Minn. R. 2740.9919
TABLE OF SURGICAL FACTORS TO DEVELOP SURG VALUE
CPT4 Code Surgical Factor Description SKIN 10060 .7710 Abscess, incision, and drainage, simple 11400 2.0161 Benign lesion removal of (up to 0.5 cm.) 11750 .4368 Nail, permanent removal of 12011 1.9732 Simple wound, simple repair (up to 2.5 cm.) 17100 4.6520 Benign skin lesion, destruction of MUSCULOSKELETAL 20610 1.9226 Major joint or bursa, injection or aspiration of 27130 .1565 Total hip joint replacement, simple 29425 1.0286 Application walking cast CARDIOVASCULAR 33512 .1111 Coronary bypass, three arteries 93547 .2166 Left heart catheterization with coronary angiogram DIGESTIVE SYSTEM 43235 .4514 Gastroscopy, diagnostic 43844 .0569 Stomach bypass for morbid obesity 44950 .2618 Appendectomy 45300 2.7170 Proctosigmoidoscopy, diagnostic 47600 .3765 Gallbladder, removal of 49505 .3086 Inguinal hernia repair, unilateral URINARY SYSTEM 52601 .1579 Prostate resection (TUR), complete 53670 3.5273 Urinary bladder catheterization MALE GENITAL 54150 .8509 Circumcision by clamp, newborn FEMALE GENITAL 58120 .8470 Uterus, dilation and curettage (D & C), nonobstetrical 58150 .4792 Uterus, removal of 58980 .9455 Laparoscopy, diagnostic NERVOUS SYSTEM 63030 .0694 Laminotomy herniated disc, lumbar 64721 .1988 Carpal tunnel syndrome repair EYE 66980 .2003 Cataract removal, intraocular lens insertion EAR 69437 .3934 Tympanostomy with ventilating tube insertion