Official Description | Common Description | Procedure Codes | Possible Additional Codes | Explanations | Work RVU | Total RVU |
---|---|---|---|---|---|---|
Negative pressure wound therapy (eg, vacuum assisted drainage collection), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session | Placement of wound vac, If less than 50 sq cm | 97605 | 97605 - 0.55 | 97605 - 0.17 | ||
Puncture Aspiration of Fluid Collection | 10160 | 10160 - 1.25 | 10160 - 2.74 | |||
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less | 11620 | 11620 - 1.64 | 11620 - 3.47 | |||
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm | 11621 | 11621 - 2.08 | 11621 - 4.32 | |||
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm | 11622 | 11622 - 2.41 | 11622 - 4.95 | |||
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm | 11623 | 11623 - 3.11 | 11623 - 6.12 | |||
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm | 11624 | 11624 - 3.62 | 11624 - 6.94 | |||
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm | 11626 | 11626 - 4.61 | 11626 - 8.50 | |||
HALO Placement | 20661 | 20661 - 5.26 | 20661 - 14.55 | |||
Removal of Internal Electrical Bone Stimulator | 76000 | 76000 - 0.17 | 76000 - 1.34 | |||
Evacuation of Postoperative Anterior Cervical Wound Hematoma | 21501 | 21501 - 3.98 | 21501 - 9.21 | |||
Lumbosacral Laminectomies and Evacuation of Epidural Abscess | 22015 | 22015 - 12.64 | 22015 - 27.14 | |||
Bracing for closed reduction of vertebral body fracture without traction | 22310 | 22310 - 3.89 | 22310 - 8.13 | |||
Bracing for Closed Reduction and Stablization with Traction | 22315 | 22315 - 10.11 | 22315 - 22.25 | |||
Cervical Traction | 22315 | 22315 - 10.11 | 22315 - 22.25 | |||
ICP Pressure Monitor, Intracranial Pressure Monitor LICOX Monitor, or Camino Monitor at the bedside through a twist drill hole (Use this code only once if placed on the same side even if multiple monitors are placed.) | 61107 | 61107 - 4.99 | 61107 - 9.27 | |||
Chiari Decompression | 61343 | 61343 - 31.86 | 61343 - 64.40 | |||
Use of Neuronavigation in Spine: BrainLab; Stealth; Stryker, Mazor Robotics | 61783 | 61783 - 3.75 | 61783 - 6.83 | |||
Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); one simple cranial lesion | SRS | 61796 | +61797 - each additional cranial lesion, simple | global period is 90 days | 61796 - 13.93 +61797 - 3.48 | 61796 - 29.87 +61797 - 6.54 |
Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); one complex cranial lesion | SRS for Acoustic Neuroma | 61798 | +61799 - each additional cranial lesion, complex | All lesions 3.5 cm or greater are complex. Schwannomas, AVM, pituitary tumors, glomus tumors, pineal region tumors, and coavernous sinus/parasellar/petroclival tumors are complex. Any lesion that is adjacent (5 mm or less) to the optic nerve/optic chasm/optic tract, or within the brainstem, is complex; global period is 90 days | 61798 - 19.85 +61799 - 4.81 | 61798 - 40.75 +61799 - 9.01 |
Elevation of Simple Depressed Skull Fracture | 62000 | 62000 - 13.93 | 62000 - 28.02 | |||
Elevation of Complex Comminuted Depressed Skull Fracture | 62005 | 62005 - 17.63 | 62005 - 36.92 | |||
Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea | Repair of CSF Leak - Non-Skull Base Craniotomy | 62100 | 62100 - 23.53 | 62100 - 46.32 | ||
Replacement of Skull Flap | 62143 | 62143 - 14.15 | 62143 - 30.50 | |||
Third Ventriculostomy | 62200 | 62200 - 19.29 | 62200 - 39.68 | |||
Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catether | Partial VP shunt revision | 62230 | +62252 - add if programmable valve was used and programmed at the time of placement of valve | VP Shunt Partial Revision, Change of Valve | 62230 - 11.43 +62252 - 0.74 | 62230 - 24.60 +62252 - 2.46 |
