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Medi-Cal Rates Information

Medi-Cal Rates as of 02/15/2020 (Codes 27664 thru 28320)

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 27664 REPAIR OF LEG TENDON EACH 6.54 $243.48 --- $307.05 004 1 0 0.00 $0.00 Y
O 27664 REPAIR OF LEG TENDON EACH 1.31 $48.77 --- $61.50 004 1 0 0.00 $0.00 Y
P 27664 REPAIR OF LEG TENDON EACH 6.54 $243.48 --- -- 015 0 0 0.00 $0.00 Y
P 27665 REPAIR OF LEG TENDON EACH 8.50 $316.46 --- -- 015 0 0 0.00 $0.00 Y
O 27665 REPAIR OF LEG TENDON EACH 1.70 $63.29 --- $79.82 004 1 0 0.00 $0.00 Y
K 27665 REPAIR OF LEG TENDON EACH 8.49 $316.08 --- $398.61 004 1 0 0.00 $0.00 Y
K 27675 REPAIR LOWER LEG TENDONS 7.48 $278.48 --- $351.19 004 1 0 0.00 $0.00 Y
O 27675 REPAIR LOWER LEG TENDONS 1.49 $55.47 --- $69.96 004 1 0 0.00 $0.00 Y
P 27675 REPAIR LOWER LEG TENDONS 7.47 $278.11 --- -- 015 0 0 0.00 $0.00 Y
P 27676 REPAIR LOWER LEG TENDONS 7.82 $291.14 --- -- 015 0 0 0.00 $0.00 Y
O 27676 REPAIR LOWER LEG TENDONS 1.56 $58.08 --- $73.24 004 1 0 0.00 $0.00 Y
K 27676 REPAIR LOWER LEG TENDONS 7.82 $291.14 --- $367.15 004 1 0 0.00 $0.00 Y
K 27680 RELEASE OF LOWER LEG TENDON 5.92 $220.40 --- $277.94 004 1 0 0.00 $0.00 Y
O 27680 RELEASE OF LOWER LEG TENDON 1.18 $43.93 --- $55.40 004 1 0 0.00 $0.00 Y
P 27680 RELEASE OF LOWER LEG TENDON 5.93 $220.77 --- -- 015 0 0 0.00 $0.00 Y
P 27681 RELEASE OF LOWER LEG TENDONS 6.80 $253.16 --- -- 015 0 0 0.00 $0.00 Y
O 27681 RELEASE OF LOWER LEG TENDONS 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
K 27681 RELEASE OF LOWER LEG TENDONS 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
K 27685 REVISION OF LOWER LEG TENDON 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
O 27685 REVISION OF LOWER LEG TENDON 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
P 27685 REVISION OF LOWER LEG TENDON 7.93 $295.23 --- -- 015 0 0 0.00 $0.00 Y
P 27686 REVISE LOWER LEG TENDONS 7.93 $295.23 --- -- 015 0 0 0.00 $0.00 Y
O 27686 REVISE LOWER LEG TENDONS 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
K 27686 REVISE LOWER LEG TENDONS 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 27687 REVISION OF CALF TENDON 8.83 $328.74 --- $414.57 004 1 0 0.00 $0.00 Y
O 27687 REVISION OF CALF TENDON 1.77 $65.90 --- $83.10 004 1 0 0.00 $0.00 Y
P 27687 REVISION OF CALF TENDON 8.83 $328.74 --- -- 015 0 0 0.00 $0.00 Y
P 27690 REVISE LOWER LEG TENDON 9.06 $337.30 --- -- 015 0 0 0.00 $0.00 Y
O 27690 REVISE LOWER LEG TENDON 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
K 27690 REVISE LOWER LEG TENDON 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 27691 TRANSFER/TRANSPLANT OF SNGL TENDON, DEEP 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
O 27691 TRANSFER/TRANSPLANT OF SNGL TENDON, DEEP 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
P 27691 TRANSFER/TRANSPLANT OF SNGL TENDON, DEEP 11.33 $421.82 --- -- 015 0 0 0.00 $0.00 Y
P 27692 REVISE ADDITIONAL LEG TENDON 2.26 $84.14 --- -- 015 0 0 0.00 $0.00 Y
O 27692 REVISE ADDITIONAL LEG TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 27692 REVISE ADDITIONAL LEG TENDON 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 27695 REPAIR OF ANKLE LIGAMENT 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
O 27695 REPAIR OF ANKLE LIGAMENT 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
P 27695 REPAIR OF ANKLE LIGAMENT 11.33 $421.82 --- -- 015 0 0 0.00 $0.00 Y
P 27696 REPAIR OF ANKLE LIGAMENTS 14.97 $557.33 --- -- 015 0 0 0.00 $0.00 Y
O 27696 REPAIR OF ANKLE LIGAMENTS 2.99 $111.32 --- $140.38 004 1 0 0.00 $0.00 Y
K 27696 REPAIR OF ANKLE LIGAMENTS 14.97 $557.33 --- $702.84 004 1 0 0.00 $0.00 Y
K 27698 REPAIR OF ANKLE LIGAMENT 15.70 $584.51 --- $737.12 004 1 0 0.00 $0.00 Y
O 27698 REPAIR OF ANKLE LIGAMENT 3.14 $116.90 --- $147.42 004 1 0 0.00 $0.00 Y
P 27698 REPAIR OF ANKLE LIGAMENT 15.70 $584.51 --- -- 015 0 0 0.00 $0.00 Y
P 27700 REVISION OF ANKLE JOINT 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
O 27700 REVISION OF ANKLE JOINT 2.98 $110.95 --- $139.91 004 1 0 0.00 $0.00 Y
K 27700 REVISION OF ANKLE JOINT 14.91 $555.10 --- $700.02 004 1 0 0.00 $0.00 Y
K 27702 RECONSTRUCT ANKLE JOINT 24.92 $927.77 --- $1169.99 004 1 0 0.00 $0.00 Y
O 27702 RECONSTRUCT ANKLE JOINT 4.98 $185.41 --- $233.81 004 1 0 0.00 $0.00 Y
P 27702 RECONSTRUCT ANKLE JOINT 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
P 27703 RECONSTRUCTION ANKLE JOINT 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
O 27703 RECONSTRUCTION ANKLE JOINT 4.92 $183.17 --- $230.99 004 1 0 0.00 $0.00 Y
K 27703 RECONSTRUCTION ANKLE JOINT 24.58 $915.11 --- $1154.03 004 1 0 0.00 $0.00 Y
K 27704 REMOVAL OF ANKLE IMPLANT 13.88 $516.75 --- $651.67 004 1 0 0.00 $0.00 Y
O 27704 REMOVAL OF ANKLE IMPLANT 2.77 $103.13 --- $130.05 004 1 0 0.00 $0.00 Y
P 27704 REMOVAL OF ANKLE IMPLANT 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
O 27705 INCISION OF TIBIA 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 27705 INCISION OF TIBIA 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 27707 INCISION OF FIBULA 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
O 27707 INCISION OF FIBULA 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
