MSP Billing Codes

Specialty: Plastic Surgery

Code	Description	Anes	Fee
Search a description within this chart
06112	Abrasive surgery <1/4 of face	3	$126.70
06113	Abrasive surgery 1/4 to 1/2 of face	3	$246.18
06114	Abrasive surgery - full face	3	$523.79
06125	Eyelids - blepharoplasty - simple	3	$261.90
06126	Blepharoplasty - complicated	3	$392.82
61025	Eyelids-blepharoplasty-simple(bilateral)	3	$392.82
61026	Blepharoplasty-complicated-non-cosmetic(bilateral)	3	$589.27
06221	Bone graft - inlay bone grafting of metacarpal or phalanx	2	$354.92
61045	Immediate breast reconstruction-extra	0	$202.31
61046	Biologic tissue for breast reconstruction-extra	0	$303.46
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61047	Biologic tissue for breast reconstruction-extra	0	$43.77
06078	Minor burns; dressing (in hosp care only)	4	$57.62
06079	Surgical debridement; minor burns, each 5% of body	5	$122.35
06080	Burns; subsequent surg debridement; each 5% body	5	$30.37
06081	Burns surgical excision - first 5% of body surface	5	$376.08
06082	Burns surgical excision/each additional 5% of body	5	$203.93
06083	Burns, severe, general care - first hour	0	$254.92
06084	Burns, severe, general care - subsequent hours	0	$203.93
06055	Skin grafts - cavity grafting - eye socket	3	$441.02
06056	Skin grafts/cavity grafting/eye socket with mucosa	3	$675.68
06057	Skin grafts - cavity grafting - nose	3	$393.90
06060	Skin grafts - cavity grafting - mouth	3	$523.79
06061	Skin grafts/cavity grafting - lining pedicle flaps	3	$300.67
06062	Bone cavity grafting in large bone over 7.5 cm	4	$441.02
06064	Bone cavity in small bone - cavity grafting	2	$254.92
06065	Bone cavity in large bone - cavity grafting	3	$311.13
06066	Cavity grafting; absence of vagina - congenital	4	$582.45
61250	Lipotransfer - aspiration - volume < 20 ml	3	$81.88
61251	Lipotransfer - aspiration - volume 21-60 ml	3	$102.34
61252	Lipotransfer - aspiration - volume > 60 ml	3	$143.28
61260	Lipotransfer - injection functional area: < 20ml	3	$122.81
61261	Lipotransfer - injection functional area: > 20 ml	3	$184.23
61270	Lipotransfer-injection nonfunctional area: < 20ml	3	$102.34
61271	Lipotransfer-injection nonfunc area: 21 to 60 ml	3	$143.28
61272	Lipotransfer-injection nonfunctional area: > 60ml	3	$184.23
06130	Auricle - accessory	3	$254.92
06131	Otoplasty - outstanding ears(unilateral)	3	$317.82
06132	Microtia - partial	3	$377.06
06133	Microtia - total major	3	$938.36
06134	Microtia - total minor	3	$307.05
06135	Preauricular sinus - simple	3	$254.92
06180	Preauricular sinus - complicated	3	$304.33
61031	Otoplasty-outstanding ears(bilateral)	3	$476.72
61360	Eyebrow ptosis repair-simple skin excision-unilate	0	$261.90
61361	Eyebrow ptosis repair-simple skin excision-bilater	0	$392.82
06222	Finger fracture - phalanx	2	$126.70
06223	Fracture - metacarpal	2	$126.70
06224	Fracture - distal phalanges, first	2	$150.64
06225	Fracture - distal phalanges, each additional	2	$126.70
61222	Crif phalangeal or metacarpal fracture (mid/prxml)	2	$227.73
61223	Orif phalangeal or metacarpal fracture (mid/prxml)	2	$340.00
61224	Open (compound) hand fractures primary wound mgmt	2	$41.11
61225	Open (compound)hand fractures-secondary wound mgmt	2	$82.15
06052	Skin grafts - head and neck - 65 sq. cm or less	3	$440.00
06053	Skin graft; functional areas: head & neck > 65 cm	3	$648.00