3 level lumbar discogram | 62290 72295-26 99144 99145 J0690 J2250 | 62290 - 3.00 72295-26 - 0.83 99144 - 0 99145 - 0 J0690 - 0 J2250 - 0 | 62290 - 4.91 72295-26 - 1.23 99144 - 0 99145 - 0 J0690 - 0 J2250 - 0 | |||
Discogram-Lumbar | 62290 72295 76005 J0690 Q9962 99144 99145 | 62290 - 3.00 72295 - 0.83 76005 - 0 J0690 - 0 Q9962 - 0 99144 - 0 99145 - 0 | 62290 - 9.36 72295 - 2.76 76005 - 0 J0690 - 0 Q9962 - 0 99144 - 0 99145 - 0 | |||
Epidural Steriod Injection, Lumbar - Office | 62311 72265 A4550 Q9962 J3301 | 62311 - 0 72265 - 0.83 A4550 - 0 Q9962 - 0 J3301 - 0 | 62311 - 0 72265 - 2.61 A4550 - 0 Q9962 - 0 J3301 - 0 | |||
Intrathecal Pump, Revision | 62350 | 62350 - 6.05 | 62350 - 11.52 | |||
Replacement of his baclofen pump | 62360 | 62360 - 4.33 | 62360 - 8.92 | |||
Placement of Baclofen Pump | 62362 | 62362 - 5.60 | 62362 - 11.11 | |||
Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); one spinal lesion | 63620 | +63621- each additional cranial lesion, complex | Stereotactic Radiosurgery for Spine Lesion, Single | 63620 - 15.60 +63621 - 4.00 | 63620 - 32.88 +63621 - 7.52 | |
Permanent Peripheral Nerve Stimulation | 64575 64555 64590 95972 95973 | 64575 - 4.42 64555 - 2.32 64590 - 2.45 95972 - 0.80 95973 - 0 | 64575 - 9.22 64555 - 4.38 64590 - 4.63 95972 - 1.19 95973 - 0 | |||
Brace Fitting | 97760 | 97760 - 0.45 | 97760 - 1.08 | |||
Lumbo softech back brace | 97760 L0976 | 97760 - 0.45 L0976 - No RVU | 97760 - 1.08 L0976 - No RVU | |||
Removal of foreign body in muscle or tendon sheath; deep or complicated | Removal of bullet | 20525 | 20525 - 3.54 | 20525 - 7.12 | ||
Incision and drainage, complex, postoperative wound infection | I&D of superficial postopertive wound infection | 10180 | 10180 - 2.30 | 10180 - 5.12 | ||
Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of transfixing device | 27279 | +61783 | 27279 - 9.03 +61783 - 3.75 | 27279 - 19.93 +61783 - 6.83 | ||
Decompression unspecified nerve | Radial Nerve Palsy | 64722 | 64722 - 4.82 | 64722 - 10.43 | ||
Excision, tumor, soft tissue of upper arm or elbow area, subfascial (e.g intramuscular); less than 5cm | 24076 | 24076 - 7.41 | 24076 - 14.82 | |||
Excision, tumor, soft tissue of upper arm or elbow area, subfascial (e.g intramuscular); 5cm or greater | 24073 | 24073 - 10.13 | 24073 - 20.26 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less | Lipoma | 11420 | 11420 - 1.03 | 11420 - 2.06 | ||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 cm to 1.0 cm | Lipoma | 11421 | 11421 - 1.47 | 11421 - 2.94 | ||
Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater | 21931 | 21931 - 6.88 | 21931 - 13.76 | |||
Excision, tumor, soft tissue of back or flank, subfascial (eg. intramuscular), less than 5 cm | 21932 | 21932 - 9.82 | 21932 - 19.64 | |||
Excision, tumor, soft tissue of back or flank, subfascial (eg. intramuscular), 5 cm or greater | 21933 | 21933 - 11.13 | 21933 - 22.26 | |||
Radical resection of tumor (eg. sarcoma), soft tissue of back or flank, less than 5 cm | 21935 | 21935 - 15.72 | 21935 - 31.44 | |||
Radical resection of tumor (eg. sarcoma), soft tissue of back or flank, 5 cm or greater | 21936 | 21936 - 22.55 | 21936 - 45.10 | |||
Excision of neurofibroma or neurolemmoma; major peripheral nerve | Resection of peripheral schwannoma but not neuroma | 64790 | 64790 - 12.10 | 64790 - 24.20 | ||
Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter) | Lumbar Drain Placement | 62272 | Do not use 62350 or 62365 as these codes are for lumbar catheters for long-term like pain pump. | Spinal Tap, Lumbar Drain Placement | 62272 - 1.35 | 62272 - 2.43 |
Ligation or biopsy, temporal artery | Temporal artery biopsy; 10 days global period | 37609 | 37609 - 3.05 | 37609 - 6.10 | ||
Biopsy, muscle, percutaneous needle | 20206 | 20206 - 0.99 | 20206 - 1.98 | |||
Biopsy, bone, trocar, or needle, superficial (eg. ilium, sternum, spinous process, ribs) | 20220 | 20220 - 1.27 | 20220 - 2.54 | |||
