MSP Billing Codes

Specialty: Orthopaedics

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Code	Description	Anes	Fee
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Application of Cast (Incl. External Stimulator)
51019	Cast - below knee	2	$23.23
51024	Cast - body	2	$86.95
51025	Cast - cast brace	2	$46.49
51023	Cast - hip spica - adult	2	$86.95
51022	Cast - hip spica - child	2	$86.95
51017	Cast - long arm	2	$23.23
51021	Cast - long leg	2	$23.23
51020	Cast - long leg cylinder	2	$23.23
51018	Cast - shoulder spica	2	$86.95
51016	Cast: short arm	2	$23.23
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Diagnostic and Therapeutic
11402	Aspiration - bursa/synovial sheath, etc.	2	$23.23
11602	Aspiration - knee joint - bursa/tendon sheath, e	2	$23.23
11302	Aspiration - bursa/tendon sheath - diagnostic	2	$23.23
11501	Aspiration - hip joint	2	$23.23
11502	Aspiration - hip -bursa/tendon sheath, etc.	2	$11.63
00757	Aspiration other joints	2	$12.03
Elbow, Proximal Radius and Ulna
53980	Amputation - elbow	3	$406.12
53981	Amputation - forearm	3	$406.12
53998	Amputation - forearm - primary wound care	3	$102.26
53999	Amputation - forearm - secondary wound management	3	$186.72
53810	Arthrodesis - elbow joint	3	$718.88
53641	Arthroplasty - elbow - interposition/distraction	3	$924.30
53642	Arthroplasty- total elbow	3	$991.26
53643	Arthroplasty- total elbow - revision	3	$1,335.36
11300	Arthroscopy - elbow joint	2	$268.43
11332	Arthroscopy/biopsy- elbow joint	2	$296.44
11315	Arthrotomy - elbow joint	2	$186.72
53521	Biceps tendon, distal insertion - elbow	2	$569.50
53520	Biceps tendon, longhead, tenodesis - elbow	2	$270.75
11330	Biopsy - needle - elbow joint/ga	2	$186.72
11345	Biopsy - open - elbow joint	2	$242.74
53653	Bone grafting - olecranon - elbow	2	$149.38
53652	Bone grafting - radius and/or ulna - elbow	2	$242.74
53651	Bone grafting: humerus - elbow	2	$242.74
53385	Bone tumour - elbow - osteomyelitis-debridement	2	$322.10
53380	Bone tumour - elbow - osteomyelitis, acute	2	$186.72
53712	Distal humerus - closed reduction external fixation/percutaneous fixation	2	$386.07
53727	Distal humerus - open injury, primary wound care	2	$102.26
53728	Distal humerus - open injury, secondary wound management	2	$186.72
53718	Distal humerus - open injury, primary wound care	2	$102.26
53719	Distal humerus - open injury, secondary wound management	2	$186.72
53715	Distal humerus - orif	2	$444.88
53726	Distal humerus - orif - bicondylar with or without olecranon osteotomy	2	$868.26
53725	Distal humerus - orif - unicondylar/osteochondral	2	$406.12
53602	Distal humerus - repair - elbow	2	$718.88
53722	Distal humerus-closed reduction external fixation	2	$354.78
53711	Distal humerus: closed reduction, with ga, cast/traction	2	$186.72
53721	Distal humerus: closed reduction, with ga, cast/traction/ and/or percutaneous fixation	2	$186.72
53370	Elbow - bone tumour, benign	2	$270.75
53360	Elbow arthrotomy - open synovectomy	2	$406.12
53365	Elbow excision benign soft tissue tumor,subfacial	2	$270.75
53505	Elbow instability- chronic	2	$676.86
53752	Elbow joint - closed reduction, with ga	2	$242.74
53751	Elbow joint - closed reduction, without ga	2	$149.38
53755	Elbow joint - open reduction	2	$298.77
53225	Elbow joint arthrotomy i and d	2	$186.72
53310	Elbow, excision - debridement, synovectomy-total	2	$642.00
53305	Elbow, excision -removal loose body	2	$333.85
53355	Elbow, excision -therapeutic - bursa/ganglion	2	$214.73
53260	Elbow, fasciotomy, compartment syndrome	2	$214.73
53269	Elbow, incision - fasciotomy, secondary wound	2	$186.72
53255	Elbow, incision-decompression,neurolysis	2	$406.12
53215	Elbow, proximal radius- abscess i&d under ga	2	$186.72
53220	Elbow, proximal radius/ulna - hematoma under ga	2	$242.74
53210	Elbow, proximal radius/ulna - i & d	2	$186.72
53250	Elbow,proximal radius/ulna- decompression/neuroly	2	$242.74
53540	Epicondylitis - fascial stripping - elbow	2	$214.73
53606	Epiphysiodesis - repair/revision - elbow	2	$270.75
53702	Humeral epicondyle - closed reduction percutaneous fixation	2	$270.75
53701	Humeral epicondyle - closed reduction, with ga, cast	2	$242.74
53708	Humeral epicondyle - open injury, primary wound care	2	$102.26
53709	Humeral epicondyle - open injury, secondary wound management	2	$186.72
53705	Humeral epicondyle - orif	2	$270.75
53601	Humeral shaft - repair - elbow	2	$711.89
53410	Injection of bursa/tendon sheath - elbow	0	$11.63
53405	Injection of joint - elbow	0	$11.63
53415	Int fixation device(s)-elbow-removal with ga	2	$214.73
53420	Int fixation device(s)-elbow-removal/without ga	2	$70.02
53800	Manipulation - under ga - elbow joint	2	$93.37
