MSP Billing Codes, Fees & Payment Schedule
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Code | Description | Anes | Fee |
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Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $60.00 |
Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
Code no longer active
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Apb-form completion greater than 20 minutes | 0 | $50.00 |
Code no longer active
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Consult malignant haemopoietic/reproductive/etc. | 0 | $57.89 |
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Code no longer active
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Extensor - repair | 0 | $232.45 |
Code no longer active
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First additional area. physical therapy. | 0 | $6.75 |
Code no longer active
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Flexor - repair | 0 | $369.80 |
Code no longer active
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Gp 2nd medical opinion & form 12 - mental health | 0 | $58.99 |
Code no longer active
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Home visit - requires therapist to travel to home | 0 | $28.70 |
Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $5.43 |
Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $14.00 |
Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $5.45 |
Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $14.00 |
Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $17.62 |
Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $17.62 |
Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $43.50 |
Code no longer active
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Immunization-patient < 19 yrs-mmr/v | 0 | $60.00 |
Code no longer active
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Initial visit - incl. evaluation & treatment - | 0 | $25.20 |
Code no longer active
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Initial visit - nursing home - physical therapy | 0 | $23.85 |
Code no longer active
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Msd form person with disabilities designation | 0 | $130.00 |
Code no longer active
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Msd med rprt - persons with persist multi barriers | 0 | $50.00 |
Code no longer active
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Msd medical report employability form | 0 | $25.00 |
Code no longer active
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Msd medical report, child | 0 | $25.00 |
Code no longer active
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Msd monthly nutritional supplement form part b | 0 | $25.00 |
Code no longer active
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Msd section 3 assessor report | 0 | $75.00 |
Code no longer active
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Multiple area treatment - second additional area | 0 | $6.75 |
Code no longer active
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Multiple area treatment - third additional area. | 0 | $6.75 |
Code no longer active
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Osmv - visual field test and exam visual functions | 0 | $102.00 |
Code no longer active
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Osmv diabetic driver report-sent out with dmer | 0 | $30.00 |
Code no longer active
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Osmv diabetic driver report-stand alone (no dmer) | 0 | $75.00 |
Code no longer active
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Osmv driver's medical examination report (dmer) | 0 | $75.00 |
Code no longer active
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Osmv examination of visual function (evf) by optom | 0 | $70.00 |
Code no longer active
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Osmv visual field test (vft) by optom-stand alone | 0 | $42.00 |
Code no longer active
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Osmv-examinatino of visual function(evf)-by ophth | 0 | $91.51 |
Code no longer active
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Osmv-vft-visual field test by oph-stand alone test | 0 | $62.10 |
Code no longer active
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Osmv-vft+evf(visual field+visual function)by ophth | 0 | $153.61 |
Code no longer active
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Prolonged visit - assessment,treatment,instruction | 0 | $23.60 |
Code no longer active
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Prolonged visit - cns, assessment,treatment of cns | 0 | $35.90 |
Code no longer active
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Prolonged visit -min 25 minutes of direct contact | 0 | $23.60 |
Code no longer active
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Prolonged visit at nursing home, therapy rendered | 0 | $23.60 |
Code no longer active
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Radiology consult for malignant lesion - w/ biopsy | 0 | $43.58 |
Code no longer active
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Radiology consult for malignant lesion of skin | 0 | $29.09 |
Code no longer active
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Sessional - GP visit | 0 | $1,106.00 |
Code no longer active
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Sessional - GP visit | 0 | $3,842.00 |
Code no longer active
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Sessional - GP visit | 0 | $14,702.00 |
Code no longer active
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Sessional - GP visit | 0 | $92.70 |
Code no longer active
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Spec 2nd med op & form 12, follow up-mental health | 0 | $81.31 |
