Service
Code
Listed
Cash
Negotiated
Rates
Checks
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algorithm reported as qu
$2,086
$835
—
0
clean
Fine needle aspiration biopsy, including ultrasound guidance; first lesion
$2,944
$1,178
$1,202
1
clean
Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)
$2,429
$972
—
0
clean
Fine needle aspiration biopsy, including CT guidance; first lesion
$2,944
$1,178
$1,202
1
clean
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single
$1,129
$451
—
0
clean
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple
$1,132
$453
$1,202
1
clean
Incision and drainage of pilonidal cyst; simple
$11,925
$4,770
—
0
clean
Incision and removal of foreign body, subcutaneous tissues; simple
$1,060
$424
$1,202
1
clean
Incision and drainage of hematoma, seroma or fluid collection
$22,049
$8,820
$1,845
1
clean
Puncture aspiration of abscess, hematoma, bulla, or cyst
$23,905
$9,562
—
0
clean
Incision and drainage, complex, postoperative wound infection
$23,494
$9,398
$1,613
1
clean
Debridement of extensive eczematous or infected skin; up to 10% of body surface
$24,635
$9,854
$1,202
1
clean
Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure
$24,432
$9,773
$1,613
1
clean
Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle
$10,094
$4,038
$1,613
1
clean
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less
$1,598
$639
$1,613
1
clean
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less
$2,815
$1,126
$1,613
1
clean
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less
$5,841
$2,336
$1,613
1
clean
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
$1,180
$472
—
0
clean
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
$1,949
$779
—
0
clean
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
$4,570
$1,828
$1,202
1
clean
Punch biopsy of skin (including simple closure, when performed); single lesion
$1,175
$470
—
0
clean
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions
$2,074
$830
—
0
clean
Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm
$3,585
$1,434
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm
$11,384
$4,554
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm
$8,494
$3,398
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm
$24,411
$9,765
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm
$23,441
$9,377
$1,202
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm
$23,951
$9,581
$1,613
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less
$8,378
$3,351
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
$10,285
$4,114
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm
$24,344
$9,738
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm
$28,223
$11,289
$1,202
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm
$25,657
$10,263
$1,613
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm
$25,189
$10,076
$1,613
1
clean
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
$10,593
$4,237
—
0
clean
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
$9,974
$3,990
—
0
clean
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
$8,899
$3,559
$1,202
1
clean
Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair
$22,450
$8,980
$1,613
1
clean
Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair
$8,783
$3,513
$1,613
1
clean
Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair
$12,637
$5,055
$1,613
1
clean
Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair
$12,637
$5,055
$1,613
1
clean
Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair
$20,016
$8,006
$1,613
1
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm
$7,377
$2,951
—
0
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm
$8,329
$3,332
—
0
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm
$8,913
$3,565
—
0
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm
$7,531
$3,012
$1,613
1
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm
$25,210
$10,084
$1,613
1
clean
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
$3,585
$1,434
—
0
clean
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm
$21,934
$8,774
—
0
clean
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm
$24,572
$9,829
$1,613
1
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm
$9,832
$3,933
—
0
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm
$5,518
$2,207
$1,202
1
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm
$10,035
$4,014
$1,202
1
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm
$6,370
$2,548
$1,613
1
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm
$5,678
$2,271
$1,613
1
clean
Debridement of nail(s) by any method(s); 1 to 5
$1,164
$466
—
0
clean
Debridement of nail(s) by any method(s); 6 or more
$10,865
$4,346
—
0
clean
Avulsion of nail plate, partial or complete, simple; single
$2,072
$829
—
0
clean
Evacuation of subungual hematoma
$1,089
$435
—
0
clean
Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal
$14,883
$5,953
—
0
clean
Repair of nail bed
$2,624
$1,050
$1,202
1
clean
Excision of pilonidal cyst or sinus; simple
$12,936
$5,175
$1,845
1
clean
Excision of pilonidal cyst or sinus; extensive
$25,154
$10,062
$1,845
1
clean
Excision of pilonidal cyst or sinus; complicated
$23,820
$9,528
$1,845
1
clean
Replacement of tissue expander with permanent implant
$32,368
$12,947
$1,845
1
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less
$2,105
$842
—
0
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm
$2,203
$881
—
0
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm
$2,236
$894
$1,613
1
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm
$2,270
$908
$1,613
1
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
$2,079
$831
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
$2,076
$830
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm
$2,236
$894
$1,613
1
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm
$3,253
$1,301
$1,613
1
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm
$2,171
$868
$1,613
1
clean
Treatment of superficial wound dehiscence; simple closure
$1,129
$452
$1,202
1
clean
Treatment of superficial wound dehiscence; with packing
$14,349
$5,740
$1,202
1
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less
$18,529
$7,412
—
0
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm
$2,858
$1,143
$1,613
1
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm
$2,243
$897
$1,613
1
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm
$28,068
$11,227
$1,613
1
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less
$3,585
$1,434
—
0
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm
$8,381
$3,352
$1,613
1
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm
$2,124
$850
$1,613
1
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
$2,507
$1,003
—
0
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
$1,955
$782
$1,613
1
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm
$10,967
$4,387
$1,613
1
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm
$2,656
$1,062
$1,613
1
clean
Repair, complex, trunk; 2.6 cm to 7.5 cm
$4,938
$1,975
$1,845
1
clean
Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)
$4,938
$1,975
—
0
clean
Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm
$16,390
$6,556
$1,845
1
clean
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm
$11,560
$4,624
$1,613
1
