MSP Billing Codes

Specialty: General Surgery

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Code Description Fee

Abdominal and Perineal Approach

72666 Altemeier transperineal excision of rectal procide $677.27
72667 Division of stricture of rectum $252.59
72664 Proctectomy, complete - subtotal/total colectomy $1,645.83
72665 Proctectomy, partial - without anastomosis $558.30
07580 Rectal tumor excision by posterior parasacral $800.00

Abdominal Surgery - Miscellaneous

07603 Abdominal wound evisceration - resuture $406.03
07597 Haemorrhage; intra-abdominal management - post ope $379.58
71280 Indwelling enteral tubes, removal - no anes $30.65
71282 Indwelling enteral tubes, removal- gen anaes $203.93
71281 Indwelling enteral tubes,removal-local/regional $63.06

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71283 Indwelling entereal tubes, replacement - extra $30.65
07601 Intra-abdominal abscess excluding intrahepatic $434.19
07600 Laparotomy to include biopsy - exploratory $405.81
71292 Peritonectomy, with or without chemotherapy $662.77
71293 Peritonectomy, with/without chemotherapy add 15min $75.60
71291 Resection of soft issue tumour 10cmor >-add 15min $76.47
71290 Resection of soft tissue tumour 10cm or greater $662.77
72600 Temp or delayed abdominal closure with vac $376.25
07451 Thoracic extension of abdominal incision(extra) $285.69

Anus Excision

70676 Abscess - ischiorectal/ intramural - incision $389.95
07687 Anal fissure, excision $115.00
70675 Anal seton - removal $28.67
07691 Anus imperforate simple incision $303.06
71682 Botox injection for anal fissure $252.34
07675 Fistula-in-ano - subcutaneous or submucous $250.00
07677 Fistula-in-ano - multiple or horseshoe $451.50
07676 Fistula-in-ano - submuscular $337.72
71700 Fistula-in-ano; closure of congenital anal fistula $645.16
07666 Fistula-in-ano; second stage; division - sphincter $250.00
71689 Hemmorhoid(s); office procedure (eg band ligation) $80.58
71690 Hemorrhoid(s); office procedure-infrared photocoag $80.58
71691 Hemorrhoid(s); office procedure-infrared photocoag $16.82
07683 Hemorrhoidectomy $268.05
07678 Incision and drainage perianal abscess,superficial $91.43
07679 Incision/drain abscess - ischiorectal, intramural $203.01
71686 Papillectomy - multiple - extra $123.30
71684 Papillectomy - single - extra $67.87
71681 Sphincterotomy with/without fissurectomy $303.07

Anus Repair

07689 Anal dilation under general anaesthetic $152.67
70665 Anoplasty - adult $451.50
07690 Anoplasty for imperforate anus - peads $602.52
70674 Destruction - anal lesion $75.41
70680 Destruction of anal lesion - complicated $252.69
70683 Eua with or without sigmoidoscopy $152.95
07452 Extra-peritoneal rectum +/- colostomy - repair $962.78
70668 Graft - rectal incontinence/prolapse: $203.93
70671 Imbrication - levator muscle $451.50
70672 Implantation - artificial sphincter $1,009.32
70666 Sphincteroplasty - anal - adult $451.50
70670 Sphincteroplasty - anal - incontinence $702.52

Appendix

72658 Appendectomy - laparoscopic $480.30
72659 Appendectomy - laparoscopic - perforated $505.30
72657 Appendectomy - perforated $505.30
72656 Appendectomy - open $480.30
72660 Appendiceal abscess - incision/drainage $434.19

Arterial System

77300 A-v fistula with bypass graft in limb salvage $185.56
77175 Abdominal aneurysm, with grafting $1,397.15
77155 Aorta and/or iliac bypass graft - bilateral $1,400.80
77150 Aorta and/or iliac bypass graft - unilateral $892.24
77160 Aorto-femoral and ilio-femoral bypass, unilateral $866.39
77165 Aorto-iliac, aorto-femoral, ilio-femoral bypass $1,400.80
77295 Arm vein graft $254.66
00722 Arteriography, operative $75.51
77170 Arteriovenous aneurysm $495.27
77220 Axillo-femoral bypass graft (autogenous vein) $820.89
77210 Axillo-femoral bypass graft (synthetic)/unilateral $979.23
77215 Axillo-femoral bypass graft(synthetic)/bilateral $1,269.39
77260 Bypass graft (autogenous vein) - femoral $859.23
77265 Bypass graft (autogenous vein) - popliteal $1,072.16
77270 Bypass graft/anterior/posterior tibial or peroneal $1,115.63
77130 Carotid arteries - bypass graft (synthetic) $981.24
77360 Decompression fasciotomy - subcutaneous $334.57
77125 Embolectomy - one side $446.10
77120 Embolectomy - trunk or extremities $620.60
77240 Femoral bypass graft (synthetic) $858.35
77230 Femoro-femoral crossover bypass graft (synthetic) $930.69
77235 Femoro-femoral crossover bypass graft/autogenous $930.69
77245 Infrainguinal popliteal (endarterectomy) $679.59
77135 Inominate - neck or thoracic - bypass graft $779.13
77255 Intraguinal - anterior, post tibial or peroneal $742.29
77250 Intraguinal - popliteal (synthetic) $620.53
77145 Ligation of carotid artery - neck or thoracic $255.38
77280 Non-ipsilateral long saphenous graft - autogenous $254.66
77315 Profundoplasty - extended $750.88
77310 Profundoplasty bypass graft (synthetic) $553.02
77112 Re-dissection of groin (after 21 days), extra $132.47
77110 Re-exploration of groin for bleeding or haematoma $125.47
77370 Release of popliteal entrapment syndrome $334.57
77104 Removal of synthetic graft - with replacement at a different site $1,015.99
77100 Removal of synthetic graft - without replacement $1,354.69
77102 Removal of synthetic graft, with replacement at the same site $677.35
77205 Renal bypass graft (autogenous vein) $892.23
77200 Renal bypass graft (synthetic) $885.59
77345 Repair of injury of major vessel in trunk - graft $1,168.71
77340 Repair of injury of major vessel in trunk - suture $876.21
77180 Resection of abdominal aneurysm $124.11
77185 Ruptured aneurysm, with grafting $1,598.26
77285 Short saphenous graft $254.66
77140 Subclavian - neck or thoracic - bypass graft $846.50
77290 Superficial femoral vein graft(extra) $254.66
77195 Superior mesenteric bypass graft (autogenous vein) $892.23
77190 Superior mesenteric bypass graft (synthetic) $892.23
77350 Supra renal aortic cross-clamp $114.21
77115 Thrombectomy with or without angioplasty $556.73
77275 Vein graft - in situ $257.02