Code no longer active
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Spec 2nd med. op. & form 12, intl - mental health | 0 | $177.10 |
Code no longer active
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Specialist e-mail patient management-follow up | 0 | $10.10 |
Code no longer active
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Specialist e-mail patient management-follow up | 0 | $60.00 |
Code no longer active
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Specialist e-mail patient management-follow up | 0 | $40.00 |
Code no longer active
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Subsequent visit - short evaluation and either | 0 | $17.65 |
Code no longer active
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Subsequent visit at nursing home-therapy rendered | 0 | $15.65 |
Code no longer active
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Telehealth radiology consult for malignant lesion | 0 | $57.89 |
Code no longer active
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Telehealth radiology consult malignant w/biopsy | 0 | $43.58 |
Code no longer active
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Telehealth radiology consult/malignant lesion skin | 0 | $29.09 |
Abdomen |
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08570 | Abdomen x-ray | 0 | $35.32 |
08648 | Abdominal b-scan | 0 | $110.10 |
08571 | Abdominal multiple x-ray | 0 | $53.41 |
08650 | Guidance for biopsy or cyst puncture | 0 | $126.67 |
08684 | Prostate scan using rectal probe | 0 | $110.08 |
08649 | Renal b scan | 0 | $86.68 |
Abdominal and Perineal Approach |
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72666 | Altemeier transperineal excision of rectal procide | 3 | $677.27 |
72667 | Division of stricture of rectum | 2 | $252.59 |
72664 | Proctectomy, complete - subtotal/total colectomy | 7 | $1,645.83 |
72665 | Proctectomy, partial - without anastomosis | 5 | $558.30 |
07580 | Rectal tumor excision by posterior parasacral | 5 | $800.00 |
Abdominal Operations |
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04208 | Ectopic pregnancy | 5 | $500.91 |
04217 | Hemorrhage - post op (intra-abdominal management) | 6 | $458.49 |
04228 | Hysterectomy - total | 5 | $736.94 |
04709 | Hysterectomy-laparoscopic total/supracerv&/or lavh | 5 | $980.80 |
04204 | Hysterotomy - abdominal with/without sterilization | 5 | $358.76 |
04707 | Laparoscopic sacrocolpopexy | 5 | $980.80 |
04001 | Laparoscopy | 4 | $229.25 |
04203 | Myomectomy | 5 | $500.91 |
04216 | Neurectomy presacral | 5 | $418.08 |
04003 | Oophorectomy/salpingectomy | 5 | $358.76 |
04201 | Ovarian cystectomy | 5 | $447.72 |
04229 | Removal of complicated pelvic disease | 6 | $754.70 |
04230 | Sterilization - abdominal-open | 4 | $356.60 |
04206 | Suspension of uterus | 4 | $240.19 |
04605 | Vault prolapse | 5 | $748.87 |
Abdominal Operations for Cancer |
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04011 | Ca ovary/ fallopian tubes | 6 | $1,011.82 |
04218 | Hysterectomy - radical | 6 | $1,102.00 |
04029 | Omentectomy/removal of soft-tissue mass | 5 | $358.76 |
04219 | Para-aortic lymphadenectomy | 6 | $595.90 |
04220 | Para-aortic lymphadenectomy - partial | 5 | $263.91 |
04212 | Pelvic lymphadenectomy | 6 | $595.90 |
04628 | Removal of extrapelvic soft tissue mass > 10 cm | 5 | $509.44 |
04630 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $474.13 |
04631 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $711.19 |
04632 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $356.60 |
04633 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $407.55 |
04640 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $474.13 |
04641 | Removal of extrapelvic soft tissue mass > 10 cm | 3 | $711.19 |
Abdominal Surgery - Miscellaneous |
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07603 | Abdominal wound evisceration - resuture | 5 | $406.03 |
07597 | Haemorrhage; intra-abdominal management - post ope | 6 | $379.58 |
71280 | Indwelling enteral tubes, removal - no anes | 0 | $30.65 |
71282 | Indwelling enteral tubes, removal- gen anaes | 2 | $203.93 |
71281 | Indwelling enteral tubes,removal-local/regional | 0 | $63.06 |
71283 | Indwelling entereal tubes, replacement - extra | 0 | $30.65 |
07601 | Intra-abdominal abscess excluding intrahepatic | 5 | $434.19 |
07600 | Laparotomy to include biopsy - exploratory | 5 | $405.81 |
71292 | Peritonectomy, with or without chemotherapy | 7 | $662.77 |
71293 | Peritonectomy, with/without chemotherapy add 15min | 7 | $75.60 |
71291 | Resection of soft issue tumour 10cmor >-add 15min | 0 | $76.47 |
71290 | Resection of soft tissue tumour 10cm or greater | 8 | $662.77 |
72600 | Temp or delayed abdominal closure with vac | 5 | $376.25 |
07451 | Thoracic extension of abdominal incision(extra) | 8 | $285.69 |
Ablation |
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06114 | Abrasive surgery - full face | 3 | $523.79 |
06112 | Abrasive surgery <1/4 of face | 3 | $126.70 |
06113 | Abrasive surgery 1/4 to 1/2 of face | 3 | $246.18 |
Acute Pain Management |
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01075 | Axillary indwelling catheter - repeat injection | 0 | $60.85 |
01076 | Axillary indwelling catheter - supervision | 0 | $40.57 |
01007 | Catheter insertion intrapleural for pain mgmt | 0 | $83.54 |
01074 | Catheter insertion-axillary for pain mgmt | 0 | $72.55 |
01025 | Epidural catheter insertion - lumbar or caudal | 0 | $150.36 |
01026 | Epidural catheter insertion - thoracic pain mgmt | 0 | $228.03 |
01050 | Epidural indwelling catheter repeat injection - 4 | 0 | $60.85 |
01073 | Epidural infusion - supervision | 0 | $40.57 |
01019 | Interpleural indwelling catheter repeat injections | 0 | $60.85 |