O 27709 INCISION OF TIBIA & FIBULA 3.17 $118.02 --- $148.83 004 1 0 0.00 $0.00 Y
K 27709 INCISION OF TIBIA & FIBULA 15.86 $590.47 --- $744.63 004 1 0 0.00 $0.00 Y
K 27712 REALIGNMENT OF LOWER LEG 20.39 $759.12 --- $957.31 004 1 0 0.00 $0.00 Y
O 27712 REALIGNMENT OF LOWER LEG 4.08 $151.90 --- $191.56 004 1 0 0.00 $0.00 Y
O 27715 REVISION OF LOWER LEG 4.84 $180.19 --- $227.24 004 1 0 0.00 $0.00 Y
K 27715 REVISION OF LOWER LEG 24.21 $901.34 --- $1136.66 004 1 0 0.00 $0.00 Y
K 27720 REPAIR OF TIBIA 20.39 $759.12 --- $957.31 004 1 0 0.00 $0.00 Y
O 27720 REPAIR OF TIBIA 4.08 $151.90 --- $191.56 004 1 0 0.00 $0.00 Y
O 27722 REPAIR/GRAFT OF TIBIA 4.12 $153.39 --- $193.43 004 1 0 0.00 $0.00 Y
K 27722 REPAIR/GRAFT OF TIBIA 20.58 $766.19 --- $966.23 004 1 0 0.00 $0.00 Y
K 27724 REPAIR/GRAFT OF TIBIA 24.92 $927.77 --- $1169.99 004 1 0 0.00 $0.00 Y
O 27724 REPAIR/GRAFT OF TIBIA 4.98 $185.41 --- $233.81 004 1 0 0.00 $0.00 Y
O 27725 REPAIR OF LOWER LEG 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 27725 REPAIR OF LOWER LEG 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 27726 REPAIR FIBULA NONUNION 17.99 $669.77 --- -- 004 0 0 0.00 $0.00 Y
O 27726 REPAIR FIBULA NONUNION 3.60 $134.03 --- -- 004 0 0 0.00 $0.00 Y
O 27727 REPAIR OF LOWER LEG 4.66 $173.49 --- $218.79 004 1 0 0.00 $0.00 Y
K 27727 REPAIR OF LOWER LEG 23.32 $868.20 --- $1094.87 004 1 0 0.00 $0.00 Y
K 27730 REPAIR OF TIBIA EPIPHYSIS 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
O 27730 REPAIR OF TIBIA EPIPHYSIS 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
O 27732 REPAIR OF FIBULA EPIPHYSIS 1.75 $65.15 --- $82.16 004 1 0 0.00 $0.00 Y
K 27732 REPAIR OF FIBULA EPIPHYSIS 8.76 $326.13 --- $411.28 004 1 0 0.00 $0.00 Y
K 27734 REPAIR LOWER LEG EPIPHYSES 14.65 $545.42 --- $687.82 004 1 0 0.00 $0.00 Y
O 27734 REPAIR LOWER LEG EPIPHYSES 2.93 $109.08 --- $137.56 004 1 0 0.00 $0.00 Y
O 27740 REPAIR OF LEG EPIPHYSES 4.08 $151.90 --- $191.56 004 1 0 0.00 $0.00 Y
K 27740 REPAIR OF LEG EPIPHYSES 20.39 $759.12 --- $957.31 004 1 0 0.00 $0.00 Y
K 27742 REPAIR OF LEG EPIPHYSES 22.30 $830.23 --- $1046.99 004 1 0 0.00 $0.00 Y
O 27742 REPAIR OF LEG EPIPHYSES 4.46 $166.05 --- $209.40 004 1 0 0.00 $0.00 Y
O 27745 REINFORCE TIBIA 3.78 $140.73 --- $177.47 004 1 0 0.00 $0.00 Y
K 27745 REINFORCE TIBIA 18.92 $704.39 --- $888.29 004 1 0 0.00 $0.00 Y
K 27750 TREATMENT OF TIBIA FRACTURE 184.99 $184.99 --- -- 042 0 1 0.00 $0.00 Y
O 27750 TREATMENT OF TIBIA FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 27752 TREATMENT OF TIBIA FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 27752 TREATMENT OF TIBIA FRACTURE 7.32 $272.52 --- $343.67 004 1 0 0.00 $0.00 Y
K 27756 TREATMENT OF TIBIA FRACTURE 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
O 27756 TREATMENT OF TIBIA FRACTURE 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
O 27758 TREATMENT OF TIBIA FRACTURE 2.94 $109.46 --- $138.03 004 1 0 0.00 $0.00 Y
K 27758 TREATMENT OF TIBIA FRACTURE 14.72 $548.03 --- $691.10 004 1 0 0.00 $0.00 Y
K 27759 TREATMENT OF TIBIA FRACTURE 19.40 $722.26 --- $910.83 004 1 0 0.00 $0.00 Y
O 27759 TREATMENT OF TIBIA FRACTURE 3.88 $144.45 --- $182.17 004 1 0 0.00 $0.00 Y
O 27760 CLTX MEDIAL ANKLE FX 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
P 27760 CLTX MEDIAL ANKLE FX 176.93 $176.93 --- -- 042 0 0 0.00 $0.00 Y
K 27760 CLTX MEDIAL ANKLE FX 176.93 $176.93 --- -- 042 0 1 0.00 $0.00 Y
K 27762 CLTX MED ANKLE FX W/MNPJ 6.77 $252.05 --- $317.85 004 1 0 0.00 $0.00 Y
P 27762 CLTX MED ANKLE FX W/MNPJ 6.77 $252.05 --- -- 015 0 0 0.00 $0.00 Y
O 27762 CLTX MED ANKLE FX W/MNPJ 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 27766 OPTX MEDIAL ANKLE FX 2.04 $75.95 --- $95.78 004 1 0 0.00 $0.00 Y
P 27766 OPTX MEDIAL ANKLE FX 10.19 $379.37 --- -- 015 0 0 0.00 $0.00 Y
K 27766 OPTX MEDIAL ANKLE FX 10.19 $379.37 --- $478.42 004 1 0 0.00 $0.00 Y
K 27767 CLTX POST ANKLE FX 5.13 $190.99 --- $240.85 004 1 0 0.00 $0.00 Y
P 27767 CLTX POST ANKLE FX 5.13 $190.99 --- -- 015 1 0 0.00 $0.00 Y
O 27767 CLTX POST ANKLE FX 1.03 $38.35 --- $48.36 004 1 0 0.00 $0.00 Y
O 27768 CLTX POST ANKLE FX W/MNPJ 1.57 $58.45 --- $73.71 004 1 0 0.00 $0.00 Y
P 27768 CLTX POST ANKLE FX W/MNPJ 7.84 $291.88 --- -- 015 1 0 0.00 $0.00 Y
K 27768 CLTX POST ANKLE FX W/MNPJ 7.84 $291.88 --- $368.09 004 1 0 0.00 $0.00 Y
K 27769 OPTX POST ANKLE FX 13.48 $501.86 --- -- 004 0 0 0.00 $0.00 Y
P 27769 OPTX POST ANKLE FX 13.48 $501.86 --- -- 015 0 0 0.00 $0.00 Y
O 27769 OPTX POST ANKLE FX 2.70 $100.52 --- -- 004 0 0 0.00 $0.00 Y
O 27780 TREATMENT OF FIBULA FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 27780 TREATMENT OF FIBULA FRACTURE 130.37 $130.37 --- -- 042 0 1 0.00 $0.00 Y
K 27781 TREATMENT OF FIBULA FRACTURE 11.27 $419.58 --- $529.13 004 1 0 0.00 $0.00 Y
O 27781 TREATMENT OF FIBULA FRACTURE 2.25 $83.77 --- $105.64 004 1 0 0.00 $0.00 Y
O 27784 TREATMENT OF FIBULA FRACTURE 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
K 27784 TREATMENT OF FIBULA FRACTURE 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 27786 TREATMENT OF ANKLE FRACTURE 173.92 $173.92 --- -- 042 0 1 0.00 $0.00 Y
O 27786 TREATMENT OF ANKLE FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
