MSP Billing Codes

Specialty: Orthopaedics

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Code Description Fee

Application of Cast (Incl. External Stimulator)

51019 Cast - below knee $23.23
51024 Cast - body $86.95
51025 Cast - cast brace $46.49
51023 Cast - hip spica - adult $86.95
51022 Cast - hip spica - child $86.95
51017 Cast - long arm $23.23
51021 Cast - long leg $23.23
51020 Cast - long leg cylinder $23.23
51018 Cast - shoulder spica $86.95
51016 Cast: short arm $23.23

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Diagnostic and Therapeutic

11402 Aspiration - bursa/synovial sheath, etc. $23.23
11602 Aspiration - knee joint - bursa/tendon sheath, e $23.23
11302 Aspiration - bursa/tendon sheath - diagnostic $23.23
11501 Aspiration - hip joint $23.23
11502 Aspiration - hip -bursa/tendon sheath, etc. $11.63
00757 Aspiration other joints $12.03

Elbow, Proximal Radius and Ulna

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
53810 Arthrodesis - elbow joint $718.88
53641 Arthroplasty - elbow - interposition/distraction $924.30
53642 Arthroplasty- total elbow $991.26
53643 Arthroplasty- total elbow - revision $1,335.36
11300 Arthroscopy - elbow joint $268.43
11332 Arthroscopy/biopsy- elbow joint $296.44
11315 Arthrotomy - elbow joint $186.72
53521 Biceps tendon, distal insertion - elbow $569.50
53520 Biceps tendon, longhead, tenodesis - elbow $270.75
11330 Biopsy - needle - elbow joint/ga $186.72
11345 Biopsy - open - elbow joint $242.74
53653 Bone grafting - olecranon - elbow $149.38
53652 Bone grafting - radius and/or ulna - elbow $242.74
53651 Bone grafting: humerus - elbow $242.74
53385 Bone tumour - elbow - osteomyelitis-debridement $322.10
53380 Bone tumour - elbow - osteomyelitis, acute $186.72
53712 Distal humerus - closed reduction external fixation/percutaneous fixation $386.07
53727 Distal humerus - open injury, primary wound care $102.26
53728 Distal humerus - open injury, secondary wound management $186.72
53718 Distal humerus - open injury, primary wound care $102.26
53719 Distal humerus - open injury, secondary wound management $186.72
53715 Distal humerus - orif $444.88
53726 Distal humerus - orif - bicondylar with or without olecranon osteotomy $868.26
53725 Distal humerus - orif - unicondylar/osteochondral $406.12
53602 Distal humerus - repair - elbow $718.88
53722 Distal humerus-closed reduction external fixation $354.78
53711 Distal humerus: closed reduction, with ga, cast/traction $186.72
53721 Distal humerus: closed reduction, with ga, cast/traction/ and/or percutaneous fixation $186.72
53370 Elbow - bone tumour, benign $270.75
53360 Elbow arthrotomy - open synovectomy $406.12
53365 Elbow excision benign soft tissue tumor,subfacial $270.75
53505 Elbow instability- chronic $676.86
53752 Elbow joint - closed reduction, with ga $242.74
53751 Elbow joint - closed reduction, without ga $149.38
53755 Elbow joint - open reduction $298.77
53225 Elbow joint arthrotomy i and d $186.72
53310 Elbow, excision - debridement, synovectomy-total $642.00
53305 Elbow, excision -removal loose body $333.85
53355 Elbow, excision -therapeutic - bursa/ganglion $214.73
53260 Elbow, fasciotomy, compartment syndrome $214.73
53269 Elbow, incision - fasciotomy, secondary wound $186.72
53255 Elbow, incision-decompression,neurolysis $406.12
53215 Elbow, proximal radius- abscess i&d under ga $186.72
53220 Elbow, proximal radius/ulna - hematoma under ga $242.74
53210 Elbow, proximal radius/ulna - i & d $186.72
53250 Elbow,proximal radius/ulna- decompression/neuroly $242.74
53540 Epicondylitis - fascial stripping - elbow $214.73
53606 Epiphysiodesis - repair/revision - elbow $270.75
53702 Humeral epicondyle - closed reduction percutaneous fixation $270.75
53701 Humeral epicondyle - closed reduction, with ga, cast $242.74
53708 Humeral epicondyle - open injury, primary wound care $102.26
53709 Humeral epicondyle - open injury, secondary wound management $186.72
53705 Humeral epicondyle - orif $270.75
53601 Humeral shaft - repair - elbow $711.89
53410 Injection of bursa/tendon sheath - elbow $11.63
53405 Injection of joint - 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
53800 Manipulation - under ga - elbow joint $93.37
53738 Olecranon - open injury, primary wound care $102.26
53739 Olecranon - open injury, secondary wound management $186.72
53735 Olecranon - orif $416.76
53644 Osteocapsular arthroplasty $924.49
53607 Physeal bar excision/harvest - elbow $448.14
53386 Radial head resection - elbow $242.74
53742 Radial head/neck - closed reduction percutaneous fixation $270.75
53741 Radial head/neck - closed reduction, with ga, cast $242.74
53748 Radial head/neck - open injury, primary wound care $102.26
53749 Radial head/neck - open injury, secondary wound management $186.72
53745 Radial head/neck - orif $406.12
53605 Radius and ulna shafts - repair/revision - elbow $718.88
53779 Radius or ulna shaft/monteggia - open injury, secondary wound management $186.72
53772 Radius or ulna shaft/monteggia - closed reduction external fixation $270.75
53778 Radius or ulna shaft/monteggia - open injury, primary wound care $102.26
53775 Radius or ulna shaft/monteggia - orif $416.76
53771 Radius or ulna shaft/monteggia-closed reduction, with ga, cast $270.75
53603 Radius shaft -repair - elbow $595.16
53761 Radius/ulna shaft - closed reduction, without ga, cast $93.37
53768 Radius/ulna shaft - open injury, primary wound care $102.26
53765 Radius/ulna shaft - orif $541.49
53762 Radius/ulna shaft- closed reduction, with ga, cast $298.77
53769 Radius/ulna shaft-open injury, secondary wound management $186.72
53510 Recurrent dislocation - radial head - elbow $569.50
53530 Tendon transfer - major - elbow $718.88
53531 Tendon transfer- minor - elbow $434.15
53515 Triceps tendon - acute - elbow $352.44
53516 Triceps tendon, fascial reconstruction - elbow $406.12
53604 Ulna shaft - repair - elbow $520.94

