| Code | Description | Amount |
|---|---|---|
| 03005 | EMERGENCY VISIT - NEUROSURGERY | $112.10 |
| 03007 | VISIT, OFFICE, NEUROSURGERY | $46.81 |
| 03008 | VISIT, HOSPITAL, NEUROSURGERY | $29.41 |
| 03009 | VISIT, HOME, NEUROSURGERY | $54.41 |
| 03010 | CONSULTATION, NEUROSURGERY | $171.57 |
| 03011 | CONSULTATION, LIMITED, NEUROSURGERY | $78.38 |
| 03101 | AVULSION SUPRA OR INTRA-ORBITAL NERVE | $224.25 |
| 03102 | DECOMPRESSION GASSERIAN GANGLION | $1,186.89 |
| 03103 | PREGANGLIONIC RHIZOTOMY 5TH NERVE | $1,030.23 |
| 03104 | PERCUTANEOUS RHIZOTOMY 5TH NERVE | $1,016.70 |
| 03106 | POSTERIOR FOSSA EXPLORATION W/ RHIZOTOMY 5TH NERVE | $1,709.25 |
| 03232 | CRANIAL NERVE WITH GRAFT/MICROSURGICAL ANASTOMOSIS | $727.76 |
| 03233 | CRANIAL NERVE WITHOUT GRAFT - MICROSURGICAL | $445.84 |
| 03250 | MICROELECTRODE RECORDING (MER) | $3,103.95 |
| 03310 | TELEHEALTH CONSULTATION - NEUROSURGERY | $171.57 |
| 03312 | TELEHEALTH REPEAT/LIMITED CONSULT - NEUROSURGERY | $78.38 |
| 03317 | TELEHEALTH SUBSEQUENT OFFICE VISIT - NEUROSURGERY | $46.81 |
| 03318 | TELEHEALTH SUBSEQUENT HOSPITAL VISIT -NEUROSURGERY | $29.41 |
| Code | Description | Amount |
|---|---|---|
| 03110 | ELEVATION OF DEPRESSED SKULL FRACTURE IN INFANT | $141.23 |
| 03111 | SKULL FRACTURE DEPRESSED SIMPLE | $724.55 |
| 03112 | SKULL FRACTURE DEPRESSED COMPOUND | $943.05 |
| 03113 | CEREBRAL LACERATION WITH SKULL FRACTURE | $1,482.11 |
| 03115 | EXPLORATION SUBDURAL SPACE | $907.31 |
| 03116 | ABSCESS INTRA-CRANIAL | $1,706.96 |
| 03118 | CRANIOTOMY REPAIR CFS LEAK | $1,600.18 |
| 03119 | CRANIOTOMY, MICROVASCULAR DECOMPRESSION | $1,832.86 |
| Code | Description | Amount |
|---|---|---|
| 02437 | TRANSPHENOIDAL REMOVAL OF PITUITARY TUMOR OR | $1,224.58 |
| 03053 | CRANIOTOMY - NEUROSURGICAL COMPONENT | $680.49 |
| 03055 | CRANIOTOMY - MICROSURGICAL-RESECTION-EPILEPSY-GA | $2,254.26 |
| 03056 | CRANIOTOMY - RESECTION - EPILEPSY/AWAKE | $2,785.94 |
| 03057 | CRANIOTOMY - CORTICAL RESECTION -EPILEPSY | $1,627.26 |
| 03058 | HEMISPHERECTOMY | $2,219.00 |
| 03059 | CRANIOTOMY AND MICROSURGICAL HEMISPHEROTOMY | $2,573.63 |
| 03066 | CRANIOTOMY-MICROSURGICAL RESECTION-EXTRA-AXIAL | $191.72 |
| 03080 | BILAT ORBITAL ADVANCEMENT-HYPERTELORISM TEAM-NEURO | $2,218.61 |
| 03081 | UNILATERAL ORBITAL ADVANCEMENT-TEAM PROC-NEUR | $2,058.21 |
| 03082 | BILATERAL ORBITAL ADVANCEMENT-TEAM PROC-NEURO | $2,752.99 |
| 03094 | ANTERIOR DECOMPRESSING CRANIOVERTEBRAL JUNCTION | $2,925.55 |
| 03095 | POSTERIOR DECOMPRESSION - NO DURAL REPAIR | $1,371.50 |
| 03096 | POSTERIOR DECOMPRESSION - WITH DURAL REPAIR | $1,629.21 |