53738	Olecranon - open injury, primary wound care	2	$102.26
53739	Olecranon - open injury, secondary wound management	2	$186.72
53735	Olecranon - orif	2	$416.76
53644	Osteocapsular arthroplasty	4	$924.49
53607	Physeal bar excision/harvest - elbow	2	$448.14
53386	Radial head resection - elbow	2	$242.74
53742	Radial head/neck - closed reduction percutaneous fixation	2	$270.75
53741	Radial head/neck - closed reduction, with ga, cast	2	$242.74
53748	Radial head/neck - open injury, primary wound care	2	$102.26
53749	Radial head/neck - open injury, secondary wound management	2	$186.72
53745	Radial head/neck - orif	2	$406.12
53605	Radius and ulna shafts - repair/revision - elbow	2	$718.88
53779	Radius or ulna shaft/monteggia - open injury, secondary wound management	2	$186.72
53772	Radius or ulna shaft/monteggia - closed reduction external fixation	2	$270.75
53778	Radius or ulna shaft/monteggia - open injury, primary wound care	2	$102.26
53775	Radius or ulna shaft/monteggia - orif	2	$416.76
53771	Radius or ulna shaft/monteggia-closed reduction, with ga, cast	2	$270.75
53603	Radius shaft -repair - elbow	2	$595.16
53761	Radius/ulna shaft - closed reduction, without ga, cast	2	$93.37
53768	Radius/ulna shaft - open injury, primary wound care	2	$102.26
53765	Radius/ulna shaft - orif	2	$541.49
53762	Radius/ulna shaft- closed reduction, with ga, cast	2	$298.77
53769	Radius/ulna shaft-open injury, secondary wound management	2	$186.72
53510	Recurrent dislocation - radial head - elbow	2	$569.50
53530	Tendon transfer - major - elbow	2	$718.88
53531	Tendon transfer- minor - elbow	2	$434.15
53515	Triceps tendon - acute - elbow	2	$352.44
53516	Triceps tendon, fascial reconstruction - elbow	2	$406.12
53604	Ulna shaft - repair - elbow	2	$520.94
Femur, Knee Joint, Tibia and Fibula
56322	Abrasion debridement, extra - first 15 min.	2	$143.81
56323	Abrasion debridement,extra-each additional 15 min.	0	$71.91
56330	Abrasion/debridement - knee	2	$287.62
56980	Amputation - below the knee	3	$518.18
56998	Amputation: below knee - open - prim. wound care	3	$102.26
56999	Amputation: below knee - open - sec. wound mana	3	$186.72
56810	Arthrodesis - knee joint	3	$802.93
56321	Arthroplasty - knee - arthroscopic	2	$287.62
56661	Arthroplasty - knee joint	4	$802.93
11600	Arthroscopy - knee joint	2	$214.73
11632	Arthroscopy/biopsy - knee joint	2	$214.73
11615	Arthrotomy - knee joint	3	$242.74
56225	Arthrotomy - knee joint	3	$186.72
56356	Arthrotomy - removal of loose body - knee	3	$242.74
56357	Arthrotomy knee - pinning/drilling	3	$352.44
11630	Biopsy - needle - knee joint/ga	2	$186.72
11645	Biopsy - open - knee joint	2	$242.74
56653	Bone grafting - epiphysiodesis	3	$298.77
56654	Bone grafting - physeal bar excision	3	$508.83
56652	Bone grafting - tibia	3	$270.75
56370	Bone tumour - benign - knee	3	$270.75
56250	Decompression - knee joint	2	$214.73
56260	Fasciotomy, compartment syndrome - knee joint	3	$235.21
56651	Femur - bone grafting	3	$270.75
56210	Femur, knee joint/tibia/fibula - i & d/ga	2	$186.72
56215	Femur/knee joint/tibia/fibula - abscess i & d/ga	2	$186.72
56769	Fibular shaft fracture - open - prim. wound care	2	$186.72
56702	Frac./disloc. femur (supracond) - closed w/ ga	2	$214.73
56701	Frac./disloc. femur (supracond) -closed w/o ga	2	$121.36
56704	Frac./disloc. femur (supracond)- closed w/ im nail	5	$774.90
56708	Frac./disloc. femur (supracond)- prim. wound care	2	$102.26
56709	Frac./disloc. femur (supracond)- sec. wound care	2	$186.72
56703	Frac./disloc. femur (supracond)-closed, extern fix	2	$354.78
56705	Frac./disloc. femur (supracondylar) - orif	4	$774.90
56711	Frac./disloc. femur cond./intracond-closed w/o ga	2	$93.37
56712	Frac./disloc. femur cond./intracond.-closed w/ ga	2	$186.72
56713	Frac./disloc. femur cond/intracond-closed ex fix	2	$354.78
56718	Frac/disloc femur con/intracond-op prim wound care	2	$102.26
56719	Frac/disloc femur cond/intracond-op sec wound care	2	$186.72
56716	Frac/disloc femur cond/intracond-orif-bicondylar	4	$1,115.69
56715	Frac/disloc femur cond/intracond-orif-unicondylar	4	$774.90
56353	Ganglion/cyst - knee	2	$214.73
56220	Hematoma - femur/knee joint/tibia/fibula	2	$298.77
56410	Injection - bursa/tendon sheath - knee	0	$23.23
56405	Injection of joint - knee	0	$23.23
56306	Knee - pinning/drilling osteochondral fragment	2	$410.88
56415	Knee - removal of int fixation device(s)/ga	2	$242.74
56420	Knee - removal of internal fixation device(s)	2	$70.02
56269	Knee joint - secondary wound closure	2	$186.72
56280	Knee liberation/major release	3	$770.24
56528	Knee ligament - open injury - primary wound care	2	$102.26
