Procedure Code Descripion Rate

Transcription

1 400 INCISION OF LYMPHATIC STRUCTURES $ DIAGNOSTIC PROCEDURES ON LYMPHATIC STRUCTURES $ BIOPSY OF LYMPHATIC STRUCTURE $ OTHER DIAGNOSTIC PROCEDURES ON LYMPHATIC STRUCTURES $ SIMPLE EXCISION OF LYMPHATIC STRUCTURE $ EXCISION OF DEEP CERVICAL LYMPH NODE $ EXCISION OF INTERNAL MAMMARY LYMPH NODE $ EXCISION OF AXILLARY LYMPH NODE $ EXCISION OF INGUINAL LYMPH NODE $ SIMPLE EXCISION OF OTHER LYMPHATIC STRUCTURE $ REGIONAL LYMPH NODE EXCISION $ RADICAL NECK DISSECTION, NOT OTHERWISE SPECIFIED $ RADICAL NECK DISSECTION, UNILATERAL $ RADICAL NECK DISSECTION, BILATERAL $ BIOPSY OF LIP $ RADICAL EXCISION OF LYMPH NODES, NOT OTHERWISE SPECIFIED $ VERMILIONECTOMY (LIP SHAVE), WITH MUCOSAL ADVANCEMENT $ RADICAL EXCISION OF AXILLARY LYMPH NODES $ EXCISION OF LIP; TRANSVERSE WEDGE EXCISION WITH PRIMARY CLOSURE $ RADICAL EXCISION OF PERIAORTIC LYMPH NODES $ EXCISION OF LIP; V-EXCISION WITH PRIMARY DIRECT LINEAR CLOSURE $ EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH LOCAL FLAP (EG, ESTLANDER OR FAN) $ EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH CROSS LIP FLAP (ABBE- ESTLANDER) $ RADICAL EXCISION OF ILIAC LYMPH NODES $ RESECTION OF LIP, MORE THAN ONE-FOURTH, WITHOUT RECONSTRUCTION $ RADICAL GROIN DISSECTION $ RADICAL EXCISION OF OTHER LYMPH NODES $ OPERATIONS ON THORACIC DUCT $ CANNULATION OF THORACIC DUCT $ FISTULIZATION OF THORACIC DUCT $ CLOSURE OF FISTULA OF THORACIC DUCT $ LIGATION OF THORACIC DUCT $ REPAIR LIP, FULL THICKNESS; VERMILION ONLY $ REPAIR LIP, FULL THICKNESS; UP TO HALF VERTICAL HEIGHT $210.00

2 40654 REPAIR LIP, FULL THICKNESS; OVER ONE-HALF VERTICAL HEIGHT, OR COMPLEX $ OTHER OPERATIONS ON THORACIC DUCT $ PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; PRIMARY, PARTIAL OR COMPLETE, UNILATERAL $ PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; PRIMARY BILATERAL, ONE STAGE PROCEDURE $ PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; PRIMARY BILATERAL, ONE OF TWO STAGES $ PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; SECONDARY, BY RECREATION OF DEFECT AND RECLOSURE $ PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; WITH CROSS LIP PEDICLE FLAP (ABBE- ESTLANDER TYPE), INCLUDING SECT $ UNLISTED PROCEDURE, LIPS $ DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF MOUTH; SIMPLE $ DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF MOUTH; COMPLICATED $ REMOVAL OF EMBEDDED FOREIGN BODY, VESTIBULE OF MOUTH; SIMPLE $ REMOVAL OF EMBEDDED FOREIGN BODY, VESTIBULE OF MOUTH; COMPLICATED $ INCISION OF LABIAL FRENUM (FRENOTOMY) $ BIOPSY, VESTIBULE OF MOUTH $ EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITHOUT REPAIR $ EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITH SIMPLE REPAIR $ EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITH COMPLEX REPAIR $ EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; COMPLEX, WITH EXCISION OF UNDERLYING MUSCLE $ EXCISION OF MUCOSA OF VESTIBULE OF MOUTH AS DONOR GRAFT $ EXCISION OF FRENUM, LABIAL OR BUCCAL (FRENUMECTOMY, FRENULECTOMY, FRENECTOMY) $ DESTRUCTION OF LESION OR SCAR OF VESTIBULE OF MOUTH BY PHYSICAL METHODS (EG, LASER, THERMAL, CRYO, CHEMICAL) $ CLOSURE OF LACERATION, VESTIBULE OF MOUTH; 2.5 CM OR LESS $ CLOSURE OF LACERATION, VESTIBULE OF MOUTH; OVER 2.5 CM OR COMPLEX $ VESTIBULOPLASTY; ANTERIOR $ VESTIBULOPLASTY; POSTERIOR, UNILATERAL $38.50

3 40843 VESTIBULOPLASTY; POSTERIOR, BILATERAL $ VESTIBULOPLASTY; ENTIRE ARCH $ VESTIBULOPLASTY; COMPLEX (INCLUDING RIDGE EXTENSION, MUSCLE REPOSITIONING) $ UNLISTED PROCEDURE, VESTIBULE OF MOUTH $ OTHER OPERATIONS ON LYMPHATIC STRUCTURES $ BONE MARROW TRANSPLANT, NOT OTHERWISE SPECIFIED $ INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; LINGUAL $ INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; SUBLINGUAL, SUPERFI $ INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; SUBLINGUAL, DEEP, S $ INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; SUBMENTAL SPACE $ INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; SUBMANDIBULAR SPACE $ INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; MASTICATOR SPACE $ AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT PURGING $ INCISION OF LINGUAL FRENUM (FRENOTOMY) $ EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBLINGUAL $ EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBMENTAL $ EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBMANDIBULAR $ EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; MASTICATOR SPACE $ PLACEMENT OF NEEDLES, CATHETERS, OR OTHER DEVICE(S) INTO THE HEAD AND/OR NECK REGION FOR SUBSEQUENT INTERS $ ALLOGENIC BONE MARROW TRANSPLANT WITH PURGING $ ALLOGENIC BONE MARROW TRANSPLANT WITHOUT PURGING $ AUTOLOGOUS HEMATOPOIETIC STEM CELL TRANSPLANT WITHOUT PURGING $ AUTOLOGOUS HEMATOPOIETIC STEM CELL TRANSPLANT WITH PURGING $ ALLOGENEIC HEMATOPOIETIC STEM CELL WITH PURGING $ AUTOLOGOUS BONE MARROW TRANSPLANT WITH PURGING $0.00

4 411 PUNCTURE OF SPLEEN $ BIOPSY OF TONGUE; ANTERIOR TWO-THIRDS $ BIOPSY OF TONGUE; POSTERIOR ONE-THIRD $ BIOPSY OF FLOOR OF MOUTH $ EXCISION OF LESION OF TONGUE WITHOUT CLOSURE $ EXCISION OF LESION OF TONGUE WITH CLOSURE; ANTERIOR TWO-THIRDS $ EXCISION OF LESION OF TONGUE WITH CLOSURE; POSTERIOR ONE-THIRD $ EXCISION OF LESION OF TONGUE WITH CLOSURE; WITH LOCAL TONGUE FLAP $ EXCISION OF LINGUAL FRENUM (FRENECTOMY) $ EXCISION, LESION OF FLOOR OF MOUTH $ GLOSSECTOMY; LESS THAN ONE-HALF TONGUE $ GLOSSECTOMY; HEMIGLOSSECTOMY $ GLOSSECTOMY; PARTIAL, WITH UNILATERAL RADICAL NECK DISSECTION $ GLOSSECTOMY; COMPLETE OR TOTAL, WITH OR WITHOUT TRACHEOSTOMY, WITHOUT RADICAL NECK DISSECTION $ GLOSSECTOMY; COMPLETE OR TOTAL, WITH OR WITHOUT TRACHEOSTOMY, WITH UNILATERAL RADICAL NECK DISSECTION $ GLOSSECTOMY; COMPOSITE PROCEDURE WITH RESECTION FLOOR OF MOUTH AND MANDIBULAR RESECTION, WITHOUT RADICAL NECK $ GLOSSECTOMY; COMPOSITE PROCEDURE WITH RESECTION FLOOR OF MOUTH, WITH SUPRAHYOID NECK DISSECTION $ GLOSSECTOMY; COMPOSITE PROCEDURE WITH RESECTION FLOOR OF MOUTH, MANDIBULAR RESECTION, AND RADICAL NECK DISSECT $ SPLENOTOMY $0.00 REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO-THIRDS OF TONGUE $ REPAIR OF LACERATION 2.5 CM OR LESS; POSTERIOR ONE-THIRD OF TONGUE $ REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX $ DIAGNOSTIC PROCEDURES ON BONE MARROW AND SPLEEN $ BIOPSY OF BONE MARROW $ CLOSED [ASPIRATION] [PERCUTANEOUS] BIOPSY OF SPLEEN $ OTHER BIOPSY OF SPLEEN $ OTHER DIAGNOSTIC PROCEDURES ON BONE MARROW $ OTHER DIAGNOSTIC PROCEDURES ON SPLEEN $ EXCISION OR DESTRUCTION OF LESION OR TISSUE OF SPLEEN $ MARSUPIALIZATION OF SPLENIC CYST $0.00

5 4142 EXCISION OF LESION OR TISSUE OF SPLEEN $ PARTIAL SPLENECTOMY $ TOTAL SPLENECTOMY $ FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) $ SUTURE OF TONGUE TO LIP FOR MICROGNATHIA (DOUGLAS TYPE PROCEDURE) $ TONGUE BASE SUSPENSION, PERMANENT SUTURE TECHNIQUE $ FRENOPLASTY (SURGICAL REVISION OF FRENUM, EG, WITH Z-PLASTY) $92.40 SUBMUCOSAL ABLATION OF THE TONGUE BASE, RADIOFREQUENCY, ONE OR MORE SITES, PER SESSION $1, UNLISTED PROCEDURE, TONGUE, FLOOR OF MOUTH $ DRAINAGE OF ABSCESS, CYST, HEMATOMA FROM DENTOALVEOLAR STRUCTURES $ REMOVAL OF EMBEDDED FOREIGN BODY FROM DENTOALVEOLAR STRUCTURES; SOFT TISSUES $ REMOVAL OF EMBEDDED FOREIGN BODY FROM DENTOALVEOLAR STRUCTURES; BONE $ GINGIVECTOMY, EXCISION GINGIVA, EACH QUADRANT $ OPERCULECTOMY, EXCISION PERICORONAL TISSUES $ EXCISION OF FIBROUS TUBEROSITIES, DENTOALVEOLAR STRUCTURES $ EXCISION OF OSSEOUS TUBEROSITIES, DENTOALVEOLAR STRUCTURES $ EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; WITHOUT REPAIR $84.00 EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; WITH SIMPLE REPAIR $83.93 EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; WITH COMPLEX REPAIR $ EXCISION OF HYPERPLASTIC ALVEOLAR MUCOSA, EACH SEXTANT OR QUADRANT (SPECIFY) $ ALVEOLECTOMY, INCLUDING CURETTAGE OF OSTEITIS OR SEQUESTRECTOMY $ DESTRUCTION OF LESION (EXCEPT EXCISION), DENTOALVEOLAR STRUCTURES $ PERIODONTAL MUCOSAL GRAFTING $ GINGIVOPLASTY $ ALVEOPLASTY $ UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES $ OTHER OPERATIONS ON SPLEEN AND BONE MARROW $ ASPIRATION OF BONE MARROW FROM DONOR FOR TRANSPLANT $ INJECTION INTO BONE MARROW $ EXCISION OF ACCESSORY SPLEEN $ TRANSPLANTATION OF SPLEEN $0.00

6 4195 REPAIR AND PLASTIC OPERATIONS ON SPLEEN $ OTHER OPERATIONS ON BONE MARROW $ OTHER OPERATIONS ON SPLEEN $ DRAINAGE OF ABSCESS OF PALATE, UVULA $ INCISION OF ESOPHAGEAL WEB $ OTHER INCISION OF ESOPHAGUS $ ESOPHAGOSTOMY, NOT OTHERWISE SPECIFIED $ BIOPSY OF PALATE, UVULA $ EXCISION, LESION OF PALATE, UVULA; WITHOUT CLOSURE $ EXCISION, LESION OF PALATE, UVULA; WITH SIMPLE PRIMARY CLOSURE $ EXCISION, LESION OF PALATE, UVULA; WITH LOCAL FLAP CLOSURE $ CERVICAL ESOPHAGOSTOMY $ EXTERIORIZATION OF ESOPHAGEAL POUCH $ RESECTION OF PALATE OR EXTENSIVE RESECTION OF LESION $ UVULECTOMY, EXCISION OF UVULA $ PALATOPHARYNGOPLASTY (EG, UVULOPALATOPHARYNGOPLASTY, UVULOPHARYNGOPLASTY) $ DESTRUCTION OF LESION, PALATE OR UVULA (THERMAL, CRYO OR CHEMICAL) $ REPAIR, LACERATION OF PALATE; UP TO 2 CM $ REPAIR, LACERATION OF PALATE; OVER 2 CM OR COMPLEX $ OTHER EXTERNAL FISTULIZATION OF ESOPHAGUS $ DIAGNOSTIC PROCEDURES ON ESOPHAGUS $ PALATOPLASTY FOR CLEFT PALATE, SOFT AND/OR HARD PALATE ONLY $ PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALVEOLAR RIDGE; SOFT TISSUE ONLY $ OPERATIVE ESOPHAGOSCOPY BY INCISION $ PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALVEOLAR RIDGE; WITH BONE GRAFT TO ALVEOLAR RIDGE (INCLUDES OBT $ PALATOPLASTY FOR CLEFT PALATE; MAJOR REVISION $ ESOPHAGOSCOPY THROUGH ARTIFICIAL STOMA $ PALATOPLASTY FOR CLEFT PALATE; SECONDARY LENGTHENING PROCEDURE $ PALATOPLASTY FOR CLEFT PALATE; ATTACHMENT PHARYNGEAL FLAP $ LENGTHENING OF PALATE, AND PHARYNGEAL FLAP $ LENGTHENING OF PALATE, WITH ISLAND FLAP $ OTHER ESOPHAGOSCOPY $ REPAIR OF ANTERIOR PALATE, INCLUDING VOMER FLAP $284.63