| 03097 | POSTERIOR DECOMPRESSION - WITH 4TH VENTRICULAR REP | $1,885.83 |
| 03114 | CRANIOTOMY AND MICROSURGICAL REMOVAL OF TUMOUR | $2,887.80 |
| 03120 | CRANIOTOMY, FACIAL | $1,337.31 |
| 03121 | CRANIOPLASTY | $943.05 |
| 03122 | CRANIECTOMY FOR OSTEOMYELITIS OR SKULL TUMOR | $1,053.50 |
| 03123 | CRANIECTOMY OSTEOMYELITIS OR TUMOR W/CRANIOPLASTY | $1,482.11 |
| 03124 | LINEAR CRANIECTOMY OR CRANIOTOMY | $1,025.17 |
| 03125 | BILATERAL CRANIECTOMIES FOR EXPANSION / SYNOSTOSIS | $1,899.07 |
| 03126 | RE-OPENING OR REMOVAL OF BONE FLAP | $647.40 |
| 03127 | LINEAR CRANIECTOMY OR CRANIOTOMY ADDIT. SUTURES | $251.61 |
| 03128 | CEREBRAL NEEDLING VIA TREPHINE | $901.77 |
| 03129 | CRANIOTOMY FOR TUMOR | $1,689.20 |
| 03130 | CRANIOTOMY EXTRA-AXIAL MICROSURGICAL | $4,456.89 |
| 03131 | HYPOPHYSECTOMY - ONE SURGEON | $2,007.42 |
| 03132 | HYPOPHYSECTOMY - TWO SURGEONS - NEUROSURGEON | $2,004.94 |
| 03133 | CRANIOTOMY FOR REMOVAL OF EXTRA-AXIAL TUMOUR | $2,887.80 |
| 03135 | CRANIOTOMY OR LAMINECTOMY | $3,895.37 |
| 03136 | CRANIOTOMY FOR INTRACRANIAL ANEURYSM OR ANGIOMA | $2,417.65 |
| 03137 | LATERAL CANTHAL, UNILATERAL | $1,186.79 |
| 03138 | STEREOTAXIC INTRACRANIAL PROCEDURE | $1,186.79 |
| 03139 | IMPLANTATION OF STIMULATOR | $707.64 |
| 03140 | INTRA-CRANIAL STIMULATING ELECTRODES | $1,444.64 |
| 03143 | LATERAL CANTHAL - BILATERAL | $1,270.82 |
| 03144 | CORPUS CALLOSUM - SECTION OF | $1,983.27 |
| 03146 | MORCELLATION OF SKULL | $1,732.54 |
| 03147 | CRANIAL RECONSTRUCTION FOR COMPLEX DEFORMITY | $2,062.59 |
| 03148 | FOREHEAD RECONSTRUCTION/EXTRA LINEAR CRANIECTOMY | $283.72 |
| 03189 | STEREOTACTIC LOCALIZATION DURING NEUROSURGERY | $477.92 |
| 03222 | CRANIOTOMY LASTING MORE THAN 12 HOURS | $5,298.07 |
| 03235 | CORTICAL LOCALIZATION SSEP OR STIMULATION UNDER GA | $233.73 |
| 03236 | SUBDURAL STRIP ELECTRODES - UNILATERAL - INSERTION | $1,090.84 |
| 03237 | SUBDURAL STRIP ELECTRODES - UNILATERAL - REMOVAL | $467.50 |
| 03238 | CORTICAL OR DEEP BRAIN LOCALIZATION WITH SSEP | $467.50 |
| 03239 | CRANIOTOMY / INSERTION OF SUBDURAL GRID ELECTRODES | $1,454.31 |
| 03241 | RE-OPENING OF CRANIOTOMY REMOVAL SUBDURAL GRID | $783.32 |
| 03320 | SKULL TUMOR REMOVAL | $415.66 |
| 61380 | BIL ORBITAL ADVANCEMENT-HYPERTELORISM(TEAM PLAST | $2,218.61 |
| 61382 | BILATERAL ORBITAL ADVANCEMENT-TEAM PROC-PLASTIC | $2,752.99 |
| Code | Description | Amount |
|---|---|---|
| 03030 | VENTRICULOSCOPY | $834.47 |
| 03031 | VENTRICULOSCOPY, THIRD VENTRICULOSTOMY | $1,280.25 |
| 03032 | VENTRICULOSCOPY/ENDOSCOPY BIOPSY /INTRAVENTRICULAR | $1,280.25 |
| 03033 | VENTRICULOSCOPIC RETRIEVAL OF FOREIGN BODY | $1,280.25 |