P 27786 TREATMENT OF ANKLE FRACTURE 173.92 $173.92 --- -- 042 0 0 0.00 $0.00 Y
P 27788 TREATMENT OF ANKLE FRACTURE 5.93 $220.77 --- -- 015 0 0 0.00 $0.00 Y
O 27788 TREATMENT OF ANKLE FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 27788 TREATMENT OF ANKLE FRACTURE 5.93 $220.77 --- $278.41 004 1 0 0.00 $0.00 Y
K 27792 TREATMENT OF ANKLE FRACTURE 10.19 $379.37 --- $478.42 004 1 0 0.00 $0.00 Y
O 27792 TREATMENT OF ANKLE FRACTURE 2.04 $75.95 --- $95.78 004 1 0 0.00 $0.00 Y
P 27792 TREATMENT OF ANKLE FRACTURE 10.19 $379.37 --- -- 015 0 0 0.00 $0.00 Y
O 27802 TREAT LOWER LEG FRACTURES 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 27808 TREATMENT OF ANKLE FRACTURE 1.89 $70.36 --- $88.74 004 1 0 0.00 $0.00 Y
P 27808 TREATMENT OF ANKLE FRACTURE 9.46 $352.20 --- -- 015 0 1 0.00 $0.00 Y
K 27808 TREATMENT OF ANKLE FRACTURE 9.45 $351.82 --- $443.68 004 1 1 0.00 $0.00 Y
K 27810 TREATMENT OF ANKLE FRACTURE 6.73 $250.56 --- $315.97 004 1 0 0.00 $0.00 Y
P 27810 TREATMENT OF ANKLE FRACTURE 6.72 $250.19 --- -- 015 0 0 0.00 $0.00 Y
O 27810 TREATMENT OF ANKLE FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 27814 TREATMENT OF ANKLE FRACTURE 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
P 27814 TREATMENT OF ANKLE FRACTURE 13.59 $505.96 --- -- 015 0 0 0.00 $0.00 Y
K 27814 TREATMENT OF ANKLE FRACTURE 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 27816 TREATMENT OF ANKLE FRACTURE 182.97 $182.97 --- -- 042 0 1 0.00 $0.00 Y
P 27816 TREATMENT OF ANKLE FRACTURE 182.97 $182.97 --- -- 042 0 0 0.00 $0.00 Y
O 27816 TREATMENT OF ANKLE FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 27818 TREATMENT OF ANKLE FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
P 27818 TREATMENT OF ANKLE FRACTURE 6.99 $260.24 --- -- 015 0 0 0.00 $0.00 Y
K 27818 TREATMENT OF ANKLE FRACTURE 7.00 $260.61 --- $328.65 004 1 0 0.00 $0.00 Y
K 27822 TREATMENT OF ANKLE FRACTURE 21.10 $785.55 --- $990.65 004 1 0 0.00 $0.00 Y
P 27822 TREATMENT OF ANKLE FRACTURE 21.10 $785.55 --- -- 015 0 0 0.00 $0.00 Y
O 27822 TREATMENT OF ANKLE FRACTURE 4.22 $157.11 --- $198.13 004 1 0 0.00 $0.00 Y
O 27823 TREATMENT OF ANKLE FRACTURE 4.51 $167.91 --- $211.74 004 1 0 0.00 $0.00 Y
P 27823 TREATMENT OF ANKLE FRACTURE 22.57 $840.28 --- -- 015 0 0 0.00 $0.00 Y
K 27823 TREATMENT OF ANKLE FRACTURE 22.57 $840.28 --- $1059.66 004 1 0 0.00 $0.00 Y
K 27824 TREAT LOWER LEG FRACTURE 5.10 $189.87 --- $239.45 004 1 0 0.00 $0.00 Y
P 27824 TREAT LOWER LEG FRACTURE 5.10 $189.87 --- -- 015 0 0 0.00 $0.00 Y
O 27824 TREAT LOWER LEG FRACTURE 1.02 $37.97 --- $47.89 004 1 0 0.00 $0.00 Y
O 27825 TREAT LOWER LEG FRACTURE 1.78 $66.27 --- $83.57 004 1 0 0.00 $0.00 Y
P 27825 TREAT LOWER LEG FRACTURE 8.87 $330.23 --- -- 015 0 0 0.00 $0.00 Y
K 27825 TREAT LOWER LEG FRACTURE 8.87 $330.23 --- $416.45 004 1 0 0.00 $0.00 Y
K 27826 TREAT LOWER LEG FRACTURE 19.96 $743.11 --- $937.12 004 1 0 0.00 $0.00 Y
P 27826 TREAT LOWER LEG FRACTURE 19.96 $743.11 --- -- 015 0 0 0.00 $0.00 Y
O 27826 TREAT LOWER LEG FRACTURE 3.99 $148.55 --- $187.33 004 1 0 0.00 $0.00 Y
O 27827 TREAT LOWER LEG FRACTURE 4.86 $180.94 --- $228.18 004 1 0 0.00 $0.00 Y
P 27827 TREAT LOWER LEG FRACTURE 24.29 $904.32 --- -- 015 0 0 0.00 $0.00 Y
K 27827 TREAT LOWER LEG FRACTURE 24.28 $903.94 --- $1139.95 004 1 0 0.00 $0.00 Y
K 27828 TREAT LOWER LEG FRACTURE 25.93 $965.37 --- $1217.41 004 1 0 0.00 $0.00 Y
P 27828 TREAT LOWER LEG FRACTURE 25.93 $965.37 --- -- 015 0 0 0.00 $0.00 Y
O 27828 TREAT LOWER LEG FRACTURE 5.18 $192.85 --- $243.20 004 1 0 0.00 $0.00 Y
O 27829 TREAT LOWER LEG JOINT 2.93 $109.08 --- $137.56 004 1 0 0.00 $0.00 Y
P 27829 TREAT LOWER LEG JOINT 14.68 $546.54 --- -- 015 0 0 0.00 $0.00 Y
K 27829 TREAT LOWER LEG JOINT 14.68 $546.54 --- $689.23 004 1 0 0.00 $0.00 Y
K 27830 TREAT LOWER LEG DISLOCATION 9.96 $370.81 --- $467.62 004 1 1 0.00 $0.00 Y
O 27830 TREAT LOWER LEG DISLOCATION 1.99 $74.09 --- $93.43 004 1 0 0.00 $0.00 Y
O 27831 TREAT LOWER LEG DISLOCATION 1.69 $62.92 --- $79.35 004 1 0 0.00 $0.00 Y
K 27831 TREAT LOWER LEG DISLOCATION 8.47 $315.34 --- $397.67 004 1 0 0.00 $0.00 Y
K 27832 TREAT LOWER LEG DISLOCATION 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 27832 TREAT LOWER LEG DISLOCATION 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 27840 TREAT ANKLE DISLOCATION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
P 27840 TREAT ANKLE DISLOCATION 170.32 $170.32 --- -- 042 0 0 0.00 $0.00 Y
K 27840 TREAT ANKLE DISLOCATION 170.32 $170.32 --- -- 042 0 1 0.00 $0.00 Y
K 27842 TREAT ANKLE DISLOCATION 5.14 $191.36 --- $241.32 004 1 0 0.00 $0.00 Y
P 27842 TREAT ANKLE DISLOCATION 5.14 $191.36 --- -- 015 0 0 0.00 $0.00 Y
O 27842 TREAT ANKLE DISLOCATION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 27846 TREAT ANKLE DISLOCATION 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
P 27846 TREAT ANKLE DISLOCATION 13.59 $505.96 --- -- 015 0 0 0.00 $0.00 Y
K 27846 TREAT ANKLE DISLOCATION 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 27848 TREAT ANKLE DISLOCATION 18.20 $677.59 --- $854.49 004 1 0 0.00 $0.00 Y
P 27848 TREAT ANKLE DISLOCATION 18.20 $677.59 --- -- 015 0 0 0.00 $0.00 Y
