Service
Code
Listed
Cash
Negotiated
Rates
Checks
Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time
$861
$437
$312
1
clean
Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural roadmapping and radio
$22,806
$11,563
$1,729
2
clean
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single
$651
$330
—
0
clean
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple
$778
$395
$1,126
2
clean
Incision and removal of foreign body, subcutaneous tissues; simple
$1,950
$989
$1,126
2
clean
Avulsion of nail plate, partial or complete, simple; single
$444
$225
—
0
clean
Evacuation of subungual hematoma
$174
$88
—
0
clean
Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal
$1,906
$966
—
0
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
$589
$299
—
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
$707
$359
—
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
$909
$461
$1,514
2
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm
$2,357
$1,195
$1,514
2
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
$592
$300
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
$595
$302
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm
$655
$332
$1,514
2
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm
$2,385
$1,209
$1,514
2
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less
$833
$422
—
0
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm
$2,142
$1,086
$1,514
2
clean
Initial treatment, first degree burn, when no more than local treatment is required
$481
$244
—
0
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)
$821
$416
—
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)
$821
$416
—
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)
$821
$416
$1,126
2
clean
Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)
$9,320
$4,725
$1,514
2
clean
Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)
$12,757
$6,468
$1,514
2
clean
Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)
$1,173
$595
—
0
clean
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)
$1,185
$601
—
0
clean
Injection(s); single or multiple trigger point(s), 3 or more muscles
$1,494
$757
—
0
clean
Needle insertion(s) without injection(s); 1 or 2 muscle(s)
$62
$31
—
0
clean
Needle insertion(s) without injection(s); 3 or more muscles
$62
$31
—
0
clean
Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance
$1,289
$654
—
0
clean
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance
$1,289
$654
—
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
$1,508
$764
—
0
clean
Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax
$9,657
$4,896
$1,514
2
clean
Closed treatment of shoulder dislocation, with manipulation; without anesthesia
$782
$397
$1,126
2
clean
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation
$92
$47
$1,126
2
clean
Closed treatment of radial shaft fracture; with manipulation
$2,935
$1,488
$1,126
2
clean
Drainage of finger abscess; simple
$689
$349
—
0
clean
Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia
$2,025
$1,027
$1,126
2
clean
Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each
$702
$356
$1,126
2
clean
Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia
$747
$379
—
0
clean
Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed
$2,139
$1,084
$1,126
2
clean
Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation
$9,004
$4,565
$1,126
2
clean
Closed treatment of calcaneal fracture; with manipulation
$28,518
$14,459
$1,514
2
clean
Closed treatment of interphalangeal joint dislocation; without anesthesia
$706
$358
$1,126
2
clean
Application, cast; shoulder to hand (long arm)
$1,639
$836
—
0
clean
Application, cast; elbow to finger (short arm)
$1,503
$762
—
0
clean
Application, cast; hand and lower forearm (gauntlet)
$731
$373
—
0
clean
Application of long arm splint (shoulder to hand)
$671
$340
—
0
clean
Application of short arm splint (forearm to hand); static
$782
$399
—
0
clean
Application of short arm splint (forearm to hand); dynamic
$731
$373
—
0
clean
Application of finger splint; static
$557
$282
—
0
clean
Application of finger splint; dynamic
$671
$340
—
0
clean
Strapping; thorax
$671
$340
—
0
clean
Strapping; shoulder (eg, Velpeau)
$671
$340
—
0
clean
Strapping; elbow or wrist
$671
$340
—
0
clean
Strapping; hand or finger
$671
$340
—
0
clean
Application of long leg cast (thigh to toes)
$1,503
$762
—
0
clean
Application of cylinder cast (thigh to ankle)
$1,503
$762
—
0
clean
Application of short leg cast (below knee to toes)
$1,639
$836
—
0
clean
Application of rigid total contact leg cast
$1,666
$850
—
0
clean
Application of long leg splint (thigh to ankle or toes)
$671
$340
—
0
clean
Application of short leg splint (calf to foot)
$671
$340
—
0
clean
Strapping; hip
$731
$373
—
0
clean
Strapping; knee
$671
$340
—
0
clean
Strapping; ankle and/or foot
$671
$340
—
0
clean
Strapping; toes
$671
$340
—
0
clean
Strapping; Unna boot
$1,073
$547
—
0
clean
Application of multi-layer compression system; leg (below knee), including ankle and foot
$591
$300
—
0
clean
Application of multi-layer compression system; upper arm, forearm, hand, and fingers
$330
$334
—
0
clean
Removal or bivalving; gauntlet, boot or body cast
$671
$340
—
0
clean
Unlisted procedure, casting or strapping
$731
$373
—
0
clean
Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method
$594
$301
—
0
clean
Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial
$2,110
$1,070
$1,126
2
clean
Intubation, endotracheal, emergency procedure
$948
$481
$1,126
2
clean
Laryngoscopy, flexible; diagnostic
$1,045
$530
$1,514
4
clean
Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)
$643
$326
$1,729
2
clean
Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture
$53
$27
—
0
clean
Collection of venous blood by venipuncture
$36
$18
$12
2
clean
Transfusion, blood or blood components
$1,841
$934
$1,126
2
clean
Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, gre
$13,379
$6,783
$1,514
8
clean
Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saph
$13,379
$6,783
$1,514
8
clean
Injection of sclerosant; single incompetent vein (other than telangiectasia)
$1,822
$929
—
0
clean
Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg
$2,925
$1,483
—
0
clean
Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated
$14,566
$7,428
$1,514
8
clean
Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each through separate access s
$3,641
$1,857
$1,126
6
clean
Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous
$40,317
$20,441
$1,514
8
clean
Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous
$5,760
$2,920
$1,126
6
clean
Therapeutic apheresis; for plasma pheresis
$5,234
$2,654
$1,126
2
clean
Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access
$13,807
$7,000
$1,514
2
clean
Collection of blood specimen from a completely implantable venous access device
$361
$183
$45
2
clean
Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report
$1,119
$567
$1,126
2
clean
Arterial puncture, withdrawal of blood for diagnosis
$145
$74
—
0
clean
Placement of needle for intraosseous infusion
$948
$481
$1,514
2
clean
Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions
$14,566
$7,428
$1,514
8
clean
Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions
$14,566
$7,428
$1,514
8
clean
Unlisted procedure, vascular surgery
$2,634
$1,335
—
0
clean
Drainage of abscess, cyst, hematoma from dentoalveolar structures
$803
$407
$1,126
2
clean
Incision and drainage, perianal abscess, superficial
$2,512
$1,273
$1,126
2
clean
Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)
$2,939
$1,490
$1,126
2
clean
Bladder irrigation, simple, lavage and/or instillation
$1,154
$585
—
0
clean
Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)
$368
$186
—
0
clean
Insertion of temporary indwelling bladder catheter; simple (eg, Foley)
$306
$155
—
0
clean
Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)
$625
$317
—
0
clean
Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging
$306
$155
—
0
clean
Incision and drainage of vulva or perineal abscess
$782
$396
$1,514
2
clean
Incision and drainage of Bartholin's gland abscess
$13
$6
$1,514
2
clean
Fetal non-stress test
$816
$414
$1,126
6
clean
Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)
$1,329
$674
$1,126
2
clean
Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve
$2,003
$1,016
—
0
clean
Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch
$2,025
$1,027
$1,126
2
clean
Removal of foreign body, external eye; conjunctival superficial
$609
$309
—
0
clean
Drainage external ear, abscess or hematoma; simple
$612
$310
—
0
clean
Drainage external auditory canal, abscess
$908
$460
$1,126
2
clean
Removal foreign body from external auditory canal; without general anesthesia
$293
$148
—
0
clean
Removal impacted cerumen using irrigation/lavage, unilateral
$390
$198
—
0
clean
Removal impacted cerumen requiring instrumentation, unilateral
$344
$174
—
0
clean
Radiologic examination, eye, for detection of foreign body
$945
$479
$36
18
clean
Radiologic examination, mandible; partial, less than 4 views
$885
$449
$45
6
clean
Radiologic examination, mandible; complete, minimum of 4 views
$1,523
$772
$48
6
clean
Radiologic examination, mastoids; complete, minimum of 3 views per side
$515
$263
$72
6
clean
Radiologic examination, facial bones; less than 3 views
$836
$424
$36
10
clean
Radiologic examination, facial bones; complete, minimum of 3 views
$1,354
$691
$54
10
clean
Radiologic examination, nasal bones, complete, minimum of 3 views
$1,261
$643
$45
6
clean
Radiologic examination; orbits, complete, minimum of 4 views
$806
$411
$54
6
clean
Radiologic examination, sinuses, paranasal, less than 3 views
$781
$396
$40
10
clean
Radiologic examination, sinuses, paranasal, complete, minimum of 3 views
$1,253
$635
$47
8
clean
Radiologic examination, skull; less than 4 views
$901
$457
$44
10
clean
Radiologic examination, skull; complete, minimum of 4 views
$1,498
$764
$53
8
clean
Radiologic examination, temporomandibular joint, open and closed mouth; unilateral
$519
$263
$41
14
clean
Radiologic examination, temporomandibular joint, open and closed mouth; bilateral
$1,789
$912
$65
6
clean
Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)
$5,398
$2,753
$475
33
clean
Radiologic examination; neck, soft tissue
$830
$421
$37
6
clean
Sialography, radiological supervision and interpretation
$1,654
$844
$144
6
clean
Computed tomography, head or brain; without contrast material
$4,062
$2,072
$141
24
clean
Computed tomography, head or brain; with contrast material(s)
$3,763
$1,908
$202
9
clean
Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections
$6,333
$3,230
$245
9
clean
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material
$3,952
$2,015
$325
15
clean
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)
$3,754
$1,903
$397
15
clean
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections
$3,763
$1,908
$441
15
clean
Computed tomography, maxillofacial area; without contrast material
$3,430
$1,739
$187
15
clean
Computed tomography, maxillofacial area; with contrast material(s)
$3,763
$1,908
$214
12
clean
Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections
$5,843
$2,963
$272
18
clean
Computed tomography, soft tissue neck; without contrast material
$4,536
$2,313
$247
9
clean
Computed tomography, soft tissue neck; with contrast material(s)
$4,161
$2,110
$319
9
clean
Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections
$4,536
$2,313
$395
9
clean
Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing
$7,723
$3,916
$398
15
clean
Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing
$4,161
$2,110
$396
9
clean
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)
$6,333
$3,230
$561
12
clean
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)
$6,162
$3,124
$619
12
clean
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences
$8,144
$4,129
$741
12
clean
Magnetic resonance angiography, head; without contrast material(s)
$8,942
$4,561
$641
20
clean
Magnetic resonance angiography, head; with contrast material(s)
$3,097
$1,570
$629
14
clean
Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences
$10,968
$5,593
$983
14
clean
Magnetic resonance angiography, neck; without contrast material(s)
$4,255
$2,157
$644
8
clean
Magnetic resonance angiography, neck; with contrast material(s)
$4,161
$2,110
$681
8
clean
Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences
$9,650
$4,892
$988
8
clean
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material
