MSP Billing Codes

Specialty: Plastic Surgery

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Code	Description	Anes	Fee
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Ablation
06114	Abrasive surgery - full face	3	$523.79
06112	Abrasive surgery <1/4 of face	3	$126.70
06113	Abrasive surgery 1/4 to 1/2 of face	3	$246.18
Blepharoplasty
06126	Blepharoplasty - complicated	3	$392.82
61026	Blepharoplasty-complicated-non-cosmetic(bilateral)	3	$589.27
06125	Eyelids - blepharoplasty - simple	3	$261.90
61025	Eyelids-blepharoplasty-simple(bilateral)	3	$392.82
Breast
61046	Biologic tissue for breast reconstruction-extra	0	$303.46
61047	Biologic tissue for breast reconstruction-extra	0	$43.77
61045	Immediate breast reconstruction-extra	0	$202.31
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Burns
06081	Burns surgical excision - first 5% of body surface	5	$376.08
06082	Burns surgical excision/each additional 5% of body	5	$203.93
06083	Burns, severe, general care - first hour	0	$254.92
06084	Burns, severe, general care - subsequent hours	0	$203.93
06080	Burns; subsequent surg debridement; each 5% body	5	$30.37
06078	Minor burns; dressing (in hosp care only)	4	$57.62
06079	Surgical debridement; minor burns, each 5% of body	5	$122.35
Cavity Grafting
06062	Bone cavity grafting in large bone over 7.5 cm	4	$441.02
06065	Bone cavity in large bone - cavity grafting	3	$311.13
06064	Bone cavity in small bone - cavity grafting	2	$254.92
06066	Cavity grafting; absence of vagina - congenital	4	$582.45
06060	Skin grafts - cavity grafting - mouth	3	$523.79
06055	Skin grafts - cavity grafting - eye socket	3	$441.02
06057	Skin grafts - cavity grafting - nose	3	$393.90
06061	Skin grafts/cavity grafting - lining pedicle flaps	3	$300.67
06056	Skin grafts/cavity grafting/eye socket with mucosa	3	$675.68
Cell-assisted Lipotransfer for soft defects (Aspiration and Injections)
61250	Lipotransfer - aspiration - volume < 20 ml	3	$81.88
61252	Lipotransfer - aspiration - volume > 60 ml	3	$143.28
61251	Lipotransfer - aspiration - volume 21-60 ml	3	$102.34
61260	Lipotransfer - injection functional area: < 20ml	3	$122.81
61261	Lipotransfer - injection functional area: > 20 ml	3	$184.23
61271	Lipotransfer-injection nonfunc area: 21 to 60 ml	3	$143.28
61270	Lipotransfer-injection nonfunctional area: < 20ml	3	$102.34
61272	Lipotransfer-injection nonfunctional area: > 60ml	3	$184.23
Ears
06130	Auricle - accessory	3	$254.92
06133	Microtia - total major	3	$938.36
06132	Microtia - partial	3	$377.06
06134	Microtia - total minor	3	$307.05
06131	Otoplasty - outstanding ears(unilateral)	3	$317.82
61031	Otoplasty-outstanding ears(bilateral)	3	$476.72
06180	Preauricular sinus - complicated	3	$304.33
06135	Preauricular sinus - simple	3	$254.92
Fractures
61222	Crif phalangeal or metacarpal fracture (mid/prxml)	2	$227.73
06222	Finger fracture - phalanx	2	$126.70
06224	Fracture - distal phalanges, first	2	$150.64
06225	Fracture - distal phalanges, each additional	2	$126.70
06223	Fracture - metacarpal	2	$126.70
61224	Open (compound) hand fractures primary wound mgmt	2	$41.11
61225	Open (compound)hand fractures-secondary wound mgmt	2	$82.15
61223	Orif phalangeal or metacarpal fracture (mid/prxml)	2	$340.00
Free Skin Grafts (including mucosa)
61351	Full-thickness graft-arms, legs,scalp (2 to 19cm)	2	$289.29
61352	Full-thickness graft-axilla,cheeks,chin, etc (2 to	2	$355.27
61353	Full-thickness graft-ears,eyelids,lips and nose (2	2	$395.89
61350	Full-thickness graft-trunk (2 to 19 cm)	2	$228.39
