(*Ranking is based on Orthopaedic total Medicare allowed charges for each code, not on individual claim payment)
|
Surgical conversion factor |
$31.00 |
$40.96 |
$36.69 |
$34.73 |
$36.61 |
$38.26 |
$36.20 |
17% |
-12% |
|||
|
Non-surgical conversion factor |
$31.00 |
$33.85 |
$36.69 |
$34.73 |
$36.61 |
$38.26 |
$36.20 |
17% |
7% |
|||
|
Fac Rank* |
CPT |
Descriptor |
Glob |
1992 |
1997 |
1998 |
1999 |
2000 |
2001 |
2002 |
92-02 |
97-02 |
|
7 |
22612 |
Arthrodesis, posterior or posterolateral technique, single level; lumbar (with or without lateral transverse technique) |
90 |
$1,255 |
$1,807 |
$1,648 |
$1,533 |
$1,549 |
$1,582 |
$1,449 |
15% |
-20% |
|
16 |
23412 |
Repair of ruptured musculo- tendinous cuff (eg, rotator cuff); chronic |
90 |
$922 |
$1,156 |
$1,058 |
$997 |
$1,023 |
$1,071 |
$1,022 |
11% |
-12% |
|
6 |
23420 |
Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) |
90 |
$968 |
$1,213 |
$1,111 |
$1,044 |
$1,061 |
$1,108 |
$1,053 |
9% |
-13% |
|
19 |
25605 |
Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphy-seal separation, with or without fracture of ulnar styloid; with manipulation |
90 |
$326 |
$406 |
$380 |
$375 |
$414 |
$465 |
$461 |
41% |
13% |
|
20 |
25611 |
Percutaneous skeletal fixation of distal radial fracture (eg, Colles or Smith type) or epiphy-seal separation, with or without fracture of ulnar styloid, requiring manipulation, with or without external fixation |
90 |
$460 |
$577 |
$541 |
$536 |
$588 |
$667 |
$684 |
49% |
18% |
|
14 |
27125 |
Hemiarthroplastyhip, partial (eg, femoral stem prosthesis, bi-polar arthro-plasty) |
90 |
$1,141 |
$1,357 |
$1,242 |
$1,155 |
$1,141 |
$1,185 |
$1,113 |
-2% |
-18% |
|
3 |
27130 |
Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft |
90 |
$1,697 |
$1,932 |
$1,718 |
$1,583 |
$1,542 |
$1,574 |
$1,452 |
-14% |
-25% |
|
10 |
27134 |
Revision of total hip arthroplasty; both compo-nents, with or without autograft or allograft |
90 |
$2,215 |
$2,637 |
$2,416 |
$2,212 |
$2,143 |
$2,165 |
$1,966 |
-11% |
-25% |
|
13 |
27235 |
Percutaneous skeletal fixation of femoral frac-ture, proximal end, neck, undis-placed, mildly displaced, or impacted fracture |
90 |
$977 |
$1,135 |
$1,032 |
$966 |
$938 |
$973 |
$909 |
-7% |
-20% |
|
4 |
27236 |
Open treatment of femoral frac-ture, proximal end, neck, inter-nal fixation or prosthetic replacement |
90 |
$1,103 |
$1,383 |
$1,292 |
$1,205 |
$1,182 |
$1,209 |
$1,114 |
1% |
-19% |
|
2 |
27244 |
Open treatment of intertro-chanteric, pertrochanteric, or subtrochan-teric femoral fracture; with plate/screw type implant, with or without cerclage |
90 |
$1,090 |
$1,363 |
$1,279 |
$1,198 |
$1,187 |
$1,224 |
$1,137 |
4% |
-17% |
|
18 |
27245 |
Open treatment of intertrochan-teric, pertrochan-teric, or subtro-chanteric femoral fracture; with intramedullary implant, with or without inter-locking screws and/or cerclage |
90 |
n/a |
$1,542 |
$1,439 |
$1,371 |
$1,407 |
$1,486 |
$1,403 |
n/a |
-9% |
|
1 |
27447 |
Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resur-facing (total knee arthroplasty) |
90 |
$1,816 |
$2,041 |
$1,837 |
$1,684 |
$1,631 |
$1,655 |
$1,514 |
-17% |
-26% |
|
12 |
27487 |
Revision of total knee arthro-plasty, with or without allograft; femoral and entire tibial component |
90 |
$2,123 |
$2,365 |
$2,165 |
$1,977 |
$1,904 |
$1,926 |
$1,740 |
-18% |
-26% |
|
17 |
29826 |
Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial release |
90 |
$600 |
$907 |
$777 |
$732 |
$734 |
$779 |
$757 |
26% |
-17% |
|
15 |
29877 |
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) |
90 |
$703 |
$733 |
$633 |
$594 |
$588 |
$627 |
$603 |
-14% |
-18% |
|
8 |
29880 |
Arthroscopy, knee, surgical; with meniscec-tomy (medial AND lateral, including any meniscal shaving) |
90 |
$761 |
$846 |
$736 |
$686 |
$672 |
$708 |
$675 |
-11% |
-20% |
|
5 |
29881 |
Arthroscopy, knee, surgical; with meniscec-tomy (medial OR lateral, including any meniscal shaving) |
90 |
$787 |
$771 |
$665 |
$623 |
$618 |
$656 |
$629 |
-20% |
-18% |
|
9 |
63047 |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s), (eg, spinal or lateral recess stenosis)), single vertebral segment; lumbar |
90 |
$1,408 |
$1,408 |
$1,290 |
$1,177 |
$1,136 |
$1,143 |
$1,037 |
-26% |
-26% |
|
11 |
64721 |
Neuroplasty and/or trans- position; median nerve at carpal tunnel |
90 |
$317 |
$398 |
$361 |
$349 |
$361 |
$397 |
$399 |
26% |
0% |