Femur, Knee Joint, Tibia and Fibula

56322 Abrasion debridement, extra - first 15 min. $143.81
56323 Abrasion debridement,extra-each additional 15 min. $71.91
56330 Abrasion/debridement - knee $287.62
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
56810 Arthrodesis - knee joint $802.93
56321 Arthroplasty - knee - arthroscopic $287.62
56661 Arthroplasty - knee joint $802.93
11600 Arthroscopy - knee joint $214.73
11632 Arthroscopy/biopsy - knee joint $214.73
11615 Arthrotomy - knee joint $242.74
56225 Arthrotomy - knee joint $186.72
56356 Arthrotomy - removal of loose body - knee $242.74
56357 Arthrotomy knee - pinning/drilling $352.44
11630 Biopsy - needle - knee joint/ga $186.72
11645 Biopsy - open - knee joint $242.74
56653 Bone grafting - epiphysiodesis $298.77
56654 Bone grafting - physeal bar excision $508.83
56652 Bone grafting - tibia $270.75
56370 Bone tumour - benign - knee $270.75
56250 Decompression - knee joint $214.73
56260 Fasciotomy, compartment syndrome - knee joint $235.21
56651 Femur - bone grafting $270.75
56210 Femur, knee joint/tibia/fibula - i & d/ga $186.72
56215 Femur/knee joint/tibia/fibula - abscess i & d/ga $186.72
56769 Fibular shaft fracture - open - prim. wound care $186.72
56702 Frac./disloc. femur (supracond) - closed w/ ga $214.73
56701 Frac./disloc. femur (supracond) -closed w/o ga $121.36
56704 Frac./disloc. femur (supracond)- closed w/ im nail $774.90
56708 Frac./disloc. femur (supracond)- prim. wound care $102.26
56709 Frac./disloc. femur (supracond)- sec. wound care $186.72
56703 Frac./disloc. femur (supracond)-closed, extern fix $354.78
56705 Frac./disloc. femur (supracondylar) - orif $774.90
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
56718 Frac/disloc femur con/intracond-op prim wound care $102.26
56719 Frac/disloc femur cond/intracond-op sec wound care $186.72
56716 Frac/disloc femur cond/intracond-orif-bicondylar $1,115.69
56715 Frac/disloc femur cond/intracond-orif-unicondylar $774.90
56353 Ganglion/cyst - knee $214.73
56220 Hematoma - femur/knee joint/tibia/fibula $298.77
56410 Injection - bursa/tendon sheath - knee $23.23
56405 Injection of joint - knee $23.23
56306 Knee - pinning/drilling osteochondral fragment $410.88
56415 Knee - removal of int fixation device(s)/ga $242.74
56420 Knee - removal of internal fixation device(s) $70.02
56269 Knee joint - secondary wound closure $186.72
56280 Knee liberation/major release $770.24
56528 Knee ligament - open injury - primary wound care $102.26
56529 Knee ligament - open injury - secondary wound care $186.72
56505 Knee ligament instability - one repair $616.34
56510 Knee ligament instability - posterior cruciate $746.91
56520 Knee ligament instability - three ligaments $835.59
56515 Knee ligament instability - two ligaments $718.62
56335 Lateral/medial release - endoscopic knee $287.62
56800 Manipulation - knee joint w/ ga $93.37
56666 Meniscal allograft transplant $1,301.86
56325 Meniscal repair $410.88
56362 Meniscal repair - knee $352.44
56361 Menisectomy - knee $242.74
56320 Menisectomy - knee $287.62
56355 Open excision - knee - bursa/prepatellar $214.73
56380 Osteomyelitis acute - knee - decompression $186.72
56385 Osteomyelitis/debridement - knee. $214.73
56601 Osteotomy distal femur - non-union/malunion $802.93
56604 Osteotomy fibula -non-union/malunion $270.75
56602 Osteotomy proximal tibia - non-union/malunion $569.50
56603 Osteotomy tibia/shaft/fibula - non-union/malunion $746.91
56728 Patellar dislocation - open - primary wound care $102.26
56729 Patellar dislocation - open -sec. wound management $186.72
56725 Patellar dislocation - open reduction & repair $242.74
56738 Patellar fracture - open - primary wound care $102.26
56739 Patellar fracture - open - sec. wound management $186.72
56735 Patellar fracture - orif $462.14
56542 Patellar tendon repair $480.90
56390 Patellectomy $326.77
56734 Patellectomy - patella fracture $326.77
56354 Popliteal cyst - knee $298.77
56285 Quadriceps plasty - knee $625.53
56530 Recur. sublux./disloc. patella-extensor realignmen $434.15
56531 Recurr. sublux./disloc. patella-lateral release $242.74
