MSP Billing Codes
Specialty: General Surgery
Filter by section
Code | Description | Anes | Fee |
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Abdominal and Perineal Approach |
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72666 | Altemeier transperineal excision of rectal procide | 3 | $677.27 |
72667 | Division of stricture of rectum | 2 | $252.59 |
72664 | Proctectomy, complete - subtotal/total colectomy | 7 | $1,645.83 |
72665 | Proctectomy, partial - without anastomosis | 5 | $558.30 |
07580 | Rectal tumor excision by posterior parasacral | 5 | $800.00 |
Abdominal Surgery - Miscellaneous |
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07603 | Abdominal wound evisceration - resuture | 5 | $406.03 |
07597 | Haemorrhage; intra-abdominal management - post ope | 6 | $379.58 |
71280 | Indwelling enteral tubes, removal - no anes | 0 | $30.65 |
71282 | Indwelling enteral tubes, removal- gen anaes | 2 | $203.93 |
71281 | Indwelling enteral tubes,removal-local/regional | 0 | $63.06 |
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71283 | Indwelling entereal tubes, replacement - extra | 0 | $30.65 |
07601 | Intra-abdominal abscess excluding intrahepatic | 5 | $434.19 |
07600 | Laparotomy to include biopsy - exploratory | 5 | $405.81 |
71292 | Peritonectomy, with or without chemotherapy | 7 | $662.77 |
71293 | Peritonectomy, with/without chemotherapy add 15min | 7 | $75.60 |
71291 | Resection of soft issue tumour 10cmor >-add 15min | 0 | $76.47 |
71290 | Resection of soft tissue tumour 10cm or greater | 8 | $662.77 |
72600 | Temp or delayed abdominal closure with vac | 5 | $376.25 |
07451 | Thoracic extension of abdominal incision(extra) | 8 | $285.69 |
Anus Excision |
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70676 | Abscess - ischiorectal/ intramural - incision | 2 | $389.95 |
07687 | Anal fissure, excision | 2 | $115.00 |
70675 | Anal seton - removal | 2 | $28.67 |
07691 | Anus imperforate simple incision | 2 | $303.06 |
71682 | Botox injection for anal fissure | 2 | $252.34 |
07675 | Fistula-in-ano - subcutaneous or submucous | 2 | $250.00 |
07677 | Fistula-in-ano - multiple or horseshoe | 2 | $451.50 |
07676 | Fistula-in-ano - submuscular | 2 | $337.72 |
71700 | Fistula-in-ano; closure of congenital anal fistula | 2 | $645.16 |
07666 | Fistula-in-ano; second stage; division - sphincter | 2 | $250.00 |
71689 | Hemmorhoid(s); office procedure (eg band ligation) | 2 | $80.58 |
71690 | Hemorrhoid(s); office procedure-infrared photocoag | 2 | $80.58 |
71691 | Hemorrhoid(s); office procedure-infrared photocoag | 0 | $16.82 |
07683 | Hemorrhoidectomy | 2 | $268.05 |
07678 | Incision and drainage perianal abscess,superficial | 2 | $91.43 |
07679 | Incision/drain abscess - ischiorectal, intramural | 2 | $203.01 |
71686 | Papillectomy - multiple - extra | 2 | $123.30 |
71684 | Papillectomy - single - extra | 2 | $67.87 |
71681 | Sphincterotomy with/without fissurectomy | 2 | $303.07 |
Anus Repair |
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07689 | Anal dilation under general anaesthetic | 2 | $152.67 |
70665 | Anoplasty - adult | 2 | $451.50 |
07690 | Anoplasty for imperforate anus - peads | 4 | $602.52 |
70674 | Destruction - anal lesion | 2 | $75.41 |
70680 | Destruction of anal lesion - complicated | 2 | $252.69 |
70683 | Eua with or without sigmoidoscopy | 2 | $152.95 |
07452 | Extra-peritoneal rectum +/- colostomy - repair | 7 | $962.78 |
70668 | Graft - rectal incontinence/prolapse: | 2 | $203.93 |
70671 | Imbrication - levator muscle | 2 | $451.50 |
70672 | Implantation - artificial sphincter | 4 | $1,009.32 |
70666 | Sphincteroplasty - anal - adult | 2 | $451.50 |
70670 | Sphincteroplasty - anal - incontinence | 3 | $702.52 |
Appendix |
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72658 | Appendectomy - laparoscopic | 4 | $480.30 |
72659 | Appendectomy - laparoscopic - perforated | 5 | $505.30 |
72657 | Appendectomy - perforated | 5 | $505.30 |
72656 | Appendectomy - open | 4 | $480.30 |
72660 | Appendiceal abscess - incision/drainage | 4 | $434.19 |
Arterial System |
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77300 | A-v fistula with bypass graft in limb salvage | 7 | $185.56 |
77175 | Abdominal aneurysm, with grafting | 9 | $1,397.15 |
77155 | Aorta and/or iliac bypass graft - bilateral | 9 | $1,400.80 |
77150 | Aorta and/or iliac bypass graft - unilateral | 9 | $892.24 |
77160 | Aorto-femoral and ilio-femoral bypass, unilateral | 9 | $866.39 |
77165 | Aorto-iliac, aorto-femoral, ilio-femoral bypass | 9 | $1,400.80 |
77295 | Arm vein graft | 7 | $254.66 |
00722 | Arteriography, operative | 0 | $75.51 |
77170 | Arteriovenous aneurysm | 9 | $495.27 |
77220 | Axillo-femoral bypass graft (autogenous vein) | 7 | $820.89 |
77210 | Axillo-femoral bypass graft (synthetic)/unilateral | 7 | $979.23 |
77215 | Axillo-femoral bypass graft(synthetic)/bilateral | 7 | $1,269.39 |
77260 | Bypass graft (autogenous vein) - femoral | 5 | $859.23 |
77265 | Bypass graft (autogenous vein) - popliteal | 5 | $1,072.16 |
77270 | Bypass graft/anterior/posterior tibial or peroneal | 5 | $1,115.63 |
77130 | Carotid arteries - bypass graft (synthetic) | 8 | $981.24 |
77360 | Decompression fasciotomy - subcutaneous | 3 | $334.57 |
77125 | Embolectomy - one side | 5 | $446.10 |
77120 | Embolectomy - trunk or extremities | 5 | $620.60 |
77240 | Femoral bypass graft (synthetic) | 5 | $858.35 |
77230 | Femoro-femoral crossover bypass graft (synthetic) | 5 | $930.69 |
77235 | Femoro-femoral crossover bypass graft/autogenous | 5 | $930.69 |
77245 | Infrainguinal popliteal (endarterectomy) | 5 | $679.59 |
77135 | Inominate - neck or thoracic - bypass graft | 5 | $779.13 |
77255 | Intraguinal - anterior, post tibial or peroneal | 5 | $742.29 |
77250 | Intraguinal - popliteal (synthetic) | 5 | $620.53 |
77145 | Ligation of carotid artery - neck or thoracic | 5 | $255.38 |
77280 | Non-ipsilateral long saphenous graft - autogenous | 7 | $254.66 |
77315 | Profundoplasty - extended | 5 | $750.88 |
