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Medi-Cal Rates Information

Medi-Cal Rates as of 02/15/2020 (Codes 25445 thru 27071)

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 25445 RECONSTRUCT WRIST JOINT 10.87 $404.69 --- $510.35 004 1 0 0.00 $0.00 Y
O 25445 RECONSTRUCT WRIST JOINT 2.15 $80.04 --- $100.94 004 1 0 0.00 $0.00 Y
O 25446 WRIST REPLACEMENT 5.37 $199.93 --- $252.12 004 1 0 0.00 $0.00 Y
K 25446 WRIST REPLACEMENT 26.84 $999.25 --- $1260.14 004 1 0 0.00 $0.00 Y
K 25447 REPAIR WRIST JOINTS 17.94 $667.91 --- -- 004 0 0 0.00 $0.00 Y
O 25447 REPAIR WRIST JOINTS 3.59 $133.66 --- -- 004 0 0 0.00 $0.00 Y
O 25449 REMOVE WRIST JOINT IMPLANT 5.34 $198.81 --- $250.71 004 1 0 0.00 $0.00 Y
K 25449 REMOVE WRIST JOINT IMPLANT 26.69 $993.67 --- $1253.10 004 1 0 0.00 $0.00 Y
K 25450 REVISION OF WRIST JOINT 9.24 $344.01 --- $433.82 004 1 0 0.00 $0.00 Y
O 25450 REVISION OF WRIST JOINT 1.85 $68.88 --- $86.86 004 1 0 0.00 $0.00 Y
O 25455 REVISION OF WRIST JOINT 1.93 $71.85 --- $90.61 004 1 0 0.00 $0.00 Y
K 25455 REVISION OF WRIST JOINT 9.66 $359.64 --- $453.54 004 1 0 0.00 $0.00 Y
K 25490 REINFORCE RADIUS 22.09 $822.41 --- $1037.13 004 1 0 0.00 $0.00 Y
O 25490 REINFORCE RADIUS 4.42 $164.56 --- $207.52 004 1 0 0.00 $0.00 Y
O 25491 REINFORCE ULNA 4.45 $165.67 --- $208.93 004 1 0 0.00 $0.00 Y
K 25491 REINFORCE ULNA 22.27 $829.11 --- $1045.58 004 1 0 0.00 $0.00 Y
K 25492 REINFORCE RADIUS AND ULNA 26.44 $984.36 --- $1241.36 004 1 0 0.00 $0.00 Y
O 25492 REINFORCE RADIUS AND ULNA 5.29 $196.95 --- $248.37 004 1 0 0.00 $0.00 Y
O 25500 TREAT FRACTURE OF RADIUS 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 25500 TREAT FRACTURE OF RADIUS 148.06 $148.06 --- -- 042 0 1 0.00 $0.00 Y
K 25505 TREAT FRACTURE OF RADIUS 6.76 $251.67 --- $317.38 004 1 0 0.00 $0.00 Y
K 25515 TREAT FRACTURE OF RADIUS 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 25515 TREAT FRACTURE OF RADIUS 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 25520 TREAT FRACTURE OF RADIUS 1.74 $64.78 --- $81.69 004 1 0 0.00 $0.00 Y
K 25520 TREAT FRACTURE OF RADIUS 8.70 $323.90 --- $408.47 004 1 0 0.00 $0.00 Y
K 25525 TREAT FRACTURE OF RADIUS 16.92 $629.93 --- $794.39 004 1 0 0.00 $0.00 Y
O 25525 TREAT FRACTURE OF RADIUS 3.39 $126.21 --- $159.16 004 1 0 0.00 $0.00 Y
O 25526 TREAT FRACTURE OF RADIUS 3.60 $134.03 --- $169.02 004 1 0 0.00 $0.00 Y
K 25526 TREAT FRACTURE OF RADIUS 17.99 $669.77 --- $844.63 004 1 0 0.00 $0.00 Y
K 25530 TREAT FRACTURE OF ULNA 142.50 $142.50 --- -- 042 0 1 0.00 $0.00 Y
O 25530 TREAT FRACTURE OF ULNA 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 25535 TREAT FRACTURE OF ULNA 6.64 $247.21 --- $311.75 004 1 0 0.00 $0.00 Y
K 25545 TREAT FRACTURE OF ULNA 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 25545 TREAT FRACTURE OF ULNA 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 25560 TREAT FRACTURE RADIUS & ULNA 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 25560 TREAT FRACTURE RADIUS & ULNA 148.97 $148.97 --- -- 042 0 1 0.00 $0.00 Y
K 25565 TREAT FRACTURE RADIUS & ULNA 7.14 $265.82 --- $335.22 004 1 0 0.00 $0.00 Y
O 25565 TREAT FRACTURE RADIUS & ULNA 1.43 $53.24 --- $67.14 004 1 0 0.00 $0.00 Y
O 25574 TREAT FRACTURE RADIUS & ULNA 2.58 $96.05 --- $121.13 004 1 0 0.00 $0.00 Y
K 25574 TREAT FRACTURE RADIUS & ULNA 12.91 $480.64 --- $606.12 004 1 0 0.00 $0.00 Y
K 25575 TREAT FRACTURE RADIUS/ULNA 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
O 25575 TREAT FRACTURE RADIUS/ULNA 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
O 25600 TREAT FRACTURE RADIUS/ULNA 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 Y
K 25600 TREAT FRACTURE RADIUS/ULNA 157.38 $157.38 --- -- 042 0 1 0.00 $0.00 Y
K 25605 TREAT FRACTURE RADIUS/ULNA 7.29 $271.41 --- $342.27 004 1 0 0.00 $0.00 Y
K 25606 TREAT FX DISTAL RADIAL 13.97 $519.98 --- -- 004 0 0 0.00 $0.00 Y
O 25606 TREAT FX DISTAL RADIAL 2.79 $104.00 --- -- 004 0 0 0.00 $0.00 Y
O 25607 TREAT FX RAD EXTRAARTICUL 3.11 $115.86 --- -- 004 0 0 0.00 $0.00 Y
K 25607 TREAT FX RAD EXTRAARTICUL 15.56 $579.28 --- -- 004 0 0 0.00 $0.00 Y
K 25608 TREAT FX RAD INTRAARTICUL 17.72 $659.88 --- -- 004 0 0 0.00 $0.00 Y
O 25608 TREAT FX RAD INTRAARTICUL 3.54 $131.98 --- -- 004 0 0 0.00 $0.00 Y
O 25609 TREAT FX RADIAL 3+ FRAG 4.52 $168.20 --- -- 004 0 0 0.00 $0.00 Y
K 25609 TREAT FX RADIAL 3+ FRAG 22.59 $841.01 --- -- 004 0 0 0.00 $0.00 Y
K 25622 TREAT WRIST BONE FRACTURE 4.20 $156.37 --- $197.19 004 1 0 0.00 $0.00 Y
K 25624 TREAT WRIST BONE FRACTURE 6.34 $236.04 --- $297.66 004 1 0 0.00 $0.00 Y
K 25628 TREAT WRIST BONE FRACTURE 14.89 $554.35 --- $699.09 004 1 0 0.00 $0.00 Y
O 25628 TREAT WRIST BONE FRACTURE 2.98 $110.95 --- $139.91 004 1 0 0.00 $0.00 Y
O 25630 TREAT WRIST BONE FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 25630 TREAT WRIST BONE FRACTURE 163.65 $163.65 --- -- 042 0 1 0.00 $0.00 Y
K 25635 TREAT WRIST BONE FRACTURE 6.19 $230.45 --- $290.62 004 1 0 0.00 $0.00 Y
K 25645 TREAT WRIST BONE FRACTURE 7.12 $265.08 --- $334.28 004 1 0 0.00 $0.00 Y
O 25645 TREAT WRIST BONE FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 25650 TREAT WRIST BONE FRACTURE 8.35 $310.87 --- $392.03 004 1 0 0.00 $0.00 Y
K 25651 PIN ULNAR STYLOID FRACTURE 8.60 $320.18 --- -- 004 0 0 0.00 $0.00 Y