$7,182
$3,641
$299
15
clean
Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)
$2,324
$1,185
$443
12
clean
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences
$9,922
$5,030
$505
24
clean
Radiologic examination, chest; single view
$581
$296
—
0
clean
Radiologic examination, chest; 2 views
$761
$386
—
0
clean
Radiologic examination, chest; 3 views
$422
$215
—
0
clean
Radiologic examination, chest; 4 or more views
$742
$376
—
0
clean
Radiologic examination, ribs, unilateral; 2 views
$657
$333
$36
14
clean
Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views
$926
$472
$43
14
clean
Radiologic examination, ribs, bilateral; 3 views
$926
$472
$45
6
clean
Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views
$1,270
$648
$59
6
clean
Radiologic examination; sternum, minimum of 2 views
$380
$194
$36
6
clean
Radiologic examination; sternoclavicular joint or joints, minimum of 3 views
$440
$225
$47
6
clean
Computed tomography, thorax, diagnostic; without contrast material
$5,538
$2,808
$248
15
clean
Computed tomography, thorax, diagnostic; with contrast material(s)
$5,395
$2,752
$321
9
clean
Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections
$7,121
$3,632
$396
9
clean
Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)
$316
$160
$312
3
clean
Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing
$7,418
$3,761
$401
12
clean
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)
$8,916
$4,547
$658
12
clean
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences
$9,125
$4,626
$898
12
clean
Radiologic examination, spine, single view, specify level
$583
$295
$27
14
clean
Radiologic examination, spine, cervical; 2 or 3 views
$1,123
$573
$41
10
clean
Radiologic examination, spine, cervical; 4 or 5 views
$1,369
$694
$55
6
clean
Radiologic examination, spine, cervical; 6 or more views
$1,537
$784
$72
6
clean
Radiologic examination, spine; thoracic, 2 views
$305
$155
$38
10
clean
Radiologic examination, spine; thoracic, 3 views
$1,016
$518
$45
6
clean
Radiologic examination, spine; thoracic, minimum of 4 views
$1,153
$585
$54
6
clean
Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view
$451
$230
—
0
clean
Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views
$746
$381
—
0
clean
Radiologic examination, spine, lumbosacral; 2 or 3 views
$1,528
$779
$45
18
clean
Radiologic examination, spine, lumbosacral; minimum of 4 views
$1,651
$842
$63
10
clean
Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views
$1,446
$733
$87
6
clean
Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views
$1,335
$677
$54
6
clean
Computed tomography, cervical spine; without contrast material
$4,808
$2,452
$251
9
clean
Computed tomography, cervical spine; with contrast material
$2,952
$1,497
$323
18
clean
Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections
$4,513
$2,288
$398
9
clean
Computed tomography, thoracic spine; without contrast material
$6,286
$3,187
$250
9
clean
Computed tomography, thoracic spine; with contrast material
$3,065
$1,554
$323
18
clean
Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections
$4,230
$2,157
$399
9
clean
Computed tomography, lumbar spine; without contrast material
$6,762
$3,448
$248
9
clean
Computed tomography, lumbar spine; with contrast material
$6,762
$3,448
$321
18
clean
Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections
$7,151
$3,626
$398
9
clean
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material
$6,797
$3,446
$286
12
clean
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)
$4,757
$2,426
$450
12
clean
Showing the first 200 of 1,948 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
MS-DRG 308/i
warn
mrf_negotiated_above_gross
highest negotiated rate $15,252 exceeds the gross charge $10,302
MS-DRG 536/i
warn
mrf_negotiated_above_gross
highest negotiated rate $13,622 exceeds the gross charge $7,845
MS-DRG 560/i
warn
mrf_negotiated_above_gross
highest negotiated rate $23,037 exceeds the gross charge $11,055
CPT 88184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $181 exceeds the gross charge $170
CPT 88233/o
warn
mrf_negotiated_above_gross
highest negotiated rate $412 exceeds the gross charge $329
CPT 10061/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,126 exceeds the gross charge $778
CPT 12004/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,514 exceeds the gross charge $909
CPT 12014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,514 exceeds the gross charge $655
CPT 16030/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,126 exceeds the gross charge $821
CPT 23650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,126 exceeds the gross charge $782
CPT 24640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,126 exceeds the gross charge $92
CPT 26725/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,126 exceeds the gross charge $702
CPT 28660/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,126 exceeds the gross charge $706
CPT 81220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,580 exceeds the gross charge $1,231
CPT 81340/o
warn
mrf_negotiated_above_gross
highest negotiated rate $611 exceeds the gross charge $425
CPT 81374/o
warn
mrf_negotiated_above_gross
highest negotiated rate $213 exceeds the gross charge $111
CPT 31500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,126 exceeds the gross charge $948
CPT 36011/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,729 exceeds the gross charge $643
CPT 76014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $520 exceeds the gross charge $98
CPT 36680/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,514 exceeds the gross charge $948
CPT 76015/o
warn
mrf_negotiated_above_gross
highest negotiated rate $520 exceeds the gross charge $196
CPT 41800/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,126 exceeds the gross charge $803
CPT 56405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,514 exceeds the gross charge $782
CPT 56420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,514 exceeds the gross charge $13
CPT 69020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,126 exceeds the gross charge $908
warn
mrf_rate_without_estimate
