Median Surgical Fee Schedule
Effective March 3, 2007

Code

MINOR PROCEDURES: P01000 SERIES

Fee

P01000

Fracture – closed reduction requiring radiographic studies and anesthetic -Toes

$194

P01100

Fracture – closed reduction requiring radiographic studies and anesthetic – Metatarsal and/or tarsal

$286

P01200

Cultured skin graft application

$355

Code

MINOR SURGICAL PROCEDURES: P02000 SERIES

Fee

P02000

Removal of foreign body requiring open exploration (minor)

$262

P02010

Removal of foreign body requiring open exploration (major)

$482

P02100

Removal of fixation requiring open exploration

$397

P02200

Skin Biopsy procedures

$219

P02300

Excision of keratoma – surgical

$285

P02400

Primary repair of soft tissue wound

$254

P02500

Incision and drainage of superficial abscess-operation only

$95-272

Code

SOFT TISSUE PROCEDURES: P03000 SERIES

Fee

P03000

Excision of ganglion or bursa

$628

P03050

Excision of ganglion or bursa digital

$465

P03100

Excision of a benign soft tissue tumor (minor)

$834

P03110

Excision of a benign soft tissue tumor (complex)

$1,223

P03200

Neuroma excision

$1,055

P03210

Nerve decompression

$668

P03300

Lesser metatarsal phalangeal soft tissue release

$371

P03400

Tarsal tunnel decompression

$1,285

P03500

Tenotomy

$202

P03510

Tenorrhaphy (repair of ruptured tendon)

$562

P03520

Tenotomy and capsulotomy

$582

P03530

Tenoplasty (lengthening)

$528

P03540

Tendon transplant -reposition

$618

P03600

Tension reduction skin plasty (skin flap or V-Y)

$883

P03700

Rotational flap

$959

P03800

Plantar fascial release / heel spur resection

$1,105

P03850

Instep plantar fascial release

$795

Code

DIGITAL PROCEDURES: P04000 SERIES

Fee

P04000

Arthrodesis – lesser interphalageal joint, with fixation

$692*

P04050

Interphalangeal joint implant

$752*

P04100

Arthroplasty

$686

P04150

Exostectomy

$583

P04200

Open reduction and fixation of digital fractures

$659*

P04300

Subungual exostectomy

$621

P04400

Partial phalangectomy

$653

P04410

Total phalangectomy

$686

P04410

Digital amputation

$678



*Plus cost of implant / fixation device (Invoice cost plus 15% handling fee)
Code FIRST RAY & LESSER METATARSAL PROCEDURES: P05000 SERIES
Fee

P05000

Simple bunionectomy – resection of medial eminence or chielectomy

$1,230

P05001

McBride/modified bunionectomy

$1,367

P05010

Excision of sesamoid and accessory bones

$987

P05100

Osteotomy with realignment of the proximal phalanx of the hallux

$1,426*

P05200

Distal metaphyseal osteotomy with fixation of the metatarsal

$1,950*

P05300

Proximal osteotomy with fixation of the metatarsal

$2,463*

P05310

Interphalageal joint fusion of the hallux

$ 1,294*

P05320

First metatarsophalangeal joint arthrodesis

$1,949*

P05325

First metatarsophalangeal joint implant-total

$1,950*

P05330

Lesser metatarsophalangeal joint implant

$1,230*

P05002

Hemi implant bunionectomy

$1,950*

P05500

Pan metatarsal head resection

$2,020

P05505

Metatarsal head resection

$1,087

P05550

Jones tenosuspension

$1,712

P05600

First metatarsal phalangeal joint arthroplasty (Keller)

$1,950

P05610

Tailors bunionectomy -exostectomy

$987

P05620

Tailors bunionectomy – distal osteotomy with fixation

$1,367*

P05900

Open reduction and fixation of metatarsal fractures

$1,664*



*Plus cost of implant / fixation device (Invoice cost plus 15% handling fee)
Code MID FOOT & REAR FOOT PROCEDURES:
P06000 SERIES
Fee

P06000

Mid-foot/Rear-foot exostectomy

$1,130

P06100

Mid-foot osteotomy or fusion with fixation (Lapidus)

$2,463*

P06200

Charcot plantar mid-foot planing

$1,042

P06210

Transmetatarsal amputation

$1,988

P06220

Lis Franc’s amputation

$2,096

P06230

Partial Calcanectomy

$2,096

P06300

Rear-foot fusion or osteotomy with fixation

$3,495*

P06400

Tendon advancement of reinsertion (tibialis anterior, Achilles)

$1,126

P06500

Excision of accessory ossicle

$985

P06000

Sinus Tarsi implant

$2,295*

P06100

Sinus Tarsi implant requiring Achilles Tendon lengthening

$3,395*



*Plus cost of implant / fixation device (Invoice cost plus 15% handling fee)

Code

FRACTURES/TRAUMA SURGERY: P07000 SERIES

Fee

P07000

Open reduction with internal fixation midfoot/rearfoot

$2,295*

P07100

Open reduction with external fixation midfoot/rearfoot

$2,495*



*Plus cost of fixation device (invoice cost plus 15% handling fee)






Code SURGICAL ASSIST: P08000 SERIES
Fee
P08000 Surgical assist fee
50%
MULTIPLE PROCEDURES PERFORMED IN SAME SESSION


First procedure billed @ 100%
Second procedure billed @ 75%
Third and all subsequent procedures billed @ 50%

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