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Acute Care Hospitals
Summerlin Hospital Medical Center
3.0
Financial Assistance
You May Qualify for Free or Discounted Care
- Free care reviewed case by case — call to apply
- Discount reviewed case by case — call to apply
- Processing Time: Typically 21–30 days from a complete application.
- Required Documents: 6
ProcedureScout is independent — we are not paid by hospitals, financial assistance programs, applications, or referrals. Whether you qualify depends on each hospital's rules and a final review.
All Procedure Prices
Insurance:
| Procedure | CPT | Price |
|---|---|---|
| ROD LEGACY 5.5MM X 500MM | 27130 | $24,024 |
| APPLY FOREARM SPLINT | 29125 | $276 |
| PLATE VARIAX CLAV SUP MIDSHAFT TI STD 10H 122MM RT | 29881 | $5,262 |
| Intubation, endotracheal, emergency procedure | 31500 | $1,131 |
| Tracheotomy tube change prior to establishment of fistula tract | 31502 | $484 |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate pr | 31622 | $2,035 |
| STENT PROTEGE GPS 6F .035 14X30 80CM | 31720 | $294 |
| HC ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX | 36600 | $159 |
| CATH PACIFIC EXTREME PTA BLN 130CM 5X200MM | 36620 | $396 |
| SPIROMETRY W&WO BRONCH | 55000111 | $1,364 |
| VITAL CAPACITY TEST | 55000137 | $286 |
| RESPIRATORY FLOW VOLUME LOOP | 55000210 | $606 |
| INHAL TX EACH INITIAL | 55000269 | $302 |
| AEROSOL INHALE PENTAMIDINE | 55000277 | $1,424 |
| VENTILATOR MGMT INITIAL DAY | 55000319 | $3,183 |
| VENTILATOR MGMT SUB DAY | 55000327 | $2,864 |
| CPAP/BIPAP | 55000335 | $2,839 |
| DEMO EVAL INH TX | 55000350 | $319 |
| CHEST WALL MANIP INITIAL | 55000376 | $234 |
| CHEST WALL MANIP SUBSQ | 55000384 | $210 |
| PULSE OXIMETRY SINGLE | 55000459 | $392 |
| PULSE OXIMETRY OVERNIGHT | 55000475 | $387 |
| NASO-TRACH SUCTION | 55000509 | $294 |
| ARTERIAL BLOOD PUNCTURE | 55000517 | $159 |
| CARBON MONO QUANT | 55000525 | $137 |
| BLOOD GAS PH ONLY 300 | 55000533 | $592 |
| BLOOD GASES 300 | 55000541 | $627 |
| BLOOD GASES W/O2 SAT 300 | 55000558 | $942 |
| BLOOD GASES O2 SAT ONLY 300 | 55000566 | $628 |
| GLUCOSE QUANT BY BLOOD DRAW | 55000574 | $194 |
| ACT CLOT TIME 300 | 55000590 | $374 |
| CPR | 55000608 | $1,930 |
| CARDIOVERSION EXTERNAL | 55000616 | $3,434 |
| EKG TRACING | 55000624 | $638 |
| HFOV VENT FIRST DAY | 55000830 | $3,183 |
| HFOV VENT SUBSEQUENT | 55000848 | $3,024 |
| INTUBATION E-TUBE EMERGENCY | 55000863 | $1,131 |
| EXTREM STDY TCPO2 BIL COMPLETE | 55000871 | $440 |
| NEWBORN RESUSCITATION 480 | 55000889 | $978 |
| CREATININE 300 | 55000897 | $185 |
| SODIUM 300 | 55000905 | $198 |
| POTASSIUM 300 | 55000913 | $175 |
| IONIZED CALCIUM 300 | 55000939 | $202 |
| BLOOD COUNT HEMATOCRIT | 55000954 | $141 |
| HEMOGLOBIN 300 | 55000970 | $146 |
| BRONCH DIAGNOSTIC | 55000988 | $2,035 |
| TRACHEOTOMY TUBE CHANGE | 55001267 | $484 |
| ART CATH/MNTRG OR TRANS PERC | 55001283 | $396 |
| NITRIC OXIDE THERAPY INITL DAY | 55001556 | $3,183 |
| NITRIC OXIDE TX ADDL DAYS | 55001564 | $19,104 |
| POC BLD GASES W/CALC O2 301 | 55001614 | $645 |
| MDI TREATMENT INITIAL | 55001648 | $302 |
| SMOKE BEHAVE CHG SYMP 3-10MIN | 55001804 | $106 |