clean
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm
$3,350
$1,340
$1,845
1
clean
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)
$9,188
$3,675
—
0
clean
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm
$9,974
$3,990
$1,845
1
clean
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm
$11,409
$4,564
$1,845
1
clean
Secondary closure of surgical wound or dehiscence, extensive or complicated
$28,425
$11,370
$1,613
1
clean
Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm
$14,017
$5,607
$1,845
1
clean
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less
$13,370
$5,348
$1,613
1
clean
Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less
$28,791
$11,516
$1,845
1
clean
Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm
$14,190
$5,676
$2,278
1
clean
Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)
$14,190
$5,676
$2,278
1
clean
Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)
$11,099
$4,440
$1,613
1
clean
Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)
$8,783
$3,513
$1,845
1
clean
Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)
$20,016
$8,006
$1,613
1
clean
Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
$9,619
$3,847
$1,613
1
clean
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
$8,714
$3,486
$1,613
1
clean
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface ar
$4,431
$1,772
$1,202
1
clean
Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral
$17,648
$7,059
$1,845
1
clean
Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips
$22,052
$8,821
$1,845
1
clean
Graft; derma-fat-fascia
$13,354
$5,342
$1,845
1
clean
Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate
$12,844
$5,137
$1,613
1
clean
Blepharoplasty, lower eyelid
$12,844
$5,137
$2,278
1
clean
Blepharoplasty, upper eyelid; with excessive skin weighting down lid
$27,011
$10,805
$2,278
1
clean
Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy
$47,187
$18,875
$1,845
1
clean
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh
$38,866
$15,546
$2,278
1
clean
Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area
$22,626
$9,050
$3,021
1
clean
Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure)
$20,788
$8,315
$1,845
1
clean
Suction assisted lipectomy; trunk
$27,715
$11,086
$1,845
1
clean
Suction assisted lipectomy; lower extremity
$22,184
$8,874
$2,594
1
clean
Initial treatment, first degree burn, when no more than local treatment is required
$1,628
$651
—
0
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)
$948
$379
—
0
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)
$716
$286
—
0
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)
$1,191
$476
$1,202
1
clean
Chemical cauterization of granulation tissue (ie, proud flesh)
$1,037
$415
—
0
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance
$7,811
$3,124
$1,613
1
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance
$7,811
$3,124
$1,613
1
clean
Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions
$30,054
$12,021
$1,845
1
clean
Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion
$27,640
$11,056
$1,845
1
clean
Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance
$1,202
$481
—
0
clean
Mastectomy for gynecomastia
$30,674
$12,269
$2,278
1
clean
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)
$13,010
$5,204
$1,845
1
clean
Mastectomy, simple, complete
$48,165
$19,266
$2,278
1
clean
Mastopexy
$18,167
$7,267
$2,278
1
clean
Breast reduction
$44,474
$17,790
$2,278
1
clean
Breast augmentation with implant
$13,032
$5,213
$2,278
1
clean
Removal of intact breast implant
$33,590
$13,436
$1,202
1
clean
Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)
$15,812
$6,325
$1,202
1
clean
Insertion of breast implant on same day of mastectomy (ie, immediate)
$14,429
$5,771
$1,613
1
clean
Insertion or replacement of breast implant on separate day from mastectomy
$17,431
$6,973
$1,845
1
clean
Nipple/areola reconstruction
$31,278
$12,511
$2,278
1
clean
Tissue expander placement in breast reconstruction, including subsequent expansion(s)
$15,397
$6,159
$2,594
1
clean
Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy
$30,862
$12,345
$2,278
1
clean
Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents
$32,094
$12,838
$2,278
1
clean
Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-bas
$40,651
$16,260
$2,594
1
clean
Unlisted procedure, breast
$8,592
$3,437
—
0
clean
Exploration of penetrating wound (separate procedure); chest
$21,212
$8,485
$1,613
1
clean
Exploration of penetrating wound (separate procedure); abdomen/flank/back
$23,950
$9,580
$1,613
1
clean
Exploration of penetrating wound (separate procedure); extremity
$30,932
$12,373
$1,613
1
clean
Removal of foreign body in muscle or tendon sheath; deep or complicated
$28,475
$11,390
$1,845
1
clean
Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel
$9,243
$3,697
—
0
clean
Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)
$7,033
$2,813
—
0
clean
Injection(s); single tendon origin/insertion
$7,033
$2,813
—
0
clean
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)
$4,655
$1,862
—
0
clean
Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance
$8,640
$3,456
—
0
clean
Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance
$2,622
$1,049
—
0
clean
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance
$2,364
$945
—
0
clean
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting
$28,955
$11,582
—
0
clean
Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)
$23,449
$9,380
$1,202
1
clean
Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)
$31,775
$12,710
$1,845
1
clean
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)
$24,432
$9,773
$1,613
1
clean
Removal, under anesthesia, of external fixation system
$9,360
$3,744
$1,202
1
clean
Bone graft, any donor area; minor or small (eg, dowel or button)
$23,392
$9,357
$1,845
1
clean
Cartilage graft; nasal septum
$12,478
$4,991
$1,845
1
clean
Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater
$9,620
$3,848
$1,845
1
clean
Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)
$17,648
$7,059
$3,602
1
clean
Closed treatment of nasal bone fracture with manipulation; without stabilization
$15,213
$6,085
$1,613
1
clean
Closed treatment of nasal bone fracture with manipulation; with stabilization
$22,571
$9,028
$1,613
1
clean
Open treatment of nasal fracture; with concomitant open treatment of fractured septum
$22,537
$9,015
$3,602
1
clean
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant
$33,527
$13,411
$3,602
1
clean
Closed treatment of mandibular fracture with interdental fixation
$32,020
$12,808
$1,845
1
clean
Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax
$22,536
$9,014
$1,613
1
clean
Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm
$13,281
$5,313
$1,613
1
clean
Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater
$22,705
$9,082
$1,613
1
clean
Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation
$83,029
$33,212
$1,845
1
clean
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater
$22,253
$8,901
$1,613
1
clean
Unlisted procedure, abdomen, musculoskeletal system
$22,496
$8,998
—
0
clean
Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater
$11,298
$4,519
$1,613
1
clean
Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater
$22,528
$9,011
$1,613