O 25651 PIN ULNAR STYLOID FRACTURE 1.72 $64.04 --- -- 004 0 0 0.00 $0.00 Y
O 25652 TREAT FRACTURE ULNAR STYLOID 2.55 $94.94 --- -- 004 0 0 0.00 $0.00 Y
K 25652 TREAT FRACTURE ULNAR STYLOID 12.75 $474.68 --- -- 004 0 0 0.00 $0.00 Y
K 25660 TREAT WRIST DISLOCATION 4.51 $167.91 --- $211.74 004 1 1 0.00 $0.00 Y
K 25670 TREAT WRIST DISLOCATION 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 25670 TREAT WRIST DISLOCATION 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 25671 PIN RADIOULNAR DISLOCATION 2.11 $78.56 --- -- 004 0 0 0.00 $0.00 Y
K 25671 PIN RADIOULNAR DISLOCATION 10.55 $392.78 --- -- 004 0 0 0.00 $0.00 Y
K 25675 TREAT WRIST DISLOCATION 6.17 $229.71 --- $289.68 004 1 0 0.00 $0.00 Y
K 25676 TREAT WRIST DISLOCATION 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 25676 TREAT WRIST DISLOCATION 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 25680 TREAT WRIST FRACTURE 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
K 25680 TREAT WRIST FRACTURE 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
K 25685 TREAT WRIST FRACTURE 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
O 25685 TREAT WRIST FRACTURE 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 25690 TREAT WRIST DISLOCATION 6.23 $231.94 --- $292.50 004 1 1 0.00 $0.00 Y
K 25695 TREAT WRIST DISLOCATION 9.40 $349.96 --- $441.33 004 1 0 0.00 $0.00 Y
O 25695 TREAT WRIST DISLOCATION 1.88 $69.99 --- $88.27 004 1 0 0.00 $0.00 Y
O 25800 FUSION OF WRIST JOINT 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 25800 FUSION OF WRIST JOINT 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 25805 FUSION/GRAFT OF WRIST JOINT 19.36 $720.77 --- $908.95 004 1 0 0.00 $0.00 Y
O 25805 FUSION/GRAFT OF WRIST JOINT 3.87 $144.08 --- $181.70 004 1 0 0.00 $0.00 Y
O 25810 FUSION/GRAFT OF WRIST JOINT 3.62 $134.77 --- $169.96 004 1 0 0.00 $0.00 Y
K 25810 FUSION/GRAFT OF WRIST JOINT 18.08 $673.12 --- $848.86 004 1 0 0.00 $0.00 Y
K 25820 FUSION OF HAND BONES 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
O 25820 FUSION OF HAND BONES 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
O 25825 FUSE HAND BONES WITH GRAFT 3.26 $121.37 --- $153.06 004 1 0 0.00 $0.00 Y
K 25825 FUSE HAND BONES WITH GRAFT 16.32 $607.59 --- $766.22 004 1 0 0.00 $0.00 Y
K 25830 FUSION RADIOULNAR JNT/ULNA 11.23 $418.09 --- $527.25 004 1 0 0.00 $0.00 Y
O 25830 FUSION RADIOULNAR JNT/ULNA 2.24 $83.40 --- $105.17 004 1 0 0.00 $0.00 Y
O 25900 AMPUTATION OF FOREARM 2.04 $75.95 --- $95.78 004 1 0 0.00 $0.00 Y
K 25900 AMPUTATION OF FOREARM 10.19 $379.37 --- $478.42 004 1 0 0.00 $0.00 Y
K 25905 AMPUTATION OF FOREARM 10.56 $393.15 --- $495.79 004 1 0 0.00 $0.00 Y
O 25905 AMPUTATION OF FOREARM 2.11 $78.56 --- $99.06 004 1 0 0.00 $0.00 Y
O 25907 AMPUTATION FOLLOWUP SURGERY 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 25907 AMPUTATION FOLLOWUP SURGERY 9.86 $367.09 --- $462.93 004 1 0 0.00 $0.00 Y
K 25909 AMPUTATION FOLLOWUP SURGERY 10.35 $385.33 --- $485.93 004 1 0 0.00 $0.00 Y
O 25909 AMPUTATION FOLLOWUP SURGERY 2.07 $77.07 --- $97.19 004 1 0 0.00 $0.00 Y
O 25915 AMPUTATION OF FOREARM 6.34 $236.04 --- $297.66 004 1 0 0.00 $0.00 Y
K 25915 AMPUTATION OF FOREARM 31.69 $1179.82 --- $1487.85 004 1 0 0.00 $0.00 Y
K 25920 AMPUTATE HAND AT WRIST 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 25920 AMPUTATE HAND AT WRIST 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 25922 AMPUTATE HAND AT WRIST 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 25922 AMPUTATE HAND AT WRIST 7.36 $274.01 --- $345.55 004 1 0 0.00 $0.00 Y
K 25924 AMPUTATION FOLLOWUP SURGERY 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 25924 AMPUTATION FOLLOWUP SURGERY 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 25927 AMPUTATION OF HAND 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 25927 AMPUTATION OF HAND 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 25929 AMPUTATION FOLLOWUP SURGERY 7.17 $266.94 --- $336.63 004 1 0 0.00 $0.00 Y
O 25929 AMPUTATION FOLLOWUP SURGERY 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 25931 AMPUTATION FOLLOWUP SURGERY 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 25931 AMPUTATION FOLLOWUP SURGERY 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 25999 FOREARM OR WRIST SURGERY 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 25999 FOREARM OR WRIST SURGERY 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26010 DRAINAGE OF FINGER ABSCESS 2.81 $104.62 --- $131.93 004 1 1 0.00 $0.00 Y
K 26011 DRAINAGE OF FINGER ABSCESS 3.81 $141.85 --- $178.88 004 1 1 0.00 $0.00 Y
O 26011 DRAINAGE OF FINGER ABSCESS 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26020 DRAIN HAND TENDON SHEATH 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26020 DRAIN HAND TENDON SHEATH 6.88 $256.14 --- $323.02 004 1 0 0.00 $0.00 Y
K 26025 DRAINAGE OF PALM BURSA 6.99 $260.24 --- $328.18 004 1 0 0.00 $0.00 Y
O 26025 DRAINAGE OF PALM BURSA 1.40 $52.12 --- $65.73 004 1 0 0.00 $0.00 Y
O 26030 DRAINAGE OF PALM BURSAS 2.91 $108.34 --- $136.62 004 1 0 0.00 $0.00 Y
K 26030 DRAINAGE OF PALM BURSAS 14.55 $541.70 --- $683.12 004 1 0 0.00 $0.00 Y
K 26034 TREAT HAND BONE LESION 8.53 $317.57 --- $400.48 004 1 0 0.00 $0.00 Y
O 26034 TREAT HAND BONE LESION 1.71 $63.66 --- $80.28 004 1 0 0.00 $0.00 Y
