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