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Medi-Cal Rates Information

Medi-Cal Rates as of 02/15/2020 (Codes 45333 thru 50230)

Medi-Cal Rates are updated and effective as of the 15th of the month and published to the Medi-Cal website on the 16th of the month


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Proc Type Proc Code Procedure Description Unit Value Basic Rate Child Rate ER Rate Conv Ind ER Ind Cut-back Ind Prof % Rental Rate Non-Physn. Med.Prac. Ind
K 45333 SIGMOIDOSCOPY & POLYPECTOMY 2.85 $106.11 --- $133.81 004 1 1 0.00 $0.00 Y
K 45334 SIGMOIDOSCOPY FOR BLEEDING 3.31 $123.23 --- $155.40 004 1 1 0.00 $0.00 Y
K 45335 SIGMOIDOSCOPY W/SUBMUC INJ 4.12 $153.51 --- $193.43 004 1 1 0.00 $0.00 Y
K 45337 SIGMOIDOSCOPY & DECOMPRESS 3.35 $124.72 --- $157.28 004 1 0 0.00 $0.00 Y
K 45338 SIGMOIDOSCOPY W/TUMR REMOVE 3.85 $143.34 --- $180.76 004 1 0 0.00 $0.00 Y
K 45340 SIG W/BALLOON DILATION 9.55 $355.63 --- $448.37 004 1 1 0.00 $0.00 Y
K 45341 SIGMOIDOSCOPY W/ULTRASOUND 4.64 $172.75 --- $217.85 004 1 0 0.00 $0.00 Y
K 45342 SIGMOIDOSCOPY W/US GUIDE BX 5.33 $198.44 --- $250.24 004 1 0 0.00 $0.00 Y
K 45346 SIGMOIDOSCOPY W/ABLATION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45347 SIGMOIDOSCOPY W/PLCMT STENT 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45349 SIGMOIDOSCOPY W/RESECTION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45350 SGMDSC W/BAND LIGATION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45378 DIAGNOSTIC COLONOSCOPY 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 45379 COLONOSCOPY W/FB REMOVAL 9.87 $367.46 --- $463.40 004 1 0 0.00 $0.00 Y
K 45380 COLONOSCOPY AND BIOPSY 8.87 $330.23 --- $416.45 004 1 0 0.00 $0.00 Y
K 45381 COLONOSCOPY SUBMUCOUS INJ 11.09 $412.75 --- $520.68 004 1 0 0.00 $0.00 Y
K 45382 COLONOSCOPY/CONTROL BLEEDING 11.16 $415.49 --- $523.96 004 1 0 0.00 $0.00 Y
K 45384 LESION REMOVE COLONOSCOPY 10.07 $374.91 --- $472.79 004 1 0 0.00 $0.00 Y
K 45385 LESION REMOVAL COLONOSCOPY 10.75 $400.22 --- $504.71 004 1 0 0.00 $0.00 Y
K 45386 COLONOSCOPY DILATE STRICTURE 21.42 $797.40 --- $1005.67 004 1 0 0.00 $0.00 Y
K 45388 COLONOSCOPY W/ABLATION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45389 COLONOSCOPY W/STENT PLCMT 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45390 COLONOSCOPY W/RESECTION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45391 COLONOSCOPY W/ENDOSCOPE US 4.56 $169.65 --- $214.09 004 1 0 0.00 $0.00 Y
K 45392 COLONOSCOPY W/ENDOSCOPIC FNB 5.77 $214.99 --- $270.90 004 1 0 0.00 $0.00 Y
K 45393 COLONOSCOPY W/DECOMPRESSION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45395 LAP REMOVAL OF RECTUM 38.88 $1447.50 --- $1825.42 004 1 0 0.00 $0.00 Y
O 45395 LAP REMOVAL OF RECTUM 7.78 $289.65 --- $365.27 004 1 0 0.00 $0.00 Y
O 45397 LAP REMOVE RECTUM W/POUCH 8.45 $314.59 --- $396.73 004 1 0 0.00 $0.00 Y
K 45397 LAP REMOVE RECTUM W/POUCH 42.23 $1572.22 --- $1982.70 004 1 0 0.00 $0.00 Y
K 45398 COLONOSCOPY W/BAND LIGATION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45399 UNLISTED PROCEDURE COLON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 45399 UNLISTED PROCEDURE COLON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 45400 LAPAROSCOPIC PROC 4.54 $169.02 --- -- 004 0 0 0.00 $0.00 Y
K 45400 LAPAROSCOPIC PROC 22.70 $845.13 --- -- 004 0 0 0.00 $0.00 Y
K 45402 LAP PROCTOPEXY W/SIG RESECT 30.71 $1143.33 --- $1441.83 004 1 0 0.00 $0.00 Y
O 45402 LAP PROCTOPEXY W/SIG RESECT 6.14 $228.59 --- $288.27 004 1 0 0.00 $0.00 Y
O 45499 LAPAROSCOPE PROC RECTUM 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45499 LAPAROSCOPE PROC RECTUM 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45500 REPAIR OF RECTUM 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
O 45500 REPAIR OF RECTUM 2.00 $74.46 --- $93.90 004 1 0 0.00 $0.00 Y
O 45505 REPAIR OF RECTUM 2.20 $81.91 --- $103.29 004 1 0 0.00 $0.00 Y
K 45505 REPAIR OF RECTUM 11.00 $409.53 --- $516.45 004 1 0 0.00 $0.00 Y
K 45520 TREATMENT OF RECTAL PROLAPSE 1.08 $40.21 --- $50.71 004 1 0 0.00 $0.00 Y
K 45540 CORRECT RECTAL PROLAPSE 18.00 $670.14 --- $845.10 004 1 0 0.00 $0.00 Y
O 45540 CORRECT RECTAL PROLAPSE 3.60 $134.03 --- $169.02 004 1 0 0.00 $0.00 Y
O 45541 CORRECT RECTAL PROLAPSE 3.60 $134.03 --- $169.02 004 1 0 0.00 $0.00 Y
K 45541 CORRECT RECTAL PROLAPSE 18.00 $670.14 --- $845.10 004 1 0 0.00 $0.00 Y
K 45550 REPAIR RECTUM/REMOVE SIGMOID 23.77 $884.96 --- $1116.00 004 1 0 0.00 $0.00 Y
O 45550 REPAIR RECTUM/REMOVE SIGMOID 4.75 $176.84 --- $223.01 004 1 0 0.00 $0.00 Y
O 45560 REPAIR OF RECTOCELE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45560 REPAIR OF RECTOCELE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45562 EXPLOR/REPAIR PRESACRAL DRAIN RECTAL 17.58 $654.50 --- $825.38 004 1 0 0.00 $0.00 Y
O 45562 EXPLOR/REPAIR PRESACRAL DRAIN FOR RECTAL 3.52 $131.05 --- $165.26 004 1 0 0.00 $0.00 Y
O 45563 EXPLOR/REPAIR PERSACRAL DRAIN FOR RECTAL 5.55 $206.63 --- $260.57 004 1 0 0.00 $0.00 Y
K 45563 EXPLOR/REPAIR PRESACRAL DRAIN FOR RECTAL 27.74 $1032.76 --- $1302.39 004 1 0 0.00 $0.00 Y
K 45800 REPAIR RECT/BLADDER FISTULA 20.00 $744.60 --- $939.00 004 1 0 0.00 $0.00 Y
O 45800 REPAIR RECT/BLADDER FISTULA 4.00 $148.92 --- $187.80 004 1 0 0.00 $0.00 Y
O 45805 REPAIR FISTULA W/COLOSTOMY 4.40 $163.81 --- $206.58 004 1 0 0.00 $0.00 Y
K 45805 REPAIR FISTULA W/COLOSTOMY 22.00 $819.06 --- $1032.90 004 1 0 0.00 $0.00 Y
K 45820 REPAIR RECTOURETHRAL FISTULA 20.00 $744.60 --- $939.00 004 1 0 0.00 $0.00 Y
O 45820 REPAIR RECTOURETHRAL FISTULA 4.00 $148.92 --- $187.80 004 1 0 0.00 $0.00 Y
O 45825 REPAIR FISTULA W/COLOSTOMY 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
K 45825 REPAIR FISTULA W/COLOSTOMY 22.64 $842.89 --- $1062.95 004 1 0 0.00 $0.00 Y
K 45900 REDUCTION OF RECTAL PROLAPSE 1.23 $45.79 --- $57.75 004 1 1 0.00 $0.00 Y
K 45905 DILATION OF ANAL SPHINCTER 4.05 $150.78 --- $190.15 004 1 0 0.00 $0.00 Y
K 45910 DILATION OF RECTAL NARROWING 2.84 $105.73 --- $133.34 004 1 0 0.00 $0.00 Y