O 26035 DECOMPRESS FINGERS/HAND 4.40 $163.81 --- $206.58 004 1 0 0.00 $0.00 Y
K 26035 DECOMPRESS FINGERS/HAND 21.98 $818.32 --- $1031.96 004 1 0 0.00 $0.00 Y
K 26037 DECOMPRESS FINGERS/HAND 8.34 $310.50 --- $391.56 004 1 0 0.00 $0.00 Y
O 26037 DECOMPRESS FINGER HAND 1.67 $62.17 --- $78.41 004 1 0 0.00 $0.00 Y
O 26040 RELEASE PALM CONTRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26040 RELEASE PALM CONTRACTURE 6.09 $226.73 --- $285.93 004 1 0 0.00 $0.00 Y
K 26045 RELEASE PALM CONTRACTURE 7.77 $289.28 --- $364.80 004 1 0 0.00 $0.00 Y
O 26045 RELEASE PALM CONTRACTURE 1.55 $57.71 --- $72.77 004 1 0 0.00 $0.00 Y
O 26055 TENDON SHEATH INCISION F/TRIGGER FINGER 1.13 $42.07 --- $53.05 004 1 0 0.00 $0.00 Y
K 26055 TENDON SHEATH INCISION F/TRIGGER FINGER 5.66 $210.72 --- $265.74 004 1 0 0.00 $0.00 Y
K 26060 INCISION OF FINGER TENDON 4.24 $157.86 --- $199.07 004 1 0 0.00 $0.00 Y
O 26060 INCISION OF FINGER TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26070 EXPLORE/TREAT HAND JOINT 1.21 $45.05 --- $56.81 004 1 0 0.00 $0.00 Y
K 26070 EXPLORE/TREAT HAND JOINT 6.03 $224.50 --- $283.11 004 1 0 0.00 $0.00 Y
K 26075 EXPLORE/TREAT FINGER JOINT 6.31 $234.92 --- $296.25 004 1 0 0.00 $0.00 Y
O 26075 EXPLORE/TREAT FINGER JOINT 1.26 $46.91 --- $59.16 004 1 0 0.00 $0.00 Y
O 26080 EXPLORE/TREAT FINGER JOINT 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
K 26080 EXPLORE/TREAT FINGER JOINT 6.78 $252.42 --- $318.32 004 1 0 0.00 $0.00 Y
K 26100 BIOPSY HAND JOINT LINING 5.66 $210.72 --- $265.74 004 1 0 0.00 $0.00 Y
O 26100 BIOPSY HAND JOINT LINING 1.13 $42.07 --- $53.05 004 1 0 0.00 $0.00 Y
O 26105 BIOPSY FINGER JOINT LINING 1.30 $48.40 --- $61.04 004 1 0 0.00 $0.00 Y
K 26105 BIOPSY FINGER JOINT LINING 6.49 $241.62 --- $304.71 004 1 0 0.00 $0.00 Y
K 26110 ARTHROTOMY WITH SYNOVIAL BIOPSY 6.13 $228.22 --- $287.80 004 1 0 0.00 $0.00 Y
O 26110 ARTHROTOMY WITH SYNOVIAL BIOPSY 1.22 $45.42 --- $57.28 004 1 0 0.00 $0.00 Y
O 26111 EXC HAND LES SC 1.5 CM/> 1.84 $68.50 --- $86.39 004 1 0 0.00 $0.00 Y
K 26111 EXC HAND LES SC 1.5 CM/> 9.22 $343.26 --- $432.88 004 1 0 0.00 $0.00 Y
K 26113 EXC HAND TUM DEEP 1.5 CM/> 12.14 $451.97 --- -- 004 0 0 0.00 $0.00 Y
O 26113 EXC HAND TUM DEEP 1.5 CM/> 2.43 $90.47 --- -- 004 0 0 0.00 $0.00 Y
K 26115 EXC HAND LES SC < 1.5 CM 4.78 $177.96 --- $224.42 004 1 1 0.00 $0.00 Y
K 26116 EXC HAND TUM DEEP < 1.5 CM 7.71 $287.04 --- $361.98 004 1 0 0.00 $0.00 Y
O 26116 EXC HAND TUM DEEP < 1.5 CM 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26117 EXC HAND TUM RA < 3 CM 3.69 $137.38 --- $173.25 004 1 0 0.00 $0.00 Y
K 26117 EXC HAND TUM RA < 3 CM 18.45 $686.89 --- $866.23 004 1 0 0.00 $0.00 Y
K 26118 EXC HAND TUM RA 3 CM/> 23.59 $878.26 --- -- 004 0 0 0.00 $0.00 Y
O 26118 EXC HAND TUM RA 3 CM/> 4.72 $175.73 --- -- 004 0 0 0.00 $0.00 Y
O 26121 FASCIECTOMY, PALMAR ONLY 1.89 $70.36 --- $88.74 004 1 0 0.00 $0.00 Y
K 26121 FASCIECTOMY, PALMAR ONLY 9.43 $351.08 --- $442.74 004 1 0 0.00 $0.00 Y
K 26123 FASCIECTOMY, PARTIAL PALMAR,SINGLE DIGIT 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
O 26123 FASCIECTOMY, PARTIAL PALMAR,SINGLE DIGIT 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
O 26125 FASCIECT., PARTIAL PALMAR EXCISION, EACH 1.13 $42.07 --- $53.05 004 1 0 0.00 $0.00 Y
K 26125 FASCEICT., PARTIAL PALMAR EXCISION, EACH 5.66 $210.72 --- $265.74 004 1 0 0.00 $0.00 Y
K 26130 REMOVE WRIST JOINT LINING 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
O 26130 REMOVE WRIST JOINT LINING 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
O 26135 REVISE FINGER JOINT EACH 1.93 $71.85 --- $90.61 004 1 0 0.00 $0.00 Y
K 26135 REVISE FINGER JOINT EACH 9.66 $359.64 --- $453.54 004 1 0 0.00 $0.00 Y
K 26140 REVISE FINGER JOINT EACH 8.86 $329.86 --- $415.98 004 1 0 0.00 $0.00 Y
O 26140 REVISE FINGER JOINT EACH 1.77 $65.90 --- $83.10 004 1 0 0.00 $0.00 Y
O 26145 TENDON EXCISION PALM/FINGER 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 26145 TENDON EXCISION PALM/FINGER 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 26160 REMOVE TENDON SHEATH LESION 4.41 $164.18 --- $207.05 004 1 0 0.00 $0.00 Y
O 26160 REMOVE TENDON SHEATH LESION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26170 REMOVAL OF PALM TENDON EACH 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 Y
K 26170 REMOVAL OF PALM TENDON EACH 5.62 $209.23 --- -- 004 0 0 0.00 $0.00 Y
K 26180 REMOVAL OF FINGER TENDON 5.94 $221.15 --- -- 004 0 0 0.00 $0.00 Y
O 26180 REMOVAL OF FINGER TENDON 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 Y
O 26185 REMOVE FINGER BONE 1.52 $56.59 --- $71.36 004 1 0 0.00 $0.00 Y
K 26185 REMOVE FINGER BONE 7.61 $283.32 --- $357.29 004 1 0 0.00 $0.00 Y
K 26200 REMOVE HAND BONE LESION 7.76 $288.90 --- $364.33 004 1 0 0.00 $0.00 Y
O 26200 REMOVE HAND BONE LESION 1.55 $57.71 --- $72.77 004 1 0 0.00 $0.00 Y
O 26205 REMOVE/GRAFT BONE LESION 1.86 $69.25 --- $87.33 004 1 0 0.00 $0.00 Y
K 26205 REMOVE/GRAFT BONE LESION 9.32 $346.98 --- $437.57 004 1 0 0.00 $0.00 Y
K 26210 REMOVAL OF FINGER LESION 7.68 $285.93 --- $360.58 004 1 0 0.00 $0.00 Y
O 26210 REMOVAL OF FINGER LESION 1.54 $57.33 --- $72.30 004 1 0 0.00 $0.00 Y
O 26215 REMOVE/GRAFT FINGER LESION 1.79 $66.64 --- $84.04 004 1 0 0.00 $0.00 Y
