Accidental Dental Services Commercial - Surgical 19
PDF, 225 KBLast Updated: 03/26/2025
Anterior Cervical Discectomy and Fusion or Posterior Cervical Foraminotomy with or without Partial Discectomy Commercial - Surgical 117
PDF, 307 KBLast Updated: 03/26/2025
Anterior Cervical Discectomy and Fusion or Posterior Cervical Foraminotomy with or without Partial Discectomy for Cervical Radiculopathy Medicaid - Surgical 117
PDF, 350 KBLast Updated: 03/26/2025
Anterior Cervical Discectomy and Fusion or Posterior Cervical Foraminotomy with or without Partial Discectomy Medicare - Surgical - 117
PDF, 284 KBLast Updated: 03/26/2025
Artificial Disc Replacement and Treatment Commercial - Surgical 35
PDF, 196 KBLast Updated: 03/26/2025
Artificial Disc Replacement and Treatment Medicaid - Surgical 35
PDF, 268 KBLast Updated: 03/26/2025
Bariatric Services Commercial - Surgical 32
PDF, 247 KBLast Updated: 03/26/2025
Bariatric Services Medicaid - Surgical 32
PDF, 288 KBLast Updated: 03/26/2025
Benign Prostatic Hypertrophy Treatments as an Alternative to Transurethral Resection of the Prostate (TURP) Commercial - Surgical 83
PDF, 270 KBLast Updated: 03/26/2025
Benign Prostatic Hypertrophy Treatments as an Alternative to Transurethral Resection of the Prostate (TURP) Medicaid - Surgical 83
PDF, 309 KBLast Updated: 03/26/2025
Breast Procedures Commercial - Surgical 10
PDF, 337 KBLast Updated: 03/26/2025
Breast Procedures Medicaid - Surgical 10
PDF, 388 KBLast Updated: 03/26/2025
Capsular Plication of the Hip Commercial - Surgical 232
PDF, 159 KBLast Updated: 03/26/2025
Capsular Plication of the Hip Medicaid - Surgical 232
PDF, 261 KBLast Updated: 03/26/2025
Capsular Plication of the Hip Medicare - Surgical 232
PDF, 229 KBLast Updated: 03/26/2025
Cervical Laminectomy Commercial - Surgical 122
Cervical Laminectomy Medicaid - Surgical 122
PDF, 308 KBLast Updated: 03/26/2025
Cervical Laminectomy Medicare - Surgical 122
PDF, 281 KBLast Updated: 03/26/2025
Coccygectomy Commercial - Surgical 114
PDF, 190 KBLast Updated: 03/26/2025
Coccygectomy Medicaid - Surgical 114
PDF, 313 KBLast Updated: 03/26/2025
Coccygectomy Medicare - Surgical 114
PDF, 258 KBLast Updated: 03/26/2025
Cochlear Implants, Bone Attached Hearing Aid Implants, Auditory Brain Stem Implants Commercial - Surgical 20
PDF, 227 KBLast Updated: 03/26/2025
Cochlear Implants, Bone Attached Hearing Aid Implants, Auditory Brain Stem Implants Medicaid - Surgical 20
PDF, 300 KBLast Updated: 03/26/2025
Computer Assisted Navigation Commercial - Surgical 233.pdf
PDF, 211 KBLast Updated: 03/26/2025
Computer Assisted Navigation Medicaid - Surgical 233.pdf
PDF, 251 KBLast Updated: 03/26/2025
Computer Assisted Navigation Medicare - Surgical 233.pdf
Core Decompression for Avascular Necrosis of the Knee, Ankle, Elbow and Shoulder Commercial - Surgical 214
PDF, 199 KBLast Updated: 02/07/2025
Core Decompression for Avascular Necrosis of the Knee, Ankle, Elbow and Shoulder Medicaid - Surgical 214
PDF, 289 KBLast Updated: 02/07/2025
Core Decompression for Avascular Necrosis of the Knee, Ankle, Elbow and Shoulder Medicare - Surgical 214
PDF, 265 KBLast Updated: 03/26/2025
Corneal Procedures Commercial - Surgical 55
PDF, 322 KBLast Updated: 03/26/2025
Corneal Procedures Medicaid - Surgical 55
PDF, 330 KBLast Updated: 03/26/2025
Cosmetic and Reconstructive Surgery Commercial - Surgical 03
Cosmetic and Reconstructive Surgery Medicaid - Surgical 03
PDF, 354 KBLast Updated: 03/26/2025
Cryoablation Commercial - Surgical 82
PDF, 236 KBLast Updated: 03/26/2025
Cryoablation Medicaid - Surgical 82
PDF, 362 KBLast Updated: 03/26/2025
Cryoablation Medicare Surgical 82