K 45915 REMOVE RECTAL OBSTRUCTION 5.53 $205.88 --- $259.63 004 1 0 0.00 $0.00 Y
K 45990 SURG DX EXAM ANORECTAL 2.25 $83.77 --- $105.64 004 1 0 0.00 $0.00 Y
O 45990 SURG DX EXAM ANORECTAL 0.45 $16.75 --- $21.13 004 1 0 0.00 $0.00 Y
O 45999 RECTUM SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 45999 RECTUM SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 46020 PLACEMENT OF SETON 5.17 $192.48 --- -- 004 0 0 0.00 $0.00 Y
K 46030 REMOVAL OF RECTAL MARKER 1.89 $70.36 --- $88.74 004 1 1 0.00 $0.00 Y
K 46040 INCISION OF RECTAL ABSCESS 4.80 $178.70 --- $225.36 004 1 1 0.00 $0.00 Y
K 46045 INCISION OF RECTAL ABSCESS 3.32 $123.60 --- $155.87 004 1 0 0.00 $0.00 Y
K 46050 INCISION OF ANAL ABSCESS 2.14 $79.67 --- $100.47 004 1 1 0.00 $0.00 Y
K 46060 INCISION OF RECTAL ABSCESS 9.50 $353.69 --- $446.03 004 1 0 0.00 $0.00 Y
O 46060 INCISION OF RECTAL ABSCESS 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 46070 INCISION OF ANAL SEPTUM 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 46070 INCISION OF ANAL SEPTUM 2.52 $93.82 --- $118.31 004 1 0 0.00 $0.00 Y
K 46080 INCISION OF ANAL SPHINCTER 2.80 $104.24 --- $131.46 004 1 0 0.00 $0.00 Y
K 46083 INCISE EXTERNAL HEMORRHOID 5.13 $190.99 --- $240.85 004 1 1 0.00 $0.00 Y
O 46083 INCISE EXTERNAL HEMORRHOID 1.03 $38.35 --- $48.36 004 1 0 0.00 $0.00 Y
O 46200 REMOVAL OF ANAL FISSURE 1.09 $40.58 --- $51.18 004 1 0 0.00 $0.00 Y
K 46200 REMOVAL OF ANAL FISSURE 5.44 $202.53 --- $255.41 004 1 0 0.00 $0.00 Y
K 46220 EXCISE ANAL EXT TAG/PAPILLA 1.34 $49.89 --- $62.91 004 1 1 0.00 $0.00 Y
K 46221 LIGATION OF HEMORRHOID(S) 2.07 $77.07 --- $97.19 004 1 1 0.00 $0.00 Y
K 46230 REMOVAL OF ANAL TAGS 3.13 $116.53 --- $146.95 004 1 1 0.00 $0.00 Y
K 46250 REMOVE EXT HEM GROUPS 2+ 5.44 $202.53 --- $255.41 004 1 0 0.00 $0.00 Y
K 46255 REMOVE INT/EXT HEM 1 GROUP 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
O 46255 REMOVE INT/EXT HEM 1 GROUP 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 46257 REMOVE IN/EX HEM GRP & FISS 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 46257 REMOVE IN/EX HEM GRP & FISS 8.53 $317.57 --- $400.48 004 1 0 0.00 $0.00 Y
K 46258 REMOVE IN/EX HEM GRP W/FISTU 8.94 $332.84 --- $419.73 004 1 0 0.00 $0.00 Y
O 46258 REMOVE IN/EX HEM GRP W/FISTU 1.79 $66.64 --- $84.04 004 1 0 0.00 $0.00 Y
O 46260 REMOVE IN/EX HEM GROUPS 2+ 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 46260 REMOVE IN/EX HEM GROUPS 2+ 10.27 $382.35 --- $482.18 004 1 0 0.00 $0.00 Y
K 46261 REMOVE IN/EX HEM GRPS & FISS 11.19 $416.60 --- $525.37 004 1 0 0.00 $0.00 Y
O 46261 REMOVE IN/EX HEM GRPS & FISS 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 46262 REMOVE IN/EX HEM GRPS W/FIST 2.36 $87.86 --- $110.80 004 1 0 0.00 $0.00 Y
K 46262 REMOVE IN/EX HEM GRPS W/FIST 11.82 $440.06 --- $554.95 004 1 0 0.00 $0.00 Y
K 46270 REMOVE ANAL FIST SUBQ 4.04 $150.41 --- $189.68 004 1 0 0.00 $0.00 Y
K 46275 REMOVE ANAL FIST INTER 9.50 $353.69 --- $446.03 004 1 0 0.00 $0.00 Y
O 46275 REMOVE ANAL FIST INTER 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 46280 REMOVE ANAL FIST COMPLEX 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 46280 REMOVE ANAL FIST COMPLEX 10.45 $389.05 --- $490.63 004 1 0 0.00 $0.00 Y
K 46285 REMOVE ANAL FIST 2 STAGE 3.72 $138.50 --- $174.65 004 1 0 0.00 $0.00 Y
K 46288 CLOSURE OF ANAL FISTULA WITH RECTAL FLAP 8.03 $298.96 --- $377.01 004 1 0 0.00 $0.00 Y
O 46288 CLOSURE OF ANAL FISTULA WITH RECTAL FLAP 1.61 $59.94 --- $75.59 004 1 0 0.00 $0.00 Y
K 46320 REMOVAL OF HEMORRHOID CLOT 2.49 $92.70 --- $116.91 004 1 1 0.00 $0.00 Y
K 46500 INJECTION INTO HEMORRHOID(S) 1.96 $72.97 --- $92.02 004 1 1 0.00 $0.00 Y
K 46505 CHEMODENERVATION ANAL MUSC 5.08 $189.13 --- $238.51 004 1 0 0.00 $0.00 Y
K 46600 DIAGNOSTIC ANOSCOPY 0.59 $21.97 --- $27.70 004 1 1 0.00 $0.00 Y
K 46601 DIAGNOSTIC ANOSCOPY 0.00 $0.00 --- -- 004 1 1 0.00 $0.00 Y
K 46604 ANOSCOPY AND DILATION 1.06 $39.46 --- $49.77 004 1 1 0.00 $0.00 Y
K 46606 ANOSCOPY AND BIOPSY 0.78 $29.04 --- $36.62 004 1 1 0.00 $0.00 Y
K 46607 DIAGNOSTIC ANOSCOPY & BIOPSY 0.00 $0.00 --- -- 004 1 1 0.00 $0.00 Y
K 46608 ANOSCOPY REMOVE FOR BODY 2.90 $107.97 --- $136.16 004 1 1 0.00 $0.00 Y
K 46610 ANOSCOPY REMOVE LESION 2.44 $90.84 --- $114.56 004 1 1 0.00 $0.00 Y
K 46611 ANOSCOPY 2.05 $76.32 --- $96.25 004 1 0 0.00 $0.00 Y
K 46612 ANOSCOPY REMOVE LESIONS 4.10 $152.64 --- $192.50 004 1 1 0.00 $0.00 Y
K 46614 ANOSCOPY CONTROL BLEEDING 3.21 $119.51 --- $150.71 004 1 1 0.00 $0.00 Y
K 46615 ANOSCOPY 3.66 $136.26 --- $171.84 004 1 0 0.00 $0.00 Y
K 46700 REPAIR OF ANAL STRICTURE 9.88 $367.83 --- $463.87 004 1 1 0.00 $0.00 Y
O 46700 REPAIR OF ANAL STRICTURE 1.98 $73.72 --- $92.96 004 1 0 0.00 $0.00 Y
O 46705 REPAIR OF ANAL STRICTURE 2.01 $74.83 --- $94.37 004 1 0 0.00 $0.00 Y
K 46705 REPAIR OF ANAL STRICTURE 10.03 $373.42 --- $470.91 004 1 0 0.00 $0.00 Y
K 46706 REPR OF ANAL FISTULA W/GLUE 2.03 $75.65 --- $95.31 004 1 0 0.00 $0.00 Y
O 46706 REPR OF ANAL FISTULA W/GLUE 0.41 $15.13 --- $19.25 004 1 0 0.00 $0.00 Y
K 46707 REPAIR ANORECTAL FIST W/PLUG 10.20 $379.75 --- -- 004 0 0 0.00 $0.00 Y
K 46710 REPR PER/VAG POUCH SNGL PROC 20.57 $765.82 --- $965.76 004 1 0 0.00 $0.00 Y
O 46710 REPR PER/VAG POUCH SNGL PROC 4.11 $153.01 --- $192.96 004 1 0 0.00 $0.00 Y
O 46712 REPR PER/VAG POUCH DBL PROC 8.58 $319.43 --- $402.83 004 1 0 0.00 $0.00 Y
K 46712 REPR PER/VAG POUCH DBL PROC 42.92 $1597.91 --- $2015.09 004 1 0 0.00 $0.00 Y
K 46715 REP PERF ANOPER FISTU 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 46715 REP PERF ANOPER FISTU 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 46716 REP PERF ANOPER/VESTIB FISTU 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 46716 REP PERF ANOPER/VESTIB FISTU 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 46730 CONSTRUCTION OF ABSENT ANUS 18.12 $674.61 --- $850.73 004 1 0 0.00 $0.00 Y
O 46730 CONSTRUCTION OF ABSENT ANUS 3.62 $134.77 --- $169.96 004 1 0 0.00 $0.00 Y
O 46735 CONSTRUCTION OF ABSENT ANUS 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
