HEPATECTOMY - TWO OR MORE SEGMENTS | $1,167.69 |
| 07407 | HEPATECTOMY - TOTAL LEFT LOBECTOMY | $1,288.48 |
| 07408 | HEPATECTOMY - TOTAL RIGHT LOBECTOMY | $1,288.48 |
| 07409 | HEPATECTOMY - EXTENDED LEFT LOBECTOMY | $1,409.26 |
| 07410 | HEPATECTOMY - CAUDATE LOBECTOMY | $1,449.53 |
| 07411 | HEPATECTOMY - EXTENDED RIGHT LOBECTOMY | $1,615.63 |
| 72794 | LAP. NON-ANATOMIC SUB-SEGMENTAL EXCISION-LIVER MAS | $904.05 |
| 72795 | LAP. HEPATECTOMY, SEGMENTAL RESECTION-ONE OR MORE, | $1,243.20 |
| 72796 | LAP. SEG. RESECTION LIVER:2 OR MORE SEGMENTS,BILAT | $1,506.75 |
| 72797 | LAPAROSCOPIC TOTAL LEFT LOBECTOMY | $1,610.61 |
| 72798 | LAPAROSCOPIC TOTAL RIGHT LOBECTOMY | $1,610.61 |
| Code | Description | Amount |
|---|---|---|
| 07698 | CHOLECYSTOSTOMY - OPEN | $415.94 |
| 07769 | DUODENOTOMY AND SPHINCTEROPLASTY | $650.81 |
| 70694 | CHOLEDOCHOTOMY/CHOLEDOCHOSTOMY OPEN | $617.77 |
| 70695 | CHOLEDOCHOTOMY/CHOLEDOCHOSTOMY - LAPAROSCOPIC | $617.77 |
| 70696 | CHOLEDOCHOTOMY/TRANSDUODENAL SPHINCTEROPLASTY | $911.90 |
| 70698 | CHOLECYSTOSTOMY - LAPAROSCOPIC | $415.94 |
| 71698 | CHOLECYSTOSTOMY - PERCUTANEOUS | $162.40 |
| Code | Description | Amount |
|---|---|---|
| 07517 | ERCP - PAPILLOTOMY/SPHINCTEROTOMY | $440.41 |
| 07518 | ERCP - STONE EXTRACTION | $522.19 |
| 07519 | ERCP - BILIARY STENTING | $427.80 |
| 07554 | ERCP - BALLOON DILATATION | $427.80 |
| 07556 | ERCP - STONE EXTRACTION REQUIRING LITHOTRIPSY | $547.36 |
| 07560 | NASO-BILIARY DRAINAGE TUBE - INSERTION | $101.95 |
| 07562 | DUODENAL BILIARY STENT - REPLACEMENT | $169.90 |
| 07780 | BILIARY ENDOSCOPY - INTRAOPERATIVE | $131.22 |
| 07781 | BILIARY ENDOSCOPY - PERCUTANEOUS | $80.53 |
| 07782 | BILIARY ENDOSCOPY -STONE REMOVAL | $131.22 |
| 07783 | BILIARY ENDOSCOPY; WITH DILATION OF DUCT STRICTURE | $131.22 |
| Code | Description | Amount |
|---|---|---|
| 07699 | CHOLECYSTECTOMY - OPEN | $522.22 |
| 07707 | CHOLECYSTECTOMY - LAPAROSCOPIC | $522.21 |
| 70700 | CHOLECYSTECTOMY; OPEN PRECEDED BY CHOLECYSTECTOMY | $640.23 |
| 70701 | CHOLECYSTECTOMY - CBD (LAPAROSCOPIC) | $904.05 |
| 70702 | CHOLECYSTECTOMY - CBD (OPEN) | $904.05 |
| 70703 | CHOLECYSTECTOMY/CHOLEDOCHODUODENOSTOMY | $1,006.61 |
| 70704 | CHOLECYSTECTOMY WITH CHOLEDOCHOJEJUNOSTOMY | $1,031.79 |
| 70705 | CHOLECYSTECTOMY/TRANSDUODENAL SPHINCTEROTOMY | $1,006.61 |
| 70710 | ATRESIA - BILE DUCTS - CONGENITAL | $434.75 |
| 70711 | PORTOENTEROSTOMY | $1,561.36 |
| 70712 | TUMOR/STRICTURE - BILE DUCT - LOWER | $1,042.85 |
| 70713 | TUMOR/STRICTURE - BILE DUCT - UPPER | $1,561.26 |
| 70714 | TUMOR/STRICTURE - BILE DUCT - MULTIPLE ANASTOMOSES | $1,687.11 |
| 70715 | CYST - CHOLEDOCHAL | $981.48 |
| 70716 | CYST - CHOLEDOCHAL/DUCTOPLASTY | $1,449.53 |
| 70717 | CYST; CHOLEDOCHAL - EXCISION, MULTIPLE ANASTOMOSES | $1,570.33 |
| 70718 | PORTAL LYMPHADENECTOMY | $753.38 |
| Code | Description | Amount |
|---|---|---|
| 07561 | CHOLEDOCHAL STENT - PLACEMENT | $169.90 |
| 07703 | CHOLEDOCHODUODENOSTOMY | $817.88 |
| 07705 | CHOLEDOCHOJEJUNOSTOMY/ANASTOMOSIS OF EXTRA-HEPATIC | $905.98 |
| 07706 | CHOLECYSTOENTEROSTOMY - DIRECT (LOOP) | $644.50 |
| 07776 | REPAIR OF CHOLECYSTENTERIC FISTULA | $754.96 |
| 70720 | CHOLECYSTOENTEROSTOMY/GASTROENTEROSTOMY | $857.65 |
| 70721 | CHOLECYSTOENTEROSTOMY/ROUX-EN-Y | $803.60 |
| 70722 | CHOLECYSTOENTEROSTOMY/ROUX-EN-Y/GASTROENTEROSTOMY | $982.47 |
| 70725 | CHOLEDOCHOJEJUNOSTOMY WITH GASTROJEJUNOSTOMY | $1,069.55 |
| 70726 | CHOLEDOCHOJEJUNOSTOMY/ROUX-EN-Y | $981.48 |
| 70727 | CHOLEDOCHOJEJUNOSTOMY/ROUX-EN-Y/GASTROJEJUNOSTOMY | $1,195.38 |
| 70728 | ANASTOMOSIS - INTRA-HEPATIC DUCTS/GI TRACT | $1,207.96 |
| 70730 | U-TUBE HEPATICO ENTEROSTOMY | $1,205.40 |
| 70731 | EXTRA-HEPATIC BILIARY DUCT: PRIMARY REPAIR | $1,006.61 |