77310 | Profundoplasty bypass graft (synthetic) | 5 | $553.02 |
77112 | Re-dissection of groin (after 21 days), extra | 4 | $132.47 |
77110 | Re-exploration of groin for bleeding or haematoma | 4 | $125.47 |
77370 | Release of popliteal entrapment syndrome | 3 | $334.57 |
77104 | Removal of synthetic graft - with replacement at a different site | 0 | $1,015.99 |
77100 | Removal of synthetic graft - without replacement | 0 | $1,354.69 |
77102 | Removal of synthetic graft, with replacement at the same site | 0 | $677.35 |
77205 | Renal bypass graft (autogenous vein) | 7 | $892.23 |
77200 | Renal bypass graft (synthetic) | 7 | $885.59 |
77345 | Repair of injury of major vessel in trunk - graft | 9 | $1,168.71 |
77340 | Repair of injury of major vessel in trunk - suture | 9 | $876.21 |
77180 | Resection of abdominal aneurysm | 9 | $124.11 |
77185 | Ruptured aneurysm, with grafting | 10 | $1,598.26 |
77285 | Short saphenous graft | 7 | $254.66 |
77140 | Subclavian - neck or thoracic - bypass graft | 5 | $846.50 |
77290 | Superficial femoral vein graft(extra) | 7 | $254.66 |
77195 | Superior mesenteric bypass graft (autogenous vein) | 7 | $892.23 |
77190 | Superior mesenteric bypass graft (synthetic) | 7 | $892.23 |
77350 | Supra renal aortic cross-clamp | 0 | $114.21 |
77115 | Thrombectomy with or without angioplasty | 5 | $556.73 |
77275 | Vein graft - in situ | 7 | $257.02 |
Arteries Surgical Procedures |
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77335 | Repair of injury of major vessel in extremity | 6 | $750.88 |
77330 | Repair of injury of major vessel in extremity - su | 6 | $583.75 |
Biliary Tract |
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70728 | Anastomosis - intra-hepatic ducts/gi tract | 6 | $1,769.19 |
70710 | Atresia - bile ducts - congenital | 5 | $1,522.60 |
07781 | Biliary endoscopy - percutaneous | 2 | $202.59 |
07780 | Biliary endoscopy - intraoperative | 0 | $202.77 |
07782 | Biliary endoscopy -stone removal | 2 | $228.06 |
07783 | Biliary endoscopy; with dilation of duct stricture | 2 | $228.06 |
70701 | Cholecystectomy - cbd (laparoscopic) | 5 | $1,212.66 |
70702 | Cholecystectomy - cbd (open) | 5 | $1,212.66 |
07707 | Cholecystectomy - laparoscopic | 5 | $536.09 |
07699 | Cholecystectomy - open | 5 | $606.62 |
70704 | Cholecystectomy with choledochojejunostomy | 5 | $1,313.92 |
70700 | Cholecystectomy; open preceded by cholecystectomy | 5 | $707.84 |
70703 | Cholecystectomy/choledochoduodenostomy | 5 | $1,313.82 |
70705 | Cholecystectomy/transduodenal sphincterotomy | 5 | $1,313.82 |
07706 | Cholecystoenterostomy - direct (loop) | 6 | $1,015.07 |
70720 | Cholecystoenterostomy/gastroenterostomy | 5 | $1,218.09 |
70721 | Cholecystoenterostomy/roux-en-y | 5 | $1,116.58 |
70722 | Cholecystoenterostomy/roux-en-y/gastroenterostomy | 5 | $1,319.59 |
70698 | Cholecystostomy - laparoscopic | 5 | $455.06 |
07698 | Cholecystostomy - open | 5 | $505.43 |
71698 | Cholecystostomy - percutaneous | 2 | $164.85 |
07561 | Choledochal stent - placement | 5 | $172.45 |
07703 | Choledochoduodenostomy | 6 | $1,116.58 |
70725 | Choledochojejunostomy with gastrojejunostomy | 6 | $1,700.00 |
07705 | Choledochojejunostomy/anastomosis of extra-hepatic | 6 | $1,218.09 |
70726 | Choledochojejunostomy/roux-en-y | 6 | $1,700.00 |
70727 | Choledochojejunostomy/roux-en-y/gastrojejunostomy | 6 | $1,700.00 |
70695 | Choledochotomy/choledochostomy - laparoscopic | 5 | $900.00 |
70694 | Choledochotomy/choledochostomy open | 5 | $850.00 |
70696 | Choledochotomy/transduodenal sphincteroplasty | 5 | $950.00 |
70715 | Cyst - choledochal | 5 | $1,414.54 |
70716 | Cyst - choledochal/ductoplasty | 5 | $1,471.37 |
70717 | Cyst; choledochal - excision, multiple anastomoses | 5 | $1,594.00 |
07562 | Duodenal biliary stent - replacement | 3 | $172.45 |
07769 | Duodenotomy and sphincteroplasty | 5 | $1,014.02 |
07554 | Ercp - balloon dilatation | 3 | $434.25 |
07519 | Ercp - biliary stenting | 3 | $434.25 |
07517 | Ercp - papillotomy/sphincterotomy | 3 | $447.05 |
07518 | Ercp - stone extraction | 3 | $530.07 |
07556 | Ercp - stone extraction requiring lithotripsy | 3 | $555.62 |
70731 | Extra-hepatic biliary duct: primary repair | 5 | $1,421.10 |
07560 | Naso-biliary drainage tube - insertion | 3 | $103.49 |
70718 | Portal lymphadenectomy | 4 | $764.73 |
70711 | Portoenterostomy | 6 | $1,584.89 |
07776 | Repair of cholecystenteric fistula | 5 | $1,000.00 |
70713 | Tumor/stricture - bile duct - upper | 6 | $2,200.00 |
70712 | Tumor/stricture - bile duct - lower | 6 | $1,900.00 |
70714 | Tumor/stricture - bile duct - multiple anastomoses | 6 | $2,500.00 |
70730 | U-tube hepatico enterostomy | 5 | $1,769.19 |
Breast |
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70042 | Aspiration - fine needle - additional cyst/ lesion | 2 | $12.07 |
07475 | Axillary dissection - partial | 3 | $237.35 |
07474 | Axillary dissection (level ii) - complete | 3 | $507.42 |
70470 | Biopsy - breast - incisional | 2 | $152.26 |
70471 | Biopsy - breast - excisional | 2 | $203.56 |
70469 | Biopsy - breast - needle core | 2 | $57.48 |
70472 | Biopsy - needle core-stereotactic/ultrasound guide | 2 | $90.89 |
70477 | Biopsy breast lesion - each additional | 2 | $110.42 |
07497 | Biopsy or segmental resection of non-palpable brea | 2 | $232.60 |
70473 | Biopsy-needle core-stereotactic/ultrasound guided | 2 | $128.33 |
70041 | Fine needle aspiration solid or cystic lesion | 2 | $48.20 |
07472 | Mastectomy - total for malignancy | 3 | $474.13 |
07473 | Mastectomy - partial for malignancy | 3 | $329.57 |
70479 | Mastectomy - radical | 3 | $777.59 |
07471 | Mastectomy - simple for benign disease | 3 | $340.96 |
70478 | Mastectomy - gynecomastia | 3 | $305.89 |
07498 | Mastectomy - skin sparing - unilateral | 3 | $650.00 |
70044 | Mastotomy - under general anesthetic | 2 | $203.73 |
70043 | Mastotomy with exploration of drainage of abscess | 2 | $81.45 |
07470 | Nipple exploration | 2 | $277.88 |
07479 | Sentinel lymph node biopsy | 3 | $474.13 |
07481 | Sentinel lymph node biopsy | 4 | $450.00 |