56541 Recurr. sublux./disloc. quad. tendon rupt.-chronic $490.15
56540 Recurr. sublux./disloc. quad. tendon rupture,acute $345.45
56305 Removal symptomatic loose body - knee $287.62
56315 Resection 'plica' $287.62
56290 Retinacular release - lateral/medial knee - open $242.74
56665 Revision - patellar component $406.12
56664 Revision - total knee $1,104.00
56525 Revision of knee ligament reconstruction $718.88
56275 Soft tissue release - knee - major $487.81
56270 Soft tissue release - knee - minor $345.45
56365 Soft tissue tumour - benign - knee $326.77
56360 Synovectomy - knee, total $464.48
56310 Synovectomy knee, total $487.92
56545 Tendon transfer, transplant - patella $326.77
56742 Tibial plateau fracture - closed red, extern fix $382.78
56741 Tibial plateau fracture - closed red. w/ ga $186.72
56748 Tibial plateau fracture - open - prim. wound care $102.26
56749 Tibial plateau fracture - open - sec. wound manage $186.72
56746 Tibial plateau fracture - orif - bicondylar $924.30
56745 Tibial plateau fracture - orif - unicondylar $653.54
56753 Tibial shaft fracture - closed red. extern fix $354.78
56752 Tibial shaft fracture - closed red. w/ ga $214.73
56751 Tibial shaft fracture - closed red. w/o ga $93.37
56754 Tibial shaft fracture - closed reduction im nail $686.20
56758 Tibial shaft fracture - open - prim. wound care $102.26
56759 Tibial shaft fracture - open - sec. wound manag. $186.72
56755 Tibial shaft fractures - orif $569.50
56662 Total knee replacement $802.93
56663 Total knee, removal prosthesis, includes prostalac $490.15

Hand and Wrist

06218 Amputation - transmetacarpal $254.92
06219 Amputation - finger $254.92
54810 Arthrodesis - wrist - limited or total $658.20
54635 Arthroplasty - total wrist - revision $952.30
54631 Arthroplasty - ulna - distal excision $242.74
54633 Arthroplasty- silastic wrist $541.49
11400 Arthroscopy - wrist joint $287.62
11432 Arthroscopy/biopsy - wrist /hand joint(s) $186.72
11415 Arthrotomy - wrist joint - isolated procedure $186.72
11416 Arthrotomy - mp/pip/dip joints $186.72
11430 Biopsy - needle - wrist joint/ga $186.72
11445 Biopsy - open - hand/wrist $242.74
54651 Bone grafting - distal radius/ulna $242.74
54652 Bone grafting - metacarpal/phalanx $121.36
54372 Bone tumor - benign - carpals/distal radius $324.44
54603 Carpal bone (scaphoid) - repair/revision $541.49
54715 Carpal bone fracture(scaphoid) - open reduction $434.15
54505 Carpal instability - acute $597.51
54510 Carpal instability: chronic $658.20
54387 Carpectomy - proximal row $541.49
54728 Carpus - primary wound care $51.13
54722 Carpus - closed reduction/percutaneous fixation $298.77
54725 Carpus - orif $597.51
54729 Carpus - secondary wound management $93.37
54721 Carpus-dislocation-w/wo fracture-closed reduction $252.09
54310 Debridement/ synovectomy, total $324.44
54515 Distal radio-ulnar instability - chronic $487.81
54351 Excision - open - meniscus/radiocarpal $324.44
54315 Excision triangular fibro cartilage complex (tfcc) $324.44
54350 Foreign body removal - hand/wrist/ga $214.73
54410 Injection bursa, tendon sheath, other peri articular structures $23.23
54405 Injection joint $23.23
54632 Joint replacement - total wrist $718.88
54800 Manipulation - hand/wrist joint under ga $93.37
54380 Osteomyelitis, acute - carpals, distal/radius $186.72
54385 Osteomyelitis/debridement - carpals/distal radius $322.10
54601 Osteotomy - distal radius $658.20
54602 Osteotomy - distal ulna $326.77
54604 Osteotomy - epiphysiodesis/epiphysioplasty/radius/ $406.12
54708 Radius - primary wound care $51.13
54702 Radius - closed reduction/ga $298.77
54703 Radius - external/percutaneous fixation. $326.77
54701 Radius - fracture/dislocation-closed reduction $252.09
54705 Radius - orif $518.18
54709 Radius - secondary wound management $93.37
54415 Removal of internal fixation device(s), with ga $214.73
54420 Removal of internal fixation device(s), without ga $46.68
54305 Removal of loose body - hand/wrist $242.74
54386 Styloid - radial/ulnar - excision $214.73
54634 Wrist prosthesis - removal $270.75