K 46735 CONSTRUCTION OF ABSENT ANUS 22.65 $843.26 --- $1063.42 004 1 0 0.00 $0.00 Y
K 46740 CONSTRUCTION OF ABSENT ANUS 24.92 $927.77 --- $1169.99 004 1 0 0.00 $0.00 Y
O 46740 CONSTRUCTION OF ABSENT ANUS 4.98 $185.41 --- $233.81 004 1 0 0.00 $0.00 Y
O 46742 REPAIR OF IMPERFORATED ANUS 7.85 $292.26 --- $368.56 004 1 0 0.00 $0.00 Y
K 46742 REPAIR OF IMPERFORATED ANUS 39.23 $1460.53 --- $1841.85 004 1 0 0.00 $0.00 Y
K 46744 REPAIR OF CLOACAL ANOMALY 41.13 $1531.27 --- $1931.05 004 1 0 0.00 $0.00 Y
O 46744 REPAIR OF CLOACAL ANOMALY 8.23 $306.40 --- $386.40 004 1 0 0.00 $0.00 Y
O 46746 REPAIR OF CLOACAL ANOMALY 9.51 $354.06 --- $446.49 004 1 0 0.00 $0.00 Y
K 46746 REPAIR OF CLOACAL ANOMALY 47.56 $1770.66 --- $2232.94 004 1 0 0.00 $0.00 Y
K 46748 REPAIR OF CLOACAL ANOMALY 51.17 $1905.06 --- $2402.43 004 1 0 0.00 $0.00 Y
O 46748 REPAIR OF CLOACAL ANOMALY 10.24 $381.24 --- $480.77 004 1 0 0.00 $0.00 Y
O 46750 REPAIR OF ANAL SPHINCTER 2.24 $83.40 --- $105.17 004 1 0 0.00 $0.00 Y
K 46750 REPAIR OF ANAL SPHINCTER 11.20 $416.98 --- $525.84 004 1 0 0.00 $0.00 Y
K 46751 REPAIR OF ANAL SPHINCTER 12.59 $468.73 --- $591.10 004 1 0 0.00 $0.00 Y
O 46751 REPAIR OF ANAL SPHINCTER 2.52 $93.82 --- $118.31 004 1 0 0.00 $0.00 Y
O 46753 RECONSTRUCTION OF ANUS 1.88 $69.99 --- $88.27 004 1 0 0.00 $0.00 Y
K 46753 RECONSTRUCTION OF ANUS 9.42 $350.71 --- $442.27 004 1 0 0.00 $0.00 Y
K 46754 REMOVAL OF SUTURE FROM ANUS 5.57 $207.37 --- $261.51 004 1 0 0.00 $0.00 Y
O 46754 REMOVAL OF SUTURE FROM ANUS 1.11 $41.33 --- $52.11 004 1 0 0.00 $0.00 Y
O 46760 REPAIR OF ANAL SPHINCTER 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 46760 REPAIR OF ANAL SPHINCTER 8.23 $306.40 --- $386.40 004 1 0 0.00 $0.00 Y
K 46761 REPAIR OF ANAL SPHINCTER 8.22 $306.03 --- $385.93 004 1 0 0.00 $0.00 Y
O 46761 REPAIR OF ANAL SPHINCTER 1.70 $63.29 --- $79.82 004 1 0 0.00 $0.00 Y
K 46900 DESTRUCTION ANAL LESION(S) 2.45 $91.21 --- $115.03 004 1 1 0.00 $0.00 Y
K 46910 DESTRUCTION ANAL LESION(S) 2.53 $94.19 --- $118.78 004 1 1 0.00 $0.00 Y
K 46916 CRYOSURGERY ANAL LESION(S) 2.39 $88.98 --- $112.21 004 1 1 0.00 $0.00 Y
K 46917 LASER SURGERY ANAL LESIONS 2.89 $107.59 --- $135.69 004 1 1 0.00 $0.00 Y
K 46922 EXCISION OF ANAL LESION(S) 2.56 $95.31 --- $120.19 004 1 1 0.00 $0.00 Y
K 46924 DESTRUCTION ANAL LESION(S) 6.34 $236.04 --- $297.66 004 1 0 0.00 $0.00 Y
K 46930 DESTROY INTERNAL HEMORRHOIDS 2.83 $105.36 --- $132.87 004 1 0 0.00 $0.00 Y
K 46940 TREATMENT OF ANAL FISSURE 4.55 $169.40 --- $213.62 004 1 1 0.00 $0.00 Y
K 46942 TREATMENT OF ANAL FISSURE 4.03 $150.04 --- $189.21 004 1 1 0.00 $0.00 Y
K 46945 INT HRHC LIG 1 HROID W/O IMG 2.76 $102.75 --- $129.58 004 1 1 0.00 $0.00 Y
K 46946 INT HRHC LIG 2+HROID W/O IMG 6.80 $253.16 --- $319.26 004 1 1 0.00 $0.00 Y
K 46947 HEMORRHOIDOPEXY BY STAPLING 4.87 $181.32 --- $228.65 004 1 0 0.00 $0.00 Y
K 46948 INT HRHC TRANAL DARTLZJ 2+ 10.48 $390.37 --- -- 004 0 0 0.00 $0.00 Y
K 46999 ANUS SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 46999 ANUS SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 47000 BIOPSY OF LIVER NEEDLE 4.52 $168.28 --- $212.21 004 1 1 0.00 $0.00 Y
K 47001 NEEDLE BIOPSY LIVER ADD-ON 1.31 $48.77 --- $61.50 004 1 0 0.00 $0.00 Y
O 47001 NEEDLE BIOPSY LIVER ADD-ON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 47010 OPEN DRAINAGE LIVER LESION 2.96 $110.20 --- $138.97 004 1 0 0.00 $0.00 Y
K 47010 OPEN DRAINAGE LIVER LESION 14.81 $551.38 --- $695.33 004 1 0 0.00 $0.00 Y
K 47015 LAPAROTOMY WITH ASPIRATION/INJEC/HEPATIC 13.50 $502.61 --- $633.83 004 1 0 0.00 $0.00 Y
O 47015 LAPAROTOMY WITH ASPIRATION/INJEC/HEPATIC 2.70 $100.52 --- $126.77 004 1 0 0.00 $0.00 Y
O 47100 BIOPSY OF LIVER WEDGE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 47100 BIOPSY OF LIVER WEDGE 10.97 $408.41 --- $515.04 004 1 0 0.00 $0.00 Y
K 47120 PARTIAL REMOVAL OF LIVER 21.52 $801.19 --- $1010.36 004 1 0 0.00 $0.00 Y
O 47120 PARTIAL REMOVAL OF LIVER 4.30 $160.09 --- $201.89 004 1 0 0.00 $0.00 Y
O 47122 EXTENSIVE REMOVAL OF LIVER 5.00 $186.15 --- $234.75 004 1 0 0.00 $0.00 Y
K 47122 EXTENSIVE REMOVAL OF LIVER 24.99 $930.38 --- $1173.28 004 1 0 0.00 $0.00 Y
K 47125 PARTIAL REMOVAL OF LIVER 26.31 $979.52 --- $1235.25 004 1 0 0.00 $0.00 Y
O 47125 PARTIAL REMOVAL OF LIVER 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 47130 PARTIAL REMOVAL OF LIVER 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 47130 PARTIAL REMOVAL OF LIVER 25.00 $930.75 --- $1173.75 004 1 0 0.00 $0.00 Y
K 47135 LIVER ALLOTRANSPLANTATION 11326.00 $11326.00 --- -- 042 0 0 0.00 $0.00 Y
O 47135 LIVER ALLOTRANSPLANTATION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 47140 PARTIAL REMOVAL DONOR LIVER 9.41 $350.33 --- $441.80 004 1 0 0.00 $0.00 Y
K 47140 PARTIAL REMOVAL DONOR LIVER 47.07 $1752.35 --- $2209.94 004 1 0 0.00 $0.00 Y
K 47141 PARTIAL REMOVAL DONOR LIVER 57.06 $2124.42 --- $2678.97 004 1 0 0.00 $0.00 Y
O 47141 PARTIAL REMOVAL DONOR LIVER 11.41 $424.79 --- $535.70 004 1 0 0.00 $0.00 Y
O 47142 PARTIAL REMOVAL DONOR LIVER 12.61 $469.47 --- $592.04 004 1 0 0.00 $0.00 Y
K 47142 PARTIAL REMOVAL DONOR LIVER 63.05 $2347.42 --- $2960.20 004 1 0 0.00 $0.00 Y
K 47300 SURGERY FOR LIVER LESION 14.50 $539.84 --- $680.78 004 1 0 0.00 $0.00 Y
O 47300 SURGERY FOR LIVER LESION 2.90 $107.97 --- $136.16 004 1 0 0.00 $0.00 Y
O 47350 MGMT OF LIVER HEMORRHAGE; SMPL SUTURE 3.17 $118.02 --- $148.83 004 1 0 0.00 $0.00 Y
K 47350 MGMT OF LIVER HEMORRHAGE; SMPL SUTURE 15.86 $590.47 --- $744.63 004 1 0 0.00 $0.00 Y
K 47360 MGMT OF LIVER HEMORRHAGE; COMPLEX SUTURE 23.56 $877.14 --- $1106.14 004 1 0 0.00 $0.00 Y
O 47360 MGMT OF LIVER HEMORRHAGE; COMPLEX SUTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 47361 MANAGEMENT OF LIVER HEMORRHAGE; EXPLORAT 7.86 $292.63 --- $369.03 004 1 0 0.00 $0.00 Y
K 47361 MANAGEMENT OF LIVER HEMORRHAGE; EXPLORAT 39.29 $1462.77 --- $1844.67 004 1 0 0.00 $0.00 Y
K 47362 MANAGEMENT OF LIVER HEMORRHAGE; REEXPLO 14.11 $525.32 --- $662.46 004 1 0 0.00 $0.00 Y
O 47362 MANAGEMENT OF LIVER HEMORRHAGE; REEXPLO 2.82 $104.99 --- $132.40 004 1 0 0.00 $0.00 Y