07482 | Sentinel lymph node biopsy | 4 | $550.00 |
Closure of Fistula (Enterovesical, Colovesical or Colovaginal) |
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07455 | Emergency resection of obstructed colon | 6 | $1,011.50 |
07658 | Exteriorization of bowel | 5 | $602.52 |
72654 | Fistula - closure/bowel resection | 5 | $404.35 |
72653 | Fistula - enterovesical/colovesical/colovaginal | 5 | $909.89 |
Closure of Loop Enterostomy |
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07647 | Closure of loop enterostomy with resection | 5 | $631.93 |
07646 | Closure of loop enterostomy, large/small intestine | 4 | $509.22 |
72652 | Hartman procedure - reconstruction - laparoscopic | 5 | $1,033.43 |
72651 | Reconstruction hartmann procedure - open | 5 | $1,010.79 |
Closure of Oesophagostomy or Fistula |
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07528 | Placement gastroesophageal venous compression ball | 5 | $202.10 |
Consultations / Visits |
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71010 | Consultation - general surgery - malignancy | 0 | $150.00 |
07010 | Consultation- general surgery | 0 | $116.00 |
07012 | Repeat or limited consultation- general surgery | 0 | $60.00 |
70070 | Telehealth consultation - general surgery | 0 | $116.00 |
70076 | Telehealth directive care - general surgery | 0 | $30.00 |
70072 | Telehealth repeat or limited consult - gen surgery | 0 | $60.00 |
70078 | Telehealth subsequent hospital visit - gen surgery | 0 | $29.00 |
70077 | Telehealth subsequent office visit - general surg | 0 | $28.50 |
Debridement of Soft Tissues |
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70168 | Active wound mgmt-acute phase after debridement | 0 | $78.57 |
70169 | Active wound mgmt/in or acute phase aft debridemnt | 4 | $125.72 |
70155 | Debridement of skin and subcutaneous tissue restricted to genitalia and perineum for necrotizing infection (fourniers gangrene) (stand alone procedure) | 5 | $550.00 |
70166 | Debridement skin/fascia/muscle/bone; each sub 5% of body surface area | 0 | $144.06 |
70165 | Debridement skin/fascia/muscle/bone;up to 1st 5% of body surface area | 4 | $288.10 |
70162 | Debridement skin/sub/necrotic fascia / 1st 5% of body surface area | 4 | $261.93 |
70163 | Debridement skin/sub/necrotic fascia/each sub 5% of body surface area | 0 | $130.96 |
70158 | Debridement skin/subcutaneous tissue,up to 5% body surface area | 3 | $294.65 |
70159 | Debridement skin/subcutaneous tissue; each sub 5% of body surface area | 0 | $117.87 |
Diagnostic procedures |
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07764 | Cholangiography; operative | 0 | $80.86 |
33374 | Colonoscopy - removal of polyp | 2 | $283.50 |
33373 | Colonoscopy-biopsy | 2 | $235.15 |
00780 | Diagnostic schirmer test | 0 | $13.15 |
00869 | Manometry - anal - adult | 2 | $101.37 |
07710 | Pancreatogram w/ or w/o sphincterotomy - extra | 0 | $67.19 |
00789 | Peritoneal lavage | 2 | $85.74 |
00809 | Retrograde pancreatography | 3 | $216.54 |
00715 | Sigmoidoscopy with biopsy | 2 | $37.98 |
00718 | Sigmoidoscopy, flexible and with biopsy | 2 | $77.34 |
Diaphragm - Repair |
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70604 | Congenital diaphragmatic hernia | 9 | $1,522.60 |
07431 | Diaphragmatic injury - repair | 8 | $804.44 |
70603 | Diaphragmatic or other hernia - laparoscopic | 6 | $1,212.64 |
70602 | Diaphragmatic or other hernia - open | 6 | $1,212.64 |
70607 | Imbrication of diaphragm for eventration | 8 | $800.00 |
70605 | Repair diaphragmatic hernia or laceration - acute | 8 | $1,215.00 |
70606 | Repair diaphragmatic hernia or laceration -chronic | 8 | $1,215.00 |
70601 | Repair of para-oesophageal hiatus hernia, transabdominal, with or without fundoplication | 6 | $1,212.64 |
Emergency Care |
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00082 | Critical care monitoring | 0 | $63.67 |
00081 | Emergency bedside care | 0 | $106.12 |
Endocrine System - Adrenal |
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71705 | Adrenalectomy - bilateral - open | 8 | $1,600.00 |
71704 | Adrenalectomy - unilateral - open | 8 | $804.44 |
71703 | Adrenalectomy for pheochromocytoma - open | 8 | $1,019.18 |
72703 | Adrenalectomy for pheochromocytoma-laparoscopic | 8 | $1,273.97 |
72705 | Adrenalectomy; any approach-bilateral-laparoscopic | 8 | $1,800.00 |
72704 | Adrenalectomy;any approach-unilateral-laparoscopic | 8 | $1,005.57 |
Endocrine System - Carotid Body |
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71706 | Carotid body tumor - excision | 6 | $1,014.37 |
71707 | Carotid body tumor with excision of carotid artery | 8 | $1,217.37 |
Endocrine System - Pancreas |
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71718 | Ampulla of vater - excision | 6 | $1,062.67 |
07733 | Anastomosis of pancreatic pseudocyst, roux-en-y- | 5 | $1,015.07 |
71710 | Biopsy - pancreas - open | 6 | $100.00 |
00826 | Biopsy of pancreas - percutaneous | 2 | $101.44 |
71713 | Pancreatectomy - distal subtotal - open | 7 | $1,300.00 |
71715 | Pancreatectomy - pancreaticojejunostomy | 7 | $1,500.00 |
71719 | Pancreatectomy - proximal/subtotal | 8 | $3,045.21 |
71720 | Pancreatectomy - pyloric sparing | 8 | $3,045.21 |
71721 | Pancreatectomy - regional | 9 | $3,449.82 |
71722 | Pancreatectomy - total | 8 | $2,500.00 |
71725 | Pancreatectomy - total | 8 | $1,469.94 |
71714 | Pancreatectomy - with splenic preservation - open | 7 | $1,600.00 |
71717 | Pancreatectomy -distal/near total | 7 | $2,400.00 |
71716 | Pancreatectomy -splenic preservation/pancreatic | 7 | $1,700.00 |
72713 | Pancreatectomy, distal subtotal-laparoscopic | 7 | $1,520.85 |
72714 | Pancreatectomy, with splenic preserv-laparoscopic | 7 | $1,277.23 |
71712 | Pancreatic lesion - excision - limited | 6 | $1,000.00 |
07758 | Pancreatic pseudocyst - laparoscopic | 5 | $1,000.00 |
07756 | Pancreatic pseudocyst - open | 5 | $1,000.00 |
07732 | Pancreatic pseudocyst - drainage, transduodenal | 5 | $1,015.07 |
07711 | Pancreatic pseudocyst internal drainage | 5 | $964.32 |