56529	Knee ligament - open injury - secondary wound care	2	$186.72
56505	Knee ligament instability - one repair	3	$616.34
56510	Knee ligament instability - posterior cruciate	3	$746.91
56520	Knee ligament instability - three ligaments	3	$835.59
56515	Knee ligament instability - two ligaments	3	$718.62
56335	Lateral/medial release - endoscopic knee	2	$287.62
56800	Manipulation - knee joint w/ ga	2	$93.37
56666	Meniscal allograft transplant	5	$1,301.86
56325	Meniscal repair	2	$410.88
56362	Meniscal repair - knee	3	$352.44
56361	Menisectomy - knee	3	$242.74
56320	Menisectomy - knee	2	$287.62
56355	Open excision - knee - bursa/prepatellar	2	$214.73
56380	Osteomyelitis acute - knee - decompression	3	$186.72
56385	Osteomyelitis/debridement - knee.	3	$214.73
56601	Osteotomy distal femur - non-union/malunion	3	$802.93
56604	Osteotomy fibula -non-union/malunion	3	$270.75
56602	Osteotomy proximal tibia - non-union/malunion	3	$569.50
56603	Osteotomy tibia/shaft/fibula - non-union/malunion	3	$746.91
56728	Patellar dislocation - open - primary wound care	2	$102.26
56729	Patellar dislocation - open -sec. wound management	2	$186.72
56725	Patellar dislocation - open reduction & repair	2	$242.74
56738	Patellar fracture - open - primary wound care	2	$102.26
56739	Patellar fracture - open - sec. wound management	2	$186.72
56735	Patellar fracture - orif	2	$462.14
56542	Patellar tendon repair	2	$480.90
56390	Patellectomy	3	$326.77
56734	Patellectomy - patella fracture	2	$326.77
56354	Popliteal cyst - knee	2	$298.77
56285	Quadriceps plasty - knee	3	$625.53
56530	Recur. sublux./disloc. patella-extensor realignmen	3	$434.15
56531	Recurr. sublux./disloc. patella-lateral release	2	$242.74
56541	Recurr. sublux./disloc. quad. tendon rupt.-chronic	2	$490.15
56540	Recurr. sublux./disloc. quad. tendon rupture,acute	2	$345.45
56305	Removal symptomatic loose body - knee	2	$287.62
56315	Resection 'plica'	2	$287.62
56290	Retinacular release - lateral/medial knee - open	2	$242.74
56665	Revision - patellar component	3	$406.12
56664	Revision - total knee	4	$1,104.00
56525	Revision of knee ligament reconstruction	3	$718.88
56275	Soft tissue release - knee - major	3	$487.81
56270	Soft tissue release - knee - minor	2	$345.45
56365	Soft tissue tumour - benign - knee	3	$326.77
56360	Synovectomy - knee, total	3	$464.48
56310	Synovectomy knee, total	2	$487.92
56545	Tendon transfer, transplant - patella	2	$326.77
56742	Tibial plateau fracture - closed red, extern fix	2	$382.78
56741	Tibial plateau fracture - closed red. w/ ga	2	$186.72
56748	Tibial plateau fracture - open - prim. wound care	2	$102.26
56749	Tibial plateau fracture - open - sec. wound manage	2	$186.72
56746	Tibial plateau fracture - orif - bicondylar	3	$924.30
56745	Tibial plateau fracture - orif - unicondylar	3	$653.54
56753	Tibial shaft fracture - closed red. extern fix	2	$354.78
56752	Tibial shaft fracture - closed red. w/ ga	2	$214.73
56751	Tibial shaft fracture - closed red. w/o ga	2	$93.37
56754	Tibial shaft fracture - closed reduction im nail	3	$686.20
56758	Tibial shaft fracture - open - prim. wound care	2	$102.26
56759	Tibial shaft fracture - open - sec. wound manag.	2	$186.72
56755	Tibial shaft fractures - orif	3	$569.50
56662	Total knee replacement	4	$802.93
56663	Total knee, removal prosthesis, includes prostalac	4	$490.15
Hand and Wrist
06218	Amputation - transmetacarpal	2	$254.92
06219	Amputation - finger	2	$254.92
54810	Arthrodesis - wrist - limited or total	2	$658.20
54635	Arthroplasty - total wrist - revision	3	$952.30
54631	Arthroplasty - ulna - distal excision	2	$242.74
54633	Arthroplasty- silastic wrist	2	$541.49
11400	Arthroscopy - wrist joint	2	$287.62
11432	Arthroscopy/biopsy - wrist /hand joint(s)	2	$186.72
11415	Arthrotomy - wrist joint - isolated procedure	2	$186.72
11416	Arthrotomy - mp/pip/dip joints	2	$186.72
11430	Biopsy - needle - wrist joint/ga	2	$186.72
11445	Biopsy - open - hand/wrist	2	$242.74
54651	Bone grafting - distal radius/ulna	2	$242.74
54652	Bone grafting - metacarpal/phalanx	2	$121.36
54372	Bone tumor - benign - carpals/distal radius	2	$324.44
54603	Carpal bone (scaphoid) - repair/revision	2	$541.49
54715	Carpal bone fracture(scaphoid) - open reduction	2	$434.15
54505	Carpal instability - acute	2	$597.51
54510	Carpal instability: chronic	2	$658.20
54387	Carpectomy - proximal row	2	$541.49
54728	Carpus - primary wound care	2	$51.13
54722	Carpus - closed reduction/percutaneous fixation	2	$298.77
54725	Carpus - orif	2	$597.51
54729	Carpus - secondary wound management	2	$93.37
54721	Carpus-dislocation-w/wo fracture-closed reduction	2	$252.09