Arteries Surgical Procedures

77335 Repair of injury of major vessel in extremity $750.88
77330 Repair of injury of major vessel in extremity - su $583.75

Biliary Tract

70728 Anastomosis - intra-hepatic ducts/gi tract $1,769.19
70710 Atresia - bile ducts - congenital $1,522.60
07781 Biliary endoscopy - percutaneous $202.59
07780 Biliary endoscopy - intraoperative $202.77
07782 Biliary endoscopy -stone removal $228.06
07783 Biliary endoscopy; with dilation of duct stricture $228.06
70701 Cholecystectomy - cbd (laparoscopic) $1,212.66
70702 Cholecystectomy - cbd (open) $1,212.66
07707 Cholecystectomy - laparoscopic $536.09
07699 Cholecystectomy - open $606.62
70704 Cholecystectomy with choledochojejunostomy $1,313.92
70700 Cholecystectomy; open preceded by cholecystectomy $707.84
70703 Cholecystectomy/choledochoduodenostomy $1,313.82
70705 Cholecystectomy/transduodenal sphincterotomy $1,313.82
07706 Cholecystoenterostomy - direct (loop) $1,015.07
70720 Cholecystoenterostomy/gastroenterostomy $1,218.09
70721 Cholecystoenterostomy/roux-en-y $1,116.58
70722 Cholecystoenterostomy/roux-en-y/gastroenterostomy $1,319.59
70698 Cholecystostomy - laparoscopic $455.06
07698 Cholecystostomy - open $505.43
71698 Cholecystostomy - percutaneous $164.85
07561 Choledochal stent - placement $172.45
07703 Choledochoduodenostomy $1,116.58
70725 Choledochojejunostomy with gastrojejunostomy $1,700.00
07705 Choledochojejunostomy/anastomosis of extra-hepatic $1,218.09
70726 Choledochojejunostomy/roux-en-y $1,700.00
70727 Choledochojejunostomy/roux-en-y/gastrojejunostomy $1,700.00
70695 Choledochotomy/choledochostomy - laparoscopic $900.00
70694 Choledochotomy/choledochostomy open $850.00
70696 Choledochotomy/transduodenal sphincteroplasty $950.00
70715 Cyst - choledochal $1,414.54
70716 Cyst - choledochal/ductoplasty $1,471.37
70717 Cyst; choledochal - excision, multiple anastomoses $1,594.00
07562 Duodenal biliary stent - replacement $172.45
07769 Duodenotomy and sphincteroplasty $1,014.02
07554 Ercp - balloon dilatation $434.25
07519 Ercp - biliary stenting $434.25
07517 Ercp - papillotomy/sphincterotomy $447.05
07518 Ercp - stone extraction $530.07
07556 Ercp - stone extraction requiring lithotripsy $555.62
70731 Extra-hepatic biliary duct: primary repair $1,421.10
07560 Naso-biliary drainage tube - insertion $103.49
70718 Portal lymphadenectomy $764.73
70711 Portoenterostomy $1,584.89
07776 Repair of cholecystenteric fistula $1,000.00
70713 Tumor/stricture - bile duct - upper $2,200.00
70712 Tumor/stricture - bile duct - lower $1,900.00
70714 Tumor/stricture - bile duct - multiple anastomoses $2,500.00
70730 U-tube hepatico enterostomy $1,769.19

Breast

70042 Aspiration - fine needle - additional cyst/ lesion $12.07
07475 Axillary dissection - partial $237.35
07474 Axillary dissection (level ii) - complete $507.42
70470 Biopsy - breast - incisional $152.26
70471 Biopsy - breast - excisional $203.56
70469 Biopsy - breast - needle core $57.48
70472 Biopsy - needle core-stereotactic/ultrasound guide $90.89
70477 Biopsy breast lesion - each additional $110.42
07497 Biopsy or segmental resection of non-palpable brea $232.60
70473 Biopsy-needle core-stereotactic/ultrasound guided $128.33
70041 Fine needle aspiration solid or cystic lesion $48.20
07472 Mastectomy - total for malignancy $474.13
07473 Mastectomy - partial for malignancy $329.57
70479 Mastectomy - radical $777.59
07471 Mastectomy - simple for benign disease $340.96
70478 Mastectomy - gynecomastia $305.89
07498 Mastectomy - skin sparing - unilateral $650.00
70044 Mastotomy - under general anesthetic $203.73
70043 Mastotomy with exploration of drainage of abscess $81.45
07470 Nipple exploration $277.88
07479 Sentinel lymph node biopsy $474.13
07481 Sentinel lymph node biopsy $450.00
07482 Sentinel lymph node biopsy $550.00

Closure of Fistula (Enterovesical, Colovesical or Colovaginal)