K 26215 REMOVE/GRAFT FINGER LESION 8.94 $332.84 --- $419.73 004 1 0 0.00 $0.00 Y
K 26230 PARTIAL REMOVAL OF HAND BONE 8.00 $297.84 --- $375.60 004 1 0 0.00 $0.00 Y
O 26230 PARTIAL REMOVAL OF HAND BONE 1.60 $59.57 --- $75.12 004 1 0 0.00 $0.00 Y
O 26235 PARTIAL REMOVAL FINGER BONE 1.53 $56.96 --- $71.83 004 1 0 0.00 $0.00 Y
K 26235 PARTIAL REMOVAL FINGER BONE 7.66 $285.18 --- $359.64 004 1 0 0.00 $0.00 Y
K 26236 PARTIAL REMOVAL FINGER BONE 7.14 $265.82 --- $335.22 004 1 0 0.00 $0.00 Y
O 26236 PARTIAL REMOVAL FINGER BONE 1.43 $53.24 --- $67.14 004 1 0 0.00 $0.00 Y
O 26250 EXTENSIVE HAND SURGERY 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 26250 EXTENSIVE HAND SURGERY 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 26260 RESECT PROX FINGER TUMOR 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
O 26260 RESECT PROX FINGER TUMOR 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
O 26262 RESECT DISTAL FINGER TUMOR 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 26262 RESECT DISTAL FINGER TUMOR 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 26320 REMOVAL OF IMPLANT FROM HAND 7.93 $295.23 --- $372.31 004 1 1 0.00 $0.00 Y
O 26320 REMOVAL OF IMPLANT FROM HAND 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
K 26340 MANIPULATE FINGER W/ANESTH 6.16 $229.34 --- -- 004 0 0 0.00 $0.00 Y
K 26341 MANIPULAT PALM CORD POST INJ 1.71 $63.49 --- $80.28 004 1 1 0.00 $0.00 Y
K 26350 REPAIR FINGER/HAND TENDON 10.11 $376.40 --- $474.66 004 1 0 0.00 $0.00 Y
O 26350 REPAIR FINGER/HAND TENDON 2.02 $75.20 --- $94.84 004 1 0 0.00 $0.00 Y
O 26352 REPAIR/GRAFT HAND TENDON 3.17 $118.02 --- $148.83 004 1 0 0.00 $0.00 Y
K 26352 REPAIR/GRAFT HAND TENDON 15.63 $581.90 --- $733.83 004 1 0 0.00 $0.00 Y
K 26356 REPAIR FINGER/HAND TENDON 11.64 $433.36 --- $546.50 004 1 0 0.00 $0.00 Y
O 26356 REPAIR FINGER/HAND TENDON 2.33 $86.75 --- $109.39 004 1 0 0.00 $0.00 Y
O 26357 REPAIR FINGER/HAND TENDON 2.37 $88.24 --- $111.27 004 1 0 0.00 $0.00 Y
K 26357 REPAIR FINGER/HAND TENDON 11.86 $441.55 --- $556.83 004 1 0 0.00 $0.00 Y
K 26358 REPAIR/GRAFT HAND TENDON 16.08 $598.66 --- $754.96 004 1 0 0.00 $0.00 Y
O 26358 REPAIR/GRAFT HAND TENDON 3.22 $119.88 --- $151.18 004 1 0 0.00 $0.00 Y
O 26370 REPAIR FINGER/HAND TENDON 2.18 $81.16 --- $102.35 004 1 0 0.00 $0.00 Y
K 26370 REPAIR FINGER/HAND TENDON 10.90 $405.81 --- $511.76 004 1 0 0.00 $0.00 Y
K 26372 REPAIR/GRAFT HAND TENDON 15.63 $581.90 --- $733.83 004 1 0 0.00 $0.00 Y
O 26372 REPAIR/GRAFT HAND TENDON 3.13 $116.53 --- $146.95 004 1 0 0.00 $0.00 Y
O 26373 REPAIR FINGER/HAND TENDON 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 26373 REPAIR FINGER/HAND TENDON 11.36 $422.93 --- $533.35 004 1 0 0.00 $0.00 Y
K 26390 REVISE HAND/FINGER TENDON 10.66 $396.87 --- $500.49 004 1 0 0.00 $0.00 Y
O 26390 REVISE HAND/FINGER TENDON 2.13 $79.30 --- $100.00 004 1 0 0.00 $0.00 Y
O 26392 REPAIR/GRAFT HAND TENDON 2.87 $106.85 --- $134.75 004 1 0 0.00 $0.00 Y
K 26392 REPAIR/GRAFT HAND TENDON 14.50 $539.84 --- $680.78 004 1 0 0.00 $0.00 Y
K 26410 REPAIR HAND TENDON 8.02 $298.58 --- $376.54 004 1 0 0.00 $0.00 Y
O 26410 REPAIR HAND TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26412 REPAIR/GRAFT HAND TENDON 1.89 $70.36 --- $88.74 004 1 0 0.00 $0.00 Y
K 26412 REPAIR/GRAFT HAND TENDON 9.45 $351.82 --- $443.68 004 1 0 0.00 $0.00 Y
K 26415 EXCISION HAND/FINGER TENDON 19.03 $708.49 --- $893.46 004 1 0 0.00 $0.00 Y
O 26415 EXCISION HAND/FINGER TENDON 3.81 $141.85 --- $178.88 004 1 0 0.00 $0.00 Y
O 26416 GRAFT HAND OR FINGER TENDON 2.99 $111.32 --- $140.38 004 1 0 0.00 $0.00 Y
K 26416 GRAFT HAND OR FINGER TENDON 15.11 $562.55 --- $709.41 004 1 0 0.00 $0.00 Y
K 26418 REPAIR FINGER TENDON 7.87 $293.00 --- $369.50 004 1 0 0.00 $0.00 Y
O 26418 REPAIR FINGER TENDON 1.57 $58.45 --- $73.71 004 1 0 0.00 $0.00 Y
O 26420 REPAIR/GRAFT FINGER TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26420 REPAIR/GRAFT FINGER TENDON 10.72 $399.11 --- $503.30 004 1 0 0.00 $0.00 Y
K 26426 REPAIR FINGER/HAND TENDON 9.08 $338.05 --- $426.31 004 1 0 0.00 $0.00 Y
O 26426 REPAIR FINGER/HAND TENDON 1.82 $67.76 --- $85.45 004 1 0 0.00 $0.00 Y
O 26428 REPAIR/GRAFT FINGER TENDON 2.49 $92.70 --- $116.91 004 1 0 0.00 $0.00 Y
K 26428 REPAIR/GRAFT FINGER TENDON 12.46 $463.89 --- $585.00 004 1 0 0.00 $0.00 Y
K 26432 REPAIR FINGER TENDON 6.73 $250.56 --- $315.97 004 1 0 0.00 $0.00 Y
O 26432 REPAIR FINGER TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26433 REPAIR FINGER TENDON 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 26433 REPAIR FINGER TENDON 13.62 $507.07 --- $639.46 004 1 0 0.00 $0.00 Y
K 26434 REPAIR/GRAFT FINGER TENDON 8.16 $303.80 --- $383.11 004 1 0 0.00 $0.00 Y
O 26434 REPAIR/GRAFT FINGER TENDON 1.63 $60.68 --- $76.53 004 1 0 0.00 $0.00 Y
O 26437 REALIGNMENT OF TENDONS 2.98 $110.95 --- $139.91 004 1 0 0.00 $0.00 Y
K 26437 REALIGNMENT OF TENDONS 14.89 $554.35 --- $699.09 004 1 0 0.00 $0.00 Y
K 26440 RELEASE PALM/FINGER TENDON 9.14 $340.28 --- $429.12 004 1 0 0.00 $0.00 Y
O 26440 RELEASE PALM/FINGER TENDON 1.83 $68.13 --- $85.92 004 1 0 0.00 $0.00 Y
O 26442 RELEASE PALM & FINGER TENDON 2.28 $84.88 --- $107.05 004 1 0 0.00 $0.00 Y
K 26442 RELEASE PALM & FINGER TENDON 11.38 $423.68 --- $534.29 004 1 0 0.00 $0.00 Y