54310	Debridement/ synovectomy, total	2	$324.44
54515	Distal radio-ulnar instability - chronic	2	$487.81
54351	Excision - open - meniscus/radiocarpal	2	$324.44
54315	Excision triangular fibro cartilage complex (tfcc)	2	$324.44
54350	Foreign body removal - hand/wrist/ga	2	$214.73
54410	Injection bursa, tendon sheath, other peri articular structures	0	$23.23
54405	Injection joint	0	$23.23
54632	Joint replacement - total wrist	2	$718.88
54800	Manipulation - hand/wrist joint under ga	2	$93.37
54380	Osteomyelitis, acute - carpals, distal/radius	2	$186.72
54385	Osteomyelitis/debridement - carpals/distal radius	2	$322.10
54601	Osteotomy - distal radius	2	$658.20
54602	Osteotomy - distal ulna	2	$326.77
54604	Osteotomy - epiphysiodesis/epiphysioplasty/radius/	2	$406.12
54708	Radius - primary wound care	2	$51.13
54702	Radius - closed reduction/ga	2	$298.77
54703	Radius - external/percutaneous fixation.	2	$326.77
54701	Radius - fracture/dislocation-closed reduction	2	$252.09
54705	Radius - orif	2	$518.18
54709	Radius - secondary wound management	2	$93.37
54415	Removal of internal fixation device(s), with ga	2	$214.73
54420	Removal of internal fixation device(s), without ga	2	$46.68
54305	Removal of loose body - hand/wrist	2	$242.74
54386	Styloid - radial/ulnar - excision	2	$214.73
54634	Wrist prosthesis - removal	2	$270.75
Miscellaneous
51040	Aspiration - joint	0	$23.23
51036	Compartment pressure monitoring - extra	2	$92.97
51037	Harvesting of iliac crest autograft - extra	2	$93.37
51038	Harvesting of skin graft - extra	2	$102.68
51039	Harvesting of skin graft - extra	0	$23.23
51067	Ilizarov instrumentation extension/revision -frame	3	$214.73
51065	Ilizarov instrumentation, simple	3	$1,092.35
51066	Ilizarov instrumentation; complex, multiple	4	$1,498.46
51030	Orthopaedic interpretation and written report of submitted x-ray films - including ct scan and mri	0	$39.38
51035	Skeletal traction - application	2	$93.37
51110	Telehealth Consultation - Orthopedics	0	$111.54
51107	Telehealth Office Visit - Orthopedics	0	$51.46
51112	Telehealth Repeat/Limited Consultation - Orthopedics	0	$59.52
51115	Telehealth Special Consultation - Orthopedics	0	$160.37
Musculoskeletal Oncology
51053	Malignant bone tumour - limb	6	$1,083.01
51056	Malignant girdle tumour - pelvis/sacrum	6	$1,624.50
51055	Malignant girdle tumour - scapula	6	$1,083.01
51052	Malignant subfascial soft tissue tumour - complex	6	$1,279.05
51051	Malignant subfascial soft tissue tumour -simple	5	$597.51
51058	Malignant tumor/rotation plasty - resection	6	$2,175.33
51057	Shoulder/pelvis/sacrum - reconstruction	6	$1,092.35
51054	Skeletal defect - reconstruction	6	$1,092.35
Pelvis, Hip and Femur
55215	Abscess - pelvis/hip/femur -incision/drainage/ga	2	$186.72
55741	Acetabulum - fracture- closed reduction	2	$186.72
55745	Acetabulum - orif - one approach	5	$1,307.07
55746	Acetabulum - two/extensile approach	6	$1,848.57
55983	Amputation - above knee	4	$653.54
55980	Amputation - hemicorpectomy	6	$2,446.08
55981	Amputation - hemipelvectomy	6	$1,363.10
55982	Amputation - hip disarticulation	6	$1,036.32
55984	Amputation - knee disarticulation	4	$653.54
55999	Amputation - secondary wound management-above knee	4	$186.72
55810	Arthrodesis - hip joint	6	$1,227.71
55661	Arthroplasty - resection - hip	5	$490.15
11500	Arthroscopy - hip joint	3	$518.18
11532	Arthroscopy/biopsy - hip	3	$518.18
11515	Arthrotomy - hip joint	3	$298.77
55360	Arthrotomy - hip - open synovectomy - total	3	$569.50
55225	Arthrotomy - hip joint - i and d	3	$322.10
11545	Arthrotomy/biopsy - hip	3	$242.74
11546	Biopsy - hip - soft tissue/bone	2	$242.74
11530	Biopsy - needle- hip/ga	2	$186.72
55651	Bone grafting - femur	4	$270.75
55652	Bone grafting - epiphysiodesis, greater trochanter	4	$326.77
55370	Bone tumour, benign - hip	3	$434.15
55310	Debridement/synovectomy - hip - total	3	$597.51
55725	Dislocation - congenital - open reduction -hip	2	$714.22
55721	Dislocation- congenital- hip- closed reduction/ga	2	$270.75
55355	Excision - open - hip - bursa/trochanteric	2	$214.73
55755	Femoral neck/subcapital - orif	5	$830.94
55758	Femoral neck/subcapital - primary wound care	2	$102.26
55760	Femoral neck/subcapital - scfe insitu fixation	5	$518.18
55751	Femoral neck/subcapital -fracture-closed reduction	5	$518.18
55780	Femur/shaft - cast/traction - closed reduction	2	$121.36
55783	Femur/shaft - closed reduction, im nail	5	$774.90
55781	Femur/shaft - closed reduction/ga	2	$214.73
55782	Femur/shaft - external skeletal fixation	4	$354.78
55785	Femur/shaft - orif	5	$774.90
55788	Femur/shaft - primary wound care	2	$102.26
55789	Femur/shaft - secondary wound management	2	$186.72