07455 Emergency resection of obstructed colon $1,011.50
07658 Exteriorization of bowel $602.52
72654 Fistula - closure/bowel resection $404.35
72653 Fistula - enterovesical/colovesical/colovaginal $909.89

Closure of Loop Enterostomy

07647 Closure of loop enterostomy with resection $631.93
07646 Closure of loop enterostomy, large/small intestine $509.22
72652 Hartman procedure - reconstruction - laparoscopic $1,033.43
72651 Reconstruction hartmann procedure - open $1,010.79

Closure of Oesophagostomy or Fistula

07528 Placement gastroesophageal venous compression ball $202.10

Consultations / Visits

71010 Consultation - general surgery - malignancy $150.00
07010 Consultation- general surgery $116.00
07012 Repeat or limited consultation- general surgery $60.00
70070 Telehealth consultation - general surgery $116.00
70076 Telehealth directive care - general surgery $30.00
70072 Telehealth repeat or limited consult - gen surgery $60.00
70078 Telehealth subsequent hospital visit - gen surgery $29.00
70077 Telehealth subsequent office visit - general surg $28.50

Debridement of Soft Tissues

70168 Active wound mgmt-acute phase after debridement $78.57
70169 Active wound mgmt/in or acute phase aft debridemnt $125.72
70155 Debridement of skin and subcutaneous tissue restricted to genitalia and perineum for necrotizing infection (fourniers gangrene) (stand alone procedure) $550.00
70166 Debridement skin/fascia/muscle/bone; each sub 5% of body surface area $144.06
70165 Debridement skin/fascia/muscle/bone;up to 1st 5% of body surface area $288.10
70162 Debridement skin/sub/necrotic fascia / 1st 5% of body surface area $261.93
70163 Debridement skin/sub/necrotic fascia/each sub 5% of body surface area $130.96
70158 Debridement skin/subcutaneous tissue,up to 5% body surface area $294.65
70159 Debridement skin/subcutaneous tissue; each sub 5% of body surface area $117.87

Diagnostic procedures

07764 Cholangiography; operative $80.86
33374 Colonoscopy - removal of polyp $283.50
33373 Colonoscopy-biopsy $235.15
00780 Diagnostic schirmer test $13.15
00869 Manometry - anal - adult $101.37
07710 Pancreatogram w/ or w/o sphincterotomy - extra $67.19
00789 Peritoneal lavage $85.74
00809 Retrograde pancreatography $216.54
00715 Sigmoidoscopy with biopsy $37.98
00718 Sigmoidoscopy, flexible and with biopsy $77.34

Diaphragm - Repair

70604 Congenital diaphragmatic hernia $1,522.60
07431 Diaphragmatic injury - repair $804.44
70603 Diaphragmatic or other hernia - laparoscopic $1,212.64
70602 Diaphragmatic or other hernia - open $1,212.64
70607 Imbrication of diaphragm for eventration $800.00
70605 Repair diaphragmatic hernia or laceration - acute $1,215.00
70606 Repair diaphragmatic hernia or laceration -chronic $1,215.00
70601 Repair of para-oesophageal hiatus hernia, transabdominal, with or without fundoplication $1,212.64

Emergency Care

00082 Critical care monitoring $63.67
00081 Emergency bedside care $106.12

Endocrine System - Adrenal

71705 Adrenalectomy - bilateral - open $1,600.00
71704 Adrenalectomy - unilateral - open $804.44
71703 Adrenalectomy for pheochromocytoma - open $1,019.18
72703 Adrenalectomy for pheochromocytoma-laparoscopic $1,273.97
72705 Adrenalectomy; any approach-bilateral-laparoscopic $1,800.00
72704 Adrenalectomy;any approach-unilateral-laparoscopic $1,005.57

Endocrine System - Carotid Body

71706 Carotid body tumor - excision $1,014.37
71707 Carotid body tumor with excision of carotid artery $1,217.37

Endocrine System - Pancreas

71718 Ampulla of vater - excision $1,062.67
07733 Anastomosis of pancreatic pseudocyst, roux-en-y- $1,015.07
71710 Biopsy - pancreas - open $100.00
00826 Biopsy of pancreas - percutaneous $101.44
71713 Pancreatectomy - distal subtotal - open $1,300.00
71715 Pancreatectomy - pancreaticojejunostomy $1,500.00
71719 Pancreatectomy - proximal/subtotal $3,045.21
71720 Pancreatectomy - pyloric sparing $3,045.21
71721 Pancreatectomy - regional $3,449.82
71722 Pancreatectomy - total $2,500.00
71725 Pancreatectomy - total $1,469.94
71714 Pancreatectomy - with splenic preservation - open $1,600.00
71717 Pancreatectomy -distal/near total $2,400.00
71716 Pancreatectomy -splenic preservation/pancreatic $1,700.00
72713 Pancreatectomy, distal subtotal-laparoscopic $1,520.85
72714 Pancreatectomy, with splenic preserv-laparoscopic $1,277.23
71712 Pancreatic lesion - excision - limited $1,000.00
07758 Pancreatic pseudocyst - laparoscopic $1,000.00
07756 Pancreatic pseudocyst - open $1,000.00
07732 Pancreatic pseudocyst - drainage, transduodenal $1,015.07
07711 Pancreatic pseudocyst internal drainage $964.32
72711 Pancreatic pseudocyst internal drainage-laparoscop $1,114.48
07714 Pancreaticojejunostomy; side-to-side anastomosis $1,400.00
71708 Pancreatitis - acute - drainage $1,000.00
71709 Resectional debridement - pancreas $1,300.00

Endocrine System - Parathyroid

71748 Parathyroid autotransplantation $101.96
72572 Parathyroid autotransplantation $873.38
71746 Parathyroidectomy - re-exploration $1,217.10
71747 Parathyroidectomy - mediastinal exploration $1,217.17
07744 Parathyroidectomy - subtotal parathyroidectomy $1,014.37
07745 Parathyroidectomy or exploration of parathyroids $900.00