K 26445 RELEASE HAND/FINGER TENDON 8.70 $323.90 --- $408.47 004 1 0 0.00 $0.00 Y
O 26445 RELEASE HAND/FINGER TENDON 1.74 $64.78 --- $81.69 004 1 0 0.00 $0.00 Y
O 26449 RELEASE FOREARM/HAND TENDON 3.85 $143.34 --- $180.76 004 1 0 0.00 $0.00 Y
K 26449 RELEASE FOREARM/HAND TENDON 19.24 $716.31 --- $903.32 004 1 0 0.00 $0.00 Y
K 26450 INCISION OF PALM TENDON 4.89 $182.05 --- $229.59 004 1 0 0.00 $0.00 Y
O 26450 INCISION OF PALM TENDON 0.98 $36.49 --- $46.01 004 1 0 0.00 $0.00 Y
O 26455 INCISION OF FINGER TENDON 1.13 $42.07 --- $53.05 004 1 0 0.00 $0.00 Y
K 26455 INCISION OF FINGER TENDON 5.66 $210.72 --- $265.74 004 1 0 0.00 $0.00 Y
K 26460 INCISE HAND/FINGER TENDON 4.62 $172.00 --- $216.91 004 1 0 0.00 $0.00 Y
O 26460 INCISE HAND/FINGER TENDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26471 FUSION OF FINGER TENDONS 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
K 26471 FUSION OF FINGER TENDONS 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 26474 FUSION OF FINGER TENDONS 7.70 $286.67 --- $361.52 004 1 0 0.00 $0.00 Y
O 26474 FUSION OF FINGER TENDONS 1.54 $57.33 --- $72.30 004 1 0 0.00 $0.00 Y
O 26476 TENDON LENGTHENING 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
K 26476 TENDON LENGTHENING 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 26477 TENDON SHORTENING 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 26477 TENDON SHORTENING 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 26478 LENGTHENING OF HAND TENDON 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
K 26478 LENGTHENING OF HAND TENDON 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 26479 SHORTENING OF HAND TENDON 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 26479 SHORTENING OF HAND TENDON 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 26480 TRANSPLANT HAND TENDON 2.06 $76.69 --- $96.72 004 1 0 0.00 $0.00 Y
K 26480 TRANSPLANT HAND TENDON 10.30 $383.47 --- $483.59 004 1 0 0.00 $0.00 Y
K 26483 TRANSPLANT/GRAFT HAND TENDON 12.46 $463.89 --- $585.00 004 1 0 0.00 $0.00 Y
O 26483 TRANSPLANT/GRAFT HAND TENDON 2.49 $92.70 --- $116.91 004 1 0 0.00 $0.00 Y
O 26485 TRANSPLANT PALM TENDON 2.31 $86.00 --- $108.45 004 1 0 0.00 $0.00 Y
K 26485 TRANSPLANT PALM TENDON 11.55 $430.01 --- $542.27 004 1 0 0.00 $0.00 Y
K 26489 TRANSPLANT/GRAFT PALM TENDON 12.46 $463.89 --- $585.00 004 1 0 0.00 $0.00 Y
O 26489 TRANSPLANT/GRAFT PALM TENDON 2.49 $92.70 --- $116.91 004 1 0 0.00 $0.00 Y
O 26490 REVISE THUMB TENDON 2.15 $80.04 --- $100.94 004 1 0 0.00 $0.00 Y
K 26490 REVISE THUMB TENDON 10.76 $400.59 --- $505.18 004 1 0 0.00 $0.00 Y
K 26492 TENDON TRANSFER WITH GRAFT 12.46 $463.89 --- $585.00 004 1 0 0.00 $0.00 Y
O 26492 TENDON TRANSFER WITH GRAFT 2.49 $92.70 --- $116.91 004 1 0 0.00 $0.00 Y
O 26494 HAND TENDON/MUSCLE TRANSFER 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 26494 HAND TENDON/MUSCLE TRANSFER 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 26496 REVISE THUMB TENDON 21.05 $783.69 --- $988.30 004 1 0 0.00 $0.00 Y
O 26496 REVISE THUMB TENDON 4.21 $156.74 --- $197.66 004 1 0 0.00 $0.00 Y
O 26497 FINGER TENDON TRANSFER 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 26497 FINGER TENDON TRANSFER 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 26498 FINGER TENDON TRANSFER 16.99 $632.54 --- $797.68 004 1 0 0.00 $0.00 Y
O 26498 FINGER TENDON TRANSFER 3.40 $126.58 --- $159.63 004 1 0 0.00 $0.00 Y
O 26499 REVISION OF FINGER 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 26499 REVISION OF FINGER 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 26500 HAND TENDON RECONSTRUCTION 8.30 $309.01 --- $389.69 004 1 0 0.00 $0.00 Y
O 26500 HAND TENDON RECONSTRUCTION 1.66 $61.80 --- $77.94 004 1 0 0.00 $0.00 Y
O 26502 HAND TENDON RECONSTRUCTION 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
K 26502 HAND TENDON RECONSTRUCTION 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 26508 RELEASE THUMB CONTRACTURE 9.40 $349.96 --- $441.33 004 1 0 0.00 $0.00 Y
O 26508 RELEASE THUMB CONTRACTURE 1.88 $69.99 --- $88.27 004 1 0 0.00 $0.00 Y
O 26510 THUMB TENDON TRANSFER 3.19 $118.76 --- $149.77 004 1 0 0.00 $0.00 Y
K 26510 THUMB TENDON TRANSFER 15.95 $593.82 --- $748.85 004 1 0 0.00 $0.00 Y
K 26516 FUSION OF KNUCKLE JOINT 8.93 $332.46 --- $419.26 004 1 0 0.00 $0.00 Y
O 26516 FUSION OF KNUCKLE JOINT 1.79 $66.64 --- $84.04 004 1 0 0.00 $0.00 Y
O 26517 FUSION OF KNUCKLE JOINTS 2.38 $88.61 --- $111.74 004 1 0 0.00 $0.00 Y
K 26517 FUSION OF KNUCKLE JOINTS 11.89 $442.66 --- $558.24 004 1 0 0.00 $0.00 Y
K 26518 FUSION OF KNUCKLE JOINTS 14.16 $527.18 --- $664.81 004 1 0 0.00 $0.00 Y
O 26518 FUSION OF KNUCKLE JOINTS 2.83 $105.36 --- $132.87 004 1 0 0.00 $0.00 Y
O 26520 RELEASE KNUCKLE CONTRACTURE 1.85 $68.88 --- $86.86 004 1 0 0.00 $0.00 Y
K 26520 RELEASE KNUCKLE CONTRACTURE 9.27 $345.12 --- $435.23 004 1 0 0.00 $0.00 Y
K 26525 RELEASE FINGER CONTRACTURE 9.34 $347.73 --- $438.51 004 1 0 0.00 $0.00 Y
O 26525 RELEASE FINGER CONTRACTURE 1.87 $69.62 --- $87.80 004 1 0 0.00 $0.00 Y
O 26530 REVISE KNUCKLE JOINT 2.18 $81.16 --- $102.35 004 1 0 0.00 $0.00 Y
K 26530 REVISE KNUCKLE JOINT 10.88 $405.06 --- $510.82 004 1 0 0.00 $0.00 Y
K 26531 REVISE KNUCKLE WITH IMPLANT 11.40 $424.42 --- $535.23 004 1 0 0.00 $0.00 Y