O 47370 LAPARO ABLATE LIVER TUMOR RF 4.26 $158.60 --- -- 004 0 0 0.00 $0.00 Y
K 47370 LAPARO ABLATE LIVER TUMOR RF 21.29 $792.63 --- -- 004 0 0 0.00 $0.00 Y
K 47371 LAPARO ABLATE LIVER CRYOSURG 20.06 $746.83 --- -- 004 0 0 0.00 $0.00 Y
O 47371 LAPARO ABLATE LIVER CRYOSURG 4.01 $149.29 --- -- 004 0 0 0.00 $0.00 Y
O 47379 LAPAROSCOPE PROCEDURE LIVER 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 47379 LAPAROSCOPE PROCEDURE LIVER 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 47380 OPEN ABLATE LIVER TUMOR RF 25.02 $931.49 --- -- 004 0 0 0.00 $0.00 Y
O 47380 OPEN ABLATE LIVER TUMOR RF 5.00 $186.15 --- -- 004 0 0 0.00 $0.00 Y
O 47381 OPEN ABLATE LIVER TUMOR CRYO 4.95 $184.29 --- -- 004 0 0 0.00 $0.00 Y
K 47381 OPEN ABLATE LIVER TUMOR CRYO 24.73 $920.70 --- -- 004 0 0 0.00 $0.00 Y
K 47382 PERCUT ABLATE LIVER RF 14.88 $553.98 --- -- 004 0 0 0.00 $0.00 Y
O 47382 PERCUT ABLATE LIVER RF 2.98 $110.95 --- -- 004 0 0 0.00 $0.00 Y
K 47383 PERQ ABLTJ LVR CRYOABLATION 11.20 $416.98 --- -- 004 0 0 0.00 $0.00 Y
K 47399 LIVER SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 47399 LIVER SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 47400 INCISION OF LIVER DUCT 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
K 47400 INCISION OF LIVER DUCT 22.65 $843.26 --- $1063.42 004 1 0 0.00 $0.00 Y
K 47420 CHOLEDOCHOTOMY OR CHOLEDOCHOSTOMY 19.25 $716.68 --- $903.79 004 1 0 0.00 $0.00 Y
O 47420 CHOLEDOCHOTOMY OR CHOLEDOCHOSTOMY 3.85 $143.34 --- $180.76 004 1 0 0.00 $0.00 Y
O 47425 INCISION OF BILE DUCT 4.30 $160.09 --- $201.89 004 1 0 0.00 $0.00 Y
K 47425 INCISION OF BILE DUCT 21.52 $801.19 --- $1010.36 004 1 0 0.00 $0.00 Y
K 47460 TRANSDUODENAL SPHINCTEROTOMY/SPHINCTEROP 20.14 $749.81 --- $945.57 004 1 0 0.00 $0.00 Y
O 47460 TRANSDUODENAL SPHINCTERTOM/SPHINCTEROPLA 4.03 $150.04 --- $189.21 004 1 0 0.00 $0.00 Y
O 47480 INCISION OF GALLBLADDER 2.68 $99.78 --- $125.83 004 1 0 0.00 $0.00 Y
K 47480 INCISION OF GALLBLADDER 13.38 $498.14 --- $628.19 004 1 0 0.00 $0.00 Y
K 47490 INCISION OF GALLBLADDER 11.69 $435.22 --- $548.85 004 1 0 0.00 $0.00 Y
O 47490 INCISION OF GALLBLADDER 2.34 $87.12 --- $109.86 004 1 0 0.00 $0.00 Y
K 47531 INJECTION FOR CHOLANGIOGRAM 9.16 $341.03 --- -- 004 0 0 0.00 $0.00 Y
K 47532 INJECTION FOR CHOLANGIOGRAM 20.12 $749.07 --- -- 004 0 0 0.00 $0.00 Y
K 47533 PLMT BILIARY DRAINAGE CATH 32.92 $1225.61 --- -- 004 0 0 0.00 $0.00 Y
K 47534 PLMT BILIARY DRAINAGE CATH 40.50 $1507.82 --- -- 004 0 0 0.00 $0.00 Y
K 47535 CONVERSION EXT BIL DRG CATH 27.25 $1014.52 --- -- 004 0 0 0.00 $0.00 Y
K 47536 EXCHANGE BILIARY DRG CATH 20.20 $752.05 --- -- 004 0 0 0.00 $0.00 Y
K 47537 REMOVAL BILIARY DRG CATH 9.11 $368.95 --- -- 004 0 0 0.00 $0.00 Y
K 47538 PERQ PLMT BILE DUCT STENT 112.53 $4189.49 --- -- 004 0 0 0.00 $0.00 Y
K 47539 PERQ PLMT BILE DUCT STENT 122.77 $4570.73 --- -- 004 0 0 0.00 $0.00 Y
K 47540 PERQ PLMT BILE DUCT STENT 127.49 $4746.45 --- -- 004 0 0 0.00 $0.00 Y
K 47541 PLMT ACCESS BIL TREE SM BWL 29.05 $1081.53 --- -- 004 0 0 0.00 $0.00 Y
K 47542 DILATE BILIARY DUCT/AMPULLA 12.61 $469.47 --- -- 004 0 0 0.00 $0.00 Y
K 47543 ENDOLUMINAL BX BILIARY TREE 32.87 $1223.75 --- -- 004 0 0 0.00 $0.00 Y
K 47544 REMOVAL DUCT GLBLDR CALCULI 20.00 $744.60 --- -- 004 0 0 0.00 $0.00 Y
K 47550 BILE DUCT ENDOSCOPY ADDON 2.97 $110.57 --- $139.44 004 1 0 0.00 $0.00 Y
K 47552 BILIARY ENDOSCOPY THRU SKIN 4.46 $166.05 --- $209.40 004 1 0 0.00 $0.00 Y
K 47553 BILIARY ENDOSCOPY THRU SKIN 6.50 $242.00 --- $305.18 004 1 0 0.00 $0.00 Y
K 47554 BILIARY ENDOSCOPY THRU SKIN 8.15 $303.42 --- $382.64 004 1 0 0.00 $0.00 Y
K 47555 BILIARY ENDOSCOPY THRU SKIN 6.20 $230.83 --- $291.09 004 1 0 0.00 $0.00 Y
K 47556 BILIARY ENDOSCOPY THRU SKIN 9.24 $344.01 --- $433.82 004 1 0 0.00 $0.00 Y
K 47562 LAPAROSCOPIC CHOLECYSTECTOMY 12.52 $466.12 --- $587.81 004 1 0 0.00 $0.00 Y
O 47562 LAPAROSCOPIC CHOLECYSTECTOMY 2.50 $93.08 --- $117.38 004 1 0 0.00 $0.00 Y
O 47563 LAPARO CHOLECYSTECTOMY/GRAPH 2.88 $107.22 --- $135.22 004 1 0 0.00 $0.00 Y
K 47563 LAPARO CHOLECYSTECTOMY/GRAPH 14.41 $536.48 --- $676.55 004 1 0 0.00 $0.00 Y
K 47564 LAPARO CHOLECYSTECTOMY/EXPLR 17.66 $657.48 --- $829.14 004 1 0 0.00 $0.00 Y
O 47564 LAPARO CHOLECYSTECTOMY/EXPLR 3.53 $131.42 --- $165.73 004 1 0 0.00 $0.00 Y
O 47570 LAPARO CHOLECYSTOENTEROSTOMY 2.82 $104.99 --- $132.40 004 1 0 0.00 $0.00 Y
K 47570 LAPARO CHOLECYSTOENTEROSTOMY 14.10 $524.94 --- $662.00 004 1 0 0.00 $0.00 Y
K 47579 LAPAROSCOPE PROC BILIARY 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 47579 LAPAROSCOPE PROC BILIARY 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 47600 REMOVAL OF GALLBLADDER 3.10 $115.41 --- $145.55 004 1 0 0.00 $0.00 Y
K 47600 REMOVAL OF GALLBLADDER 15.49 $576.69 --- $727.26 004 1 0 0.00 $0.00 Y
K 47605 CHOLECYSTECTOMY,W/CHOLANGIOGRAPHY 16.60 $618.02 --- $779.37 004 1 0 0.00 $0.00 Y
O 47605 CHOLECYSTECTOMY, W/CHOLANGIOGRAPHY 3.32 $123.60 --- $155.87 004 1 0 0.00 $0.00 Y
O 47610 REMOVAL OF GALLBLADDER 3.85 $143.34 --- $180.76 004 1 0 0.00 $0.00 Y
K 47610 REMOVAL OF GALLBLADDER 19.25 $716.68 --- $903.79 004 1 0 0.00 $0.00 Y
K 47612 REMOVAL OF GALLBLADDER 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 47612 REMOVAL OF GALLBLADDER 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 47620 REMOVAL OF GALLBLADDER 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
K 47620 REMOVAL OF GALLBLADDER 22.65 $843.26 --- $1063.42 004 1 0 0.00 $0.00 Y
K 47700 EXPLORATION OF BILE DUCTS 16.42 $611.32 --- $770.92 004 1 0 0.00 $0.00 Y
O 47700 EXPLORATION OF BILE DUCTS 3.28 $122.11 --- $154.00 004 1 0 0.00 $0.00 Y
O 47701 BILE DUCT REVISION 7.23 $269.17 --- $339.45 004 1 0 0.00 $0.00 Y
K 47701 BILE DUCT REVISION 36.15 $1345.86 --- $1697.24 004 1 0 0.00 $0.00 Y
K 47711 EXCISION OF BILE DUCT TUMOR PRI REPAIR 25.79 $960.16 --- $1210.84 004 1 0 0.00 $0.00 Y
O 47711 EXCISION OF BILE DUCT TUMOR PRI REPAIR 5.16 $192.11 --- $242.26 004 1 0 0.00 $0.00 Y
O 47712 EXCISION OF BILE DUCT TUMOR PRI REPAIR 6.52 $242.74 --- $306.11 004 1 0 0.00 $0.00 Y