72711 | Pancreatic pseudocyst internal drainage-laparoscop | 5 | $1,114.48 |
07714 | Pancreaticojejunostomy; side-to-side anastomosis | 6 | $1,400.00 |
71708 | Pancreatitis - acute - drainage | 2 | $1,000.00 |
71709 | Resectional debridement - pancreas | 8 | $1,300.00 |
Endocrine System - Parathyroid |
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71748 | Parathyroid autotransplantation | 0 | $101.96 |
72572 | Parathyroid autotransplantation | 5 | $873.38 |
71746 | Parathyroidectomy - re-exploration | 4 | $1,217.10 |
71747 | Parathyroidectomy - mediastinal exploration | 6 | $1,217.17 |
07744 | Parathyroidectomy - subtotal parathyroidectomy | 4 | $1,014.37 |
07745 | Parathyroidectomy or exploration of parathyroids | 4 | $900.00 |
Endocrine System - Thyroid |
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07740 | Biopsy of thyroid - open | 4 | $354.83 |
70740 | Cyst - thyroglossal - infected | 3 | $203.93 |
70742 | Lobectomy - total thyroid | 4 | $587.84 |
07771 | Picking operation; metastatic neck nodes | 5 | $1,100.00 |
70748 | Substernal thyroid - sternal split | 0 | $163.48 |
70747 | Thyroid tissue - remaining - removal | 4 | $694.84 |
70745 | Thyroidectomy - subtotal - bilateral | 4 | $706.81 |
07743 | Thyroidectomy - total or complete | 4 | $1,014.42 |
07741 | Thyroidectomy; subtotal unilateral (local excision | 4 | $450.00 |
70743 | Thyroidectomy; total; unilateral inc'l isthmus | 4 | $728.04 |
Excision of Rectal Tumour (Transanal Approach) |
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72671 | Excision of rectal tumour greater than 5 cm | 2 | $455.09 |
72669 | Excision of rectal tumour, 0 to 2.5 cm | 2 | $253.59 |
72673 | Transanal endo. micro. resection of rectal tumour | 6 | $917.67 |
72683 | Transanal endo. micro. resection of rectal tumour | 5 | $981.74 |
72684 | Transanal endo. micro. resection of rectal tumour | 5 | $421.25 |
72670 | Tumor - rectal - excision - 2.6 to 5 cm. | 2 | $304.52 |
72672 | Tumor - rectal - malignant - electrodesiccation | 2 | $252.68 |
Gastrointestinal Reconstruction |
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71547 | Ligation/stapling - oesophageal perforation | 6 | $1,200.00 |
71546 | Transection of oesophagus with repair | 6 | $830.20 |
Hernia - Repair |
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71612 | Bilateral primary inguinal or femoral hernias > ag | 2 | $606.63 |
71613 | Bilateral primary inguinal or femoral hernias > ag | 4 | $667.08 |
71614 | Hernia - initial incisional - repair - reducible | 2 | $596.65 |
71619 | Hernia - umbilical - repair - reducible | 2 | $343.80 |
71621 | Hernia repair with resection of bowel | 5 | $758.16 |
71622 | Hernia repair, bowel resection, separate incision | 5 | $809.05 |
71623 | Hernia-laparoscopic initial ventral or incision | 5 | $697.44 |
07610 | Hernia, epigastric | 4 | $343.80 |
71624 | Hernia, laparoscopic recurrent ventral or incision | 6 | $761.21 |
07596 | Hernia; incisional; repair following laparotomy | 2 | $125.00 |
71615 | Hernia; initial incisional repair, incarcerated | 3 | $596.65 |
71616 | Hernia; initial incisional repair, prosthetic mesh | 3 | $596.65 |
71618 | Hernia; repair recurrent incisional, incarcerated | 3 | $609.16 |
71617 | Hernia; repair recurrent incisional, reducible | 2 | $608.86 |
71620 | Hernia; repair umbilical incarcerated/strangulated | 3 | $343.80 |
71625 | Myofascial abdominal wall advancement flaps for | 7 | $866.70 |
71600 | Repair inguinal or femoral hernia < 6 months | 2 | $406.03 |
71608 | Repair inguinal or femoral hernia; > age 12 incarc | 3 | $411.85 |
71607 | Repair inguinal or femoral hernia; > age 12-laparo | 4 | $404.42 |
71606 | Repair inguinal or femoral hernia;> age 12 - open | 2 | $364.12 |
71603 | Repair inguinal or femoral hernia;age 6 mths to 12 | 2 | $379.23 |
71604 | Repair inguinal or femoral hernia;age 6 mths to 12 | 2 | $606.64 |
71605 | Repair inguinal or femoral hernia;age 6 mths to 12 | 3 | $433.34 |
71601 | Repair inquinal or femoral hernia < 6 months bilat | 2 | $707.68 |
71602 | Repair inquinal or femoral hernia < 6 months-incar | 3 | $507.54 |
71609 | Repair recurrent inguinal or femoral hernia;any ag | 2 | $455.15 |
71610 | Repair recurrent inguinal or femoral hernia;any ag | 4 | $505.52 |
71611 | Repair recurrent inguinal or femoral hernia;any ag | 3 | $514.78 |
Inestines - Excision |
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72635 | Anterior resection - rectosigmoid-carcinoma - open | 6 | $1,515.90 |
72755 | Anterior resection of rectosigmoid - laparoscopic | 6 | $1,617.81 |
72601 | Caecostomy tube for decompression-lap. (extra) | 5 | $377.50 |
72641 | Caecostomy/tube - decompression | 5 | $404.20 |
72760 | Colectomy - total, abdominal - laparoscopic | 6 | $1,409.05 |
72769 | Colectomy and hemiproctectomy - laparoscopic | 6 | $1,360.51 |
07569 | Colectomy and hemiproctectomy - open | 6 | $1,088.40 |
07640 | Colectomy,total,abdominal,without proctectomy/open | 6 | $1,314.24 |
07570 | Colo-colostomy or entero-colostomy - open | 6 | $802.82 |
72770 | Colo-colostomy or entero-colostomy-laparoscopic | 6 | $1,003.53 |
72788 | Colostomy of ileostomy - end - laparoscopic | 5 | $589.60 |
72646 | Colostomy or ileostomy - multiple biopsies | 5 | $134.49 |
07588 | Colostomy or ileostomy - loop - end - open | 5 | $505.63 |
72715 | Colostomy or ileostomy - loop - laparoscopic | 5 | $511.75 |
07645 | Colostomy or ileostomy - loop - open | 5 | $505.38 |
72645 | Continent ileostomy - open | 6 | $1,004.22 |
72745 | Continent ileostomy (koch procedure) laparoscopic | 6 | $1,255.27 |
07643 | Enteroenterostomy | 5 | $606.44 |
72631 | Hemicolectomy - left - laparoscopic | 6 | $1,096.80 |
72625 | Hemicolectomy - right - laparoscopic | 6 | $1,033.43 |
72624 | Hemicolectomy - right - open | 6 | $884.86 |
72621 | Mobilization - splenic flexure | 6 | $95.79 |
72721 | Mobilization of splenic flexure - lap (extra) | 6 | $119.74 |
72640 | Partial right colectomy (caecum) - open | 6 | $884.71 |
72740 | Partial right colectomy - laparoscopic | 6 | $985.67 |