O 26531 REVISE KNUCKLE WITH IMPLANT 2.28 $84.88 --- $107.05 004 1 0 0.00 $0.00 Y
O 26535 REVISE FINGER JOINT 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
K 26535 REVISE FINGER JOINT 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 26536 REVISE/IMPLANT FINGER JOINT 10.87 $404.69 --- $510.35 004 1 0 0.00 $0.00 Y
O 26536 REVISE/IMPLANT FINGER JOINT 2.15 $80.04 --- $100.94 004 1 0 0.00 $0.00 Y
O 26540 REPAIR HAND JOINT 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 26540 REPAIR HAND JOINT 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 26541 REPAIR HAND JOINT WITH GRAFT 13.36 $497.39 --- $627.25 004 1 0 0.00 $0.00 Y
O 26541 REPAIR HAND JOINT WITH GRAFT 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
O 26542 REPAIR HAND JOINT WITH GRAFT 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 26542 REPAIR HAND JOINT WITH GRAFT 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 26545 RECONSTRUCT FINGER JOINT 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 26545 RECONSTRUCT FINGER JOINT 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 26546 REPAIR NONUNION HAND 2.81 $104.62 --- $131.93 004 1 0 0.00 $0.00 Y
K 26546 REPAIR NONUNION HAND 14.02 $521.96 --- $658.24 004 1 0 0.00 $0.00 Y
K 26548 RECONSTRUCT FINGER JOINT 9.95 $370.44 --- $467.15 004 1 0 0.00 $0.00 Y
O 26548 RECONSTRUCT FINGER JOINT 1.99 $74.09 --- $93.43 004 1 0 0.00 $0.00 Y
O 26550 CONSTRUCT THUMB REPLACEMENT 6.61 $246.09 --- $310.34 004 1 0 0.00 $0.00 Y
K 26550 CONSTRUCT THUMB REPLACEMENT 33.05 $1230.45 --- $1551.70 004 1 0 0.00 $0.00 Y
K 26551 GREAT TOEHAND TRANSFER 66.18 $2463.88 --- $3107.15 004 1 0 0.00 $0.00 Y
O 26551 GREAT TOEHAND TRANSFER 13.24 $492.93 --- $621.62 004 1 0 0.00 $0.00 Y
O 26553 SINGLE TRANSFER TOE-HAND 13.10 $487.71 --- $615.05 004 1 0 0.00 $0.00 Y
K 26553 SINGLE TRANSFER TOE-HAND 65.47 $2437.45 --- $3073.82 004 1 0 0.00 $0.00 Y
K 26554 DOUBLE TRANSFER TOE-HAND 76.46 $2846.61 --- $3589.80 004 1 0 0.00 $0.00 Y
O 26554 DOUBLE TRANSFER TOE-HAND 15.29 $569.25 --- $717.87 004 1 0 0.00 $0.00 Y
O 26555 POSITIONAL CHANGE OF FINGER 6.52 $242.74 --- $306.11 004 1 0 0.00 $0.00 Y
K 26555 POSITIONAL CHANGE OF FINGER 32.61 $1214.07 --- $1531.04 004 1 0 0.00 $0.00 Y
K 26556 TOE JOINT TRANSFER 69.29 $2579.67 --- $3253.17 004 1 0 0.00 $0.00 Y
O 26556 TOE JOINT TRANSFER 13.85 $515.64 --- $650.26 004 1 0 0.00 $0.00 Y
O 26560 REPAIR OF WEB FINGER 2.15 $80.04 --- $100.94 004 1 0 0.00 $0.00 Y
K 26560 REPAIR OF WEB FINGER 10.76 $400.59 --- $505.18 004 1 0 0.00 $0.00 Y
K 26561 REPAIR OF WEB FINGER 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
O 26561 REPAIR OF WEB FINGER 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
O 26562 REPAIR OF WEB FINGER 4.07 $151.53 --- $191.09 004 1 0 0.00 $0.00 Y
K 26562 REPAIR OF WEB FINGER 20.35 $757.63 --- $955.43 004 1 0 0.00 $0.00 Y
K 26565 CORRECT METACARPAL FLAW 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 26565 CORRECT METACARPAL FLAW 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 26567 CORRECT FINGER DEFORMITY 1.74 $64.78 --- $81.69 004 1 0 0.00 $0.00 Y
K 26567 CORRECT FINGER DEFORMITY 8.68 $323.16 --- $407.53 004 1 0 0.00 $0.00 Y
K 26568 LENGTHEN METACARPAL/FINGER 22.64 $842.89 --- $1062.95 004 1 0 0.00 $0.00 Y
O 26568 LENGTHEN METACARPAL/FINGER 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
O 26580 REPAIR HAND DEFORMITY 5.70 $212.21 --- $267.62 004 1 0 0.00 $0.00 Y
K 26580 REPAIR HAND DEFORMITY 28.52 $1061.80 --- $1339.01 004 1 0 0.00 $0.00 Y
K 26587 RECONSTRUCT EXTRA FINGER 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26587 RECONSTRUCT EXTRA FINGER 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26590 REPAIR FINGER DEFORMITY 5.92 $220.40 --- $277.94 004 1 0 0.00 $0.00 Y
K 26590 REPAIR FINGER DEFORMITY 29.61 $1102.38 --- $1390.19 004 1 0 0.00 $0.00 Y
K 26591 REPAIR MUSCLES OF HAND 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26591 REPAIR MUSCLES OF HAND 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26593 RELEASE MUSCLES OF HAND 3.00 $111.69 --- $140.85 004 1 0 0.00 $0.00 Y
K 26593 RELEASE MUSCLES OF HAND 15.00 $558.45 --- $704.25 004 1 0 0.00 $0.00 Y
K 26596 EXCISION CONSTRICTING TISSUE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26596 EXCISION CONSTRICTING TISSUE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26600 TREAT METACARPAL FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26600 TREAT METACARPAL FRACTURE 138.83 $138.83 --- -- 042 0 1 0.00 $0.00 Y
K 26605 TREAT METACARPAL FRACTURE 4.92 $183.17 --- $230.99 004 1 1 0.00 $0.00 Y
O 26605 TREAT METACARPAL FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26607 TREAT METACARPAL FRACTURE 10.92 $406.55 --- $512.69 004 1 0 0.00 $0.00 Y
K 26608 TREAT METACARPAL FRACTURE 6.27 $233.43 --- $294.38 004 1 0 0.00 $0.00 Y
O 26608 TREAT METACARPAL FRACTURE 1.26 $46.91 --- $59.16 004 1 0 0.00 $0.00 Y
O 26615 TREAT METACARPAL FRACTURE 1.59 $59.20 --- $74.65 004 1 0 0.00 $0.00 Y
K 26615 TREAT METACARPAL FRACTURE 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 26641 TREAT THUMB DISLOCATION 5.56 $207.00 --- $261.04 004 1 1 0.00 $0.00 Y
O 26641 TREAT THUMB DISLOCATION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26645 TREAT THUMB FRACTURE 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26645 TREAT THUMB FRACTURE 6.18 $230.08 --- $290.15 004 1 1 0.00 $0.00 Y