55759	Frac. femoral neck or subcapital: open -sec. wound	2	$186.72
55701	Fracture-pelvis-closed reduction-skeletal traction	3	$93.37
55220	Hematoma - pelvis/hip/femur - drainage under ga	2	$298.77
55662	Hemi-arthroplasty - hip	5	$567.62
55371	Heterotopic bone resection	3	$515.94
55736	Hip - orif	5	$952.30
55738	Hip - primary wound care	2	$102.26
55739	Hip - secondary wound management	2	$186.72
55711	Hip - dislocation - traumatic	2	$93.37
55731	Hip - fracture/dislocation - reduction	2	$93.37
55761	Hip - intertrochanteric - reduction	5	$653.54
55735	Hip - open reduction	4	$490.15
55732	Hip - reduction/ga	2	$186.72
55727	Hip disloc. open reduction fem & pelvic osteotomy	4	$1,318.75
55726	Hip disloc.open reduction fem or pelvic osteotomy	4	$1,047.97
55768	Hip fracture intertrochanteric primary wound care	2	$102.26
55769	Hip-intertrochanteric - secondary wound management	2	$186.72
55771	Hip: subtrochanteric - internal fixation	5	$891.61
55410	Injection of bursa/tendon sheath - hip	0	$11.63
55405	Injection of joint - hip	0	$11.63
55415	Int fixation device(s) - removal - hip/ga	3	$242.74
55420	Int fixation device(s) - removal - hip/without g	3	$70.02
55305	Loose body - hip - removal	3	$378.11
55275	Major release - two or more - hip	3	$406.12
55800	Manipulation - hip joint under ga	2	$93.37
55270	Minor release - hip - one tendon	2	$298.77
55632	Nonunion or malunion - acetabulum	4	$1,848.57
55635	Nonunion or malunion - femoral lengthening, open	4	$896.29
55636	Nonunion or malunion - femoral shortening, closed	4	$896.29
55633	Nonunion or malunion - proximal femur	4	$896.29
55634	Nonunion or malunion - shaft femur	4	$774.90
55998	Open injury, primary wound care	4	$102.26
55380	Osteomyelitis, acute - hip - decompression	3	$186.72
55385	Osteomyelitis, debridement - hip	3	$322.10
55605	Osteotomy - femoral shaft - adult	4	$774.90
55606	Osteotomy - femoral shaft - paediatric	4	$774.90
55603	Osteotomy - proximal femur - adult	4	$746.91
55604	Osteotomy - proximal femur - paediatric	4	$746.91
55607	Osteotomy - multiple for osteogenesis imperfecta	6	$891.61
55602	Osteotomy - pelvis - paediatric	6	$597.51
55601	Osteotomy - pelvis - adult	6	$746.91
55702	Pelvis - closed reduction - external fixation	4	$494.83
55705	Pelvis - external fixation/orif	5	$1,092.35
55707	Pelvis -orif - anterior and posterior	5	$1,171.69
55706	Pelvis -orif- anterior or posterior	5	$765.57
55631	Pelvis: non-union or malunion	4	$1,363.10
55210	Pelvis/hip/femur- incision/drainage/ga	2	$186.72
55675	Proximal femoral replacement	6	$1,633.84
55715	Reduction - hip - open	4	$490.15
55712	Reduction - hip/ga	2	$186.72
55674	Revision - femur and acetabulum,includes prostalac	6	$1,307.07
55673	Revision - femur or acetabulum	6	$989.64
55671	Revision total hip arthroplasty: components	5	$802.93
55985	Revision,amputation, below knee	3	$518.18
55255	Soft tissue release - hip- percutaneous	2	$270.75
55505	Soft tissue repair - hip instability	3	$653.54
55365	Soft tissue tumour - benign -hip - subfascial	3	$406.12
55778	Subtrochanteric - primary wound care	2	$102.26
55779	Subtrochanteric - secondary wound management	2	$186.72
55515	Tendon avulsion repair - hip	3	$326.77
55510	Tendon-muscle transfer - hip	3	$658.20
55672	Total hip arthroplasty- exchg of modular component	5	$434.15
55663	Total hip prosthesis	5	$802.93
Peripheral Nerve
06258	Peripheral nerve/neurolysis - exploration	2	$256.65
Professional Fees
51010	Consultation - orthopaedics	0	$111.54
51012	Consultation - repeat/limited - orthopaedics	0	$59.52
51015	Consultation - special - orthopaedics	0	$160.37
51008	Hospital visit - orthopaedics	0	$30.70
51007	Office visit - orthopaedics	0	$51.46
51009	Pavlic harness-case management	0	$46.07
Referred Cases
51005	Pre-operative assessment - orthopedics	0	$111.54
Shoulder Girdle, Clavicle and Humerus
52215	Abscess, i and d, under ga	2	$186.72
52356	Acromionectomy, acromioplasty with or without resection of coraco-acromial ligament	2	$350.12
52330	Acromioplasty - endoscopic	2	$410.88
52981	Amputation - forequarter	5	$924.30
52982	Amputation - humeral shaft	3	$541.49
52998	Amputation - primary wound care - open injury	3	$102.26
52999	Amputation - secondary wound management - open	3	$186.72
52980	Amputation - shoulder disarticulation	4	$774.90
52811	Arthrodesis - scapula-thoracic joint	4	$746.91
52810	Arthrodesis - shoulder joint	4	$952.30
52335	Arthroscopic clavicle excision-medial/lateral/extr	0	$106.57
11232	Arthroscopy - biopsy- shoulder	2	$242.74
11200	Arthroscopy- shoulder joint	2	$298.77
11215	Arthrotomy - shoulder joint/bursa	2	$186.72
52360	Arthrotomy - shoulder: synovectomy, capsulectomy	2	$406.12