01021 | Intrapleural infusion - supervision | 0 | $40.57 |
01187 | Major peripheral nerve block - multiple | 0 | $69.28 |
01186 | Major peripheral nerve block - single | 0 | $45.85 |
01013 | Pain management - consultation for post-op pain | 0 | $101.03 |
01012 | Patient controlled analgesia - supervision | 0 | $40.57 |
01011 | Patient controlled analgesia (PCA) - first day | 0 | $21.79 |
Adult and Pediatric Critical Care |
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01413 | Comprehensive care (icu) - 1st day | 0 | $507.54 |
01423 | Comprehensive care (icu) - 2nd to 7th day (incl.) | 0 | $256.61 |
01443 | Comprehensive care (icu) - 31st day onward | 0 | $147.80 |
01450 | Comprehensive care (icu) - 31st day onward | 0 | $42.87 |
01455 | Comprehensive care (icu) - 31st day onward | 0 | $7.26 |
01433 | Comprehensive care (icu) - 8th to 30th day | 0 | $142.11 |
01411 | Critical care (icu) - 1st day | 0 | $340.05 |
01421 | Critical care (icu) - 2nd to 7th day (incl.) | 0 | $170.52 |
01441 | Critical care (icu) - 31st day onward | 0 | $135.47 |
01431 | Critical care (icu) - 8th to 30th day | 0 | $117.75 |
01412 | Ventilatory support (icu) - 1st day | 0 | $294.96 |
01422 | Ventilatory support (icu) - 2nd to 7th day (incl.) | 0 | $161.06 |
01442 | Ventilatory support (icu) - 31st day onward | 0 | $110.89 |
01432 | Ventilatory support (icu) - 8th to 30th day | 0 | $123.38 |
Airway Surgery |
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02422 | Broncho or microlaryngoscopy w f b removal- <3 yrs | 6 | $380.57 |
02450 | Broncho or microlaryngoscopy w removal of foreign body | 6 | $255.15 |
79080 | Closure of bronchopleural fistula | 10 | $953.71 |
02420 | Dilation of trachea | 5 | $152.64 |
02421 | Dilation of trachea - repeat within one month | 5 | $152.43 |
02430 | Micro-surgery w co2 laser for removal of-1st procedure | 6 | $445.46 |
02435 | Microsurgery w c02 laser for ..-subsequent proc | 6 | $445.46 |
79085 | Repair of ruptured bronchus | 9 | $964.56 |
79065 | Trachael resection | 10 | $964.56 |
79075 | Tracheal resection - with hilar release | 10 | $476.11 |
79070 | Tracheal resection - with laryngeal release | 10 | $476.11 |
All |
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92520 | 1-amphetamine | 0 | $70.92 |
92521 | 1-metamphetamine | 0 | $70.92 |
92353 | 13c triolein breath test for malabsorption | 0 | $67.91 |
91482 | Acetaminophen (quantitative) | 0 | $11.47 |
91480 | Acetazolamide | 0 | $46.68 |
91985 | Albumin creatinine ratio (acr) | 0 | $11.41 |
91484 | Amikacin | 0 | $45.99 |
91486 | Amiodarone | 0 | $46.53 |
91488 | Amitryptyline | 0 | $24.64 |
93065 | Amniotic cell culture - analysis only | 0 | $210.20 |
91490 | Amoxapine | 0 | $46.53 |
92503 | Amphetamines | 0 | $9.55 |
92522 | Anileridine | 0 | $70.92 |
90287 | Anti-neutrophil cytoplasmic antibodies (anca) | 0 | $114.26 |
90121 | Anti-nuclear antibodies, by multiplex immunoassay | 0 | $38.64 |
90288 | Anti-parietal cell antibody (apca), immuno screen | 0 | $23.82 |
92523 | Antihistamines | 0 | $70.92 |
90281 | Antinuclear antibodies by sensitive eia | 0 | $16.24 |
91220 | B-glucosidase, fibroblasts | 0 | $51.38 |
91221 | B-glucosidase, white blood cells | 0 | $51.38 |
91275 | B-type natriuretic peptide(bnp or nt-probnp) | 0 | $28.14 |
91226 | Barbiturates - quantitative | 0 | $35.61 |
92505 | Benzodiazepines | 0 | $8.39 |
91230 | Beta - 2 - microglobulin | 0 | $20.40 |
91231 | Beta-glucuronidase, white blood cells | 0 | $51.25 |
91232 | Beta-mannosidase white blood cells | 0 | $51.25 |
91235 | Bicarbonate, serum/plasma | 0 | $2.37 |
91236 | Bicarbonate, urine | 0 | $1.06 |
91241 | Bile acids, total | 0 | $32.36 |
91240 | Bile pigments and salts, qualitative, urine | 0 | $2.34 |
91245 | Bilirubin total, serum/plasma | 0 | $1.61 |
91246 | Bilirubin total, transudate/exudate | 0 | $1.05 |
91250 | Bilirubin, direct | 0 | $1.58 |
90620 | Biochemical identification - micro-organism | 0 | $9.55 |
92515 | Blood methadone | 0 | $46.42 |
91255 | Blood, qualitative, gastric | 0 | $2.44 |
91260 | Bone gla protein (osteocalcin) | 0 | $17.76 |
91270 | Bromides, qualitative, urine | 0 | $10.48 |
91265 | Bromides, quantitative | 0 | $16.29 |
91280 | C - 1q esterase inhibitors | 0 | $22.86 |
91285 | C - 3 complement | 0 | $9.61 |
91290 | C - 4 complement | 0 | $9.87 |
91295 | C - peptide | 0 | $47.42 |
91300 | C - reactive protein | 0 | $10.31 |
91310 | Ca 125 | 0 | $22.72 |
91305 | Ca 15 - 3 | 0 | $21.25 |
91315 | Ca 19 -9 | 0 | $20.88 |
91320 | Calcitonin | 0 | $50.63 |
91326 | Calcium total, serum/plasma | 0 | $1.55 |
91327 | Calcium, 24 hours excretion, feces | 0 | $19.73 |
91325 | Calcium, timed urine collection | 0 | $5.48 |
91328 | Calcium, urine random | 0 | $1.05 |
91330 | Calculus analysis, urine | 0 | $27.86 |
91335 | Carbamazepine | 0 | $15.32 |
91340 | Carbon monoxide, quantitative | 0 | $17.58 |
91345 | Carotene | 0 | $8.90 |
91350 | Catecholamines | 0 | $59.27 |
91351 | Catecholamines fractions-separation/interpretation | 0 | $40.79 |
91352 | Catecholamines, total urine | 0 | $46.45 |
91353 | Cells count - examination for faeces | 0 | $5.46 |
91360 | Ceruloplasmin | 0 | $10.15 |
91370 | Chloride - iontophoresis, sweat | 0 | $77.50 |
91365 | Chloride, quantitative, csf/other fluids | 0 | $7.21 |
91366 | Chloride, serum/plasma | 0 | $1.49 |
91367 | Chloride, timed urine collection | 0 | $10.06 |
91368 | Chloride, urine random | 0 | $3.26 |
91369 | Chloride, whole blood | 0 | $1.06 |
91492 | Chlorpromazine | 0 | $46.53 |
91375 | Cholesterol, total | 0 | $6.87 |
91380 | Cholinesterase/dibucaine number | 0 | $30.26 |
91386 | Chromatography, keto acids | 0 | $36.30 |
91387 | Chromatography, reducing substances, urine | 0 | $31.40 |
91388 | Chromatography, thin layer (tlc) | 0 | $32.65 |
93070 | Chromosomal breakage | 0 | $181.80 |