Endocrine System - Thyroid

07740 Biopsy of thyroid - open $354.83
70740 Cyst - thyroglossal - infected $203.93
70742 Lobectomy - total thyroid $587.84
07771 Picking operation; metastatic neck nodes $1,100.00
70748 Substernal thyroid - sternal split $163.48
70747 Thyroid tissue - remaining - removal $694.84
70745 Thyroidectomy - subtotal - bilateral $706.81
07743 Thyroidectomy - total or complete $1,014.42
07741 Thyroidectomy; subtotal unilateral (local excision $450.00
70743 Thyroidectomy; total; unilateral inc'l isthmus $728.04

Excision of Rectal Tumour (Transanal Approach)

72671 Excision of rectal tumour greater than 5 cm $455.09
72669 Excision of rectal tumour, 0 to 2.5 cm $253.59
72673 Transanal endo. micro. resection of rectal tumour $917.67
72683 Transanal endo. micro. resection of rectal tumour $981.74
72684 Transanal endo. micro. resection of rectal tumour $421.25
72670 Tumor - rectal - excision - 2.6 to 5 cm. $304.52
72672 Tumor - rectal - malignant - electrodesiccation $252.68

Gastrointestinal Reconstruction

71547 Ligation/stapling - oesophageal perforation $1,200.00
71546 Transection of oesophagus with repair $830.20

Hernia - Repair

71612 Bilateral primary inguinal or femoral hernias > ag $606.63
71613 Bilateral primary inguinal or femoral hernias > ag $667.08
71614 Hernia - initial incisional - repair - reducible $596.65
71619 Hernia - umbilical - repair - reducible $343.80
71621 Hernia repair with resection of bowel $758.16
71622 Hernia repair, bowel resection, separate incision $809.05
71623 Hernia-laparoscopic initial ventral or incision $697.44
07610 Hernia, epigastric $343.80
71624 Hernia, laparoscopic recurrent ventral or incision $761.21
07596 Hernia; incisional; repair following laparotomy $125.00
71615 Hernia; initial incisional repair, incarcerated $596.65
71616 Hernia; initial incisional repair, prosthetic mesh $596.65
71618 Hernia; repair recurrent incisional, incarcerated $609.16
71617 Hernia; repair recurrent incisional, reducible $608.86
71620 Hernia; repair umbilical incarcerated/strangulated $343.80
71625 Myofascial abdominal wall advancement flaps for $866.70
71600 Repair inguinal or femoral hernia < 6 months $406.03
71608 Repair inguinal or femoral hernia; > age 12 incarc $411.85
71607 Repair inguinal or femoral hernia; > age 12-laparo $404.42
71606 Repair inguinal or femoral hernia;> age 12 - open $364.12
71603 Repair inguinal or femoral hernia;age 6 mths to 12 $379.23
71604 Repair inguinal or femoral hernia;age 6 mths to 12 $606.64
71605 Repair inguinal or femoral hernia;age 6 mths to 12 $433.34
71601 Repair inquinal or femoral hernia < 6 months bilat $707.68
71602 Repair inquinal or femoral hernia < 6 months-incar $507.54
71609 Repair recurrent inguinal or femoral hernia;any ag $455.15
71610 Repair recurrent inguinal or femoral hernia;any ag $505.52
71611 Repair recurrent inguinal or femoral hernia;any ag $514.78

Inestines - Excision

72635 Anterior resection - rectosigmoid-carcinoma - open $1,515.90
72755 Anterior resection of rectosigmoid - laparoscopic $1,617.81
72601 Caecostomy tube for decompression-lap. (extra) $377.50
72641 Caecostomy/tube - decompression $404.20
72760 Colectomy - total, abdominal - laparoscopic $1,409.05
72769 Colectomy and hemiproctectomy - laparoscopic $1,360.51
07569 Colectomy and hemiproctectomy - open $1,088.40
07640 Colectomy,total,abdominal,without proctectomy/open $1,314.24
07570 Colo-colostomy or entero-colostomy - open $802.82
72770 Colo-colostomy or entero-colostomy-laparoscopic $1,003.53
72788 Colostomy of ileostomy - end - laparoscopic $589.60
72646 Colostomy or ileostomy - multiple biopsies $134.49
07588 Colostomy or ileostomy - loop - end - open $505.63
72715 Colostomy or ileostomy - loop - laparoscopic $511.75
07645 Colostomy or ileostomy - loop - open $505.38
72645 Continent ileostomy - open $1,004.22
72745 Continent ileostomy (koch procedure) laparoscopic $1,255.27
07643 Enteroenterostomy $606.44
72631 Hemicolectomy - left - laparoscopic $1,096.80
72625 Hemicolectomy - right - laparoscopic $1,033.43
72624 Hemicolectomy - right - open $884.86
72621 Mobilization - splenic flexure $95.79
72721 Mobilization of splenic flexure - lap (extra) $119.74
72640 Partial right colectomy (caecum) - open $884.71
72740 Partial right colectomy - laparoscopic $985.67
72636 Proctectomy - abdominal/transanal $1,125.66
07567 Proctectomy with rectal mucosectomy - open $1,750.00
72767 Proctectomy with rectal mucosectomy-laparoscopic $1,936.03
07641 Proctocolectomy total with perineal excision-open $1,645.83
07566 Rectal mucosectomy, ileoanal anastomosis $837.43
72623 Resection - colon - limited - laparoscopic $984.85
72622 Resection - colon - limited - open $859.52
72736 Resection of small intestine with anastomosis $754.18
72620 Resection of small intestine-with enterostomy/open $813.78
72720 Resection small intestine/enterostomy-laparoscopic $1,017.22
07649 Revision of colostomy, ileostomy - radical $505.42
07648 Revision of colostomy, ileostomy - simple incision $450.00
72644 Revision of colostomy, ileostomy - with repair $657.12
72633 Sigmoid resection - laparoscopic $1,141.81
72632 Sigmoid resection - open $1,011.14
72734 Sigmoid resection-with end colostomy-laparoscopic $1,078.87
72634 Sigmoid resection/end colostomy - open $960.56
07636 Small intestine resection/with anastomosis - open $632.10
72765 Take-down of pelvic pouch - laparoscopic $1,520.89
07565 Takedown pelvic pouch to include ileostomy - open $1,218.09
07589 Total proctocolectomy synchronous abdominal portio $1,317.10
72741 Total proctocolectomy-single surgeon/laparoscopic $2,057.30
72789 Total proctocoloectomy - syn.abd.portion $1,646.40

