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Medi-Cal Rates Information

Medi-Cal Rates as of 02/15/2020 (Codes 31595 thru 33771)

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 31599 LARYNX SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 31599 LARYNX SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 31600 INCISION OF WINDPIPE 5.40 $201.04 --- $253.53 004 1 0 0.00 $0.00 Y
K 31601 INCISION OF WINDPIPE 6.00 $223.38 --- $281.70 004 1 0 0.00 $0.00 Y
K 31603 INCISION OF WINDPIPE 2.86 $106.48 --- $134.28 004 1 0 0.00 $0.00 Y
K 31605 INCISION OF NECK CARTILAGES 5.40 $201.04 --- $253.53 004 1 0 0.00 $0.00 Y
K 31610 INCISION OF WINDPIPE 8.82 $328.37 --- $414.10 004 1 0 0.00 $0.00 Y
K 31611 SURGERY/SPEECH PROSTH. 18.00 $670.14 --- $845.10 004 1 0 0.00 $0.00 Y
O 31611 SURGERY/SPEECH PROSTH 3.60 $134.03 --- $169.02 004 1 0 0.00 $0.00 Y
K 31612 TRACHEAL PUNCTURE PERCUTANEOUS W/TRANS 2.00 $74.46 --- $93.90 004 1 0 0.00 $0.00 Y
K 31613 REPAIR WINDPIPE OPENING 6.04 $224.87 --- $283.58 004 1 0 0.00 $0.00 Y
K 31614 REPAIR WINDPIPE OPENING 8.50 $316.46 --- $399.08 004 1 0 0.00 $0.00 Y
K 31615 VISUALIZATION OF WINDPIPE 4.56 $169.77 --- $214.09 004 1 0 0.00 $0.00 Y
K 31622 DX BRONCHOSCOPE/WASH 4.43 $164.93 --- $207.99 004 1 0 0.00 $0.00 Y
K 31623 DX BRONCHOSCOPE/BRUSH 5.68 $211.47 --- $266.68 004 1 0 0.00 $0.00 Y
K 31624 DX BRONCHOSCOPE/LAVAGE 5.73 $213.33 --- $269.02 004 1 0 0.00 $0.00 Y
K 31625 BRONCHOSCOPY W/BIOPSY(S) 5.41 $201.41 --- $254.00 004 1 0 0.00 $0.00 Y
K 31626 BRONCHOSCOPY W/MARKERS 10.08 $375.28 --- $473.26 004 1 0 0.00 $0.00 Y
K 31627 NAVIGATIONAL BRONCHOSCOPY 29.04 $1081.16 --- $1363.43 004 1 0 0.00 $0.00 Y
K 31628 BRONCHOSCOPY/LUNG BX EACH 5.66 $210.72 --- $265.74 004 1 0 0.00 $0.00 Y
K 31629 BRONCHOSCOPY/NEEDLE BX EACH 5.00 $186.15 --- $234.75 004 1 0 0.00 $0.00 Y
K 31630 BRONCHOSCOPY DILATE/FX REPR 6.00 $223.38 --- $281.70 004 1 0 0.00 $0.00 Y
K 31631 BRONCHOSCOPY DILATE W/STENT 5.20 $193.60 --- $244.14 004 1 0 0.00 $0.00 Y
K 31632 BRONCHOSCOPY/LUNG BX ADDL 1.59 $59.28 --- $74.65 004 1 0 0.00 $0.00 Y
K 31633 BRONCHOSCOPY/NEEDLE BX ADDL 1.96 $73.15 --- $92.02 004 1 0 0.00 $0.00 Y
K 31634 BRONCH W/BALLOON OCCLUSION 4.67 $173.75 --- $219.26 004 1 0 0.00 $0.00 Y
K 31635 BRONCHOSCOPY W/FB REMOVAL 5.60 $208.49 --- $262.92 004 1 0 0.00 $0.00 Y
K 31636 BRONCHOSCOPY BRONCH STENTS 3.82 $142.20 --- $179.35 004 1 0 0.00 $0.00 Y
K 31637 BRONCHOSCOPY STENT ADD-ON 1.41 $52.65 --- $66.20 004 1 0 0.00 $0.00 Y
K 31638 BRONCHOSCOPY REVISE STENT 4.25 $158.09 --- $199.54 004 1 0 0.00 $0.00 Y
K 31640 BRONCHOSCOPY W/TUMOR EXCISE 5.66 $210.72 --- $265.74 004 1 0 0.00 $0.00 Y
K 31641 BRONCHOSCOPY TREAT BLOCKAGE 5.66 $210.72 --- $265.74 004 1 0 0.00 $0.00 Y
K 31643 DIAG BRONCHOSCOPE/CATHETER 4.83 $179.82 --- $226.77 004 1 0 0.00 $0.00 Y
K 31645 BRNCHSC W/THER ASPIR 1ST 4.00 $148.92 --- $187.80 004 1 0 0.00 $0.00 Y
K 31646 BRNCHSC W/THER ASPIR SBSQ 2.94 $109.46 --- $138.03 004 1 0 0.00 $0.00 Y
K 31647 BRONCHIAL VALVE INIT INSERT 4.97 $185.03 --- -- 004 0 0 0.00 $0.00 Y
K 31648 BRONCHIAL VALVE REMOV INIT 5.24 $195.09 --- -- 004 0 0 0.00 $0.00 Y
K 31649 BRONCHIAL VALVE REMOV ADDL 1.66 $61.80 --- -- 004 0 0 0.00 $0.00 Y
K 31651 BRONCHIAL VALVE REMOV ADDL 1.76 $65.52 --- -- 004 0 0 0.00 $0.00 Y
K 31652 BRONCH EBUS SAMPLNG 1/2 NODE 22.21 $826.88 --- -- 004 0 0 0.00 $0.00 Y
K 31653 BRONCH EBUS SAMPLNG 3/> NODE 23.59 $878.26 --- -- 004 0 0 0.00 $0.00 Y
K 31654 BRONCH EBUS IVNTJ PERPH LES 3.46 $128.82 --- -- 004 0 0 0.00 $0.00 Y
K 31660 BRONCH THERMOPLSTY 1 LOBE 5.01 $186.52 --- -- 004 0 0 0.00 $0.00 Y
K 31661 BRONCH THERMOPLSTY 2/> LOBES 5.28 $196.57 --- -- 004 0 0 0.00 $0.00 Y
K 31717 BRONCHIAL BRUSH BIOPSY 6.28 $233.80 --- $294.85 004 1 0 0.00 $0.00 Y
K 31720 CATHETER ASPIRATION 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
K 31725 CLEARANCE OF AIRWAYS 1.19 $44.30 --- $55.87 004 1 0 0.00 $0.00 Y
K 31730 INTRO WINDPIPE WIRE/TUBE 3.91 $145.57 --- $183.57 004 1 0 0.00 $0.00 Y
K 31750 REPAIR OF WINDPIPE 12.91 $480.64 --- $606.12 004 1 0 0.00 $0.00 Y
O 31750 REPAIR OF WINDPIPE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 31755 REPAIR OF WINDPIPE 6.61 $246.09 --- $310.34 004 1 0 0.00 $0.00 Y
K 31755 REPAIR OF WINDPIPE 33.06 $1230.82 --- $1552.17 004 1 0 0.00 $0.00 Y
K 31760 REPAIR OF WINDPIPE 32.10 $1195.08 --- $1507.10 004 1 0 0.00 $0.00 Y
O 31760 REPAIR OF WINDPIPE 6.42 $239.02 --- $301.42 004 1 0 0.00 $0.00 Y
O 31766 RECONSTRUCTION OF WINDPIPE 9.35 $348.10 --- $438.98 004 1 0 0.00 $0.00 Y
K 31766 RECONSTRUCTION OF WINDPIPE 46.75 $1740.50 --- $2194.91 004 1 0 0.00 $0.00 Y
K 31770 REPAIR/GRAFT OF BRONCHUS 34.77 $1294.49 --- $1632.45 004 1 0 0.00 $0.00 Y
O 31770 REPAIR/GRAFT OF BRONCHUS 6.95 $258.75 --- $326.30 004 1 0 0.00 $0.00 Y
O 31775 RECONSTRUCT BRONCHUS 7.92 $294.86 --- $371.84 004 1 0 0.00 $0.00 Y
K 31775 RECONSTRUCT BRONCHUS 39.58 $1473.56 --- $1858.28 004 1 0 0.00 $0.00 Y
K 31780 RECONSTRUCT WINDPIPE 27.95 $1040.58 --- $1312.25 004 1 0 0.00 $0.00 Y
O 31780 RECONSTRUCT WINDPIPE 5.57 $207.37 --- $261.51 004 1 0 0.00 $0.00 Y
O 31781 RECONSTRUCT WINDPIPE 6.00 $223.38 --- $281.70 004 1 0 0.00 $0.00 Y
K 31781 RECONSTRUCT WINDPIPE 30.13 $1121.74 --- $1414.60 004 1 0 0.00 $0.00 Y
K 31785 REMOVE WINDPIPE LESION 30.00 $1116.90 --- $1408.50 004 1 0 0.00 $0.00 Y
O 31785 REMOVE WINDPIPE LESION 6.00 $223.38 --- $281.70 004 1 0 0.00 $0.00 Y
O 31786 REMOVE WINDPIPE LESION 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
K 31786 REMOVE WINDPIPE LESION 33.98 $1265.08 --- $1595.36 004 1 0 0.00 $0.00 Y
K 31800 SUTURE OF TRACHEAL WOUND OR INJURY 12.65 $470.96 --- $593.92 004 1 0 0.00 $0.00 Y
O 31800 SUTURE OF TRACHEAL WOUND OR INJURY 2.53 $94.19 --- $118.78 004 1 0 0.00 $0.00 Y
O 31805 REPAIR OF WINDPIPE INJURY 4.80 $178.70 --- $225.36 004 1 0 0.00 $0.00 Y
K 31805 REPAIR OF WINDPIPE INJURY 24.01 $893.89 --- $1127.27 004 1 0 0.00 $0.00 Y
K 31820 CLOSURE OF WINDPIPE LESION 5.57 $207.37 --- $261.51 004 1 0 0.00 $0.00 Y
O 31820 CLOSURE OF WINDPIPE LESION 1.11 $41.33 --- $52.11 004 1 0 0.00 $0.00 Y
O 31825 REPAIR OF WINDPIPE DEFECT 1.58 $58.82 --- $74.18 004 1 0 0.00 $0.00 Y
K 31825 REPAIR OF WINDPIPE DEFECT 7.88 $293.37 --- $369.97 004 1 0 0.00 $0.00 Y