06054	Skin grafts - head and neck - in excess of 195 sq	3	$1,033.97
06058	Skin grafts; functional areas; major joints, late	2	$523.79
61350	Full-thickness graft-trunk (2 to 19 cm)	2	$228.39
61351	Full-thickness graft-arms, legs,scalp (2 to 19cm)	2	$289.29
61352	Full-thickness graft-axilla,cheeks,chin, etc (2 to	2	$355.27
61353	Full-thickness graft-ears,eyelids,lips and nose (2	2	$395.89
61354	Graft (pinch,split or full thickness)-open area-up	2	$310.00
06046	Split thickness free skin graft; < 6.5 sq. cm.	2	$300.00
06047	Skin grafts - split thickness - free - 65 sq. cm	2	$432.00
06048	Skin grafts - split thickness - free - 650 sq. cm	2	$648.00
06049	Split thickness free skin grafts; each 6.5 > 650	3	$8.00
06182	Ganglia of tendon sheath or joint	2	$182.27
06228	Arthroplasty of metacarpophalangeal/interphalangea	2	$344.75
06229	Arthrodesis of metacarpophalangeal/interphalangeal	2	$344.75
06231	Hand joints - rheumatoid - reconstruction	3	$992.21
06232	Prosthesis - finger joint - first joint	2	$259.64
06233	Prosthesis - finger joint - subsequent joints	2	$147.59
06234	Synovectomy - rheumatoid disease	2	$351.20
06235	Intrinsic release - joints	2	$254.92
06236	Metacarpo/interphalangeal joint - closed reduction	2	$125.35
06237	Metacarpo/interphalangeal joint - open reduction	2	$254.92
06167	Treatment of lymphoedema, using the thompson procedure- upper extremity forearm	4	$353.91
06168	Treatment of lymphoedema, using the thompson procedure-arm	4	$235.39
06169	Treatment of lymphoedema, using the thompson procedure - lower extremity leg	4	$591.48
06170	Treatment of lymphoedema, using the thompson procedure-thigh	4	$591.48
61310	Lesions & scars-trunk, arms & legs-< 5cm	0	$122.27
61311	Lesions & scars-trunk, arms & legs - 5-10cm	0	$157.92
61312	Lesions & scars-trunk, arms & legs- > 10cm	0	$234.35
61313	Lesions & scars-face, scalp, neck, etc. < 5cm	0	$169.13
61314	Lesions & scars-face, scalp, neck, etc. 5-10 cm	0	$224.15
61315	Lesions & scars-face, scalp, neck, etc. > 10cm	0	$275.10
61316	Lesions & scars-eyelids, ears, lips, etc. < 2cm	0	$178.30
61317	Lesions & scars-eyelids, ears, lips, etc. 2-4 cm	0	$213.97
61318	Lesions & scars-eyelids, ears, lips, etc. >4 cm	0	$290.38
61319	Excision of lesion(in hosp),tumour-free margin-ext	0	$101.89
06110	Cheeks -facial paralysis - dynamic slings with local functional muscle transfer (unilateral)	3	$785.69
06111	Cheeks- facial paralysis static slings (unilateral	3	$650.54
06120	Complete repair for facial paralysis, plication of paralyzed muscles, meloplasty, and resection of overactive muscles bilateral	3	$838.07
06129	Combined complete repair as above and rhytidectomy unilateral	3	$945.41
06151	Decubitus ulcers - excision and treatment of bone, rotation flaps, and skin grafts to secondary defect	4	$866.70
06159	Tram flap reconstruction of mastectomy defect	5	$1,021.77
61152	Abdominal panniculectomy where medically indicated, secondary to chronic subpanus intertrigo, which has been unresponsive to a reasonable period of medical treatment	4	$910.00
61156	Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving small muscles	5	$444.79
61157	Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving medium muscles	5	$630.91
61158	Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving major muscles	5	$955.00
06300	Osteotomies, maxillo-facial; le fort 1, horizontal	6	$1,130.11
