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Episodes of Care Offerings
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Open AllClose All Orthopedic Procedures
| Procedure Bundle |
Primary Billing Code |
| Knee ACL / MCL Repair |
29888 |
| Knee, Total Replacement |
27447 |
| Hip, Total Replacement |
27130 |
| Shoulder, Rotator Cuff (arthroscopic) |
29827 |
| Shoulder, Arthroscopy |
29824 |
| Carpal Tunnel Surgery (ASC) |
64721 |
| Carpal Tunnel Surgery (in office) |
64999/76942 |
| Anterior Cervical Fusion |
DRG 473/22551 |
| Anterior Lumbar Fusion |
DRG 460/22612 |
| Laminotomy, Lumbar |
63030 |
| Partial Knee |
27446 |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) |
28285 |
| Hallux rigidus correction with cheilectomy |
28289 |
| Correction, hallux valgus (bunion) |
28292 |
| Correction, hallux valgus (bunion) |
28296 |
Ear Nose & Throat Procedures
| Procedure Bundle
|
Primary Billing Code
|
| Bilateral Myringotomy and tubes
|
69436-50
|
| Adentonsillectomy <12 y/o
|
42820
|
| Adentonsillectomy >12 y/o
|
42821
|
| Tonsillectomy <12 y/o
|
42825
|
| Tonsillectomy >12 y/o
|
42826
|
| Adeniodectomy <12 y/o
|
42830
|
| Adeniodectomy >12 y/o
|
42831
|
| Septoplasty
|
30520
|
| Bilateral Turbinate Reduction
|
30140-50
|
| Septoplasty and Turbinate Reduction
|
30520, 30140-50
|
| Closed Reduction of nasal fracture with
|
21320
|
Obstetrics
| Procedure Bundle
|
Primary Billing Code
|
| Maternity (Mom & Baby)
|
C-section: MS DRG 765-767, Vaginal Delivery: MS DRG 774-775, Newborn: MS DRG 789, 791-795
|
Gastrointestinal Procedure
| Procedure Bundle
|
Primary Billing Code
|
| Colonoscopy
|
45378, 45380, 45381, 45384, 45385
|
Office Based Procedures
| Procedure Bundle
|
Primary Billing Code
|
| Carpal tunnel release
|
64721
|
| Reconstruction of tendon pulley, each tendon(Dequervain's 1st compartment release)
|
25000
|
| Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger
|
26160
|
| Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon
|
26410
|
| Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous
|
26040
|
| Tendon sheath incision (eg, for trigger finger)
|
26055
|