K 47712 EXCISION OF BILE DUCT TUMOR PRI REPAIR 32.60 $1213.70 --- $1530.57 004 1 0 0.00 $0.00 Y
K 47715 EXCISION OF BILE DUCT CYST 21.78 $810.87 --- $1022.57 004 1 0 0.00 $0.00 Y
O 47715 EXCISION OF BILE DUCT CYST 4.36 $162.32 --- $204.70 004 1 0 0.00 $0.00 Y
O 47720 FUSE GALLBLADDER & BOWEL 3.28 $122.11 --- $154.00 004 1 0 0.00 $0.00 Y
K 47720 FUSE GALLBLADDER & BOWEL 16.42 $611.32 --- $770.92 004 1 0 0.00 $0.00 Y
K 47721 FUSE UPPER GI STRUCTURES 20.73 $771.78 --- $973.27 004 1 0 0.00 $0.00 Y
O 47721 FUSE UPPER GI STRUCTURES 4.19 $155.99 --- $196.72 004 1 0 0.00 $0.00 Y
O 47740 FUSE GALLBLADDER & BOWEL 3.62 $134.77 --- $169.96 004 1 0 0.00 $0.00 Y
K 47740 FUSE GALLBLADDER & BOWEL 18.12 $674.61 --- $850.73 004 1 0 0.00 $0.00 Y
K 47741 CHOLECYSTOENTEROSTOMY; 25.35 $943.78 --- $1190.18 004 1 0 0.00 $0.00 Y
O 47741 CHOLECYSTOENTEROSTOMY; 5.07 $188.76 --- $238.04 004 1 0 0.00 $0.00 Y
O 47760 ANASTOM OF EXTRAHEP BILIARY DUCTS/GASTRO 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
K 47760 ANASTOM OF EXTRAHEP BILIARY DUCTS GASTRO 22.65 $843.26 --- $1063.42 004 1 0 0.00 $0.00 Y
K 47765 ANASTOM OF INTRAHEP DUCTS/GASTROINTESTIN 31.15 $1159.71 --- $1462.49 004 1 0 0.00 $0.00 Y
O 47765 ANASTOM OF INTRAHEP DUCTS/GASTROINTESTIN 6.23 $231.94 --- $292.50 004 1 0 0.00 $0.00 Y
O 47780 FUSE BILE DUCTS AND BOWEL 4.98 $185.41 --- $233.81 004 1 0 0.00 $0.00 Y
K 47780 FUSE BILE DUCTS AND BOWEL 24.92 $927.77 --- $1169.99 004 1 0 0.00 $0.00 Y
K 47785 ANASTOMOSIS ROUXENY INTEAHEP BILIARY 34.25 $1275.13 --- $1608.04 004 1 0 0.00 $0.00 Y
O 47785 ANASTOMOSIS ROUXENY INTRAHAP BILIARY 6.85 $255.03 --- $321.61 004 1 0 0.00 $0.00 Y
O 47800 RECONSTRUCTION OF BILE DUCTS 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
K 47800 RECONSTRUCTION OF BILE DUCTS 22.65 $843.26 --- $1063.42 004 1 0 0.00 $0.00 Y
K 47801 PLACEMENT BILE DUCT SUPPORT 18.15 $675.72 --- $852.14 004 1 0 0.00 $0.00 Y
O 47801 PLACEMENT BILE DUCT SUPPORT 3.63 $135.14 --- $170.43 004 1 0 0.00 $0.00 Y
O 47802 FUSE LIVER DUCT & INTESTINE 5.39 $200.67 --- $253.06 004 1 0 0.00 $0.00 Y
K 47802 FUSE LIVER DUCT & INTESTINE 26.96 $1003.72 --- $1265.77 004 1 0 0.00 $0.00 Y
K 47900 SUTURE OF EXTRAHEPATIC BILIARY DUCT PRE 23.69 $881.98 --- $1112.25 004 1 0 0.00 $0.00 Y
O 47900 SUTURE OF EXTRAHEPATIC BILIARY DUCT PRE 4.74 $176.47 --- $222.54 004 1 0 0.00 $0.00 Y
O 47999 BILE TRACT SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 47999 BILE TRACT SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 48000 DRAINAGE OF ABDOMEN 14.72 $548.03 --- $691.10 004 1 0 0.00 $0.00 Y
O 48000 DRAINAGE OF ABDOMEN 2.94 $109.46 --- $138.03 004 1 0 0.00 $0.00 Y
O 48001 PLACEMENT OF DRAIN PANCREAS 4.18 $155.62 --- $196.25 004 1 0 0.00 $0.00 Y
K 48001 PLACEMENT OF DRAIN PANCREAS 20.89 $777.73 --- $980.79 004 1 0 0.00 $0.00 Y
K 48020 REMOVAL OF PANCREATIC STONE 20.00 $744.60 --- $939.00 004 1 0 0.00 $0.00 Y
O 48020 REMOVAL OF PANCREATIC STONE 4.00 $148.92 --- $187.80 004 1 0 0.00 $0.00 Y
O 48100 BIOPSY OF PANCREAS OPEN 3.10 $115.41 --- $145.55 004 1 0 0.00 $0.00 Y
K 48100 BIOPSY OF PANCREAS OPEN 15.48 $576.32 --- $726.79 004 1 0 0.00 $0.00 Y
K 48102 NEEDLE BIOPSY PANCREAS 10.17 $378.63 --- $477.48 004 1 0 0.00 $0.00 Y
K 48105 RESECT/DEBRIDE PANCREAS 59.81 $2226.77 --- -- 004 0 0 0.00 $0.00 Y
O 48105 RESECT/DEBRIDE PANCREAS 11.96 $445.35 --- -- 004 0 0 0.00 $0.00 Y
O 48120 REMOVAL OF PANCREAS LESION 3.78 $140.73 --- $177.47 004 1 0 0.00 $0.00 Y
K 48120 REMOVAL OF PANCREAS LESION 18.89 $703.27 --- $886.89 004 1 0 0.00 $0.00 Y
K 48140 PARTIAL REMOVAL OF PANCREAS 22.65 $843.26 --- $1063.42 004 1 0 0.00 $0.00 Y
O 48140 PARTIAL REMOVAL OF PANCREAS 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
O 48145 PARTIAL REMOVAL OF PANCREAS 4.98 $185.41 --- $233.81 004 1 0 0.00 $0.00 Y
K 48145 PARTIAL REMOVAL OF PANCREAS 24.92 $927.77 --- $1169.99 004 1 0 0.00 $0.00 Y
K 48146 PANCREAT, DISTAL, NEAR-TOTAL W/PRES DUOD 32.15 $1196.94 --- $1509.44 004 1 0 0.00 $0.00 Y
O 48146 PANCREAT, DISTAL, NEAR-TOTAL W/PRES DUOD 6.43 $239.39 --- $301.89 004 1 0 0.00 $0.00 Y
O 48148 REMOVAL OF PANCREATIC DUCT 4.56 $169.77 --- $214.09 004 1 0 0.00 $0.00 Y
K 48148 REMOVAL OF PANCREATIC DUCT 22.81 $849.22 --- $1070.93 004 1 0 0.00 $0.00 Y
K 48150 PARTIAL REMOVAL OF PANCREAS 38.51 $1433.73 --- $1808.04 004 1 0 0.00 $0.00 Y
O 48150 PARTIAL REMOVAL OF PANCREAS 7.70 $286.67 --- $361.52 004 1 0 0.00 $0.00 Y
O 48152 PANCREAT, PROX SUB W/TOTAL DUODENECTOMY 9.60 $357.41 --- $450.72 004 1 0 0.00 $0.00 Y
K 48152 PANCREAT, PROX SUB W/TOTAL DUODENECTOMY 48.01 $1787.41 --- $2254.07 004 1 0 0.00 $0.00 Y
K 48153 PANCREAT, PROX SUB W/NEAR-TOTAL DUODENEC 50.45 $1878.25 --- $2368.63 004 1 0 0.00 $0.00 Y
O 48153 PANCREAT, PROX SUB W/NEAR-TOTAL DUODENEC 10.09 $375.65 --- $473.73 004 1 0 0.00 $0.00 Y
O 48154 PANCREAT, PROX SUB W/NEAR-TOTAL DUODENEC 9.60 $357.41 --- $450.72 004 1 0 0.00 $0.00 Y
K 48154 PANCREAT, PROX SUB W/NEAR-TOTAL DUODENEC 48.01 $1787.41 --- $2254.07 004 1 0 0.00 $0.00 Y
K 48155 REMOVAL OF PANCREAS 34.00 $1265.82 --- $1596.30 004 1 0 0.00 $0.00 Y
O 48155 REMOVAL OF PANCREAS 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
K 48400 INJECTION INTRAOP ADD-ON 2.32 $86.37 --- $108.92 004 1 0 0.00 $0.00 Y
K 48500 SURGERY OF PANCREATIC CYST 16.42 $611.32 --- $770.92 004 1 0 0.00 $0.00 Y
O 48500 SURGERY OF PANCREATIC CYST 3.28 $122.11 --- $154.00 004 1 0 0.00 $0.00 Y
O 48510 DRAIN PANCREATIC PSEUDOCYST 3.42 $127.33 --- $160.57 004 1 0 0.00 $0.00 Y
K 48510 DRAIN PANCREATIC PSEUDOCYST 17.08 $635.89 --- $801.91 004 1 0 0.00 $0.00 Y
K 48520 FUSE PANCREAS CYST AND BOWEL 18.45 $686.89 --- $866.23 004 1 0 0.00 $0.00 Y
O 48520 FUSE PANCREAS CYST AND BOWEL 3.69 $137.38 --- $173.25 004 1 0 0.00 $0.00 Y
O 48540 FUSE PANCREAS CYST AND BOWEL 4.30 $160.09 --- $201.89 004 1 0 0.00 $0.00 Y
K 48540 FUSE PANCREAS CYST AND BOWEL 21.52 $801.19 --- $1010.36 004 1 0 0.00 $0.00 Y
K 48545 PANCREATORRHAPHY 19.70 $733.43 --- $924.92 004 1 0 0.00 $0.00 Y
O 48545 PANCREATORRHAPHY 3.94 $146.69 --- $184.98 004 1 0 0.00 $0.00 Y