06301	Osteotomies, maxillo-facial le fort ii - pyramidal	6	$1,399.45
06302	Maxillo-facial osteotomy; le fort iii intracranial	8	$2,907.70
06303	Maxillo-facial osteotomy; le fort iii extracranial	7	$2,476.77
06304	Osteotomies, maxillo-facial - malar maxilliary	6	$1,291.71
06305	Osteotomies, mandibular maxillo-facial/unilateral	6	$806.91
06306	Osteotomies, mandibular maxillo-facial - bilateral	6	$968.51
06307	Osteotomies, pre-maxillary set back	6	$806.91
06308	Mandibular osteotomy/internal fixation/unilateral	6	$823.07
06309	Mandibular osteotomy - internal fixation/bilateral	6	$1,183.97
06310	Osteotomy - orbital advancement - unilateral	8	$2,799.96
06311	Osteotomy - orbital advancement	8	$3,123.16
06312	Osteotomy - intracranial correction hypertelorism	8	$3,769.56
06313	Osteotomy - orbital expansion	8	$3,015.43
06314	Osteotomy - canthopexy	3	$564.52
06216	Microvascular surgery - artery or vein	6	$675.48
06217	Microreimplantation - digit or extremity	4	$3,108.88
06220	Microvascular surgical free flap	5	$3,108.09
06259	Microsurgical removal neoplasm, digital/palmar	2	$336.04
61210	Certified plastic surgeon assist, over 1 hr-extra	0	$50.58
06136	Plastic repair abbe operation	4	$641.12
06137	Full lip thickness transfer by rotation flap	4	$548.93
06138	Cleft lip - bilateral	4	$1,061.16
06139	Cleft lip - unilateral	4	$558.04
06142	Pharyngoplasty, pharyngeal flap	6	$542.97
06143	Pharyngeal flap push back	6	$750.90
06144	Cleft lip, bilateral - incomplete	4	$750.90
06145	Cleft palate	6	$553.74
06147	Palatal cleft - bone graft	4	$612.99
06181	Lip adhesion for cleft palate	3	$393.22
06156	Neuroma transplant	2	$254.92
06255	Peripheral nerve suture: minor	2	$254.92
06256	Nerve repair - palmar	2	$254.92
06257	Peripheral nerve suture: major	3	$403.31
06109	Rhinoplasty - removal of hump	3	$238.09
06115	Rhinoplasty - forehead, 2 operations	3	$917.68
06116	Rhinoplasty - composite graft	3	$331.03
06117	Rhinophyma	3	$335.05
06118	Rhinoplasty; bone graft to nose - autologous	3	$601.15
06119	Rhinoplasty; bone graft nose, non-autologous	3	$493.41
06124	Nasal fracture - wire plate fixation - open reduct	3	$533.27
06153	Bone graft orbit, autologous	4	$612.99
06154	Bone graft orbit, non-autologous implant	4	$462.17
06087	Incision subperiosteal abscess	2	$254.92
06027	Repair of torn (split) earlobe (simple) (operation only)	3	$118.31
06238	Repair of complicated fingertip injury	2	$201.05
61057	Nipple areolar reconstruction and tattooing	2	$457.84
06005	Emergency visit - plastic surgery	0	$104.23
06007	Subsequent visit, office, plastic surgery	0	$25.43
06008	Subsequent visit, hospital, plastic surgery	0	$36.71
06009	Subsequent visit, home, plastic surgery	0	$80.00
06010	Consultation, plastic surgery	0	$98.50
06012	Consultation, limited or repeat, plastic surgery	0	$48.27
66007	Telehealth subsequent office visit plastic surgery	0	$25.43
66008	Telehealth subsequent hospital visit -plastic surg	0	$36.71
66010	Telehealth major consultation, plastic surgery	0	$98.50
66012	Telehealth repeat or limited consult plastic surg	0	$48.27
66015	Pre-operative assessment - plastic surgery	0	$98.50
06240	Interdental and intermaxillary wiring	6	$445.96
06241	Gunning splints impression	6	$457.87
06242	Mandible -open reduction - unilateral	6	$662.31
06243	Mandible -open reduction - bilateral	6	$866.25
06244	Mandible -open reduction and wiring - unilateral	6	$764.28