Miscellaneous

51040 Aspiration - joint $23.23
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
51067 Ilizarov instrumentation extension/revision -frame $214.73
51065 Ilizarov instrumentation, simple $1,092.35
51066 Ilizarov instrumentation; complex, multiple $1,498.46
51030 Orthopaedic interpretation and written report of submitted x-ray films - including ct scan and mri $39.38
51035 Skeletal traction - application $93.37
51110 Telehealth Consultation - Orthopedics $111.54
51107 Telehealth Office Visit - Orthopedics $51.46
51112 Telehealth Repeat/Limited Consultation - Orthopedics $59.52
51115 Telehealth Special Consultation - Orthopedics $160.37

Musculoskeletal Oncology

51053 Malignant bone tumour - limb $1,083.01
51056 Malignant girdle tumour - pelvis/sacrum $1,624.50
51055 Malignant girdle tumour - scapula $1,083.01
51052 Malignant subfascial soft tissue tumour - complex $1,279.05
51051 Malignant subfascial soft tissue tumour -simple $597.51
51058 Malignant tumor/rotation plasty - resection $2,175.33
51057 Shoulder/pelvis/sacrum - reconstruction $1,092.35
51054 Skeletal defect - reconstruction $1,092.35

Pelvis, Hip and Femur

55215 Abscess - pelvis/hip/femur -incision/drainage/ga $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
55983 Amputation - above knee $653.54
55980 Amputation - hemicorpectomy $2,446.08
55981 Amputation - hemipelvectomy $1,363.10
55982 Amputation - hip disarticulation $1,036.32
55984 Amputation - knee disarticulation $653.54
55999 Amputation - secondary wound management-above knee $186.72
55810 Arthrodesis - hip joint $1,227.71
55661 Arthroplasty - resection - hip $490.15
11500 Arthroscopy - hip joint $518.18
11532 Arthroscopy/biopsy - hip $518.18
11515 Arthrotomy - hip joint $298.77
55360 Arthrotomy - hip - open synovectomy - total $569.50
55225 Arthrotomy - hip joint - i and d $322.10
11545 Arthrotomy/biopsy - hip $242.74
11546 Biopsy - hip - soft tissue/bone $242.74
11530 Biopsy - needle- hip/ga $186.72
55651 Bone grafting - femur $270.75
55652 Bone grafting - epiphysiodesis, greater trochanter $326.77
55370 Bone tumour, benign - hip $434.15
55310 Debridement/synovectomy - hip - total $597.51
55725 Dislocation - congenital - open reduction -hip $714.22
55721 Dislocation- congenital- hip- closed reduction/ga $270.75
55355 Excision - open - hip - bursa/trochanteric $214.73
55755 Femoral neck/subcapital - orif $830.94
55758 Femoral neck/subcapital - primary wound care $102.26
55760 Femoral neck/subcapital - scfe insitu fixation $518.18
55751 Femoral neck/subcapital -fracture-closed reduction $518.18
55780 Femur/shaft - cast/traction - closed reduction $121.36
55783 Femur/shaft - closed reduction, im nail $774.90
55781 Femur/shaft - closed reduction/ga $214.73
55782 Femur/shaft - external skeletal fixation $354.78
55785 Femur/shaft - orif $774.90
55788 Femur/shaft - primary wound care $102.26
55789 Femur/shaft - secondary wound management $186.72
55759 Frac. femoral neck or subcapital: open -sec. wound $186.72
55701 Fracture-pelvis-closed reduction-skeletal traction $93.37
55220 Hematoma - pelvis/hip/femur - drainage under ga $298.77
55662 Hemi-arthroplasty - hip $567.62
55371 Heterotopic bone resection $515.94
55736 Hip - orif $952.30
