MSP Billing Codes

Specialty: Diagnostic And Selected Therapeutic Procedures

Code	Description	Anes	Fee
Search a description within this chart
762	Scratch test, per antigen	0	$1.06
763	Scratch test - children under 5 years	0	$2.32
765	Annual maximum (scratch or intracutaneous tests)	0	$34.40
767	Patch testing (extra) (annual maximum, 80 tests) per test	0	$1.96
768	Photopatch test, per test	0	$5.66
769	Photopatch test, annual maximum	0	$56.69
810	Right heart catheterization, by duly qualified specialist	4	$165.44
812	Selective angiocardiogram, extra, by duly qualified specialist	4	$55.52
813	Ergonovine provocative testing for coronary artery spasm	4	$79.14
814	Dye dilution studies, extra, by duly qualified specialist	4	$55.52
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816	Hydrogen ion study	2	$28.96
830	Trans-septal left heart catheterization	4	$235.58
839	Direct intra-coronary streptokinase thrombolysis	4	$361.78
704	Cystoscopy to include dilation & panendoscopy	2	$95.37
705	Cystoscopy with catheterization of ureters	2	$111.51
721	Myelogram diagnostic	2	$44.19
723	Sialogram or galactograms injection	2	$48.85
724	Air insufflation - presacral	2	$39.17
727	Salpingogram diagnostic	2	$77.95
728	Orthodiagram diagnostic	2	$11.87
729	Fluoroscopy of chest by internist or pediatrician - procedural fee	0	$11.11
730	Catheterization of bronchi for bronchogram	4	$27.48
732	Cysto-urethrogram, voiding	2	$19.74
733	Intra-osseous venogram	2	$59.58
734	Lymphangiography or lymphography - surgical	0	$130.97
748	Bone biopsy, under local/regional anaesthetic	0	$63.99
811	Joint injection, aspiration or arthogram	2	$53.31
857	Cholangiogram percutaneous transhepatic	2	$113.54
985	Brainstem auditory evoked response	0	$48.66
986	Somatosensory evoked response - upper extremity	0	$37.08
987	Somatosensory evoked response - upper and lower	0	$64.10
988	Visual evoked response	0	$71.89
771	Retinal examination under anaesthesia	3	$20.08
775	Hydrotubation	0	$44.57
776	Fetal scalp sampling	0	$100.09
782	Needle aspiration of pouch of douglas	2	$35.33
783	Huhners test	0	$44.57
784	Cervical punch biopsy	2	$19.23
785	Endometrial biopsy	2	$44.57
786	Pelvic exam with aspiration pouch of douglas	2	$47.09
787	Amniocentesis, transabdominal	2	$87.80
790	Foetal heart monitoring - interpretation only	0	$17.61
794	Chorionic villus sampling	2	$120.73
807	Diagnostic hysteroscopy	2	$152.83
808	Diagnostic hysteroscopy with biopsy(s)	2	$203.77
815	Laparoscopic biopsies/lysis of adhesions	4	$62.32
819	Diagnostic vaginoscopy under ga	2	$152.83
739	Percutaneous lung or mediastinal biopsy	2	$111.09
740	Liver biopsy	2	$109.61
741	Splenic biopsy	2	$109.61
742	Renal biopsy	2	$111.09
743	Breast lesion, non-palpable localizing	2	$125.53
747	Prostate biopsy	2	$32.47
771	Retinal examination under anaesthesia	3	$20.08
843	Selective arteriography of abdominal branch	2	$100.98
847	Selective arteriography of thoracic aortic branch	2	$163.73
853	Venacavogram - superior	2	$24.26
854	Venacavogram - inferior	2	$116.28
855	Selective catheterization, vena cava or iliac -1st	2	$90.31
856	Selective cath. of vena cava or iliac - others	2	$60.04
880	Portal pressures - hepatic vein wedge pressure	0	$65.89
881	Portal pressures - percutaneous, splenic	2	$52.73
885	Digital angiography - peripheral injection	2	$46.99
888	Ventriculogram, with no ventricular access device	3	$256.42
889	Ventriculogram through previous ventricular access	3	$128.22
890	Aortogram abdominal	2	$116.28
891	Arteriogram - carotid percutaneous; bilateral	3	$172.79
892	Arteriogram - carotid percutaneous, unilateral	3	$114.91