61354	Graft (pinch,split or full thickness)-open area-up	2	$310.00
06053	Skin graft; functional areas: head & neck > 65 cm	3	$648.00
06054	Skin grafts - head and neck - in excess of 195 sq	3	$1,033.97
06052	Skin grafts - head and neck - 65 sq. cm or less	3	$440.00
06048	Skin grafts - split thickness - free - 650 sq. cm	2	$648.00
06047	Skin grafts - split thickness - free - 65 sq. cm	2	$432.00
06058	Skin grafts; functional areas; major joints, late	2	$523.79
06046	Split thickness free skin graft; < 6.5 sq. cm.	2	$300.00
06049	Split thickness free skin grafts; each 6.5 > 650	3	$8.00
Joints - Interphalangeal or Metacarpophalangeal
06229	Arthrodesis of metacarpophalangeal/interphalangeal	2	$344.75
06228	Arthroplasty of metacarpophalangeal/interphalangea	2	$344.75
06231	Hand joints - rheumatoid - reconstruction	3	$992.21
06235	Intrinsic release - joints	2	$254.92
06236	Metacarpo/interphalangeal joint - closed reduction	2	$125.35
06237	Metacarpo/interphalangeal joint - open reduction	2	$254.92
06232	Prosthesis - finger joint - first joint	2	$259.64
06233	Prosthesis - finger joint - subsequent joints	2	$147.59
06234	Synovectomy - rheumatoid disease	2	$351.20
Leg
06169	Treatment of lymphoedema, using the thompson procedure - lower extremity leg	4	$591.48
06167	Treatment of lymphoedema, using the thompson procedure- upper extremity forearm	4	$353.91
06168	Treatment of lymphoedema, using the thompson procedure-arm	4	$235.39
06170	Treatment of lymphoedema, using the thompson procedure-thigh	4	$591.48
Lesions and Scars
61319	Excision of lesion(in hosp),tumour-free margin-ext	0	$101.89
61316	Lesions & scars-eyelids, ears, lips, etc. < 2cm	0	$178.30
61318	Lesions & scars-eyelids, ears, lips, etc. >4 cm	0	$290.38
61317	Lesions & scars-eyelids, ears, lips, etc. 2-4 cm	0	$213.97
61313	Lesions & scars-face, scalp, neck, etc. < 5cm	0	$169.13
61315	Lesions & scars-face, scalp, neck, etc. > 10cm	0	$275.10
61314	Lesions & scars-face, scalp, neck, etc. 5-10 cm	0	$224.15
61311	Lesions & scars-trunk, arms & legs - 5-10cm	0	$157.92
61312	Lesions & scars-trunk, arms & legs- > 10cm	0	$234.35
61310	Lesions & scars-trunk, arms & legs-< 5cm	0	$122.27
Major Flap Procedures
61152	Abdominal panniculectomy where medically indicated, secondary to chronic subpanus intertrigo, which has been unresponsive to a reasonable period of medical treatment	4	$910.00
06110	Cheeks -facial paralysis - dynamic slings with local functional muscle transfer (unilateral)	3	$785.69
06111	Cheeks- facial paralysis static slings (unilateral	3	$650.54
06129	Combined complete repair as above and rhytidectomy unilateral	3	$945.41
06120	Complete repair for facial paralysis, plication of paralyzed muscles, meloplasty, and resection of overactive muscles bilateral	3	$838.07
06151	Decubitus ulcers - excision and treatment of bone, rotation flaps, and skin grafts to secondary defect	4	$866.70
61158	Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving major muscles	5	$955.00
61157	Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving medium muscles	5	$630.91
61156	Myocutaneous flap or fascia cutaneous flap rotated on its vascular or neurovascular pedicle involving small muscles	5	$444.79
06159	Tram flap reconstruction of mastectomy defect	5	$1,021.77
Maxillo-facial
06309	Mandibular osteotomy - internal fixation/bilateral	6	$1,183.97
06308	Mandibular osteotomy/internal fixation/unilateral	6	$823.07
06303	Maxillo-facial osteotomy; le fort iii extracranial	7	$2,476.77