55738 Hip - primary wound care $102.26
55739 Hip - secondary wound management $186.72
55711 Hip - dislocation - traumatic $93.37
55731 Hip - fracture/dislocation - reduction $93.37
55761 Hip - intertrochanteric - reduction $653.54
55735 Hip - open reduction $490.15
55732 Hip - reduction/ga $186.72
55727 Hip disloc. open reduction fem & pelvic osteotomy $1,318.75
55726 Hip disloc.open reduction fem or pelvic osteotomy $1,047.97
55768 Hip fracture intertrochanteric primary wound care $102.26
55769 Hip-intertrochanteric - secondary wound management $186.72
55771 Hip: subtrochanteric - internal fixation $891.61
55410 Injection of bursa/tendon sheath - hip $11.63
55405 Injection of joint - hip $11.63
55415 Int fixation device(s) - removal - hip/ga $242.74
55420 Int fixation device(s) - removal - hip/without g $70.02
55305 Loose body - hip - removal $378.11
55275 Major release - two or more - hip $406.12
55800 Manipulation - hip joint under ga $93.37
55270 Minor release - hip - one tendon $298.77
55632 Nonunion or malunion - acetabulum $1,848.57
55635 Nonunion or malunion - femoral lengthening, open $896.29
55636 Nonunion or malunion - femoral shortening, closed $896.29
55633 Nonunion or malunion - proximal femur $896.29
55634 Nonunion or malunion - shaft femur $774.90
55998 Open injury, primary wound care $102.26
55380 Osteomyelitis, acute - hip - decompression $186.72
55385 Osteomyelitis, debridement - hip $322.10
55605 Osteotomy - femoral shaft - adult $774.90
55606 Osteotomy - femoral shaft - paediatric $774.90
55603 Osteotomy - proximal femur - adult $746.91
55604 Osteotomy - proximal femur - paediatric $746.91
55607 Osteotomy - multiple for osteogenesis imperfecta $891.61
55602 Osteotomy - pelvis - paediatric $597.51
55601 Osteotomy - pelvis - adult $746.91
55702 Pelvis - closed reduction - external fixation $494.83
55705 Pelvis - external fixation/orif $1,092.35
55707 Pelvis -orif - anterior and posterior $1,171.69
55706 Pelvis -orif- anterior or posterior $765.57
55631 Pelvis: non-union or malunion $1,363.10
55210 Pelvis/hip/femur- incision/drainage/ga $186.72
55675 Proximal femoral replacement $1,633.84
55715 Reduction - hip - open $490.15
55712 Reduction - hip/ga $186.72
55674 Revision - femur and acetabulum,includes prostalac $1,307.07
55673 Revision - femur or acetabulum $989.64
55671 Revision total hip arthroplasty: components $802.93
55985 Revision,amputation, below knee $518.18
55255 Soft tissue release - hip- percutaneous $270.75
55505 Soft tissue repair - hip instability $653.54
55365 Soft tissue tumour - benign -hip - subfascial $406.12
55778 Subtrochanteric - primary wound care $102.26
55779 Subtrochanteric - secondary wound management $186.72
55515 Tendon avulsion repair - hip $326.77
55510 Tendon-muscle transfer - hip $658.20
55672 Total hip arthroplasty- exchg of modular component $434.15
55663 Total hip prosthesis $802.93

Peripheral Nerve

06258 Peripheral nerve/neurolysis - exploration $256.65

Professional Fees

51010 Consultation - orthopaedics $111.54
51012 Consultation - repeat/limited - orthopaedics $59.52
51015 Consultation - special - orthopaedics $160.37
51008 Hospital visit - orthopaedics $30.70
51007 Office visit - orthopaedics $51.46
51009 Pavlic harness-case management $46.07