88,851 of 88,851 percentage/algorithm rates across 1,948 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 70482/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 76881/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, max differ, so no cross-line comparison was made for this item
CPT 82390/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 85300/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 87350/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 G0103/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 70486/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 76882/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, max differ, so no cross-line comparison was made for this item
CPT 82397/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 85301/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 87380/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 G0278/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 70487/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 76885/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, max differ, so no cross-line comparison was made for this item
CPT 82415/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 85302/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 87385/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 G0279/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, max differ, so no cross-line comparison was made for this item
CPT 70488/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 76886/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, max differ, so no cross-line comparison was made for this item
CPT 82435/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 85303/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 87389/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 G0283/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70490/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 76936/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 82436/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 85305/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 87390/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 G0306/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 70491/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 76937/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, max differ, so no cross-line comparison was made for this item
CPT 82438/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 85306/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 87400/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 G0307/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 70492/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 76942/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, max differ, so no cross-line comparison was made for this item
CPT 82465/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 85307/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 87420/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 G0378/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 70496/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 76946/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, max differ, so no cross-line comparison was made for this item
CPT 82480/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 85345/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 87425/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 G0379/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 70498/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 76965/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, max differ, so no cross-line comparison was made for this item
CPT 82482/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 85347/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 87427/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 G0399/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 70540/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 76981/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 82495/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 85362/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 87430/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 G0416/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
CPT 70542/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 76982/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 82507/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 85378/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 87449/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 J3101/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 70543/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 76983/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 82523/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 85379/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 87476/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 056/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70544/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, max differ, so no cross-line comparison was made for this item
CPT 76999/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 82525/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 85384/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 87480/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 057/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70545/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, max differ, so no cross-line comparison was made for this item
CPT 77001/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, max differ, so no cross-line comparison was made for this item
CPT 82530/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 85390/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 87481/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 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70546/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, max differ, so no cross-line comparison was made for this item
CPT 77002/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, max differ, so no cross-line comparison was made for this item