Inestines - Incision

71651 Corretion of malrotation - laparoscopic $586.02
07634 Enterotomy or colotomy (single); for exploration $487.38
71650 Hernia repair - correction - malrotation $505.61
07654 Intestinal obstruction, plication/insertion - tube $570.04
72650 Intestinal obstruction, resection of bands-lap $627.62
07650 Intestinal obstruction; resection of bands $550.00
07635 Multiple colotomy with operative sigmoidoscopy $639.86
70648 Tube or needle catheter jejunostomy $507.00
07651 Volvulus reduction, intussusception by laparotomy $526.23

Intestinal Stricturoplasty

72648 Intestinal stricturoplasty - multiple $909.55
72647 Intestinal stricturoplasty - single $606.54

Intestines

70661 Lysis of intra-abd adhesions-lap-add 15min extra $76.47
70660 Lysis of intra-abd adhesions-lap-first 30 min ex $152.95
70650 Lysis of intra-abdom adhesions-first 30 min extra $152.95
70651 Lysis of intra-abdominal adhesions-add. 15 min $76.47

Liver Excision

07410 Hepatectomy - caudate lobectomy $2,100.00
07409 Hepatectomy - extended left lobectomy $2,200.00
07411 Hepatectomy - extended right lobectomy $2,300.00
07405 Hepatectomy - segmental resection - one or more $1,200.00
07407 Hepatectomy - total left lobectomy $2,000.00
07408 Hepatectomy - total right lobectomy $2,000.00
07406 Hepatectomy - two or more segments $1,600.00
72795 Lap. hepatectomy, segmental resection-one or more, $1,261.93
72794 Lap. non-anatomic sub-segmental excision-liver mas $1,141.96
72796 Lap. seg. resection liver:2 or more segments,bilat $1,800.00
72797 Laparoscopic total left lobectomy $2,500.00
72798 Laparoscopic total right lobectomy $2,500.00
07404 Liver mass - subsegmental excision $1,000.00

Liver Incision

07402 Hepatotamy - abscess/cyst - single $434.19
07403 Hepatotamy - multiple, including marsupialization $653.95
71380 Open or laparoscopic liver tumour non-resectional $900.00

Liver Repair

07441 Hepatic artery ligation $1,015.07
07442 Hepatic lobectomy for trauma $2,500.00
07412 Hepatorrhaphy - simple $609.04
07413 Hepatorrhaphy - with packing $644.63
07440 Liver - resectional debridement $1,268.85

Lymphatic System

07368 Laparoscopic splenectomy $809.21

Lymphoedema - Leg

06128 Lymphoedema - lower limb $1,046.58
06127 Lymphoedema - entire leg $700.04

Miscellaneous Surgery

79135 Chest wall tumour with rib resection $1,016.71
32031 Closed drainage of chest, operation only. $137.00
00046 Hyperbaric chamber - additional charge per hour $28.44
00744 Thyroid biopsy $73.65

Mouth, Head and Neck

07796 Excision neurogenic neoplasm neck $1,115.70
07790 Lesion - benign - floor of mouth $152.81
07789 Lesion - tongue $319.30
07725 Maxillectomy $1,014.37
07726 Maxillectomy with exenteration of orbit and skin g $1,051.77
07749 Partial maxillectomy for malignancy - fenestration $811.46
07500 Resection of mandible $402.23
06140 Wedge resection - lip vermilion $200.57
06141 Wedge resection of lip sulcus $250.72