7 4224 CLOSED [ENDOSCOPIC] BIOPSY OF ESOPHAGUS $ OPEN BIOPSY OF ESOPHAGUS $ REPAIR OF NASOLABIAL FISTULA $ MAXILLARY IMPRESSION FOR PALATAL PROSTHESIS $ INSERTION OF PIN-RETAINED PALATAL PROSTHESIS $ OTHER DIAGNOSTIC PROCEDURES ON ESOPHAGUS $ UNLISTED PROCEDURE, PALATE, UVULA $ LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF ESOPHAGUS $ DRAINAGE OF ABSCESS; PAROTID, SIMPLE $ DRAINAGE OF ABSCESS; PAROTID, COMPLICATED $ LOCAL EXCISION OF ESOPHAGEAL DIVERTICULUM $ DRAINAGE OF ABSCESS; SUBMAXILLARY OR SUBLINGUAL, INTRAORAL $ LOCAL EXCISION OF OTHER LESION OR TISSUE OF ESOPHAGUS $ DRAINAGE OF ABSCESS; SUBMAXILLARY, EXTERNAL $ ENDOSCOPIC EXCISION OR DESTRUCTION OF LESION OR TISSUE OF ESOPHAGUS $0.00 SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAXILLARY), SUBLINGUAL OR PAROTID, UNCOMPLICATED, INTRAORAL $ SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAXILLARY), COMPLICATED, INTRAORAL $ SIALOLITHOTOMY; PAROTID, EXTRAORAL OR COMPLICATED INTRAORAL $ OTHER DESTRUCTION OF LESION OR TISSUE OF ESOPHAGUS $ ESOPHAGECTOMY, NOT OTHERWISE SPECIFIED $ BIOPSY OF SALIVARY GLAND; NEEDLE $ BIOPSY OF SALIVARY GLAND; INCISIONAL $ EXCISION OF SUBLINGUAL SALIVARY CYST (RANULA) $ MARSUPIALIZATION OF SUBLINGUAL SALIVARY CYST (RANULA) $ PARTIAL ESOPHAGECTOMY $ EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITHOUT NERVE DISSECTION $ EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITH DISSECTION AND PRESERVATION OF FACIAL NERVE $ TOTAL ESOPHAGECTOMY $ EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, WITH DISSECTION AND PRESERVATION OF FACIAL NERVE $ EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, EN BLOC REMOVAL WITH SACRIFICE OF FACIAL NERVE $378.00

8 42426 EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, WITH UNILATERAL RADICAL NECK DISSECTION $ EXCISION OF SUBMANDIBULAR (SUBMAXILLARY) GLAND $ EXCISION OF SUBLINGUAL GLAND $ INTRATHORACIC ANASTOMOSIS OF ESOPHAGUS $ PLASTIC REPAIR OF SALIVARY DUCT, SIALODOCHOPLASTY; PRIMARY OR SIMPLE $ PLASTIC REPAIR OF SALIVARY DUCT, SIALODOCHOPLASTY; SECONDARY OR COMPLICATED $ PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); $ PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); WITH EXCISION OF ONE SUBMANDIBULAR GLAND $ PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); WITH EXCISION OF BOTH SUBMANDIBULAR GLANDS $ INTRATHORACIC ESOPHAGOESOPHAGOSTOMY $0.00 PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); WITH LIGATION OF BOTH SUBMANDIBULAR (WHARTON'S) DUCT $ INTRATHORACIC ESOPHAGOGASTROSTOMY $ INTRATHORACIC ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF SMALL BOWEL $ OTHER INTRATHORACIC ESOPHAGOENTEROSTOMY $ INTRATHORACIC ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF COLON $ INJECTION PROCEDURE FOR SIALOGRAPHY $ OTHER INTRATHORACIC ESOPHAGOCOLOSTOMY $ INTRATHORACIC ESOPHAGEAL ANASTOMOSIS WITH OTHER INTERPOSITION $ OTHER INTRATHORACIC ANASTOMOSIS OF ESOPHAGUS $ ANTESTERNAL ANASTOMOSIS OF ESOPHAGUS $ CLOSURE SALIVARY FISTULA $ ANTESTERNAL ESOPHAGOESOPHAGOSTOMY $ ANTESTERNAL ESOPHAGOGASTROSTOMY $ ANTESTERNAL ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF SMALL BOWEL $ OTHER ANTESTERNAL ESOPHAGOENTEROSTOMY $ ANTESTERNAL ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION OF COLON $ DILATION SALIVARY DUCT $ OTHER ANTESTERNAL ESOPHAGOCOLOSTOMY $ DILATION AND CATHETERIZATION OF SALIVARY DUCT, WITH OR WITHOUT INJECTION $ LIGATION SALIVARY DUCT, INTRAORAL $ OTHER ANTESTERNAL ESOPHAGEAL ANASTOMOSIS WITH INTERPOSITION $ OTHER ANTESTERNAL ANASTOMOSIS OF ESOPHAGUS $0.00

9 42699 UNLISTED PROCEDURE, SALIVARY GLANDS OR DUCTS $ ESOPHAGOMYOTOMY $ INCISION AND DRAINAGE ABSCESS; PERITONSILLAR $50.40 INCISION AND DRAINAGE ABSCESS; RETROPHARYNGEAL OR PARAPHARYNGEAL, INTRAORAL APPROACH $84.00 INCISION AND DRAINAGE ABSCESS; RETROPHARYNGEAL OR PARAPHARYNGEAL, EXTERNAL APPROACH $ OTHER REPAIR OF ESOPHAGUS $ BIOPSY; OROPHARYNX $ BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE $ BIOPSY; NASOPHARYNX, SURVEY FOR UNKNOWN PRIMARY LESION $ EXCISION OR DESTRUCTION OF LESION OF PHARYNX, ANY METHOD $ REMOVAL OF FOREIGN BODY FROM PHARYNX $ INSERTION OF PERMANENT TUBE INTO ESOPHAGUS $ EXCISION BRANCHIAL CLEFT CYST OR VESTIGE, CONFINED TO SKIN AND SUBCUTANEOUS TISSUES $ EXCISION BRANCHIAL CLEFT CYST, VESTIGE, OR FISTULA, EXTENDING BENEATH SUBCUTANEOUS TISSUES AND/OR INTO PHARYNX $ SUTURE OF LACERATION OF ESOPHAGUS $ TONSILLECTOMY AND ADENOIDECTOMY; UNDER AGE 12 $ TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER $ TONSILLECTOMY, PRIMARY OR SECONDARY; UNDER AGE 12 $ TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVER $ CLOSURE OF ESOPHAGOSTOMY $ ADENOIDECTOMY, PRIMARY; UNDER AGE 12 $ ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER $ ADENOIDECTOMY, SECONDARY; UNDER AGE 12 $ ADENOIDECTOMY, SECONDARY; AGE 12 OR OVER $ REPAIR OF ESOPHAGEAL FISTULA, NOT ELSEWHERE CLASSIFIED $ RADICAL RESECTION OF TONSIL, TONSILLAR PILLARS, AND/OR RETROMOLAR TRIGONE; WITHOUT CLOSURE $ RADICAL RESECTION OF TONSIL, TONSILLAR PILLARS, AND/OR RETROMOLAR TRIGONE; CLOSURE WITH LOCAL FLAP (EG, TONGUE $ RADICAL RESECTION OF TONSIL, TONSILLAR PILLARS, AND/OR RETROMOLAR TRIGONE; CLOSURE WITH OTHER FLAP $ REPAIR OF ESOPHAGEAL STRICTURE $0.00

10 4286 PRODUCTION OF SUBCUTANEOUS TUNNEL WITHOUT ESOPHAGEAL ANASTOMOSIS $ EXCISION OF TONSIL TAGS $ OTHER GRAFT OF ESOPHAGUS $ EXCISION OR DESTRUCTION LINGUAL TONSIL, ANY METHOD (SEPARATE PROCEDURE) $ OTHER REPAIR OF ESOPHAGUS $ LIMITED PHARYNGECTOMY $ RESECTION OF LATERAL PHARYNGEAL WALL OR PYRIFORM SINUS, DIRECT CLOSURE BY ADVANCEMENT OF LATERAL AND POSTERIOR $ RESECTION OF PHARYNGEAL WALL REQUIRING CLOSURE WITH MYOCUTANEOUS FLAP $ OTHER OPERATIONS ON ESOPHAGUS $ SUTURE PHARYNX FOR WOUND OR INJURY $ LIGATION OF ESOPHAGEAL VARICES $ DILATION OF ESOPHAGUS $ PHARYNGOPLASTY (PLASTIC OR RECONSTRUCTIVE OPERATION ON PHARYNX) $ PHARYNGOESOPHAGEAL REPAIR $ PHARYNGOSTOMY (FISTULIZATION OF PHARYNX, EXTERNAL FOR FEEDING) $ CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POSTTONSILLECTOMY); SIMPLE $60.00 CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POSTTONSILLECTOMY); SIMPLE COMPLICATED, REQUIRING $ CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POSTTONSILLECTOMY); SIMPLE WITH SECONDARY SURGICAL $ CONTROL OF NASOPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POSTADENOIDECTOMY); SIMPLE, WITH POSTERIOR NAS $66.00 CONTROL OF NASOPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POSTADENOIDECTOMY); COMPLICATED, REQUIRING HOS $ CONTROL OF NASOPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POSTADENOIDECTOMY); WITH SECONDARY SURGICAL IN $ OTHER $ UNLISTED PROCEDURE, PHARYNX, ADENOIDS, OR TONSILS $ GASTROTOMY $ ESOPHAGOTOMY, CERVICAL APPROACH; WITH REMOVAL OF FOREIGN BODY $ CRICOPHARYNGEAL MYOTOMY $ ESOPHAGOTOMY, THORACIC APPROACH; WITH REMOVAL OF FOREIGN BODY $ GASTROSTOMY $ EXCISION OF LOCAL LESION, ESOPHAGUS, WITH PRIMARY REPAIR; CERVICAL APPROACH $403.20

11 43101 EXCISION OF LOCAL LESION, ESOPHAGUS, WITH PRIMARY REPAIR; THORACIC APPROACH $ TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITHOUT THORACOTOMY; WITH PHARYNGOGASTROSTOMY OR CERVICAL ESOPHAGOGASTROST $1, TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITHOUT THORACOTOMY; WITH COLON INTERPOSITION OR SMALL BOWEL RECONSTRUCTION $1, PERCUTANEOUS (ENDOSCOPIC) GASTROSTOMY (PEG) $ TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITH THORACOTOMY; WITH PHARYNGOGASTROSTOMY OR CERVICAL ESOPHAGOGASTROSTOM $1, TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITH THORACOTOMY; WITH COLON INTERPOSITION OR SMALL BOWEL RECONSTRUCTION $1, PARTIAL ESOPHAGECTOMY, CERVICAL, WITH FREE INTESTINAL GRAFT, INCLUDING MICROVASCULAR ANASTOMOSIS, OBTAINING $1, PARTIAL ESOPHAGECTOMY, DISTAL TWO-THIRDS, WITH THORACOTOMY AND SEPARATE ABDOMINAL INCISION, WITH OR WITHOUT P; $1, PARTIAL ESOPHAGECTOMY, DISTAL TWO-THIRDS, WITH THORA- COTOMY AND SEPARATE ABDOMINAL INCISION,...WITH COLON $1, PARTIAL ESOPHAGECTOMY, DISTAL TWO-THIRDS, WITH THORACOTOMY ONLY, WITH OR WITHOUT PROXIMAL GASTRECTOMY, WITH $1, PARTIAL ESOPHAGECTOMY, THORACOABDOMINAL OR ABDOMINAL APPROACH, WITH OR WITHOUT PROXIMAL GASTRECTOMOMY; WITH $1, PARTIAL ESOPHAGECTOMY, THORACOABDOMINAL OR ABDOMINAL APPROACH...;WITH COLON INTERPOSITION OR SMALL BOWEL $1, TOTAL OR PARTIAL ESOPHAGECTOMY, WITHOUT RECONSTRUCTION (ANY APPROACH), WITH CERVICAL ESOPHAGOSTOMY $1, DIVERTICULECTOMY OF HYPOPHARYNX OR ESOPHAGUS, WITH OR WITHOUT MYOTOMY; CERVICAL APPROACH $ DIVERTICULECTOMY OF HYPOPHARYNX OR ESOPHAGUS, WITH OR WITHOUT MYOTOMY; THORACIC APPROACH $ OTHER GASTROSTOMY $ ESOPHAGOSCOPY, RIGID, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING WHEN $ ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH DIRECT SUBMUCOSAL INJECTION(S), ANY SUBSTANCE $ ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE $ ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH REMOVAL OF FOREIGN BODY $96.80

12 43195 ESOPHAGOSCOPY, RIGID, TRANSORAL;WITH BALLOON DILATION (LESS THAN 30MM DIAMETER) $ ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY DILATION OVER GUIDE WIRE $ ESOPHAGOSCOPY, FLEXIBLE, TRANSNASAL; DIAGNOSTIC, INCLUDES COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING $ ESOPHAGOSCOPY, FLEXIBLE, TRANSNASAL; WITH BIOPSY, SINGLE OR MULTIPLE $ PERMANENT GASTROSTOMY $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE FIBEROPTIC (SPECIFY); DIAGNOSTIC PROCEDURE $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE FIBEROPTIC (SPECIFY); FOR BIOPSY AND/OR COLLECTION OF SPECIMEN BY BRUSHING OR $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE FIBEROPTIC (SPECIFY); FOR INJECTION SCLEROSIS OF ESOPHAGEAL VARICES $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH BAND LIGATION OF ESOPHAGEAL VARICES $ REMOVAL OF TISSUE LINING OF ESPHAGUS USING AN ENDOSCOPE $ PLACEMENT OF STENT ON ESOPHAGUS USING AN ENDOSCOPE $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE FIBEROPTIC (SPECIFY); WITH DILATION OF ESOPHAGUS, BY BALLOON OR DILATOR $ BALLOON DILATION OF ESOPHAGUS USING AN ENDOSCOPE $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE FIBEROPTIC (SPECIFY); FOR REMOVAL OF FOREIGN BODY $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYPS(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEP $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE FIBEROPTIC (SPECIFY); FOR REMOVAL OF POLYPOID LESION(S) $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE FIBEROPTIC (SPECIFY); FOR DILATION, DIRECT, ANY METHOD $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE FIBEROPTIC (SPECIFY); FOR INSERTION OF WIRE TO GUIDE DILATION $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE FIBEROPTIC (SPECIFY); FOR CONTROL OF HEMORRHAGE (EG, ELECTROCOAGULATION, LASE $ DESTRUCTIOB OF GROWTHS OF ESOPHAGUS USING AN ENDOSCOPE $ ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION $127.35