Biopsy, bone, trocar, or needle, deep (eg. vertebral body, femur) | Vertebral Body Biopsy | 20225 61783 | 20225 - 1.87 61783 - 3.75 | 20225 - 3.13 61783 - 6.83 | ||
Biopsy, bone, open; superficial (eg. ilium, sternum, spinous process, ribs, trochanter, of femur) | 20240 | 20240 - 2.61 | 20240 - 5.22 | |||
Biopsy, bone, open; deep (eg. humerus, ischium, femur) | 20245 | 20245 - 6.00 | 20245 - 12.00 | |||
Biopsy, vertebral body, open; thoracic | 20250 | 20250 - 5.19 | 20250 - 10.38 | |||
Biopsy, vertebral body, open; lumbar, cervical | 20251 | 20251 - 5.72 | 20251 - 11.44 | |||
Application of Stereotactic head frame for stereotactic radiosurgery | 61800 | 61800 - 2.25 | 61800 - 4.56 | |||
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single | 10060 | 10060 - 1.22 | 10060 - 2.44 | |||
Incision and drainage of hematoma, seroma or fluid collection | 10140 | 10140 - 1.58 | 10140 - 3.16 | |||
Treatment of superficial wound dehiscence; simple closure | 12020 | 12020 - 2.67 | 12020 - 5.34 | |||
Treatment of superficial wound dehiscence; with packing | 12021 | 12021 - 1.89 | 12021 - 3.78 | |||
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm | 13120 | 13120 - 3.23 | 13120 - 6.46 | |||
Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm | 13121 | 13121 - 4.00 | 13121 - 8.00 | |||
Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) | 13122 | 13122 - 1.44 | 13122 - 2.88 | |||
Removal of bone flap or prosthetic plate of skull | 62142 | 62142 - 11.83 | 62142 - 23.66 | |||
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs | Upper Extremity SSEP | 95925 | 95925 - 0.54 | 95925 - 1.08 | ||
1-2 Nerve Conduction Studies | 95907 | EMG/NCV | 95907 - 1.00 | 95907 - 2.00 | ||
3-4 Nerve Conduction Studies | 95908 | EMG/NCV | 95908 - 1.25 | 95908 - 2.50 | ||
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs | Upper and Lower Extremity SSEP (This would only be needed in cases of myelopathy or multilevel stenosis to use the lower extremity responses as a control) | 95938 | 95938 - 0.86 | 95938 - 1.72 | ||
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs 137.76 NA | Lower Extremity SSEP Auth the same NCS codes as above and 95938 for multilevel lumbar stenosis cases to use the upper extremities as a control. | 95926 | 95926 - 0.54 | 95926 - 1.08 | ||
Nerve conduction studies; 5-6 studies | 95909 | EMG/NCV | 95909 - 1.50 | 95909 - 3.00 | ||
Nerve conduction studies; 7-8 studies | 95910 | EMG/NCV | 95910 - 2.00 | 95910 - 4.00 | ||
Nerve conduction studies; 9-10 studies | 95911 | EMG/NCV | 95911 - 2.50 | 95911 - 5.00 | ||
Nerve conduction studies; 11-12 studies | 95912 | EMG/NCV | 95912 - 3.00 | 95912 - 6.00 | ||
Nerve conduction studies; 13 or more studies | 95913 | EMG/NCV | 95913 - 3.56 | 95913 - 7.12 | ||
Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method | 95937 | EMG/NCV | 95937 - 0.65 | 95937 - 1.3 | ||
Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code for primary procedure) | 95885 | EMG/NCV | 95885 - 0.35 | 95885 - 0.70 | ||
Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levels (List separately in addition to code for primary procedure) | 95886 | EMG/NCV | 95886 - 0.86 | 95886 - 1.72 | ||
Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary procedure) | 95887 | EMG/NCV | 95887 - 0.71 | 95887 - 1.42 | ||
Needle electromyography; 1 extremity with or without related paraspinal areas | 95860 | EMG/NCV | 95860 - 0.96 | 95860 - 1.92 | ||
Needle electromyography; 2 extremities with or without related paraspinal areas | 95861 | EMG/NCV | 95861 - 1.54 | 95861 - 3.08 | ||