Oesophageal Surgery

71541 Cardiospasm - with fundoplication - open $940.05
71542 Cardiospasm with fundoplication - laparoscopic $1,175.07
70502 Cricopharyngeal myotomy - cervical approach $469.34
07536 Direct ligation of oesophageal varices $736.52
70545 Diverticulectomy of hypopharynx/oesophagus-cervica $536.76
70544 Diverticulectomy of hypopharynx/oesophagus-thoraci $653.95
71534 Division of tracheo-oesophageal fistula $804.44
33327 Endoscopic repositioning of gastric feeding tube $14.25
33329 Esophageal dilation or dilation of pathological $109.02
33328 Esophageal dilation, blind bouginage $57.25
70532 Excision - oesophageal lesion - laparoscopic/ tho $777.59
70530 Excision oesophageal lesion - cervical approach $536.76
70531 Excision oesophageal lesion thoracic/abdominal $777.59
33325 Gastric polypectomy $161.47
71544 Gastrointestinal reconstruction - colon interposit $1,673.20
71543 Gastrointestinal reconstruction - with stomach $1,430.50
71549 Oesophageal wound - transthoracic/transabdominal $1,522.60
71548 Oesophageal wound or injury - cervical approach $1,268.85
70504 Oesophagectomy w/ colon interposition - 2nd surg $650.00
70534 Oesophagectomy w/ colon interposition - prim. surg $2,030.14
70505 Oesophagectomy w/ thoracotomy - 2nd surgeon $650.00
70535 Oesophagectomy w/ thoracotomy - primary surgeon $2,283.91
70533 Oesophagectomy w/o thoracotomy - primary surgeon $2,030.14
70503 Oesophagectomy w/o thoracotomy - secondary surgeon $650.00
70536 Oesophagectomy w/thoracotomy&colon inter.-1st surg $2,283.91
70506 Oesophagectomy w/thoracotomy&colon inter.-2nd surg $650.00
70542 Oesophagectomy,total or partial,w/o reconstruction $1,073.50
71536 Oesophagogastric fundoplasty - open $736.52
71538 Oesophagogastric fundoplasty - with gastroplasty $1,218.09
71535 Oesophagogastric fundoplasty - laparoscopic $920.65
71537 Oesophagogastric fundoplasty with fundic patch $791.86
71533 Oesophagoplasty - w/ tracheo-oesophageal fistula $2,250.00
71532 Oesophagoplasty - w/o tracheo-oesophageal fistula $2,000.00
71530 Oesophagostomy - cervical $531.36
71551 Oesophagostomy or fistula closure - transthoracic $1,522.60
71550 Oesophagostomy/fistula closure-cervical approach $1,268.85
70500 Oesophagotomy:cerv. approach w/ rem. foreign body $536.76
70501 Oesophagotomy:thora. approach w/ rem. foreign body $637.58
70540 Part. oesophagectomy thoraco-abdom. or abdominal $1,430.50
70541 Part. oesophagectomy throacoabdominal - 1st surg $1,673.20
70509 Part. oesophagectomy w/colon inter. - 2nd surg $650.00
70539 Part. oesophagectomy w/colon inter. - prim. surg $1,864.78
70511 Part.oesophagectomy thoracoabdominal - 2nd surg. $650.00
70538 Partial oesophagectomy - distal 2/3 $1,634.89
33326 Percutaneous endoscopically placed feeding tube $73.78
71540 Plastic operation: cardiospasm - laparoscopic $840.72
71539 Plastic operation: cardiospasm -thoracic approach $672.58
33321 Removal of foreign material causing obstruction $101.91
71531 Repair tracheo-oesophagal fistula-cervical appr. $2,000.00
33322 Therapeutic injection(s), sclerosis, band ligation $116.68
33324 Thermal coagulation - heater probe and laser $42.60
33323 Transendoscopic tube, stent or catheter $101.86

Pediatric Intestine Procedures

07655 Excision of meckel's diverticulum $505.22
07447 Mesenteric injury - repair of $572.71

Pediatric Procedures

07466 Anal stricture - child $450.49
07552 Aortopexy for tracheomalacia $1,015.07
07653 Atresia; small bowel; excision or bypass $1,522.60
07700 Cloacal anomalies; primary surgeon, total correct $2,150.54
07614 Omphalocele or gastroschesis - temporary repair $402.23
07615 Omphalocele or gastroschesis - permanent repair $613.07
07571 Pena posterior sagittal anal proctoplasty $1,150.14
72662 Proctectomy, complete - synchronous abdominal - pediatric $1,314.90
72751 Red of volvulus, intussuspection; hernia(lap) $657.80
07692 Repair major ano-rectal anomalies, sacral approach $1,522.60
07697 Sacrococcygeal teratoma- excision $1,522.60

Rectum Endoscopy

10733 Colonoscopy - control bleeding $303.99
10731 Colonoscopy - flexible - diagnostic $231.61
10732 Colonoscopy - removal of foreign body $272.07
10730 Colonoscopy,flexible-transabdominal via colotomy $240.14
10714 Proctosigmoidoscopy, rigid - diagnostic $35.40
07465 Sigmoidoscopy - ablation of tumor/other lesion $169.75
07462 Sigmoidoscopy - control bleeding $181.00
07460 Sigmoidoscopy - decompression - volvulus $228.83
07463 Sigmoidoscopy - decompression volvulus, any method $228.83
07464 Sigmoidoscopy - polyp removal $251.02
07461 Sigmoidoscopy - removal of foreign body $181.00
00716 Sigmoidoscopy; flexible; diagnostic $76.09

Rectum - Excision

07662 Abdomino-perineal resection (single surgeon)-open $1,718.82
07663 Abdomino-perineal resection (synchronous abdominal $1,314.61
72762 Abdomino-perineal resection-single surgeon $1,820.21
72763 Abdomino-perineal resection-synchronous $1,407.07
07664 Proctectomy,combined with abdom resection/perineal $505.57

Rectum - Incision and Excision

07665 Anorectal wall, biopsy - anal approach $150.98
07660 Pelvic abscess - transrectal drainage $303.15

Rectum Repair

07672 Complete rectal prolapse $698.70

Referred Cases

07006 Directive care - general surgery $30.00
07005 Emergency visit - general surgery $116.00
71017 General surgery - visit for malignancy $65.00
71008 Post op visit in hosp (1-14 days) $28.00
71015 Pre-operative assessment - general surgery $116.00
07009 Subsequent home visit- general surgery $50.00
07008 Subsequent hospital visit - general surgery $29.25
07007 Subsequent office visit - general surgery $28.50
70080 Telehealth consultation general surgery-malignancy $150.00
70087 Telehealth visit general surgery-for malignancy $65.00