13 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE $ BALLOON DILATION OF ESPHAGUS, STOMACH, AND/OR UPER SMALL BOWEL USING ENDOSCOPE $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPRO $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APP $ UPPER GASTROINTESTINAL ENDOSCOPY INCULDING ESOPHAGUS WITH ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE $ UPPER GASTROINTESTINAL ENDOSCOPY INCULDING ESOPHAGUS WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPRO $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, WITH TRANSMURAL DRAINAGE OF PSEUDOCYST $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPRO $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, WITH TRANSENDOSCOPIC ULTRASOOUND-GUIDED INTRAMU $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPRO $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS,..WITH BAND LIGATION OF ESOPHAGEAL AND/OR GASTRIC $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPRO $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPRO $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPRO $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, WITH INSERTION OF GUIDE WIRE FOLLOWED BY DILATION OF $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH...WITH BALLOON DILATION OF ESOPHAGUS $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS,..WITH REMOVAL OF TUMORS, POLYPS, OR OTHER LESIONS BY HOT $184.93

14 43251 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPRO $ INJECTION OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCES OR MARKERS IN ESOPHAGUS, STOMACH, AND/OR UPER SMALL BOWEL $ REMOVAL OF TISSUE LINING OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPRO $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPRO $ UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS,..WITH ENDOSCOPIC ULTRASOUND EXAMINATION $ ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP), WITH OR WITHOUT BIOPSY AND/OR COLLECTION OF SPECIMEN; $ ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; WITH BIOPSY, SINGLE OR MULTIPLE $ ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP), WITH OR WITHOUT BIOPSY AND/OR COLLECTION OF SPECIMEN; F $ ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP), WITH OR WITHOUT BIOPSY AND/OR COLLECTION OF SPECIMEN; F $ ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP), WITH OR WITHOUT BIOPSY AND/OR COLLECTION OF SPECIMEN; F $ ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP), WITH OR WITHOUT BIOPSY AND/OR COLLECTION OF SPECIMEN; F $ PLACEMENT OF STENT IN ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE $ DESTRUCTION OF GROWTHS ON ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING ENDOSCOPE $ ENDOSCOPIC CANNULATION OF PAPILLA WITH DIRECT VISUALIZATION OF COMMON BILE DUCT(S) AND/OR PANCREATIC DUCT(S) $ PLACEMENT OF STENT PANCREATIC OR BILE DUCT USING AN ENDOSCOPE $ REMOVAL OF FOREIGN BODY OR STENT FROM PANCREATIC OR BILE DUCT USING AN ENDOSCOPE $ REPLACEMENT OF STENT PANCREATIC OR BILE DUCT USING AN ENDOSCOPE $ BALLOON DILATION OF PANCREATIC OR BILE DUCT USING AN ENDOSCOPE $238.19

15 43278 DESTRUCTION OF MASS ON GALLBLADDER, PANCREATIC, LIVER, AND BILE DUCTS USING AN ENDOSCPE $ LAPAROSCOPY, SURGICAL, ESOPHAGOMYOTOMY (HELLER TYPE), WITH FUNDOPLASTY, WHEN PERFORMED $ LAPAROSCOPY, SURGICAL, ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, TOUPET PROCEDURES) $ LAPAROSCOPY, SURGICAL, REPAIR OF PARAESOPHAGEAL HERNIA, INCLUDES FUNDOPLASTY, WHEN PERFORMED; WITHOUT $ LAPAROSCOPY, SURGICAL, REPAIR OF PARAESOPHAGEAL HERNIA, INCLUDES FUNDOPLASTY, WHEN PERFORMED; WITH $ LAPAROSCOPY, SURGICAL, ESOPHAGEAL LENGTHENING PROCEDURE (EG, COLLIS GASTROPLASTY OR WEDGE GASTROPLASTY) $ UNLISTED LAPAROSCOPY PROCEDURE, ESOPHAGUS $ PYLOROMYOTOMY $ ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION), CERVICAL APPROACH; WITHOUT REPAIR OF TRACHEOESOPHAGEAL FIS $ ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION), CERVICAL APPROACH; WITH REPAIR OF TRACHEOESOPHAGEAL FISTUL $ ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION), THORACIC APPROACH; WITHOUT REPAIR OF TRACHEOESOPHAGEAL FIS $ ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION), THORACIC APPROACH; WITH REPAIR OF TRACHEOESOPHAGEAL FISTUL $ ESOPHAGOPLASTY FOR CONGENITAL DEFECT, (PLASTIC REPAIR OR RECONSTRUCTION), THORACIC APPROACH;W/O REPAIR OF CONG $1, ESOPHAGOPLASTY FOR CONGENITAL DEFECT, (PLASTIC REPAIR OR RECONSTRUCTION),THORACIC APPROACH; WITH REPAIR OF CON $1, ESOPHAGOGASTROSTOMY (CARDIOPLASTY), WITH OR WITHOUT VAGOTOMY AND PYLOROPLASTY; ABDOMINAL APPROACH $ ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, BELSEY IV, HILL PROCEDURES) $ ESOPHAGOGASTRIC FUNDOPLASTY; WITH FUNDIC PATCH (THAL-NISSEN PROCEDURE) $ ESOPHAGOGASTRIC FUNDOPLASTY; WITH GASTROPLASTY (EG, COLLIS) $ ESOPHAGOGASTRIC FUNDOPLASTY PARTIAL OR COMPLETE; LAPAROTOMY $ ESOPHAGOGASTRIC FUNDOPLASTY PARTIAL OR COMPLETE;THORACOTOMY $ ESOPHAGOMYOTOMY ((HELLER TYPE), WITH OR WITHOUT HIATAL HERNIA REPAIR); ABDOMINAL APPROACH $504.00

16 43331 ESOPHAGOMYOTOMY ((HELLER TYPE), WITH OR WITHOUT HIATAL HERNIA REPAIR); THORACIC APPROACH $ REPAIR, PARAESOPHAGEAL HIATAL HERNIA (INCLUDING FUNDOPLICATION), VIA LAPAROTOMY, EXCEPT NEONATAL $ REPAIR, PARAESOPHAGEAL HIATAL HERNIA (INCLUDING FUNDOPLICATION), VIA LAPAROTOMY, EXCEPT NEONATAL $ REPAIR, PARAESOPHAGEAL HIATAL HERNIA (INCLUDING FUNDOPLICATION), VIA THORACOTOMY, EXCEPT NEONATAL; WITHOUT $ REPAIR, PARAESOPHAGEAL HIATAL HERNIA (INCLUDING FUNDOPLICATION), VIA THORACOTOMY, EXCEPT NEONATAL $ REPAIR, PARAESOPHAGEAL HIATAL HERNIA (INCLUDING FUNDOPLICATION), VIA THORACOABDOMINAL INCISION, EXCEP $ REPAIR, PARAESOPHAGEAL HIATAL HERNIA (INCLUDING FUNDOPLICATION), VIA THORACOABDOMINAL INCISION, EXCEPT $1, ESOPHAGEAL LENGTHENING PROCEDURE (EG, COLLIS GASTROPLASTY OR WEDGE GASTROPLASTY) $ ESOPHAGOJEJUNOSTOMY (WITHOUT TOTAL GASTRECTOMY); ABDOMINAL APPROACH $ ESOPHAGOJEJUNOSTOMY (WITHOUT TOTAL GASTRECTOMY); THORACIC APPROACH $ ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNAL; ABDOMINAL APPROACH $ ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNAL; THORACIC APPROACH $ ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNAL; CERVICAL APPROACH $ GASTROINTESTINAL RECONSTRUCTION FOR PREVIOUS ESOPHAGECTOMY, FOR OBSTRUCTING ESOPHAGEAL LESION OR FISTULA, OR $1, GASTROINTESTINAL RECONSTRUCTION FOR PREVIOUS ESOPHAG- ECTOMY, FOR OBSTRUCTING ESOPHAGEAL...WITH COLON INTERPO $1, LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF STOMACH $ LIGATION, DIRECT, ESOPHAGEAL VARICES $ TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES $ LIGATION OR STAPLING AT GASTROESOPHAGEAL JUNCTION FOR PRE-EXISTING ESOPHAGEAL PERFORATION $ ENDOSCOPIC EXCISION OR DESTRUCTION OF LESION OR TISSUE OF STOMACH $ SUTURE OF ESOPHAGEAL WOUND OR INJURY; CERVICAL APPROACH $ SUTURE OF ESOPHAGEAL WOUND OR INJURY; THORACIC APPROACH $ LOCAL EXCISION OF OTHER LESION OR TISSUE OF STOMACH $ CLOSURE OF ESOPHAGOSTOMY OR FISTULA; CERVICAL APPROACH $ CLOSURE OF ESOPHAGOSTOMY OR FISTULA; THORACIC APPROACH $568.43

17 43450 DILATION OF ESOPHAGUS, BY UNGUIDED SOUND OR BOUGIE, SINGLE OR MULTIPLE PASSES; INITIAL SESSION $ DILATION OF ESOPHAGUS, OVER GUIDE WIRE OR STRING $ ESOPHAGOGASTRIC TAMPONADE, WITH BALLOON (SENGSTAAKEN TYPE) $ OTHER DESTRUCTION OF LESION OR TISSUE OF STOMACH $ FREE JEJUNUM TRANSFER WITH MICROVASCULAR ANASTOMOSIS $ UNLISTED PROCEDURE, ESOPHAGUS $ PARTIAL GASTRECTOMY WITH ANASTOMOSIS TO ESOPHAGUS $ GASTROTOMY; WITH EXPLORATION OR FOREIGN BODY REMOVAL $ GASTROTOMY; WITH SUTURE REPAIR OF BLEEDING ULCER OR ESOPHAGOGASTRIC LACERATION $ GASTROTOMY; WITH SUTURE REPAIR OF PRE-EXISTING ESOPHAGOGASTRIC LACERATION (EG, MALLORY-WEISS) $ GASTROTOMY; WITH ESOPHAGEAL DILATION AND INSERTION OF PLASTIC TUBES $ PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE (FREDET-RAMSTEDT TYPE OPERATION) $ PARTIAL GASTRECTOMY WITH ANASTOMOSIS TO DUODENUM $ BIOPSY OF STOMACH; BY CAPSULE, TUBE, PERORAL (ONE OR MORE SPECIMENS) $ BIOPSY OF STOMACH; BY LAPAROTOMY $ EXCISION, LOCAL, OF ULCER OR TUMOR OF STOMACH $ EXCISION, LOCAL; MALIGNANT TUMOR OF STOMACH $ GASTRECTOMY, TOTAL; INCLUDING INTESTINAL ANASTOMOSIS $ EXCISION, LOCAL; WITH ROUX-EN-Y RECONSTRUCTION $ GASTRECTOMY, TOTAL; WITH FORMATION OF INTESTINAL POUCH, ANY TYPE $ GASTRECTOMY, PARTIAL, DISTAL; WITH GASTRODUODENOSTOMY $ GASTRECTOMY, PARTIAL, DISTAL; WITH GASTROJEJUNOSTOMY $ GASTRECTOMY, PARTIAL, DISTAL; WITH ROUX-EN-Y RECONSTRUCTON $ GASTRECTOMY, PARTIAL, DISTAL; WITH FORMATION OF INTESTINAL POUCH $ VAGOTOMY WHEN PERFORMED WITH PARTIAL DISTAL GASTRECTOMY (LIST SEPARATELY IN ADDITION TO CODE(S) FOR PRIMARY $ VAGOTOMY INCLUDING PYLOROPLASTY, WITH OR WITHOUT GASTROSTOMY; TRUNCAL OR SELECTIVE $ VAGOTOMY INCLUDING PYLOROPLASTY, WITH OR WITHOUT GASTROSTOMY; PARIETAL CELL (HIGHLY SELECTIVE) $ LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; WITH GASTRIC BYPASS AND ROUX-EN-Y GASTROENTEROSTOMY $870.39

18 43645 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; WITH GASTRIC BYPASS AND SMALL INTESTINE RECONSTRUCTION $ LAPAROSCOPY, SURGICAL; IMPLANTATION OR REPLACEMENT OF GASTRIC NEUROSTIMULATOR ELECTRODES, ANTRUM $ LAPAROSCOPY, SURGICAL; REVISION OR REMOVAL OF GASTRIC NEUROSTIMULATOR ELECTRODES, ANTRUM $ LAPAROSCOPY, SURGICAL; TRANSECTION OF VAGUS NERVES, TRUNCAL $ LAPAROSCOPY, SURGICAL; TRANSECTION OF VAGUS NERVES, SELECTIVE OR HIGHLY SELECTIVE $ LAPAROSCOPY, SURGICAL; GASTROSTOMY, WITHOUT CONSTRUCTION OF GASTRIC TUBE(EG, STAMM PROCEDURE) $ UNLISTED LAPAROSCOPY PROCEDURE, STOMACH $ PARTIAL GASTRECTOMY WITH ANASTOMOSIS TO JEJUNUM $ GASTRIC INTUBATION AND ASPIRATION(S) THERAPEUTIC, NECESSITATING PHYSICIAN'S SKILL (EG, FOR GASTROINTESTINAL $ GASTRIC INTUBATION AND ASPIRATION, DIAGNOSTIC; SINGLE SPECIMEN(EG, ACID ANALYSIS) $ GASTRIC INTUBATION AND ASPIRATION, DIAGNOSTIC; COLLECTION OF MULTIPLE FRACTIONAL SPECIMENS WITH GASTRIC $ DUODENAL INTUBATION AND ASPIRATION, DIAGNOSTIC, INCLUDES IMAGE GUIDANCE; SINGLE SPECIMEN (EG, BILE STUDY FOR $ DUODENAL INTUBATION AND ASPIRATION, DIAGNOSTIC, INCLUDES IMAGE GUIDANCE; COLLECTION OF MULTIPLE FRACTIONAL SPE $ CHANGE OF GASTROSTOMY TUBE $ REPOSITIONING OF THE GASTRIC FEEDING TUBE, ANY METHOD, THROUGH THE DUODENUM FOR $ LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; PLACEMENT OF ADJUSTABLE GASTRIC BAND $ LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REVISION OF ADJUSTABLE GASTRIC BAND COMPONENT ONLY $ LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GASTRIC BAND COMPONENT ONLY $ LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL AND REPLACEMENT OF ADJUSTABLE GASTRIC BAND COMPO $ LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GASTRIC BAND AND SUBUTANEOUS PORT $483.39