72636 | Proctectomy - abdominal/transanal | 7 | $1,125.66 |
07567 | Proctectomy with rectal mucosectomy - open | 6 | $1,750.00 |
72767 | Proctectomy with rectal mucosectomy-laparoscopic | 6 | $1,936.03 |
07641 | Proctocolectomy total with perineal excision-open | 7 | $1,645.83 |
07566 | Rectal mucosectomy, ileoanal anastomosis | 6 | $837.43 |
72623 | Resection - colon - limited - laparoscopic | 6 | $984.85 |
72622 | Resection - colon - limited - open | 6 | $859.52 |
72736 | Resection of small intestine with anastomosis | 5 | $754.18 |
72620 | Resection of small intestine-with enterostomy/open | 5 | $813.78 |
72720 | Resection small intestine/enterostomy-laparoscopic | 5 | $1,017.22 |
07649 | Revision of colostomy, ileostomy - radical | 5 | $505.42 |
07648 | Revision of colostomy, ileostomy - simple incision | 4 | $450.00 |
72644 | Revision of colostomy, ileostomy - with repair | 5 | $657.12 |
72633 | Sigmoid resection - laparoscopic | 6 | $1,141.81 |
72632 | Sigmoid resection - open | 6 | $1,011.14 |
72734 | Sigmoid resection-with end colostomy-laparoscopic | 6 | $1,078.87 |
72634 | Sigmoid resection/end colostomy - open | 6 | $960.56 |
07636 | Small intestine resection/with anastomosis - open | 5 | $632.10 |
72765 | Take-down of pelvic pouch - laparoscopic | 5 | $1,520.89 |
07565 | Takedown pelvic pouch to include ileostomy - open | 5 | $1,218.09 |
07589 | Total proctocolectomy synchronous abdominal portio | 7 | $1,317.10 |
72741 | Total proctocolectomy-single surgeon/laparoscopic | 7 | $2,057.30 |
72789 | Total proctocoloectomy - syn.abd.portion | 7 | $1,646.40 |
Inestines - Incision |
|||
71651 | Corretion of malrotation - laparoscopic | 5 | $586.02 |
07634 | Enterotomy or colotomy (single); for exploration | 5 | $487.38 |
71650 | Hernia repair - correction - malrotation | 5 | $505.61 |
07654 | Intestinal obstruction, plication/insertion - tube | 5 | $570.04 |
72650 | Intestinal obstruction, resection of bands-lap | 5 | $627.62 |
07650 | Intestinal obstruction; resection of bands | 5 | $550.00 |
07635 | Multiple colotomy with operative sigmoidoscopy | 5 | $639.86 |
70648 | Tube or needle catheter jejunostomy | 4 | $507.00 |
07651 | Volvulus reduction, intussusception by laparotomy | 5 | $526.23 |
Intestinal Stricturoplasty |
|||
72648 | Intestinal stricturoplasty - multiple | 5 | $909.55 |
72647 | Intestinal stricturoplasty - single | 5 | $606.54 |
Intestines |
|||
70661 | Lysis of intra-abd adhesions-lap-add 15min extra | 0 | $76.47 |
70660 | Lysis of intra-abd adhesions-lap-first 30 min ex | 7 | $152.95 |
70650 | Lysis of intra-abdom adhesions-first 30 min extra | 7 | $152.95 |
70651 | Lysis of intra-abdominal adhesions-add. 15 min | 0 | $76.47 |
Liver Excision |
|||
07410 | Hepatectomy - caudate lobectomy | 8 | $2,100.00 |
07409 | Hepatectomy - extended left lobectomy | 8 | $2,200.00 |
07411 | Hepatectomy - extended right lobectomy | 8 | $2,300.00 |
07405 | Hepatectomy - segmental resection - one or more | 8 | $1,200.00 |
07407 | Hepatectomy - total left lobectomy | 8 | $2,000.00 |
07408 | Hepatectomy - total right lobectomy | 8 | $2,000.00 |
07406 | Hepatectomy - two or more segments | 8 | $1,600.00 |
72795 | Lap. hepatectomy, segmental resection-one or more, | 8 | $1,261.93 |
72794 | Lap. non-anatomic sub-segmental excision-liver mas | 7 | $1,141.96 |
72796 | Lap. seg. resection liver:2 or more segments,bilat | 8 | $1,800.00 |
72797 | Laparoscopic total left lobectomy | 8 | $2,500.00 |
72798 | Laparoscopic total right lobectomy | 8 | $2,500.00 |
07404 | Liver mass - subsegmental excision | 7 | $1,000.00 |
Liver Incision |
|||
07402 | Hepatotamy - abscess/cyst - single | 6 | $434.19 |
07403 | Hepatotamy - multiple, including marsupialization | 6 | $653.95 |
71380 | Open or laparoscopic liver tumour non-resectional | 7 | $900.00 |
Liver Repair |
|||
07441 | Hepatic artery ligation | 8 | $1,015.07 |
07442 | Hepatic lobectomy for trauma | 9 | $2,500.00 |
07412 | Hepatorrhaphy - simple | 8 | $609.04 |
07413 | Hepatorrhaphy - with packing | 8 | $644.63 |
07440 | Liver - resectional debridement | 8 | $1,268.85 |
Lymphatic System |
|||
07368 | Laparoscopic splenectomy | 6 | $809.21 |
Lymphoedema - Leg |
|||
06128 | Lymphoedema - lower limb | 3 | $1,046.58 |
06127 | Lymphoedema - entire leg | 3 | $700.04 |
Miscellaneous Surgery |
|||
79135 | Chest wall tumour with rib resection | 6 | $1,016.71 |
32031 | Closed drainage of chest, operation only. | 4 | $137.00 |
00046 | Hyperbaric chamber - additional charge per hour | 0 | $28.44 |
00744 | Thyroid biopsy | 2 | $73.65 |
Mouth, Head and Neck |
|||
07796 | Excision neurogenic neoplasm neck | 5 | $1,115.70 |
07790 | Lesion - benign - floor of mouth | 3 | $152.81 |
07789 | Lesion - tongue | 3 | $319.30 |
07725 | Maxillectomy | 5 | $1,014.37 |
07726 | Maxillectomy with exenteration of orbit and skin g | 5 | $1,051.77 |
07749 | Partial maxillectomy for malignancy - fenestration | 5 | $811.46 |
07500 | Resection of mandible | 5 | $402.23 |
06140 | Wedge resection - lip vermilion | 3 | $200.57 |
06141 | Wedge resection of lip sulcus | 3 | $250.72 |
Oesophageal Surgery |
|||
71541 | Cardiospasm - with fundoplication - open | 6 | $940.05 |
71542 | Cardiospasm with fundoplication - laparoscopic | 6 | $1,175.07 |
70502 | Cricopharyngeal myotomy - cervical approach | 4 | $469.34 |
07536 | Direct ligation of oesophageal varices | 7 | $736.52 |
70545 | Diverticulectomy of hypopharynx/oesophagus-cervica | 6 | $536.76 |
70544 | Diverticulectomy of hypopharynx/oesophagus-thoraci | 8 | $653.95 |
71534 | Division of tracheo-oesophageal fistula | 8 | $804.44 |
33327 | Endoscopic repositioning of gastric feeding tube | 3 | $14.25 |
33329 | Esophageal dilation or dilation of pathological | 3 | $109.02 |
33328 | Esophageal dilation, blind bouginage | 3 | $57.25 |
70532 | Excision - oesophageal lesion - laparoscopic/ tho | 8 | $777.59 |
70530 | Excision oesophageal lesion - cervical approach | 6 | $536.76 |
70531 | Excision oesophageal lesion thoracic/abdominal | 8 | $777.59 |
33325 | Gastric polypectomy | 5 | $161.47 |