PDF, 333 KBLast Updated: 03/26/2025
Cytoreductive Surgery (Tumor Debulking) Commercial - Surgical 02
PDF, 186 KBLast Updated: 03/26/2025
Cytoreductive Surgery (Tumor Debulking) Medicaid - Surgical 02
PDF, 279 KBLast Updated: 03/26/2025
Cytoreductive Surgery (Tumor Debulking) Medicare - Surgical 02
Deep Brain Stimulation Commercial - Surgical 74
PDF, 234 KBLast Updated: 03/26/2025
Deep Brain Stimulation Medicaid - Surgical 74
PDF, 355 KBLast Updated: 03/26/2025
Endometrial Ablation Commercial - Surgical 15
PDF, 189 KBLast Updated: 03/26/2025
Endometrial Ablation Medicaid - Surgical 15
PDF, 305 KBLast Updated: 03/26/2025
Endometrial Ablation Medicare - Surgical 15
PDF, 277 KBLast Updated: 03/26/2025
Eyelid Procedures and Brow Lift - Surgical 13
Eyelid Procedures and Brow Lift Medicaid - Surgical 13
PDF, 314 KBLast Updated: 03/26/2025
Foot surgeries Commercial - Surgical 52
PDF, 239 KBLast Updated: 03/26/2025
Foot Surgeries Medicaid - Surgical 52
PDF, 343 KBLast Updated: 03/26/2025
Foot Surgeries Medicare - Surgical 52
Gastrointestinal Procedures Commercial - Surgical 205
PDF, 218 KBLast Updated: 03/26/2025
Gastrointestinal Procedures Medicaid - Surgical 205
Gender Affirming Surgery Commercial - Surgical 108
PDF, 393 KBLast Updated: 03/26/2025
Gender Affirming Surgery Medicaid - Surgical 108
PDF, 331 KBLast Updated: 03/26/2025
Genicular Nerve Ablation Commercial - Surgical 110
PDF, 198 KBLast Updated: 03/26/2025
Genicular Nerve Ablation Medicaid - Surgical 110
PDF, 267 KBLast Updated: 03/26/2025
Genicular Nerve Ablation Medicare - Surgical 110
PDF, 238 KBLast Updated: 03/26/2025
Headache Treatments Commercial - Surgical 103
PDF, 241 KBLast Updated: 03/26/2025
Headache Treatments Medicaid - Surgical 103
PDF, 342 KBLast Updated: 03/26/2025
Heart-Lung Transplantation Commercial - Surgical 28
PDF, 243 KBLast Updated: 03/26/2025
Heart-Lung Transplantation Medicaid - Surgical 28
PDF, 264 KBLast Updated: 03/26/2025
Hematopoietic Stem Cell Transplantation (HSCT) Commercial - Surgical 08
Hematopoietic Stem Cell Transplantation (HSCT) Medicaid - Surgical 08
PDF, 378 KBLast Updated: 03/26/2025
Hyperhidrosis Treatments Commercial - Surgical 107
PDF, 249 KBLast Updated: 03/26/2025
Hyperhidrosis Treatments Medicaid - Surgical 107
PDF, 296 KBLast Updated: 03/26/2025
Hyperhidrosis Treatments Medicare - Surgical 107
Intestinal Transplant with or without Combined Liver Transplant or Other Visceral Organs Commercial - Surgical 92
PDF, 188 KBLast Updated: 03/26/2025
Intestinal Transplant with or without Combined Liver Transplant or Other Visceral Organs Medicaid - Surgical 92
PDF, 280 KBLast Updated: 03/26/2025
Intraoperative Neurophysiological Monitoring Commercial - Surgical 40
Intraoperative Neurophysiological Monitoring Medicaid - Surgical 40
PDF, 302 KBLast Updated: 03/26/2025
Leadless Cardiac Pacemaker Commercial - Surgical 126
Leadless Cardiac Pacemaker Medicaid - Surgical 126
PDF, 319 KBLast Updated: 03/26/2025
Left Atrial Appendage Occlusion Commercial - Surgical 102
Left Atrial Appendage Occlusion Medicaid - Surgical 102
PDF, 293 KBLast Updated: 03/26/2025
Lumbar Discectomy Commercial - Surgical 120
Lumbar Discectomy Medicaid - Surgical 120
Lumbar Discectomy Medicare - Surgical 120
Lumbar Fusion Commercial - Surgical 118
PDF, 336 KBLast Updated: 03/26/2025
Lumbar Fusion Medicaid - Surgical 118
PDF, 381 KBLast Updated: 03/26/2025
Lumbar Laminectomy Commercial - Surgical 121
PDF, 278 KBLast Updated: 03/26/2025
Lumbar Laminectomy Medicaid - Surgical 121
PDF, 325 KBLast Updated: 03/26/2025
Lumbar Laminectomy Medicare - Surgical 121
PDF, 254 KBLast Updated: 03/26/2025