K 26650 TREAT THUMB FRACTURE 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 26650 TREAT THUMB FRACTURE 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
O 26665 TREAT THUMB FRACTURE 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 26665 TREAT THUMB FRACTURE 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 26670 TREAT HAND DISLOCATION 5.41 $201.41 --- $254.00 004 1 1 0.00 $0.00 Y
K 26675 TREAT HAND DISLOCATION 5.95 $221.52 --- $279.35 004 1 0 0.00 $0.00 Y
K 26676 PIN HAND DISLOCATION 6.21 $231.20 --- $291.56 004 1 0 0.00 $0.00 Y
K 26685 TREAT HAND DISLOCATION 6.85 $255.03 --- $321.61 004 1 0 0.00 $0.00 Y
O 26685 TREAT HAND DISLOCATION 1.37 $51.01 --- $64.32 004 1 0 0.00 $0.00 Y
O 26686 TREAT HAND DISLOCATION 2.80 $104.24 --- $131.46 004 1 0 0.00 $0.00 Y
K 26686 TREAT HAND DISLOCATION 14.02 $521.96 --- $658.24 004 1 0 0.00 $0.00 Y
K 26700 TREAT KNUCKLE DISLOCATION 3.74 $139.24 --- $175.59 004 1 1 0.00 $0.00 Y
K 26705 TREAT KNUCKLE DISLOCATION 5.47 $203.65 --- $256.82 004 1 0 0.00 $0.00 Y
K 26706 PIN KNUCKLE DISLOCATION 4.79 $178.33 --- $224.89 004 1 0 0.00 $0.00 Y
K 26715 TREAT KNUCKLE DISLOCATION 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 26715 TREAT KNUCKLE DISLOCATION 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
K 26720 TREAT FINGER FRACTURE EACH 73.68 $73.68 --- -- 042 0 1 0.00 $0.00 Y
K 26725 TREAT FINGER FRACTURE EACH 3.64 $135.52 --- $170.90 004 1 1 0.00 $0.00 Y
K 26727 TREAT FINGER FRACTURE EACH 5.86 $218.17 --- $275.13 004 1 1 0.00 $0.00 Y
O 26727 TREAT FINGER FRACTURE EACH 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26735 TREAT FINGER FRACTURE EACH 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26735 TREAT FINGER FRACTURE EACH 6.16 $229.34 --- $289.21 004 1 0 0.00 $0.00 Y
K 26740 TREAT FINGER FRACTURE EACH 2.38 $88.61 --- $111.74 004 1 1 0.00 $0.00 Y
K 26742 TREAT FINGER FRACTURE EACH 5.78 $215.19 --- $271.37 004 1 1 0.00 $0.00 Y
K 26746 TREAT FINGER FRACTURE EACH 6.06 $225.61 --- $284.52 004 1 0 0.00 $0.00 Y
O 26746 TREAT FINGER FRACTURE EACH 1.21 $45.05 --- $56.81 004 1 0 0.00 $0.00 Y
K 26750 TREAT FINGER FRACTURE EACH 81.85 $81.85 --- -- 042 0 1 0.00 $0.00 Y
K 26755 TREAT FINGER FRACTURE EACH 3.44 $128.07 --- $161.51 004 1 1 0.00 $0.00 Y
K 26756 PIN FINGER FRACTURE EACH 9.81 $365.23 --- $460.58 004 1 0 0.00 $0.00 Y
O 26756 PIN FINGER FRACTURE EACH 1.96 $72.97 --- $92.02 004 1 0 0.00 $0.00 Y
O 26765 TREAT FINGER FRACTURE EACH 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26765 TREAT FINGER FRACTURE EACH 4.85 $180.57 --- $227.71 004 1 0 0.00 $0.00 Y
K 26770 TREAT FINGER DISLOCATION 3.35 $124.72 --- $157.28 004 1 1 0.00 $0.00 Y
K 26775 TREAT FINGER DISLOCATION 5.18 $192.85 --- $243.20 004 1 0 0.00 $0.00 Y
K 26776 PIN FINGER DISLOCATION 5.56 $207.00 --- $261.04 004 1 0 0.00 $0.00 Y
K 26785 TREAT FINGER DISLOCATION 4.88 $181.68 --- $229.12 004 1 0 0.00 $0.00 Y
O 26785 TREAT FINGER DISLOCATION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26820 THUMB FUSION WITH GRAFT 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 26820 THUMB FUSION WITH GRAFT 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 26841 FUSION OF THUMB 9.09 $338.42 --- $426.78 004 1 0 0.00 $0.00 Y
O 26841 FUSION OF THUMB 1.82 $67.76 --- $85.45 004 1 0 0.00 $0.00 Y
O 26842 THUMB FUSION WITH GRAFT 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 26842 THUMB FUSION WITH GRAFT 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 26843 FUSION OF HAND JOINT 9.68 $360.39 --- $454.48 004 1 0 0.00 $0.00 Y
O 26843 FUSION OF HAND JOINT 1.94 $72.23 --- $91.08 004 1 0 0.00 $0.00 Y
O 26844 FUSION/GRAFT OF HAND JOINT 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 26844 FUSION/GRAFT OF HAND JOINT 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 26850 FUSION OF KNUCKLE 8.84 $329.11 --- $415.04 004 1 0 0.00 $0.00 Y
O 26850 FUSION OF KNUCKLE 1.77 $65.90 --- $83.10 004 1 0 0.00 $0.00 Y
O 26852 FUSION OF KNUCKLE WITH GRAFT 2.03 $75.58 --- $95.31 004 1 0 0.00 $0.00 Y
K 26852 FUSION OF KNUCKLE WITH GRAFT 10.14 $377.51 --- $476.07 004 1 0 0.00 $0.00 Y
K 26860 FUSION OF FINGER JOINT 7.13 $265.45 --- $334.75 004 1 0 0.00 $0.00 Y
O 26860 FUSION OF FINGER JOINT 1.43 $53.24 --- $67.14 004 1 0 0.00 $0.00 Y
O 26861 FUSION OF FINGER JNT ADD-ON 0.50 $18.62 --- $23.48 004 1 0 0.00 $0.00 Y
K 26861 FUSION OF FINGER JNT ADD-ON 2.50 $93.08 --- $117.38 004 1 0 0.00 $0.00 Y
K 26862 FUSION/GRAFT OF FINGER JOINT 9.48 $352.94 --- $445.09 004 1 0 0.00 $0.00 Y
O 26862 FUSION/GRAFT OF FINGER JOINT 1.90 $70.74 --- $89.21 004 1 0 0.00 $0.00 Y
O 26863 FUSE/GRAFT ADDED JOINT 0.68 $25.32 --- $31.93 004 1 0 0.00 $0.00 Y
K 26863 FUSE/GRAFT ADDED JOINT 3.40 $126.58 --- $159.63 004 1 0 0.00 $0.00 Y
K 26910 AMPUTATE METACARPAL BONE 9.13 $339.91 --- $428.65 004 1 0 0.00 $0.00 Y
O 26910 AMPUTATE METACARPAL BONE 1.83 $68.13 --- $85.92 004 1 0 0.00 $0.00 Y
O 26951 AMPUTATION OF FINGER/THUMB 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26951 AMPUTATION OF FINGER/THUMB 7.02 $261.35 --- $329.59 004 1 0 0.00 $0.00 Y
K 26952 AMPUTATION OF FINGER/THUMB 8.35 $310.87 --- $392.03 004 1 0 0.00 $0.00 Y