O 27848 TREAT ANKLE DISLOCATION 3.64 $135.52 --- $170.90 004 1 0 0.00 $0.00 Y
P 27860 FIXATION OF ANKLE JOINT 2.52 $93.82 --- -- 015 0 0 0.00 $0.00 Y
K 27860 FIXATION OF ANKLE JOINT 2.52 $93.82 --- $118.31 004 1 0 0.00 $0.00 Y
K 27870 FUSION OF ANKLE JOINT OPEN 19.25 $716.68 --- $903.79 004 1 0 0.00 $0.00 Y
P 27870 FUSION OF ANKLE JOINT OPEN 19.26 $717.05 --- -- 015 0 0 0.00 $0.00 Y
O 27870 FUSION OF ANKLE JOINT OPEN 3.85 $143.34 --- $180.76 004 1 0 0.00 $0.00 Y
O 27871 FUSION OF TIBIOFIBULAR JOINT 3.34 $124.35 --- $156.81 004 1 0 0.00 $0.00 Y
K 27871 FUSION OF TIBIOFIBULAR JOINT 16.69 $621.37 --- $783.60 004 1 0 0.00 $0.00 Y
K 27880 AMPUTATION OF LOWER LEG 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
O 27880 AMPUTATION OF LOWER LEG 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
O 27881 AMPUTATION OF LOWER LEG 3.06 $113.92 --- $143.67 004 1 0 0.00 $0.00 Y
K 27881 AMPUTATION OF LOWER LEG 15.06 $560.68 --- $707.07 004 1 0 0.00 $0.00 Y
K 27882 AMPUTATION OF LOWER LEG 11.89 $442.66 --- $558.24 004 1 0 0.00 $0.00 Y
O 27882 AMPUTATION OF LOWER LEG 2.38 $88.61 --- $111.74 004 1 0 0.00 $0.00 Y
O 27884 AMPUTATION FOLLOWUP SURGERY 3.14 $116.90 --- $147.42 004 1 0 0.00 $0.00 Y
K 27884 AMPUTATION FOLLOWUP SURGERY 15.68 $583.77 --- $736.18 004 1 0 0.00 $0.00 Y
K 27886 AMPUTATION FOLLOWUP SURGERY 16.68 $621.00 --- $783.13 004 1 0 0.00 $0.00 Y
O 27886 AMPUTATION FOLLOWUP SURGERY 3.34 $124.35 --- $156.81 004 1 0 0.00 $0.00 Y
O 27888 AMPUTATION OF FOOT AT ANKLE 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 27888 AMPUTATION OF FOOT AT ANKLE 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 27889 AMPUTATION OF FOOT AT ANKLE 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
O 27889 AMPUTATION OF FOOT AT ANKLE 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
O 27892 DECOMPRESSION FASCIOTOMY, LEG 1.39 $51.75 --- $65.26 004 1 0 0.00 $0.00 Y
K 27892 DECOMPRESSION FASCIOTOMY, LEG 6.96 $259.12 --- $326.77 004 1 0 0.00 $0.00 Y
K 27893 DECOMPRESSION FASCIOTOMY, LEG 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 27893 DECOMPRESSION FASCIOTOMY, LEG 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
O 27894 DECOMPRESSION FASCIOTOMY, LEG 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
K 27894 DECOMPRESSION FASCIOTOMY, LEG 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 27899 LEG/ANKLE SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 27899 LEG/ANKLE SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
P 27899 LEG/ANKLE SURGERY PROCEDURE 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
P 28001 DRAINAGE OF BURSA OF FOOT 3.31 $123.23 --- -- 015 0 1 0.00 $0.00 Y
K 28001 DRAINAGE OF BURSA OF FOOT 3.31 $123.23 --- $155.40 004 1 1 0.00 $0.00 Y
K 28002 TREATMENT OF FOOT INFECTION 5.54 $206.25 --- $260.10 004 1 0 0.00 $0.00 Y
P 28002 TREATMENT OF FOOT INFECTION 5.54 $206.25 --- -- 015 0 0 0.00 $0.00 Y
P 28003 TREATMENT OF FOOT INFECTION 14.97 $557.33 --- -- 015 0 0 0.00 $0.00 Y
K 28003 TREATMENT OF FOOT INFECTION 14.97 $557.33 --- $702.84 004 1 0 0.00 $0.00 Y
K 28005 TREAT FOOT BONE LESION 15.32 $570.36 --- $719.27 004 1 0 0.00 $0.00 Y
P 28005 TREAT FOOT BONE LESION 15.32 $570.36 --- -- 015 0 0 0.00 $0.00 Y
O 28005 TREAT FOOT BONE LESION 3.06 $113.92 --- $143.67 004 1 0 0.00 $0.00 Y
P 28008 INCISION OF FOOT FASCIA 4.94 $183.92 --- -- 015 0 0 0.00 $0.00 Y
K 28008 INCISION OF FOOT FASCIA 4.94 $183.92 --- $231.93 004 1 0 0.00 $0.00 Y
K 28010 INCISION OF TOE TENDON 3.98 $148.18 --- $186.86 004 1 1 0.00 $0.00 Y
P 28010 INCISION OF TOE TENDON 3.97 $147.80 --- -- 015 0 1 0.00 $0.00 Y
P 28011 INCISION OF TOE TENDONS 5.19 $193.22 --- -- 015 0 1 0.00 $0.00 Y
K 28011 INCISION OF TOE TENDONS 5.19 $193.22 --- $243.67 004 1 1 0.00 $0.00 Y
K 28020 EXPLORATION OF FOOT JOINT 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
P 28020 EXPLORATION OF FOOT JOINT 6.80 $253.16 --- -- 015 0 0 0.00 $0.00 Y
O 28020 EXPLORATION OF FOOT JOINT 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
P 28022 EXPLORATION OF FOOT JOINT 5.10 $189.87 --- -- 015 0 0 0.00 $0.00 Y
K 28022 EXPLORATION OF FOOT JOINT 5.11 $190.25 --- $239.91 004 1 0 0.00 $0.00 Y
K 28024 EXPLORATION OF TOE JOINT 5.02 $186.89 --- $235.69 004 1 0 0.00 $0.00 Y
P 28024 EXPLORATION OF TOE JOINT 5.01 $186.52 --- -- 015 0 0 0.00 $0.00 Y
P 28035 DECOMPRESSION OF TIBIA NERVE 9.96 $370.81 --- -- 015 0 0 0.00 $0.00 Y
O 28035 DECOMPRESSION OF TIBIA NERVE 1.99 $74.09 --- $93.43 004 1 0 0.00 $0.00 Y
K 28035 DECOMPRESSION OF TIBIA NERVE 9.97 $371.18 --- $468.09 004 1 0 0.00 $0.00 Y
K 28039 EXC FOOT/TOE TUM SC 1.5 CM/> 10.90 $405.91 --- $511.76 004 1 0 0.00 $0.00 Y
O 28039 EXC FOOT/TOE TUM SC 1.5 CM/> 2.18 $81.16 --- $102.35 004 1 0 0.00 $0.00 Y
P 28039 EXC FOOT/TOE TUM SC 1.5 CM/> 10.90 $405.81 --- -- 015 1 0 0.00 $0.00 Y
P 28041 EXC FOOT/TOE TUM DEP 1.5CM/> 9.98 $371.56 --- -- 015 0 0 0.00 $0.00 Y
O 28041 EXC FOOT/TOE TUM DEP 1.5CM/> 2.00 $74.46 --- -- 004 0 0 0.00 $0.00 Y
K 28041 EXC FOOT/TOE TUM DEP 1.5CM/> 9.98 $371.56 --- -- 004 0 0 0.00 $0.00 Y
K 28043 EXC FOOT/TOE TUM SC < 1.5 CM 8.11 $301.94 --- $380.76 004 1 0 0.00 $0.00 Y
P 28043 EXC FOOT/TOE TUM SC < 1.5 CM 8.11 $301.94 --- -- 015 0 0 0.00 $0.00 Y