06245	Mandible -open reduction and wiring - bilateral	6	$968.21
06246	Removal of sutures, intra-oral splints, under ga	4	$301.47
06250	Face, fracture le forte - horizontal	6	$968.21
06251	Face, fracture le forte - pyramidal	6	$1,070.17
06252	Face, fracture le forte/cranio-facial dysjunction	6	$1,213.31
06253	Wire suspension, craniomaxillary	6	$1,111.81
06260	Maxillary fracture zygomatic - temporal elevation	3	$328.22
06261	Maxillary fracture zygomatic - open reduction and	4	$637.40
06262	Maxillary fracture zygomatic - reduction	4	$457.93
06265	Maxillary fracture zygomatic - arch - temporal	3	$356.42
06266	Zygomatic arch/open reduction/interosseous wiring	4	$446.25
06270	Orbital floor fracture - open reduction	4	$743.98
06271	Alveolar fracture - one tooth extraction	3	$128.20
06272	Alveolar fracture - additional teeth	3	$79.71
06273	Fracture-alveolus; arch bar fixation	3	$409.62
06280	Temporo-mandibular joint; meniscectomy	3	$446.25
06281	Temporo-mandibular joint; condylectomy	3	$510.65
06282	Temporo-mandibular arthroplasty	3	$726.12
06291	Mandibular resection; tumours; enucleation	4	$606.54
06292	Mandibular resection; tumours; with bone graft	4	$860.78
06293	Bone graft jaw, autologous	4	$541.89
06294	Bone graft jaw, non-autologous	4	$499.88
06042	Abscess - mid palmer/thenar/dorsal	2	$254.92
06197	Acute tenosynovitis - finger	2	$290.00
06198	Acute tenosynovitis - ulnar or radial bursa	2	$290.00
61291	Biopsy, not sutured	0	$89.10
61292	Biopsy,not sutured,multiples sm sitting,max4(extra	0	$25.02
06026	Skin graft; arterial island flap	2	$353.91
06030	Flaps from a distance-upper extremity-init stage	2	$591.47
06031	Flaps from a distance -uper extremity-2nd stage	2	$471.50
06032	Skin grafts; flaps from a distance, lower,initial	2	$710.26
06033	Flaps from a distance - first stage -per operation	4	$353.91
06034	Flaps from a distance-minor 2nd stage per operatio	3	$235.39
06035	Flaps from a distance, delaying a flap(oper only)	3	$163.48
06148	Hair bearing scalp vacular island flap to eyebrow	3	$483.98
06171	Syndactyly local flap - first cleft	2	$254.92
06172	Syndactyly with skin graft - first cleft	2	$453.55
06177	Neurovascular pedicle	3	$744.43
61320	Excision of malignant lesions-10-50cm - extra	2	$61.13
61321	Excision of malignant lesions-51-100cm-extra	2	$132.45
61322	Excision of malignant lesions-over 100cm-extra	2	$183.40
61324	Advancement flap-nose,lids,lips or scalp-up to 2cm	2	$185.44
61325	Advancement flap-face, neck or scalp (2.1 to 5 cm)	2	$234.35
61326	Advancement flap-other areas (2.1 to 5 cm)	2	$182.38
61327	Advancement flap-face, neck or scalp(5.1 to 10 cm)	2	$355.27
61328	Advancement flap-other areas (5.1 to 10cm)	2	$233.47
61329	Advancement flap - defects more than 10 cm	2	$393.85
61330	Flaps - trunk - defect up to 40 cm	2	$243.61
61331	Flaps - trunk - defect 40 cm to 100 cm	2	$324.82
61332	Flaps - trunk - defect greater than 100 cm	2	$423.66
61333	Flaps - arms, legs and scalp - defect up to 6 cm	2	$305.76
61334	Flaps - arms,legs and scalp-defect 6 cm to 19 cm	2	$346.00
61335	Flaps-arms,legs and scalp-defect > 19 cm	2	$458.84
61336	Flaps-other areas(axilla,cheeks,face,etc)upto 6cm	2	$305.76
61337	Flaps-other area(axilla,cheeks,face,etc)6cm-19cm	2	$346.78
61338	Flaps-other area(axilla,cheeks,face,etc)-defect>19	2	$469.01
61339	Flaps-ears,eyelids,lips and nose-defect upto 6 cm	2	$347.03