| SMOKE BEHAVE CHG SYMP >10MIN | 55001812 | $95 |
| ASSIST AT DELIVERY | 55001820 | $697 |
| CAPILLARY BLOOD GASES | 55001838 | $627 |
| SURFACTANT ADMIN ET TUBE | 55001861 | $113 |
| INHALE TX AEROSOL FIRST HR | 55001879 | $733 |
| INHALE TX AEROSOL EA ADDL HR | 55001887 | $692 |
| POC SPUTUM COLLECT | 55002018 | $192 |
| POC URINE PREG TEST | 55002042 | $121 |
| SMOKE BEHAVE CHG ASYMP 3-10MIN | 55002109 | $86 |
| SMOKE BEHAVE CHG ASYMP >10MIN | 55002117 | $86 |
| POC LACTATE | 55002125 | $314 |
| 6 MINUTE WALK PERFRM TEST | 55002133 | $201 |
| CHEST TREATMNT W/FLUTTER DEV | 55002141 | $319 |
| POC PLAVIX (P2Y12) ASSAY TRAP | 55002166 | $170 |
| PLETHYS LUNG VOL AIRWAY RESIST | 55002208 | $774 |
| PFT BY GAS | 55002216 | $788 |
| AIRWY RESIST IMPLS OSCILLOMTRY | 55002224 | $223 |
| CO MEMBRANE DIFUSE CAPACITY | 55002232 | $788 |
| MECHANIC CHEST WALL OSCIL/SESS | 55002398 | $294 |
| HBO TREATMENT PER 30 MIN | 55506208 | $1,061 |
| HOT/COLD PACK | 56000052 | $76 |
| PT RE-EVALUATION | 56003551 | $200 |
| PT WHIRLPOOL 420 | 56003858 | $180 |
| PT ELEC STIM/15MIN ATTEND 420 | 56004153 | $136 |
| PT IONTOPHORESIS 15MIN 420 | 56004203 | $180 |
| PT ULTRASOUND 15MIN 420 | 56004302 | $144 |
| PT THERAPEUTIC EXER 15MIN 420 | 56004559 | $165 |
| PT NEUROMUS RE-ED 15MIN 420 | 56004609 | $153 |
| PT GAIT TRAINING 15MIN 420 | 56004708 | $144 |
| PT MASSAGE THERAPY 15MIN 420 | 56004757 | $140 |
| PT TILT TABLE 15MIN 420 | 56004807 | $58 |
| PT MANUAL THERAPY 15MIN 420 | 56004906 | $209 |
| PT GROUP THERAPEUTIC 420 | 56004955 | $140 |
| PT ORTHROT MGT/TRAIN 15MIN | 56005002 | $244 |
| PT THERAPEUTIC ACT 15MIN 420 | 56005101 | $171 |
| PT W/C TRAINING 15MIN 420 | 56005259 | $136 |
| PT CHECK ORTHO/PROS 15MIN | 56005408 | $167 |
| PT N/SELCTV DEBRIDEMENT 420 | 56005853 | $406 |
| PT SENS INTEG TECH 15MIN 420 | 56005861 | $131 |
| TRACTION MECHANICAL APPLICATN | 56005903 | $299 |
| SPLINT/CRUTCH FITTING 15MIN | 56006000 | $192 |
| HOME/FAMILY INSTRUCT 15MIN | 56006034 | $194 |
| DEBRIDE SELECT <=20CM SESSN GP | 56006984 | $645 |
| NEG PRESS WOUND TX </=50CM GP | 56007016 | $435 |
| NEG PRESS WOUND TX >50CM | 56007024 | $675 |
| DEBRIDE SELECT EA ADD 20CM | 56007289 | $581 |
| CANALITH REPOSITION PER DAY | 56007297 | $70 |
| MIST THERAPY WOUND US-PER DAY | 56007313 | $392 |
| NEG PRES WND NO DME </=50CM PT | 56008899 | $511 |
| NEG PRES WND NO DME >50CM PT | 56008907 | $574 |
| PT EVAL LOW COMPLEXITY | 56008931 | $332 |
| PT EVAL MODERATE COMPLEXITY | 56008949 | $399 |
| PT EVAL HIGH COMPLEXITY | 56008956 | $599 |
| PT COGNITIVE SKILLS ADDL 15MIN | 56009087 | $164 |
| ELEC STIM ATTENDED 15M CQ | 56009871 | $136 |
| IONTOPHORESIS 15MIN CQ | 56009889 | $180 |
| ULTRASOUND 15MIN CQ | 56009897 | $144 |
| EXERCISE THERAPEUTIC 15MIN CQ | 56009905 | $165 |
| NEUROMUSC RE-ED 15MIN CQ | 56009913 | $153 |
| GAIT TRAINING 15MIN CQ | 56009939 | $144 |
| MASSAGE THERAPY 15MIN CQ | 56009947 | $168 |
| TILT TABLE 15MIN CQ | 56009954 | $58 |
| MANUAL THERAPY TECH 15MIN CQ | 56009970 | $209 |
| ACTIVITY THERAPEUTIC 15MIN CQ | 56010002 | $171 |
| PT COGNITIVE SKILLS ADD 15M CQ | 56010028 | $164 |