P 28045 EXC FOOT/TOE TUM DEEP <1.5CM 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
O 28045 EXC FOOT/TOE TUM DEEP <1.5CM 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 28045 EXC FOOT/TOE TUM DEEP <1.5CM 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 28046 RESECT FOOT/TOE TUMOR < 3 CM 17.72 $659.72 --- $831.95 004 1 0 0.00 $0.00 Y
O 28046 RESECT FOOT/TOE TUMOR < 3 CM 3.54 $131.79 --- $166.20 004 1 0 0.00 $0.00 Y
P 28046 RESECT FOOT/TOE TUMOR < 3 CM 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
P 28047 RESECT FOOT/TOE TUMOR 3 CM/> 20.81 $774.76 --- -- 015 0 0 0.00 $0.00 Y
O 28047 RESECT FOOT/TOE TUMOR 3 CM/> 4.16 $154.88 --- -- 004 0 0 0.00 $0.00 Y
K 28047 RESECT FOOT/TOE TUMOR 3 CM/> 20.81 $774.76 --- -- 004 0 0 0.00 $0.00 Y
K 28050 BIOPSY OF FOOT JOINT LINING 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 28050 BIOPSY OF FOOT JOINT LINING 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
P 28050 BIOPSY OF FOOT JOINT LINING 6.80 $253.16 --- -- 015 0 0 0.00 $0.00 Y
P 28052 BIOPSY OF FOOT JOINT LINING 4.52 $168.28 --- -- 015 0 0 0.00 $0.00 Y
O 28052 BIOPSY OF FOOT JOINT LINING 0.90 $33.51 --- $42.26 004 1 0 0.00 $0.00 Y
K 28052 BIOPSY OF FOOT JOINT LINING 4.52 $168.28 --- $212.21 004 1 0 0.00 $0.00 Y
K 28054 BIOPSY OF TOE JOINT LINING 4.30 $160.09 --- $201.89 004 1 0 0.00 $0.00 Y
O 28054 BIOPSY OF TOE JOINT LINING 0.86 $32.02 --- $40.38 004 1 0 0.00 $0.00 Y
P 28054 BIOPSY OF TOE JOINT LINING 4.30 $160.09 --- -- 015 0 0 0.00 $0.00 Y
P 28055 NEURECTOMY FOOT 9.00 $335.18 --- -- 015 0 0 0.00 $0.00 Y
O 28055 NEURECTOMY FOOT 1.80 $67.04 --- -- 004 0 0 0.00 $0.00 Y
K 28055 NEURECTOMY FOOT 9.00 $335.18 --- -- 004 0 0 0.00 $0.00 Y
K 28060 PARTIAL REMOVAL FOOT FASCIA 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 28060 PARTIAL REMOVAL FOOT FASCIA 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
P 28060 PARTIAL REMOVAL FOOT FASCIA 6.80 $253.16 --- -- 015 0 0 0.00 $0.00 Y
P 28062 REMOVAL OF FOOT FASCIA 12.98 $483.25 --- -- 015 0 0 0.00 $0.00 Y
O 28062 REMOVAL OF FOOT FASCIA 2.60 $96.80 --- $122.07 004 1 0 0.00 $0.00 Y
K 28062 REMOVAL OF FOOT FASCIA 12.98 $483.25 --- $609.41 004 1 0 0.00 $0.00 Y
K 28070 REMOVAL OF FOOT JOINT LINING 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 28070 REMOVAL OF FOOT JOINT LINING 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
P 28070 REMOVAL OF FOOT JOINT LINING 6.80 $253.16 --- -- 015 0 0 0.00 $0.00 Y
P 28072 REMOVAL OF FOOT JOINT LINING 5.39 $200.67 --- -- 015 0 0 0.00 $0.00 Y
O 28072 REMOVAL OF FOOT JOINT LINING 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 28072 REMOVAL OF FOOT JOINT LINING 5.39 $200.67 --- $253.06 004 1 0 0.00 $0.00 Y
K 28080 REMOVAL OF FOOT LESION 4.41 $164.18 --- $207.05 004 1 0 0.00 $0.00 Y
O 28080 REMOVAL OF FOOT LESION 0.88 $32.76 --- $41.32 004 1 0 0.00 $0.00 Y
P 28080 REMOVAL OF FOOT LESION 4.41 $164.18 --- -- 015 0 0 0.00 $0.00 Y
P 28086 EXCISE FOOT TENDON SHEATH 7.93 $295.23 --- -- 015 0 0 0.00 $0.00 Y
O 28086 EXCISE FOOT TENDON SHEATH 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 28086 EXCISE FOOT TENDON SHEATH 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 28088 EXCISE FOOT TENDON SHEATH 6.23 $231.94 --- $292.50 004 1 0 0.00 $0.00 Y
O 28088 EXCISE FOOT TENDON SHEATH 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
P 28088 EXCISE FOOT TENDON SHEATH 6.23 $231.94 --- -- 015 0 0 0.00 $0.00 Y
P 28090 REMOVAL OF FOOT LESION 4.94 $183.92 --- -- 015 0 0 0.00 $0.00 Y
O 28090 REMOVAL OF FOOT LESION 0.99 $36.86 --- $46.48 004 1 0 0.00 $0.00 Y
K 28090 REMOVAL OF FOOT LESION 4.94 $183.92 --- $231.93 004 1 0 0.00 $0.00 Y
K 28092 REMOVAL OF TOE LESIONS 4.90 $182.43 --- $230.06 004 1 0 0.00 $0.00 Y
P 28092 REMOVAL OF TOE LESIONS 4.90 $182.43 --- -- 015 0 0 0.00 $0.00 Y
P 28100 REMOVAL OF ANKLE/HEEL LESION 6.81 $253.54 --- -- 015 0 0 0.00 $0.00 Y
O 28100 REMOVAL OF ANKLE/HEEL LESION 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
K 28100 REMOVAL OF ANKLE/HEEL LESION 6.81 $253.54 --- $319.73 004 1 0 0.00 $0.00 Y
K 28102 REMOVE/GRAFT FOOT LESION 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
O 28102 REMOVE/GRAFT FOOT LESION 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
O 28103 REMOVE/GRAFT FOOT LESION 1.89 $70.36 --- $88.74 004 1 0 0.00 $0.00 Y
K 28103 REMOVE/GRAFT FOOT LESION 9.44 $351.45 --- $443.21 004 1 0 0.00 $0.00 Y
K 28104 REMOVAL OF FOOT LESION 5.53 $205.88 --- $259.63 004 1 0 0.00 $0.00 Y
O 28104 REMOVAL OF FOOT LESION 1.11 $41.33 --- $52.11 004 1 0 0.00 $0.00 Y
P 28104 REMOVAL OF FOOT LESION 5.53 $205.88 --- -- 015 0 0 0.00 $0.00 Y
O 28106 REMOVE/GRAFT FOOT LESION 1.27 $47.28 --- $59.63 004 1 0 0.00 $0.00 Y
K 28106 REMOVE/GRAFT FOOT LESION 6.37 $237.16 --- $299.07 004 1 0 0.00 $0.00 Y
K 28107 REMOVE/GRAFT FOOT LESION 10.62 $395.38 --- $498.61 004 1 0 0.00 $0.00 Y
O 28107 REMOVE/GRAFT FOOT LESION 2.12 $78.93 --- $99.53 004 1 0 0.00 $0.00 Y
O 28108 REMOVAL OF TOE LESIONS 0.91 $33.88 --- $42.72 004 1 0 0.00 $0.00 Y
P 28108 REMOVAL OF TOE LESIONS 4.57 $170.14 --- -- 015 0 0 0.00 $0.00 Y
K 28108 REMOVAL OF TOE LESIONS 4.57 $170.14 --- $214.56 004 1 0 0.00 $0.00 Y
K 28110 PART REMOVAL OF METATARSAL 5.04 $187.64 --- $236.63 004 1 0 0.00 $0.00 Y