| 03034 | VENTRICULOSCOPY/FENESTRATION OF CYST OR SEPTUM | $1,280.25 |
| 03035 | VENTRICULOSCOPIC RESECTION /INTRAVENTRICULAR TUMOR | $2,557.77 |
| 03036 | VENTRICULAR SHUNT WITH VENTRICULOSCOPIC GUIDANCE | $1,066.87 |
| Code | Description | Amount |
|---|---|---|
| 03108 | RHIZOTOMY, FACET | $793.33 |
| 03150 | LAMINECTOMY FOR SELECTIVE POSTERIOR RHIZOTOMY | $1,246.66 |
| 03151 | STEREOTAXIC SURGERY | $785.28 |
| 03152 | MYELOTOMY, BISCHOFF`S | $929.13 |
| 03153 | LAMINECTOMY WITH DREZ LESION FOR PAIN | $1,398.20 |
| 03155 | LAMINECTOMY FOR HAEMATOMA, TUMOR OR VASULAR MALFOR | $941.80 |
| 03156 | LAMINECTOMY FOR CERVICAL DISC - ONE LEVEL | $1,327.49 |
| 03157 | LAMINECTOMY FOR CERVICAL DISC - MULTIPLE LEVELS | $1,796.92 |
| 03158 | LAMINECTOMY FOR LUMBAR DISC - ONE LEVEL | $665.95 |
| 03159 | LAMINECTOMY FOR LUMBAR DISC - MULTIPLE LEVELS | $1,323.50 |
| 03160 | LAMINECTOMY, TETHERED SPINAL CORD OR CONGENITAL | $2,012.77 |
| 03161 | LAMINECTOMY FOR LOCALIZED SPINAL STENOSIS | $783.26 |
| 03162 | LAMINECTOMY FOR GENERALIZED SPINAL STENOSIS | $1,204.95 |
| 03163 | DISCECTOMY, ANTERIOR CERVICAL - ONE LEVEL | $1,419.24 |
| 03164 | DISCECTOMY, ANTERIOR CERVICAL - MULTIPLE LEVELS | $1,921.75 |
| 03165 | INTRA-CRANIAL PRESSURE MONITORING DEVICE | $293.91 |
| 03166 | THORACIC DISC, REMOVAL | $1,904.53 |
| 03167 | SKULL TONGS - INSERTION | $125.35 |
| 03168 | LAMINECTOMY FOR INTRADURAL SPINAL CORD | $1,998.99 |
| 03169 | SPINE FRACTURE WITHOUT CORD INJURY | $681.63 |
| 03170 | SPINE - TEAM OPERATION - WITHOUT CORD REDUCTION | $644.40 |
| 03172 | SPINE - OPEN REDUCTION AND FUSION WITH CORD INJURY | $930.09 |
| 03173 | SPINE - TEAM OPERATION - WITH CORD REDUCTION | $644.40 |
| 03174 | THORACIC DISC, REMOVAL - TEAM PROCEDURE | $1,230.56 |
| 03175 | REPAIR OF MENINGOCOELE/ENCEPHALOCOELE | $993.94 |
| 03176 | CORDOTOMY PERCUTANEOUS | $976.71 |
| 03177 | CORDOTOMY | $785.28 |
| 03178 | RHIZOTOMY | $925.49 |
| 03179 | THORACIC OR GENERAL SURGEON | $466.99 |
| 03180 | LAMINECTOMY FOR CERVICAL CORD, MULTIPLE LEVEL | $1,420.10 |
| 03183 | MENINGOMYELOCELE - MICROSURGICAL REPAIR | $1,741.46 |
| 03185 | POSTERO-LATERAL MICROSURGICAL THORACIC DISCECTOMY | $1,901.30 |
| 03215 | SPINAL SUBARACHNOID - INSERTION OF | $46.27 |
| 03218 | SPINAL SUBARACHNOID INFUSION PUMP FOR SPINAL | $458.56 |
| 03219 | SPINAL SUBARACHNOID DEVICE-RESERVOIR - INSERTION | $388.63 |
| 03220 | SPINAL SUBARACHNOID CATHETER ACCESS DEVICE | $621.80 |
| 03231 | REPAIR OF SPINAL CSF LEAK OR PSEUDOMENINGOCOELE | $594.50 |
| 03301 | LAMINOTOMY | $469.41 |
| 03302 | PERCUTANEOUS FLUOROSCOPY/SPINAL STIMULATOR | $351.12 |