06302	Maxillo-facial osteotomy; le fort iii intracranial	8	$2,907.70
06306	Osteotomies, mandibular maxillo-facial - bilateral	6	$968.51
06305	Osteotomies, mandibular maxillo-facial/unilateral	6	$806.91
06304	Osteotomies, maxillo-facial - malar maxilliary	6	$1,291.71
06301	Osteotomies, maxillo-facial le fort ii - pyramidal	6	$1,399.45
06300	Osteotomies, maxillo-facial; le fort 1, horizontal	6	$1,130.11
06307	Osteotomies, pre-maxillary set back	6	$806.91
06314	Osteotomy - canthopexy	3	$564.52
06312	Osteotomy - intracranial correction hypertelorism	8	$3,769.56
06311	Osteotomy - orbital advancement	8	$3,123.16
06310	Osteotomy - orbital advancement - unilateral	8	$2,799.96
06313	Osteotomy - orbital expansion	8	$3,015.43
Microsurgery
61210	Certified plastic surgeon assist, over 1 hr-extra	0	$50.58
06217	Microreimplantation - digit or extremity	4	$3,108.88
06259	Microsurgical removal neoplasm, digital/palmar	2	$336.04
06216	Microvascular surgery - artery or vein	6	$675.48
06220	Microvascular surgical free flap	5	$3,108.09
Miscellaneous
06221	Bone graft - inlay bone grafting of metacarpal or phalanx	2	$354.92
61361	Eyebrow ptosis repair-simple skin excision-bilater	0	$392.82
61360	Eyebrow ptosis repair-simple skin excision-unilate	0	$261.90
06182	Ganglia of tendon sheath or joint	2	$182.27
06085	Tissue expansion - major areas	3	$559.83
06086	Tissue expansion - minor areas	2	$351.98
Mouth
06138	Cleft lip - bilateral	4	$1,061.16
06139	Cleft lip - unilateral	4	$558.04
06144	Cleft lip, bilateral - incomplete	4	$750.90
06145	Cleft palate	6	$553.74
06137	Full lip thickness transfer by rotation flap	4	$548.93
06181	Lip adhesion for cleft palate	3	$393.22
06147	Palatal cleft - bone graft	4	$612.99
06143	Pharyngeal flap push back	6	$750.90
06142	Pharyngoplasty, pharyngeal flap	6	$542.97
06136	Plastic repair abbe operation	4	$641.12
Nerves
06256	Nerve repair - palmar	2	$254.92
06156	Neuroma transplant	2	$254.92
06257	Peripheral nerve suture: major	3	$403.31
06255	Peripheral nerve suture: minor	2	$254.92
Nose and Sinuses
06124	Nasal fracture - wire plate fixation - open reduct	3	$533.27
06117	Rhinophyma	3	$335.05
06116	Rhinoplasty - composite graft	3	$331.03
06115	Rhinoplasty - forehead, 2 operations	3	$917.68
06109	Rhinoplasty - removal of hump	3	$238.09
06119	Rhinoplasty; bone graft nose, non-autologous	3	$493.41
06118	Rhinoplasty; bone graft to nose - autologous	3	$601.15
Orbit
06153	Bone graft orbit, autologous	4	$612.99
06154	Bone graft orbit, non-autologous implant	4	$462.17
Osteomyelitis
06087	Incision subperiosteal abscess	2	$254.92
Other Wounds
61057	Nipple areolar reconstruction and tattooing	2	$457.84
06238	Repair of complicated fingertip injury	2	$201.05
06027	Repair of torn (split) earlobe (simple) (operation only)	3	$118.31
Referred Cases
06012	Consultation, limited or repeat, plastic surgery	0	$48.27
06010	Consultation, plastic surgery	0	$98.50
06005	Emergency visit - plastic surgery	0	$104.23
66015	Pre-operative assessment - plastic surgery	0	$98.50
06009	Subsequent visit, home, plastic surgery	0	$80.00
06008	Subsequent visit, hospital, plastic surgery	0	$36.71
06007	Subsequent visit, office, plastic surgery	0	$25.43
66010	Telehealth major consultation, plastic surgery	0	$98.50
66012	Telehealth repeat or limited consult plastic surg	0	$48.27
66008	Telehealth subsequent hospital visit -plastic surg	0	$36.71
66007	Telehealth subsequent office visit plastic surgery	0	$25.43
Regional Mandibulo-Facial
06272	Alveolar fracture - additional teeth	3	$79.71