Removal of Tumours or Scars

70127 Closure/radical resection requiring a free split $101.15
70124 Local tissue shift-eyebrow,eyelid,lip nose-single $295.14
70122 Multiple flap for lesion greater than 2 cm $571.97
70123 Multiple flap lesion >2 cm w/free skin graft $650.54
70126 Radical resect malign skin/soft tissue tumour =>10 $452.56
70125 Radical resect malign skin/soft tissue tumour 5-10 $261.90
70119 Single flap <2 cm diameter for repair defect (op) $158.38
70121 Single flap for lesion >2 cm w/free skin graft sec $408.56
70120 Single flap for lesion greater than 2 cm $324.74
70116 Tumour removal or scar revision (2-5 cm)op only $127.72
70117 Tumour removal or scar revision (5.1-10 $261.90
70118 Tumour removal or scar revision greater than 10 cm $452.56

Renal Access

77403 Arm revascularization with dril $707.73
77402 Brachiobasilic arteriovenous fistula,vein transpot $707.74
77395 Creation of internal arterio-venous fistu $414.93
07366 Laparotomy and staging of lymphoma $909.86
07365 Limb perfusion - isolated $938.97
77380 Peritoneal catheter insertion $190.68
77385 Peritoneal catheter removal $132.26
07363 Radical femoral, inguinal and iliac dissection $536.76
77396 Revision of av fistula $505.58
07360 Splenectomy $808.57
07361 Tb glands - radical removal $269.03
77405 Thrombectomy of arterio-venous fistula $349.01

Salivary Gland and Ducts

07515 Abscess - partoid/submaxillary/sublingual $202.59
00844 Biopsy of salivary gland, fine or core needle $54.02
07516 Excision or marsupialization of salivary cyst $203.56
07522 Local excision of parotid tumor $203.62
07526 Salivary duct - dilation $152.38

Second Surgeon or Operator

70021 Certified general surgeon assist(extra) $31.77
07702 Cloacal anomaly - total correction second surgeon $507.54
07593 Pena posterior sagittal anoproctoplasty 2nd surgeo $339.13
77030 Second operator: synchronous combined bypass graft $300.19
77025 Synchronous combined bypass graft - extremities $300.19

Stomach

07633 Closure of gastrojejunocolic fistula $1,140.06
70649 Fistula - gastrocolic $786.78
70628 Gastrectomy - reconstruction - roux-en-y - open $1,700.00
70627 Gastrectomy - total - open $1,700.00
07623 Gastrectomy revision after previous gastrectomy $1,217.37
70629 Gastrectomy with formation/intestinal pouch - open $1,700.00
72729 Gastrectomy, total: with pouch - laparoscopic $2,000.00
72728 Gastrectomy, total: with roux-en-y reconstruction $2,000.00
72727 Gastrectomy,total:oesophagoenterostomy-laparoscop $2,000.00
70645 Gastric restrict procedure/revision/reversal/open $1,617.25
70642 Gastric restrictive procedure $1,015.07
72743 Gastric restrictive procedure - laparoscopic $1,415.75
70643 Gastric restrictive procedure/bypass - open $1,600.00
70644 Gastric restrictive procedure/small bowel reconstr $929.80
72737 Gastrojejunostomy - laparoscopic $634.10
07627 Gastrojejunostomy - open $558.30
70646 Gastrostomy - closure - surgical $402.23
07630 Gastrostomy - open $456.79
70641 Gastrotomy - laparoscopic $750.00
07632 Gastrotomy, open $750.00
72739 Laparoscopic vertical sleeve gastrectomy $1,105.07
70626 Limited/wedge excision malignant tum-stomach-open $653.95
33394 Peg procedure-assistant's fee $112.47
07626 Pyloroplasty $402.23
72723 Revision gastrectomy/after prv gastrectomy lap $1,521.68
72775 Revision/reversal of gastric restrictive procedure $1,700.00
70637 Tube change - gastrostomy $45.46

Stomach Excision

72626 Hemicolectomy - left - open $960.62
72726 Limited/wedge excision - malignant tumour stomach $817.44
72725 Limited/wedge excision - ulcer or benign tumour $715.27
70625 Limited/wedge excision-ulcer or benign tum stomach $572.21

Stomach Incision

70620 Gastrotomy $505.35
70621 Gastrotomy with suture repair of bleeding ulcer $674.39
70622 Gastrotomy-suture repair oesophagogastric lacer. $702.47
70624 Pyloromyotomy, cutting of pyloric muscle $505.35

Stomach Partial Gastrectomy (Distal)

70635 Gastrectomy - proximal - open $1,202.67
07624 Gastrectomy emergency for continued haemorrhage $1,200.00
70632 Gastrectomy partial/distal reconstruction-roux-en $1,200.00
70630 Gastrectomy partial/distal with gastroduodenostomy $1,100.00
70631 Gastrectomy partial/distal/gastrojejunostomy-open $1,100.00
70633 Gastrectomy, partial, distal-intestinal pouch-open $1,300.00
72733 Gastrectomy, partial, with pouch - laparoscopic $1,379.45
72730 Gastrectomy,partial,distal(billroth i)laparoscopic $1,226.17
72731 Gastrectomy,partial,distal(billroth ii)laparoscope $1,226.17
72732 Gastrectomy,partial,distal/roux-en-y-laparoscopic $1,277.23
07628 Gastrojejunostomy or pyloroplasty $636.64
72735 Proximal gastrectomy - laparoscopic $1,503.32
07578 Vagotomy - highly selective $636.64
70634 Vagotomy (extra) $63.86