61340	Flaps-ears,eyelids,lips and nose-defect 6 cm to	2	$457.92
61341	Flaps-ears,eyelids,lips and nose-defect > 19 cm	2	$509.26
61342	Revision of graft - less than 2 cm	2	$203.01
61343	Revision of graft - between 2 and 5 cm	2	$243.61
61344	Revision of graft - greater than 5 cm	2	$284.22
61300	Wounds-up to 5cm-other than face, simple closure	2	$137.54
61301	Wounds-up to 5cm-face(bleeders &/or layered closur	2	$203.77
61302	Wounds-5.1 to 10cm-other than face, simple closure	2	$244.52
61303	Wounds-5.1 to 10cm-face(bleeders &/or layered clos	2	$254.72
61304	Wounds-10.1 to 15cm-other than face, simple closur	2	$285.29
61305	Wounds-10.1 to 15cm-face(bleeders &/or layered clo	2	$356.60
61306	Wounds-15.1cm or more-other than face, simple clos	2	$305.66
61307	Wounds-15.1cm or more-face(bleeders &/or layered	2	$407.55
61308	Coordination of anesthetic svcs-for laceration ext	2	$203.77
06200	Tattooing surgery facial area - < 1/4 of face	3	$114.69
06201	Tattooing surgery facial area - 1/4 to 1/2 face	3	$235.39
06202	Tattooing surgery facial area - full face	4	$353.91
06205	Tattooing surgery non-facial area - < 6.5 sq. cm	2	$59.75
06206	Tattooing surgery non-facial area - < 65 sq. cm	2	$118.31
06207	Tattooing surgery non-facial area - < 650 sq. cm	2	$235.39
06175	Pollicization	4	$1,150.59
06176	Digital transplant	5	$952.71
06185	Tendon graft	2	$705.63
06186	Tenoplasty - one tendon	2	$231.62
06187	Tenoplasty - two or more tendons	2	$377.06
06188	Tenolysis	2	$392.14
06189	Tenolysis - each additional	2	$145.44
06193	Palmar fasciectomy - extensive	2	$433.71
06194	Palmar fasciectomy - with skin grafting	2	$561.51
06195	Silastic rod prior to tendon grafting	3	$462.17
06203	Tendon transfer hand and wrist	2	$448.72
06204	Tendon transfer hand and wrist - each additional	2	$163.48
61230	Needle aponeurectomy - dupuytren's diseasec	0	$151.13
61363	Flexor-primary or secondary repair - first tendon	2	$377.06
61364	Flexor - second to sixth tendon repair (extra)	2	$188.53
61365	Flexor - seventh to eleventh tendon repair (extra)	2	$94.27
61366	Flexor - twelfth and over tendon repair (extra)	2	$47.14
61368	Extensor - primary or secondary repair - first ten	2	$237.02
61369	Extensor - second to sixth tendon repair (extra)	2	$118.51
61370	Extensor -seventh to eleventh tendon repair(extra)	2	$59.24
61371	Extensor - twelfth and over tendon repair (extra)	2	$29.62
06085	Tissue expansion - major areas	3	$559.83
06086	Tissue expansion - minor areas	2	$351.98
06150	Reduction mammoplasty for hypermastia - unilateral	4	$527.85
06157	Nipple-areolar reconstruction	2	$339.52
06164	Breast replacement - unilateral	3	$405.66
06165	Breast replacement - bilateral	3	$608.76
06178	Breast implant - excision/pathologic capsule	2	$410.00
06179	Breast implant - excision only	2	$245.70
61050	Reduction mammoplasty for hypermastia bilateral	4	$866.49
61053	Reduction mammoplasty for hypermastia bilateral	3	$772.73
61054	Bilateral mastectomy in the context of gender affirming surgery, female to male (ftm) - (to include bilateral subcutaneous mastectomy, nipple-areolar reconstruction and chest wall reconstruction	3	$1,476.26
61166	Mastopexy, balancing unilateral (isolated procedure)	3	$458.02
61167	Mastopexy, balancing when performed at same time as contralateral breast surgery	3	$305.44

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.