06271	Alveolar fracture - one tooth extraction	3	$128.20
06293	Bone graft jaw, autologous	4	$541.89
06294	Bone graft jaw, non-autologous	4	$499.88
06250	Face, fracture le forte - horizontal	6	$968.21
06251	Face, fracture le forte - pyramidal	6	$1,070.17
06252	Face, fracture le forte/cranio-facial dysjunction	6	$1,213.31
06273	Fracture-alveolus; arch bar fixation	3	$409.62
06241	Gunning splints impression	6	$457.87
06240	Interdental and intermaxillary wiring	6	$445.96
06243	Mandible -open reduction - bilateral	6	$866.25
06242	Mandible -open reduction - unilateral	6	$662.31
06245	Mandible -open reduction and wiring - bilateral	6	$968.21
06244	Mandible -open reduction and wiring - unilateral	6	$764.28
06291	Mandibular resection; tumours; enucleation	4	$606.54
06292	Mandibular resection; tumours; with bone graft	4	$860.78
06265	Maxillary fracture zygomatic - arch - temporal	3	$356.42
06261	Maxillary fracture zygomatic - open reduction and	4	$637.40
06262	Maxillary fracture zygomatic - reduction	4	$457.93
06260	Maxillary fracture zygomatic - temporal elevation	3	$328.22
06270	Orbital floor fracture - open reduction	4	$743.98
06246	Removal of sutures, intra-oral splints, under ga	4	$301.47
06282	Temporo-mandibular arthroplasty	3	$726.12
06281	Temporo-mandibular joint; condylectomy	3	$510.65
06280	Temporo-mandibular joint; meniscectomy	3	$446.25
06253	Wire suspension, craniomaxillary	6	$1,111.81
06266	Zygomatic arch/open reduction/interosseous wiring	4	$446.25
Skin and Subcutaneous Tissues
06042	Abscess - mid palmer/thenar/dorsal	2	$254.92
06197	Acute tenosynovitis - finger	2	$290.00
06198	Acute tenosynovitis - ulnar or radial bursa	2	$290.00
61291	Biopsy, not sutured	0	$89.10
61292	Biopsy,not sutured,multiples sm sitting,max4(extra	0	$25.02
Skin Flaps and Grafts
61329	Advancement flap - defects more than 10 cm	2	$393.85
61325	Advancement flap-face, neck or scalp (2.1 to 5 cm)	2	$234.35
61327	Advancement flap-face, neck or scalp(5.1 to 10 cm)	2	$355.27
61324	Advancement flap-nose,lids,lips or scalp-up to 2cm	2	$185.44
61326	Advancement flap-other areas (2.1 to 5 cm)	2	$182.38
61328	Advancement flap-other areas (5.1 to 10cm)	2	$233.47
61320	Excision of malignant lesions-10-50cm - extra	2	$61.13
61321	Excision of malignant lesions-51-100cm-extra	2	$132.45
61322	Excision of malignant lesions-over 100cm-extra	2	$183.40
61333	Flaps - arms, legs and scalp - defect up to 6 cm	2	$305.76
61334	Flaps - arms,legs and scalp-defect 6 cm to 19 cm	2	$346.00
61331	Flaps - trunk - defect 40 cm to 100 cm	2	$324.82
61332	Flaps - trunk - defect greater than 100 cm	2	$423.66
61330	Flaps - trunk - defect up to 40 cm	2	$243.61
06033	Flaps from a distance - first stage -per operation	4	$353.91
06031	Flaps from a distance -uper extremity-2nd stage	2	$471.50
06034	Flaps from a distance-minor 2nd stage per operatio	3	$235.39
06030	Flaps from a distance-upper extremity-init stage	2	$591.47
06035	Flaps from a distance, delaying a flap(oper only)	3	$163.48
61335	Flaps-arms,legs and scalp-defect > 19 cm	2	$458.84
61341	Flaps-ears,eyelids,lips and nose-defect > 19 cm	2	$509.26
61340	Flaps-ears,eyelids,lips and nose-defect 6 cm to	2	$457.92
61339	Flaps-ears,eyelids,lips and nose-defect upto 6 cm	2	$347.03
61338	Flaps-other area(axilla,cheeks,face,etc)-defect>19	2	$469.01
61337	Flaps-other area(axilla,cheeks,face,etc)6cm-19cm	2	$346.78
61336	Flaps-other areas(axilla,cheeks,face,etc)upto 6cm	2	$305.76
06148	Hair bearing scalp vacular island flap to eyebrow	3	$483.98