K 31830 REVISE WINDPIPE SCAR 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 31830 REVISE WINDPIPE SCAR 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 31899 AIRWAYS SURGICAL PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 31899 AIRWAYS SURGICAL PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 32035 THORACOSTOMY W/RIB RESECTION 11.33 $421.82 --- -- 004 0 0 0.00 $0.00 Y
O 32035 THORACOSTOMY W/RIB RESECTION 2.27 $84.51 --- -- 004 0 0 0.00 $0.00 Y
O 32036 THORACOSTOMY W/FLAP DRAINAGE 2.27 $84.51 --- -- 004 0 0 0.00 $0.00 Y
K 32036 THORACOSTOMY W/FLAP DRAINAGE 11.33 $421.82 --- -- 004 0 0 0.00 $0.00 Y
K 32096 OPEN WEDGE/BX LUNG INFILTR 17.90 $666.50 --- -- 004 0 0 0.00 $0.00 Y
O 32096 OPEN WEDGE/BX LUNG INFILTR 3.58 $133.30 --- -- 004 0 0 0.00 $0.00 Y
O 32097 OPEN WEDGE/BX LUNG NODULE 3.58 $133.30 --- -- 004 0 0 0.00 $0.00 Y
K 32097 OPEN WEDGE/BX LUNG NODULE 17.90 $666.50 --- -- 004 0 0 0.00 $0.00 Y
K 32098 OPEN BIOPSY OF LUNG PLEURA 16.83 $626.65 --- -- 004 0 0 0.00 $0.00 Y
O 32098 OPEN BIOPSY OF LUNG PLEURA 3.37 $125.33 --- -- 004 0 0 0.00 $0.00 Y
O 32100 EXPLORATION OF CHEST 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 32100 EXPLORATION OF CHEST 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 32110 EXPLORE/REPAIR CHEST 18.12 $674.61 --- $850.73 004 1 0 0.00 $0.00 Y
O 32110 EXPLORE/REPAIR CHEST 3.62 $134.77 --- $169.96 004 1 0 0.00 $0.00 Y
O 32120 RE-EXPLORATION OF CHEST 3.62 $134.77 --- $169.96 004 1 0 0.00 $0.00 Y
K 32120 RE-EXPLORATION OF CHEST 18.12 $674.61 --- $850.73 004 1 0 0.00 $0.00 Y
K 32124 EXPLORE CHEST FREE ADHESIONS 15.86 $590.47 --- -- 004 0 0 0.00 $0.00 Y
O 32124 EXPLORE CHEST FREE ADHESIONS 3.17 $118.02 --- -- 004 0 0 0.00 $0.00 Y
O 32140 REMOVAL OF LUNG LESION(S) 3.62 $134.77 --- -- 004 0 0 0.00 $0.00 Y
K 32140 REMOVAL OF LUNG LESION(S) 18.12 $674.61 --- -- 004 0 0 0.00 $0.00 Y
K 32141 REMOVE/TREAT LUNG LESIONS 18.12 $674.61 --- -- 004 0 0 0.00 $0.00 Y
O 32141 REMOVE/TREAT LUNG LESIONS 3.62 $134.77 --- -- 004 0 0 0.00 $0.00 Y
O 32150 REMOVAL OF LUNG LESION(S) 3.17 $118.02 --- -- 004 0 0 0.00 $0.00 Y
K 32150 REMOVAL OF LUNG LESION(S) 15.86 $590.47 --- -- 004 0 0 0.00 $0.00 Y
K 32151 REMOVE LUNG FOREIGN BODY 15.86 $590.47 --- $744.63 004 1 0 0.00 $0.00 Y
O 32151 REMOVE LUNG FOREIGN BODY 3.17 $118.02 --- $148.83 004 1 0 0.00 $0.00 Y
O 32160 OPEN CHEST HEART MASSAGE 3.00 $111.69 --- $140.85 004 1 0 0.00 $0.00 Y
K 32160 OPEN CHEST HEART MASSAGE 15.01 $558.82 --- $704.72 004 1 0 0.00 $0.00 Y
K 32200 DRAIN OPEN LUNG LESION 15.86 $590.47 --- $744.63 004 1 0 0.00 $0.00 Y
O 32200 DRAIN OPEN LUNG LESION 3.17 $118.02 --- $148.83 004 1 0 0.00 $0.00 Y
O 32215 TREAT CHEST LINING 2.32 $86.37 --- $108.92 004 1 0 0.00 $0.00 Y
K 32215 TREAT CHEST LINING 11.59 $431.50 --- $544.15 004 1 0 0.00 $0.00 Y
K 32220 RELEASE OF LUNG 22.65 $843.26 --- $1063.42 004 1 0 0.00 $0.00 Y
O 32220 RELEASE OF LUNG 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
O 32225 PARTIAL RELEASE OF LUNG 3.17 $118.02 --- $148.83 004 1 0 0.00 $0.00 Y
K 32225 PARTIAL RELEASE OF LUNG 15.86 $590.47 --- $744.63 004 1 0 0.00 $0.00 Y
K 32310 PLEURECTOMY PARIETAL 22.65 $843.26 --- $1063.42 004 1 0 0.00 $0.00 Y
O 32310 PLEURECTOMY PARIETAL 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
O 32320 FREE/REMOVE CHEST LINING 6.00 $223.38 --- $281.70 004 1 0 0.00 $0.00 Y
K 32320 FREE/REMOVE CHEST LINING 30.13 $1121.74 --- $1414.60 004 1 0 0.00 $0.00 Y
K 32400 NEEDLE BIOPSY CHEST LINING 3.60 $134.03 --- $169.02 004 1 1 0.00 $0.00 Y
K 32405 BIOPSY LUNG OR MEDIASTINUM 1.95 $72.60 --- $91.55 004 1 1 0.00 $0.00 Y
K 32440 REMOVAL OF LUNG 33.07 $1231.20 --- $1552.64 004 1 0 0.00 $0.00 Y
O 32440 REMOVAL OF LUNG 6.61 $246.09 --- $310.34 004 1 0 0.00 $0.00 Y
O 32442 REMOVAL OF LUNG, TOTAL PNEUMONECTOMY 4.84 $180.19 --- $227.24 004 1 0 0.00 $0.00 Y
K 32442 REMOVAL OF LUNG, TOTAL PNEUMONECTOMY 24.18 $900.22 --- $1135.25 004 1 0 0.00 $0.00 Y
K 32445 REMOVAL OF LUNG 37.06 $1379.74 --- $1739.97 004 1 0 0.00 $0.00 Y
O 32445 REMOVAL OF LUNG 7.41 $275.87 --- $347.90 004 1 0 0.00 $0.00 Y
O 32480 PARTIAL REMOVAL OF LUNG 5.75 $214.07 --- $269.96 004 1 0 0.00 $0.00 Y
K 32480 PARTIAL REMOVAL OF LUNG 28.74 $1069.99 --- $1349.34 004 1 0 0.00 $0.00 Y
K 32482 REMOVAL OF LUNG,OTHER THAN TOTAL PNEUMON 20.57 $765.82 --- $965.76 004 1 0 0.00 $0.00 Y
O 32482 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMO 4.11 $153.02 --- $192.96 004 1 0 0.00 $0.00 Y
O 32484 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMO 4.21 $156.74 --- $197.66 004 1 0 0.00 $0.00 Y
K 32484 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMO 21.06 $784.06 --- $988.77 004 1 0 0.00 $0.00 Y
K 32486 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMO 22.32 $830.97 --- $1047.92 004 1 0 0.00 $0.00 Y
O 32486 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMO 4.46 $166.05 --- $209.40 004 1 0 0.00 $0.00 Y
O 32488 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMO 4.78 $177.96 --- $224.42 004 1 0 0.00 $0.00 Y
K 32488 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMO 23.90 $889.80 --- $1122.11 004 1 0 0.00 $0.00 Y
K 32491 LUNG VOLUME REDUCTION 27.14 $1010.42 --- -- 004 0 0 0.00 $0.00 N
O 32491 LUNG VOLUME REDUCTION 5.43 $202.16 --- -- 004 0 0 0.00 $0.00 N
O 32501 REPAIR BRONCHUS ADD-ON 1.17 $43.56 --- $54.93 004 1 0 0.00 $0.00 Y
K 32501 REPAIR BRONCHUS ADD-ON 5.80 $215.93 --- $272.31 004 1 0 0.00 $0.00 Y
K 32503 RESECT APICAL LUNG TUMOR 40.19 $1496.27 --- $1886.92 004 1 0 0.00 $0.00 Y
O 32503 RESECT APICAL LUNG TUMOR 8.04 $299.33 --- $377.48 004 1 0 0.00 $0.00 Y
O 32504 RESECT APICAL LUNG TUM/CHEST 9.18 $341.77 --- $431.00 004 1 0 0.00 $0.00 Y
K 32504 RESECT APICAL LUNG TUM/CHEST 45.91 $1709.23 --- $2155.47 004 1 0 0.00 $0.00 Y
K 32505 WEDGE RESECT OF LUNG INITIAL 20.70 $770.65 --- -- 004 0 0 0.00 $0.00 Y
O 32505 WEDGE RESECT OF LUNG INITIAL 4.14 $154.13 --- -- 004 0 0 0.00 $0.00 Y
O 32506 WEDGE RESECT OF LUNG ADD-ON 0.68 $25.50 --- -- 004 0 0 0.00 $0.00 Y
K 32506 WEDGE RESECT OF LUNG ADD-ON 3.42 $127.48 --- -- 004 0 0 0.00 $0.00 Y
K 32507 WEDGE RESECT OF LUNG DIAG 3.42 $127.48 --- -- 004 0 0 0.00 $0.00 Y
O 32507 WEDGE RESECT OF LUNG DIAG 0.68 $25.50 --- -- 004 0 0 0.00 $0.00 Y
O 32540 REMOVAL OF LUNG LESION 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
K 32540 REMOVAL OF LUNG LESION 22.65 $843.26 --- $1063.42 004 1 0 0.00 $0.00 Y
K 32550 INSERT PLEURAL CATH 16.10 $599.40 --- $755.90 004 1 0 0.00 $0.00 Y
K 32551 INSERTION OF CHEST TUBE 3.53 $131.42 --- $165.73 004 1 0 0.00 $0.00 Y