Superficial Issues

07041 Abdomen aspiration/chest $76.01
07027 Abscess - deep - general anaesthetic $203.59
07059 Abscess - deep - local/regional anesthesia $81.46
07061 Abscess - deep, post operative wound infection under general anesthesia $203.37
70084 Abscess - pilonidal cyst/sinus - incision/drainage $101.36
06028 Abscess - web space operation only $254.92
06029 Abscess - web space under general anaesthetic $290.00
07045 Anterior closed space abscess - op only $101.44
70023 Exc biopsy of lymph gland for susp malig - neck $203.62
70025 Exc biopsy of lymph glands for susp malig - groin $203.37
70024 Exc biopsy of lymph glands for susp malig -axilla $237.34
07053 Exc of nail bed, complete, w/shortening of phalanx $137.99
06166 Excision of axillary sweat gland for hyperhydrosis $325.14
07055 Ganglia - wrist $202.23
07072 Hydradenitis suppurativa excision - axillary $250.00
07075 Hydradenitis suppurativa excision - inguinal $250.00
07076 Hydradenitis suppurativa excision - perianal $250.00
07082 Hydradenitis suppurativa excision - perineal $250.00
07685 Pilonidal cysts or sinus - excision or marsupialization $277.43
06063 Removal of foreign body requiring ga $250.72
06018 Removal of tumor - more than 10 cm $447.40
06016 Removal of tumor or scar under ga, up to 5 cm $126.26
06017 Removal of tumour; 5 cm to 10 cm $258.91
07028 Sural nerve - biopsy of $177.27
07025 Temporal artery biopsy $140.69
07073 Tenotomy congenital torticollis $304.16
07074 Tenotomy resection of tendon $257.99

Surgical Fee Modifiers

07003 Bmi surgical surcharge @ 25% of surgical fee to a maximum of $2,008.00
07001 Surgical surcharge (age 75+) $85.00

Sympathectomy

77422 Cervical sympathectomy - unilateral $501.87
77430 Lumbar sympathectomy - bilateral (extra) $248.26
77420 Lumbar sympathectomy - unilateral $371.15
77428 Lumbar sympathectomy - unilateral (extra) $124.12
77426 Lumbo-dorsal sympathectomy & splanchnic neurectomy $458.38
77424 Preganglionic sympathectomy; upper dorsal region $458.38

Thoracic Procedures

10761 Esophagogastroduodenoscopy (egd) $89.73
10763 Initial esophageal, gastric or duodenal biopsy $29.06
00710 Mediastinoscopy or anterior mediastinotomy $196.39
10764 Multiple biopsies for differential diagnoses $43.58
00818 Oesophageal ph study - professional fee $41.00
00817 Oesophageal ph study - technical fee $13.00
00797 Oesophageal, motility test $176.15
00798 Oesophageal, motility test - professional fee $101.79
00788 Oesophageal, motility test - technical fee $74.35

Transplantation

77440 Implantation of kidney graft - vascular surgeon $836.46
77707 Implantation of kidney graft - vascular surgeon $42.87
77708 Implantation of kidney graft - vascular surgeon $30.90
77710 Implantation of kidney graft - vascular surgeon $145.69
77712 Implantation of kidney graft - vascular surgeon $89.54

Trauma

07446 Bowel - small - resection of injured $644.63
07445 Bowel - small - repair of lacerations $572.71
07448 Colonic injury +/- colostomy - repair $962.78
07450 Colonic injury- exteriorization $602.52
07443 Distal pancreas - resection for trauma $1,268.85
07438 Duodenal injury - resection and debridement $1,522.60
07437 Duodenum - repair of laceration to $857.71
07436 Duodenum/pancreas - exploration and mobilization $644.63
07150 Insertion of thoracostomy tube $203.01
07435 Lacerations to stomach - repair $750.00
07433 Laparotomy and removal of injured spleen $850.00
07432 Laparotomy for trauma $454.41
07430 Peritoneal lavage (catheter) - diagnostic $102.83
07449 Resection of colonic injury $962.78
07434 Splenic repair, any method $758.60
10089 Trauma team leader - subsequent hospital visit $78.72
10088 Trauma team leader - tertiary assessment $104.00
07444 Whipple procedure for trauma $3,045.21

Vascular Access

07139 Broviac catheter - insertion of $162.55
07140 Catheter insertion - broviac type, <3 mo or <3 kg $269.03
00319 Central catheter insertion - tpn $56.81
07146 Inferior vena cava filter - insertion $367.84
00526 Insertion of intravenous infusion line, under 5 $57.24
07147 Insertion of peritoneal catheter under ga $305.89
07145 Intra osseous - access $101.29
00801 Intra-arterial cannulation $22.10
07134 Peritoneal venous shunt for ascites $390.37
07141 Permcath removal $126.79
07142 Venous access port - implantable - insertion $255.98
07143 Venous access port - implantable/revision/removal $350.00

Venous

77084 Acute venous: ligation of femoral vein $495.27
77060 Compression sclerotherapy - repeat $37.87
77055 Compression sclerotherapy - complicated $120.26
77050 Compression sclerotherapy - uncomplicated $80.82
77070 Fasciotomy - complete $319.25
77082 Femoral vein - ligation $148.84
77075 Groin - re-exploration, and/or popliteal fossa $300.19
77065 High ligation, long saphenous $223.03
07112 Ligation of 2 or more perforators $278.91
07111 Ligations and strippings - 6 or more incisions $304.28
07110 Ligations and strippings - 3 to 5 incisions $278.91
77096 Mesocaval graft - autogenous $1,006.21
77094 Mesocaval graft - synthetic $945.05
07116 Multiple ligations, strippings, perforators $523.41
77092 Porto-caval shunt $945.05
77090 Spleno-renal shunt $945.05
07108 Stripping long saphenous $263.88
07109 Stripping short saphenous $228.30
77086 Thrombectomy/acute ilio-femoral thrombophlebitis $620.60
77077 Ulcer excision and grafting $120.28
77045 Varicose vein injection $13.46
77079 Venous crossover graft for iliac obstruction $609.87

Wounds

06077 Complicated laceration of the scalp cheek and neck $333.13
70150 Lacerations - tongue/floor of mouth - complicated $270.50
06075 Lips and eyelid wounds complicated $339.41
06076 Nose and ear wounds complicated $426.36

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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