71544 | Gastrointestinal reconstruction - colon interposit | 6 | $1,673.20 |
71543 | Gastrointestinal reconstruction - with stomach | 6 | $1,430.50 |
71549 | Oesophageal wound - transthoracic/transabdominal | 8 | $1,522.60 |
71548 | Oesophageal wound or injury - cervical approach | 6 | $1,268.85 |
70504 | Oesophagectomy w/ colon interposition - 2nd surg | 0 | $650.00 |
70534 | Oesophagectomy w/ colon interposition - prim. surg | 8 | $2,030.14 |
70505 | Oesophagectomy w/ thoracotomy - 2nd surgeon | 0 | $650.00 |
70535 | Oesophagectomy w/ thoracotomy - primary surgeon | 8 | $2,283.91 |
70533 | Oesophagectomy w/o thoracotomy - primary surgeon | 8 | $2,030.14 |
70503 | Oesophagectomy w/o thoracotomy - secondary surgeon | 0 | $650.00 |
70536 | Oesophagectomy w/thoracotomy&colon inter.-1st surg | 8 | $2,283.91 |
70506 | Oesophagectomy w/thoracotomy&colon inter.-2nd surg | 0 | $650.00 |
70542 | Oesophagectomy,total or partial,w/o reconstruction | 6 | $1,073.50 |
71536 | Oesophagogastric fundoplasty - open | 6 | $736.52 |
71538 | Oesophagogastric fundoplasty - with gastroplasty | 8 | $1,218.09 |
71535 | Oesophagogastric fundoplasty - laparoscopic | 6 | $920.65 |
71537 | Oesophagogastric fundoplasty with fundic patch | 8 | $791.86 |
71533 | Oesophagoplasty - w/ tracheo-oesophageal fistula | 8 | $2,250.00 |
71532 | Oesophagoplasty - w/o tracheo-oesophageal fistula | 8 | $2,000.00 |
71530 | Oesophagostomy - cervical | 5 | $531.36 |
71551 | Oesophagostomy or fistula closure - transthoracic | 8 | $1,522.60 |
71550 | Oesophagostomy/fistula closure-cervical approach | 6 | $1,268.85 |
70500 | Oesophagotomy:cerv. approach w/ rem. foreign body | 5 | $536.76 |
70501 | Oesophagotomy:thora. approach w/ rem. foreign body | 8 | $637.58 |
70540 | Part. oesophagectomy thoraco-abdom. or abdominal | 8 | $1,430.50 |
70541 | Part. oesophagectomy throacoabdominal - 1st surg | 8 | $1,673.20 |
70509 | Part. oesophagectomy w/colon inter. - 2nd surg | 0 | $650.00 |
70539 | Part. oesophagectomy w/colon inter. - prim. surg | 8 | $1,864.78 |
70511 | Part.oesophagectomy thoracoabdominal - 2nd surg. | 0 | $650.00 |
70538 | Partial oesophagectomy - distal 2/3 | 8 | $1,634.89 |
33326 | Percutaneous endoscopically placed feeding tube | 3 | $73.78 |
71540 | Plastic operation: cardiospasm - laparoscopic | 6 | $840.72 |
71539 | Plastic operation: cardiospasm -thoracic approach | 8 | $672.58 |
33321 | Removal of foreign material causing obstruction | 4 | $101.91 |
71531 | Repair tracheo-oesophagal fistula-cervical appr. | 6 | $2,000.00 |
33322 | Therapeutic injection(s), sclerosis, band ligation | 3 | $116.68 |
33324 | Thermal coagulation - heater probe and laser | 3 | $42.60 |
33323 | Transendoscopic tube, stent or catheter | 3 | $101.86 |
Pediatric Intestine Procedures |
|||
07655 | Excision of meckel's diverticulum | 4 | $505.22 |
07447 | Mesenteric injury - repair of | 6 | $572.71 |
Pediatric Procedures |
|||
07466 | Anal stricture - child | 2 | $450.49 |
07552 | Aortopexy for tracheomalacia | 9 | $1,015.07 |
07653 | Atresia; small bowel; excision or bypass | 6 | $1,522.60 |
07700 | Cloacal anomalies; primary surgeon, total correct | 6 | $2,150.54 |
07614 | Omphalocele or gastroschesis - temporary repair | 7 | $402.23 |
07615 | Omphalocele or gastroschesis - permanent repair | 7 | $613.07 |
07571 | Pena posterior sagittal anal proctoplasty | 6 | $1,150.14 |
72662 | Proctectomy, complete - synchronous abdominal - pediatric | 7 | $1,314.90 |
72751 | Red of volvulus, intussuspection; hernia(lap) | 5 | $657.80 |
07692 | Repair major ano-rectal anomalies, sacral approach | 7 | $1,522.60 |
07697 | Sacrococcygeal teratoma- excision | 6 | $1,522.60 |
Rectum Endoscopy |
|||
10733 | Colonoscopy - control bleeding | 2 | $303.99 |
10731 | Colonoscopy - flexible - diagnostic | 2 | $231.61 |
10732 | Colonoscopy - removal of foreign body | 2 | $272.07 |
10730 | Colonoscopy,flexible-transabdominal via colotomy | 4 | $240.14 |
10714 | Proctosigmoidoscopy, rigid - diagnostic | 2 | $35.40 |
07465 | Sigmoidoscopy - ablation of tumor/other lesion | 2 | $169.75 |
07462 | Sigmoidoscopy - control bleeding | 2 | $181.00 |
07460 | Sigmoidoscopy - decompression - volvulus | 2 | $228.83 |
07463 | Sigmoidoscopy - decompression volvulus, any method | 2 | $228.83 |
07464 | Sigmoidoscopy - polyp removal | 2 | $251.02 |
07461 | Sigmoidoscopy - removal of foreign body | 2 | $181.00 |
00716 | Sigmoidoscopy; flexible; diagnostic | 2 | $76.09 |
Rectum - Excision |
|||
07662 | Abdomino-perineal resection (single surgeon)-open | 7 | $1,718.82 |
07663 | Abdomino-perineal resection (synchronous abdominal | 7 | $1,314.61 |
72762 | Abdomino-perineal resection-single surgeon | 7 | $1,820.21 |
72763 | Abdomino-perineal resection-synchronous | 7 | $1,407.07 |
07664 | Proctectomy,combined with abdom resection/perineal | 7 | $505.57 |
Rectum - Incision and Excision |
|||
07665 | Anorectal wall, biopsy - anal approach | 2 | $150.98 |
07660 | Pelvic abscess - transrectal drainage | 2 | $303.15 |
Rectum Repair |
|||
07672 | Complete rectal prolapse | 5 | $698.70 |
Referred Cases |
|||
07006 | Directive care - general surgery | 0 | $30.00 |
07005 | Emergency visit - general surgery | 0 | $116.00 |
71017 | General surgery - visit for malignancy | 0 | $65.00 |
71008 | Post op visit in hosp (1-14 days) | 0 | $28.00 |
71015 | Pre-operative assessment - general surgery | 0 | $116.00 |
07009 | Subsequent home visit- general surgery | 0 | $50.00 |
07008 | Subsequent hospital visit - general surgery | 0 | $29.25 |
07007 | Subsequent office visit - general surgery | 0 | $28.50 |
70080 | Telehealth consultation general surgery-malignancy | 0 | $150.00 |
70087 | Telehealth visit general surgery-for malignancy | 0 | $65.00 |
Removal of Tumours or Scars |
|||
70127 | Closure/radical resection requiring a free split | 0 | $101.15 |
70124 | Local tissue shift-eyebrow,eyelid,lip nose-single | 3 | $295.14 |
70122 | Multiple flap for lesion greater than 2 cm | 2 | $571.97 |
70123 | Multiple flap lesion >2 cm w/free skin graft | 2 | $650.54 |