| SENSORY INTEGRAT TECHNQ 15M CQ | 56010036 | $131 |
| HOME/FAMILY INSTRUCT 15MIN CQ | 56010051 | $194 |
| WHEELCHAIR TRAIN 15MIN CQ | 56010077 | $136 |
| ORTHOTIC MGT/TRAIN 15MIN CQ | 56010093 | $244 |
| CHECK ORTHO/PROSTH 15MIN CQ | 56010127 | $139 |
| DEBRIDE SELECT FIRST 20CM CQ | 56010168 | $645 |
| DEBRIDE SELECT EA ADD 20CM CQ | 56010176 | $581 |
| HOT/COLD PACK CQ | 56010424 | $76 |
| TRACTION MECHANICAL APPLY CQ | 56010432 | $282 |
| WHIRLPOOL CQ | 56010465 | $180 |
| GROUP THERAPEUTIC REHAB CQ | 56010507 | $140 |
| NONSELECTIVE DEBRIDEMENT CQ | 56010531 | $406 |
| NEG PRESS WOUND TX </=50CM CQ | 56010549 | $435 |
| NEG PRESS WOUND TX >50CM CQ | 56010556 | $675 |
| MIST THERAPY WOUND US /DAY CQ | 56010572 | $392 |
| NEG PRES WND NO DME </=50CM CQ | 56010606 | $511 |
| NEG PRES WND NO DME >50CM CQ | 56010614 | $453 |
| AU HEAR TEST PUR TON AIR ON471 | 57000655 | $183 |
| AU TYMPAN IMPED TEST 471 | 57001307 | $118 |
| ST SPEECH/HEAR TX IND 440 | 57002651 | $320 |
| ST SPEECH/HEARING TX GROUP 440 | 57002909 | $152 |
| ST TRMT FOR FEED 440 | 57003303 | $320 |
| ST ASSES APHASIA PER HR 440 | 57003659 | $950 |
| ST SELF CARE MGT TRAIN 15M 440 | 57003857 | $158 |
| ST PHYS PERFORM TEST 15 MIN440 | 57003956 | $208 |
| ST TX COGNI-LINGUISTIC 15M 440 | 57004004 | $173 |
| ST THERAP ACTIVITIES-15M 440 | 57004053 | $171 |
| ST THERAP EXERCISE-15M 440 | 57004103 | $165 |
| EVAL SPEECH DEVC 1TO1 1HR | 57004236 | $1,079 |
| EVAL SPEECH DEVC 1TO1 ADD30MIN | 57004244 | $410 |
| PROG/MOD SPCHGEN DEVICE 440 | 57004251 | $304 |
| EVAL ORAL SWALL FUNCTION 440 | 57004269 | $847 |
| MOTION FLUORO EVAL VID/CINE440 | 57004277 | $935 |
| FIBEROPT SWAL EVAL CINE/VID440 | 57004285 | $210 |
| FBROPT EVAL SWAL&LRYN SENS 440 | 57004327 | $427 |
| EVAL USE/FIT VOICE PROSTH | 57004582 | $206 |
| EVAL SPEECH FLUENCY | 57006603 | $906 |
| EVAL SOUND PRODUCTION | 57006611 | $958 |
| EVAL SOUND SPEECH COMPREH | 57006629 | $958 |
| BEHAVIORAL QUALIT ANALY VOICE | 57006637 | $906 |
| ST HOME/FAMILY INSTRCT 15MIN | 57006652 | $194 |
| ST DEVELOPMENTAL TEST 1HR | 57006710 | $906 |
| ST DEVELOPMT TEST ADD 30MIN | 57006728 | $453 |
| ST COGNITIVE SKILLS ADDL 15MIN | 57006777 | $136 |
| OT RE-EVALUATION | 57102303 | $244 |
| OT PARAFFIN BATH 430 | 57102550 | $78 |
| OT ELEC STIM ATTEND/15 MIN 430 | 57102956 | $144 |
| OT ULTRASOUND 15MIN 430 | 57103103 | $136 |
| OT THERAPEUTIC EXER 15MIN 430 | 57103350 | $165 |
| OT NEUROMUS RE-ED 15MIN 430 | 57103400 | $153 |
| OT GAIT TRAINING 15MIN 430 | 57103509 | $136 |
| OT MASSAGE THERAPY 15MIN 430 | 57103558 | $148 |
| OT MANUAL THERAPY 15MIN 430 | 57103707 | $209 |
| OT GROUP THERAPEUTIC 430 | 57103756 | $136 |
| OT ORTHROT FIT/TRAIN 15MIN | 57103806 | $207 |
| OT THERAPEUTIC ACT 15MIN 430 | 57103905 | $171 |
| OT SELF CARE MGT TRAIN 15M 430 | 57103954 | $194 |
| OT COM/WORK REINTEGRAT 15M 430 | 57104002 | $139 |
| OT W/C TRAINING 15MIN 430 | 57104051 | $97 |
| OT CHECK ORTHO/PROS 15MIN | 57104200 | $147 |
| OT COGNITIVE SKILLS 15MIN 430 | 57104309 | $141 |
| OT SENSORY INTEGRATION 430 | 57104556 | $131 |
| OT SPLINT SHORT ARM STATIC 430 | 57104705 | $276 |
| OT NON-SELECV DEBRIDEMENT 430 | 57104929 | $406 |