19 43775 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; LONGITUDINAL GASTRECTOMY (IE, SLEEVE GASTRECTOMY) $ OTHER PARTIAL GASTRECTOMY $ PYLOROPLASTY $ PARTIAL GASTRECTOMY WITH JEJUNAL TRANSPOSITION $ GASTRODUODENOSTOMY $ LAPAROSCOPIC VERTICAL (SLEEVE) GASTRECTOMY $ GASTROJEJUNOSTOMY; $ GASTROJEJUNOSTOMY; WITH VAGOTOMY, ANY TYPE $ GASTROSTOMY, OPEN; WITHOUT CONSTRUCTION OF GASTRIC TUBE (EG, STAMM PROCEDURE) $ GASTROSTOMY, TEMPORARY (TUBE, RUBBER OR PLASTIC) (SEPARATE PROCEDURE); NEONATAL, FOR FEEDING $ GASTROSTOMY, OPEN; WITH CONSTRUCTION OF GASTRIC TUBE (EG, JANEWAY PROCEDURE) $ GASTRORRHAPHY, SUTURE OF PERFORATED DUODENAL OR GASTRIC ULCER, WOUND, OR INJURY $ GASTROPLASTY, VERTICAL-BANDED, FOR MORBID OBESITY $ GASTROPLASTY, OTHER THAN VERTICAL-BANDED, FOR MORBID OBESITY $ GASTRIC RESTRICTIVE PROCEDURE WITH PARTIAL GASTRECTOMY, PYLORUS-PRESERVING DUODENOILESOSTOMY $ GASTRIC BYPASS WITH ROUX-EN-Y GASTROENTEROSTOMY FOR MORBID OBESITY $ GASTRIC RESTRICTIVE PROCEDURE, WITH GASTRIC BYPASS FOR MORBID OBESITY; WITH SMALL BOWEL RECONSTRUCTION TO LIM $ REVISION OF GASTRIC RESTRICTIVE PROCEDURE FOR MORBID OBESITY (SEPARATE PROCEDURE) $ REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITHOUT VAGOTOMY $ REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITH VAGOTOMY $ REVISION OF GASTROJEJUNAL ANASTOMOSIS (GASTROJEJUNOSTOMY) WITH RECONSTRUCTION, WITH OR WITHOUT PARTIAL GASTREC $ REVISION OF GASTROJEJUNAL ANASTOMOSIS (GASTROJEJUNOSTOMY) WITH RECONSTRUCTION, WITH OR WITHOUT PARTIAL GASTREC $ CLOSURE OF GASTROSTOMY, SURGICAL $ CLOSURE OF GASTROCOLIC FISTULA $336.00

20 43881 IMPLANTATION OR REPLACEMENT OF GASTRIC NEUROSTIMULATOR ELECTODES, ANTRUM, OPEN $ REVISION OR REMOVAL OF GASTRIC NEUROSTIMULATOR ELECTODES, ANTRUM, OPEN $ GASTRIC RESTRICTIVE PROCEDURE,OPEN; REVISION OF SUBCUTANEOUS PORT COMPONENT ONLY $ GASTRIC RESTRICTIVE PROCEDURE,OPEN; REMOVAL OF SUBCUTANEOUS PORT COMPONENT ONLY $ GASTRIC RESTRICTIVE PROCEDURE,OPEN; REMOVAL AND REPLACEMENT OF SUBCUTANEOUS PORT COMPONENT ONLY $ OTHER $ TOTAL GASTRECTOMY $ TOTAL GASTRECTOMY WITH INTESTINAL INTERPOSITION $ OTHER TOTAL GASTRECTOMY $ UNLISTED PROCEDURE, STOMACH $ VAGOTOMY, NOT OTHERWISE SPECIFIED $ ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE) $ TRUNCAL VAGOTOMY $ DUODENOTOMY, FOR EXPLORATION, BIOPSY(S), OR FOREIGN BODY REMOVAL $ TUBE JEJUNOSTOMY FOR ENTERAL ALIMENTATION, INTRAOPERATIVE, ANY METHOD (LIST SEPARATELY IN ADDITION TO PRIMARY $ HIGHLY SELECTIVE VAGOTOMY $ ENTEROTOMY, SMALL BOWEL, OTHER THAN DUODENUM; FOR EXPLORATION, BIOPSY(S), OR FOREIGN BODY REMOVAL $ ENTEROTOMY, SMALL BOWEL, OTHER THAN DUODENUM; FOR DECOMPRESSION (EG, BAKER TUBE) $ COLOTOMY, FOR EXPLORATION, BIOPSY(S), OR FOREIGN BODY REMOVAL $ OTHER SELECTIVE VAGOTOMY $ REDUCTION OF VOLVULUS, INTUSSUSCEPTION, INTERNAL HERNIA, BY LAPAROTOMY $ CORRECTION OF MALROTATION BY LYSIS OF DUODENAL BANDS AND/OR REDUCTION OF MIDGUT VOLVULUS (EG, LADD PROCEDURE) $ DIAGNOSTIC PROCEDURES ON STOMACH $ BIOPSY OF INTESTINE BY CAPSULE, TUBE, PERORAL (ONE OR MORE SPECIMENS) $ TRANSABDOMINAL GASTROSCOPY $ EXCISION OF ONE OR MORE LESIONS OF SMALL OR LARGE BOWEL NOT REQUIRING ANASTOMOSIS, EXTERIORIZATION, OR FISTULI $378.54

21 44111 EXCISION OF ONE OR MORE LESIONS OF SMALL OR LARGE BOWEL NOT REQUIRING ANASTOMOSIS, EXTERIORIZATION, OR FISTULI $ GASTROSCOPY THROUGH ARTIFICIAL STOMA $ ENTERECTOMY, RESECTION OF SMALL INTESTINE; WITH ANASTOMOSIS $ ENTERECTOMY, RESECTION OF SMALL INTESTINE; EACH ADDITIONAL RESECTION AND ANASTOMOSIS $ ENTERECTOMY, RESECTION OF SMALL INTESTINE; WITH DOUBLE-BARREL ENTEROSTOMY $ ENTERECTOMY, RESECTION OF SMALL INTESTINE FOR CONGENITAL ATRESIA, SINGLE RESECTION AND ANASTOMOSIS OF PROXIMAL $1, ENTERECTOMY, RESECTION OF SMALL INTESTINE FOR CONGENITAL ATRESIA, SINGLE RESECTION AND ANASTOMOSIS WITH TAPERI $1, ENTERECTOMY, RESECTION OF SMALL INTESTINE FOR CONGENITAL ATRESIA, SINGLE RESECTION AND ANASTOMOSIS, EACH ADDIT $ OTHER GASTROSCOPY $ ENTEROENTEROSTOMY, ANASTOMOSIS OF INTESTINE; (SEPARATE PROCEDURE) $ INTESTINAL ALLOTRANSPLANTATION; FROM CADAVER DONOR $2, REMOVAL OF TRANSPLANTED INTESTINAL ALLOGRAFT, COMPLETE $0.00 MOBILIZATION (TAKE-DOWN) OF SPLENIC FLEXURE PERFORMED IN CONJUNCTION WITH PARTIAL COLECTOMY $ CLOSED [ENDOSCOPIC] BIOPSY OF STOMACH $ COLECTOMY, PARTIAL; WITH ANASTOMOSIS $ COLECTOMY, PARTIAL; WITH SKIN LEVEL CECOSTOMY OR COLOSTOMY $ COLECTOMY, PARTIAL; WITH END COLOSTOMY AND CLOSURE OF DISTAL SEGMENT (HARTMANN TYPE PROCEDURE) $ COLECTOMY, PARTIAL; WITH RESECTION, WITH COLOSTOMY OR ILEOSTOMY AND CREATION OF MUCOFISTULA $ COLECTOMY, PARTIAL; WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS) $ COLECTOMY, PARTIAL; WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS), WITH COLOSTOMY $ COLECTOMY, PARTIAL; ABDOMINAL AND TRANSANAL APPROACH $ OTHER BIOPSY OF STOMACH $0.00 COLECTOMY, TOTAL, ABDOMINAL, WITHOUT PROCTECTOMY; WITH ILEOSTOMY OR ILEOPROCTOSTOMY $ COLECTOMY, TOTAL, ABDOMINAL, WITHOUT PROCTECTOMY; WITH CONTINENT ILEOSTOMY $ COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY; WITH ILEOSTOMY $ COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY; WITH CONTINENT ILEOSTOMY $716.62

22 44157 COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY; WITH ILEOANAL ANASTOMOSIS, INCLUDES LOOP ILEOSTOMY, AND RECTAL $1, COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY; WITH ILEOANAL ANASTOMOSIS, CREATION OF ILEAL RESERVIOR $1, COLECTOMY WITH REMOVAL OF TERMINAL ILEUM AND ILEOCOLOSTOMY $ LAPAROSCOPY, SURGICAL, ENTEROLYSIS $ LAPAROSCOPY, SURGICAL; JEJUNOSTOMY $ LAPAROSCOPY, SURGICAL; ILEOSTOMY OR JEJUNOSTOMY, NON-TUBE $ LAPAROSCOPY, SURGICAL,COLOSTOMY OR SKIN LEVEL CECOSTOMY $ OTHER DIAGNOSTIC PROCEDURES ON STOMACH $ PYLOROPLASTY $ LAPAROSCOPY, SURGICAL; INTESTINAL RESECTION, WITH ANASTOMOSIS (INTRA OR EXTRACORPOREAL) $ LAPAROSCOPY, SURGICAL; EACH ADDITIONAL SMALL INTESTINE RESECTION AND ANASTOMOSIS $ LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS $ LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH REMOVAL OF TERMINAL ILEUM WITH ILEOCOLOSTOMY $ LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH END COLOSTOMY AND CLOSURE OF DISTAL SEGMENT (HARTMANN TYPE $ LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS) $ LAPAROSCOPY, SURGICAL, COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH COLOPROTOSTOMY (LOW PELVIC ANASTOMOSIS) WIT $ DILATION OF PYLORUS BY INCISION $ LAPAROSCOPY, SURGICAL; COLECTOMY, TOTAL, ABDOMINAL, WITHOUT PROCTECTOMY, WITH ILEOSTOMY OR ILEOPROCTOSTOMY $ LAPAROSCOPY, SURGICAL; COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY, WITH ILEOANAL ANASTOMOSIS, CREATION OF $1, LAPAROSCOPY, SURGICAL; COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY, WITH ILEOSTOMY $1, LAPAROSCOPY, SURGICAL, MOBILIZATION OF SPLENIC FLEXURE PERFORMED IN CONJUNCTION WITH PARTIAL COLECTOMY $ ENDOSCOPIC DILATION OF PYLORUS $ LAPAROSCOPY, SURGICAL, CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE, WITH RESECTION AND ANASTOMOSIS $836.33

23 44238 UNLISTED LAPAROSCOPY PROCEDURE, INTESTINE (EXCEPT RECTUM) $ OTHER PYLOROPLASTY $ GASTROENTEROSTOMY WITHOUT GASTRECTOMY $0.00 ENTEROSTOMY OR CECOSTOMY, TUBE (EG, FOR DECOMPRESSION OR FEEDING) (SEPARATE PROCEDURE) $ HIGH GASTRIC BYPASS $ ILEOSTOMY OR JEJUNOSTOMY, NON-TUBE (SEPARATE PROCEDURE) $ REVISION OF ILEOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE) $ REVISION OF ILEOSTOMY; COMPLICATED (RECONSTRUCTION IN-DEPTH) (SEPARATE PROCEDURE) $ CONTINENT ILEOSTOMY (KOCK PROCEDURE) (SEPARATE PROCEDURE) $ PERCUTANEOUS (ENDOSCOPIC) GASTROJEJUNOSTOMY $ COLOSTOMY OR SKIN LEVEL CECOSTOMY; (SEPARATE PROCEDURE) $ COLOSTOMY OR SKIN LEVEL CECOSTOMY; WITH MULTIPLE BIOPSIES (EG, FOR HIRSCHSPRUNG DISEASE) (SEPARATE PROCEDURE) $ REVISION OF COLOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE) $ REVISION OF COLOSTOMY; COMPLICATED (RECONSTRUCTION IN-DEPTH) (SEPARATE PROCEDURE) $ REVISION OF COLOSTOMY; WITH REPAIR OF PARACOLOSTOMY HERNIA (SEPARATE PROCEDURE) $ SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM; DIAGNOSTIC $ SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM; WITH BIOPSY AND/OR COLLECTION OF SP $ SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM; WITH REMOVAL OF FOREIGN BODY $ SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM; WITH REMOVAL OF POLYPOID LESION(S) $ SMALL INTESTINAL ENDOSCOPY,...WITH REMOVAL OF TUMORS, POLYPS, OR OTHERLESIONS BY HOT BIOPSY FORCEPS OR BIPOLAR $ SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM; WITH CONTROL OF HEMORRHAGE (EG, ELE $ SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM; WITH ABLATION OF TUMOR OR MUCOSAL L $267.70

24 44370 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM; WITH TRANSENDOSCOPIC STENT PLACEMEN $ SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM; WITH PLACEMENT OF PERCUTANEOUS JEJU $ SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM; WITH CONVERSION OF PERCUTANEOUS GAS $ SMALL INTESTINAL ENOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; DIAGNOSTIC, WITH OR $ SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM,...WITH CONTROL OF BLEEDING, ANY $ SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM,...WITH CONTROL OF BLEEDING, ANY $ SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND BEYOND PORTION OF DUODENUM, INCLUDING THE ILEUM, WITH TR $ LAPAROSCOPIC GASTROENTEROSTOMY $ FIBEROPTIC ILEOSCOPY THROUGH STOMA; $ FIBEROPTIC ILEOSCOPY THROUGH STOMA; WITH BIOPSY AND/OR COLLECTION OF SPECIMEN BY BRUSHING OR WASHING $ ILEOSCOPY, THROUGH STOMA; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION) $ FIBEROPTIC EVALUATION OF SMALL INTESTINAL (KOCK) OR PELVIC POUCH; $ FIBEROPTIC EVALUATION OF SMALL INTESTINAL (KOCK) OR PELVIC POUCH; WITH BIOPSY AND/OR COLLECTION OF SPECIMEN BY $ FIBEROPTIC COLONOSCOPY THROUGH COLOSTOMY; $ FIBEROPTIC COLONOSCOPY THROUGH COLOSTOMY; WITH BIOPSY AND/OR COLLECTION OF SPECIMEN BY BRUSHING OR WASHING $ OTHER GASTROENTEROSTOMY $ FIBEROPTIC COLONOSCOPY THROUGH COLOSTOMY; WITH REMOVAL OF FOREIGN BODY $ FIBEROPTIC COLONOSCOPY THROUGH COLOSTOMY; WITH CONTROL OF HEMORRHAGE (EG, ELECTROCOAGULATION, LASER PHOTOCOAGU $ FIBEROPTIC COLONOSCOPY THROUGH COLOSTOMY; WITH REMOVAL OF POLYPOID LESION(S) $ FIBEROPTIC COLONOSCOPY THROUGH COLOSTOMY; WITH ABLATION OF TUMOR OR MUCOSAL LESION (EG, LASER, HOT BIOPSY/FULG $ COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMORS, POLYPS, OR OTHER LESIONS BY SNARE TECHNIQUE $204.96