70126 | Radical resect malign skin/soft tissue tumour =>10 | 2 | $452.56 |
70125 | Radical resect malign skin/soft tissue tumour 5-10 | 2 | $261.90 |
70119 | Single flap <2 cm diameter for repair defect (op) | 2 | $158.38 |
70121 | Single flap for lesion >2 cm w/free skin graft sec | 2 | $408.56 |
70120 | Single flap for lesion greater than 2 cm | 2 | $324.74 |
70116 | Tumour removal or scar revision (2-5 cm)op only | 2 | $127.72 |
70117 | Tumour removal or scar revision (5.1-10 | 2 | $261.90 |
70118 | Tumour removal or scar revision greater than 10 cm | 2 | $452.56 |
Renal Access |
|||
77403 | Arm revascularization with dril | 5 | $707.73 |
77402 | Brachiobasilic arteriovenous fistula,vein transpot | 5 | $707.74 |
77395 | Creation of internal arterio-venous fistu | 4 | $414.93 |
07366 | Laparotomy and staging of lymphoma | 6 | $909.86 |
07365 | Limb perfusion - isolated | 5 | $938.97 |
77380 | Peritoneal catheter insertion | 3 | $190.68 |
77385 | Peritoneal catheter removal | 3 | $132.26 |
07363 | Radical femoral, inguinal and iliac dissection | 5 | $536.76 |
77396 | Revision of av fistula | 5 | $505.58 |
07360 | Splenectomy | 6 | $808.57 |
07361 | Tb glands - radical removal | 4 | $269.03 |
77405 | Thrombectomy of arterio-venous fistula | 3 | $349.01 |
Salivary Gland and Ducts |
|||
07515 | Abscess - partoid/submaxillary/sublingual | 3 | $202.59 |
00844 | Biopsy of salivary gland, fine or core needle | 3 | $54.02 |
07516 | Excision or marsupialization of salivary cyst | 3 | $203.56 |
07522 | Local excision of parotid tumor | 3 | $203.62 |
07526 | Salivary duct - dilation | 3 | $152.38 |
Second Surgeon or Operator |
|||
70021 | Certified general surgeon assist(extra) | 0 | $31.77 |
07702 | Cloacal anomaly - total correction second surgeon | 0 | $507.54 |
07593 | Pena posterior sagittal anoproctoplasty 2nd surgeo | 0 | $339.13 |
77030 | Second operator: synchronous combined bypass graft | 0 | $300.19 |
77025 | Synchronous combined bypass graft - extremities | 0 | $300.19 |
Stomach |
|||
07633 | Closure of gastrojejunocolic fistula | 5 | $1,140.06 |
70649 | Fistula - gastrocolic | 5 | $786.78 |
70628 | Gastrectomy - reconstruction - roux-en-y - open | 6 | $1,700.00 |
70627 | Gastrectomy - total - open | 6 | $1,700.00 |
07623 | Gastrectomy revision after previous gastrectomy | 7 | $1,217.37 |
70629 | Gastrectomy with formation/intestinal pouch - open | 6 | $1,700.00 |
72729 | Gastrectomy, total: with pouch - laparoscopic | 6 | $2,000.00 |
72728 | Gastrectomy, total: with roux-en-y reconstruction | 6 | $2,000.00 |
72727 | Gastrectomy,total:oesophagoenterostomy-laparoscop | 6 | $2,000.00 |
70645 | Gastric restrict procedure/revision/reversal/open | 7 | $1,617.25 |
70642 | Gastric restrictive procedure | 7 | $1,015.07 |
72743 | Gastric restrictive procedure - laparoscopic | 7 | $1,415.75 |
70643 | Gastric restrictive procedure/bypass - open | 7 | $1,600.00 |
70644 | Gastric restrictive procedure/small bowel reconstr | 7 | $929.80 |
72737 | Gastrojejunostomy - laparoscopic | 5 | $634.10 |
07627 | Gastrojejunostomy - open | 5 | $558.30 |
70646 | Gastrostomy - closure - surgical | 4 | $402.23 |
07630 | Gastrostomy - open | 5 | $456.79 |
70641 | Gastrotomy - laparoscopic | 6 | $750.00 |
07632 | Gastrotomy, open | 6 | $750.00 |
72739 | Laparoscopic vertical sleeve gastrectomy | 7 | $1,105.07 |
70626 | Limited/wedge excision malignant tum-stomach-open | 6 | $653.95 |
33394 | Peg procedure-assistant's fee | 0 | $112.47 |
07626 | Pyloroplasty | 5 | $402.23 |
72723 | Revision gastrectomy/after prv gastrectomy lap | 7 | $1,521.68 |
72775 | Revision/reversal of gastric restrictive procedure | 7 | $1,700.00 |
70637 | Tube change - gastrostomy | 2 | $45.46 |
Stomach Excision |
|||
72626 | Hemicolectomy - left - open | 6 | $960.62 |
72726 | Limited/wedge excision - malignant tumour stomach | 6 | $817.44 |
72725 | Limited/wedge excision - ulcer or benign tumour | 6 | $715.27 |
70625 | Limited/wedge excision-ulcer or benign tum stomach | 6 | $572.21 |
Stomach Incision |
|||
70620 | Gastrotomy | 5 | $505.35 |
70621 | Gastrotomy with suture repair of bleeding ulcer | 6 | $674.39 |
70622 | Gastrotomy-suture repair oesophagogastric lacer. | 6 | $702.47 |
70624 | Pyloromyotomy, cutting of pyloric muscle | 5 | $505.35 |
Stomach Partial Gastrectomy (Distal) |
|||
70635 | Gastrectomy - proximal - open | 6 | $1,202.67 |
07624 | Gastrectomy emergency for continued haemorrhage | 7 | $1,200.00 |
70632 | Gastrectomy partial/distal reconstruction-roux-en | 6 | $1,200.00 |
70630 | Gastrectomy partial/distal with gastroduodenostomy | 6 | $1,100.00 |
70631 | Gastrectomy partial/distal/gastrojejunostomy-open | 6 | $1,100.00 |
70633 | Gastrectomy, partial, distal-intestinal pouch-open | 6 | $1,300.00 |
72733 | Gastrectomy, partial, with pouch - laparoscopic | 6 | $1,379.45 |
72730 | Gastrectomy,partial,distal(billroth i)laparoscopic | 6 | $1,226.17 |
72731 | Gastrectomy,partial,distal(billroth ii)laparoscope | 6 | $1,226.17 |
72732 | Gastrectomy,partial,distal/roux-en-y-laparoscopic | 6 | $1,277.23 |
07628 | Gastrojejunostomy or pyloroplasty | 5 | $636.64 |
72735 | Proximal gastrectomy - laparoscopic | 6 | $1,503.32 |
07578 | Vagotomy - highly selective | 5 | $636.64 |
70634 | Vagotomy (extra) | 0 | $63.86 |
Superficial Issues |
|||
07041 | Abdomen aspiration/chest | 2 | $76.01 |
07027 | Abscess - deep - general anaesthetic | 2 | $203.59 |
07059 | Abscess - deep - local/regional anesthesia | 2 | $81.46 |
07061 | Abscess - deep, post operative wound infection under general anesthesia | 2 | $203.37 |
70084 | Abscess - pilonidal cyst/sinus - incision/drainage | 2 | $101.36 |
06028 | Abscess - web space operation only | 2 | $254.92 |
06029 | Abscess - web space under general anaesthetic | 2 | $290.00 |
07045 | Anterior closed space abscess - op only | 2 | $101.44 |
70023 | Exc biopsy of lymph gland for susp malig - neck | 3 | $203.62 |
70025 | Exc biopsy of lymph glands for susp malig - groin | 2 | $203.37 |
70024 | Exc biopsy of lymph glands for susp malig -axilla | 2 | $237.34 |