Referred Cases

51005 Pre-operative assessment - orthopedics $111.54

Shoulder Girdle, Clavicle and Humerus

52215 Abscess, i and d, under ga $186.72
52356 Acromionectomy, acromioplasty with or without resection of coraco-acromial ligament $350.12
52330 Acromioplasty - endoscopic $410.88
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
52980 Amputation - shoulder disarticulation $774.90
52811 Arthrodesis - scapula-thoracic joint $746.91
52810 Arthrodesis - shoulder joint $952.30
52335 Arthroscopic clavicle excision-medial/lateral/extr $106.57
11232 Arthroscopy - biopsy- shoulder $242.74
11200 Arthroscopy- shoulder joint $298.77
11215 Arthrotomy - shoulder joint/bursa $186.72
52360 Arthrotomy - shoulder: synovectomy, capsulectomy $406.12
52365 Benign soft tissue tumour (sub-fascial) $406.12
11245 Biopsy - open $242.74
11230 Biopsy - needle - shoulder joint/ga $186.72
52652 Bone grafting - clavicle $149.38
52651 Bone grafting - proximal humerus $242.74
52370 Bone tumour - benign $406.12
52210 Bursa, i and d, under ga $186.72
52602 Clavicle - repair/revision $513.60
52357 Clavicle excision lateral/medial - open $214.73
52708 Clavicle/acromion/coracoid - primary wound care $102.26
52709 Clavicle/acromion/coracoid - secondary wound manag $186.72
52310 Debridement, synovectomy - total or subtotal $410.88
52306 Excision - endoscopic - drilling osteochondral defect, with or without loose body $287.62
52305 Excision - endoscopic - removal of loose body $287.62
52355 Excision of bursa - subacromial - open $214.73
52725 Glenohumeral - open reduction $406.12
52722 Glenohumeral - closed reduction with ga $242.74
52721 Glenohumeral - closed reduction without ga $93.37
52220 Hematoma, drainage under ga, when sole procedure $242.74
52603 Hemi-arthroplasty - shoulder $620.86
52748 Humerus - shaft - open injury primary wound care $102.26
52741 Humerus - shaft -closed reduction with ga $242.74
52742 Humerus - shaft-closed reduction-external fixation $354.78
52749 Humerus - shaft-open secondary wound management $186.72
52745 Humerus- shaft - orif/intramedullary nailing $569.50
52410 Injection - bursa,tendon sheath, other peri articular structures- shoulder/clavicle $11.63
52405 Injection of joint - shoulder/clavicle/humerus $11.63
52415 Int fixation device(s) - removal - ga $242.74
52420 Int fixation device(s), removal - without ga $70.02
52320 Labrum tear- excision $242.74
52255 Major release (shoulder contracture) $541.49
52800 Manipulation under ga - shoulder joint $93.37
52519 Open or arthroscopic slap/biceps tenodesis or bankart repair, and rotator cuff reconstruction, complex $1,033.99
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
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
52705 Orif - clavicle/acromion/coracoid $436.58
52380 Osteomyelitis - acute, decompression $186.72
52385 Osteomyelitis - debridement with/without reconstruction $322.10
52307 Pinning - osteochondral fragment $350.12
52731 Proximal humerus - closed reduction with ga $186.72
52739 Proximal humerus - open injury -secondary wound $186.72
52738 Proximal humerus - open injury-primary wound care $102.26
52736 Proximal humerus - orif - three or more parts $654.53
52735 Proximal humerus - orif - two part $541.49
52601 Proximal humerus - repair/revision $718.88
52737 Proximal humerus- hemiprosthesis/wiring-fracture $802.93
52732 Proximal humerus-closed red. with ga traction/pin $186.72
52506 Rotator cuff reconstruction - complex $718.88
52505 Rotator cuff repair - simple $434.15
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
52315 Shoulder abrasion $350.12
52607 Shoulder arthroplasty - total - revision $1,335.36
52606 Shoulder arthroplasty/hemiarthroplasty- total -rev $802.93
52525 Shoulder instability - inferior capsular shift $569.50
52541 Shoulder instability - posterior - soft tissue $597.51
52540 Shoulder instability - posterior-glenoid osteotomy $718.88
52526 Shoulder instability -bankart $630.18
52535 Shoulder instability-anterior repairs $459.80
52225 Shoulder joint arthrotomy, i and d $186.72
52605 Shoulder prosthesis - removal $462.14
52604 Shoulder prosthesis - total $991.26
52555 Shoulder/clavicle/humerus tendon transfer $513.50
52250 Soft tissue release - muscle, tendon $380.44
52515 Stabilization - acromioclavicular joint - acute $270.75
52516 Stabilization - acromioclavicular joint - chronic $406.12
52545 Stabilization - shoulder instability -revision, $718.88
52325 Stabilization procedure $569.50
52710 Sterno-clavicular joint stabilization $513.60
52550 Tendon repair, proximal biceps, pectoralis major $434.15

Skin Grafts (including mucosa)

06015 Removal of extensive scars per cm over 5 cm $8.44
06051 Skin grafts - functional areas - finger tip $310.00
06050 Skin grafts - regions of major joints and hands $440.00