25 44397 COLONOSCOPY THROUGH STOMA; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION) $ SUTURE OF PEPTIC ULCER, NOT OTHERWISE SPECIFIED $ SUTURE OF GASTRIC ULCER SITE $ SUTURE OF DUODENAL ULCER SITE $ ENDOSCOPIC CONTROL OF GASTRIC OR DUODENAL BLEEDING $ REVISION OF GASTRIC ANASTOMOSIS $ INTRODUCTION OF LONG GASTROINTESTIAL TUBE (EG. MILLER-ABBOTT) (SEPARATE PROCEDURE) $ OTHER REPAIR OF STOMACH $0.00 SUTURE OF SMALL INTESTINE FOR PERFORATED ULCER, DIVERTICULUM, WOUND, INJURY, OR RUPTURE;SINGLE PERFORAT $ SUTURE OF SMALL INTESTINE FOR PERFORATED ULCER, DIVERTICULUM, WOUND, INJURY, OR RUPTURE; MULTIPLE $ SUTURE OF LARGE INTESTINE FOR PERFORATED ULCER,DIVERT- ICULUM, WOUND, INJURY OR RUPTURE; WITHOUT COLOSTOMY $ SUTURE OF INTESTINE (ENTERORRHAPHY), LARGE OR SMALL, FOR PERFORATED ULCER, DIVERTICULUM, WOUND, INJURY OR RUPT $ SUTURE OF LACERATION OF STOMACH $ INTESTINAL STRICTUROPLASTY WITH OR WITHOUT DILATION FOR INTESTINAL OBSTRUCTION $ CLOSURE OF GASTROSTOMY $ CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; $ CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; WITH RESECTION AND ANASTOMOSIS OTHER THAN COLORECTAL $ CLOSURE OF ENTEROSTOMY WITH RESECTION AND COLORECTAL ANASTOMOSIS (EG, CLOSURE OF HARTMANN TYPE PROCEDURE) $ CLOSURE OF OTHER GASTRIC FISTULA $ GASTROPEXY $ CLOSURE OF INTESTINAL CUTANEOUS FISTULA $ ESOPHAGOGASTROPLASTY $ CLOSURE OF ENTEROENTERIC OR ENTEROCOLIC FISTULA $ OTHER PROCEDURES FOR CREATION OF ESOPHAGOGASTRIC SPHINCTERIC COMPETENCE $ CLOSURE OF ENTEROVESICAL FISTULA; WITHOUT INTESTINAL OR BLADDER RESECTION $ CLOSURE OF ENTEROVESICAL FISTULA; WITH BOWEL AND/OR BLADDER RESECTION $ LAPAROSCOPIC PROCEDURES FOR CREATION OF ESOPHAGOGASTRIC SPHINCTERIC COMPETENCE $0.00

26 4468 LAPAROSCOPIC GASTROPLASTY $ INTESTINAL PLICATION (SEPARATE PROCEDURE) $ OTHER $ EXCLUSION OF SMALL BOWEL FROM PELVIS BY MESH OR OTHER PROSTHESIS, OR NATIVE TISSUE (EG, BLADDER OR OMENTUM) $ INTRAOPERATIVE COLONIC LAVAGE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $ UNLISTED PROCEDURE, INTESTINE $ EXCISION OF MECKEL'S DIVERTICULUM (DIVERTICULECTOMY) OR OMPHALOMESENTERIC DUCT $ EXCISION OF LESION OF MESENTERY (SEPARATE PROCEDURE) $ SUTURE OF MESENTERY (SEPARATE PROCEDURE) $ UNLISTED PROCEDURE, MECKEL'S DIVERTICULUM AND THE MESENTERY $ OTHER OPERATIONS ON STOMACH $ INCISION AND DRAINAGE OF APPENDICEAL ABSCESS; OPEN $ LIGATION OF GASTRIC VARICES $ INTRAOPERATIVE MANIPULATION OF STOMACH $ LAPAROSCOPIC GASTRIC RESTRICTIVE PROCEDURE $ APPENDECTOMY; $ APPENDECTOMY; WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCEDURE (NOT AS SEPARATE PROCEDURE) $ LAPAROSCOPIC REVISION OF GASTRIC RESTRICTIVE PROCEDURE $ APPENDECTOMY; FOR RUPTURED APPENDIX WITH ABSCESS OR GENERALIZED PERITONITIS $ LAPAROSCOPIC REMOVAL OF GASTRIC RESTICTIVE DEVICE $ LAPAROSCOPY, SURGICAL, APPENDECTOMY $ UNLISTED LAPAROSCOPY PROCEDURE, APPENDIX $ LAPAROSCOPIC ADJUSTMENT OF SIZE OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE $ OTHER $ INCISION OF INTESTINE, NOT OTHERWISE SPECIFIED $ TRANSRECTAL DRAINAGE OF PELVIC ABSCESS $ INCISION AND DRAINAGE OF SUBMUCOSAL ABSCESS, RECTUM $ INCISION OF DUODENUM $ OTHER INCISION OF SMALL INTESTINE $ INCISION AND DRAINAGE OF DEEP SUPRALEVATOR, PELVIRECTAL, OR RETRORECTAL ABSCESS $ INCISION OF LARGE INTESTINE $0.00

27 451 DIAGNOSTIC PROCEDURES ON SMALL INTESTINE $ BIOPSY OF ANORECTAL WALL, ANAL APPROACH (EG, CONGENITAL MEGACOLON) $ ANORECTAL MYOMECTOMY $ TRANSABDOMINAL ENDOSCOPY OF SMALL INTESTINE $ PROCTECTOMY; COMPLETE, COMBINED ABDOMINOPERINEAL, WITH COLOSTOMY, ONE OR TWO STAGES $ PROCTECTOMY; PARTIAL RESECTION OF RECTUM $ PROCTECTOMY, COMBINED ABDOMINOPERINEAL, PULL-THROUGH PROCEDURE, ONE OR TWO STAGES $ PROCTECTOMY, PARTIAL, WITH RECTAL MUCOSECTOMY,ILEOANAL ANASTOMOSIS, CREATION OF ILEAL RESERVOIR, WITH OR WITHO $ PROCTECTOMY, PARTIAL, WITH ANASTOMOSIS; ABDOMINAL AND TRANSACRAL APPROACH, ONE OR TWO STAGES $ PROCTECTOMY, PARTIAL, WITH ANASTOMOSIS; TRANSACRAL APPROACH ONLY (KRASKE TYPE) $ PROCTECTOMY, COMBINED ABDOMINOPERINEAL PULL-THROUGH PROCEDURE (EG, COLO ANAL ANASTOMOSIS), WITH CREATION OF $ ENDOSCOPY OF SMALL INTESTINE THROUGH ARTIFICIAL STOMA $ PROCTECTOMY, COMPLETE; (EG, FOR CONGENITAL MEGACOLON, SWENSON, DUHAMEL, OR SOAVE TYPE OPERATION) $ PROCTECTOMY, COMPLETE; WITH SUBTOTAL OR TOTAL COLECTOMY, WITH MULTIPLE BIOPSIES (EG, FOR COLONIC AGANGLIONOSIS $ PROCTECTOMY, PARTIAL, WITHOUT ANASTOMOSIS, PERINEAL APPROACH $ PELVIC EXENTERATIONFOR COLORECTAL MALIGNANCY, WITH PROCTECTOMY, WITH REMOVAL OF BLADDER AND URETERAL $1, OTHER ENDOSCOPY OF SMALL INTESTINE $ EXCISION OF RECTAL PROCIDENTIA, WITH ANASTOMOSIS; PERINEAL APPROACH $ EXCISION OF RECTAL PROCIDENTIA, WITH ANASTOMOSIS; ABDOMINAL AND PERINEAL APPROACH $ EXCISION OF ILEOANAL RESERVOIR WITH ILEOSTOMY $ CLOSED [ENDOSCOPIC] BIOPSY OF SMALL INTESTINE $ OPEN BIOPSY OF SMALL INTESTINE $ DIVISION OF STRICTURE OF RECTUM $ ESOPHAGOGASTRODUODENOSCOPY (EGD) WITH CLOSED BIOPSY $ EXCISION OF RECTAL TUMOR BY PROCTOTOMY, TRANSACRAL OR TRANSCOCCYGEAL APPROACH $302.40

28 45171 EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; NOT INCLUDING MUSCULARIS PROPRIA (IE, PARTIAL THICKNESS) $ EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; NOT INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS) $ OTHER DIAGNOSTIC PROCEDURES ON SMALL INTESTINE $ DESTRUCTION OF RECTAL TUMOR, ANY METHOD (EG,ELECTRODESICCATION) TRANSANAL APPROACH $ DIAGNOSTIC PROCEDURES ON LARGE INTESTINE $ TRANSABDOMINAL ENDOSCOPY OF LARGE INTESTINE $ ENDOSCOPY OF LARGE INTESTINE THROUGH ARTIFICIAL STOMA $ COLONOSCOPY $ FLEXIBLE SIGNMOIDOSCOPY $ CLOSED [ENDOSCOPIC] BIOPSY OF LARGE INTESTINE $ OTHER BIOPSY OF LARGE INTESTINE $ INTESTINAL BIOPSY, SITE UNSPECIFIED $ OTHER DIAGNOSTIC PROCEDURES ON LARGE INTESTINE $ OTHER DIAGNOSTIC PROCEDURES ON INTESTINE, SITE UNSPECIFIED $ ENDOSCOPIC EXCISION OR DESTRUCTION OF LESION OF DUODENUM $ PROCTOSIGMOIDOSCOPY; DIAGNOSTIC (SEPARATE PROCEDURE) $ PROCTOSIGMOIDOSCOPY; WITH DILATION, DIRECT, INSTRUMENTAL $ PROCTOSIGMOIDOSCOPY; WITH BIOPSY $ PROCTOSIGMOIDOSCOPY; WITH REMOVAL OF FOREIGN BODY $ PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY HOT BIOPSY FORCEPS OR BIPO $ PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY SNARE TECHNIQUE $ OTHER LOCAL EXCISION OF LESION OF DUODENUM $ PROCTOSIGMOIDOSCOPY; WITH REMOVAL OF MULTIPLE EXCRESCENCES, PAPILLOMATA OR POLYPS $ PROCTOSIGMOIDOSCOPY; WITH CONTROL OF HEMORRHAGE (EG, ELECTROCOAGULATION, LASER PHOTOCOAGULATION) $ OTHER DESTRUCTION OF LESION OF DUODENUM $ PROCTOSIGMOIDOSCOPY; WITH ABLATION OF TUMOR (EG, ELECTROCOAGULATION, PHOTOCOAGULATION, HOT BIOPSY/FULGURATION) $ PROCTOSIGMOIDOSCOPY; WITH DECOMPRESSION OF VOLVULUS $80.50

29 45327 PROCTOSIGMOIDOSCOPY, RIGID; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION) $ LOCAL EXCISION OF LESION OR TISSUE OF SMALL INTESTINE, EXCEPT DUODENUM $ SIGMOIDOSCOPY, FLEXIBLE FIBEROPTIC; DIAGNOSTIC $ SIGMOIDOSCOPY, FLEXIBLE FIBEROPTIC; WITH BIOPSY AND/OR COLLECTION OF SPECIMEN BY BRUSHING OR WASHING $ SIGMOIDOSCOPY, FLEXIBLE FIBEROPTIC; WITH REMOVAL OF FOREIGN BODY $ SIGMOIDOSCOPY, FLEXIBLE FIBEROPTIC; WITH REMOVAL OF POLYPOID LESION(S) $ SIGMOIDOSCOPY, FLEXIBLE FIBEROPTIC; WITH CONTROL OF HEMORRHAGE (EG, ELECTROCOAGULATION, LASER PHOTOCOAGULATION $ SIGMOIDOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE $ SIGMOIDOSCOPY, FLEXIBLE FIBEROPTIC; WITH DECOMPRESSION OF VOLVULUS $81.60 SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMORS, POLYPS OR OTHER LESIONS BY SNARE TECHNIQUE $ SIGMOIDOSCOPY, FLEXIBLE; WITH ABLATION OF TUMORS, POLYPS, OR OTHER LESION NOT AMENABLE TO REMOVAL BY HOT BIOPS $ OTHER DESTRUCTION OF LESION OF SMALL INTESTINE, EXCEPT DUODENUM $ SIGMOIDOSCOPY, FLEXIBLE; WITH DILATION BY BALLOON, 1 OR MORE STRICTURES $ SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION $ SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATIO $ SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION) $ COLONOSCOPY, WITH STANDARD SIGMOIDOSCOPE, TRANSABDOMINAL VIA COLOTOMY, SINGLE OR MULTIPLE $ COLONOSCOPY, FIBEROPTIC, BEYOND SPLENIC FLEXURE; DIAGNOSTIC, WITH OR WITHOUT COLON DECOMPRESSION $ COLONOSCOPY, FIBEROPTIC, BEYOND SPLENIC FLEXURE; WITH REMOVAL OF FOREIGN BODY $ COLONOSCOPY, FIBEROPTIC, BEYOND SPLENIC FLEXURE; WITH BIOPSY AND/OR COLLECTION OF SPECIMEN BY BRUSHING OR WASH $ COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE $ COLONOSCOPY, FIBEROPTIC, BEYOND SPLENIC FLEXURE; WITH CONTROL OF HEMORRHAGE (EG, ELECTROCOAGULATION, LASER PHO $252.63