| OT HOME/FAMLY INSTRCT 15MIN430 | 57104960 | $194 |
| OT EVAL LOW COMPLEXITY | 57107096 | $302 |
| OT EVAL MODERATE COMPLEXITY | 57107104 | $410 |
| OT EVAL HIGH COMPLEXITY | 57107112 | $545 |
| OT MANUAL LYMPHATIC DRAINAGE | 57107203 | $136 |
| OT COGNITIVE SKILLS ADDL 15MIN | 57107328 | $141 |
| OT PARAFFIN BATH CO | 57108052 | $78 |
| OT GROUP THERAPEUTIC CO | 57108086 | $136 |
| OT NON-SELECV DEBRIDEMENT CO | 57108128 | $406 |
| OT SPLINT SHORT ARM STATIC CO | 57108185 | $276 |
| OT MANUAL LYMPHATIC DRAIN CO | 57108243 | $136 |
| OT THERAPEUTIC ACT 15MIN CO | 57108383 | $171 |
| OT THERAPEUTIC EXER 15MIN CO | 57108391 | $165 |
| OT MANUAL THERAPY 15MIN CO | 57108409 | $136 |
| OT SELF CARE MGT TRAIN 15M CO | 57108417 | $194 |
| OT HOME/FAMLY INSTRCT 15M CO | 57108425 | $194 |
| OT ORTHROT FIT/TRAIN 15MIN CO | 57108433 | $195 |
| OT MASSAGE THERAPY 15MIN CO | 57108441 | $140 |
| OT ULTRASOUND 15MIN CO | 57108458 | $136 |
| OT NEUROMUS RE-ED 15MIN CO | 57108466 | $153 |
| OT ELEC STIM ATTEND/15 MIN CO | 57108474 | $136 |
| OT COGNITIVE SKILLS 15MIN CO | 57108482 | $141 |
| OT COGNITIVE SKILLS ADD 15M CO | 57108490 | $141 |
| OT CHECK ORTHO/PROS 15MIN CO | 57108516 | $139 |
| OT GAIT TRAINING 15MIN CO | 57108557 | $136 |
| OT W/C TRAINING 15MIN CO | 57108573 | $136 |
| OT COM/WORK REINTEGRAT 15M CO | 57108581 | $139 |
| OT SENSORY INTEGRATION CO | 57108599 | $158 |
| ST SPEECH/HEAR TX IND 440 | 57906604 | $320 |
| ST SPEECH/HEARING TX GROUP 440 | 57906901 | $152 |
| ST TRMT FOR FEED 440 | 57907701 | $303 |
| ASSESSMT APHASIA PER HR ST | 57908808 | $950 |
| PT RE-EVALUATION | 57909558 | $184 |
| OT RE-EVALUATION | 57909657 | $140 |
| HOT/COLD PACK | 57909707 | $100 |
| PARAFFIN BATH OT | 57910051 | $78 |
| ELEC STIM/15MIN ATTEND OT | 57910853 | $144 |
| ELEC STIM/15MIN ATTEND PT | 57910903 | $144 |
| ULTRASOUND 15MIN OT | 57911158 | $136 |
| ULTRASOUND 15MIN PT | 57911208 | $144 |
| THERAPEUTIC EXER 15MIN OT | 57911653 | $166 |
| THERAPEUTIC EXER 15MIN PT | 57911703 | $188 |
| NEUROMUS RE-ED 15MIN OT | 57911752 | $153 |
| NEUROMUS RE-ED 15MIN PT | 57911802 | $153 |
| GAIT TRAINING 15MIN PT | 57912008 | $144 |
| MASSAGE THERAPY 15MIN OT | 57912057 | $140 |
| MASSAGE THERAPY 15MIN PT | 57912107 | $148 |
| TILT TABLE 15MIN PT | 57912255 | $58 |
| MANUAL THERAPY 15MIN OT | 57912354 | $144 |
| MANUAL THERAPY 15MIN PT | 57912404 | $174 |
| GROUP THERAPEUTIC OT | 57912453 | $136 |
| GROUP THERAPEUTIC PT | 57912503 | $140 |
| ORTHROT MGT/TRAIN 15MIN OT | 57912552 | $207 |
| ORTHROT MGT/TRAIN 15MIN PT | 57912602 | $203 |
| THERAPEUTIC ACTIVITY 15MIN OT | 57912750 | $166 |
| THERAPEUTIC ACTIVITY 15MIN PT | 57912800 | $171 |
| SELF CARE MGT TRAIN 15MIN OT | 57912909 | $166 |
| COM/WORK REINTEGRAT 15MIN OT | 57913055 | $139 |
| W/C TRAINING 15MIN OT | 57913154 | $100 |
| W/C TRAINING 15MIN PT | 57913204 | $136 |
| CHECK ORTHO/PROS 15MIN OT | 57913451 | $147 |
| COGNITIVE SKILLS 15MIN ST | 57913709 | $144 |
| COGNITIVE SKILLS 15MIN OT | 57913758 | $149 |
| SPLINT SHORT ARM STATIC OT | 57914228 | $276 |
| DEBRIDE NON SELECT W/O ANES PT | 57914251 | $406 |
| SENSORY INTEG TECH 15MIN OT | 57914269 | $131 |