93080 | Chromosome analysis - high resolution | 0 | $123.82 |
93081 | Chromosome analysis - high resolution | 0 | $113.56 |
91494 | Citrate, urine | 0 | $24.66 |
91496 | Clobazam | 0 | $49.73 |
91498 | Clomipramine | 0 | $49.82 |
91500 | Clonazepam | 0 | $46.53 |
92524 | Clonidine | 0 | $70.92 |
91502 | Clozapine | 0 | $27.92 |
92507 | Cocaine/cocaine metabolite | 0 | $7.10 |
91390 | Complement assay | 0 | $19.63 |
91395 | Complement, total haemolytic (ch 100) | 0 | $43.71 |
92546 | Comprehensive drug analysis | 0 | $119.94 |
91400 | Copper, serum | 0 | $49.19 |
91401 | Copper, tissue | 0 | $49.77 |
91402 | Copper, urine | 0 | $49.78 |
91405 | Cortisol | 0 | $13.28 |
91406 | Cortisol, late night salivary test | 0 | $77.25 |
91415 | Creatine kinase | 0 | $1.88 |
91410 | Creatine, timed urine collection | 0 | $12.73 |
91420 | Creatinine, random urine | 0 | $5.10 |
91421 | Creatinine, serum/plasma | 0 | $1.52 |
91422 | Creatinine, timed urine collection | 0 | $5.80 |
91425 | Cryofibrinogen | 0 | $17.38 |
91440 | Cryoglobulins | 0 | $41.92 |
93010 | Crystal identification synovial fluid | 0 | $40.05 |
91445 | Csf - albumin | 0 | $20.16 |
91450 | Csf - immunoglobulin g | 0 | $20.40 |
91504 | Cyanide | 0 | $24.64 |
91435 | Cyclic a.m.p., urine | 0 | $45.46 |
91434 | Cyclic amp, plasma/serum | 0 | $44.73 |
91455 | Cyclosporine | 0 | $23.47 |
93045 | Cytogenetic analysis | 0 | $966.29 |
93047 | Cytogenetic analysis | 0 | $296.18 |
93048 | Cytogenetic analysis | 0 | $400.00 |
93049 | Cytogenetic analysis | 0 | $800.00 |
93020 | Cytogenetic analysis - bone marrow | 0 | $516.59 |
93025 | Cytogenetic analysis - chorionic villus | 0 | $727.15 |
93030 | Cytogenetic analysis - cultured amniotic fluid | 0 | $414.61 |
93035 | Cytogenetic analysis - cultured tissue | 0 | $414.49 |
93040 | Cytogenetic analysis - foetal blood sample | 0 | $392.46 |
93015 | Cytogenetic analysis - short term blood | 0 | $301.44 |
93051 | Cytogenetic analysis/fluorescence in situ, single | 0 | $192.68 |
93052 | Cytogenetic analysis/fluorescence, subtelomeric | 0 | $515.49 |
93053 | Cytogenetic analysis/fluorescence,uncultured | 0 | $389.61 |
93050 | Cytogenetic analysis/in-situ hybridization | 0 | $466.46 |
93095 | Cytologic interpretation - unscreened cytology | 0 | $85.52 |
93090 | Cytologic interpretation of pre-screened cytology | 0 | $65.54 |
91460 | Dehydroepiandrosterone, serum (dhea) | 0 | $18.55 |
91506 | Desipramine | 0 | $24.35 |
91508 | Desmethylclobazam | 0 | $46.53 |
91510 | Diazepam | 0 | $46.53 |
91465 | Digoxin | 0 | $18.97 |
91470 | Disaccharides, intestinal | 0 | $62.40 |
91512 | Disopyramide | 0 | $46.53 |
91475 | Dopamine, quantitative | 0 | $61.91 |
91514 | Doxepin | 0 | $46.53 |
91599 | Drug assay - multiple (2 or more) | 0 | $53.46 |
92152 | Drug assay (multiple) - pyridinium cross links | 0 | $24.67 |
93100 | Electron microscopy | 0 | $384.40 |
91602 | Electrophoresis, c.s.f. | 0 | $31.21 |
91600 | Electrophoresis, protein, qualitative | 0 | $26.54 |
91601 | Electrophoresis, protein, quantitative | 0 | $34.58 |
91603 | Electrophoresis, qualitative, urine | 0 | $31.35 |
91605 | Erythrocyte galactose 1 phosphate transferase | 0 | $70.84 |
91610 | Estradiol | 0 | $22.43 |
91615 | Estrogens | 0 | $51.66 |
92508 | Ethanol | 0 | $6.92 |
91620 | Ethosuximide | 0 | $18.47 |
91628 | Ethosuximide | 0 | $26.00 |
91636 | Fat, balance 3 day, feces | 0 | $92.68 |
91631 | Fat, microscopic exam-faeces | 0 | $5.48 |
91640 | Fatty acids, nonesterified (free), feces | 0 | $22.79 |
91635 | Fecal elastase | 0 | $46.65 |
92006 | Fecal immunochemical test (fit)-analysis only | 0 | $11.29 |
92007 | Fecal immunochemical test(fit)-collection only | 0 | $6.57 |
91630 | Fecal ph | 0 | $3.92 |
92525 | Fentanyl | 0 | $70.92 |
92518 | Fentanyl, urine screening immunoassay | 0 | $13.10 |
91645 | Ferritin, serum | 0 | $10.12 |
91650 | Fibrinogen, quantitative, chemical | 0 | $28.68 |
93085 | Fine needle aspirate - cytologic examination | 0 | $94.24 |
91516 | Fluoxetine | 0 | $46.53 |
91518 | Flupenthixol | 0 | $46.53 |
91520 | Fluphenazine | 0 | $46.53 |
91522 | Fluvoxamine | 0 | $46.53 |
91660 | Follicle stimulating hormone (fsh) | 0 | $13.13 |
92330 | Free t4 | 0 | $12.12 |
92526 | Furosemide | 0 | $70.92 |
91523 | Gabapentin | 0 | $24.64 |
91665 | Galactocerebrosidase, fibroblasts | 0 | $51.38 |
91666 | Galactocerebrosidase, white blood cells | 0 | $51.38 |
91670 | Galactose, qualitative, urine | 0 | $17.13 |
91675 | Gastric acidity determination, quantitative | 0 | $3.52 |
91681 | Gastric analysis, acid | 0 | $0.92 |
91682 | Gastric analysis, hollander insulin | 0 | $89.43 |
91680 | Gastric analysis, intubation | 0 | $18.15 |
91685 | Gastrin | 0 | $63.32 |
90811 | Gastrointestinal pathogen multiples(gpmp)& culture | 0 | $105.04 |
92545 | Gc/ms confirmation of positive screen | 0 | $67.92 |
91524 | Gentamycin | 0 | $26.69 |
91720 | Glucose phosphate isomerase | 0 | $14.29 |
91705 | Glucose quantitative, csf | 0 | $6.45 |
91706 | Glucose quantitative, joint fluid | 0 | $6.45 |
91708 | Glucose quantitative, transudate/exudate | 0 | $6.45 |
91709 | Glucose quantitative, urine | 0 | $1.06 |
91700 | Glucose semiquantitative | 0 | $3.53 |
91716 | Glucose tolerance test > 6 hours | 0 | $39.40 |
91695 | Glucose tolerance test-gestational protocol | 0 | $15.84 |
91715 | Glucose tolerance test, 2 - 5 hours | 0 | $12.94 |
91717 | Glucose tolerance test, intravenous | 0 | $38.90 |
91690 | Glucose, gestational assessment | 0 | $10.03 |
91707 | Glucose, quantitative serum/plasma | 0 | $1.46 |
91710 | Glucose, timed urine collection | 0 | $7.13 |
91725 | Glutamyl transpeptidase (gtp) | 0 | $1.66 |
91730 | Glutathione peroxidase | 0 | $44.32 |
91735 | Gold | 0 | $43.91 |
91745 | Haemoglobin, a1c | 0 | $5.30 |
91526 | Haloperidol | 0 | $24.63 |
91740 | Haptoglobin | 0 | $19.77 |