Osteogenesis stimulator, electrical, non-invasive, spinal applications | Bone Graft Stimulator | E0748 | E0748 - 0 | E0748 - 0 | ||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less | 11400 | 11400 - 0.90 | 11400 - 1.8 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm | 11401 | 11401 - 1.28 | 11401 - 2.56 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm | 11402 | 11402 - 1.45 | 11402 - 2.9 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm | 11403 | 11403 - 1.84 | 11403 - 3.68 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm | 11404 | 11404 - 2.11 | 11404 - 4.22 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm | 11406 | 11406 - 3.52 | 11406 - 7.04 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less | 11420 | 11420 - 1.03 | 11420 - 2.06 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm | 11421 | 11421 - 1.47 | 11421 - 2.94 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm | 11422 | 11422 - 1.68 | 11422 - 3.36 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm | 11423 | 11423 - 2.06 | 11423 - 4.12 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm | 11424 | 11424 - 2.48 | 11424 - 4.96 | |||
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm | 11426 | 11426 - 4.09 | 11426 - 8.18 | |||
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less | 11440 | 11440 - 1.05 | 11440 - 2.1 | |||
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm | 11441 | 11441 - 1.53 | 11441 - 3.06 | |||
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm | 11442 | 11442 - 1.77 | 11442 - 3.54 | |||
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm | 11443 | 11443 - 2.34 | 11443 - 4.68 | |||
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm | 11444 | 11444 - 3.19 | 11444 - 6.38 | |||
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm | 11446 | 11446 - 4.80 | 11446 - 9.6 | |||
Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair | 11450 | 11450 - 3.22 | 11450 - 6.44 | |||
Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair | 11451 | 11451 - 4.43 | 11451 - 8.86 | |||
Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair | 11470 | 11470 - 3.74 | 11470 - 7.48 | |||
Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair | 11471 | 11471 - 4.89 | 11471 - 9.78 | |||
Therapeutic exercises, 15 mins | 97110 | 97110 - 0.45 | 97110 - 0.90 | |||
Manual therapy 1/> regions, 15 mins | 97140 | 97140 - 0.43 | 97140 - 0.86 | |||
Neuromuscular reeducation, 15 mins | 97112 | 97112 - 0.50 | 97112 - 1.00 | |||
Therapeutic activities, 15 mins | 97530 | 97530 - 0.44 | 97530 - 0.88 | |||
Electric stimulation therapy | 97014 | 97014 - 0.18 | 97014 - 0.36 | |||
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | G0283 | G0283 - 0.18 | G0283 - 0.36 | |||
PT Eval MOD complex 30 mins | 97162 | 97162 - 1.54 | 97162 - 3.08 | |||
PT Re-eval est plan care | 97164 | 97164 - 0.96 | 97164 - 1.92 | |||
Resect face/scalp tum 2 cm/> | 21016 | Global period is 90 days | 21016 - 15.26 | 21016 - 30.52 | ||
Negative pressure wound therapy (eg, vacuum assisted drainage collection), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session | Placement of wound vac, If equal or greater than 50 sq cm | 97606 | 97606 - 0.60 | 97606 - 1.2 | ||
Transection or avulsion of the greater occipital nerve, which may be the most accurate choice for a procedure involving cutting the C2 nerve root | 64744 | 64744 - 5.72 | 64744 - 11.44 | |||
Transection or avulsion of other cranial nerve, extradural | 64771 | 64771 - 8.15 | 64771 - 16.3 | |||
Transection or avulsion of other spinal nerve, extradural | 64772 | 64772 - 7.84 | 64772 - 15.68 | |||
Endoscopic procedure for the surgical release of the transverse carpal ligament in the wrist, which is typically performed to treat carpal tunnel syndrome. | 29848 | 29848 - 6.39 | 29848 - 12.78 | |||
Removal of Central Venous Access Device | PICC line removal in the office | 36590 | 36590 - 3.10 | 36590 - 6.20 | ||
Trigger Point Injections | L39713 | L39713 - 0 | L39713 - 0 |