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DLI
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Health Care Services Review
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Medical Fee Review
>
Fee Schedule
>
Fee Schedule 70460-71111
Begin Main Content Area
Page Content
Content Editor
2024 Workers' Compensation Part B Fee Schedule
70460-71111
View the PDF
CPT/HCPC Code
Modifier
Medicare Location
Global Surgery Indicator
Multiple Surgery Indicator
Prevailing Charge Amount
Fee Schedule Amount
Site of Service Amount
70460
003
XXX
4
X
716.64
X
70460
26
003
XXX
4
X
187.22
X
70460
TC
003
XXX
4
X
548.66
X
70460
002
XXX
4
X
772.20
X
70460
26
002
XXX
4
X
195.60
X
70460
TC
002
XXX
4
X
595.03
X
70460
004
XXX
4
X
706.08
X
70460
26
004
XXX
4
X
183.03
X
70460
TC
004
XXX
4
X
539.93
X
70460
001
XXX
4
X
785.47
X
70460
26
001
XXX
4
X
196.27
X
70460
TC
001
XXX
4
X
605.99
X
70470
001
XXX
4
X
957.33
X
70470
26
001
XXX
4
X
221.20
X
70470
TC
001
XXX
4
X
756.01
X
70470
002
XXX
4
X
941.15
X
70470
26
002
XXX
4
X
220.51
X
70470
TC
002
XXX
4
X
742.45
X
70470
003
XXX
4
X
873.26
X
70470
26
003
XXX
4
X
210.93
X
70470
TC
003
XXX
4
X
684.82
X
70470
004
XXX
4
X
860.25
X
70470
26
004
XXX
4
X
205.75
X
70470
TC
004
XXX
4
X
673.98
X
70480
004
XXX
4
X
638.77
X
70480
26
004
XXX
4
X
207.75
X
70480
TC
004
XXX
4
X
450.58
X
70480
002
XXX
4
X
697.12
X
70480
26
002
XXX
4
X
222.45
X
70480
TC
002
XXX
4
X
496.44
X
70480
003
XXX
4
X
660.25
X
70480
26
003
XXX
4
X
213.23
X
70480
TC
003
XXX
4
X
457.84
X
70480
001
XXX
4
X
708.83
X
70480
26
001
XXX
4
X
223.15
X
70480
TC
001
XXX
4
X
505.53
X
70481
002
XXX
4
X
810.83
X
70481
26
002
XXX
4
X
239.34
X
70481
TC
002
XXX
4
X
595.03
X
70481
003
XXX
4
X
765.84
X
70481
26
003
XXX
4
X
229.28
X
70481
TC
003
XXX
4
X
548.66
X
70481
001
XXX
4
X
824.41
X
70481
26
001
XXX
4
X
240.09
X
70481
TC
001
XXX
4
X
605.99
X
70481
004
XXX
4
X
742.66
X
70481
26
004
XXX
4
X
223.35
X
70481
TC
004
XXX
4
X
539.93
X
70482
004
XXX
4
X
887.16
X
70482
26
004
XXX
4
X
234.67
X
70482
TC
004
XXX
4
X
673.98
X
70482
001
XXX
4
X
986.19
X
70482
26
001
XXX
4
X
252.44
X
70482
TC
001
XXX
4
X
756.01
X
70482
003
XXX
4
X
900.43
X
70482
26
003
XXX
4
X
241.18
X
70482
TC
003
XXX
4
X
684.82
X
70482
002
XXX
4
X
969.70
X
70482
26
002
XXX
4
X
251.71
X
70482
TC
002
XXX
4
X
742.45
X
70486
003
XXX
4
X
636.18
X
70486
26
003
XXX
4
X
188.90
X
70486
TC
003
XXX
4
X
457.84
X
70486
002
XXX
4
X
674.60
X
70486