91780 | Hdl cholesterol | 0 | $7.85 |
91760 | Helicobacter pilori carbon 13 urea breath test | 0 | $36.50 |
91761 | Helicobacter pylori stool antigen (hpsa) | 0 | $35.64 |
91750 | Hemoglobin, qualitative, urine | 0 | $2.28 |
91762 | Heparan sulfamidase, white blood cells | 0 | $93.71 |
93110 | Hepatic glucose - 6 phosphatase | 0 | $49.10 |
93105 | Hepatic glycogen (tissue) | 0 | $32.52 |
91765 | Hepatitis b surface antigen | 0 | $10.40 |
91777 | Hexosaminidase white blood cells | 0 | $99.30 |
91775 | Hexosaminidase, serum | 0 | $51.38 |
91770 | Hexosaminidases | 0 | $51.38 |
92080 | Homocysteine - plasma | 0 | $22.97 |
91785 | Homocystine, screening test, urine | 0 | $2.28 |
91790 | Homovanillic acid (quantitative) urine | 0 | $38.61 |
92527 | Hydrocodone | 0 | $70.92 |
92528 | Hydromorphone | 0 | $70.92 |
91796 | Hydroxyindoleacetic acid, quantitative, urine | 0 | $44.28 |
91795 | Hydroxyindoleacetic acid, urine | 0 | $9.28 |
90752 | Id microorganisms maldi-tof-ms/non-stool specimen | 0 | $6.84 |
90753 | Id microorganisms maldi-tof-ms/stool specimen | 0 | $6.84 |
91800 | Iga anti-gliadin antibodies | 0 | $32.58 |
91801 | Iga quantitative, secretion | 0 | $20.31 |
91802 | Iga quantitative, serum/plasma | 0 | $9.83 |
92170 | Ige assay, quantitative (duplicate) | 0 | $13.72 |
91805 | Igf - i (somatomedin - c). | 0 | $55.08 |
91840 | Igg - quantitative serum | 0 | $9.95 |
91163 | Igg anti-deamidated gliadin peptide(anti-dgp)antib | 0 | $18.24 |
91814 | Igg blocking antibody | 0 | $20.40 |
91803 | Igg quantitative spinal fluid | 0 | $20.06 |
91810 | Igg1 | 0 | $24.85 |
91811 | Igg2 | 0 | $24.85 |
91812 | Igg3 | 0 | $24.85 |
91813 | Igg4 | 0 | $24.85 |
91845 | Igm - quantitative | 0 | $10.05 |
91528 | Imipramine | 0 | $46.53 |
91815 | Immune complex detection by c1q binding method | 0 | $44.66 |
91820 | Immunofixation, csf | 0 | $105.31 |
91821 | Immunofixation, serum/plasma | 0 | $104.12 |
91822 | Immunofixation, urine | 0 | $104.12 |
91830 | Immunoglobulin + specific protein assays | 0 | $20.40 |
91825 | Immunoglobulin d | 0 | $20.40 |
91831 | Immunoglobulin, additional assay | 0 | $12.53 |
91835 | Immunoreactive trypsin | 0 | $18.80 |
91850 | Inclusion bodies, (cytomegalic) urine | 0 | $7.77 |
91857 | Insulin tolerance test, per specimen | 0 | $6.29 |
91856 | Insulin, additional specimen | 0 | $19.49 |
91855 | Insulin, first specimen | 0 | $27.55 |
91858 | Interferon beta, neutralizing antibodies | 0 | $205.52 |
93075 | Investigation - chromosomal mosaicism | 0 | $114.52 |
91860 | Ionized calcium. | 0 | $14.02 |
91865 | Iron, total and binding capacity, protein | 0 | $7.56 |
91870 | Isoenzymes by electrophoresis | 0 | $25.53 |
91882 | Keto acids chromatography - screening tests - urin | 0 | $5.44 |
91881 | Keto acids chromatography - total, chemical - urin | 0 | $10.99 |
91880 | Keto acids, chromatography - urine | 0 | $36.90 |
91885 | Ketogenic steroids - urine | 0 | $39.47 |
91890 | Ketosteroids, total neutral - urine | 0 | $50.17 |
91900 | Lactate dehydrogenase, csf | 0 | $1.06 |
91901 | Lactate dehydrogenase, serum/plasma | 0 | $1.62 |
91902 | Lactate dehydrogenase, transudate/exudate | 0 | $1.05 |
91895 | Lactate, serum/plasma | 0 | $7.64 |
91896 | Lactate, whole blood | 0 | $17.89 |
91905 | Lactose, qualitative, urine | 0 | $9.81 |
91529 | Lamotrigine | 0 | $24.64 |
91910 | Lead | 0 | $130.68 |
91912 | Lead, porphyrin screening test, urine | 0 | $6.22 |
91911 | Lead, timed urine collection | 0 | $40.68 |
91915 | Lecithin sphingomyelin ratio | 0 | $232.26 |
91920 | Lhrh stimulation test | 0 | $46.22 |
91530 | Lidocaine | 0 | $44.73 |
91925 | Light chains, free kappa and lambda | 0 | $78.99 |
91930 | Lipase | 0 | $6.62 |
91936 | Lipoprotein (a) isoforms | 0 | $25.92 |
91940 | Lipoprotein electrophoresis | 0 | $56.04 |
91941 | Lipoprotein, sizing | 0 | $25.92 |
91935 | Lipoprotein(a) | 0 | $29.61 |
91945 | Lithium, serum/plasma | 0 | $14.94 |
91946 | Lithium, whole blood | 0 | $11.23 |
90286 | Liver autoantibodies (liaa), immunofluorescence | 0 | $23.82 |
91532 | Lorazepam | 0 | $46.53 |
91534 | Loxapine | 0 | $46.53 |
91950 | Luteinizing hormone (lh) | 0 | $12.41 |
91955 | Magnesium, fecal | 0 | $25.15 |
91956 | Magnesium, red blood cell | 0 | $29.51 |
91957 | Magnesium, serum/plasma | 0 | $6.79 |
91958 | Magnesium, urine | 0 | $10.06 |
91959 | Magnesium, whole blood | 0 | $23.97 |
91536 | Maprotiline | 0 | $46.53 |
91960 | Melanin, qualitative, urine | 0 | $2.35 |
92529 | Meperidine | 0 | $70.92 |
92530 | Meprobamate | 0 | $70.92 |
91965 | Mercury | 0 | $52.42 |
91970 | Metachromatic granules, urine | 0 | $16.13 |
91975 | Metanephrines, quantitative | 0 | $155.77 |
92513 | Methadone | 0 | $3.50 |
92510 | Methadone metabolite | 0 | $6.80 |
92532 | Methaqualone | 0 | $70.92 |
92533 | Methocarbamol | 0 | $70.92 |
91538 | Methotrexate | 0 | $46.53 |
91540 | Methotrimeprazine | 0 | $46.53 |
92534 | Methylenedioxyamphetamine | 0 | $70.92 |
92535 | Methylenedioxymethamphetamine | 0 | $70.92 |
91542 | Methylphenidate | 0 | $46.53 |
92396 | Microalbumin, semiquantative - by urine dipstick | 0 | $6.68 |
91990 | Microscopic examination of feces | 0 | $5.08 |
36079 | Midwife consultative care and assessment-phase 1 | 0 | $40.76 |
36080 | Midwife consultative care and assessment-phase 2 | 0 | $40.76 |
36081 | Midwife consultative care and assessment-phase 3 | 0 | $41.37 |
36082 | Midwife consultative care and assessment-phase 4 | 0 | $41.37 |
36083 | Midwife consultative care and assessment-phase 5 | 0 | $41.37 |
36084 | Midwife consultative care/assessment by phone | 0 | $41.37 |
36085 | Midwife consultative care/assessment call-out-day | 0 | $72.41 |
36086 | Midwife consultative care/assessment callout-night | 0 | $116.89 |
36091 | Midwife consultative care/assessment callout-night | 0 | $10.15 |