O 26952 AMPUTATION OF FINGER/THUMB 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 26989 HAND/FINGER SURGERY 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26989 HAND/FINGER SURGERY 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 26990 DRAINAGE OF PELVIS LESION 18.14 $675.35 --- $851.67 004 1 0 0.00 $0.00 Y
O 26990 DRAINAGE OF PELVIS LESION 3.63 $135.14 --- $170.43 004 1 0 0.00 $0.00 Y
K 26991 DRAINAGE OF PELVIS BURSA 8.05 $299.70 --- $377.95 004 1 0 0.00 $0.00 Y
K 26992 DRAINAGE OF BONE LESION 26.07 $970.59 --- $1223.99 004 1 0 0.00 $0.00 Y
O 26992 DRAINAGE OF BONE LESION 5.21 $193.97 --- $244.61 004 1 0 0.00 $0.00 Y
K 27000 INCISION OF HIP TENDON 5.73 $213.33 --- $269.02 004 1 0 0.00 $0.00 Y
K 27001 INCISION OF HIP TENDON 6.71 $249.81 --- $315.03 004 1 0 0.00 $0.00 Y
K 27003 INCISION OF HIP TENDON 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 27003 INCISION OF HIP TENDON 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 27005 INCISION OF HIP TENDON 1.77 $65.90 --- $83.10 004 1 0 0.00 $0.00 Y
K 27005 INCISION OF HIP TENDON 8.87 $330.23 --- $416.45 004 1 0 0.00 $0.00 Y
K 27006 INCISION OF HIP TENDONS 9.07 $337.68 --- $425.84 004 1 0 0.00 $0.00 Y
O 27006 INCISION OF HIP TENDONS 1.81 $67.39 --- $84.98 004 1 0 0.00 $0.00 Y
O 27025 FASCIOTOMY, HIP OR THIGH, ANY TYPE 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
K 27025 FASCIOTOMY, HIP OR THIGH, ANY TYPE 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
K 27027 BUTTOCK FASCIOTOMY 17.45 $649.66 --- -- 004 0 0 0.00 $0.00 Y
O 27027 BUTTOCK FASCIOTOMY 3.49 $129.93 --- -- 004 0 0 0.00 $0.00 Y
O 27030 DRAINAGE OF HIP JOINT 3.17 $118.02 --- $148.83 004 1 0 0.00 $0.00 Y
K 27030 DRAINAGE OF HIP JOINT 15.86 $590.47 --- $744.63 004 1 0 0.00 $0.00 Y
K 27033 EXPLORATION OF HIP JOINT 15.86 $590.47 --- $744.63 004 1 0 0.00 $0.00 Y
O 27033 EXPLORATION OF HIP JOINT 3.17 $118.02 --- $148.83 004 1 0 0.00 $0.00 Y
O 27035 DENERVATION OF HIP JOINT 3.85 $143.34 --- $180.76 004 1 0 0.00 $0.00 Y
K 27035 DENERVATION OF HIP JOINT 19.25 $716.68 --- $903.79 004 1 0 0.00 $0.00 Y
K 27036 EXCISION OF HIP JOINT/MUSCLE 19.79 $736.78 --- $929.14 004 1 0 0.00 $0.00 Y
O 27036 EXCISION OF HIP JOINT/MUSCLE 3.95 $147.06 --- $185.45 004 1 0 0.00 $0.00 Y
O 27040 BIOPSY OF SOFT TISSUES 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 27040 BIOPSY OF SOFT TISSUES 3.67 $136.63 --- $172.31 004 1 1 0.00 $0.00 Y
K 27041 BIOPSY OF SOFT TISSUES 8.16 $303.80 --- $383.11 004 1 1 0.00 $0.00 Y
O 27041 BIOPSY OF SOFT TISSUES 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 27043 EXC HIP PELVIS LES SC 3 CM/> 10.36 $385.70 --- -- 004 0 0 0.00 $0.00 Y
K 27045 EXC HIP/PELV TUM DEEP 5 CM/> 16.43 $611.69 --- -- 004 0 0 0.00 $0.00 Y
O 27045 EXC HIP/PELV TUM DEEP 5 CM/> 3.29 $122.49 --- -- 004 0 0 0.00 $0.00 Y
O 27047 EXC HIP/PELVIS LES SC < 3 CM 2.76 $102.75 --- $129.58 004 1 0 0.00 $0.00 Y
K 27047 EXC HIP/PELVIS LES SC < 3 CM 13.80 $513.77 --- $647.91 004 1 1 0.00 $0.00 Y
K 27048 EXC HIP/PELV TUM DEEP < 5 CM 11.78 $438.57 --- $553.07 004 1 0 0.00 $0.00 Y
O 27048 EXC HIP/PELV TUM DEEP < 5 CM 2.36 $87.86 --- $110.80 004 1 0 0.00 $0.00 Y
O 27049 RESECT HIP/PELV TUM < 5 CM 4.50 $167.54 --- $211.28 004 1 0 0.00 $0.00 Y
K 27049 RESECT HIP/PELV TUM < 5 CM 22.49 $837.30 --- $1055.91 004 1 0 0.00 $0.00 Y
K 27050 BIOPSY OF SACROILIAC JOINT 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 27050 BIOPSY OF SACROILIAC JOINT 1.36 $50.63 --- $63.85 004 1 0 0.00 $0.00 Y
O 27052 BIOPSY OF HIP JOINT 2.80 $104.24 --- $131.46 004 1 0 0.00 $0.00 Y
K 27052 BIOPSY OF HIP JOINT 14.00 $521.22 --- $657.30 004 1 0 0.00 $0.00 Y
K 27054 ARTHROTOMY WITH SYNOVECTOMY HIP JOINT 20.00 $744.60 --- $939.00 004 1 0 0.00 $0.00 Y
O 27054 ARTHROTOMY WITH SYNOVECTOMY HIP JOINT 4.00 $148.92 --- $187.80 004 1 0 0.00 $0.00 Y
O 27057 BUTTOCK FASCIOTOMY W/DBRDMT 3.87 $144.08 --- -- 004 0 0 0.00 $0.00 Y
K 27057 BUTTOCK FASCIOTOMY W/DBRDMT 19.34 $720.03 --- -- 004 0 0 0.00 $0.00 Y
K 27059 RESECT HIP/PELV TUM 5 CM/> 39.97 $1488.08 --- -- 004 0 0 0.00 $0.00 Y
O 27059 RESECT HIP/PELV TUM 5 CM/> 7.99 $297.47 --- -- 004 0 0 0.00 $0.00 Y
O 27060 REMOVAL OF ISCHIAL BURSA 1.13 $42.07 --- $53.05 004 1 0 0.00 $0.00 Y
K 27060 REMOVAL OF ISCHIAL BURSA 5.66 $210.72 --- $265.74 004 1 0 0.00 $0.00 Y
K 27062 REMOVE FEMUR LESION/BURSA 5.52 $205.51 --- $259.16 004 1 0 0.00 $0.00 Y
O 27062 REMOVE FEMUR LESION/BURSA 1.10 $40.95 --- $51.65 004 1 0 0.00 $0.00 Y
O 27065 REMOVE HIP BONE LES SUPER 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 27065 REMOVE HIP BONE LES SUPER 6.35 $236.41 --- $298.13 004 1 0 0.00 $0.00 Y
K 27066 REMOVE HIP BONE LES DEEP 10.76 $400.59 --- $505.18 004 1 0 0.00 $0.00 Y
O 27066 REMOVE HIP BONE LES DEEP 2.15 $80.04 --- $100.94 004 1 0 0.00 $0.00 Y
O 27067 REMOVE/GRAFT HIP BONE LESION 5.04 $187.64 --- $236.63 004 1 0 0.00 $0.00 Y
K 27067 REMOVE/GRAFT HIP BONE LESION 25.20 $938.20 --- $1183.14 004 1 0 0.00 $0.00 Y
K 27070 PART REMOVE HIP BONE SUPER 12.54 $466.86 --- $588.75 004 1 0 0.00 $0.00 Y
O 27070 PART REMOVE HIP BONE SUPER 2.51 $93.45 --- $117.84 004 1 0 0.00 $0.00 Y
O 27071 PART REMOVAL HIP BONE DEEP 2.72 $101.27 --- $127.70 004 1 0 0.00 $0.00 Y
K 27071 PART REMOVAL HIP BONE DEEP 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y