52365	Benign soft tissue tumour (sub-fascial)	2	$406.12
11245	Biopsy - open	2	$242.74
11230	Biopsy - needle - shoulder joint/ga	2	$186.72
52652	Bone grafting - clavicle	2	$149.38
52651	Bone grafting - proximal humerus	2	$242.74
52370	Bone tumour - benign	2	$406.12
52210	Bursa, i and d, under ga	2	$186.72
52602	Clavicle - repair/revision	2	$513.60
52357	Clavicle excision lateral/medial - open	2	$214.73
52708	Clavicle/acromion/coracoid - primary wound care	2	$102.26
52709	Clavicle/acromion/coracoid - secondary wound manag	2	$186.72
52310	Debridement, synovectomy - total or subtotal	2	$410.88
52306	Excision - endoscopic - drilling osteochondral defect, with or without loose body	2	$287.62
52305	Excision - endoscopic - removal of loose body	2	$287.62
52355	Excision of bursa - subacromial - open	2	$214.73
52725	Glenohumeral - open reduction	2	$406.12
52722	Glenohumeral - closed reduction with ga	2	$242.74
52721	Glenohumeral - closed reduction without ga	2	$93.37
52220	Hematoma, drainage under ga, when sole procedure	2	$242.74
52603	Hemi-arthroplasty - shoulder	4	$620.86
52748	Humerus - shaft - open injury primary wound care	2	$102.26
52741	Humerus - shaft -closed reduction with ga	2	$242.74
52742	Humerus - shaft-closed reduction-external fixation	2	$354.78
52749	Humerus - shaft-open secondary wound management	2	$186.72
52745	Humerus- shaft - orif/intramedullary nailing	2	$569.50
52410	Injection - bursa,tendon sheath, other peri articular structures- shoulder/clavicle	0	$11.63
52405	Injection of joint - shoulder/clavicle/humerus	0	$11.63
52415	Int fixation device(s) - removal - ga	2	$242.74
52420	Int fixation device(s), removal - without ga	2	$70.02
52320	Labrum tear- excision	2	$242.74
52255	Major release (shoulder contracture)	2	$541.49
52800	Manipulation under ga - shoulder joint	2	$93.37
52519	Open or arthroscopic slap/biceps tenodesis or bankart repair, and rotator cuff reconstruction, complex	3	$1,033.99
52517	Open or arthroscopic slap/biceps tenodesis repair	3	$630.18
52518	Open or arthroscopic slap/biceps tenodesis repair and anterior or posterior glenohumeral stabilization and/or bankart repair (isolated procedure)	3	$914.94
52520	Open or arthroscopic slap/biceps tenodesis repair, and bankart repair including tendon transfer, and rotator cuff repair	3	$1,349.06
52521	Open or arthroscopic slap/biceps tenodesis repair, and bankart repair and tendon transfer, and rotator cuff repair, and anterior glenohumeral stabilization and/or posterior glenohumeral stabilization	3	$1,578.96
52705	Orif - clavicle/acromion/coracoid	2	$436.58
52380	Osteomyelitis - acute, decompression	2	$186.72
52385	Osteomyelitis - debridement with/without reconstruction	3	$322.10
52307	Pinning - osteochondral fragment	2	$350.12
52731	Proximal humerus - closed reduction with ga	2	$186.72
52739	Proximal humerus - open injury -secondary wound	2	$186.72
52738	Proximal humerus - open injury-primary wound care	2	$102.26
52736	Proximal humerus - orif - three or more parts	2	$654.53
52735	Proximal humerus - orif - two part	2	$541.49
52601	Proximal humerus - repair/revision	3	$718.88
52737	Proximal humerus- hemiprosthesis/wiring-fracture	3	$802.93
52732	Proximal humerus-closed red. with ga traction/pin	2	$186.72
52506	Rotator cuff reconstruction - complex	4	$718.88
52505	Rotator cuff repair - simple	3	$434.15
52715	Scapula - fracture/dislocation - orif	3	$924.30
52718	Scapula - open injury, primary wound care	2	$102.26
52719	Scapula - open injury, secondary wound management	2	$186.72
52315	Shoulder abrasion	2	$350.12
52607	Shoulder arthroplasty - total - revision	5	$1,335.36
52606	Shoulder arthroplasty/hemiarthroplasty- total -rev	5	$802.93
52525	Shoulder instability - inferior capsular shift	3	$569.50
52541	Shoulder instability - posterior - soft tissue	3	$597.51
52540	Shoulder instability - posterior-glenoid osteotomy	3	$718.88
52526	Shoulder instability -bankart	3	$630.18
52535	Shoulder instability-anterior repairs	3	$459.80
52225	Shoulder joint arthrotomy, i and d	2	$186.72
52605	Shoulder prosthesis - removal	3	$462.14
52604	Shoulder prosthesis - total	5	$991.26
52555	Shoulder/clavicle/humerus tendon transfer	3	$513.50
52250	Soft tissue release - muscle, tendon	2	$380.44
52515	Stabilization - acromioclavicular joint - acute	2	$270.75
52516	Stabilization - acromioclavicular joint - chronic	2	$406.12
52545	Stabilization - shoulder instability -revision,	3	$718.88
52325	Stabilization procedure	2	$569.50
52710	Sterno-clavicular joint stabilization	2	$513.60
52550	Tendon repair, proximal biceps, pectoralis major	3	$434.15
Skin Grafts (including mucosa)