P 28110 PART REMOVAL OF METATARSAL 5.04 $187.64 --- -- 015 0 0 0.00 $0.00 Y
O 28110 PART REMOVAL OF METATARSAL 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 28111 PART REMOVAL OF METATARSAL 1.77 $65.90 --- $83.10 004 1 0 0.00 $0.00 Y
P 28111 PART REMOVAL OF METATARSAL 8.83 $328.74 --- -- 015 0 0 0.00 $0.00 Y
K 28111 PART REMOVAL OF METATARSAL 8.83 $328.74 --- $414.57 004 1 0 0.00 $0.00 Y
K 28112 PART REMOVAL OF METATARSAL 5.34 $198.81 --- $250.71 004 1 0 0.00 $0.00 Y
P 28112 PART REMOVAL OF METATARSAL 5.34 $198.81 --- -- 015 0 0 0.00 $0.00 Y
O 28112 PART REMOVAL OF METATARSAL 1.07 $39.84 --- $50.24 004 1 0 0.00 $0.00 Y
O 28113 PART REMOVAL OF METATARSAL 1.09 $40.58 --- $51.18 004 1 0 0.00 $0.00 Y
P 28113 PART REMOVAL OF METATARSAL 5.46 $203.28 --- -- 015 0 0 0.00 $0.00 Y
K 28113 PART REMOVAL OF METATARSAL 5.46 $203.28 --- $256.35 004 1 0 0.00 $0.00 Y
K 28114 REMOVAL OF METATARSAL HEADS 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
P 28114 REMOVAL OF METATARSAL HEADS 13.59 $505.96 --- -- 015 0 0 0.00 $0.00 Y
O 28114 REMOVAL OF METATARSAL HEADS 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
O 28116 REVISION OF FOOT 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
P 28116 REVISION OF FOOT 7.93 $295.23 --- -- 015 0 0 0.00 $0.00 Y
K 28116 REVISION OF FOOT 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 28118 REMOVAL OF HEEL BONE 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
P 28118 REMOVAL OF HEEL BONE 7.93 $295.23 --- -- 015 0 0 0.00 $0.00 Y
O 28118 REMOVAL OF HEEL BONE 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
O 28119 REMOVAL OF HEEL SPUR 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
P 28119 REMOVAL OF HEEL SPUR 7.93 $295.23 --- -- 015 0 0 0.00 $0.00 Y
K 28119 REMOVAL OF HEEL SPUR 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 28120 PART REMOVAL OF ANKLE/HEEL 7.44 $276.99 --- $349.31 004 1 0 0.00 $0.00 Y
P 28120 PART REMOVAL OF ANKLE/HEEL 7.44 $276.99 --- -- 015 0 0 0.00 $0.00 Y
O 28120 PART REMOVAL OF ANKLE/HEEL 1.49 $55.47 --- $69.96 004 1 0 0.00 $0.00 Y
O 28122 PARTIAL REMOVAL OF FOOT BONE 1.49 $55.47 --- $69.96 004 1 0 0.00 $0.00 Y
P 28122 PARTIAL REMOVAL OF FOOT BONE 7.43 $276.62 --- -- 015 0 0 0.00 $0.00 Y
K 28122 PARTIAL REMOVAL OF FOOT BONE 7.43 $276.62 --- $348.84 004 1 0 0.00 $0.00 Y
K 28124 PARTIAL REMOVAL OF TOE 5.61 $208.86 --- $263.39 004 1 0 0.00 $0.00 Y
P 28124 PARTIAL REMOVAL OF TOE 5.61 $208.86 --- -- 015 0 0 0.00 $0.00 Y
O 28124 PARTIAL REMOVAL OF TOE 1.12 $41.70 --- $52.58 004 1 0 0.00 $0.00 Y
O 28126 PARTIAL REMOVAL OF TOE 0.90 $33.51 --- $42.26 004 1 0 0.00 $0.00 Y
P 28126 PARTIAL REMOVAL OF TOE 4.52 $168.28 --- -- 015 0 0 0.00 $0.00 Y
K 28126 PARTIAL REMOVAL OF TOE 4.52 $168.28 --- $212.21 004 1 0 0.00 $0.00 Y
K 28130 REMOVAL OF ANKLE BONE 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
P 28130 REMOVAL OF ANKLE BONE 11.33 $421.82 --- -- 015 0 0 0.00 $0.00 Y
O 28130 REMOVAL OF ANKLE BONE 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
O 28140 REMOVAL OF METATARSAL 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
P 28140 REMOVAL OF METATARSAL 6.80 $253.16 --- -- 015 0 0 0.00 $0.00 Y
K 28140 REMOVAL OF METATARSAL 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
K 28150 REMOVAL OF TOE 5.03 $187.27 --- $236.16 004 1 0 0.00 $0.00 Y
P 28150 REMOVAL OF TOE 5.02 $186.89 --- -- 015 0 0 0.00 $0.00 Y
O 28150 REMOVAL OF TOE 1.01 $37.60 --- $47.42 004 1 0 0.00 $0.00 Y
O 28153 PARTIAL REMOVAL OF TOE 1.72 $64.04 --- $80.75 004 1 0 0.00 $0.00 Y
P 28153 PARTIAL REMOVAL OF TOE 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
K 28153 PARTIAL REMOVAL OF TOE 8.61 $320.55 --- $404.24 004 1 0 0.00 $0.00 Y
K 28160 PARTIAL REMOVAL OF TOE 4.71 $175.35 --- $221.13 004 1 0 0.00 $0.00 Y
P 28160 PARTIAL REMOVAL OF TOE 4.71 $175.35 --- -- 015 0 0 0.00 $0.00 Y
O 28160 PARTIAL REMOVAL OF TOE 0.94 $35.00 --- $44.13 004 1 0 0.00 $0.00 Y
O 28171 RESECT TARSAL TUMOR 3.02 $112.43 --- $141.79 004 1 0 0.00 $0.00 Y
P 28171 RESECT TARSAL TUMOR 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
K 28171 RESECT TARSAL TUMOR 15.11 $562.55 --- $709.41 004 1 0 0.00 $0.00 Y
K 28173 RESECT METATARSAL TUMOR 15.37 $572.23 --- $721.62 004 1 0 0.00 $0.00 Y
P 28173 RESECT METATARSAL TUMOR 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
O 28173 RESECT METATARSAL TUMOR 3.08 $114.67 --- $144.61 004 1 0 0.00 $0.00 Y
O 28175 RESECT PHALANX OF TOE TUMOR 2.32 $86.37 --- $108.92 004 1 0 0.00 $0.00 Y
P 28175 RESECT PHALANX OF TOE TUMOR 11.58 $431.12 --- -- 015 0 0 0.00 $0.00 Y
K 28175 RESECT PHALANX OF TOE TUMOR 11.58 $431.12 --- $543.68 004 1 0 0.00 $0.00 Y
K 28190 REMOVAL OF FOOT FOREIGN BODY 3.33 $123.98 --- $156.34 004 1 1 0.00 $0.00 Y
P 28190 REMOVAL OF FOOT FOREIGN BODY 3.33 $123.98 --- -- 015 0 1 0.00 $0.00 Y
P 28192 REMOVAL OF FOOT FOREIGN BODY 9.85 $366.72 --- -- 015 0 0 0.00 $0.00 Y
O 28192 REMOVAL OF FOOT FOREIGN BODY 1.97 $73.34 --- $92.49 004 1 0 0.00 $0.00 Y
K 28192 REMOVAL OF FOOT FOREIGN BODY 9.85 $366.72 --- $462.46 004 1 0 0.00 $0.00 Y
K 28193 REMOVAL OF FOOT FOREIGN BODY 5.87 $218.54 --- $275.60 004 1 0 0.00 $0.00 Y
O 28193 REMOVAL OF FOOT FOREIGN BODY 1.17 $43.56 --- $54.93 004 1 0 0.00 $0.00 Y