CPT 82533/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 85397/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 87486/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 176/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70547/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, max differ, so no cross-line comparison was made for this item
CPT 77003/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, max differ, so no cross-line comparison was made for this item
CPT 82540/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 85410/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 87491/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 177/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70548/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, max differ, so no cross-line comparison was made for this item
CPT 77012/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 82542/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 85415/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 87493/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 178/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70549/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, max differ, so no cross-line comparison was made for this item
CPT 77014/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 82550/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 85420/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 87496/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 184/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70551/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 77021/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 82552/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 85460/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 87497/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 190/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70552/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 77046/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, max differ, so no cross-line comparison was made for this item
CPT 82553/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 85461/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 87498/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 191/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70553/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 77047/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, max differ, so no cross-line comparison was made for this item
CPT 82565/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, max differ, so no cross-line comparison was made for this item
CPT 85520/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 87502/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 192/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71045/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 77053/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, max differ, so no cross-line comparison was made for this item
CPT 82570/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 85540/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 87503/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 193/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71046/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 77054/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, max differ, so no cross-line comparison was made for this item
CPT 82575/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 85549/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 87507/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 194/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71047/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 77061/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
CPT 82585/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 85557/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 87511/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 195/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71048/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 77062/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
CPT 82595/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 85576/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 87517/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 288/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71100/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, max differ, so no cross-line comparison was made for this item
CPT 77063/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
CPT 82600/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 85597/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 87521/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 289/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71101/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, max differ, so no cross-line comparison was made for this item
CPT 77065/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82607/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 85598/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 87522/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 291/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71110/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, max differ, so no cross-line comparison was made for this item
CPT 77066/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82608/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 85610/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, max differ, so no cross-line comparison was made for this item
CPT 87529/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 292/i
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71111/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, max differ, so no cross-line comparison was made for this item
CPT 77067/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82610/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 85611/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 87532/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 71120/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, max differ, so no cross-line comparison was made for this item