K 32552 REMOVE LUNG CATHETER 4.10 $152.64 --- $192.50 004 1 0 0.00 $0.00 Y
K 32553 INS MARK THOR FOR RT PERQ 13.95 $519.36 --- $654.95 004 1 0 0.00 $0.00 Y
K 32554 ASPIRATE PLEURA W/O IMAGING 1.99 $74.09 --- $93.43 004 1 0 0.00 $0.00 Y
K 32555 ASPIRATE PLEURA W/ IMAGING 2.48 $92.33 --- $116.44 004 1 0 0.00 $0.00 Y
K 32556 INSERT CATH PLEURA W/O IMAGE 2.48 $92.33 --- $116.44 004 1 0 0.00 $0.00 Y
K 32557 INSERT CATH PLEURA W/ IMAGE 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 32560 TREAT PLEURODESIS W/AGENT 6.07 $225.99 --- -- 004 0 0 0.00 $0.00 Y
K 32561 LYSE CHEST FIBRIN INIT DAY 2.14 $79.67 --- -- 004 0 0 0.00 $0.00 Y
O 32561 LYSE CHEST FIBRIN INIT DAY 0.43 $16.01 --- -- 004 0 0 0.00 $0.00 Y
O 32562 LYSE CHEST FIBRIN SUBQ DAY 0.38 $14.15 --- -- 004 0 0 0.00 $0.00 Y
K 32562 LYSE CHEST FIBRIN SUBQ DAY 1.91 $71.11 --- -- 004 0 0 0.00 $0.00 Y
K 32601 THORACOSCOPY DIAGNOSTIC 4.96 $184.66 --- $232.87 004 1 0 0.00 $0.00 Y
K 32604 THORACOSCOPY DIAGNOSTIC 7.17 $266.94 --- $336.63 004 1 0 0.00 $0.00 Y
O 32604 THORACOSCOPY WBX SAC 1.43 $53.24 --- -- 004 0 0 0.00 $0.00 N
O 32606 THORACOSCOPY W/BX MED SPACE 1.37 $51.01 --- -- 004 0 0 0.00 $0.00 N
K 32606 THORACOSCOPY DIAGNOSTIC 6.82 $253.91 --- $320.20 004 1 0 0.00 $0.00 Y
K 32607 THORACOSCOPY W/BX INFILTRATE 6.82 $253.92 --- -- 004 0 0 0.00 $0.00 Y
O 32607 THORACOSCOPY W/BX INFILTRATE 1.36 $50.78 --- -- 004 0 0 0.00 $0.00 Y
O 32608 THORACOSCOPY W/BX NODULE 1.67 $62.24 --- -- 004 0 0 0.00 $0.00 Y
K 32608 THORACOSCOPY W/BX NODULE 8.36 $311.18 --- -- 004 0 0 0.00 $0.00 Y
K 32609 THORACOSCOPY W/BX PLEURA 5.79 $215.58 --- -- 004 0 0 0.00 $0.00 Y
O 32609 THORACOSCOPY W/BX PLEURA 1.16 $43.12 --- -- 004 0 0 0.00 $0.00 Y
K 32650 THORACOSCOPY SURGICAL 10.49 $390.54 --- $492.51 004 1 0 0.00 $0.00 Y
K 32651 THORACOSCOPY SURGICAL 13.86 $516.01 --- $650.73 004 1 0 0.00 $0.00 Y
O 32651 THORACOSCOPY REMOVE CORTEX 2.77 $103.13 --- -- 004 0 0 0.00 $0.00 N
O 32652 THORACOSCOPY REM TOTL CORTEX 3.84 $142.96 --- -- 004 0 0 0.00 $0.00 N
K 32652 THORACOSCOPY SURGICAL 19.22 $715.56 --- $902.38 004 1 0 0.00 $0.00 Y
K 32653 THORACOSCOPY SURGICAL 13.01 $484.36 --- $610.82 004 1 0 0.00 $0.00 Y
O 32653 THORACOSCOPY REMOV FB/FIBRIN 2.61 $97.17 --- -- 004 0 0 0.00 $0.00 N
O 32654 THORACOSCOPY CONTRL BLEEDING 2.66 $99.03 --- -- 004 0 0 0.00 $0.00 N
K 32654 THORACOSCOPY SURGICAL 13.33 $496.28 --- $625.84 004 1 0 0.00 $0.00 Y
K 32655 THORACOSCOPY SURGICAL 15.04 $559.94 --- $706.13 004 1 0 0.00 $0.00 Y
O 32655 THORACOSCOPY RESECT BULLAE 3.01 $112.06 --- -- 004 0 0 0.00 $0.00 N
O 32656 THORACOSCOPY W/PLEURECTOMY 2.96 $110.20 --- -- 004 0 0 0.00 $0.00 N
K 32656 THORACOSCOPY SURGICAL 14.78 $550.26 --- $693.92 004 1 0 0.00 $0.00 Y
K 32658 THORACOSCOPY SURGICAL 14.35 $534.25 --- $673.73 004 1 0 0.00 $0.00 Y
O 32658 THORACOSCOPY W/SAC FB REMOVE 2.87 $106.85 --- -- 004 0 0 0.00 $0.00 N
O 32659 THORACOSCOPY W/SAC DRAINAGE 2.93 $109.08 --- -- 004 0 0 0.00 $0.00 N
K 32659 THORACOSCOPY SURGICAL 14.69 $546.91 --- $689.70 004 1 0 0.00 $0.00 Y
K 32661 THORACOSCOPY SURGICAL 12.63 $470.21 --- $592.98 004 1 0 0.00 $0.00 Y
O 32661 THORACOSCOPY W/PERICARD EXC 2.52 $93.82 --- -- 004 0 0 0.00 $0.00 N
O 32662 THORACOSCOPY W/MEDIAST EXC 3.50 $130.31 --- -- 004 0 0 0.00 $0.00 N
K 32662 THORACOSCOPY SURGICAL 17.48 $650.78 --- $820.69 004 1 0 0.00 $0.00 Y
K 32663 THORACOSCOPY SURGICAL 20.04 $746.09 --- $940.88 004 1 0 0.00 $0.00 Y
O 32663 THORACOSCOPY W/LOBECTOMY 4.01 $149.29 --- -- 004 0 0 0.00 $0.00 N
O 32664 THORACOSCOPY W/ TH NRV EXC 2.75 $102.38 --- -- 004 0 0 0.00 $0.00 N
K 32664 THORACOSCOPY SURGICAL 13.77 $512.66 --- $646.50 004 1 0 0.00 $0.00 Y
K 32665 THORACOSCOPY SURGICAL 16.72 $622.49 --- $785.00 004 1 0 0.00 $0.00 Y
O 32665 THORACOSCOP W/ESOPH MUSC EXC 3.34 $124.35 --- -- 004 0 0 0.00 $0.00 N
O 32666 THORACOSCOPY W/WEDGE RESECT 3.87 $144.26 --- -- 004 0 0 0.00 $0.00 Y
K 32666 THORACOSCOPY W/WEDGE RESECT 19.37 $721.28 --- -- 004 0 0 0.00 $0.00 Y
K 32667 THORACOSCOPY W/W RESECT ADDL 3.42 $127.48 --- -- 004 0 0 0.00 $0.00 Y
O 32667 THORACOSCOPY W/W RESECT ADDL 0.68 $25.50 --- -- 004 0 0 0.00 $0.00 Y
O 32668 THORACOSCOPY W/W RESECT DIAG 0.69 $25.62 --- -- 004 0 0 0.00 $0.00 Y
K 32668 THORACOSCOPY W/W RESECT DIAG 3.44 $128.11 --- -- 004 0 0 0.00 $0.00 Y
K 32669 THORACOSCOPY REMOVE SEGMENT 29.64 $1103.60 --- -- 004 0 0 0.00 $0.00 Y
O 32669 THORACOSCOPY REMOVE SEGMENT 5.93 $220.72 --- -- 004 0 0 0.00 $0.00 Y
O 32670 THORACOSCOPY BILOBECTOMY 7.06 $262.99 --- -- 004 0 0 0.00 $0.00 Y
K 32670 THORACOSCOPY BILOBECTOMY 35.32 $1314.96 --- -- 004 0 0 0.00 $0.00 Y
K 32671 THORACOSCOPY PNEUMONECTOMY 39.10 $1455.54 --- -- 004 0 0 0.00 $0.00 Y
O 32671 THORACOSCOPY PNEUMONECTOMY 7.82 $291.11 --- -- 004 0 0 0.00 $0.00 Y
O 32672 THORACOSCOPY FOR LVRS 6.70 $249.47 --- -- 004 0 0 0.00 $0.00 Y
K 32672 THORACOSCOPY FOR LVRS 33.50 $1247.36 --- -- 004 0 0 0.00 $0.00 Y
K 32673 THORACOSCOPY W/THYMUS RESECT 26.62 $991.04 --- -- 004 0 0 0.00 $0.00 Y
O 32673 THORACOSCOPY W/THYMUS RESECT 5.32 $198.21 --- -- 004 0 0 0.00 $0.00 Y
O 32674 THORACOSCOPY LYMPH NODE EXC 0.94 $34.98 --- -- 004 0 0 0.00 $0.00 Y
K 32674 THORACOSCOPY LYMPH NODE EXC 4.70 $174.92 --- -- 004 0 0 0.00 $0.00 Y
K 32701 THORAX STEREO RAD TARGETW/TX 4.72 $175.73 --- -- 004 0 0 0.00 $0.00 Y
K 32800 REPAIR LUNG HERNIA 24.31 $905.06 --- $1141.35 004 1 0 0.00 $0.00 Y
O 32800 REPAIR LUNG HERNIA 4.86 $180.94 --- $228.18 004 1 0 0.00 $0.00 Y
O 32810 CLOSE CHEST AFTER DRAINAGE 4.62 $172.00 --- $216.91 004 1 0 0.00 $0.00 Y
K 32810 CLOSE CHEST AFTER DRAINAGE 23.12 $860.76 --- $1085.48 004 1 0 0.00 $0.00 Y
K 32815 CLOSE BRONCHIAL FISTULA 38.34 $1427.40 --- $1800.06 004 1 0 0.00 $0.00 Y
O 32815 CLOSE BRONCHIAL FISTULA 7.67 $285.55 --- $360.11 004 1 0 0.00 $0.00 Y
O 32820 RECONSTRUCT INJURED CHEST 7.37 $274.39 --- $346.02 004 1 0 0.00 $0.00 Y
K 32820 RECONSTRUCT INJURED CHEST 36.84 $1371.55 --- $1729.64 004 1 0 0.00 $0.00 Y
K 32851 LUNG TRANSPLANT SINGLE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 32851 LUNG TRANSPLANT SINGLE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 32852 LUNG TRANSPLANT WITH BYPASS 12.48 $464.63 --- $585.94 004 1 0 0.00 $0.00 Y
K 32852 LUNG TRANSPLANT WITH BYPASS 62.38 $2322.41 --- $2928.74 004 1 0 0.00 $0.00 Y
K 32853 LUNG TRANSPLANT DOUBLE 71.72 $2670.14 --- $3367.25 004 1 0 0.00 $0.00 Y
O 32853 LUNG TRANSPLANT DOUBLE 14.34 $533.88 --- $673.26 004 1 0 0.00 $0.00 Y