36092 | Midwife consultative care/assessment callout-night | 0 | $4.06 |
36093 | Midwife consultative care/assessment callout-night | 0 | $35.53 |
36021 | Midwife phase 1 (1st trimest) 1st visit is in ph 2 | 0 | $268.98 |
36010 | Midwife phase 1 (1st trimester) - total care | 0 | $268.98 |
36016 | Midwife phase 1 (1st trimester)-trans frm othr 60% | 0 | $161.36 |
36014 | Midwife phase 1 (1st trimester)-trans to othr 40% | 0 | $107.58 |
36020 | Midwife phase 2 (2nd trimester) - total care | 0 | $268.98 |
36026 | Midwife phase 2 (2nd trimester)-trans frm othr 60% | 0 | $161.36 |
36024 | Midwife phase 2 (2nd trimester)-trans to othr 40% | 0 | $107.58 |
36036 | Midwife phase 3 (3nd trimester)-trans frm othr 60% | 0 | $322.82 |
36034 | Midwife phase 3 (3nd trimester)-trans to othr 40% | 0 | $215.22 |
36030 | Midwife phase 3 (3rd trimester) - total care | 0 | $538.05 |
36031 | Midwife phase 3 (third trimester) phase 3 services | 0 | $538.05 |
36046 | Midwife phase 4 - home birth medications | 0 | $50.73 |
36047 | Midwife phase 4 - home birth supplies | 0 | $101.45 |
36040 | Midwife phase 4 (l & d) - first contact prior 34 w | 0 | $1,075.91 |
36045 | Midwife phase 4 home birth: second attendance fees | 0 | $371.35 |
36048 | Midwife phase 4 supp care-scheduld c-section in or | 0 | $106.10 |
36070 | Midwife phase 4 surgical assist caesarean schedule | 0 | $192.08 |
36071 | Midwife phase 4 surgical assistance-caesarean emer | 0 | $260.35 |
36076 | Midwife phase 4-caesarean night surcharge | 0 | $185.94 |
36075 | Midwife phase 4-caesarean-evening surcharge | 0 | $115.83 |
36077 | Midwife phase 4-caesarean-weekend/stat surcharge | 0 | $115.83 |
36078 | Midwife phase 4-call out-emergency caesarean sect | 0 | $115.98 |
36073 | Midwife phase 4-first surgical assist of the day | 0 | $88.16 |
36056 | Midwife phase 5 (post part care) - trnsfr to other | 0 | $645.56 |
36054 | Midwife phase 5 (post part care) -trnsfr frm other | 0 | $430.37 |
36050 | Midwife phase 5 (post partum care) - total care | 0 | $1,075.91 |
36049 | Midwife phase4 supp care-scheduled c-sect recovery | 0 | $106.10 |
36064 | Midwife supervision of 11-15 full courses of care | 0 | $12,290.45 |
36065 | Midwife supervision of 16-30 full courses of care | 0 | $15,363.06 |
36062 | Midwife supervision of 5 full courses of care | 0 | $6,145.22 |
36063 | Midwife supervision of 6 - 10 full courses of care | 0 | $9,217.84 |
36061 | Midwife supervision of up to 5 births or 4 full cs | 0 | $3,072.61 |
36074 | Midwife surgical assistance-fs delivery incentive | 0 | $244.14 |
36072 | Midwife-attendance at caesarean as mrp for baby | 0 | $91.44 |
36041 | Midwife-phase4 (labour/delivery) trans to (40%) | 0 | $430.37 |
36042 | Midwife-phase4 (labour/delivery) transfer (60%) | 0 | $645.56 |
91992 | Mitochondrial preparation-muscle | 0 | $90.55 |
91995 | Mucopolysaccharides, urine | 0 | $59.55 |
93115 | Muscle biopsy enzyme studies | 0 | $195.44 |
91022 | Muscle-specific tyrosine kinase antibody (musk ab) | 0 | $245.60 |
91544 | N - acetyl procainamide | 0 | $46.53 |
92536 | N-acetyl morphine | 0 | $70.92 |
91997 | N-acetyl-galactosamine-6-sulfate sulfatase, wbc | 0 | $93.71 |
92537 | Naloxone | 0 | $70.92 |
91546 | Netilmicin | 0 | $46.53 |
91548 | Nitrazepam | 0 | $46.53 |
92001 | Nitrogen - 24 hr. excretion - urine | 0 | $6.43 |
92000 | Nitrogen, 24 hr. excretion - feces | 0 | $19.79 |
91550 | Nortriptyline | 0 | $24.35 |
92005 | Occult blood-feces | 0 | $6.02 |
91551 | Olanzapine | 0 | $24.64 |
92511 | Opiates | 0 | $7.16 |
92010 | Organic acids | 0 | $105.41 |
92015 | Osmolar concentration, serum | 0 | $49.25 |
92016 | Osmolar concentration, urine | 0 | $49.41 |
92020 | Oxalate, timed urine collection | 0 | $58.00 |
92538 | Oxycodone | 0 | $70.92 |
92514 | Oxycodone, screening assay | 0 | $12.82 |
92025 | Oxygen capacity or content | 0 | $20.06 |
92026 | Oxygen, saturation (photometric) | 0 | $10.93 |
92539 | Oxymorphone | 0 | $70.92 |
92030 | Parathyroid hormone (intact) | 0 | $17.52 |
92031 | Parathyroid hormone (mid molecule/carboxyl termina | 0 | $25.18 |
91552 | Paroxetine | 0 | $46.53 |
92035 | Pentagastrin test, gastric | 0 | $67.51 |
92540 | Pentazocine | 0 | $70.92 |
92040 | Peptide hormones | 0 | $25.18 |
91554 | Perphenazine | 0 | $46.53 |
92045 | Ph, pc02 and p02 | 0 | $36.18 |
92050 | Phenothiazine screen | 0 | $7.24 |
92541 | Phentermine | 0 | $70.92 |
92056 | Phenylalanine, quantitative | 0 | $20.56 |
92055 | Phenylalanine, screening test (guthrie) | 0 | $4.04 |
92542 | Phenylpropanolamine | 0 | $70.92 |
92065 | Phenylpyruvic acid, qualitative, urine | 0 | $2.35 |
92060 | Phenytoin | 0 | $17.13 |
92072 | Phosphate, timed urine collection | 0 | $3.95 |
92070 | Phosphates, random urine | 0 | $2.24 |
92071 | Phosphates, serum/plasma | 0 | $1.62 |
92075 | Pigments, abnormal (spectroscopic) | 0 | $14.06 |
90415 | Plasma preparation | 0 | $16.19 |
92085 | Porphobilinogen, qualitative, urine | 0 | $9.70 |
92090 | Porphyrins, qualitative, urine | 0 | $7.62 |
92095 | Porphyrins, quantitative - blood | 0 | $21.76 |
92092 | Porphyrins, quantitative - feces | 0 | $132.71 |
92091 | Porphyrins, quantitative - urine | 0 | $56.74 |
92100 | Potassium, serum/plasma | 0 | $1.39 |
92101 | Potassium, timed urine collection | 0 | $5.57 |
92102 | Potassium, urine random | 0 | $2.84 |
92103 | Potassium, whole blood | 0 | $1.05 |
92105 | Pre albumin | 0 | $20.16 |
92110 | Pregnancy test - serum | 0 | $14.74 |
92108 | Pregnancy test, immunologic - urine | 0 | $15.50 |
92115 | Pregnanediol, urine | 0 | $45.07 |
92120 | Pregnanetriol, urine | 0 | $53.20 |
92125 | Primidone (mysolene) | 0 | $18.49 |
91556 | Procainamide | 0 | $46.53 |
92130 | Progesterone, serum/plasma | 0 | $14.86 |
92131 | Progesterone, serum/plasma 17-oh | 0 | $41.71 |
92135 | Prolactin | 0 | $13.49 |
92543 | Propoxyphene | 0 | $70.92 |