30 45383 COLONOSCOPY, FIBEROPTIC, BEYOND SPLENIC FLEXURE; WITH ABLATION OF TUMOR OR MUCOSAL LESION (EG, ELECTROCOAGULAT $ COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH REMOVAL OF TUMORS, POLYPS, OR OTHER LESIONS BY HOT $ COLONOSCOPY, FIBEROPTIC, BEYOND SPLENIC FLEXURE; WITH REMOVAL OF POLYPOID LESION(S) $ COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH DILATION BT BALLOON, 1 OR MORE STRICTURES $ COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDING PREDILATIO $ COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION $ COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED $ LAPAROSCOPY, SURGICAL;PROCTECTOMY, COMPLETE, COMBINED ABDOMINOPERINEAL, WITH COLOSTOMY $ LAPAROSCOPY, SURGICAL; PROCTECTOMY, COMBINED ABDOMINOPERINEAL PULL-THROUGH PROCEDURE, WITH CREATION OF COLONIC $1, LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF LARGE INTESTINE $ LAPAROSCOPY, SURGICAL; PROCTOPEXY (FOR PROLAPSE) $ LAPAROSCOPY, SURGICAL; PROCTOPEXY (FOR PROLAPSE), WITH SIGMOID RESECTION $ EXCISION OF LESION OR TISSUE OF LARGE INTESTINE $ ENDOSCOPIC POLYPECTOMY OF LARGE INTESTINE $ ENDOSCOPIC DESTRUCTION OF OTHER LESION OR TISSUE OF LARGE INTESTINE $ OTHER DESTRUCTION OF LESION OF LARGE INTESTINE $ UNLISTED LAPAROSCOPY PROCEDURE, RECTUM $ ISOLATION OF INTESTINAL SEGMENT, NOT OTHERWISE SPECIFIED $ PROCTOPLASTY; FOR STENOSIS $ PROCTOPLASTY; FOR PROLAPSE OF MUCOUS MEMBRANE $ ISOLATION OF SEGMENT OF SMALL INTESTINE $ ISOLATION OF SEGMENT OF LARGE INTESTINE $ PERIRECTAL INJECTION OF SCLEROSING SOLUTION FOR PROLAPSE $ PROCTOPEXY FOR PROLAPSE; ABDOMINAL APPROACH $ PROCTOPEXY FOR PROLAPSE; PERINEAL APPROACH $ PROCTOPEXY COMBINED WITH SIGMOID RESECTION, ABDOMINAL APPROACH $ REPAIR OF RECTOCELE (SEPARATE PROCEDURE) $210.00

31 45562 EXPLORATION, REPAIR, AND PRESACRAL DRAINAGE FOR RECTAL INJURY; $ EXPLORATION, REPAIR, AND PRESACRAL DRAINAGE FOR RECTAL INJURY; WITH COLOSTOMY $ OTHER EXCISION OF SMALL INTESTINE $ MULTIPLE SEGMENTAL RESECTION OF SMALL INTESTINE $ OTHER PARTIAL RESECTION OF SMALL INTESTINE $ TOTAL REMOVAL OF SMALL INTESTINE $ PARTIAL EXCISION OF LARGE INTESTINE $ MULTIPLE SEGMENTAL RESECTION OF LARGE INTESTINE $ CECECTOMY $ RIGHT HEMICOLECTOMY $ RESECTION OF TRANSVERSE COLON $ LEFT HEMICOLECTOMY $ SIGMOIDECTOMY $ OTHER PARTIAL EXCISION OF LARGE INTESTINE $ TOTAL INTRA-ABDOMINAL COLECTOMY $ CLOSURE OF RECTOVESICAL FISTULA; $ CLOSURE OF RECTOVESICAL FISTULA; WITH COLOSTOMY $ LAPAROSCOPIC TOTAL INTRA-ABDOMINAL COLECTOMY $ OPEN TOTAL INTRA-ABDOMINAL COLECTOMY $ CLOSURE OF RECTOURETHRAL FISTULA; $ CLOSURE OF RECTOURETHRAL FISTULA; WITH COLOSTOMY $ OTHER AND UNSPECIFIED TOTAL INTRA-ADBOMINAL COLECTOMY $ INTESTINAL ANASTOMOSIS, NOT OTHERWISE SPECIFIED $ REDUCTION OF PROCIDENTIA (SEPARATE PROCEDURE) UNDER ANESTHESIA $ DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE) UNDER ANESTHESIA OTHER THAN LOCAL $ SMALL-TO-SMALL INTESTINAL ANASTOMOSIS $0.00 DILATION OF RECTAL STRICTURE (SEPARATE PROCEDURE) UNDER ANESTHESIA OTHER THAN LOCAL $42.00 REMOVAL OF FECAL IMPACTION OR FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA $ ANASTOMOSIS OF SMALL INTESTINE TO RECTAL STUMP $ OTHER SMALL-TO-LARGE INTESTINAL ANASTOMOSIS $ LARGE-TO-LARGE INTESTINAL ANASTOMOSIS $ ANASTOMOSIS TO ANUS $0.00

32 45990 ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOSTIC $ UNLISTED PROCEDURE, RECTUM $ EXTERIORIZATION OF INTESTINE $ EXTERIORIZATION OF SMALL INTESTINE $ RESECTION OF EXTERIORIZED SEGMENT OF SMALL INTESTINE $ PLACEMENT OF SETON $ EXTERIORIZATION OF LARGE INTESTINE $ REMOVAL OF ANAL SETON, OTHER MARKER $ RESECTION OF EXTERIORIZED SEGMENT OF LARGE INTESTINE $0.00 INCISION AND DRAINAGE OF ISCHIORECTAL AND/OR PERIRECTAL ABSCESS (SEPARATE PROCEDURE) $75.60 INCISION AND DRAINAGE OF INTRAMURAL, INTRAMUSCULAR OR SUBMUCOSAL ABSCESS, TRANSANAL, UNDER ANESTHESIA $ INCISION AND DRAINAGE, PERIANAL ABSCESS, SUPERFICIAL $33.60 INCISION AND DRAINAGE OF ISCHIORECTAL OR INTRAMURAL ABSCESS, WITH FISTULECTOMY, SUBMUSCULAR $ INCISION, ANAL SEPTUM (INFANT) $ SPHINCTEROTOMY, ANAL, DIVISION OF SPHINCTER (SEPARATE PROCEDURE) $ INCISION OF THROMBOSED HEMORRHOID, EXTERNAL $ COLOSTOMY, NOT OTHERWISE SPECIFIED $ TEMPORARY COLOSTOMY $ PERMANENT MAGNETIC COLOSTOMY $ PERMANENT COLOSTOMY $ DELAYED OPENING OF COLOSTOMY $ ILEOSTOMY, NOT OTHERWISE SPECIFIED $ FISSURECTOMY, WITH OR WITHOUT SPHINCTEROTOMY $ TEMPORARY ILEOSTOMY $ CONTINENT ILEOSTOMY $ PAPILLECTOMY OR EXCISION OF SINGLE TAG, ANUS (SEPARATE PROCEDURE) $ HEMORRHOIDECTOMY, BY SIMPLE LIGATURE (EG, RUBBER BAND) $ OTHER PERMANENT ILEOSTOMY $ EXCISION OF EXTERNAL HEMORRHOID TAGS AND/OR MULTIPLE PAPILLAE $ DELAYED OPENING OF ILEOSTOMY $ HEMORRHOIDECTOMY, EXTERNAL, COMPLETE $ HEMORRHOIDECTOMY INTERNAL AND EXTERNAL, SIMPLE; $210.00

33 46257 HEMORRHOIDECTOMY INTERNAL AND EXTERNAL, SIMPLE; WITH FISSURECTOMY $ HEMORRHOIDECTOMY INTERNAL AND EXTERNAL, SIMPLE; WITH FISTULECTOMY, WITH OR WITHOUT FISSURECTOMY $ HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, COMPLEX OR EXTENSIVE; $ HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, COMPLEX OR EXTENSIVE; WITH FISSURECTOMY $ HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, COMPLEX OR EXTENSIVE; WITH FISTULECTOMY, WITH OR WITHOUT FISSURECTOMY $ FISTULECTOMY; SUBCUTANEOUS $ FISTULECTOMY; SUBMUSCULAR $ FISTULECTOMY; COMPLEX OR MULTIPLE $ FISTULECTOMY; SECOND STAGE $ CLOSURE OF ANAL FISTULA WITH RECTAL ADVANCEMENT FLAP $ OTHER ENTEROSTOMY $ DELAYED OPENING OF OTHER ENTEROSTOMY $ PERCUTANEOUS [ENDOSCOPIC] JEJUNOSTOMY [PEJ] $ ENUCLEATION OR EXCISION OF EXTERNAL THROMBOTIC HEMORRHOID $ OTHER $ REVISION OF INTESTINAL STOMA, NOT OTHERWISE SPECIFIED $ REVISION OF STOMA OF SMALL INTESTINE $ REPAIR OF PERICOLOSTOMY HERNIA $ OTHER REVISION OF STOMA OF LARGE INTESTINE $ CLOSURE OF INTESTINAL STOMA, NOT OTHERWISE SPECIFIED $ INJECTION OF SCLEROSING SOLUTION, HEMORRHOIDS $ CHEMODENERVATION OF INTERNAL ANAL SPHINCTER $ CLOSURE OF STOMA OF SMALL INTESTINE $ CLOSURE OF STOMA OF LARGE INTESTINE $ FIXATION OF INTESTINE, NOT OTHERWISE SPECIFIED $ ANOSCOPY; DIAGNOSTIC (SEPARATE PROCEDURE) $ ANOSCOPY; FOR DILATION, DIRECT, INSTRUMENTAL $ ANOSCOPY; FOR BIOPSY $ ANOSCOPY; FOR REMOVAL OF FOREIGN BODY $ FIXATION OF SMALL INTESTINE TO ABDOMINAL WALL $ ANOSCOPY; FOR REMOVAL OF POLYP $ ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY SNARE TECHNIQUE $51.81

34 46612 ANOSCOPY; FOR MULTIPLE POLYP REMOVAL $ ANOSCOPY; WITH COAGULATION FOR CONTROL OF HEMORRHAGE AND/OR FULGURATION OF MUCOSAL LESION $ ANOSCOPY; WITH ABLATION OF TUMORS, POLYPS, OR OTHER LESIONS NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, BIP $ OTHER FIXATION OF SMALL INTESTINE $ FIXATION OF LARGE INTESTINE TO ABDOMINAL WALL $ OTHER FIXATION OF LARGE INTESTINE $ OTHER REPAIR OF INTESTINE $ ANOPLASTY, PLASTIC OPERATION FOR STRICTURE; ADULT $ ANOPLASTY, PLASTIC OPERATION FOR STRICTURE; INFANT $ REPAIR OF ANAL FISTULA WITH FIBRIN GLUE $ REPAIR OF ANORECTAL FISTULA WITH PLUG (EG, PORCINE SMALL INTESTINE SUBMUCOSA) $ SUTURE OF LACERATION OF DUODENUM $0.00 REPAIR OF ILEOANAL POUCH FISTULA/SINUS, POUCH ADVANCEMENT; TRANSPERINEAL APPROACH $ REPAIR OF ILEOANAL POUCH FISTULA/SINUS, POUCH ADVANCEMENT; COMBINED TRANSPERINEAL AND TRANSABDOMINAL APPROACH $1, REPAIR OF CONGENITAL ANOVAGINAL FISTULA (''CUT-BACK'' TYPE PROCEDURE) $ PERINEAL TRANSPLANT OF ANOVAGINAL FISTULA $ CLOSURE OF FISTULA OF DUODENUM $ SUTURE OF LACERATION OF SMALL INTESTINE, EXCEPT DUODENUM $ CONSTRUCTION OF ANUS FOR CONGENITAL ABSENCE; PERINEAL OR SACROCOCCYGEAL APPROACH $ CONSTRUCTION OF ANUS FOR CONGENITAL ABSENCE; COMBINED ABDOMINAL AND PERINEAL APPROACH $ CLOSURE OF FISTULA OF SMALL INTESTINE, EXCEPT DUODENUM $ CONSTRUCTION OF ANUS FOR CONGENITAL ABSENCE, WITH REPAIR OF URINARY FISTULA $ REPAIR OF HIGH IMPERFORATE ANUS WITH RECTOURETHRAL OR RECTOVAGINAL FISTULA; COMBINED TRANSABDOMINAL AND SACROP $ REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, SACROPERINEAL APPROACH $ REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, COMBINED ABDOMINAL AND SACROPERINEAL APPR $ REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, COMBINED...;WITH VAGINAL LENGTHENING BY $552.00

35 4675 SUTURE OF LACERATION OF LARGE INTESTINE $ SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE OR PROLAPSE; ADULT $ SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE OR PROLAPSE; CHILD $ GRAFT (THIERSCH OPERATION) FOR RECTAL INCONTINENCE AND/OR PROLAPSE $ REMOVAL OF THIERSCH WIRE OR SUTURE, ANAL CANAL $ CLOSURE OF FISTULA OF LARGE INTESTINE $ SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; MUSCLE TRANSPLANT $ SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; LEVATOR MUSCLE IMBRICATION (PARK POSTERIOR ANAL REPAIR) $ SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER $ OTHER REPAIR OF INTESTINE $ INTRA-ABDOMINAL MANIPULATION OF INTESTINE, NOT OTHERWISE SPECIFIED $ INTRA-ABDOMINAL MANIPULATION OF SMALL INTESTINE $ INTRA-ABDOMINAL MANIPULATION OF LARGE INTESTINE $ DILATION OF INTESTINE $ ENDOSCOPIC INSERTION OF THE COLONIC STENT(S) $ OTHER INSERTION OF COLONIC STENT(S) $ OTHER OPERATIONS ON INTESTINES $ DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; CH $ MYOTOMY OF SIGMOID COLON $ DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; EL $ DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; CR $ DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; LA $ MYOTOMY OF OTHER PARTS OF COLON $ DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; SU $ DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), EXTENSIVE, $ REVISION OF ANASTOMOSIS OF SMALL INTESTINE $ DESTRUCTION OF INTERNAL HEMORRHOID(S) BY THERMAL ENERGY (EG, INFRARED COAGULATION, CAUTERY, RADIOFREQUENCY) $97.83