893	Arteriogram - femoral or axillary	2	$88.98
894	Arteriogram - cerebral	3	$193.71
896	Arteriography pulmonary	3	$141.15
897	Aortogram thoracic	2	$167.15
898	Balloon septostomy	7	$338.65
919	Impedance plethysmography - professional fee	0	$6.89
920	Impedance plethysmography - technical fee	0	$34.55
871	Pulse tracing - intravascular, including both arterial and venous	0	$55.52
11917	Two-night polysomnography - professional fee	0	$251.10
11918	Two-night polysomnography - technical fee	0	$774.04
930	Peak expiratory flow rate	0	$5.57
958	Exercise induced asthma - professional fee	0	$22.35
959	Exercise induced asthma - technical fee	0	$32.95
970	Precipitin tests - professional fee	0	$11.16
971	Precipitin tests - technical fee	0	$27.05
752	Cisternal puncture	2	$38.41
761	Bursa or cyst - puncture procedure	2	$14.65
738	Biliary calculi - removal by burhenne technique	4	$206.05
746	Reduction of intussusception using hydrostatic	4	$97.49
921	Varicocele +/or uterine artery embolization unilat	3	$464.98
925	Varicocele and/or uterine artery embolization	3	$674.52
977	Antegrade pyelogram	2	$106.23
978	Percutaneous nephrostomy, procedural fee	2	$301.15
979	Percutaneous nephrostomy, with dilatation	2	$401.45
980	Transhepatic biliary drainage, radiological	3	$425.44
981	Embolization, therapeutic radiological	3	$425.44
982	Angioplasty, percutaneous transluminal	2	$405.54
983	Percutaneous abdominal abscess drainage	2	$277.00
984	Exchange of previously inserted cath. or dilator	2	$126.89
989	Extra-corporeal shock wave lithotripsy	4	$136.64
994	Extra-corp. shock wave biliary lithotripsy	4	$167.11
995	Embolization of brain and spinal cord avm's	3	$2,098.46
997	Detachable balloon embolization	3	$1,312.16
998	Embolization of head, neck and spinal vascular	3	$1,618.27
10901	Percutaneous image-guided catheter directed thromb	2	$589.66
10902	Peripherally inserted image-guided central venous	2	$112.32
10903	Percutaneous hemodialysis graft thrombolysis	2	$589.66
10904	Percutaneous transcatheter arterial chemo-emboliz	3	$589.66
10905	Cerebral intra-arterial thrombolysis	5	$1,312.16
10906	Image-guided percutaneous vertebroplasty-1st level	4	$365.04
10907	Image-guide percutaneous vertebroplasty-each add.	4	$84.25
10908	Percutaneous image-guid tumour ablation-1st lesion	3	$530.20
10909	Percutaneous intravascular/intracorporeal medical	3	$393.12
10911	Selective salpingography/fallopian tube recanaliza	2	$393.12
10912	Transjugular liver/renal biopsy	2	$393.12
10913	Cerebral arterial balloon occlusion tolerance test	5	$798.88
10914	Percutaneous balloon angioplasty for cerebral	9	$1,026.79
10915	Endovascular obliteration of aneurysms using gugli	7	$1,997.22
10916	Complex diagnostic neuroangiography for the assess	5	$1,174.82
10917	Complex diagnostic neuroangiography after 4 hours	0	$293.72
10918	Percutaneous sclerotherapy of head and neck vascul	6	$469.94
10919	Intravascular stent placement-extra	0	$129.56
10920	Intracorporeal stent placement-extra	0	$129.56
10921	Transjugular intrahepatic porto-systemic shunt(tip	8	$1,113.42
10922	Embolization mgmtof epistaxis w/o vascular lesion	3	$628.08
792	Cysto-ureterogram - technical fee	2	$12.52
793	Cysto-ureterogram - professional fee	0	$6.26
799	Transurethral ureterorenoscopy to include c&p	2	$158.13
800	Transurethral ureterorenoscopy with x-ray control	2	$384.37
802	Urethrogram	2	$39.53
803	Loopogram	0	$54.70
874	Urethral profilometry (water or gas)	0	$19.77
875	Uroflowimetry	0	$31.64
876	Video uro-dynamics (full study)	0	$200.16
878	Cystometry/pelvic floor emg	0	$66.24

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