91558 | Propranolol | 0 | $46.53 |
90710 | Prostatic specific antigen (psa) | 0 | $14.35 |
92150 | Protease inhibitor | 0 | $32.95 |
92397 | Protein creatinine ratio, urine | 0 | $7.67 |
92147 | Protein total, joint fluid | 0 | $1.05 |
92148 | Protein total, serum or plasma | 0 | $1.60 |
92149 | Protein total, transudate/exudate | 0 | $1.05 |
92146 | Protein, timed urine collection | 0 | $5.95 |
92145 | Proteins, total quantitative, c.s.f. | 0 | $7.14 |
92156 | Pryruvate carboxylase, fibroblasts | 0 | $93.71 |
92544 | Pseudoephedrine | 0 | $70.92 |
92151 | Purine, pyrimidine and creatine disorder screen | 0 | $63.34 |
92157 | Pyruvate dehydrogenase, fibroblasts | 0 | $93.71 |
92155 | Pyruvates | 0 | $17.98 |
92160 | Quantitative beta hcg | 0 | $16.30 |
92165 | Quantitative hcg (intact) | 0 | $25.18 |
91559 | Quetiapine | 0 | $24.64 |
92180 | Quinidine | 0 | $27.36 |
92185 | Renin, single determination | 0 | $63.87 |
92190 | Renin, two or more determinations | 0 | $98.11 |
92195 | Respiratory chain enzymes-muscle | 0 | $274.56 |
92197 | Retinol binding protein | 0 | $27.82 |
91561 | Risperidone | 0 | $26.46 |
92201 | Salicylates, qualitative, gastric | 0 | $2.88 |
92200 | Salicylates, qualitative, serum | 0 | $5.24 |
92202 | Salicylates, qualitative, urine | 0 | $3.01 |
92203 | Salicylates, quantitative, serum | 0 | $9.26 |
92204 | Salicylates, quantitative, urine | 0 | $9.77 |
92205 | Scc | 0 | $20.40 |
92210 | Secretin - pancreozymin test | 0 | $462.10 |
92215 | Selenium | 0 | $49.77 |
93160 | Semen - examination - complete | 0 | $82.34 |
93170 | Seminal examination | 0 | $26.98 |
92220 | Seminal fructose | 0 | $7.32 |
91560 | Sertraline | 0 | $52.35 |
92225 | Serum viscosity | 0 | $23.17 |
92267 | Sex hormone binding globulig (shbg) | 0 | $13.56 |
92227 | Sirolimus | 0 | $43.01 |
91430 | Skin fibroblasts-culturing/biochemical/dna | 0 | $603.88 |
92230 | Sodium, random urine | 0 | $2.72 |
92231 | Sodium, serum/plasma | 0 | $1.38 |
92232 | Sodium, timed urine collection | 0 | $4.60 |
92233 | Sodium, whole blood | 0 | $1.05 |
92236 | Somatotropin, additional specimen | 0 | $19.36 |
92235 | Somatotropin, one specimen | 0 | $30.38 |
93060 | Special banding (q-, r-, c-) | 0 | $29.48 |
93055 | Special staining (giemsa ii, dapi, sce, nor) | 0 | $30.78 |
92240 | Specific protein analysis/preparative ultracentrif | 0 | $141.14 |
92250 | Sphingomyelinase, fibroblasts | 0 | $51.38 |
92251 | Sphingomyelinase, white blood cells | 0 | $51.38 |
91010 | Split base fee (referral facility) | 0 | $7.02 |
90810 | Stool examination - amoebae | 0 | $46.93 |
92255 | Sulfonamides, quantitative, urine | 0 | $3.77 |
36067 | Supervised labour and delivery-conditional midwive | 0 | $131.32 |
36066 | Supervision of continuity of care-conditional midw | 0 | $315.15 |
36068 | Supervision of in-office competency-based skills | 0 | $15.75 |
36069 | Supervision of out-of-office competency-based | 0 | $26.26 |
92260 | Sweat test (mucoviscidosis) chemical | 0 | $10.20 |
92311 | T3 - free | 0 | $9.35 |
92263 | Tacrolimus | 0 | $23.47 |
92266 | Testosterone total | 0 | $15.81 |
92506 | Tetrahydrocannabinoids (thc) | 0 | $10.92 |
92270 | Thallium | 0 | $43.91 |
92275 | Theophylline | 0 | $42.33 |
92277 | Thiopurine metabolites | 0 | $50.46 |
92278 | Thiopurine metabolites | 0 | $54.49 |
91562 | Thioridazine | 0 | $48.47 |
90545 | Thrombin time | 0 | $8.31 |
92280 | Thyroglobulin | 0 | $27.90 |
92285 | Thyroglobulin antibodies | 0 | $20.40 |
92290 | Thyroid binding globulin | 0 | $20.40 |
92305 | Thyroid receptor ab | 0 | $22.48 |
92320 | Thyroid releasing hormone (trh) stimulation test | 0 | $55.91 |
92325 | Thyroid stimulating hormone, tsh | 0 | $9.90 |
92332 | Thyroperoxidase antibodies | 0 | $20.22 |
92315 | Thyroxine ratio, t4 or total | 0 | $12.12 |
92335 | Tissue iron | 0 | $43.91 |
91564 | Tobramycin | 0 | $26.17 |
91565 | Topiramate | 0 | $24.64 |
92310 | Total t3 | 0 | $12.12 |
92340 | Transcobalamine ii | 0 | $20.40 |
92345 | Transferrin | 0 | $7.56 |
92346 | Transferrin isoelectric focusing(qualitive) | 0 | $90.49 |
91566 | Trazodone | 0 | $46.53 |
91568 | Trifluoperazine | 0 | $46.53 |
92350 | Triglycerides, serum/plasma | 0 | $6.59 |
92351 | Triglycerides, transudate/exudate | 0 | $9.05 |
91570 | Trimipramine | 0 | $46.53 |
92355 | Troponin | 0 | $15.05 |
92360 | Trypsin, qualitative, feces | 0 | $2.24 |
92361 | Trypsin, quantitative, feces | 0 | $3.96 |
92362 | Trypsin, quantitative, gastric | 0 | $3.96 |
92365 | Urea, amniotic fluid | 0 | $1.06 |
92366 | Urea, csf | 0 | $1.06 |
92367 | Urea, nitrogen quantitative, urine | 0 | $7.42 |
92368 | Urea, serum/plasma | 0 | $1.57 |
92369 | Urea, urine random | 0 | $1.76 |
92370 | Urea, whole blood | 0 | $1.06 |
92375 | Uric acid, random urine | 0 | $1.06 |
92376 | Uric acid, serum/plasma | 0 | $1.70 |
92377 | Uric acid, synovial fluid | 0 | $1.58 |
92378 | Uric acid, timed urine collection | 0 | $4.56 |
92385 | Urinalysis - or any part of (screening) | 0 | $2.05 |
92391 | Urinalysis-microscopic exam of centrifuged deposit | 0 | $4.19 |
92390 | Urinalysis, macroscopic | 0 | $7.42 |
92395 | Urinalysis, microscopic | 0 | $7.17 |
92382 | Urinalysis, screening and microscopic | 0 | $5.63 |
92550 | Urine, drugs of abuse screen - per analyte | 0 | $6.95 |
92400 | Urobilin, qualitative, urine | 0 | $2.35 |
92405 | Urobilinogen, qualitative, urine | 0 | $4.09 |
92406 | Urobilinogen, timed urine collection | 0 | $13.58 |
91572 | Valproic acid | 0 | $16.55 |
91573 | Vancomycin | 0 | $15.57 |
92420 | Vanillylmandelic acid | 0 | $38.61 |
90000 | Venepuncture | 0 | $7.65 |
92425 | Very long chain fatty acids | 0 | $91.69 |
91576 | Vigabatrin | 0 | $26.68 |
92430 | Vitamin a | 0 | $47.86 |
92435 | Vitamin b1 | 0 | $54.30 |
92450 | Vitamin b12 | 0 | $14.38 |
92440 | Vitamin b2 | 0 | $54.30 |