36 4694 REVISION OF ANASTOMOSIS OF LARGE INTESTINE $ CURETTAGE OR CAUTERIZATION OF ANAL FISSURE, INCLUDING DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE); INITIAL $ CURETTAGE OR CAUTERIZATION OF ANAL FISSURE, INCLUDING DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE); SUBSEQU $ LIGATION OF INTERNAL HEMORRHOIDS; SINGLE PROCEDURE $ LIGATION OF INTERNAL HEMORRHOIDS; MULTIPLE PROCEDURES $ HEMORRHOIDOPEXY (EG, FOR PROLAPSING INTERNAL HEMORRHOIDS) BY STAPLING $ LOCAL PERFUSION OF SMALL INTESTINE $ LOCAL PERFUSION OF LARGE INTESTINE $ TRANSPLANT OF INTESTINE $ OTHER $ UNLISTED PROCEDURE, ANUS $ APPENDECTOMY $ BIOPSY OF LIVER, PERCUTANEOUS NEEDLE; $ BIOPSY OF LIVER, PERCUTANEOUS NEEDLE; WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCEDURE (NOT AS $ HEPATOTOMY; FOR OPEN DRAINAGE OF ABSCESS OR CYST, ONE OR TWO STAGES $ LAPAROTOMY, WITH ASPIRATION AND/OR INJECTION OF HEPATIC PARASITIC (EG, AMOEBIC OR ECHINOCOCCAL)CYST(S) OR ABCE $ OTHER APPENDECTOMY $ INCIDENTAL APPENDECTOMY $ BIOPSY OF LIVER, WEDGE (SEPARATE PROCEDURE) $ HEPATECTOMY, RESECTION OF LIVER; PARTIAL LOBECTOMY $ HEPATECTOMY, RESECTION OF LIVER; TRISEGMENTECTOMY $ HEPATECTOMY, RESECTION OF LIVER; TOTAL LEFT LOBECTOMY $ HEPATECTOMY, RESECTION OF LIVER; TOTAL RIGHT LOBECTOMY $ LIVER TRANSPLANT, WITH OR WITHOUT RECIPIENT HEPATECTOMY $2, LIVER ALLOTRANSPLANTATION; HETEROTOPIC, PARTIAL OR WHOLE, FROM CADAVER OR LIVING DONOR, ANY AGE $1, DONOR HEPATECTOMY, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT, FROM LIVING DONOR; LEFT LATERAL SEGMENT ONLY $1, DONOR HEPATECTOMY, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT, FROM LIVING DONOR; TOTAL LEFT LOBECTOMY $2, DONOR HEPATECTOMY, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT, FROM LIVING DONOR; TOTAL RIGHT LOBECTOMY $2,262.76

37 4719 OTHER INCIDENTAL APPENDECTOMY $ DRAINAGE OF APPENDICEAL ABSCESS $ MARSUPIALIZATION OF CYST OR ABSCESS OF LIVER $ MANAGEMENT OF LIVER HEMORRHAGE; SIMPLE SUTURE OF LIVER WOUND OR INJURY $ MANAGEMENT OF LIVER HEMORRHAGE; COMPLEX SUTURE OF LIVERWOUND OR INJURY, WITH OR WITHOUT HEPATIC ARTERY LIGATIO $ MANAGEMENT OF LIVER HEMORRHAGE; EXPLORATION OF HEPATIC WOUND, EXTENSIVE DEBRIDEMENT, COAGULATION AND/OR SUTURE $ MANAGEMENT OF LIVER HEMORRHAGE; RE-EXPLORATION OF HEPATIC WOUND FOR REMOVAL OF PACKING $ LAPAROSCOPY, SURGICAL, ABLATION OF ONE OR MORE LIVER TUMOR(S); RADIOFREQUENCY $ LAPAROSCOPY, SURGICAL, ABLATION OF ONE OR MORE LIVER TUMOR(S); CRYOSURGICAL $ UNLISTED LAPAROSCOPIC PROCEDURE, LIVER $ ABLATION, OPEN, OF ONE OR MORE LIVER TUMOR(S); RADIOFREQUENCY $ ABLATION, OPEN, OF ONE OR MORE LIVER TUMOR(S); CRYOSURGICAL $ ABLATION, ONE OR MORE LIVER TUMOR(S), PERCUTANEOUS, RADIOFREQUENCY $ UNLISTED PROCEDURE, LIVER $ HEPATICOTOMY OR HEPATICOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF CALCULUS $ CHOLEDOCHOTOMY OR CHOLEDOCHOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF CALCULUS, WITH OR WITHOUT CHOLECYS $ CHOLEDOCHOTOMY OR CHOLEDOCHOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF CALCULUS, WITH OR WITHOUT CHOLECYS $ TRANSDUODENAL SPHINCTEROTOMY OR SPHINCTEROPLASTY (SEPARATE PROCEDURE) $ CHOLECYSTOTOMY OR CHOLECYSTOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF CALCULUS (SEPARATE PROCEDURE) $ PERCUTANEOUS CHOLECYSTOSTOMY $ INJECTION PROCEDURE FOR PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY $25.20 INJECTION PROCEDURE FOR CHOLANGIOGRAPHY THROUGH AN EXISTING CATHETER (EG, PERCUTANEOUS TRANSHEPATIC OR T-TUBE) $ INTRODUCTION OF PERCUTANEOUS TRANSHEPATIC CATHETER FOR BILIARY DRAINAGE $58.80 INTRODUCTION OF PERCUTANEOUS TRANSHEPATIC STENT FOR INTERNAL AND EXTERNAL BILIARY DRAINAGE $ CHANGE OF PERCUTANEOUS BILIARY DRAINAGE CATHETER $ REVISION AND/OR REINSERTION OF TRANSHEPATIC T-TUBE $58.80

38 47550 BILIARY ENDOSCOPY, INTRAOPERATIVE (CHOLEDOCHOSCOPY) $ BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; DIAGNOSTIC $ BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; FOR BIOPSY AND/OR COLLECTION OF SPECIMEN BY BRUSHIN $ BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; FOR REMOVAL OF STONE(S) $ BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; FOR DILATION OF BILIARY DUCT STRICTURE(S) WITHOUT S $ BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; FOR DILATION OF BILIARY DUCT STRICTURE(S) WITH STEN $ LAPAROSCOPY, SURGICAL; WITH GUIDED TRANSHEPATIC CHOLANGIOGRAPHY, WITHOUT BIOPSY $ LAPAROSCOPY, SURGICAL; WITH GUIDED TRANSHEPATIC CHOLANGIOGRAPHY WITH BIOPSY $ LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY $ LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY $ LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT $ LAPAROSCOPY, SURGICAL; CHOLECYSTOENTEROSTOMY $ UNLISTED LAPAROSCOPY PROCEDURE, BILIARY TRACT $ CHOLECYSTECTOMY; $ CHOLECYSTECTOMY; WITH CHOLANGIOGRAPHY $ CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT; $ CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT; WITH CHOLEDOCHOENTEROSTOMY $ CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT; WITH TRANSDUODENAL SPHINCTEROTOMY OR SPHINCTEROPLASTY, WITH O $ BILIARY DUCT STONE EXTRACTION, PERCUTANEOUS VIA T-TUBE TRACT, BASKET OR SNARE (EG, BURHENNE TECHNIQUE) $ EXPLORATION FOR CONGENITAL ATRESIA OF BILE DUCTS, WITHOUT REPAIR, WITH OR WITHOUT LIVER BIOPSY, WITH OR WITHOU $ PORTOENTEROSTOMY (EG, KASAI PROCEDURE) $ EXCISION OF BILE DUCT TUMOR, WITH OR WITHOUT PRIMARY REPAIR OF BILE DUCT; EXTRAHEPATIC $ EXCISION OF BILE DUCT TUMOR, WITH OR WITHOUT PRIMARY REPAIR OF BILE DUCT; INTRAHEPATIC $ EXCISION OF CHOLEDOCHAL CYST $462.00

39 47720 CHOLECYSTOENTEROSTOMY; DIRECT $ CHOLECYSTOENTEROSTOMY; WITH GASTROENTEROSTOMY $ CHOLECYSTOENTEROSTOMY; ROUX-EN-Y $ ROUX-EN-Y WITH GASTROENTEROSTOMY $ ANASTOMOSIS, DIRECT, OF EXTRAHEPATIC BILIARY DUCTS AND GASTROINTESTINAL TRACT $ ANASTOMOSIS, DIRECT, OF INTRAHEPATIC DUCTS AND GASTROINTESTINAL TRACT $ ANASTOMOSIS, ROUX-EN-Y, OF EXTRAHEPATIC BILIARY DUCTS AND GASTROINTESTINAL TRACT $ ANASTOMOSIS. ROUX-EN-Y, OF INTRAHEPATIC BILIARY DUCTS AND GASTROINTESTINAL TRACT $ RECONSTRUCTION, PLASTIC, OF EXTRAHEPATIC BILIARY DUCTS WITH END-TO-END ANASTOMOSIS $ PLACEMENT OF CHOLEDOCHAL STENT $ U-TUBE HEPATICOENTEROSTOMY $ OTHER OPERATIONS ON APPENDIX $ SUTURE OF EXTRAHEPATIC BILIARY DUCT FOR PRE-EXISTING INJURY (SEPARATE PROCEDURE) $ APPENDICOSTOMY $ CLOSURE OF APPENDICEAL FISTULA $ OTHER $ UNLISTED PROCEDURE, BILIARY TRACT $ PROCTOTOMY $ DRAINAGE OF ABDOMEN FOR PANCREATITIS $ PLACEMENT OF DRAINS, PERIPANCREATIC, FOR ACUTE PANCREATITIS; WITH CHOLECYSTOSTOMY, GASTROSTOMY, AND JEJUNOSTOM $ REMOVAL OF PANCREATIC CALCULUS $ PROCTOSTOMY $ BIOPSY OF PANCREAS (SEPARATE PROCEDURE) $ BIOPSY OF PANCREAS, PERCUTANEOUS NEEDLE $ RESECTION OR DEBRIDEMENTOF PANCREAS AND PERIPANCREATIC TISSUE FOR ACUTE NECROTIZING PANCREATITIS $1, EXCISION OF LESION OF PANCREAS (EG, CYST, ADENOMA) $ PANCREATECTOMY, DISTAL SUBTOTAL, WITH OR WITHOUT SPLENECTOMY; $ PANCREATECTOMY, DISTAL SUBTOTAL, WITH OR WITHOUT SPLENECTOMY; WITH PANCREATICOJEJUNOSTOMY $672.00

40 48146 PANCREATECTOMY, DISTAL, NEAR-TOTAL WITH PRESERVATION OF DUODENUM (CHILD-TYPE PROCEDURE) $ EXCISION OF AMPULLA OF VATER, SIMPLE $ PANCREATECTOMY, PROXIMAL SUBTOTAL, WITH PANCREATICODUODENECTOMY (WHIPPLE TYPE PROCEDURE), AND PANCREATIC JEJUN $ PANCREATECTOMY, PROXIMAL SUBTOTAL WITH TOTAL DUODENECTOMY,...; WITHOUT PANCREATOJEJUNOSTOMY $ PANCREATECTOMY, PROXIMAL SUBTOTAL WITH NEAR-TOTAL DUODENECTOMY, CHOLEDOCHOENTEROSTOMY AND DUODENOJEJEUNOS $ PANCREATECTOMY, PROXIMAL SUBTOTAL WITH NEAR-TOTAL DUODENECTOMY,...; WITHOUT PANCREATOJEJUNOSTOMY $ PANCREATECTOMY, TOTAL; $ PANCREATECTOMY, TOTAL; WITH TRANSPLANTATION $ DIAGNOSTIC PROCEDURES ON RECTUM, RECTOSIGMOID, AND PERIRECTAL TISSUE $ TRANSABDOMINAL PROCTOSIGMOIDOSCOPY $ PROCTOSIGMOIDOSCOPY THROUGH ARTIFICIAL STOMA $ RIGID PROCTOSIGMOIDOSCOPY $ CLOSED [ENDOSCOPIC] BIOPSY OF RECTUM $ OTHER BIOPSY OF RECTUM $ BIOPSY OF PERIRECTAL TISSUE $ OTHER DIAGNOSTIC PROCEDURES ON RECTUM, RECTOSIGMOID, AND PERIRECTAL TISSUE $ LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF RECTUM $ RADICAL ELECTROCOAGULATION OF RECTAL LESION OR TISSUE $ OTHER ELECTROCOAGULATION OF RECTAL LESION OR TISSUE $ DESTRUCTION OF RECTAL LESION OR TISSUE BY LASER $ DESTRUCTION OF RECTAL LESION OR TISSUE BY CRYOSURGERY $ LOCAL EXCISION OF RECTAL LESION OR TISSUE $ [ENDOSCOPIC] POLPECTOMY OF RECTUM $ PULL-THROUGH RESECTION OF RECTUM $ PULL-THROUGH RESECTION OF RECTUM, NOT OTHERWISE SPECIFIED $ INJECTION PROCEDURE FOR INTRAOPERATIVE PANCREATOGRAPHY $ SOAVE SUBMUCOSAL RESECTION OF RECTUM $ LAPAROSCOPIC PULL-THROUGH RESECTION OF RECTUM $ OPEN PULL-THROUGH RESECTION OF RECTUM $ OTHER PULL-THROUGH RESECTION OF RECTUM $ ABDOMINOPERINEAL RESECTION OF RECTUM $0.00

41 4850 ABDOMINOPERINEAL RESECTION OF THE RECTUM, NOT OTHERWISE SPECIFIED $ MARSUPIALIZATION OF CYST OF PANCREAS $ LAPAROSCOPIC ABDOMINOPERINEAL RESECTION OF THE RECTUM $ EXTERNAL DRAINAGE, PSEUDOCYST OF PANCREAS; OPEN $ OPEN ABDOMINOPERINEAL RESECTION OF THE RECTUM $ INTERNAL ANASTOMOSIS OF PANCREATIC CYST TO GASTROINTESTINAL TRACT; DIRECT $ INTERNAL ANASTOMOSIS OF PANCREATIC CYST TO GASTROINTESTINAL TRACT; ROUX-EN-Y $ PANCREATORRHAPHY FOR TRAUMA $ DUODENAL EXCLUSION WITH GASTROJEJUNOSTOMY FOR PANCREATIC TRAUMA $ PANCREATICOJEJUNOSTOMY, SIDE-TO-SIDE ANASTOMOSIS $ TRANSPLANTATION OF PANCREATIC ALLOGRAFT $1, REMOVAL OF TRANSPLANTED PANCREATIC ALLOGRAFT $ OTHER ABDOMINOPERINEAL RESECTION OF THE RECTUM $ OTHER RESECTION OF RECTUM $ TRANSSACRAL RECTOSIGMOIDECTOMY $ ANTERIOR RESECTION OF RECTUM WITH SYNCHRONOUS COLOSTOMY $ OTHER ANTERIOR RESECTION OF RECTUM $ POSTERIOR RESECTION OF RECTUM $ DUHAMEL RESECTION OF RECTUM $ HARTMANN RESECTION OF RECTUM $ OTHER $ REPAIR OF RECTUM $ SUTURE OF LACERATION OF RECTUM $ CLOSURE OF PROCTOSTOMY $ CLOSURE OF OTHER RECTAL FISTULA $ RECTORECTOSTOMY $ ABDOMINAL PROCTOPEXY $ OTHER PROCTOPEXY $ OTHER REPAIR OF RECTUM $ INCISION OR EXCISION OF PERIRECTAL TISSUE OR LESION $ INCISION OF PERIRECTAL TISSUE $ EXCISION OF PERIRECTAL TISSUE $ COURT ORDERED PAYMENT $ OTHER OPERATIONS ON RECTUM AND PERIRECTAL TISSUE $ INCISION OF RECTAL STRICTURE $ ANORECTAL MYECTOMY $0.00