07053 | Exc of nail bed, complete, w/shortening of phalanx | 2 | $137.99 |
06166 | Excision of axillary sweat gland for hyperhydrosis | 4 | $325.14 |
07055 | Ganglia - wrist | 2 | $202.23 |
07072 | Hydradenitis suppurativa excision - axillary | 2 | $250.00 |
07075 | Hydradenitis suppurativa excision - inguinal | 2 | $250.00 |
07076 | Hydradenitis suppurativa excision - perianal | 2 | $250.00 |
07082 | Hydradenitis suppurativa excision - perineal | 2 | $250.00 |
07685 | Pilonidal cysts or sinus - excision or marsupialization | 2 | $277.43 |
06063 | Removal of foreign body requiring ga | 2 | $250.72 |
06018 | Removal of tumor - more than 10 cm | 2 | $447.40 |
06016 | Removal of tumor or scar under ga, up to 5 cm | 2 | $126.26 |
06017 | Removal of tumour; 5 cm to 10 cm | 2 | $258.91 |
07028 | Sural nerve - biopsy of | 2 | $177.27 |
07025 | Temporal artery biopsy | 2 | $140.69 |
07073 | Tenotomy congenital torticollis | 3 | $304.16 |
07074 | Tenotomy resection of tendon | 3 | $257.99 |
Surgical Fee Modifiers |
|||
07003 | Bmi surgical surcharge @ 25% of surgical fee to a maximum of | 0 | $2,008.00 |
07001 | Surgical surcharge (age 75+) | 0 | $85.00 |
Sympathectomy |
|||
77422 | Cervical sympathectomy - unilateral | 5 | $501.87 |
77430 | Lumbar sympathectomy - bilateral (extra) | 0 | $248.26 |
77420 | Lumbar sympathectomy - unilateral | 4 | $371.15 |
77428 | Lumbar sympathectomy - unilateral (extra) | 3 | $124.12 |
77426 | Lumbo-dorsal sympathectomy & splanchnic neurectomy | 7 | $458.38 |
77424 | Preganglionic sympathectomy; upper dorsal region | 7 | $458.38 |
Thoracic Procedures |
|||
10761 | Esophagogastroduodenoscopy (egd) | 3 | $89.73 |
10763 | Initial esophageal, gastric or duodenal biopsy | 3 | $29.06 |
00710 | Mediastinoscopy or anterior mediastinotomy | 4 | $196.39 |
10764 | Multiple biopsies for differential diagnoses | 3 | $43.58 |
00818 | Oesophageal ph study - professional fee | 0 | $41.00 |
00817 | Oesophageal ph study - technical fee | 0 | $13.00 |
00797 | Oesophageal, motility test | 0 | $176.15 |
00798 | Oesophageal, motility test - professional fee | 0 | $101.79 |
00788 | Oesophageal, motility test - technical fee | 0 | $74.35 |
Transplantation |
|||
77440 | Implantation of kidney graft - vascular surgeon | 7 | $836.46 |
77707 | Implantation of kidney graft - vascular surgeon | 0 | $42.87 |
77708 | Implantation of kidney graft - vascular surgeon | 0 | $30.90 |
77710 | Implantation of kidney graft - vascular surgeon | 0 | $145.69 |
77712 | Implantation of kidney graft - vascular surgeon | 0 | $89.54 |
Trauma |
|||
07446 | Bowel - small - resection of injured | 7 | $644.63 |
07445 | Bowel - small - repair of lacerations | 7 | $572.71 |
07448 | Colonic injury +/- colostomy - repair | 7 | $962.78 |
07450 | Colonic injury- exteriorization | 7 | $602.52 |
07443 | Distal pancreas - resection for trauma | 8 | $1,268.85 |
07438 | Duodenal injury - resection and debridement | 7 | $1,522.60 |
07437 | Duodenum - repair of laceration to | 7 | $857.71 |
07436 | Duodenum/pancreas - exploration and mobilization | 7 | $644.63 |
07150 | Insertion of thoracostomy tube | 4 | $203.01 |
07435 | Lacerations to stomach - repair | 7 | $750.00 |
07433 | Laparotomy and removal of injured spleen | 7 | $850.00 |
07432 | Laparotomy for trauma | 5 | $454.41 |
07430 | Peritoneal lavage (catheter) - diagnostic | 3 | $102.83 |
07449 | Resection of colonic injury | 7 | $962.78 |
07434 | Splenic repair, any method | 7 | $758.60 |
10089 | Trauma team leader - subsequent hospital visit | 0 | $78.72 |
10088 | Trauma team leader - tertiary assessment | 0 | $104.00 |
07444 | Whipple procedure for trauma | 9 | $3,045.21 |
Vascular Access |
|||
07139 | Broviac catheter - insertion of | 2 | $162.55 |
07140 | Catheter insertion - broviac type, <3 mo or <3 kg | 4 | $269.03 |
00319 | Central catheter insertion - tpn | 2 | $56.81 |
07146 | Inferior vena cava filter - insertion | 2 | $367.84 |
00526 | Insertion of intravenous infusion line, under 5 | 0 | $57.24 |
07147 | Insertion of peritoneal catheter under ga | 4 | $305.89 |
07145 | Intra osseous - access | 2 | $101.29 |
00801 | Intra-arterial cannulation | 0 | $22.10 |
07134 | Peritoneal venous shunt for ascites | 6 | $390.37 |
07141 | Permcath removal | 2 | $126.79 |
07142 | Venous access port - implantable - insertion | 2 | $255.98 |
07143 | Venous access port - implantable/revision/removal | 2 | $350.00 |
Venous |
|||
77084 | Acute venous: ligation of femoral vein | 5 | $495.27 |
77060 | Compression sclerotherapy - repeat | 2 | $37.87 |
77055 | Compression sclerotherapy - complicated | 2 | $120.26 |
77050 | Compression sclerotherapy - uncomplicated | 2 | $80.82 |
77070 | Fasciotomy - complete | 2 | $319.25 |
77082 | Femoral vein - ligation | 2 | $148.84 |
77075 | Groin - re-exploration, and/or popliteal fossa | 2 | $300.19 |
77065 | High ligation, long saphenous | 2 | $223.03 |
07112 | Ligation of 2 or more perforators | 2 | $278.91 |
07111 | Ligations and strippings - 6 or more incisions | 2 | $304.28 |
07110 | Ligations and strippings - 3 to 5 incisions | 2 | $278.91 |
77096 | Mesocaval graft - autogenous | 8 | $1,006.21 |
77094 | Mesocaval graft - synthetic | 8 | $945.05 |
07116 | Multiple ligations, strippings, perforators | 3 | $523.41 |
77092 | Porto-caval shunt | 8 | $945.05 |
77090 | Spleno-renal shunt | 8 | $945.05 |
07108 | Stripping long saphenous | 2 | $263.88 |
07109 | Stripping short saphenous | 2 | $228.30 |
77086 | Thrombectomy/acute ilio-femoral thrombophlebitis | 5 | $620.60 |
77077 | Ulcer excision and grafting | 3 | $120.28 |
77045 | Varicose vein injection | 0 | $13.46 |
77079 | Venous crossover graft for iliac obstruction | 7 | $609.87 |
Wounds |
|||
06077 | Complicated laceration of the scalp cheek and neck | 3 | $333.13 |
70150 | Lacerations - tongue/floor of mouth - complicated | 3 | $270.50 |
06075 | Lips and eyelid wounds complicated | 3 | $339.41 |
06076 | Nose and ear wounds complicated | 3 | $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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