O 32854 LUNG TRANSPLANT WITH BYPASS 15.15 $564.03 --- $711.29 004 1 0 0.00 $0.00 Y
K 32854 LUNG TRANSPLANT WITH BYPASS 75.76 $2820.54 --- $3556.93 004 1 0 0.00 $0.00 Y
K 32900 REMOVAL OF RIB(S) 16.89 $628.81 --- $792.99 004 1 0 0.00 $0.00 Y
O 32900 REMOVAL OF RIB(S) 3.38 $125.84 --- $158.69 004 1 0 0.00 $0.00 Y
O 32905 REVISE & REPAIR CHEST WALL 6.81 $253.54 --- $319.73 004 1 0 0.00 $0.00 Y
K 32905 REVISE & REPAIR CHEST WALL 34.03 $1266.94 --- $1597.71 004 1 0 0.00 $0.00 Y
K 32906 REVISE & REPAIR CHEST WALL 40.31 $1500.74 --- $1892.55 004 1 0 0.00 $0.00 Y
O 32906 REVISE & REPAIR CHEST WALL 8.06 $300.07 --- $378.42 004 1 0 0.00 $0.00 Y
O 32940 REVISION OF LUNG 3.27 $121.74 --- $153.53 004 1 0 0.00 $0.00 Y
K 32940 REVISION OF LUNG 16.33 $607.97 --- $766.69 004 1 0 0.00 $0.00 Y
K 32960 THERAPEUTIC PNEUMOTHORAX 1.76 $65.52 --- $82.63 004 1 1 0.00 $0.00 Y
K 32994 ABLATE PULM TUMOR PERQ CRYBL 154.67 $5758.63 --- -- 004 0 0 0.00 $0.00 Y
O 32994 ABLATE PULM TUMOR PERQ CRYBL 30.93 $1151.73 --- -- 004 0 0 0.00 $0.00 Y
K 32998 ABLATE PULM TUMOR PERQ RF 69.56 $2589.81 --- -- 004 0 0 0.00 $0.00 Y
K 32999 CHEST SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 32999 CHEST SURGERY PROCEDURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 33016 PERICARDIOCENTESIS W/IMAGING 5.39 $200.83 --- -- 004 0 0 0.00 $0.00 Y
K 33017 PRCRD DRG 6YR+ W/O CGEN CAR 5.60 $208.75 --- -- 004 0 0 0.00 $0.00 Y
O 33017 PRCRD DRG 6YR+ W/O CGEN CAR 1.12 $41.75 --- -- 004 0 0 0.00 $0.00 Y
O 33018 PRCRD DRG 0-5YR OR W/ANOMLY 1.28 $47.79 --- -- 004 0 0 0.00 $0.00 Y
K 33018 PRCRD DRG 0-5YR OR W/ANOMLY 6.41 $238.96 --- -- 004 0 0 0.00 $0.00 Y
K 33019 PERQ PRCRD DRG INSJ CATH CT 5.19 $193.45 --- -- 004 0 0 0.00 $0.00 Y
O 33019 PERQ PRCRD DRG INSJ CATH CT 1.03 $38.69 --- -- 004 0 0 0.00 $0.00 Y
O 33020 INCISION OF HEART SAC 4.16 $154.88 --- $195.31 004 1 0 0.00 $0.00 Y
K 33020 INCISION OF HEART SAC 20.78 $773.64 --- $975.62 004 1 0 0.00 $0.00 Y
K 33025 INCISION OF HEART SAC 20.81 $774.76 --- $977.03 004 1 0 0.00 $0.00 Y
O 33025 INCISION OF HEART SAC 4.16 $154.88 --- $195.31 004 1 0 0.00 $0.00 Y
O 33030 PARTIAL REMOVAL OF HEART SAC 6.30 $234.55 --- $295.79 004 1 0 0.00 $0.00 Y
K 33030 PARTIAL REMOVAL OF HEART SAC 31.52 $1173.49 --- $1479.86 004 1 0 0.00 $0.00 Y
K 33031 PART PERICARD HEART SAC W BYPASS 36.27 $1350.33 --- $1702.88 004 1 0 0.00 $0.00 Y
O 33031 PARTIAL PERICARD HEART W BYPASS 7.25 $269.92 --- $340.39 004 1 0 0.00 $0.00 Y
O 33050 RESECT HEART SAC LESION 3.74 $139.24 --- -- 004 0 0 0.00 $0.00 Y
K 33050 REMOVAL OF HEART SAC LESION 18.80 $699.92 --- $882.66 004 1 0 0.00 $0.00 Y
K 33120 REMOVAL OF HEART LESION 50.00 $1861.50 --- $2347.50 004 1 0 0.00 $0.00 Y
O 33120 REMOVAL OF HEART LESION 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
O 33130 REMOVAL OF HEART LESION 4.76 $177.21 --- $223.48 004 1 0 0.00 $0.00 Y
K 33130 REMOVAL OF HEART LESION 23.56 $877.14 --- $1106.14 004 1 0 0.00 $0.00 Y
K 33202 INSERT EPICARD ELTRD OPEN 18.00 $669.98 --- -- 004 0 0 0.00 $0.00 Y
O 33202 INSERT EPICARD ELTRD OPEN 3.60 $134.00 --- -- 004 0 0 0.00 $0.00 Y
O 33203 INSERT EPICARD ELTRD ENDO 3.70 $137.72 --- -- 004 0 0 0.00 $0.00 Y
K 33203 INSERT EPICARD ELTRD ENDO 18.50 $688.59 --- -- 004 0 0 0.00 $0.00 Y
K 33206 INSERTION OF HEART PACEMAKER 20.00 $744.60 --- $939.00 004 1 0 0.00 $0.00 Y
K 33207 INSERTION OF HEART PACEMAKER 20.00 $744.60 --- $939.00 004 1 0 0.00 $0.00 Y
K 33208 INSERTION OF HEART PACEMAKER 20.00 $744.60 --- $939.00 004 1 0 0.00 $0.00 Y
K 33210 INSERTION OF HEART ELECTRODE 7.00 $260.61 --- $328.65 004 1 0 0.00 $0.00 Y
K 33211 INSERT/REPLACE OF TEMP TRANSVEN DUAL CHA 4.71 $175.35 --- $221.13 004 1 0 0.00 $0.00 Y
K 33212 INSERTION OF PULSE GENERATOR 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 33213 INSERT/REPLACE OF PACEMAKER PULSE GEN. 9.56 $355.92 --- $448.84 004 1 0 0.00 $0.00 Y
K 33214 UPGRADE OF INP PACEMAKER,CONV OF SINGLE 10.66 $396.87 --- $500.49 004 1 0 0.00 $0.00 Y
O 33214 UPGRADE OF IMP PACEMAKER,CONV OF SINGLE 2.13 $79.30 --- $100.00 004 1 0 0.00 $0.00 Y
O 33215 REPOSITION PACINGDEFIB LEAD 0.81 $30.18 --- -- 004 0 0 0.00 $0.00 Y
K 33215 REPOSITION PACINGDEFIB LEAD 4.06 $151.18 --- -- 004 0 0 0.00 $0.00 Y
K 33216 INSERT 1 ELECTRODE PM-DEFIB 12.00 $446.76 --- $563.40 004 1 0 0.00 $0.00 Y
O 33216 INSERT 1 ELECTRODE PM-DEFIB 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 33217 INSERT 2 ELECTRODE PM-DEFIB 1.69 $62.92 --- $79.35 004 1 0 0.00 $0.00 Y
K 33217 INSERT 2 ELECTRODE PM-DEFIB 8.44 $314.22 --- $396.26 004 1 0 0.00 $0.00 Y
K 33218 REPAIR LEAD PACE-DEFIB ONE 5.66 $210.72 --- $265.74 004 1 0 0.00 $0.00 Y
K 33220 REPAIR LEAD PACE-DEFIB DUAL 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 33221 INSERT PULSE GEN MULT LEADS 7.82 $291.26 --- -- 004 0 0 0.00 $0.00 Y
K 33222 REVISE POCKET PACEMAKER 8.26 $307.52 --- $387.81 004 1 0 0.00 $0.00 Y
O 33222 REVISE POCKET PACEMAKER 1.65 $61.43 --- $77.47 004 1 0 0.00 $0.00 Y
O 33223 REVISE POCKET FOR DEFIB 1.98 $73.72 --- $92.96 004 1 0 0.00 $0.00 Y
K 33223 REVISE POCKET FOR DEFIB 9.92 $369.32 --- $465.74 004 1 0 0.00 $0.00 Y
K 33224 INSERT PACING LEAD & CONNECT 7.51 $279.60 --- -- 004 0 0 0.00 $0.00 Y
K 33225 L VENTRIC PACING LEAD ADD-ON 6.94 $258.35 --- -- 004 0 0 0.00 $0.00 Y
K 33226 REPOSITION L VENTRIC LEAD 7.22 $268.82 --- -- 004 0 0 0.00 $0.00 Y
K 33227 REMOVE&REPLACE PM GEN SINGL 7.47 $278.10 --- -- 004 0 0 0.00 $0.00 Y
K 33228 REMV&REPLC PM GEN DUAL LEAD 7.78 $289.79 --- -- 004 0 0 0.00 $0.00 Y
K 33229 REMV&REPLC PM GEN MULT LEADS 8.10 $301.48 --- -- 004 0 0 0.00 $0.00 Y
K 33230 *12INSRT PULSE GEN W/DUAL LEADS 8.40 $312.84 --- -- 004 0 0 0.00 $0.00 Y
K 33231 INSRT PULSE GEN W/MULT LEADS 8.72 $324.53 --- -- 004 0 0 0.00 $0.00 Y
K 33233 REMOVAL OF PM GENERATOR 4.18 $155.62 --- $196.25 004 1 0 0.00 $0.00 N
K 33234 REMOVAL OF PERMANENT PACEMAKER PULSE GEN 7.15 $266.19 --- $335.69 004 1 0 0.00 $0.00 Y
O 33234 REMOVAL OF PERMANENT PACEMAKER PULSE GEN 1.43 $53.24 --- $67.14 004 1 0 0.00 $0.00 Y
O 33235 REMOVAL OF PERMANENT PACEMAKER PULSE GEN 1.73 $64.41 --- $81.22 004 1 0 0.00 $0.00 Y
K 33235 REMOVAL OF PERMANENT PACEMAKER PULSE GEN 8.69 $323.53 --- $408.00 004 1 0 0.00 $0.00 Y
K 33236 REMOVAL OF PERM EPICARD PACEMAKER/ELECTR 12.14 $451.97 --- $569.97 004 1 0 0.00 $0.00 Y
O 33236 REMOVAL OF PERM EPICARD PACEMAKER/ELECTR 2.42 $90.10 --- $113.62 004 1 0 0.00 $0.00 Y