06015	Removal of extensive scars per cm over 5 cm	2	$8.44
06051	Skin grafts - functional areas - finger tip	2	$310.00
06050	Skin grafts - regions of major joints and hands	2	$440.00
Surgical Assistant
51194	First surgical assist of the day-orthopedics	0	$76.71
Tibial, Ankle and Foot
57330	Abrasion/debridement- tibial metaphysis/ankle/foot	2	$287.62
57373	Accessory navicular - tibial metaphysis/ankle/foot	2	$242.74
57280	Achilles tendon lengthening, percutaneous	2	$214.73
57981	Amputation - midtarsal	2	$490.15
57998	Amputation - open injury, primary wound care	2	$51.13
57999	Amputation - open injury, secondary wound care	2	$93.37
57983	Amputation - single metatarsal/ray resection	2	$354.78
57980	Amputation - syme	2	$532.14
57984	Amputation - toe	2	$186.72
57982	Amputation - transmetatarsal	2	$406.12
57510	Ankle instability - reconstruction	2	$380.44
57505	Ankle instability: capsule/ligament repair	2	$242.74
11715	Ankle joint - incision -diagnostic	2	$186.72
57225	Ankle/foot joint - i&d w/ ga	2	$186.72
57812	Arthrodesis - ankle joint	3	$718.88
57817	Arthrodesis - interphangeal, single or multiple	2	$270.75
57816	Arthrodesis - metatarsophalangeal	2	$352.44
57814	Arthrodesis - midtarsal joint	2	$541.49
57811	Arthrodesis - pantalar	2	$840.26
57813	Arthrodesis - subtalar joint/triple	2	$717.01
57815	Arthrodesis - tarso-metatarsal joints	2	$658.20
57810	Arthrodesis - tibiocalcaneal	2	$597.51
11700	Arthroscopy - ankle /subtalar joint	2	$186.72
11702	Aspiration - ankle joint - bursa/tendon sheath, et	2	$23.23
57370	Benign bone tumour - tibial/ankle/foot	2	$352.44
57365	Benign soft tissue tumour - tibial/ankle/foot	2	$214.73
57651	Bone grafting - distal tibia	2	$242.74
57652	Bone grafting - malleolus, medial/lateral-tarsals	2	$149.38
57603	Calcaneal osteotomy	2	$520.99
57375	Excision - nail bed - ankle/foot/ga	2	$214.73
57671	Excision arthroplasty great toe (keller's)	2	$270.75
57355	Excision bursa - achilles	2	$214.73
57527	Extensor tendon repair - ankle/foot - multiple/ga	2	$336.10
57526	Extensor tendon repair - ankle/foot - single/ga	2	$242.74
57525	Extensor tendon repair - ankle/foot/without ga	2	$121.36
57520	Flexor tendon repair - ankle/foot, single/multi	2	$352.44
57701	Frac/disloc ankle - closed reduc. w/ ga	2	$186.72
57702	Frac/disloc ankle - external fixation	2	$490.15
57708	Frac/disloc ankle - open - primary wound care	2	$102.26
57709	Frac/disloc ankle - open - second. wound care	2	$186.72
57705	Frac/disloc ankle - orif	2	$896.29
57713	Frac/disloc ankle(malleolar) - closed red. ex fix	2	$270.75
57712	Frac/disloc ankle(malleolar) - closed red. w/ ga	2	$270.75
57711	Frac/disloc ankle(malleolar) - closed red. w/o ga	2	$93.37
57715	Frac/disloc ankle(malleolar) - orif - one	2	$352.44
57716	Frac/disloc ankle(malleolar) - orif - two or more	2	$406.12
57718	Frac/disloc ankle(malleolar) - prim. wound care	2	$102.26
57719	Frac/disloc ankle(malleolar) - second. wound care	2	$186.72
57354	Ganglion - tibial metaphysis/ankle/foot	2	$214.73
57723	Hindfoot/midfoot/lisfranc disloc - closed w/ fixat	2	$298.77
57722	Hindfoot/midfoot/lisfranc disloc - closed w/ ga	2	$186.72
57721	Hindfoot/midfoot/lisfranc disloc - closed w/o ga	2	$93.37
57725	Hindfoot/midfoot/lisfranc disloc - open reduction	2	$475.56
57728	Hindfoot/midfoot/lisfranc disloc - prim.wound care	2	$102.26
57729	Hindfoot/midfoot/lisfranc disloc - sec.wound care	2	$186.72
57675	Implant arthroplasty - metatarsal phalangeal joint	2	$298.77
57410	Injection of bursa - tibial metaphysis/ankle/foot	0	$11.63
57405	Injection of joint - tibial metaphysis/ankle/foot	0	$11.63
57793	Interphalangeal disloc. - closed red. fixation	2	$270.75
57792	Interphalangeal disloc. - closed red. w/ ga	2	$186.72
57791	Interphalangeal disloc. - closed red. w/o ga	2	$46.68
57798	Interphalangeal disloc. - open - prim.wound care	2	$51.13
57799	Interphalangeal disloc. - open - sec.wound care	2	$93.37
57795	Interphalangeal disloc. - open red. w/wo fixation	2	$298.77
57676	Interphalangeal joint arthroplasty, single/multi	2	$270.75
57555	Jones procedure- tibial metaphysis/ankle/foot	2	$326.77
57800	Manipulation - ankle/foot w/ ga	2	$93.37
57761	Metatarsal fracture - closed reduction, fixation	2	$270.75
57768	Metatarsal fracture - open - primary wound care	2	$102.26
57769	Metatarsal fracture - open - secondary wound care	2	$186.72
57765	Metatarsal fracture - orif - one	2	$298.77
57766	Metatarsal fracture - orif - two or more	2	$352.44
57672	Metatarsal/phalangeal joint resection/reconstruct.	2	$298.77
57773	Metatarso-phalangeal disloc. - closed red, fix	2	$214.73
57772	Metatarso-phalangeal disloc. - closed red. w/ ga	2	$186.72