Surgical Assistant

51194 First surgical assist of the day-orthopedics $76.71

Tibial, Ankle and Foot

57330 Abrasion/debridement- tibial metaphysis/ankle/foot $287.62
57373 Accessory navicular - tibial metaphysis/ankle/foot $242.74
57280 Achilles tendon lengthening, percutaneous $214.73
57981 Amputation - midtarsal $490.15
57998 Amputation - open injury, primary wound care $51.13
57999 Amputation - open injury, secondary wound care $93.37
57983 Amputation - single metatarsal/ray resection $354.78
57980 Amputation - syme $532.14
57984 Amputation - toe $186.72
57982 Amputation - transmetatarsal $406.12
57510 Ankle instability - reconstruction $380.44
57505 Ankle instability: capsule/ligament repair $242.74
11715 Ankle joint - incision -diagnostic $186.72
57225 Ankle/foot joint - i&d w/ ga $186.72
57812 Arthrodesis - ankle joint $718.88
57817 Arthrodesis - interphangeal, single or multiple $270.75
57816 Arthrodesis - metatarsophalangeal $352.44
57814 Arthrodesis - midtarsal joint $541.49
57811 Arthrodesis - pantalar $840.26
57813 Arthrodesis - subtalar joint/triple $717.01
57815 Arthrodesis - tarso-metatarsal joints $658.20
57810 Arthrodesis - tibiocalcaneal $597.51
11700 Arthroscopy - ankle /subtalar joint $186.72
11702 Aspiration - ankle joint - bursa/tendon sheath, et $23.23
57370 Benign bone tumour - tibial/ankle/foot $352.44
57365 Benign soft tissue tumour - tibial/ankle/foot $214.73
57651 Bone grafting - distal tibia $242.74
57652 Bone grafting - malleolus, medial/lateral-tarsals $149.38
57603 Calcaneal osteotomy $520.99
57375 Excision - nail bed - ankle/foot/ga $214.73
57671 Excision arthroplasty great toe (keller's) $270.75
57355 Excision bursa - achilles $214.73
57527 Extensor tendon repair - ankle/foot - multiple/ga $336.10
57526 Extensor tendon repair - ankle/foot - single/ga $242.74
57525 Extensor tendon repair - ankle/foot/without ga $121.36
57520 Flexor tendon repair - ankle/foot, single/multi $352.44
57701 Frac/disloc ankle - closed reduc. w/ ga $186.72
57702 Frac/disloc ankle - external fixation $490.15
57708 Frac/disloc ankle - open - primary wound care $102.26
57709 Frac/disloc ankle - open - second. wound care $186.72
57705 Frac/disloc ankle - orif $896.29
57713 Frac/disloc ankle(malleolar) - closed red. ex fix $270.75
57712 Frac/disloc ankle(malleolar) - closed red. w/ ga $270.75
57711 Frac/disloc ankle(malleolar) - closed red. w/o ga $93.37
57715 Frac/disloc ankle(malleolar) - orif - one $352.44
57716 Frac/disloc ankle(malleolar) - orif - two or more $406.12
57718 Frac/disloc ankle(malleolar) - prim. wound care $102.26
57719 Frac/disloc ankle(malleolar) - second. wound care $186.72
57354 Ganglion - tibial metaphysis/ankle/foot $214.73
57723 Hindfoot/midfoot/lisfranc disloc - closed w/ fixat $298.77
57722 Hindfoot/midfoot/lisfranc disloc - closed w/ ga $186.72
57721 Hindfoot/midfoot/lisfranc disloc - closed w/o ga $93.37
57725 Hindfoot/midfoot/lisfranc disloc - open reduction $475.56
57728 Hindfoot/midfoot/lisfranc disloc - prim.wound care $102.26
57729 Hindfoot/midfoot/lisfranc disloc - sec.wound care $186.72
57675 Implant arthroplasty - metatarsal phalangeal joint $298.77
57410 Injection of bursa - tibial metaphysis/ankle/foot $11.63
57405 Injection of joint - tibial metaphysis/ankle/foot $11.63
57793 Interphalangeal disloc. - closed red. fixation $270.75
57792 Interphalangeal disloc. - closed red. w/ ga $186.72
57791 Interphalangeal disloc. - closed red. w/o ga $46.68
57798 Interphalangeal disloc. - open - prim.wound care $51.13
57799 Interphalangeal disloc. - open - sec.wound care $93.37
57795 Interphalangeal disloc. - open red. w/wo fixation $298.77
57676 Interphalangeal joint arthroplasty, single/multi $270.75
57555 Jones procedure- tibial metaphysis/ankle/foot $326.77
57800 Manipulation - ankle/foot w/ ga $93.37
57761 Metatarsal fracture - closed reduction, fixation $270.75
57768 Metatarsal fracture - open - primary wound care $102.26
57769 Metatarsal fracture - open - secondary wound care $186.72
57765 Metatarsal fracture - orif - one $298.77
57766 Metatarsal fracture - orif - two or more $352.44
57672 Metatarsal/phalangeal joint resection/reconstruct. $298.77
57773 Metatarso-phalangeal disloc. - closed red, fix $214.73
57772 Metatarso-phalangeal disloc. - closed red. w/ ga $186.72
57778 Metatarso-phalangeal disloc. - open - prim. wound $102.26