O 33237 REMOVAL OF PERM EPICARD PACEMAKER/ELECTR 3.64 $135.52 --- $170.90 004 1 0 0.00 $0.00 Y
K 33237 REMOVAL OF PERM EPICARD PACEMAKER/ELECTR 18.18 $676.84 --- $853.55 004 1 0 0.00 $0.00 Y
K 33238 REMOVAL OF PERM TRANSV ELECTR BY THORACO 20.28 $755.02 --- $952.15 004 1 0 0.00 $0.00 Y
O 33238 REMOV OF PERM TRANV ELECTROD BY THORACOT 4.05 $150.78 --- $190.15 004 1 0 0.00 $0.00 Y
K 33240 INSERT PULSE GENERATOR 10.31 $383.84 --- $484.05 004 1 0 0.00 $0.00 Y
K 33241 REMOVE PULSE GENERATOR 4.03 $150.04 --- $189.21 004 1 0 0.00 $0.00 Y
K 33243 REMOVE ELTRD/THORACOTOMY 24.07 $896.13 --- $1130.09 004 1 0 0.00 $0.00 Y
O 33243 REMOVE ELTRD/THORACOTOMY 4.81 $179.08 --- $225.83 004 1 0 0.00 $0.00 Y
O 33244 REMOVE ELTRD TRANSVEN 2.93 $109.08 --- $137.56 004 1 0 0.00 $0.00 Y
K 33244 REMOVE ELTRD TRANSVEN 14.67 $546.16 --- $688.76 004 1 0 0.00 $0.00 Y
K 33249 ELTRD/INSERT PACE-DEFIB 24.04 $895.01 --- $1128.68 004 1 0 0.00 $0.00 Y
K 33250 ABLATE HEART DYSRHYTHM FOCUS 41.13 $1531.27 --- $1931.05 004 1 0 0.00 $0.00 Y
O 33250 ABLATE HEART DYSRHYTHM FOCUS 8.23 $306.40 --- $386.40 004 1 0 0.00 $0.00 Y
O 33251 ABLATE HEART DYSTYTHM FOCUS 8.84 $329.11 --- $415.04 004 1 0 0.00 $0.00 Y
K 33251 ABLATE HEART DYSRYTHM FOCUS 44.19 $1645.19 --- $2074.72 004 1 0 0.00 $0.00 Y
K 33254 ABLATE ATRIA LMTD 31.31 $1165.85 --- -- 004 0 0 0.00 $0.00 Y
O 33254 ABLATE ATRIA LMTD 6.26 $233.17 --- -- 004 0 0 0.00 $0.00 Y
O 33255 ABLATE ATRIA W/O BYPASS EXT 7.54 $280.73 --- -- 004 0 0 0.00 $0.00 Y
K 33255 ABLATE ATRIA W/O BYPASS EXT 37.70 $1403.67 --- -- 004 0 0 0.00 $0.00 Y
K 33256 ABLATE ATRIA W/BYPASS EXTEN 44.97 $1674.29 --- -- 004 0 0 0.00 $0.00 Y
O 33256 ABLATE ATRIA W/BYPASS EXTEN 8.99 $334.86 --- -- 004 0 0 0.00 $0.00 Y
O 33257 ABLATE ATRIA LMTD ADD-ON 2.48 $92.33 --- -- 004 0 0 0.00 $0.00 Y
K 33257 ABLATE ATRIA LMTD ADD-ON 12.38 $460.91 --- -- 004 0 0 0.00 $0.00 Y
K 33258 ABLATE ATRIA X10SV ADD-ON 13.96 $519.73 --- -- 004 0 0 0.00 $0.00 Y
O 33258 ABLATE ATRIA X10SV ADD-ON 2.79 $103.87 --- $130.99 004 1 0 0.00 $0.00 Y
O 33259 ABLATE ATRIA W/BYPASS ADDON 3.65 $135.89 --- -- 004 0 0 0.00 $0.00 Y
K 33259 ABLATE ATRIA W/BYPASS ADDON 18.24 $679.08 --- -- 004 0 0 0.00 $0.00 Y
K 33261 OPERATIVE ABLATION OF VENT ARRHYTHMOGENC 33.25 $1237.90 --- $1561.09 004 1 0 0.00 $0.00 Y
O 33261 OPERATIVE ABLATION OF VENT ARRHYTHMOGENC 6.65 $247.58 --- $312.22 004 1 0 0.00 $0.00 Y
K 33262 REMV&REPLC CVD GEN SING LEAD 8.10 $301.74 --- -- 004 0 0 0.00 $0.00 Y
K 33263 REMV&REPLC CVD GEN DUAL LEAD 8.42 $313.43 --- -- 004 0 0 0.00 $0.00 Y
K 33264 REMV&REPLC CVD GEN MULT LEAD 8.73 $325.13 --- -- 004 0 0 0.00 $0.00 Y
K 33265 ABLATE ATRIA LMTD ENDO 31.31 $1165.85 --- -- 004 0 0 0.00 $0.00 Y
O 33265 ABLATE ATRIA LMTD ENDO 6.26 $233.17 --- -- 004 0 0 0.00 $0.00 Y
O 33266 ABLATE ATRIA X10SV ENDO 8.56 $318.53 --- -- 004 0 0 0.00 $0.00 Y
K 33266 ABLATE ATRIA X10SV ENDO 42.78 $1592.63 --- -- 004 0 0 0.00 $0.00 Y
K 33270 INS/REP SUBQ DEFIBRILLATOR 13.67 $508.93 --- -- 004 0 0 0.00 $0.00 Y
K 33271 INSJ SUBQ IMPLTBL DFB ELCTRD 11.52 $428.89 --- -- 004 0 0 0.00 $0.00 Y
K 33272 RMVL OF SUBQ DEFIBRILLATOR 8.49 $316.08 --- -- 004 0 0 0.00 $0.00 Y
K 33273 REPOS PREV IMPLTBL SUBQ DFB 9.26 $344.75 --- -- 004 0 0 0.00 $0.00 Y
K 33274 TCAT INSJ/RPL PERM LDLS PM 11.22 $417.72 --- -- 004 0 0 0.00 $0.00 Y
K 33275 TCAT RMVL PERM LDLS PM W/IMG 11.85 $441.18 --- -- 004 0 0 0.00 $0.00 Y
K 33285 INSJ SUBQ CAR RHYTHM MNTR 129.92 $4836.92 --- -- 004 0 0 0.00 $0.00 Y
O 33285 INSJ SUBQ CAR RHYTHM MNTR 25.98 $967.24 --- -- 004 0 0 0.00 $0.00 Y
O 33286 RMVL SUBQ CAR RHYTHM MNTR 0.62 $23.08 --- -- 004 0 0 0.00 $0.00 Y
K 33286 RMVL SUBQ CAR RHYTHM MNTR 3.10 $115.41 --- -- 004 0 0 0.00 $0.00 Y
K 33289 TCAT IMPL WRLS P-ART PRS SNR 7.41 $275.87 --- -- 004 0 0 0.00 $0.00 Y
O 33289 TCAT IMPL WRLS P-ART PRS SNR 1.48 $55.10 --- -- 004 0 0 0.00 $0.00 Y
O 33300 REPAIR OF HEART WOUND 5.44 $202.53 --- $255.41 004 1 0 0.00 $0.00 Y
K 33300 REPAIR OF HEART WOUND 27.18 $1011.91 --- $1276.10 004 1 0 0.00 $0.00 Y
K 33305 REPAIR OF HEART WOUND 32.85 $1223.01 --- $1542.31 004 1 0 0.00 $0.00 Y
O 33305 REPAIR OF HEART WOUND 6.57 $244.60 --- $308.46 004 1 0 0.00 $0.00 Y
O 33310 EXPLORATORY HEART SURGERY 5.44 $202.53 --- $255.41 004 1 0 0.00 $0.00 Y
K 33310 EXPLORATORY HEART SURGERY 27.18 $1011.91 --- $1276.10 004 1 0 0.00 $0.00 Y
K 33315 EXPLORATORY HEART SURGERY 40.00 $1489.20 --- $1878.00 004 1 0 0.00 $0.00 Y
O 33315 EXPLORATORY HEART SURGERY 8.00 $297.84 --- $375.60 004 1 0 0.00 $0.00 Y
O 33320 SUTURE REPAIR OF AORTA OR GREAT VESSELS 3.74 $139.24 --- $175.59 004 1 0 0.00 $0.00 Y
K 33320 SUTURE REPAIR OF AORTA OR GREAT VESSELS 18.80 $699.92 --- $882.66 004 1 0 0.00 $0.00 Y
K 33321 SUTURE REPAIR OF AORTA OR GREAT VESSELS; 33.21 $1236.41 --- $1559.21 004 1 0 0.00 $0.00 Y
O 33321 SUTURE REPAIR OF AORTA OR GREAT VESSELS; 6.65 $247.58 --- $312.22 004 1 0 0.00 $0.00 Y
O 33322 REPAIR MAJOR BLOOD VESSEL(S) 6.57 $244.60 --- $308.46 004 1 0 0.00 $0.00 Y
K 33322 REPAIR MAJOR BLOOD VESSEL(S) 32.85 $1223.01 --- $1542.31 004 1 0 0.00 $0.00 Y
K 33330 INSERT OF GRAFT, AORTA OR GREAT VESSELS 32.85 $1223.01 --- $1542.31 004 1 0 0.00 $0.00 Y
O 33330 INSERT OF GRAFT, AORTA OR GREAT VESSELS 6.57 $244.60 --- $308.46 004 1 0 0.00 $0.00 Y
O 33335 INSERT MAJOR VESSEL GRAFT 9.27 $345.12 --- $435.23 004 1 0 0.00 $0.00 Y
K 33335 INSERT MAJOR VESSEL GRAFT 46.33 $1724.87 --- $2175.19 004 1 0 0.00 $0.00 Y
K 33340 PERQ CLSR TCAT L ATR APNDGE 18.23 $678.70 --- -- 004 0 0 0.00 $0.00 Y
O 33340 PERQ CLSR TCAT L ATR APNDGE 3.64 $135.52 --- -- 004 0 0 0.00 $0.00 Y
O 33361 REPLACE AORTIC VALVE PERQ 5.79 $215.56 --- -- 004 0 0 0.00 $0.00 Y
K 33361 REPLACE AORTIC VALVE PERQ 28.98 $1078.93 --- -- 004 0 0 0.00 $0.00 Y
K 33362 REPLACE AORTIC VALVE OPEN 31.70 $1180.19 --- -- 004 0 0 0.00 $0.00 Y
O 33362 REPLACE AORTIC VALVE OPEN 6.34 $236.04 --- -- 004 0 0 0.00 $0.00 Y
O 33363 REPLACE AORTIC VALVE OPEN 6.57 $244.45 --- -- 004 0 0 0.00 $0.00 Y
K 33363 REPLACE AORTIC VALVE OPEN 32.83 $1222.26 --- -- 004 0 0 0.00 $0.00 Y
K 33364 REPLACE AORTIC VALVE OPEN 34.98 $1302.31 --- -- 004 0 0 0.00 $0.00 Y
O 33364 REPLACE AORTIC VALVE OPEN 6.99 $260.24 --- -- 004 0 0 0.00 $0.00 Y
O 33365 REPLACE AORTIC VALVE OPEN 7.62 $283.69 --- -- 004 0 0 0.00 $0.00 Y
K 33365 REPLACE AORTIC VALVE OPEN 38.10 $1418.46 --- -- 004 0 0 0.00 $0.00 Y
K 33366 TRCATH REPLACE AORTIC VALVE 43.17 $1607.22 --- -- 004 0 0 0.00 $0.00 Y