| EVAL ORAL SWALL FUNCTION 440 | 57914301 | $847 |
| MOTION FLUORO EVAL VID/CINE440 | 57914350 | $935 |
| DEBRIDE SELECT <=20CM SESSION | 57914384 | $398 |
| NEG PRESS WOUND TX </=50CM | 57914400 | $291 |
| NEG PRESS WOUND TX >50CM | 57914418 | $342 |
| THERAPEUTIC EXER 15MIN SP | 57914715 | $156 |
| DEBRIDE SELECT EA ADD 20CM | 57914723 | $434 |
| EVAL SPEECH FLUENCY ST | 57914731 | $906 |
| EVAL SOUND PRODUCTION ST | 57914749 | $958 |
| EVAL SOUND SPEECH COMPREH ST | 57914756 | $958 |
| BEHAVIORAL QUALIT ANALY VOICE | 57914764 | $906 |
| HOT/COLD PACK PT | 57914772 | $100 |
| HOME/FAMILY INSTRUCT 15MIN PT | 57914798 | $166 |
| HOME/FAMILY INSTRUCT 15MIN OT | 57914822 | $144 |
| OT EVAL LOW COMPLEXITY | 57914848 | $272 |
| OT EVAL MODERATE COMPLEXITY | 57914855 | $410 |
| OT EVAL HIGH COMPLEXITY | 57914863 | $545 |
| PT EVAL LOW COMPLEXITY | 57914871 | $266 |
| PT EVAL MODERATE COMPLEXITY | 57914889 | $399 |
| PT EVAL HIGH COMPLEXITY | 57914897 | $599 |
| THERAPEUTIC ACT 15MIN ST | 57914913 | $172 |
| SP FIBEROPT SWAL EVAL CINE/VID | 57919128 | $175 |
| ST COGNITIVE SKILLS ADDL 15MIN | 57919177 | $136 |
| OT COGNITIVE SKILLS ADDL 15MIN | 57919185 | $141 |
| DEVICE EXCHANGE TRAPPER 97CM X 10MM X 10MM X 0.014IN | 59400 | $5,434 |
| IMPLANT BREAST SMOOTHSILK ROUND MINI 310CC | 59510 | $8,294 |
| MRI IAC W/O CONTRAST | 70551 | $1,030 |
| MRI EXT LOW JNT W/O CON RT LTD | 73721 | $858 |
| CT ABD PELVIS W/CON | 74177 | $972 |
| PR URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | 81025 | $121 |
| Calcium; ionized | 82330 | $202 |
| Carboxyhemoglobin; quantitative | 82375 | $137 |
| ASSAY OF CREATININE | 82565 | $185 |
| BLOOD PH | 82800 | $592 |
| BLOOD GASES ANY COMBINATION | 82803 | $627 |
| Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, e | 82805 | $942 |
| Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry | 82810 | $628 |
| Glucose; quantitative, blood (except reagent strip) Facility Mid Levels | 82947 | $194 |
| Lactate (lactic acid) | 83605 | $314 |
| ASSAY OF SERUM POTASSIUM | 84132 | $175 |
| Sodium; serum, plasma or whole blood | 84295 | $198 |
| HC HEMATOCRIT | 85014 | $141 |
| Blood count; hemoglobin (Hgb) Non-facility All Other Specialists | 85018 | $146 |
| Coagulation time; activated Non-Facility MD DO | 85347 | $374 |
| Platelet, aggregation (in vitro), each agent | 85576 | $170 |
| Sputum, obtaining specimen, aerosol induced technique (separate procedure) Facility | 89220 | $192 |
| Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual Non-Facility Trauma Critical Care | 92507 | $320 |
| Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals | 92508 | $152 |
| EVALUATION OF SPEECH FLUENCY | 92521 | $906 |
| Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); Facility PCP and Mid-Levels | 92522 | $958 |
| Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehensi | 92523 | $958 |
| Behavioral and qualitative analysis of voice and resonance Facility Neurosurgery E&M | 92524 | $906 |
| HC SWALLOWING TREATMENT GN | 92526 | $320 |
| Screening test, pure tone, air only | 92551 | $183 |
| Tympanometry (impedance testing) | 92567 | $118 |
| Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech Facility Critical Care Intensivists | 92597 | $206 |
| EX FOR SPEECH DEVICE RX 1HR | 92607 | $1,079 |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each add | 92608 | $410 |
| Therapeutic services for the use of speech-generating device, including programming and modification Non-Facility Cardiovascular Thoracic S | 92609 | $304 |
| EVALUATE SWALLOWING FUNCTION | 92610 | $847 |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording | 92611 | $935 |
| ENDOSCOPY SWALLOW (FEES) VID | 92612 | $210 |
| FEES W/LARYNGEAL SENSE TEST | 92616 | $427 |
| Cardiopulmonary resuscitation (eg, in cardiac arrest) | 92950 | $1,930 |
| Cardioversion, elective, electrical conversion of arrhythmia; external | 92960 | $3,434 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report Facility MD DO | 93005 | $638 |
| TTE W/DOPPLER COMPLETE | 93306 | $686 |
| Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/br | 93923 | $440 |
| Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpati | 94002 | $3,183 |
| Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpati | 94003 | $2,864 |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration Non-Facility General Surgery | 94060 | $1,364 |
| Vital capacity, total (separate procedure) Non-Facility Hospitalists - Internal Medicine Critical Care Neurosurgery | 94150 | $286 |
| Respiratory flow volume loop Non-Facility ICC | 94375 | $606 |
| Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube | 94610 | $113 |
| Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed Non- | 94618 | $201 |
| Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such | 94640 | $302 |
| AEROSOL INHALATION TREATMENT | 94642 | $1,424 |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour Facility General Surgery | 94644 | $733 |
| CBT EACH ADDL HOUR | 94645 | $692 |
| Continuous positive airway pressure ventilation (CPAP), initiation and management Non-Facility Specialists | 94660 | $2,839 |
| HC EVALUATE PT USE OF INHALER | 94664 | $319 |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation Fa | 94667 | $234 |
| CHEST WALL MANIPULATION | 94668 | $210 |
| Mechanical chest wall oscillation to facilitate lung function, per session Non-Facility Mid Levels | 94669 | $294 |
| Plethysmography for determination of lung volumes and, when performed, airway resistance | 94726 | $774 |
| Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes Facility All | 94727 | $788 |
| Airway resistance by oscillometry Non-Facility Specialists | 94728 | $223 |
| Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) Facility Trauma Critical Car | 94729 | $788 |
| HC PULSE OXIMETRY SINGLE | 94760 | $392 |
| Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure) | 94762 | $387 |
| CANALITH REPOSITIONING PROC | 95992 | $70 |
| Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech producti | 96105 | $950 |
| Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executi | 96112 | $906 |
| DEVEL TST PHYS/QHP EA ADDL | 96113 | $453 |
| HC HOT/COLD PACKS THERAPY 1+ AREA | 97010 | $76 |
| Application of a modality to 1 or more areas; traction, mechanical | 97012 | $299 |