O 48547 DUODENAL EXCLUSION 5.70 $212.21 --- $267.62 004 1 0 0.00 $0.00 Y
K 48547 DUODENAL EXCLUSION 28.47 $1059.94 --- $1336.67 004 1 0 0.00 $0.00 Y
K 48548 FUSE PANCREAS AND BOWEL 34.93 $1300.39 --- -- 004 0 0 0.00 $0.00 Y
O 48548 FUSE PANCREAS AND BOWEL 6.99 $260.08 --- -- 004 0 0 0.00 $0.00 Y
O 48554 TRANSPL ALLOGRAFT PANCREAS 7.20 $268.06 --- -- 004 0 0 0.00 $0.00 Y
K 48554 TRANSPL ALLOGRAFT PANCREAS 40.01 $1489.57 --- -- 004 0 0 0.00 $0.00 Y
K 48556 REMOVAL ALLOGRAFT PANCREAS 14.02 $521.96 --- -- 004 0 0 0.00 $0.00 Y
O 48556 REMOVAL ALLOGRAFT PANCREAS 2.84 $105.73 --- -- 004 0 0 0.00 $0.00 Y
O 48999 PANCREAS SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 48999 PANCREAS SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 49000 EXPLORATION OF ABDOMEN 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
O 49000 EXPLORATION OF ABDOMEN 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
O 49010 EXPLORATION BEHIND ABDOMEN 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 49010 EXPLORATION BEHIND ABDOMEN 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 49013 PRPERTL PEL PACK HEMRRG TRMA 10.10 $376.10 --- -- 004 0 0 0.00 $0.00 Y
O 49013 PRPERTL PEL PACK HEMRRG TRMA 2.02 $75.22 --- -- 004 0 0 0.00 $0.00 Y
O 49014 REEXPLORATION PELVIC WOUND 1.67 $62.38 --- -- 004 0 0 0.00 $0.00 Y
K 49014 REEXPLORATION PELVIC WOUND 8.37 $311.91 --- -- 004 0 0 0.00 $0.00 Y
K 49020 DRAIN ABDOMINAL ABSCESS 12.46 $463.89 --- $585.00 004 1 0 0.00 $0.00 Y
O 49020 DRAIN ABDOMINAL ABSCESS 2.49 $92.70 --- $116.91 004 1 0 0.00 $0.00 Y
O 49040 DRAIN OPEN ABDOM ABSCESS 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 49040 DRAIN OPEN ABDOM ABSCESS 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 49060 DRAIN OPEN RETROP ABSCESS 12.46 $463.89 --- $585.00 004 1 0 0.00 $0.00 Y
O 49060 DRAIN OPEN RETROP ABSCESS 2.49 $92.70 --- $116.91 004 1 0 0.00 $0.00 Y
O 49062 DRAIN TO PERITONEAL CAVITY 3.13 $116.53 --- $146.95 004 1 0 0.00 $0.00 Y
K 49062 DRAIN TO PERITONEAL CAVITY 15.62 $581.53 --- $733.36 004 1 0 0.00 $0.00 Y
K 49082 ABD PARACENTESIS 1.57 $58.57 --- $73.71 004 1 0 0.00 $0.00 Y
K 49083 ABD PARACENTESIS W/IMAGING 2.41 $89.85 --- $113.15 004 1 0 0.00 $0.00 Y
K 49084 PERITONEAL LAVAGE 2.19 $81.42 --- $102.82 004 1 0 0.00 $0.00 Y
K 49180 BIOPSY ABDOMINAL MASS 6.71 $249.81 --- $315.03 004 1 0 0.00 $0.00 Y
K 49185 SCLEROTX FLUID COLLECTION 24.73 $920.70 --- -- 004 0 0 0.00 $0.00 Y
K 49203 EXC ABD TUM 5 CM OR LESS 22.80 $848.84 --- -- 004 0 0 0.00 $0.00 Y
O 49203 EXC ABD TUM 5 CM OR LESS 4.56 $169.77 --- -- 004 0 0 0.00 $0.00 Y
O 49204 EXC ABD TUM OVER 5 CM 5.81 $216.31 --- -- 004 0 0 0.00 $0.00 Y
K 49204 EXC ABD TUM OVER 5 CM 29.05 $1081.53 --- -- 004 0 0 0.00 $0.00 Y
K 49205 EXC ABD TUM OVER 10 CM 33.22 $1236.78 --- -- 004 0 0 0.00 $0.00 Y
O 49205 EXC ABD TUM OVER 10 CM 6.64 $247.21 --- -- 004 0 0 0.00 $0.00 Y
O 49215 EXCISE SACRAL SPINE TUMOR 3.18 $118.39 --- $149.30 004 1 0 0.00 $0.00 Y
K 49215 EXCISE SACRAL SPINE TUMOR 15.89 $591.58 --- $746.04 004 1 0 0.00 $0.00 Y
K 49220 MULTIPLE SURGERY ABDOMEN 21.91 $815.71 --- $1028.67 004 1 0 0.00 $0.00 Y
O 49220 MULTIPLE SURGERY ABDOMEN 4.38 $163.07 --- $205.64 004 1 0 0.00 $0.00 Y
O 49255 REMOVAL OF OMENTUM 2.49 $92.70 --- $116.91 004 1 0 0.00 $0.00 Y
K 49255 REMOVAL OF OMENTUM 12.57 $467.98 --- $590.16 004 1 0 0.00 $0.00 Y
K 49320 DIAG LAPARO SEPARATE PROC 6.29 $234.18 --- $295.32 004 1 0 0.00 $0.00 Y
O 49320 DIAG LAPARO SEPARATE PROC 1.26 $46.91 --- $59.16 004 1 0 0.00 $0.00 Y
O 49321 LAPAROSCOPY BIOPSY 1.34 $49.89 --- $62.91 004 1 0 0.00 $0.00 Y
K 49321 LAPAROSCOPY BIOPSY 6.70 $249.44 --- $314.57 004 1 0 0.00 $0.00 Y
K 49322 LAPAROSCOPY ASPIRATION 6.97 $259.49 --- $327.24 004 1 0 0.00 $0.00 Y
O 49322 LAPAROSCOPY ASPIRATION 1.39 $51.75 --- $65.26 004 1 0 0.00 $0.00 Y
O 49323 LAPARO DRAIN LYMPHOCELE 2.30 $85.63 --- $107.99 004 1 0 0.00 $0.00 Y
K 49323 LAPARO DRAIN LYMPHOCELE 11.51 $428.52 --- $540.39 004 1 0 0.00 $0.00 Y
K 49324 LAP INSERT TUNNEL IP CATH 8.37 $311.55 --- -- 004 0 0 0.00 $0.00 Y
K 49325 LAP REVISION PERM IP CATH 9.00 $334.89 --- -- 004 0 0 0.00 $0.00 Y
K 49326 LAP W/OMENTOPEXY ADDON 4.09 $152.19 --- -- 004 0 0 0.00 $0.00 Y
K 49327 LAP INS DEVICE FOR RT 2.90 $107.80 --- -- 004 0 0 0.00 $0.00 Y
O 49327 LAP INS DEVICE FOR RT 0.58 $21.56 --- -- 004 0 0 0.00 $0.00 Y
O 49329 LAPARO PROC ABDM/PER/OMENT 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 49329 LAPARO PROC ABDM/PER/OMENT 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 49400 AIR INJECTION INTO ABDOMEN 1.13 $42.07 --- $53.05 004 1 1 0.00 $0.00 Y
K 49402 REMOVE FOREIGN BODY ADBOMEN 18.05 $672.18 --- -- 004 0 0 0.00 $0.00 Y
O 49402 REMOVE FOREIGN BODY ADBOMEN 3.61 $134.44 --- -- 004 0 0 0.00 $0.00 Y
K 49405 IMAGE CATH FLUID COLXN VISC 4.94 $183.92 --- -- 004 0 0 0.00 $0.00 Y
K 49406 IMAGE CATH FLUID PERI/RETRO 4.95 $184.29 --- -- 004 0 0 0.00 $0.00 Y
K 49407 IMAGE CATH FLUID TRNS/VGNL 15.98 $594.94 --- -- 004 0 0 0.00 $0.00 Y
K 49411 INS MARK ABD/PEL FOR RT PERQ 12.17 $453.09 --- -- 004 0 0 0.00 $0.00 Y
K 49412 INS DEVICE FOR RT GUIDE OPEN 1.81 $67.29 --- -- 004 0 0 0.00 $0.00 Y
O 49412 INS DEVICE FOR RT GUIDE OPEN 0.36 $13.46 --- -- 004 0 0 0.00 $0.00 Y
K 49418 INSERT TUN IP CATH PERC 5.24 $194.93 --- -- 004 0 0 0.00 $0.00 Y
K 49419 INSERT TUN IP CATH W/PORT 5.70 $212.35 --- $267.62 004 1 0 0.00 $0.00 Y
K 49421 INS TUN IP CATH FOR DIAL OPN 7.03 $261.73 --- $330.06 004 1 0 0.00 $0.00 Y
K 49422 REMOVE TUNNELED IP CATH 8.45 $314.59 --- $396.73 004 1 0 0.00 $0.00 Y
O 49422 REMOVE TUNNELED IP CATH 1.69 $62.92 --- $79.35 004 1 0 0.00 $0.00 Y
K 49423 EXCHANGE DRAINAGE CATHETER 1.84 $68.50 --- $86.39 004 1 0 0.00 $0.00 Y
K 49424 ASSESS CYST CONTRAST INJECT 0.96 $35.74 --- $45.07 004 1 0 0.00 $0.00 Y
K 49425 INSERTION OF PERITIONEALVENOUS SHUNT 15.86 $590.47 --- $744.63 004 1 0 0.00 $0.00 Y
O 49425 INSERTION OF PERITIONVENOUS SHUNT 3.17 $118.02 --- $148.83 004 1 0 0.00 $0.00 Y
O 49426 REVISE ABDOMENVENOUS SHUNT 2.73 $101.64 --- $128.17 004 1 0 0.00 $0.00 Y
K 49426 REVISE ABDOMENVENOUS SHUNT 13.67 $508.93 --- $641.81 004 1 0 0.00 $0.00 Y