P 28193 REMOVAL OF FOOT FOREIGN BODY 5.86 $218.17 --- -- 015 0 0 0.00 $0.00 Y
P 28200 REPAIR OF FOOT TENDON 6.80 $253.16 --- -- 015 0 0 0.00 $0.00 Y
O 28200 REPAIR OF FOOT TENDON 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
K 28200 REPAIR OF FOOT TENDON 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
K 28202 REPAIR/GRAFT OF FOOT TENDON 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 28202 REPAIR/GRAFT OF FOOT TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
P 28202 REPAIR/GRAFT OF FOOT TENDON 9.06 $337.30 --- -- 015 0 0 0.00 $0.00 Y
P 28208 REPAIR OF FOOT TENDON 4.92 $183.17 --- -- 015 0 0 0.00 $0.00 Y
O 28208 REPAIR OF FOOT TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 28208 REPAIR OF FOOT TENDON 4.92 $183.17 --- $230.99 004 1 0 0.00 $0.00 Y
K 28210 REPAIR/GRAFT OF FOOT TENDON 6.75 $251.30 --- $316.91 004 1 0 0.00 $0.00 Y
O 28210 REPAIR/GRAFT OF FOOT TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
P 28210 REPAIR/GRAFT OF FOOT TENDON 6.75 $251.30 --- -- 015 0 0 0.00 $0.00 Y
P 28220 RELEASE OF FOOT TENDON 5.66 $210.72 --- -- 015 0 0 0.00 $0.00 Y
O 28220 RELEASE OF FOOT TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 28220 RELEASE OF FOOT TENDON 5.66 $210.72 --- $265.74 004 1 0 0.00 $0.00 Y
K 28222 RELEASE OF FOOT TENDONS 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 28222 RELEASE OF FOOT TENDONS 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
P 28222 RELEASE OF FOOT TENDONS 6.80 $253.16 --- -- 015 0 0 0.00 $0.00 Y
P 28225 RELEASE OF FOOT TENDON 4.41 $164.18 --- -- 015 0 0 0.00 $0.00 Y
O 28225 RELEASE OF FOOT TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 28225 RELEASE OF FOOT TENDON 4.41 $164.18 --- $207.05 004 1 0 0.00 $0.00 Y
K 28226 RELEASE OF FOOT TENDONS 4.92 $183.17 --- $230.99 004 1 0 0.00 $0.00 Y
O 28226 RELEASE OF FOOT TENDONS 0.98 $36.49 --- $46.01 004 1 0 0.00 $0.00 Y
P 28226 RELEASE OF FOOT TENDONS 4.92 $183.17 --- -- 015 0 0 0.00 $0.00 Y
P 28230 INCISION OF FOOT TENDON(S) 4.84 $180.19 --- -- 015 0 0 0.00 $0.00 Y
O 28230 INCISION OF FOOT TENDON(S) 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 28230 INCISION OF FOOT TENDON(S) 4.84 $180.19 --- $227.24 004 1 0 0.00 $0.00 Y
K 28232 INCISION OF TOE TENDON 4.51 $167.91 --- $211.74 004 1 0 0.00 $0.00 Y
O 28232 INCISION OF TOE TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
P 28232 INCISION OF TOE TENDON 4.51 $167.91 --- -- 015 0 0 0.00 $0.00 Y
P 28234 INCISION OF FOOT TENDON 4.57 $170.14 --- -- 015 0 0 0.00 $0.00 Y
O 28234 INCISION OF FOOT TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 28234 INCISION OF FOOT TENDON 4.57 $170.14 --- $214.56 004 1 0 0.00 $0.00 Y
K 28238 REVISION OF FOOT TENDON 8.83 $328.74 --- $414.57 004 1 0 0.00 $0.00 Y
O 28238 REVISION OF FOOT TENDON 1.77 $65.90 --- $83.10 004 1 0 0.00 $0.00 Y
P 28238 REVISION OF FOOT TENDON 8.83 $328.74 --- -- 015 0 0 0.00 $0.00 Y
P 28240 RELEASE OF BIG TOE 4.83 $179.82 --- -- 015 0 0 0.00 $0.00 Y
O 28240 RELEASE OF BIG TOE 0.97 $36.11 --- $45.54 004 1 0 0.00 $0.00 Y
K 28240 RELEASE OF BIG TOE 4.83 $179.82 --- $226.77 004 1 0 0.00 $0.00 Y
K 28250 REVISION OF FOOT FASCIA 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 28250 REVISION OF FOOT FASCIA 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
P 28250 REVISION OF FOOT FASCIA 6.80 $253.16 --- -- 015 0 0 0.00 $0.00 Y
P 28260 RELEASE OF MIDFOOT JOINT 9.96 $370.81 --- -- 015 0 0 0.00 $0.00 Y
O 28260 RELEASE OF MIDFOOT JOINT 2.04 $75.95 --- $95.78 004 1 0 0.00 $0.00 Y
K 28260 RELEASE OF MIDFOOT JOINT 9.97 $371.18 --- $468.09 004 1 0 0.00 $0.00 Y
K 28261 REVISION OF FOOT TENDON 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
O 28261 REVISION OF FOOT TENDON 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
P 28261 REVISION OF FOOT TENDON 11.33 $421.82 --- -- 015 0 0 0.00 $0.00 Y
P 28262 REVISION OF FOOT AND ANKLE 17.44 $649.29 --- -- 015 0 0 0.00 $0.00 Y
O 28262 REVISION OF FOOT AND ANKLE 3.51 $130.68 --- $164.79 004 1 0 0.00 $0.00 Y
K 28262 REVISION OF FOOT AND ANKLE 17.44 $649.29 --- $818.81 004 1 0 0.00 $0.00 Y
K 28264 RELEASE OF MIDFOOT JOINT 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
O 28264 RELEASE OF MIDFOOT JOINT 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
P 28264 RELEASE OF MIDFOOT JOINT 13.59 $505.96 --- -- 015 0 0 0.00 $0.00 Y
P 28270 RELEASE OF FOOT CONTRACTURE 5.30 $197.32 --- -- 015 0 0 0.00 $0.00 Y
O 28270 RELEASE OF FOOT CONTRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 28270 RELEASE OF FOOT CONTRACTURE 5.30 $197.32 --- $248.84 004 1 0 0.00 $0.00 Y
K 28272 RELEASE OF TOE JOINT EACH 4.45 $165.67 --- $208.93 004 1 0 0.00 $0.00 Y
P 28272 RELEASE OF TOE JOINT EACH 4.44 $165.30 --- -- 015 0 0 0.00 $0.00 Y
P 28280 FUSION OF TOES 5.54 $206.25 --- -- 015 0 0 0.00 $0.00 Y
O 28280 FUSION OF TOES 1.11 $41.33 --- $52.11 004 1 0 0.00 $0.00 Y
K 28280 FUSION OF TOES 5.53 $205.88 --- $259.63 004 1 0 0.00 $0.00 Y
K 28285 REPAIR OF HAMMERTOE 5.44 $202.53 --- $255.41 004 1 0 0.00 $0.00 Y
O 28285 REPAIR OF HAMMERTOE 1.09 $40.58 --- $51.18 004 1 0 0.00 $0.00 Y
P 28285 REPAIR OF HAMMERTOE 5.44 $202.53 --- -- 015 0 0 0.00 $0.00 Y
