| National Code | Code Description (Surgical Procedure) | Services | Cost (US$) |
|---|---|---|---|
| 900672 | Angioplasty balloon, open or through the skin of the coronary artery or periphery, whether intravenous or arterial, including carotid, renal or visceral, organs, pulmonary, aortic, iliac, femoral-popliteal with one stent (only one report per vessel) | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $733 |
| 900672 | Angioplasty balloon, open or through the skin of the coronary artery or periphery, whether intravenous or arterial, including carotid, renal or visceral, organs, pulmonary, aortic, iliac, femoral-popliteal with one stent (only one report per vessel) | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $960 |
| 701235 | Digital angiography of four cerebral arteries by digital method including bilateral carotid and vertebral | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $875 |
| 900672 | Angioplasty balloon, open or through the skin of the coronary artery or periphery, whether intravenous or arterial, including carotid, renal or visceral, organs, pulmonary, aortic, iliac, femoral-popliteal with one stent (only one report per vessel) | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $875 |
| 900660 | Insert a stent into the coronary artery by any means of a vein | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $1800 |
| 900665 | Inserting a second stent in the same vein | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $3000 |
| 900910 | Subsequent or periodic electronic analysis or ICD reprogramming | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $2600 |
| 300925 | Insertion of a pacemaker electrode into the cardiac vein system for left ventricular pacemaker or attachment to a previous pacemaker or ICD (Upgrading the pacemaker system or ICD to a CRT-D or CRT-P Global including all electrophysiological and Led and Programming, Venography and Fluoroscopic Examination | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $4260 |
| 300975 | Incorporation of single or double-cavity ICDs (including all electrophysiological studies of lead, programming, venography and fluoroscopy, etc.) | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $3500 |
| 900922 | Epicardial arrhythmia ablation | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $2300 |
| 300890 | Incorporation of two-hole permanent pacemaker (including all electrophysiological and lead examination, programming, fluoroscopy, etc.) | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $1600 |
| 900875 | PFO block through skin | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $2100 |
| 900865 | First coronary arterial pressure (FFR) measurement | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $428 |
| 301295 | Full repair of tetralogy of fallot with or without atresia artery rios, in any way | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $1600 |
| 301395 | PDA block through skin | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $2500 |
| 900880 | VSD block through skin | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $2500 |
| 900875 | ASD block through skin | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $2500 |
| 301215 | Coronary artery bypass, three grafts or less venous or arterial | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $1900 |
| 301215 | Coronary artery bypass, three grafts or less venous or arterial | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $4200 |
| 900698 | Transcatheter aortic valve implantation (TAVI) | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $2436 |
| 502170 | Cesarean | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Laboratory, Pathology, Medicine, Medical supplies | $500 |
| 502175 | Hysterectomy | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Laboratory, Pathology, Medicine, Medical supplies | $500 |
| 521550/502160 | NVD | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Laboratory, Pathology, Medicine, Medical supplies | $450 |
| 400840 | Gastric sleeve surgery | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies | $1700 |
| 204920/204925 | ACL/PCL | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of Operating Room, Hospital visit, Electrocardiography, Laboratory, Radiography, Pathology, Medicine, Medical supplies, MRI | $1400 |