K 49427 INJECTION ABDOMINAL SHUNT 1.10 $40.95 --- $51.65 004 1 0 0.00 $0.00 Y
K 49428 LIGATION OF PERITONEAL VENOUS SHUNT 2.87 $106.85 --- $134.75 004 1 0 0.00 $0.00 Y
O 49428 LIGATION PERITONEAL VENOUS SHUNT 0.58 $21.59 --- $27.23 004 1 0 0.00 $0.00 Y
O 49429 REMOVAL OF PERITONEAL VENOUS SHUNT 1.83 $68.13 --- $85.92 004 1 0 0.00 $0.00 Y
K 49429 REMOVAL PERITONEAL VENOUS SHUNT 9.19 $342.14 --- $431.47 004 1 0 0.00 $0.00 Y
K 49435 INSERT SUBQ EXTEN TO IP CATH 2.63 $98.07 --- -- 004 0 0 0.00 $0.00 Y
O 49435 INSERT SUBQ EXTEN TO IP CATH 0.53 $16.91 --- -- 004 0 0 0.00 $0.00 Y
O 49436 EMBEDDED IP CATH EXITSITE 0.79 $29.57 --- -- 004 0 0 0.00 $0.00 Y
K 49436 EMBEDDED IP CATH EXITSITE 3.97 $147.86 --- -- 004 0 0 0.00 $0.00 Y
K 49440 PLACE GASTROSTOMY TUBE PERC 24.73 $920.70 --- -- 004 0 0 0.00 $0.00 Y
K 49441 PLACE DUOD/JEJ TUBE PERC 29.38 $1093.82 --- -- 004 0 0 0.00 $0.00 Y
K 49442 PLACE CECOSTOMY TUBE PERC 23.94 $891.29 --- -- 004 0 0 0.00 $0.00 Y
K 49446 CHANGE GTUBE TO GJ PERC 24.51 $912.51 --- -- 004 0 0 0.00 $0.00 Y
K 49450 REPLACE G/C TUBE PERC 17.20 $640.36 --- -- 004 0 0 0.00 $0.00 Y
K 49451 REPLACE DUOD/JEJ TUBE PERC 18.21 $677.96 --- -- 004 0 0 0.00 $0.00 Y
K 49452 REPLACE GJ TUBE PERC 22.24 $828.00 --- -- 004 0 0 0.00 $0.00 Y
K 49460 FIX G/COLON TUBE W/DEVICE 18.26 $679.82 --- -- 004 0 0 0.00 $0.00 Y
K 49465 FLUORO EXAM OF G/COLON TUBE 3.79 $141.10 --- -- 004 0 0 0.00 $0.00 Y
K 49491 RPR HERN PREEMIE REDUC 14.52 $540.58 --- -- 004 0 0 0.00 $0.00 Y
O 49491 RPR HERN PREEMIE REDUC 2.90 $107.97 --- -- 004 0 0 0.00 $0.00 Y
O 49492 RPR ING HERN PREMIE BLOCKED 3.55 $132.17 --- -- 004 0 0 0.00 $0.00 Y
K 49492 RPR ING HERN PREMIE BLOCKED 17.77 $661.58 --- -- 004 0 0 0.00 $0.00 Y
K 49495 RPR ING HERNIA BABY REDUC 8.58 $319.43 --- $402.83 004 1 0 0.00 $0.00 Y
O 49495 RPR ING HERNIA BABY REDUC 1.72 $64.04 --- $80.75 004 1 0 0.00 $0.00 Y
O 49496 RPR ING HERNIA BABY BLOCKED 2.38 $88.61 --- $111.74 004 1 0 0.00 $0.00 Y
K 49496 RPR ING HERNIA BABY BLOCKED 11.88 $442.29 --- $557.77 004 1 0 0.00 $0.00 Y
K 49500 RPR ING HERNIA INIT REDUCE 7.00 $260.61 --- $328.65 004 1 0 0.00 $0.00 Y
O 49500 RPR ING HERNIA INIT REDUCE 1.40 $52.12 --- $65.73 004 1 0 0.00 $0.00 Y
O 49501 RPR ING HERNIA INIT BLOCKED 2.05 $76.32 --- $96.25 004 1 0 0.00 $0.00 Y
K 49501 RPR ING HERNIA INIT BLOCKED 10.23 $380.86 --- $480.30 004 1 0 0.00 $0.00 Y
K 49505 PRP I/HERN INIT REDUC >5 YR 9.24 $344.01 --- $433.82 004 1 0 0.00 $0.00 Y
O 49505 PRP I/HERN INIT REDUC >5 YR 1.85 $68.88 --- $86.86 004 1 0 0.00 $0.00 Y
O 49507 PRP I/HERN INIT BLOCK >5 YR 2.23 $83.02 --- $104.70 004 1 0 0.00 $0.00 Y
K 49507 PRP I/HERN INIT BLOCK >5 YR 11.14 $414.74 --- $523.02 004 1 0 0.00 $0.00 Y
K 49520 REREPAIR ING HERNIA REDUCE 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
O 49520 REREPAIR ING HERNIA REDUCE 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
O 49521 REREPAIR ING HERNIA BLOCKED 2.54 $94.56 --- $119.25 004 1 0 0.00 $0.00 Y
K 49521 REREPAIR ING HERNIA BLOCKED 12.70 $472.82 --- $596.27 004 1 0 0.00 $0.00 Y
K 49525 REPAIR ING HERNIA SLIDING 10.34 $384.96 --- $485.46 004 1 0 0.00 $0.00 Y
O 49525 REPAIR ING HERNIA SLIDING 2.07 $77.07 --- $97.19 004 1 0 0.00 $0.00 Y
O 49540 REPAIR LUMBAR HERNIA 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 49540 REPAIR LUMBAR HERNIA 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 49550 RPR REM HERNIA INIT REDUCE 10.08 $375.28 --- $473.26 004 1 0 0.00 $0.00 Y
O 49550 RPR REM HERNIA INIT REDUCE 2.02 $75.20 --- $94.84 004 1 0 0.00 $0.00 Y
O 49553 RPR FEM HERNIA INIT BLOCKED 2.13 $79.30 --- $100.00 004 1 0 0.00 $0.00 Y
K 49553 RPR FEM HERNIA INIT BLOCKED 10.66 $396.87 --- $500.49 004 1 0 0.00 $0.00 Y
K 49555 REREPAIR FEM HERNIA REDUCE 10.91 $406.18 --- $512.22 004 1 0 0.00 $0.00 Y
O 49555 REREPAIR FEM HERNIA REDUCE 2.18 $81.16 --- $102.35 004 1 0 0.00 $0.00 Y
O 49557 REREPAIR FEM HERNIA BLOCKED 2.55 $94.94 --- $119.72 004 1 0 0.00 $0.00 Y
K 49557 REREPAIR FEM HERNIA BLOCKED 12.75 $474.68 --- $598.61 004 1 0 0.00 $0.00 Y
K 49560 RPR VENTRAL HERN INIT REDUC 12.46 $463.89 --- $585.00 004 1 0 0.00 $0.00 Y
O 49560 RPR VENTRAL HERN INIT REDUC 2.49 $92.70 --- $116.91 004 1 0 0.00 $0.00 Y
O 49561 RPR VENTRAL HERN INIT BLOCK 2.97 $110.57 --- $139.44 004 1 0 0.00 $0.00 Y
K 49561 RPR VENTRAL HERN INIT BLOCK 14.84 $552.49 --- $696.74 004 1 0 0.00 $0.00 Y
K 49565 REREPAIR VENTRL HERN REDUCE 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
O 49565 REREPAIR VENTRL HERN REDUCE 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
O 49566 REREPAIR VENTRL HERN BLOCK 3.14 $116.90 --- $147.42 004 1 0 0.00 $0.00 Y
K 49566 REREPAIR VENTRL HERN BLOCK 15.66 $583.02 --- $735.24 004 1 0 0.00 $0.00 Y
K 49568 HERNIA REPAIR W/MESH 5.93 $220.77 --- -- 004 0 0 0.00 $0.00 Y
O 49568 HERNIA REPAIR W/MESH 1.19 $44.30 --- -- 004 0 0 0.00 $0.00 Y
O 49570 RPR EPIGASTRIC HERN REDUCE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 49570 RPR EPIGASTRIC HERN REDUCE 3.82 $142.22 --- $179.35 004 1 0 0.00 $0.00 Y
K 49572 RPR EPIGASTRIC HERN BLOCKED 8.95 $333.21 --- $420.20 004 1 0 0.00 $0.00 Y
O 49572 RPR EPIGASTRIC HERN BLOCKED 1.79 $66.64 --- $84.04 004 1 0 0.00 $0.00 Y
O 49580 RPR UMBIL HERN REDUC < 5 YR 1.40 $52.12 --- $65.73 004 1 0 0.00 $0.00 Y
K 49580 RPR UMBIL HERN REDUC < 5 YR 7.00 $260.61 --- $328.65 004 1 0 0.00 $0.00 Y
K 49582 RPR UMBIL HERN BLOCK < 5 YR 8.88 $330.60 --- $416.92 004 1 0 0.00 $0.00 Y
O 49582 RPR UMBIL HERN BLOCK < 5 YR 1.78 $66.27 --- $83.57 004 1 0 0.00 $0.00 Y
O 49585 RPR UMBIL HERN REDUC > 5 YR 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
K 49585 RPR UMBIL HERN REDUC > 5 YR 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 49587 RPR UMBIL HERN BLOCK > 5 YR 9.02 $335.81 --- $423.49 004 1 0 0.00 $0.00 Y
O 49587 RPR UMBIL HERN BLOCK > 5 YR 1.80 $67.01 --- $84.51 004 1 0 0.00 $0.00 Y
O 49590 REPAIR SPIGELIAN HERNIA 2.04 $75.95 --- $95.78 004 1 0 0.00 $0.00 Y
K 49590 REPAIR SPIGELIAN HERNIA 10.19 $379.37 --- $478.42 004 1 0 0.00 $0.00 Y