06177	Neurovascular pedicle	3	$744.43
61342	Revision of graft - less than 2 cm	2	$203.01
61343	Revision of graft - between 2 and 5 cm	2	$243.61
61344	Revision of graft - greater than 5 cm	2	$284.22
06026	Skin graft; arterial island flap	2	$353.91
06032	Skin grafts; flaps from a distance, lower,initial	2	$710.26
06171	Syndactyly local flap - first cleft	2	$254.92
06172	Syndactyly with skin graft - first cleft	2	$453.55
Suture of Lacerations and Minor Traumatic Wounds
61308	Coordination of anesthetic svcs-for laceration ext	2	$203.77
61305	Wounds-10.1 to 15cm-face(bleeders &/or layered clo	2	$356.60
61304	Wounds-10.1 to 15cm-other than face, simple closur	2	$285.29
61307	Wounds-15.1cm or more-face(bleeders &/or layered	2	$407.55
61306	Wounds-15.1cm or more-other than face, simple clos	2	$305.66
61303	Wounds-5.1 to 10cm-face(bleeders &/or layered clos	2	$254.72
61302	Wounds-5.1 to 10cm-other than face, simple closure	2	$244.52
61301	Wounds-up to 5cm-face(bleeders &/or layered closur	2	$203.77
61300	Wounds-up to 5cm-other than face, simple closure	2	$137.54
Tattooing Surgery (for haemangiomata, vitiligo, lentigines, etc.)
06200	Tattooing surgery facial area - < 1/4 of face	3	$114.69
06201	Tattooing surgery facial area - 1/4 to 1/2 face	3	$235.39
06202	Tattooing surgery facial area - full face	4	$353.91
06205	Tattooing surgery non-facial area - < 6.5 sq. cm	2	$59.75
06206	Tattooing surgery non-facial area - < 65 sq. cm	2	$118.31
06207	Tattooing surgery non-facial area - < 650 sq. cm	2	$235.39
Tenotomy
06176	Digital transplant	5	$952.71
61368	Extensor - primary or secondary repair - first ten	2	$237.02
61369	Extensor - second to sixth tendon repair (extra)	2	$118.51
61371	Extensor - twelfth and over tendon repair (extra)	2	$29.62
61370	Extensor -seventh to eleventh tendon repair(extra)	2	$59.24
61364	Flexor - second to sixth tendon repair (extra)	2	$188.53
61365	Flexor - seventh to eleventh tendon repair (extra)	2	$94.27
61366	Flexor - twelfth and over tendon repair (extra)	2	$47.14
61363	Flexor-primary or secondary repair - first tendon	2	$377.06
61230	Needle aponeurectomy - dupuytren's diseasec	0	$151.13
06193	Palmar fasciectomy - extensive	2	$433.71
06194	Palmar fasciectomy - with skin grafting	2	$561.51
06175	Pollicization	4	$1,150.59
06195	Silastic rod prior to tendon grafting	3	$462.17
06185	Tendon graft	2	$705.63
06203	Tendon transfer hand and wrist	2	$448.72
06204	Tendon transfer hand and wrist - each additional	2	$163.48
06188	Tenolysis	2	$392.14
06189	Tenolysis - each additional	2	$145.44
06186	Tenoplasty - one tendon	2	$231.62
06187	Tenoplasty - two or more tendons	2	$377.06
Trunk
61054	Bilateral mastectomy in the context of gender affirming surgery, female to male (ftm) - (to include bilateral subcutaneous mastectomy, nipple-areolar reconstruction and chest wall reconstruction	3	$1,476.26
06179	Breast implant - excision only	2	$245.70
06178	Breast implant - excision/pathologic capsule	2	$410.00
06165	Breast replacement - bilateral	3	$608.76
06164	Breast replacement - unilateral	3	$405.66
61167	Mastopexy, balancing when performed at same time as contralateral breast surgery	3	$305.44
61166	Mastopexy, balancing unilateral (isolated procedure)	3	$458.02
06157	Nipple-areolar reconstruction	2	$339.52
61050	Reduction mammoplasty for hypermastia bilateral	4	$866.49
61053	Reduction mammoplasty for hypermastia bilateral	3	$772.73
06150	Reduction mammoplasty for hypermastia - unilateral	4	$527.85

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.