Medical Dental Surgery Commercial - Surgical 128
Nasal Implants Commercial Surgical 230
Nasal Implants Medicaid Surgical 230
PDF, 252 KBLast Updated: 03/26/2025
Neurolysis and Nerve Re-Implantation for Pelvic Pain Commercial - Surgical 221
Neurolysis and Nerve Re-Implantation for Pelvic Pain Medicaid - Surgical 221
PDF, 269 KBLast Updated: 03/26/2025
Neurolysis and Nerve Re-Implantation for Pelvic Pain Medicare - Surgical 221
PDF, 260 KBLast Updated: 03/26/2025
Open Treatment of Rib Fracture with Internal Fixation Commercial - Surgical 217
Open Treatment of Rib Fracture with Internal Fixation Medicaid - Surgical 217
Ophthalmic Procedures Commercial - Surgical 60
PDF, 301 KBLast Updated: 03/26/2025
Ophthalmic Procedures Medicaid - Surgical 60
PDF, 361 KBLast Updated: 03/26/2025
Oral Incontinence Treatments Commercial - Surgical 220
PDF, 180 KBLast Updated: 03/26/2025
Oral Incontinence Treatments Medicaid - Surgical 220
Oral Incontinence Treatments Medicare - Surgical 220
PDF, 208 KBLast Updated: 03/26/2025
Orthognathic Surgery Commercial - Surgical 34
PDF, 224 KBLast Updated: 03/26/2025
Orthognathic Surgery Medicaid - Surgical 34
Ovarian Vein Embolization Commercial - Surgical 202
PDF, 228 KBLast Updated: 03/26/2025
Ovarian Vein Embolization Medicaid - Surgical 202
PDF, 276 KBLast Updated: 03/26/2025
Pancreas and Islet Cell Transplants Commercial - Surgical 27
PDF, 220 KBLast Updated: 03/26/2025
Pancreas and Islet Cell Transplants Medicaid - Surgical 27
PDF, 318 KBLast Updated: 03/26/2025
Panniculectomy Commercial - Surgical 14
PDF, 231 KBLast Updated: 07/01/2024
Panniculectomy Medicaid - Surgical 14
PDF, 289 KBLast Updated: 07/01/2024
Pectus Surgery and Devices Commercial - Surgical 05
PDF, 233 KBLast Updated: 03/26/2025
Pectus Surgery and Devices Medicaid - Surgical 05
PDF, 259 KBLast Updated: 03/26/2025
Pectus Surgery and Devices Medicare - Surgical 05
PDF, 273 KBLast Updated: 03/26/2025
Penile Prosthesis Surgery Commercial - Surgical 23
Percutaneous Antegrade Transseptal Transcatheter Mitral Valve Implantation Commercial - Surgical 136
Percutaneous Antegrade Transseptal Transcatheter Mitral Valve Implantation Medicaid - Surgical 136
Percutaneous Antegrade Transseptal Transcatheter Mitral Valve Implantation Medicare - Surgical 136
Percutaneous Spinal Augmentation Commercial - Surgical 231
Percutaneous Spinal Augmentation Medicaid - Surgical 231
Percutaneous Transluminal Coronary Lithotripsy Commercial - Surgical 132
PDF, 195 KBLast Updated: 03/26/2025
Percutaneous Transluminal Coronary Lithotripsy Medicaid - Surgical 132
Percutaneous Transluminal Coronary Lithotripsy Medicare - Surgical 132
PDF, 214 KBLast Updated: 03/26/2025
Sacroiliac Fusion, Open and Percutaneous Commercial - Surgical 116
Sacroiliac Fusion, Open and Percutaneous Medicaid - Surgical 116
Shoulder-Elbow Joint Resurfacing Arthroplasty with Allograft Tissue Commercial - Surgical 111
PDF, 213 KBLast Updated: 03/26/2025
Shoulder-Elbow Joint Resurfacing Arthroplasty with Allograft Tissue Medicaid - Surgical 111
Shoulder-Elbow Joint Resurfacing Arthroplasty with Allograft Tissue Medicare - Surgical 111
Skin and Tissue Substitutes Commercial - Surgical 73
PDF, 592 KBLast Updated: 03/26/2025
Skin and Tissue Substitutes Medicaid - Surgical 73
PDF, 590 KBLast Updated: 03/26/2025
Skin Lesions-Keloids-Warts-Dermoscopy Commercial - Surgical 09
PDF, 348 KBLast Updated: 03/26/2025
Skin Lesions-Keloids-Warts-Dermoscopy Medicaid - Surgical 09
Spinal Cord Electrical Stimulator and Dorsal Motor Ganglion Stimulator Commercial Surgical 69
Spinal Cord Electrical Stimulator and Dorsal Motor Ganglion Stimulator Medicaid - Surgical 69