O 33366 TRCATH REPLACE AORTIC VALVE 8.63 $321.29 --- -- 004 0 0 0.00 $0.00 Y
O 33367 REPLACE AORTIC VALVE W/BYP 2.66 $99.03 --- -- 004 0 0 0.00 $0.00 Y
K 33367 REPLACE AORTIC VALVE W/BYP 13.33 $496.28 --- -- 004 0 0 0.00 $0.00 Y
K 33368 REPLACE AORTIC VALVE W/BYP 16.16 $601.64 --- -- 004 0 0 0.00 $0.00 Y
O 33368 REPLACE AORTIC VALVE W/BYP 3.23 $120.25 --- -- 004 0 0 0.00 $0.00 Y
O 33369 REPLACE AORTIC VALVE W/BYP 4.26 $158.60 --- -- 004 0 0 0.00 $0.00 Y
K 33369 REPLACE AORTIC VALVE W/BYP 21.34 $794.49 --- -- 004 0 0 0.00 $0.00 Y
K 33390 VALVULOPLASTY AORTIC VALVE 43.36 $1614.29 --- -- 004 0 0 0.00 $0.00 Y
O 33390 VALVULOPLASTY AORTIC VALVE 8.67 $322.78 --- -- 004 0 0 0.00 $0.00 Y
O 33391 VALVULOPLASTY AORTIC VALVE 10.27 $382.35 --- -- 004 0 0 0.00 $0.00 Y
K 33391 VALVULOPLASTY AORTIC VALVE 51.38 $1912.88 --- -- 004 0 0 0.00 $0.00 Y
K 33404 PREPARE HEART-AORTA CONDUIT 51.45 $1915.48 --- $2415.58 004 1 0 0.00 $0.00 Y
O 33404 PREPARE HEART-AORTA CONDUIT 10.29 $383.10 --- $483.12 004 1 0 0.00 $0.00 Y
O 33405 REPLACEMENT OF AORTIC VALVE 10.40 $387.19 --- $488.28 004 1 0 0.00 $0.00 Y
K 33405 REPLACEMENT OF AORTIC VALVE 52.00 $1935.96 --- $2441.40 004 1 0 0.00 $0.00 Y
K 33406 REPLACEMENT OF AORTIC VALVE 49.45 $1841.02 --- $2321.68 004 1 0 0.00 $0.00 Y
O 33406 REPLACEMENT OF AORTIC VALVE 9.89 $368.20 --- $464.34 004 1 0 0.00 $0.00 Y
O 33410 REPLACEMENT OF AORTIC VALVE 7.96 $296.35 --- $373.72 004 1 0 0.00 $0.00 Y
K 33410 REPLACEMENT OF AORTIC VALVE 39.79 $1481.38 --- $1868.14 004 1 0 0.00 $0.00 Y
K 33411 REPLACEMENT OF AORTIC VALVE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 33411 REPLACEMENT OF AORTIC VALVE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 33412 REPLACEMENT OF AORTIC VALVE 11.84 $440.80 --- $555.89 004 1 0 0.00 $0.00 Y
K 33412 REPLACEMENT OF AORTIC VALVE 59.22 $2204.76 --- $2780.38 004 1 0 0.00 $0.00 Y
K 33413 REPLACEMENT OF AORTIC VALVE 48.95 $1822.41 --- $2298.20 004 1 0 0.00 $0.00 Y
O 33413 REPLACEMENT OF AORTIC VALVE 9.79 $364.48 --- $459.64 004 1 0 0.00 $0.00 Y
O 33414 REPAIR OF AORTIC VALVE 8.39 $312.36 --- $393.91 004 1 0 0.00 $0.00 Y
K 33414 REPAIR OF AORTIC VALVE 41.95 $1561.80 --- $1969.55 004 1 0 0.00 $0.00 Y
K 33415 REVISION SUBVALVULAR TISSUE 37.60 $1399.85 --- $1765.32 004 1 0 0.00 $0.00 Y
O 33415 REVISION SUBVALVULAR TISSUE 7.48 $278.48 --- $351.19 004 1 0 0.00 $0.00 Y
O 33416 REVISE VENTR. MUSCLE 11.78 $438.57 --- $553.07 004 1 0 0.00 $0.00 Y
K 33416 REVISE VENTRICULAR MUSCLE 37.60 $1399.85 --- $1765.32 004 1 0 0.00 $0.00 Y
K 33417 REPAIR OF AORTIC VALVE 37.60 $1399.85 --- $1765.32 004 1 0 0.00 $0.00 Y
O 33417 REPAIR OF AORTIC VALVE 7.48 $278.48 --- $351.19 004 1 0 0.00 $0.00 Y
O 33418 REPAIR TCAT MITRAL VALVE 8.56 $318.69 --- -- 004 0 0 0.00 $0.00 Y
K 33418 REPAIR TCAT MITRAL VALVE 42.83 $1594.56 --- -- 004 0 0 0.00 $0.00 Y
K 33419 REPAIR TCAT MITRAL VALVE 10.01 $372.67 --- -- 004 0 0 0.00 $0.00 Y
O 33419 REPAIR TCAT MITRAL VALVE 2.00 $74.46 --- -- 004 0 0 0.00 $0.00 Y
O 33420 REVISION OF MITRAL VALVE 6.40 $238.27 --- $300.48 004 1 0 0.00 $0.00 Y
K 33420 REVISION OF MITRAL VALVE 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
K 33422 REVISION OF MITRAL VALVE 41.34 $1539.09 --- $1940.91 004 1 0 0.00 $0.00 Y
O 33422 REVISION OF MITRAL VALVE 8.27 $307.89 --- $388.28 004 1 0 0.00 $0.00 Y
O 33425 REPAIR OF MITRAL VALVE 10.40 $387.19 --- $488.28 004 1 0 0.00 $0.00 Y
K 33425 REPAIR OF MITRAL VALVE 52.00 $1935.96 --- $2441.40 004 1 0 0.00 $0.00 Y
K 33426 REPAIR MITRAL VALVE 52.00 $1935.96 --- $2441.40 004 1 0 0.00 $0.00 Y
O 33426 REPAIR MITRAL VALVE 10.40 $387.19 --- $488.28 004 1 0 0.00 $0.00 Y
O 33427 REPAIR MITRAL VALVE 10.24 $381.24 --- $480.77 004 1 0 0.00 $0.00 Y
K 33427 REPAIR MITRAL VALVE 51.19 $1905.80 --- $2403.37 004 1 0 0.00 $0.00 Y
K 33430 REPLACEMENT OF MITRAL VALVE 52.00 $1935.96 --- $2441.40 004 1 0 0.00 $0.00 Y
O 33430 REPLACEMENT OF MITRAL VALVE 10.40 $387.19 --- $488.28 004 1 0 0.00 $0.00 Y
O 33440 RPLCMT A-VALVE TLCJ AUTOL PV 15.18 $565.15 --- -- 004 0 0 0.00 $0.00 Y
K 33440 RPLCMT A-VALVE TLCJ AUTOL PV 75.94 $2827.25 --- -- 004 0 0 0.00 $0.00 Y
K 33460 REVISION OF TRICUSPID VALVE 50.00 $1861.50 --- $2347.50 004 1 0 0.00 $0.00 Y
O 33460 REVISION OF TRICUSPID VALVE 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
O 33463 VALVULOPLASTY TRICUSPID 6.92 $257.63 --- $324.89 004 1 0 0.00 $0.00 Y
K 33463 VALVULOPLASTY TRICUSPID 34.58 $1287.41 --- $1623.53 004 1 0 0.00 $0.00 Y
K 33464 VALVULOPLASTY TRICUSPID 37.04 $1379.00 --- $1739.03 004 1 0 0.00 $0.00 Y
O 33464 VALVULOPLASTY TRICUSPID 7.41 $275.87 --- $347.90 004 1 0 0.00 $0.00 Y
O 33465 REPLACE TRICUSPID VALVE 10.40 $387.19 --- $488.28 004 1 0 0.00 $0.00 Y
K 33465 REPLACE TRICUSPID VALVE 52.00 $1935.96 --- $2441.40 004 1 0 0.00 $0.00 Y
K 33468 REVISION OF TRICUSPID VALVE 50.74 $1889.05 --- $2382.24 004 1 0 0.00 $0.00 Y
O 33468 REVISION OF TRICUSPID VALVE 10.19 $379.37 --- $478.42 004 1 0 0.00 $0.00 Y
O 33470 REVISION OF PULMONARY VALVE 6.40 $238.27 --- $300.48 004 1 0 0.00 $0.00 Y
K 33470 REVISION OF PULMONARY VALVE 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
K 33471 VALVOTOMY PULMONARY VALVE 30.23 $1125.46 --- $1419.30 004 1 0 0.00 $0.00 Y
O 33471 VALVOTOMY PULMONARY VALVE 6.05 $225.24 --- $284.05 004 1 0 0.00 $0.00 Y
O 33474 REVISION OF PULMONARY VALVE 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
K 33474 REVISION OF PULMONARY VALVE 50.00 $1861.50 --- $2347.50 004 1 0 0.00 $0.00 Y
K 33475 REPLACEMENT PULMONARY VALVE 39.18 $1458.67 --- $1839.50 004 1 0 0.00 $0.00 Y
O 33475 REPLACEMENT PULMONARY VALVE 7.84 $291.88 --- $368.09 004 1 0 0.00 $0.00 Y
O 33476 REVISION OF HEART CHAMBER 7.39 $275.13 --- $346.96 004 1 0 0.00 $0.00 Y
K 33476 REVISION OF HEART CHAMBER 36.97 $1376.39 --- $1735.74 004 1 0 0.00 $0.00 Y
K 33477 IMPLANT TCAT PULM VLV PERQ 29.98 $1116.16 --- -- 004 0 0 0.00 $0.00 Y
K 33478 REVISION OF HEART CHAMBER 44.40 $1653.01 --- $2084.58 004 1 0 0.00 $0.00 Y
O 33478 REVISION OF HEART CHAMBER 8.92 $332.09 --- $418.79 004 1 0 0.00 $0.00 Y
O 33496 REPAIR PROSTH VALVE CLOT 9.10 $338.79 --- $427.25 004 1 0 0.00 $0.00 Y
K 33496 REPAIR PROSTH VALVE CLOT 45.47 $1692.85 --- $2134.82 004 1 0 0.00 $0.00 Y
K 33500 REPAIR HEART VESSEL FISTULA 39.98 $1488.46 --- $1877.06 004 1 0 0.00 $0.00 Y
O 33500 REPAIR HEART VESSEL FISTULA 8.04 $299.33 --- $377.48 004 1 0 0.00 $0.00 Y