K 49600 REPAIR UMBILICAL LESION 10.76 $400.59 --- $505.18 004 1 0 0.00 $0.00 Y
O 49600 REPAIR UMBILICAL LESION 2.15 $80.04 --- $100.94 004 1 0 0.00 $0.00 Y
O 49605 REPAIR UMBILICAL LESION 3.41 $126.95 --- $160.10 004 1 0 0.00 $0.00 Y
K 49605 REPAIR UMBILICAL LESION 17.05 $634.77 --- $800.50 004 1 0 0.00 $0.00 Y
K 49606 REPAIR UMBILICAL LESION 24.22 $901.71 --- $1137.13 004 1 0 0.00 $0.00 Y
O 49606 REPAIR UMBILICAL LESION 4.84 $180.19 --- $227.24 004 1 0 0.00 $0.00 Y
O 49610 REPAIR UMBILICAL LESION 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 49610 REPAIR UMBILICAL LESION 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 49611 REPAIR UMBILICAL LESION 13.07 $486.60 --- $613.64 004 1 0 0.00 $0.00 Y
O 49611 REPAIR UMBILICAL LESION 2.61 $97.17 --- $122.54 004 1 0 0.00 $0.00 Y
O 49650 LAP ING HERNIA REPAIR INIT 1.42 $52.87 --- -- 004 0 0 0.00 $0.00 Y
K 49650 LAP ING HERNIA REPAIR INIT 7.11 $264.71 --- -- 004 0 0 0.00 $0.00 Y
K 49651 LAP ING HERNIA REPAIR RECUR 8.67 $322.78 --- -- 004 0 0 0.00 $0.00 Y
O 49651 LAP ING HERNIA REPAIR RECUR 1.73 $64.41 --- -- 004 0 0 0.00 $0.00 Y
O 49652 LAP VENT/ABD HERNIA REPAIR 2.82 $104.99 --- -- 004 0 0 0.00 $0.00 Y
K 49652 LAP VENT/ABD HERNIA REPAIR 14.09 $524.57 --- -- 004 0 0 0.00 $0.00 Y
K 49653 LAP VENT/ABD HERN PROC COMP 17.59 $654.88 --- -- 004 0 0 0.00 $0.00 Y
O 49653 LAP VENT/ABD HERN PROC COMP 3.52 $131.05 --- -- 004 0 0 0.00 $0.00 Y
O 49654 LAP INC HERNIA REPAIR 3.23 $120.25 --- -- 004 0 0 0.00 $0.00 Y
K 49654 LAP INC HERNIA REPAIR 16.16 $601.64 --- -- 004 0 0 0.00 $0.00 Y
K 49655 LAP INC HERN REPAIR COMP 19.45 $724.12 --- -- 004 0 0 0.00 $0.00 Y
O 49655 LAP INC HERN REPAIR COMP 3.89 $144.82 --- -- 004 0 0 0.00 $0.00 Y
O 49656 LAP INC HERNIA REPAIR RECUR 3.24 $120.63 --- -- 004 0 0 0.00 $0.00 Y
K 49656 LAP INC HERNIA REPAIR RECUR 16.22 $603.87 --- -- 004 0 0 0.00 $0.00 Y
K 49657 LAP INC HERN RECUR COMP 23.37 $870.07 --- -- 004 0 0 0.00 $0.00 Y
O 49657 LAP INC HERN RECUR COMP 4.67 $173.86 --- -- 004 0 0 0.00 $0.00 Y
O 49659 LAPARO PROC HERNIA REPAIR 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 49659 LAPARO PROC HERNIA REPAIR 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 49900 REPAIR OF ABDOMINAL WALL 8.99 $334.70 --- $422.08 004 1 0 0.00 $0.00 Y
O 49900 REPAIR OF ABDOMINAL WALL 1.80 $67.01 --- $84.51 004 1 0 0.00 $0.00 Y
O 49904 OMENTAL FLAP EXTRA-ABDOM 3.46 $128.97 --- $162.45 004 1 0 0.00 $0.00 Y
K 49904 OMENTAL FLAP EXTRA-ABDOM 17.32 $644.83 --- $813.17 004 1 0 0.00 $0.00 Y
K 49905 OMENTAL FLAP INTRA-ABDOM 8.47 $315.34 --- $397.67 004 1 0 0.00 $0.00 Y
O 49905 OMENTAL FLAP INTRA-ABDOM 1.69 $62.92 --- $79.35 004 1 0 0.00 $0.00 Y
O 49906 FREE OMENTAL FLAP MICROVASC 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 49906 FREE OMENTAL FLAP MICROVASC 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 49999 ABDOMEN SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 49999 ABDOMEN SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 50010 EXPLORATION OF KIDNEY 3.30 $122.86 --- $154.94 004 1 0 0.00 $0.00 Y
K 50010 EXPLORATION OF KIDNEY 16.60 $618.02 --- $779.37 004 1 0 0.00 $0.00 Y
K 50020 RENAL ABSCESS OPEN DRAIN 15.86 $590.47 --- $744.63 004 1 0 0.00 $0.00 Y
O 50020 RENAL ABSCESS OPEN DRAIN 3.17 $118.02 --- $148.83 004 1 0 0.00 $0.00 Y
O 50040 DRAINAGE OF KIDNEY 4.30 $160.09 --- $201.89 004 1 0 0.00 $0.00 Y
K 50040 DRAINAGE OF KIDNEY 21.50 $800.45 --- $1009.43 004 1 0 0.00 $0.00 Y
K 50045 EXPLORATION OF KIDNEY 20.27 $754.65 --- $951.68 004 1 0 0.00 $0.00 Y
O 50045 EXPLORATION OF KIDNEY 4.05 $150.78 --- $190.15 004 1 0 0.00 $0.00 Y
O 50060 REMOVAL OF KIDNEY STONE 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
K 50060 REMOVAL OF KIDNEY STONE 22.65 $843.26 --- $1063.42 004 1 0 0.00 $0.00 Y
K 50065 INCISION OF KIDNEY 26.36 $981.38 --- $1237.60 004 1 0 0.00 $0.00 Y
O 50065 INCISION OF KIDNEY 5.27 $196.20 --- $247.43 004 1 0 0.00 $0.00 Y
O 50070 INCISION OF KIDNEY 5.19 $193.22 --- $243.67 004 1 0 0.00 $0.00 Y
K 50070 INCISION OF KIDNEY 25.97 $966.86 --- $1219.29 004 1 0 0.00 $0.00 Y
K 50075 REMOVAL OF KIDNEY STONE 29.45 $1096.42 --- $1382.68 004 1 0 0.00 $0.00 Y
O 50075 REMOVAL OF KIDNEY STONE 5.89 $219.28 --- $276.54 004 1 0 0.00 $0.00 Y
O 50080 REMOVAL OF KIDNEY STONE 3.04 $113.18 --- $142.73 004 1 0 0.00 $0.00 Y
K 50080 REMOVAL OF KIDNEY STONE 15.18 $565.15 --- $712.70 004 1 0 0.00 $0.00 Y
K 50081 REMOVAL OF KIDNEY STONE 16.99 $632.54 --- $797.68 004 1 0 0.00 $0.00 Y
O 50081 REMOVAL OF KIDNEY STONE 3.40 $126.58 --- $159.63 004 1 0 0.00 $0.00 Y
O 50100 REVISE KIDNEY BLOOD VESSELS 3.85 $143.34 --- $180.76 004 1 0 0.00 $0.00 Y
K 50100 REVISE KIDNEY BLOOD VESSELS 19.25 $716.68 --- $903.79 004 1 0 0.00 $0.00 Y
K 50120 EXPLORATION OF KIDNEY 20.72 $771.41 --- $972.80 004 1 0 0.00 $0.00 Y
O 50120 EXPLORATION OF KIDNEY 4.14 $154.13 --- $194.37 004 1 0 0.00 $0.00 Y
O 50125 EXPLORE AND DRAIN KIDNEY 4.34 $161.58 --- $203.76 004 1 0 0.00 $0.00 Y
K 50125 EXPLORE AND DRAIN KIDNEY 21.70 $807.89 --- $1018.82 004 1 0 0.00 $0.00 Y
K 50130 REMOVAL OF KIDNEY STONE 22.35 $832.09 --- $1049.33 004 1 0 0.00 $0.00 Y
O 50130 REMOVAL OF KIDNEY STONE 4.47 $166.42 --- $209.87 004 1 0 0.00 $0.00 Y
O 50135 EXPLORATION OF KIDNEY 4.91 $182.80 --- $230.52 004 1 0 0.00 $0.00 Y
K 50135 EXPLORATION OF KIDNEY 24.55 $914.00 --- $1152.62 004 1 0 0.00 $0.00 Y
K 50200 RENAL BIOPSY PERQ 1.90 $70.74 --- $89.21 004 1 0 0.00 $0.00 Y
K 50205 RENAL BIOPSY OPEN 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 50205 RENAL BIOPSY OPEN 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 50220 REMOVE KIDNEY OPEN 4.49 $167.16 --- $210.81 004 1 0 0.00 $0.00 Y
K 50220 REMOVE KIDNEY OPEN 22.43 $835.07 --- $1053.09 004 1 0 0.00 $0.00 Y
K 50225 REMOVAL KIDNEY OPEN COMPLEX 25.89 $963.88 --- $1215.54 004 1 0 0.00 $0.00 Y
O 50225 REMOVAL KIDNEY OPEN COMPLEX 5.18 $192.85 --- $243.20 004 1 0 0.00 $0.00 Y
O 50230 REMOVAL KIDNEY OPEN RADICAL 5.58 $207.74 --- $261.98 004 1 0 0.00 $0.00 Y
K 50230 REMOVAL KIDNEY OPEN RADICAL 27.90 $1038.72 --- $1309.91 004 1 0 0.00 $0.00 Y