Spinal Pain Management Procedures Commercial - Surgical 119
PDF, 275 KBLast Updated: 03/26/2025
Spinal Pain Management Procedures Medicaid - Surgical 119
PDF, 375 KBLast Updated: 03/26/2025
Sports Hernia Repair (Athletic Pubalgia Surgery) Commercial - Surgical 127
PDF, 162 KBLast Updated: 03/26/2025
Sports Hernia Repair (Athletic Pubalgia Surgery) Medicare - Surgical 127
PDF, 212 KBLast Updated: 03/26/2025
Sports Hernia Repair Medicaid - Surgical 127
Stereotactic Radiosurgery (SRS) and Stereotactic Body Radio Therapy (SBRT) Commercial - Surgical 88
Stereotactic Radiosurgery (SRS) and Stereotactic Body Radio Therapy (SBRT) Medicaid - Surgical 88
Subcutaneous Implantable Cardioverter Defibrillator Commercial - Surgical 106.pdf
Subcutaneous Implantable Cardioverter Defibrillator Medicaid - Surgical 106
PDF, 335 KBLast Updated: 03/26/2025
Substernal Implantable Cardioverter-Defibrillator System Commercial - Surgical 130
PDF, 232 KBLast Updated: 03/26/2025
Substernal Implantable Cardioverter-Defibrillator System Medicaid - Surgical 130
PDF, 280 KBLast Updated: 02/11/2025
Surgical Assisted Liposuction for Lymphedema Post-mastectomy Commercial - Surgical 131
Surgical Assisted Liposuction for Lymphedema Post-mastectomy Medicaid - Surgical 131
Surgical Assisted Liposuction for Lymphedema Post-mastectomy Medicare - Surgical 131
Surgical Treatments for Obstructive Sleep Apnea Commercial - Surigcal 18
PDF, 312 KBLast Updated: 03/26/2025
Surgical Treatments for Obstructive Sleep Apnea Medicaid - Surgical 18
PDF, 341 KBLast Updated: 03/26/2025
Thermal Capsulorrhaphy Commercial - Surgical 86
PDF, 194 KBLast Updated: 03/26/2025
Thermal Capsulorrhaphy Medicaid - Surgical 86
PDF, 263 KBLast Updated: 03/26/2025
Thermal Capsulorrhaphy Medicare - Surgical 86
Thermal Intradiscal Procedures (TIP) Commercial - Surgical 79
PDF, 222 KBLast Updated: 03/26/2025
Thermal Intradiscal Procedures (TIP) Medicaid - Surgical 79
PDF, 255 KBLast Updated: 03/26/2025
Tissue Transplantation of the Knee, Ankle and Talus Commercial - Surgical 39
PDF, 272 KBLast Updated: 03/26/2025
Tissue Transplantation of the Knee, Ankle and Talus Medicaid - Surgical 39
PDF, 345 KBLast Updated: 03/26/2025
Titanium Rib Implant-Device Commercial - Surgical 75
Titanium Rib Implant-Device Medicaid - Surgical 75
PDF, 294 KBLast Updated: 03/26/2025
Titanium Rib Implant-Device Medicare - Surgical 75
Total Ankle Replacement Commercial - Surgical 96
PDF, 316 KBLast Updated: 03/26/2025
Total Ankle Replacement Medicaid - Surgical 96
PDF, 366 KBLast Updated: 03/26/2025
Total Ankle Replacement Medicare - Surgical 96
PDF, 317 KBLast Updated: 03/26/2025
Transanal Endoscopic Microsurgery (TEM) Commercial - Surgical 41
PDF, 200 KBLast Updated: 03/26/2025
Transanal Endoscopic Microsurgery (TEM) Medicaid - Surgical 41
PDF, 250 KBLast Updated: 03/26/2025
Transvenous Implantable Cardioverter Defibrillator Commercial - Surgical 133
PDF, 242 KBLast Updated: 03/26/2025
Transvenous Implantable Cardioverter Defibrillator Medicaid - Surgical 133
PDF, 295 KBLast Updated: 03/26/2025
Treatment for Varicose Veins Commercial - Surgical 04
PDF, 282 KBLast Updated: 03/26/2025
Treatment for Varicose Veins Medicaid - Surgical 04
PDF, 334 KBLast Updated: 03/26/2025
Varicocele Embolization Commercial - Surgical 209
PDF, 246 KBLast Updated: 03/26/2025
Varicocele Embolization Medicaid - Surgical 209
Vertebral Body Tethering Commercial - Surgical 123
PDF, 244 KBLast Updated: 03/26/2025
Vertebral Body Tethering Medicaid - Surgical 123
Vertebral Body Tethering Medicare - Surgical 123
PDF, 240 KBLast Updated: 03/26/2025