42 4893 REPAIR OF PERIRECTAL FISTULA $ OTHER $ UNLISTED PROCEDURE, PANCREAS $ INCISION OR EXCISION OF PERIANAL TISSUE $ EXPLORATORY LAPAROTOMY, EXPLORATORY CELIOTOMY WITH OR WITHOUT BIOPSY(S) (SEPARATE PROCEDURE) $ REOPENING OF RECENT LAPAROTOMY $ INCISION OF PERIANAL ABSCESS $ EXPLORATION, RETROPERITONEAL AREA WITH OR WITHOUT BIOPSY(S) (SEPARATE PROCEDURE) $ OTHER INCISION OF PERIANAL TISSUE $0.00 DRAINAGE OF PERITONEAL ABSCESS OR LOCALIZED PERITONITIS, EXCLUSIVE OF APPENDICEAL ABSCESS, OPEN $ EXCISION OF PERIANAL SKIN TAGS $ OTHER EXCISION OF PERIANAL TISSUE $ DRAINAGE OF SUBDIAPHRAGMATIC OR SUBPHRENIC ABSCESS; OPEN $ DRAINAGE OF RETROPERITONEAL ABSCESS; OPEN $ DRAINAGE OF EXTRAPERITONEAL LYMPHOCELE TO PERITONEAL CAVITY, OPEN $ ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITHOUT IMAGING GUIDANCE $ ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITH IMAGING GUIDANCE $ PERITONEAL LAVAGE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED $ INCISION OR EXCISION OF ANAL FISTULA $ ANAL FISTULOTOMY $ ANAL FISTULECTOMY $ BIOPSY, ABDOMINAL OR RETROPERITONEAL MASS, PERCUTANEOUS NEEDLE $ DIAGNOSTIC PROCEDURES ON ANUS AND PERIANAL TISSUE $ EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 OR MORE PERTIONEAL $ EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 OR MORE PERTIONEAL $ EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 OR MORE PERTIONEAL $ ANOSCOPY $ EXCISION OF PRESACRAL OR SACROCOCCYGEAL TUMOR $ BIOPSY OF PERIANAL TISSUE $0.00

43 49220 STAGING CELIOTOMY (LAPAROTOMY) FOR HODGKIN'S DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIE $ BIOPSY OF ANUS $ UMBILECTOMY, OMPHALECTOMY, EXCISION OF UMBILICUS (SEPARATE PROCEDURE) $ OMENTECTOMY, EPIPLOECTOMY, RESECTION OF OMENTUM (SEPARATE PROCEDURE) $ OTHER DIAGNOSTIC PROCEDURES ON ANUS AND PERIANAL TISSUE $ LOCAL EXCISION OR DESTRUCTION OF OTHER LESION OR TISSUE OF ANUS $ ENDOSCOPIC EXCISION OR DESTRUCTION OF LESION OR TISSUE OF ANUS $ LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM; DIAGNOSTIC, W/OR W/OUT COLLECTION OF SPECIMENS BY $ LAPAROSCOPY, SURGICAL, ABDOMEN, PERITONEUM, AND OMENTUM, WITH BIOPSY (SINGLE OR MULTIPLE) $ LAPAROSCOPY, SURGIGAL, ABDOMEN, PERITONEUM, AND OMENTUM; WITH ASPIRATION OF CAVITY OR CYST (SINGLE OR MULTIPE) $ LAPAROSCOPY, SURGICAL, ABDOMEN, PERITONEUM, AND OMENTUM; WITH DRAINAGE OF LYMPHOCELE TO PERITONEAL $ LAPAROSCOPY, SURGICAL; WITH INSERTION OF INTRAPERITONEAL CANNULA OR CATHETER, PERMANENT $ LAPAROSCOPY, SURGICAL; WITH REVISION OF PREVIOUSLY PLACED INTRAPERITONEAL CANNULA OR CATHETER, WITH REMOVAL $ LAPAROSCOPY, SURGICAL; WITH OMENTOPEXY (OMENTAL TACKING PROCEDURE) $ LAPAROSCOPY, SURGICAL; WITH PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE $ UNLISTED LAPAROSCOPY PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM $ OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF ANUS $ PROCEDURES ON HEMORRHOIDS $ PNEUMOPERITONEUM (SEPARATE PROCEDURE); INITIAL $ REMOVAL OF PERITONEAL FOREIGN BODY FROM PERITONEAL CAVITY $ FLUID COLLECTION DRAINAGE BY CATHETER USING IMAGING GUIDANCE, ACCESSED THROUGH THE SKIN $ FLUID COLLECTION DRAINAGE BY CATHETER USING IMAGING GUIDANCE, ACCESSED THROUGH THE SKIN $ FLUID COLLECTION DRAINAGE BY CATHETER USING IMAGING GUIDANCE, ACCESSED THROUGH THE VAGINA OR RECTUM $ REDUCTION OF HEMORRHOIDS $0.00

44 49411 PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE(EG,FIDUCIAL MARKERS, DOSIMETER), PERCUT $ PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE(EG, FIDUCIAL MARKERS,DOSIMETER),OPEN $ INSERTION OF TUNNELED INTRAPERITONEAL CATHETER (EG, DIALYSIS, INTRAPERITONEAL CHEMOTHERAPY INSTILLATION, $ INSERTION OF INTRAPERITONEAL CANNULA OR CATHETER, WITH SUBCUTANEOUS RESERVOIR. PERMANENT (IE, TOTALLY IMPLANTA $ INJECTION OF HEMORRHOIDS $ INSERTION OF INTRAPERITONEAL CANNULA OR CATHETER FOR DRAINAGE OR DIALYSIS; TEMPORARY $ INSERTION OF INTRAPERITONEAL CANNULA OR CATHETER FOR DRAINAGE OR DIALYSIS; PERMANENT $ REMOVAL OF PERMANENT INTRAPERITONEAL CANNULA OR CATHETER $ EXCHANGE OF PREVIOUSLY PLACED ABSCESS OR CYST DRAINAGE CATHETER UNDER RADIOLOGICAL GUIDANCE (SEPARATE PROCED $ CONTRAST INJECTION FOR ASSESSMENT OF ABSCESS OR CYST VIA PREVIOUSLY PLACED CATHETER (SEPARATE PROCEDURE) $ PERITONEAL-VENOUS SHUNT (EG, LEVEEN SHUNT) $ REVISION OF PERITONEAL-VENOUS SHUNT $ INJECTION PROCEDURE (EG, CONTRAST MEDIA) FOR EVALUATION OF PREVIOUSLY PLACED PERITONEAL-VENOUS SHUNT $ LIGATION OF PERITONEAL-VENOUS SHUNT $ REMOVAL OF PERITONEAL-VENOUS SHUNT $ CAUTERIZATION OF HEMORRHOIDS $ INSERTION OF SUBCUTANEOUS EXTENSION TO INTRAPERITONEAL CANNULA OR CATHETER WITH REMOTE CHEST EXIT SITE $ DELAYED CREATION OF EXIT SITE FROM EMBEDDED SUBCUTANEOUS SEGMENT OF INTRAPERITONEAL CANNULA OR CATHETER $ DESTRUCTION OF HEMORRHOIDS BY CRYOTHERAPY $ INSERTION OF GASTROSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION $ INSERTION OF DUODENOSTOMY OR JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST $ INSERTION OF CECOSTOMY OR OTHER COLONIC TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST $592.37

45 49446 CONVERSION OF GASTROSTOMY TUBE TO GASTRO-JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE $ LIGATION OF HEMORRHOIDS $ REPLACEMENT OF GASTROSTOMY OR CECOSTOMY (OR OTHER COLONIC) TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE $ REPLACEMENT OF DUODENOSTOMY OR JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST $ REPLACEMENT OF GASTRO-JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST $ EXCISION OF HEMORRHOIDS $ MECHANICAL REMOVAL OF OBSTRUCTIVE MATERIAL FROM GASTROSTOMY, DUODENOSTOMY, JEJUNOSTOMY, GASTRO-JEJUNOSTOMY $ CONTRAST INJECTION(S) FOR RADIOLOGICAL EVALUATION OF EXISTING GASTROSTOMY, DUODENOSTOMY, JEJUNOSTOMY, $ EVACUATION OF THROMBOSED HEMORRHOIDS $ OTHER PROCEDURES ON HEMORRHOIDS $ REPAIR, INITIAL INGUINAL HERNIA, PRETERM INFANT WITH OR WITHOUT HYDROCELECTOMY; INCARCERATED OR STRANGULATED $ REPAIR, INITIAL INGUINAL HERNIA, PRETERM INFANT WITH ORWITHOUT HYDROCELECTOMY; INCARCERATED OR STRANGULATED $ REPAIR INITIAL INGUINAL HERNIA, UNDER AGE 6 MONTHS, WITH OR WITHOUT HYDROCELECTOMY; REDUCIBLE $ REPAIR INITIAL INGUINAL HERNIA, UNDER AGE 6 MONTHS, WITH OR WITHOUT HYDROCELECTOMY; INCARCERATED OR STRANGU $ DIVISION OF ANAL SPHINCTER $ REPAIR INGUINAL HERNIA, UNDER AGE 5 YEARS, WITH OR WITHOUT HYDROCELECTOMY $ REPAIR INITIAL INGUINAL HERNIA, 6 MONTHS TO UNDER 5 YRS, WITH OR WITHOUT HYDROCELECTOMY; INCARCERATED OR STRAN $ REPAIR INGUINAL HERNIA, AGE 5 OR OVER; $ REPAIR INITIAL INGUINAL HERNIA, AGE 5 YRS OR OVER; INCARCERATED OR STRANGULATED $ LEFT LATERAL ANAL SPHINCTEROTOMY $ POSTERIOR ANAL SPHINCTEROTOMY $ REPAIR INGUINAL HERNIA, ANY AGE; RECURRENT $ REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED $ REPAIR INGUINAL HERNIA, ANY AGE; SLIDING $ REPAIR LUMBAR HERNIA $168.00

46 49550 REPAIR FEMORAL HERNIA, GROIN INCISION $ REPAIR INITIAL FEMORAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED $ REPAIR FEMORAL HERNIA, RECURRENT, ANY APPROACH $ REPAIR RECURRENT FEMORAL HERNIA; INCARCERATED OR STRANGULATED $ REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE $ REPAIR INITIAL INCISIONAL HERNIA; INCARCERATED OR STRANGULATED $ REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE $ REPAIR RECURRENT INCISIONAL HERNIA; INCARCERATED OR STRANGULATED $ IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR INCISIONAL OR VENTRAL HERNIA REPAIR (LIST SEPARATELY IN $ REPAIR EPIGASTRIC HERNIA, PROPERITONEAL FAT (SEPARATE PROCEDURE); SIMPLE $ REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED $ REPAIR UMBILICAL HERNIA; UNDER AGE 5 YEARS $ REPAIR UMBILICAL HERNIA, UNDER AGE 5 YEARS; INCARCERATED OR STRANGULATED $ REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OVER; REDUCIBLE $ REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OVER; INCARCERATED OR STRANGULATED $ OTHER ANAL SPHINCTEROTOMY $ REPAIR SPIGELIAN HERNIA $ EXCISION OF ANUS $ REPAIR OF OMPHALOCELE; SMALL, WITH PRIMARY CLOSURE $ REPAIR OF OMPHALOCELE; LARGE OR GASTROSCHISIS, WITH OR WITHOUT PROSTHESIS $ REPAIR OF OMPHALOCELE; WITH STAGED CLOSURE OF PROSTHESIS, REDUCTION IN OPERATING ROOM, UNDER ANESTHESIA $ REPAIR OF OMPHALOCELE (GROSS TYPE OPERATION); FIRST STAGE $ REPAIR OF OMPHALOCELE (GROSS TYPE OPERATION); SECOND STAGE $ LAPAROSCOPY, SURGICAL, REPAIR INITIAL INGUINAL HERNIA $ LAPAROSCOPY, SURGICAL; REPAIR RECURRENT INGUINAL HERNIA $ LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA; REDUCIBLE $ LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA; INCARCERATED OR $ LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE $ LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED $566.57

47 49656 LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA ; REDUCIBLE $ LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA ; INCARCERATED OR STRANGULATED $ UNLISTED LAPAROSCOPY PROCEDURE, HERNIOPLASTY, HERNIORGRAPHY, HERNIOTOMY $ REPAIR OF ANUS $ SUTURE OF LACERATION OF ANUS $ ANAL CERCLAGE $ CLOSURE OF ANAL FISTULA $ GRACILIS MUSCLE TRANSPLANT FOR ANAL INCONTINENCE $ IMPLANTATION OR REVISION OF ARTIFICIAL ANAL SPHINCTER $ REMOVAL OF ARTIFICIAL ANAL SPHINCTER $ OTHER REPAIR OF ANAL SPHINCTER $ OTHER OPERATIONS ON ANUS $ SUTURE, SECONDARY, OF ABDOMINAL WALL FOR EVISCERATION OR DEHISCENCE $ OMENTAL FLAP, EXTRA-ABDOMINAL (EG, FOR RECONSTRUCTION OF STERNAL AND CHEST WALL DEFECTS) $ OMENTAL FLAP (EG, FOR RECONSTRUCTION OF STERNAL AND CHEST WALL DEFECTS) (LIST SEPARATELY IN ADDITION TO CODE F $ FREE OMENTAL FLAP WITH MICROVASCULAR ANASTOMOSIS $ INCISION OF ANAL SEPTUM $ INSERTION OF SUBCUTANEOUS ELECTRICAL ANAL STIMULATOR $ OTHER INCISION OF ANUS $ REDUCTION OF ANAL PROLAPSE $ CONTROL OF (POSTOPERATIVE) HEMORRHAGE OF ANUS $ OTHER $ UNLISTED PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM $0.00