| 03303 | IMPLANTATION - PULSE GENERATOR/RECEIVER | $601.20 |
| 03304 | IMPLANT COMPLETE/PERCUTANEOUS ELECTRODE | $845.37 |
| 03305 | IMPLANT COMPLETE/LAMINOTOMY ELECTRODE | $944.81 |
| 03306 | SPINAL/CRANIAL STIMULATOR - REVISION | $601.20 |
| 03307 | SPINAL/BRAIN STIMULATOR - REMOVAL | $397.81 |
| Code | Description | Amount |
|---|---|---|
| 03045 | BRACHIAL PLEXUS EXPLORATION FOR NEUROLYSIS | $962.85 |
| 03046 | BRACHIAL PLEXUS SURGERY - POST TRAUMATIC DELAYED | $240.07 |
| 03047 | BRACHIAL PLEXUS /INTRAOPERATIVE DIAGNOSTIC MONITOR | $211.83 |
| 03048 | BRACHIAL PLEXUS EXPLORATION - NERVE GRAFT | $192.58 |
| 03049 | NEUROTIZATION IN BRACHIAL PLEXUS SURGERY | $449.34 |
| 03196 | PERIPHERAL NERVE - MOBILIZATION AND TRANSPOSITION | $279.38 |
| 03198 | NEURECTOMY OF MAJOR PERIPHERAL NERVE | $220.77 |
| 03200 | PERIPHERAL NERVE SUTURE SECONDARY & TRANSPOSITION | $570.96 |
| 03201 | PERIPHERAL NERVE SUTURE SECONDARY | $434.47 |
| 03204 | HYPOGLOSSAL FACIAL ANASTOMOSIS | $676.70 |
| 03205 | NERVE GRAFT | $428.60 |
| 03207 | MICROSURGICAL REMOVAL OF NEOPLASM/MAJOR PERIPHERAL | $809.12 |
| Code | Description | Amount |
|---|---|---|
| 03065 | CRANIAL FACIAL RESECTION -NEUROSURGICAL | $1,627.26 |
| 03100 | INTRA-OPERATIVE ULTRASOUND DURING NEUROSURGERY | $40.57 |
| 03211 | MUSCLE BIOPSY | $55.38 |
| 03216 | PUNCTURE OF VENTRICULAR SHUNT FOR CSF ASPIRATION | $35.93 |
| 03217 | PERCUTANEOUS VENTRICULAR PUNCTURE | $128.40 |
| 03221 | IMPLANTATION OF VAGAL NERVE STIMULATOR-INCLUDING | $527.38 |
| 03223 | REPLACEMENT OF STIMULATOR COMPONENT OF VAGAL NERVE | $219.84 |
| 03224 | TUMOR - CEREBELLAR PONTINE ANGLE - MICROSURGICAL | $1,871.04 |
| 03225 | REMOVAL OF VAGAL NERVE STIMULATOR AND ELECTRODES | $388.61 |
| 03227 | NEUROSURGICAL INTERPRETATION & REPORT OF XRAY FILM | $58.99 |
| 03230 | REPEAT NEUROSURGERY | $3,863.40 |
| Code | Description | Amount |
|---|---|---|
| 00750 | LUMBAR PUNCTURE - PATIENTS 13 + YEARS OF AGE | $5,458.00 |
| Code | Description | Amount |
|---|---|---|
| 11830 | BIOPSY - NEEDLE - THORACIC SPINE/GA | $213.13 |
| 11831 | BIOPSY - NEEDLE - LUMBAR SPINE/GA | $185.33 |
| 11845 | BIOPSY - SPINE - OPEN | $240.93 |
| 58205 | INJECTION/ASPIRATION - FACET JOINT | $92.28 |
| 58210 | DISCOGRAM | $92.28 |
| 58250 | ABSCESS/HEMATOMA - EXTRASPINAL/GA | $185.33 |
| 58305 | DISCECTOMY | $268.73 |
| 58370 | DISCECTOMY - CERVICAL, SINGLE LEVEL | $620.87 |
| 58375 | DISCECTOMY - CERVICAL - >2 LEVELS | $801.57 |
| 58376 | DISCECTOMY - THORACOLUMBAR | $1,431.69 |
| 58385 | VERTEBRAL BODY RESECTION - CERVICAL | $1,621.68 |
| 58386 | VERTEBRAL BODY RESECTION - THORACOLUMBAR | $1,890.40 |