92445 | Vitamin b6 | 0 | $54.30 |
92455 | Vitamin d (1,25 dihydroxy) | 0 | $94.49 |
92460 | Vitamin d (25 hydroxy-cholecalciferol) | 0 | $61.32 |
92465 | Vitamin e | 0 | $53.94 |
91861 | Voltage-gated calcium channel antibody (vgcc ab) | 0 | $281.78 |
92467 | White blood cell preparation for lysosomal enzyme | 0 | $42.36 |
92470 | Xylose tolerance | 0 | $106.16 |
92475 | Zinc | 0 | $102.44 |
91574 | Zopiclone | 0 | $24.64 |
91575 | Zuclopenthixol | 0 | $24.64 |
Allergy, patch and photopatch tests |
|||
00765 | Annual maximum (scratch or intracutaneous tests) | 0 | $34.40 |
00767 | Patch testing (extra) (annual maximum, 80 tests) per test | 0 | $1.96 |
00769 | Photopatch test, annual maximum | 0 | $56.69 |
00768 | Photopatch test, per test | 0 | $5.66 |
00763 | Scratch test - children under 5 years | 0 | $2.32 |
00762 | Scratch test, per antigen | 0 | $1.06 |
Anesthesiology |
|||
01215 | Anesthesia surcharge - nonoperative - evening | 0 | $66.69 |
01216 | Anesthesia surcharge - nonoperative - night | 0 | $91.18 |
01217 | Anesthesia surcharge - nonoperative -weekend, stat | 0 | $66.69 |
Anesthestic Intensity / Complexity Levels |
|||
01180 | Level 10 - per 15 mins-anaes. intensity / complexity | 10 | $50.00 |
01181 | Level 11 - per 15 mins-anaes. intensity / complexity | 11 | $50.00 |
01172 | Level 2 - per 15 mins-anaes. intensity / complexity | 2 | $36.64 |
01173 | Level 3 - per 15 mins-anaes. intensity / complexity | 3 | $36.75 |
01174 | Level 4 - per 15 mins-anaes. intensity / complexity | 4 | $36.75 |
01175 | Level 5 - per 15 mins-anaes. intensity / complexity | 5 | $41.87 |
01176 | Level 6 - per 15 mins-anaes. intensity / complexity | 6 | $43.75 |
01177 | Level 7 - per 15 mins-anaes. intensity / complexity | 7 | $43.75 |
01178 | Level 8 - per 15 mins-anaes. intensity / complexity | 8 | $49.82 |
01179 | Level 9 - per 15 mins-anaes. intensity / complexity | 9 | $50.00 |
Anesthetic Procedural Fee Modifiers |
|||
01192 | Awake intubation, any means, for difficult airway | 0 | $61.13 |
01082 | Catheter axillary - insertion during GA | 0 | $24.26 |
01084 | Catheter insertion - intrapleural, during GA | 0 | $27.93 |
01072 | Epidural catheter - lumbar insertion during GA | 0 | $41.75 |
01071 | Epidural catheter - thoracic insertion during GA | 0 | $54.28 |
01070 | Hypotension - controlled in neurosurgical anaesth | 0 | $61.13 |
01168 | Neonates-anaesthesia - < 42 gest wks and / or 4000 gr | 0 | $122.20 |
01169 | Neonates-anaesthesia - < 42 gest wks and / or 4000 gr | 0 | $10.00 |
01065 | Patients < one year - anaesthetic modifier | 0 | $61.10 |
01164 | Patients 70-79 years of age - anaesthesia | 0 | $20.38 |
01165 | Patients 80 years of age and over-anaesthesia | 0 | $41.56 |
01059 | Prone position | 0 | $35.50 |
01077 | Pulmonary artery catheterization | 0 | $55.60 |
01096 | Retrobulbar / peribulbar block with anaesthetic | 0 | $34.04 |
01166 | Sitting position - anaesthesia | 0 | $61.13 |
01093 | Spinal cord monitoring - interp of ssep during GA | 0 | $40.76 |
Angiography |
|||
08626 | Angiogram, thoracic or abdominal, mult non-select | 0 | $137.74 |
08627 | Angiogram, thoracic or abdominal, mult selective | 0 | $135.56 |
08616 | Angiography cerebral x-ray - bilateral | 0 | $232.60 |
08615 | Angiography cerebral x-ray - unilateral | 0 | $135.56 |
08618 | Angiography peripheral - bilateral | 0 | $104.61 |
08617 | Angiography peripheral - unilateral | 0 | $70.17 |
Angioplasty |
|||
77114 | Intraoperative open or percutaneous angioplasty | 3 | $589.40 |
77113 | Intraoperative open or percutaneous tibial artery angioplasty | 2 | $697.42 |
Anus Excision |
|||
70676 | Abscess - ischiorectal/ intramural - incision | 2 | $389.95 |
07687 | Anal fissure, excision | 2 | $115.00 |
70675 | Anal seton - removal | 2 | $28.67 |
07691 | Anus imperforate simple incision | 2 | $303.06 |
71682 | Botox injection for anal fissure | 2 | $252.34 |
07675 | Fistula-in-ano - subcutaneous or submucous | 2 | $250.00 |
07677 | Fistula-in-ano - multiple or horseshoe | 2 | $451.50 |
07676 | Fistula-in-ano - submuscular | 2 | $337.72 |
71700 | Fistula-in-ano; closure of congenital anal fistula | 2 | $645.16 |
07666 | Fistula-in-ano; second stage; division - sphincter | 2 | $250.00 |
71689 | Hemmorhoid(s); office procedure (eg band ligation) | 2 | $80.58 |
71690 | Hemorrhoid(s); office procedure-infrared photocoag | 2 | $80.58 |
71691 | Hemorrhoid(s); office procedure-infrared photocoag | 0 | $16.82 |
07683 | Hemorrhoidectomy | 2 | $268.05 |
07678 | Incision and drainage perianal abscess,superficial | 2 | $91.43 |
07679 | Incision/drain abscess - ischiorectal, intramural | 2 | $203.01 |
71686 | Papillectomy - multiple - extra | 2 | $123.30 |
71684 | Papillectomy - single - extra | 2 | $67.87 |
71681 | Sphincterotomy with/without fissurectomy | 2 | $303.07 |
Anus Repair |
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07689 | Anal dilation under general anaesthetic | 2 | $152.67 |
70665 | Anoplasty - adult | 2 | $451.50 |
07690 | Anoplasty for imperforate anus - peads | 4 | $602.52 |
70674 | Destruction - anal lesion | 2 | $75.41 |
70680 | Destruction of anal lesion - complicated | 2 | $252.69 |
70683 | Eua with or without sigmoidoscopy | 2 | $152.95 |
07452 | Extra-peritoneal rectum +/- colostomy - repair | 7 | $962.78 |
70668 | Graft - rectal incontinence/prolapse: | 2 | $203.93 |
70671 | Imbrication - levator muscle | 2 | $451.50 |
70672 | Implantation - artificial sphincter | 4 | $1,009.32 |
70666 | Sphincteroplasty - anal - adult | 2 | $451.50 |
70670 | Sphincteroplasty - anal - incontinence | 3 | $702.52 |
Appendix |
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72658 | Appendectomy - laparoscopic | 4 | $480.30 |
72659 | Appendectomy - laparoscopic - perforated | 5 | $505.30 |
72657 | Appendectomy - perforated |