57779 Metatarso-phalangeal disloc. - open - sec. wound $186.72
57775 Metatarso-phalangeal disloc. - orif $298.77
57771 Metatarso-phalangeal disloc.- closed red. w/o ga $93.37
11717 Midtarsal joint - incision - diagnostic $186.72
57604 Midtarsal osteotomy $597.51
57356 Neuroma - tibial metaphysis/ankle/foot $214.73
57733 Os calcis fracture - closed reduction w/ fixation $298.77
57732 Os calcis fracture - closed reduction w/ ga $186.72
57738 Os calcis fracture - open - prim. wound care $102.26
57739 Os calcis fracture - open - sec. wound care $186.72
57735 Os calcis fracture - orif $625.53
57380 Osteomyelitis, acute- tibial metaphysis/ankle/foot $186.72
57385 Osteomyelitis,debridement- tibial/ankle/foot $322.10
57673 Osteotomy - distal metatarsal $298.77
57606 Osteotomy - open - phalanges $242.74
57674 Osteotomy - proximal metatarsal/distal realignment $434.15
57601 Osteotomy/malunion - distal tibial $648.87
57602 Osteotomy/malunion - malleolus $434.15
57605 Osteotomy/malunion - metatarsals $352.44
57631 Osteotomy/non-union - distal tibial $541.49
57636 Osteotomy/non-union - epiphysiodesis $298.77
57632 Osteotomy/non-union - malleolus, lateral/medial $326.77
57634 Osteotomy/non-union - metatarsals $214.73
57635 Osteotomy/non-union - phalanges (foot) $214.73
57637 Osteotomy/non-union - physeal bar excision $406.12
57633 Osteotomy/non-union - tarsals $380.44
57781 Phalangeal fracture - closed reduction, fixation $270.75
57788 Phalangeal fracture - open - prim. wound care $51.13
57789 Phalangeal fracture - open - sec. wound care $93.37
57785 Phalangeal fracture - orif $298.77
57306 Pinning/drilling fragments: tibial/ankle foot $410.88
57270 Plantar fascia: open release or partial excision $270.75
57275 Plantar fasciectomy - total $406.12
57285 Posterior hindfoot release $434.15
57286 Posteromedial release (club foot/vertical talus) $718.88
57678 Reconstruction - major forefoot $595.16
57677 Reconstruction - minor forefoot (lesser toes) $380.44
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
57305 Removal of loose body-tibial metaphysis/ankle/foot $287.62
57535 Repair/reconstruction - tendon sheath $380.44
57372 Sesamoidectomy - tibial metaphysis/ankle/foot $242.74
11716 Subtalar joint - incision - diagnostic $186.72
57310 Synovectomy - ankle, total $462.24
57374 Talectomy - tibial metaphysis/ankle/foot $541.49
57741 Talus fracture - closed reduction w/o ga $93.37
57742 Talus fracture - closed reduction w/ ga $186.72
57743 Talus fracture - closed reduction, fixation $326.77
57748 Talus fracture - open - prim. wound care $102.26
57749 Talus fracture - open - sec. wound care $186.72
57745 Talus fracture - orif $487.81
57371 Tarsal coalition - ankle/foot $352.44
57752 Tarsal fracture - closed reduction w/ ga $186.72
57751 Tarsal fracture - closed reduction w/o ga $93.37
57753 Tarsal fracture - closed reduction, fixation $298.77
57758 Tarsal fracture - open - prim. wound care $102.26
57759 Tarsal fracture - open - sec. wound care $186.72
57755 Tarsal fracture - orif $326.77
11718 Tarso-metatar/metatar-phalang/interphalang joints $186.72
57515 Tendo-achilles repair, acute (w/in 6 wks post-inj) $352.44
57516 Tendo-achilles repair, chronic (> 6 wks post-inj) $541.49
57550 Tendon transfer- tibial metaphysis/ankle/foot $434.15
57215 Tibial metaphysis/ankle/foot - i&d abscess w/ ga $186.72
11730 Tibial metaphysis/ankle/foot - needle biopsy w/ ga $186.72
11745 Tibial metaphysis/ankle/foot - open biopsy w/ ga $242.74
57295 Tibial metaphysis/ankle/foot - tenosynovectomy $270.75
57290 Tibial metaphysis/ankle/foot -tendon length.- open $270.75
57260 Tibial metaphysis/ankle/foot- faciotomy,compar syn $214.73
57250 Tibial metaphysis/ankle/foot-decomp/neurolys nerve $298.77
57269 Tibial metaphysis/ankle/foot-faciotomy,sec closure $186.72
57220 Tibial metaphysis/ankle/foot-hematoma drain. w/ ga $298.77
57210 Tibial metaphysis/ankle/foot: i&d bursa w/ ga $186.72
57663 Total ankle arthroplasty - removal $186.72
57662 Total ankle arthroplasty- revision $1,335.36
57661 Total ankle prosthesis $991.26
57360 Total synovectomy-tibial metaphysis/ankle/foot $354.78

Vertebra, Facette and Spine

58251 Abscess/hematoma - extraspinal/ga $185.33
58211 Discogram $92.28
58206 Injection/aspiration - facet joint $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.

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