O 33501 REPAIR HEART VESSEL FISTULA 5.86 $218.17 --- $275.13 004 1 0 0.00 $0.00 Y
K 33501 REPAIR HEART VESSEL FISTULA 29.30 $1090.84 --- $1375.64 004 1 0 0.00 $0.00 Y
K 33502 CORONARY ARTERY CORRECTION 36.24 $1349.22 --- $1701.47 004 1 0 0.00 $0.00 Y
O 33502 CORONARY ARTERY CORRECTION 7.25 $269.92 --- $340.39 004 1 0 0.00 $0.00 Y
O 33503 CORONARY ARTERY GRAFT 6.57 $244.60 --- $308.46 004 1 0 0.00 $0.00 Y
K 33503 CORONARY ARTERY GRAFT 32.85 $1223.01 --- $1542.31 004 1 0 0.00 $0.00 Y
K 33504 CORONARY ARTERY GRAFT 50.00 $1861.50 --- $2347.50 004 1 0 0.00 $0.00 Y
O 33504 CORONARY ARTERY GRAFT 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
O 33505 REPAIR OF ANOMALOUS CORONARY ARTERY' 7.26 $270.29 --- $340.86 004 1 0 0.00 $0.00 Y
K 33505 REPAIR OF ANOMALOUS CORONARY ARTERY; 36.30 $1351.45 --- $1704.29 004 1 0 0.00 $0.00 Y
K 33506 REPAIR ARTERY TRANSLOCATION 36.30 $1351.45 --- $1704.29 004 1 0 0.00 $0.00 Y
O 33506 REPAIR ARTERY TRANSLOCATION 7.26 $270.29 --- $340.86 004 1 0 0.00 $0.00 Y
O 33507 REPAIR ART INTRAMURAL 7.74 $288.16 --- $363.39 004 1 0 0.00 $0.00 Y
K 33507 REPAIR ART INTRAMURAL 38.72 $1441.55 --- $1817.90 004 1 0 0.00 $0.00 Y
K 33508 ENDOSCOPIC VEIN HARVEST 0.34 $12.51 --- $15.96 004 1 0 0.00 $0.00 Y
K 33510 CABG VEIN SINGLE 48.67 $1811.98 --- $2285.06 004 1 0 0.00 $0.00 Y
O 33510 CABG VEIN SINGLE 9.76 $363.36 --- $458.23 004 1 0 0.00 $0.00 Y
O 33511 CABG VEIN TWO 10.71 $398.73 --- $502.83 004 1 0 0.00 $0.00 Y
K 33511 CABG VEIN TWO 53.55 $1993.67 --- $2514.17 004 1 0 0.00 $0.00 Y
K 33512 CABG VEIN THREE 58.33 $2171.63 --- $2738.59 004 1 0 0.00 $0.00 Y
O 33512 CABG VEIN THREE 11.67 $434.47 --- $547.91 004 1 0 0.00 $0.00 Y
O 33513 CABG VEIN FOUR 12.60 $469.10 --- $591.57 004 1 0 0.00 $0.00 Y
K 33513 CABG VEIN FOUR 63.10 $2349.21 --- $2962.55 004 1 0 0.00 $0.00 Y
K 33514 CABG VEIN FIVE 67.84 $2525.68 --- $3185.09 004 1 0 0.00 $0.00 Y
O 33514 CABG VEIN FIVE 13.57 $505.21 --- $637.11 004 1 0 0.00 $0.00 Y
O 33516 CABG VEIN SIX OR MORE 14.52 $540.58 --- $681.71 004 1 0 0.00 $0.00 Y
K 33516 CABG VEIN SIX OR MORE 72.61 $2703.27 --- $3409.04 004 1 0 0.00 $0.00 Y
K 33517 CABG ARTERY-VEIN SINGLE 4.76 $177.21 --- $223.48 004 1 0 0.00 $0.00 Y
O 33517 CABG ARTERY-VEIN SINGLE 0.95 $35.37 --- $44.60 004 1 0 0.00 $0.00 Y
O 33518 CABG ARTERY-VEIN TWO 1.91 $71.11 --- $89.67 004 1 0 0.00 $0.00 Y
K 33518 CABG ARTERY-VEIN TWO 9.53 $354.80 --- $447.43 004 1 0 0.00 $0.00 Y
K 33519 CABG ARTERY-VEIN THREE 14.29 $532.02 --- $670.92 004 1 0 0.00 $0.00 Y
O 33519 CABG ARTERY-VEIN THREE 2.86 $106.48 --- $134.28 004 1 0 0.00 $0.00 Y
O 33521 CABG ARTERY-VEIN FOUR 3.81 $141.85 --- $178.88 004 1 0 0.00 $0.00 Y
K 33521 CABG ARTERY-VEIN FOUR 19.05 $709.23 --- $894.40 004 1 0 0.00 $0.00 Y
K 33522 CABG ARTERY-VEIN FIVE 23.82 $886.82 --- $1118.35 004 1 0 0.00 $0.00 Y
O 33522 CABG ARTERY-VEIN FIVE 4.76 $177.21 --- $223.48 004 1 0 0.00 $0.00 Y
O 33523 CABG ART-VEIN SIX OR MORE 5.72 $212.96 --- $268.55 004 1 0 0.00 $0.00 Y
K 33523 CABG ART-VEIN SIX OR MORE 28.59 $1064.41 --- $1342.30 004 1 0 0.00 $0.00 Y
K 33530 CORONARY ARTERY BYPASS/REOP 15.51 $577.44 --- $728.19 004 1 0 0.00 $0.00 Y
O 33530 CORONARY ARTERY BYPASS/REOP 3.10 $115.41 --- $145.55 004 1 0 0.00 $0.00 Y
O 33533 CABG ARTERIAL SINGLE 10.06 $374.53 --- $472.32 004 1 0 0.00 $0.00 Y
K 33533 CABG ARTERIAL SINGLE 50.28 $1871.92 --- $2360.65 004 1 0 0.00 $0.00 Y
K 33534 CABG ARTERIAL TWO 56.54 $2104.98 --- $2654.55 004 1 0 0.00 $0.00 Y
O 33534 CABG ARTERIAL TWO 11.31 $421.07 --- $531.00 004 1 0 0.00 $0.00 Y
O 33535 CABG ARTERIAL THREE 12.56 $467.61 --- $589.69 004 1 0 0.00 $0.00 Y
K 33535 CABG ARTERIAL THREE 62.79 $2337.67 --- $2947.99 004 1 0 0.00 $0.00 Y
K 33536 CABG ARTERIAL FOUR OR MORE 69.06 $2571.10 --- $3242.37 004 1 0 0.00 $0.00 Y
O 33536 CABG ARTERIAL FOUR OR MORE 13.81 $514.15 --- $648.38 004 1 0 0.00 $0.00 Y
O 33542 REMOVAL OF HEART LESION 10.54 $392.40 --- $494.85 004 1 0 0.00 $0.00 Y
K 33542 REMOVAL OF HEART LESION 52.68 $1961.28 --- $2473.33 004 1 0 0.00 $0.00 Y
K 33545 REPAIR OF HEART DAMAGE 62.78 $2337.30 --- $2947.52 004 1 0 0.00 $0.00 Y
O 33545 REPAIR OF HEART DAMAGE 12.56 $467.61 --- $589.69 004 1 0 0.00 $0.00 Y
O 33548 RESTORE/REMODEL VENTRICLE 10.21 $380.12 --- $479.36 004 1 0 0.00 $0.00 Y
K 33548 RESTORE/REMODEL VENTRICLE 51.06 $1900.96 --- $2397.27 004 1 0 0.00 $0.00 Y
K 33572 CORONARY ENDARTERCTOMY OF LEFT ANTERIOR 7.36 $274.01 --- $345.55 004 1 0 0.00 $0.00 Y
O 33572 CORONARY ENDARTERECTOMY OF LEFT ANTERIOR 1.47 $54.73 --- $69.02 004 1 0 0.00 $0.00 Y
O 33600 CLOSURE OF ATRIOVEN VAL(MITRAL/TRICUSPID 8.11 $301.94 --- $380.76 004 1 0 0.00 $0.00 Y
K 33600 CLOSURE ATRIOVEN VAL (MITRAL/TRICUSPID) 40.57 $1510.42 --- $1904.76 004 1 0 0.00 $0.00 Y
K 33602 CLOSURE OF SEM VAL(AORTIC/PULMON)BY SUTU 39.18 $1458.67 --- $1839.50 004 1 0 0.00 $0.00 Y
O 33602 CLOSURE OF SEM VAL(AORTIC/PULMON)BY SUTU 7.84 $291.88 --- $368.09 004 1 0 0.00 $0.00 Y
O 33606 ANASTOMOSIS OF PUL ART TO AOR(DAM-KAYST 8.39 $312.36 --- $393.91 004 1 0 0.00 $0.00 Y
K 33606 ANASTOMOSIS OF PUL ART TO AOR(DAM-KAY-ST 41.95 $1561.80 --- $1969.55 004 1 0 0.00 $0.00 Y
K 33608 REPAIR OF COM CARDI ANOM OT THAN PUL ART 42.95 $1599.03 --- $2016.50 004 1 0 0.00 $0.00 Y
O 33608 REPAIR OF COM CARDI ANOM OT THAN PUL ART 8.59 $319.81 --- $403.30 004 1 0 0.00 $0.00 Y
O 33610 REPAIR BY ENLARGEMENT 8.39 $312.36 --- $393.91 004 1 0 0.00 $0.00 Y
K 33610 REPAIR BY ENLARGEMENT 41.95 $1561.80 --- $1969.55 004 1 0 0.00 $0.00 Y
K 33611 REPAIR OF BOUB OUTLET R VEN WITH INTRAVE 44.68 $1663.44 --- $2097.73 004 1 0 0.00 $0.00 Y
O 33611 REPAIR OF DOUB OUTLET R VEN WITH INTRAVE 8.94 $332.84 --- $419.73 004 1 0 0.00 $0.00 Y
O 33612 REPAIR OF DOUB OUTLET R VEN WITH INTRAVE 9.19 $342.14 --- $431.47 004 1 0 0.00 $0.00 Y
K 33612 REPAIR OF DOUB OUTLET R VEN WITH INTRAVE 45.92 $1709.60 --- $2155.94 004 1 0 0.00 $0.00 Y
K 33615 REPAIR MODIFIED FONTAN 43.68 $1626.21 --- $2050.78 004 1 0 0.00 $0.00 Y
O 33615 REPAIR MODIFIED FONTAN 8.73 $325.02 --- $409.87 004 1 0 0.00 $0.00 Y
O 33617 REPAIR SINGLE VENTRICLE 9.22 $343.26 --- $432.88 004 1 0 0.00 $0.00 Y
K 33617 REPAIR SINGLE VENTRICLE 46.07 $1715.19 --- $2162.99 004 1 0 0.00 $0.00 Y
K 33619 REPAIR OF SINGLE VEN WITH AOR OUTFLO OBS 50.67 $1886.44 --- $2378.96 004 1 0 0.00 $0.00 Y
O 33619 REPAIR OF SINGLE VEN WITH AOR OUTFLO OBS 10.14 $377.51 --- $476.07 004 1 0 0.00 $0.00 Y
O 33620 APPLY R&L PULM ART BANDS 7.50 $279.32 --- -- 004 0 0 0.00 $0.00 Y