P 28286 REPAIR OF HAMMERTOE 5.18 $192.85 --- -- 015 0 0 0.00 $0.00 Y
O 28286 REPAIR OF HAMMERTOE 1.04 $38.72 --- $48.83 004 1 0 0.00 $0.00 Y
K 28286 REPAIR OF HAMMERTOE 5.18 $192.85 --- $243.20 004 1 0 0.00 $0.00 Y
K 28288 PARTIAL REMOVAL OF FOOT BONE 5.40 $201.04 --- $253.53 004 1 0 0.00 $0.00 Y
P 28288 PARTIAL REMOVAL OF FOOT BONE 5.40 $201.04 --- -- 015 0 0 0.00 $0.00 Y
P 28289 REPAIR HALLUX RIGIDUS 8.58 $319.43 --- -- 015 1 0 0.00 $0.00 Y
O 28289 REPAIR HALLUX RIGIDUS 1.72 $64.04 --- $80.75 004 1 0 0.00 $0.00 Y
K 28289 REPAIR HALLUX RIGIDUS 8.58 $319.43 --- $402.83 004 1 0 0.00 $0.00 Y
K 28291 CORRJ HALUX RIGDUS W/IMPLT 17.76 $661.20 --- -- 004 0 0 0.00 $0.00 Y
O 28291 CORRJ HALUX RIGDUS W/IMPLT 3.55 $132.17 --- -- 004 0 0 0.00 $0.00 Y
P 28291 CORRJ HALUX RIGDUS W/IMPLT 17.76 $661.20 --- -- 015 0 0 0.00 $0.00 Y
P 28292 CORRECTION HALLUX VALGUS 7.93 $295.23 --- -- 015 0 0 0.00 $0.00 Y
O 28292 CORRECTION HALLUX VALGUS 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
K 28292 CORRECTION HALLUX VALGUS 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 28295 CORRECTION HALLUX VALGUS 23.01 $856.66 --- -- 004 0 0 0.00 $0.00 Y
O 28295 CORRECTION HALLUX VALGUS 4.60 $171.26 --- -- 004 0 0 0.00 $0.00 Y
P 28295 CORRECTION HALLUX VALGUS 23.01 $856.66 --- -- 015 0 0 0.00 $0.00 Y
P 28296 CORRECTION HALLUX VALGUS 10.76 $400.59 --- -- 015 0 0 0.00 $0.00 Y
O 28296 CORRECTION HALLUX VALGUS 2.15 $80.04 --- $100.94 004 1 0 0.00 $0.00 Y
K 28296 CORRECTION HALLUX VALGUS 10.76 $400.59 --- $505.18 004 1 0 0.00 $0.00 Y
K 28297 CORRECTION HALLUX VALGUS 10.76 $400.59 --- $505.18 004 1 0 0.00 $0.00 Y
O 28297 CORRECTION HALLUX VALGUS 2.15 $80.04 --- $100.94 004 1 0 0.00 $0.00 Y
P 28297 CORRECTION HALLUX VALGUS 10.76 $400.59 --- -- 015 0 0 0.00 $0.00 Y
P 28298 CORRECTION HALLUX VALGUS 7.93 $295.23 --- -- 015 0 0 0.00 $0.00 Y
O 28298 CORRECTION HALLUX VALGUS 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
K 28298 CORRECTION HALLUX VALGUS 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 28299 CORRECTION HALLUX VALGUS 14.84 $552.49 --- $696.74 004 1 0 0.00 $0.00 Y
O 28299 CORRECTION HALLUX VALGUS 2.97 $110.57 --- $139.44 004 1 0 0.00 $0.00 Y
P 28299 CORRECTION HALLUX VALGUS 14.84 $552.49 --- -- 015 0 0 0.00 $0.00 Y
P 28300 INCISION OF HEEL BONE 10.76 $400.59 --- -- 015 0 0 0.00 $0.00 Y
O 28300 INCISION OF HEEL BONE 2.15 $80.04 --- $100.94 004 1 0 0.00 $0.00 Y
K 28300 INCISION OF HEEL BONE 10.76 $400.59 --- $505.18 004 1 0 0.00 $0.00 Y
K 28302 INCISION OF ANKLE BONE 10.17 $378.63 --- $477.48 004 1 0 0.00 $0.00 Y
O 28302 INCISION OF ANKLE BONE 2.03 $75.58 --- $95.31 004 1 0 0.00 $0.00 Y
P 28302 INCISION OF ANKLE BONE 10.17 $378.63 --- -- 015 0 0 0.00 $0.00 Y
P 28304 INCISION OF MIDFOOT BONES 9.06 $337.30 --- -- 015 0 0 0.00 $0.00 Y
O 28304 INCISION OF MIDFOOT BONES 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
K 28304 INCISION OF MIDFOOT BONES 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 28305 INCISE/GRAFT MIDFOOT BONES 11.46 $426.66 --- $538.05 004 1 0 0.00 $0.00 Y
O 28305 INCISE/GRAFT MIDFOOT BONES 2.29 $85.26 --- $107.52 004 1 0 0.00 $0.00 Y
O 28306 INCISION OF METATARSAL 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
P 28306 INCISION OF METATARSAL 7.93 $295.23 --- -- 015 0 0 0.00 $0.00 Y
K 28306 INCISION OF METATARSAL 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 28307 INCISION OF METATARSAL 12.48 $464.63 --- $585.94 004 1 0 0.00 $0.00 Y
P 28307 INCISION OF METATARSAL 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
O 28307 INCISION OF METATARSAL 2.49 $92.70 --- $116.91 004 1 0 0.00 $0.00 Y
O 28308 INCISION OF METATARSAL 1.27 $47.28 --- $59.63 004 1 0 0.00 $0.00 Y
P 28308 INCISION OF METATARSAL 6.34 $236.04 --- -- 015 0 0 0.00 $0.00 Y
K 28308 INCISION OF METATARSAL 6.34 $236.04 --- $297.66 004 1 0 0.00 $0.00 Y
K 28309 INCISION OF METATARSALS 19.77 $736.04 --- $928.20 004 1 0 0.00 $0.00 Y
P 28309 INCISION OF METATARSALS 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
O 28309 INCISION OF METATARSALS 3.95 $147.06 --- $185.45 004 1 0 0.00 $0.00 Y
O 28310 REVISION OF BIG TOE 1.16 $43.19 --- $54.46 004 1 0 0.00 $0.00 Y
P 28310 REVISION OF BIG TOE 5.77 $214.82 --- -- 015 0 0 0.00 $0.00 Y
K 28310 REVISION OF BIG TOE 5.78 $215.19 --- $271.37 004 1 0 0.00 $0.00 Y
K 28312 REVISION OF TOE 5.26 $195.83 --- $246.96 004 1 0 0.00 $0.00 Y
P 28312 REVISION OF TOE 5.27 $196.20 --- -- 015 0 0 0.00 $0.00 Y
O 28312 REVISION OF TOE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 28313 REPAIR DEFORMITY OF TOE 2.14 $79.67 --- $100.47 004 1 0 0.00 $0.00 Y
P 28313 REPAIR DEFORMITY OF TOE 10.71 $398.73 --- -- 015 0 0 0.00 $0.00 Y
K 28313 REPAIR DEFORMITY OF TOE 10.71 $398.73 --- $502.83 004 1 0 0.00 $0.00 Y
K 28315 REMOVAL OF SESAMOID BONE 5.12 $190.62 --- $240.38 004 1 0 0.00 $0.00 Y
P 28315 REMOVAL OF SESAMOID BONE 5.12 $190.62 --- -- 015 0 0 0.00 $0.00 Y
O 28315 REMOVAL OF SESAMOID BONE 1.02 $37.97 --- $47.89 004 1 0 0.00 $0.00 Y
O 28320 REPAIR OF FOOT BONES 3.18 $118.39 --- $149.30 004 1 0 0.00 $0.00 Y
P 28320 REPAIR OF FOOT BONES 0.00 $0.00 --- -- 015 0 0 0.00 $0.00 Y
K 28320 REPAIR OF FOOT BONES 15.88 $591.21 --- $745.57 004 1 0 0.00 $0.00 Y