57778	Metatarso-phalangeal disloc. - open - prim. wound	2	$102.26
57779	Metatarso-phalangeal disloc. - open - sec. wound	2	$186.72
57775	Metatarso-phalangeal disloc. - orif	2	$298.77
57771	Metatarso-phalangeal disloc.- closed red. w/o ga	2	$93.37
11717	Midtarsal joint - incision - diagnostic	2	$186.72
57604	Midtarsal osteotomy	2	$597.51
57356	Neuroma - tibial metaphysis/ankle/foot	2	$214.73
57733	Os calcis fracture - closed reduction w/ fixation	2	$298.77
57732	Os calcis fracture - closed reduction w/ ga	2	$186.72
57738	Os calcis fracture - open - prim. wound care	2	$102.26
57739	Os calcis fracture - open - sec. wound care	2	$186.72
57735	Os calcis fracture - orif	2	$625.53
57380	Osteomyelitis, acute- tibial metaphysis/ankle/foot	2	$186.72
57385	Osteomyelitis,debridement- tibial/ankle/foot	2	$322.10
57673	Osteotomy - distal metatarsal	2	$298.77
57606	Osteotomy - open - phalanges	2	$242.74
57674	Osteotomy - proximal metatarsal/distal realignment	2	$434.15
57601	Osteotomy/malunion - distal tibial	2	$648.87
57602	Osteotomy/malunion - malleolus	2	$434.15
57605	Osteotomy/malunion - metatarsals	2	$352.44
57631	Osteotomy/non-union - distal tibial	2	$541.49
57636	Osteotomy/non-union - epiphysiodesis	2	$298.77
57632	Osteotomy/non-union - malleolus, lateral/medial	2	$326.77
57634	Osteotomy/non-union - metatarsals	2	$214.73
57635	Osteotomy/non-union - phalanges (foot)	2	$214.73
57637	Osteotomy/non-union - physeal bar excision	2	$406.12
57633	Osteotomy/non-union - tarsals	2	$380.44
57781	Phalangeal fracture - closed reduction, fixation	2	$270.75
57788	Phalangeal fracture - open - prim. wound care	2	$51.13
57789	Phalangeal fracture - open - sec. wound care	2	$93.37
57785	Phalangeal fracture - orif	2	$298.77
57306	Pinning/drilling fragments: tibial/ankle foot	2	$410.88
57270	Plantar fascia: open release or partial excision	2	$270.75
57275	Plantar fasciectomy - total	2	$406.12
57285	Posterior hindfoot release	2	$434.15
57286	Posteromedial release (club foot/vertical talus)	2	$718.88
57678	Reconstruction - major forefoot	2	$595.16
57677	Reconstruction - minor forefoot (lesser toes)	2	$380.44
57415	Rem. of int. fix. dev(s) - ankle/foot w/ ga	2	$214.73
57420	Rem. of int. fix. dev(s) - ankle/foot w/o ga	2	$46.68
57305	Removal of loose body-tibial metaphysis/ankle/foot	2	$287.62
57535	Repair/reconstruction - tendon sheath	2	$380.44
57372	Sesamoidectomy - tibial metaphysis/ankle/foot	2	$242.74
11716	Subtalar joint - incision - diagnostic	2	$186.72
57310	Synovectomy - ankle, total	2	$462.24
57374	Talectomy - tibial metaphysis/ankle/foot	2	$541.49
57741	Talus fracture - closed reduction w/o ga	2	$93.37
57742	Talus fracture - closed reduction w/ ga	2	$186.72
57743	Talus fracture - closed reduction, fixation	2	$326.77
57748	Talus fracture - open - prim. wound care	2	$102.26
57749	Talus fracture - open - sec. wound care	2	$186.72
57745	Talus fracture - orif	2	$487.81
57371	Tarsal coalition - ankle/foot	2	$352.44
57752	Tarsal fracture - closed reduction w/ ga	2	$186.72
57751	Tarsal fracture - closed reduction w/o ga	2	$93.37
57753	Tarsal fracture - closed reduction, fixation	2	$298.77
57758	Tarsal fracture - open - prim. wound care	2	$102.26
57759	Tarsal fracture - open - sec. wound care	2	$186.72
57755	Tarsal fracture - orif	2	$326.77
11718	Tarso-metatar/metatar-phalang/interphalang joints	2	$186.72
57515	Tendo-achilles repair, acute (w/in 6 wks post-inj)	2	$352.44
57516	Tendo-achilles repair, chronic (> 6 wks post-inj)	2	$541.49
57550	Tendon transfer- tibial metaphysis/ankle/foot	2	$434.15
57215	Tibial metaphysis/ankle/foot - i&d abscess w/ ga	2	$186.72
11730	Tibial metaphysis/ankle/foot - needle biopsy w/ ga	2	$186.72
11745	Tibial metaphysis/ankle/foot - open biopsy w/ ga	2	$242.74
57295	Tibial metaphysis/ankle/foot - tenosynovectomy	2	$270.75
57290	Tibial metaphysis/ankle/foot -tendon length.- open	2	$270.75
57260	Tibial metaphysis/ankle/foot- faciotomy,compar syn	2	$214.73
57250	Tibial metaphysis/ankle/foot-decomp/neurolys nerve	2	$298.77
57269	Tibial metaphysis/ankle/foot-faciotomy,sec closure	2	$186.72
57220	Tibial metaphysis/ankle/foot-hematoma drain. w/ ga	2	$298.77
57210	Tibial metaphysis/ankle/foot: i&d bursa w/ ga	2	$186.72
57663	Total ankle arthroplasty - removal	3	$186.72
57662	Total ankle arthroplasty- revision	3	$1,335.36
57661	Total ankle prosthesis	3	$991.26
57360	Total synovectomy-tibial metaphysis/ankle/foot	2	$354.78
Vertebra, Facette and Spine
58251	Abscess/hematoma - extraspinal/ga	4	$185.33
58211	Discogram	2	$92.28
58206	Injection/aspiration - facet joint	2	$92.97

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.