K 33620 APPLY R&L PULM ART BANDS 37.51 $1396.60 --- -- 004 0 0 0.00 $0.00 Y
K 33621 TRANSTHOR CATH FOR STENT 20.24 $753.64 --- -- 004 0 0 0.00 $0.00 Y
O 33621 TRANSTHOR CATH FOR STENT 4.05 $150.73 --- -- 004 0 0 0.00 $0.00 Y
O 33622 REDO COMPL CARDIAC ANOMALY 15.85 $589.97 --- -- 004 0 0 0.00 $0.00 Y
K 33622 REDO COMPL CARDIAC ANOMALY 79.23 $2949.86 --- -- 004 0 0 0.00 $0.00 Y
K 33641 REPAIR HEART SEPTUM DEFECT 46.00 $1712.58 --- $2159.70 004 1 0 0.00 $0.00 Y
O 33641 REPAIR HEART SEPTUM DEFECT 9.20 $342.52 --- $431.94 004 1 0 0.00 $0.00 Y
O 33645 REVISION OF HEART VEINS 7.48 $278.48 --- $351.19 004 1 0 0.00 $0.00 Y
K 33645 REVISION OF HEART VEINS 37.60 $1399.85 --- $1765.32 004 1 0 0.00 $0.00 Y
K 33647 REPAIR HEART SEPTUM DEFECTS 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 33647 REPAIR HEART SEPTUM DEFECTS 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 33660 REPAIR OF HEART DEFECTS 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
K 33660 REPAIR OF HEART DEFECTS 50.00 $1861.50 --- $2347.50 004 1 0 0.00 $0.00 Y
K 33665 REPAIR OF HEART DEFECTS 46.76 $1740.87 --- $2195.38 004 1 0 0.00 $0.00 Y
O 33665 REPAIR OF HEART DEFECTS 9.35 $348.10 --- $438.98 004 1 0 0.00 $0.00 Y
O 33670 REPAIR OF HEART CHAMBERS 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
K 33670 REPAIR OF HEART CHAMBERS 49.80 $1854.05 --- $2338.11 004 1 0 0.00 $0.00 Y
K 33675 CLOSE MULT VSD 51.02 $1899.46 --- -- 004 0 0 0.00 $0.00 Y
O 33675 CLOSE MULT VSD 10.20 $379.89 --- -- 004 0 0 0.00 $0.00 Y
O 33676 CLOSE MULT VSD W/RESECTION 10.31 $383.98 --- -- 004 0 0 0.00 $0.00 Y
K 33676 CLOSE MULT VSD W/RESECTION 51.57 $1919.95 --- -- 004 0 0 0.00 $0.00 Y
K 33677 CL MULT VSD W/REM PUL BAND 53.60 $1995.53 --- -- 004 0 0 0.00 $0.00 Y
O 33677 CL MULT VSD W/REM PUL BAND 10.72 $399.07 --- -- 004 0 0 0.00 $0.00 Y
O 33681 REPAIR HEART SEPTUM DEFECT 7.48 $278.48 --- -- 004 0 0 0.00 $0.00 Y
K 33681 REPAIR HEART SEPTUM DEFECT 37.60 $1399.85 --- -- 004 0 0 0.00 $0.00 Y
K 33684 REPAIR HEART SEPTUM DEFECT 46.49 $1730.82 --- $2182.71 004 1 0 0.00 $0.00 Y
O 33684 REPAIR HEART SEPTUM DEFECT 9.30 $346.24 --- $436.64 004 1 0 0.00 $0.00 Y
O 33688 REPAIR HEART SEPTUM DEFECT 8.40 $312.73 --- $394.38 004 1 0 0.00 $0.00 Y
K 33688 REPAIR HEART SEPTUM DEFECT 42.00 $1563.66 --- $1971.90 004 1 0 0.00 $0.00 Y
K 33690 REINFORCE PULMONARY ARTERY 27.18 $1011.91 --- $1276.10 004 1 0 0.00 $0.00 Y
O 33690 REINFORCE PULMONARY ARTERY 5.44 $202.53 --- $255.41 004 1 0 0.00 $0.00 Y
O 33692 REPAIR OF HEART DEFECTS 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
K 33692 REPAIR OF HEART DEFECTS 50.00 $1861.50 --- $2347.50 004 1 0 0.00 $0.00 Y
K 33694 REPAIR OF HEART DEFECTS 50.00 $1861.50 --- $2347.50 004 1 0 0.00 $0.00 Y
O 33694 REPAIR OF HEART DEFECTS 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
O 33697 COMPL REPAIR TETRA OF FALL WITH PUL ART 9.22 $343.26 --- $432.88 004 1 0 0.00 $0.00 Y
K 33697 COMPL REPAIR TETRA OF FALL WITH PUL ART 46.07 $1715.19 --- $2162.99 004 1 0 0.00 $0.00 Y
K 33702 REPAIR OF HEART DEFECTS 50.00 $1861.50 --- $2347.50 004 1 0 0.00 $0.00 Y
O 33702 REPAIR OF HEART DEFECTS 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
O 33710 REPAIR OF HEART DEFECTS 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
K 33710 REPAIR OF HEART DEFECTS 50.00 $1861.50 --- $2347.50 004 1 0 0.00 $0.00 Y
K 33720 REPAIR OF HEART DEFECT 43.43 $1616.90 --- $2039.04 004 1 0 0.00 $0.00 Y
O 33720 REPAIR OF HEART DEFECT 8.69 $323.53 --- $408.00 004 1 0 0.00 $0.00 Y
O 33722 CLOS OF AORTICO-LEFT VENTRICULAR TUNNEL 7.84 $291.88 --- $368.09 004 1 0 0.00 $0.00 Y
K 33722 CLOS OF AORTICO-LEFT VENTRICULAR TUNNEL 39.18 $1458.67 --- $1839.50 004 1 0 0.00 $0.00 Y
K 33724 REPAIR VENOUS ANOMALY 35.65 $1327.25 --- -- 004 0 0 0.00 $0.00 Y
O 33724 REPAIR VENOUS ANOMALY 7.13 $265.47 --- -- 004 0 0 0.00 $0.00 Y
O 33726 REPAIR PUL VENOUS STENOSIS 9.40 $350.04 --- -- 004 0 0 0.00 $0.00 Y
K 33726 REPAIR PUL VENOUS STENOSIS 47.01 $1750.18 --- -- 004 0 0 0.00 $0.00 Y
K 33730 REPAIR HEART-VEIN DEFECT(S) 50.00 $1861.50 --- $2347.50 004 1 0 0.00 $0.00 Y
O 33730 REPAIR HEART-VEIN DEFECT(S) 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
O 33732 RPR OF COR TRIAT/SUPRA MITRAL RING BY RE 7.76 $288.90 --- $364.33 004 1 0 0.00 $0.00 Y
K 33732 RPR OF COR TRIAT/SUPRA MITRAL RING BY RE 38.77 $1443.41 --- $1820.25 004 1 0 0.00 $0.00 Y
K 33735 REVISION OF HEART CHAMBER 33.98 $1265.08 --- $1595.36 004 1 0 0.00 $0.00 Y
O 33735 REVISION OF HEART CHAMBER 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 33736 ATRIAL SEPTECTOMY OR SEPTOSTOMY 5.70 $212.21 --- $267.62 004 1 0 0.00 $0.00 Y
K 33736 ATRIAL SEPTECTOMY OR SEPTOSTOMY 28.51 $1061.43 --- $1338.54 004 1 0 0.00 $0.00 Y
K 33737 REVISION OF HEART CHAMBER 38.00 $1414.74 --- $1784.10 004 1 0 0.00 $0.00 Y
O 33737 REVISION OF HEART CHAMBER 7.60 $282.95 --- $356.82 004 1 0 0.00 $0.00 Y
O 33750 MAJOR VESSEL SHUNT 6.15 $228.96 --- $288.74 004 1 0 0.00 $0.00 Y
K 33750 MAJOR VESSEL SHUNT 30.76 $1145.19 --- $1444.18 004 1 0 0.00 $0.00 Y
K 33755 MAJOR VESSEL SHUNT 30.10 $1120.62 --- $1413.20 004 1 0 0.00 $0.00 Y
O 33755 MAJOR VESSEL SHUNT 6.02 $224.12 --- $282.64 004 1 0 0.00 $0.00 Y
O 33762 MAJOR VESSEL SHUNT 6.21 $231.20 --- $291.56 004 1 0 0.00 $0.00 Y
K 33762 MAJOR VESSEL SHUNT 31.04 $1155.62 --- $1457.33 004 1 0 0.00 $0.00 Y
K 33764 MAJOR VESSEL SHUNT & GRAFT 31.88 $1186.89 --- $1496.77 004 1 0 0.00 $0.00 Y
O 33764 MAJOR VESSEL SHUNT & GRAFT 6.38 $237.53 --- $299.54 004 1 0 0.00 $0.00 Y
O 33766 MAJOR VESSEL SHUNT 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
K 33766 MAJOR VESSEL SHUNT 33.98 $1265.08 --- $1595.36 004 1 0 0.00 $0.00 Y
K 33767 MAJOR VESSEL SHUNT 33.51 $1247.58 --- $1573.29 004 1 0 0.00 $0.00 Y
O 33767 MAJOR VESSEL SHUNT 6.70 $249.44 --- $314.57 004 1 0 0.00 $0.00 Y
O 33768 CAVOPULMONARY SHUNTING 1.91 $71.11 --- $89.67 004 1 0 0.00 $0.00 Y
K 33768 CAVOPULMONARY SHUNTING 9.53 $354.80 --- $447.43 004 1 0 0.00 $0.00 Y
K 33770 RPR OF TRANS OF GREAT ARTER W/VENTRICUL 45.83 $1706.25 --- $2151.72 004 1 0 0.00 $0.00 Y
O 33770 RPR OF TRANS OF GREAT ARTER W/VENTRICUL 9.16 $341.03 --- $430.06 004 1 0 0.00 $0.00 Y
O 33771 RPR OF TRANS OF GREAT ARTER W/VENTRICUL 8.93 $332.46 --- $419.26 004 1 0 0.00 $0.00 Y
K 33771 REPAIR OF TRANS OF THE GREAT ART W/VENTR 44.66 $1662.69 --- $2096.79 004 1 0 0.00 $0.00 Y