1
clean
Claviculectomy; partial
$15,778
$6,311
$2,594
1
clean
Excision or curettage of bone cyst or benign tumor of clavicle or scapula
$32,333
$12,933
$2,278
1
clean
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography
$803
$321
—
0
clean
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic
$21,789
$8,716
$3,602
1
clean
Tenodesis of long tendon of biceps
$19,882
$7,953
$2,278
1
clean
Arthroplasty, glenohumeral joint; hemiarthroplasty
$61,164
$24,466
$2,594
1
clean
Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))
$58,557
$23,423
$2,594
1
clean
Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component
$36,330
$14,532
$2,594
1
clean
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed
$45,746
$18,298
$2,278
1
clean
Closed treatment of shoulder dislocation, with manipulation; without anesthesia
$2,072
$829
$1,202
1
clean
Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia
$2,502
$1,001
$1,202
1
clean
Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater
$24,413
$9,765
$1,613
1
clean
Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm
$19,987
$7,995
$1,613
1
clean
Excision, olecranon bursa
$33,837
$13,535
$1,845
1
clean
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)
$33,423
$13,369
$2,278
1
clean
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft
$43,139
$17,256
$1,845
1
clean
Repair lateral collateral ligament, elbow, with local tissue
$96
$38
$1,845
1
clean
Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open
$33,911
$13,565
$1,845
1
clean
Arthroplasty, radial head; with implant
$25,903
$10,361
$2,594
1
clean
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension
$34,640
$13,856
$1,613
1
clean
Treatment of closed elbow dislocation; without anesthesia
$2,096
$838
$1,202
1
clean
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation
$2,072
$829
$1,202
1
clean
Showing the first 200 of 2,751 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 24343/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,845 exceeds the gross charge $96
CPT 25605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,845 exceeds the gross charge $1,165
CPT 26742/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,613 exceeds the gross charge $1,430
MS-DRG 951/i
warn
mrf_negotiated_above_gross
highest negotiated rate $6,804 exceeds the gross charge $5,109
CPT 27265/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,129
CPT 49500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,739 exceeds the gross charge $10,388
CPT 89220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $50
CPT 52000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,756 exceeds the gross charge $13,614
CPT 52281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,756 exceeds the gross charge $9,185
CPT 10061/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,132
CPT 10120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,060
CPT 81275/o
warn
mrf_negotiated_above_gross
highest negotiated rate $193 exceeds the gross charge $121
CPT 86870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $279
CPT 81323/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,000 exceeds the gross charge $463
CPT 86921/o
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $38
CPT 29806/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $14,507
CPT 86922/o
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $62
CPT 29807/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $17,341
CPT 86927/o
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $146
CPT 29822/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $16,949
CPT 76014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $773 exceeds the gross charge $94
CPT 29823/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $17,462
CPT 76015/o
warn
mrf_negotiated_above_gross
highest negotiated rate $773 exceeds the gross charge $188
CPT 86971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $71
CPT 29824/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $19,882
CPT 29825/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $16,527
CPT 29826/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $19,882
CPT 29827/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $16,167
CPT 12020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,129
CPT 29828/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $21,426
CPT 29880/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19,521 exceeds the gross charge $17,241
CPT 30140/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,784 exceeds the gross charge $12,373
CPT 85097/o
warn
mrf_negotiated_above_gross
highest negotiated rate $777 exceeds the gross charge $261
CPT 32551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,613 exceeds the gross charge $507
CPT 99281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $691 exceeds the gross charge $593
CPT 99283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,812 exceeds the gross charge $1,665
CPT Q9957/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $17
MS-DRG 768/i
warn
mrf_negotiated_above_gross
highest negotiated rate $12,134 exceeds the gross charge $11,559
MS-DRG 769/i
warn
mrf_negotiated_above_gross
highest negotiated rate $16,516 exceeds the gross charge $7,432
MS-DRG 779/i
warn
mrf_negotiated_above_gross
highest negotiated rate $11,218 exceeds the gross charge $11,005
warn
mrf_rate_without_estimate
69,318 of 69,318 percentage/algorithm rates across 2,746 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 24341/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43246/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72082/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78761/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82731/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86052/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87899/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0290/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 122/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 806/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24342/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43247/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72083/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78801/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82746/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87900/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0295/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 123/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 807/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43248/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72084/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78802/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82747/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86063/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87902/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0330/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 140/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 808/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24343/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43249/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72100/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78803/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82775/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86078/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87906/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 142/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 810/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24358/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43251/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78814/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82784/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86140/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88104/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0400/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 146/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 811/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24366/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43255/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72114/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78815/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82785/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86141/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88108/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0456/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 149/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 812/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24538/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43259/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72120/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78816/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82787/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86146/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88112/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0457/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 150/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 815/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24600/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43260/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72125/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78831/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82803/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86147/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88130/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0461/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 153/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 819/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24640/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43261/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72126/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78832/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82805/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86148/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88141/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0485/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 155/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 832/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24685/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43262/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72127/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80047/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82941/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86156/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88142/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0500/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 159/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 841/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43264/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72128/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80048/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82943/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86157/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88150/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0515/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 166/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 853/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25076/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72129/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80051/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82945/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86160/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88160/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0517/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 167/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 854/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25111/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43274/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72130/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80053/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82947/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86161/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88161/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0558/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 175/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 856/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25415/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43275/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72131/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80055/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82948/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86162/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88162/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0561/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 176/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 862/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25447/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43276/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72132/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80061/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82950/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86215/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88164/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0565/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 177/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 863/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25525/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43762/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72133/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80069/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82951/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86225/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88172/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0574/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 178/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 864/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item