| 58410 | SPINAL INSTRUMENTATION - REMOVAL | $509.68 |
| 58605 | STABILIZATION - POSTERIOR - CERVICAL | $537.46 |
| 58610 | STABILIZATION - SEGMENTAL - CERVICAL | $1,079.57 |
| 58615 | STABILIZATION THORACOLUMBAR/WITHOUT INSTRUMENTATIO | $486.50 |
| 58620 | STABILIZATION THORACOLUMBAR/SIMPLE INSTRUMENTATION | $769.13 |
| 58625 | STABILIZATION - THORACOLUMBAR/SEGMENTAL INSTRUMENT | $1,241.74 |
| 58630 | STABILIZATION THORACOLUMBAR, FUSION/DECOMPRESSION | $1,566.07 |
| 58635 | THORACOLUMBAR FUSION/DECOMPRESSION/MULTIPLE LEVELS | $1,834.81 |
| 58640 | STABILIZATION - ANTERIOR: CERVICAL | $500.39 |
| 58645 | STABILIZATION - CERVICAL - PLATES/DISCECTOMY | $982.27 |
| 58650 | STABILIZATION - CERVICAL - PLATES/VERTEBRECTOMY | $1,756.05 |
| 58655 | STABILIZATION - ANTERIOR - THORACOLUMBAR | $945.21 |
| 58660 | STABILIZATION; ANTERIOR, THORACOLUMBAR/INSTRUMENT | $2,024.76 |
| 58670 | DEFORMITY CORRECTION - THORACOLUMBAR | $1,431.69 |
| 58675 | DEFORMITY CORRECTION - THORACOLUMBAR/ANTERIOR INST | $1,700.44 |
| 58680 | DEFORMITY CORRECTION - CERVICAL | $2,427.87 |
| 58685 | OSTEOTOMY - THORACOLUMBAR- POSTERIOR | $2,427.87 |
| 58690 | DEFORMITY; INSTRUMENTATION/FUSION/POSTERIOR, ADULT | $1,756.05 |
| 58695 | DEFORMITY; INSTRUMENTATION/FUSION/POSTERIOR, CHILD | $1,431.69 |
| 58710 | APPLICATION OF HALO - C-SPINE FRACTURE/DISLOCATION | $185.33 |
| 58715 | CERVICAL SPINE - ORIF | $1,000.81 |
| 58725 | FRACTURE/DISLOCATION, THORACOLUMBAR SPINE/FIXATION | $1,297.34 |
| 58726 | THORACOLUMBAR SPINE; ORIF/FIXATION + DECOMPRESSION | $1,566.07 |
| Code | Description | Amount |
|---|---|---|
| 02262 | TRANSLABYRINTHINE APPROACH FOR NEUROSURGICAL | $1,920.06 |
| 02610 | MIDDLE CRANIAL FOSSA APPROACH WITHOUT PETROSECTOMY | $1,429.60 |
| 02612 | MIDDLE CRANIAL FOSSA APPROACH - PETROSECTOMY | $1,915.39 |
| 02613 | MIDDLE CRANIAL FOSSA APPROACH-PETROSECTOMY-> 8HRS | $2,394.12 |
| 02614 | RETROLABYRINTHINE APPROACH - NEUROSURGICAL ACCESS | $1,197.02 |
| 02618 | CSF LEAK REPAIR | $958.05 |
| 02622 | INFRA-TEMPORAL FOSSA APPROACH TO SKULL BASE | $1,915.39 |
| 02623 | INFRA-TEMPORAL FOSSA APPROACH TO SKULL BASE >8 HRS | $2,394.12 |
| Code | Description | Amount |
|---|---|---|
| 06210 | MICRONEURAL SURGERY; NEUROLYSIS - EXTERNAL | $285.94 |
| 06211 | MICRONEURAL SURGERY; NEUROLYSIS - INTRANEURAL | $435.67 |
| 06212 | MICROFASCICULAR NEURORRAPHY - DIGITAL OR PALMAR | $285.94 |
| 06213 | MICROFASCICULAR NEURORRAPHY - MAJOR NERVE | $610.35 |
| 06214 | INTRAFASCICULAR NERVE GRAFT - DIGITAL OR PALMAR | $428.39 |
| 06215 | INTRAFASCICULAR NERVE GRAFT - MAJOR NERVE | $1,247.73 |