| Application of a modality to 1 or more areas; paraffin bath Facility MD DO | 97018 | $78 |
| Application of a modality to 1 or more areas; whirlpool Facility Neurology | 97022 | $180 |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes | 97032 | $136 |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Non-Facility Critical Care Intensivists | 97033 | $180 |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Facility MD DO | 97035 | $144 |
| Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib | 97110 | $165 |
| Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, po | 97112 | $153 |
| Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) Facility Hospitalists - Internal Medicine | 97116 | $144 |
| HC MASSAGE 15 MIN | 97124 | $140 |
| Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pr | 97129 | $173 |
| Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pr | 97130 | $164 |
| Unlisted therapeutic procedure (specify) Non-Facility Trauma Critical Care | 97139 | $58 |
| HC MANUAL THER TECH, 1+ REGIONS, 15 MIN EACH | 97140 | $209 |
| Therapeutic procedure(s), group (2 or more individuals) Facility Wound Care | 97150 | $140 |
| HC PT EVAL LOW COMPLEX 20MIN | 97161 | $332 |
| Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or | 97162 | $399 |
| Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o | 97163 | $599 |
| Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use | 97164 | $200 |
| HC OT EVAL LOW COMPLEXITY 30MIN | 97165 | $302 |
| HC OT EVAL MOD COMPLEXITY 45MIN | 97166 | $410 |
| HC OT EVAL HIGH COMPLEXITY 60MIN | 97167 | $545 |
| Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional o | 97168 | $244 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 97530 | $171 |
| Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) pa | 97533 | $131 |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and | 97535 | $194 |
| Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modifi | 97537 | $139 |
| Wheelchair management (eg, assessment, fitting, training), each 15 minutes Non-Facility Trauma Critical Care | 97542 | $136 |
| HC DEBRIDE WOUND <=20 SQ CM | 97597 | $645 |
| Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, ( | 97598 | $581 |
| Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, | 97602 | $406 |
| Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical appl | 97605 | $435 |
| Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical appl | 97606 | $675 |
| HC NEG PRESS WOUND TX </=50SQCM W/O DME | 97607 | $511 |
| Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including pr | 97608 | $574 |
| LOW FREQUENCY NON-THERMAL US | 97610 | $392 |
| Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes Facility Internal | 97750 | $208 |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ie | 97760 | $244 |
| Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prost | 97763 | $167 |
| BEHAV CHNG SMOKING 3-10 MIN | 99406 | $106 |
| Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes | 99407 | $95 |
| Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of | 99464 | $697 |
| HC DELIVERY/BIRTHING ROOM RESUSCITATION | 99465 | $978 |
| HBO TREATMENT PER 30 MIN | G0277 | $1,061 |