26
002
XXX
4
X
197.13
X
70486
TC
002
XXX
4
X
496.44
X
70486
004
XXX
4
X
617.69
X
70486
26
004
XXX
4
X
186.05
X
70486
TC
004
XXX
4
X
450.58
X
70486
001
XXX
4
X
686.05
X
70486
26
001
XXX
4
X
197.71
X
70486
TC
001
XXX
4
X
505.53
X
70487
001
XXX
4
X
811.21
X
70487
26
001
XXX
4
X
225.49
X
70487
TC
001
XXX
4
X
605.99
X
70487
002
XXX
4
X
797.76
X
70487
26
002
XXX
4
X
224.84
X
70487
TC
002
XXX
4
X
595.03
X
70487
003
XXX
4
X
751.81
X
70487
26
003
XXX
4
X
215.21
X
70487
TC
003
XXX
4
X
548.66
X
70487
004
XXX
4
X
730.10
X
70487
26
004
XXX
4
X
209.62
X
70487
TC
004
XXX
4
X
539.93
X
70488
004
XXX
4
X
883.31
X
70488
26
004
XXX
4
X
230.54
X
70488
TC
004
XXX
4
X
673.98
X
70488
001
XXX
4
X
982.16
X
70488
26
001
XXX
4
X
248.07
X
70488
TC
001
XXX
4
X
756.01
X
70488
002
XXX
4
X
965.65
X
70488
26
002
XXX
4
X
247.32
X
70488
TC
002
XXX
4
X
742.45
X
70488
003
XXX
4
X
896.50
X
70488
26
003
XXX
4
X
236.69
X
70488
TC
003
XXX
4
X
684.82
X
70490
001
XXX
4
X
708.83
X
70490
26
001
XXX
4
X
223.15
X
70490
TC
001
XXX
4
X
505.53
X
70490
002
XXX
4
X
697.12
X
70490
26
002
XXX
4
X
222.45
X
70490
TC
002
XXX
4
X
496.44
X
70490
003
XXX
4
X
660.25
X
70490
26
003
XXX
4
X
213.03
X
70490
TC
003
XXX
4
X
457.84
X
70490
004
XXX
4
X
638.77
X
70490
26
004
XXX
4
X
210.27
X
70490
TC
004
XXX
4
X
450.58
X
70491
002
XXX
4
X
810.83
X
70491
26
002
XXX
4
X
239.34
X
70491
TC
002
XXX
4
X
595.03
X
70491
003
XXX
4
X
765.84
X
70491
26
003
XXX
4
X
229.67
X
70491
TC
003
XXX
4
X
548.66
X
70491
004
XXX
4
X
742.66
X
70491
26
004
XXX
4
X
223.60
X
70491
TC
004
XXX
4
X
539.93
X
70491
001
XXX
4
X
824.41
X
70491
26
001
XXX
4
X
240.09
X
70491
TC
001
XXX
4
X
605.99
X
70492
001
XXX
4
X
986.19
X
70492
26
001
XXX
4
X
252.44
X
70492
TC
001
XXX
4
X
756.01
X
70492
004
XXX
4
X
887.16
X
70492
26
004
XXX
4
X
234.67
X
70492
TC
004
XXX
4
X
673.98
X
70492
002
XXX
4
X
969.70
X
70492
26
002
XXX
4
X
251.71
X
70492
TC
002
XXX
4
X
742.45
X
70492
003
XXX
4
X
900.43
X
70492
26
003
XXX
4
X
240.88
X
70492
TC
003
XXX
4
X
684.82
X
70496
004
XXX
4
X
826.08
X
70496
26
004
XXX
4
X
215.76
X
70496
TC
004
XXX
4
X
610.36
X
70496
003
XXX
4
X
826.08
X
70496
26
003
XXX
4
X
215.76
X
70496
TC
003
XXX
4
X
610.36
X
70496
002
XXX
4
X
826.08
X
70496
26
002
XXX
4
X
215.76
X
70496
TC
002
XXX
4
X
610.36
X
70496
001
XXX
4
X
970.24
X
70496
26
001
XXX
4
X
234.27
X
70496
TC
001
XXX
4
X
735.98
X
70498
003
XXX
4
X
826.08
X
70498
26
003
XXX
4
X
215.76
X
70498
TC
003
XXX
4
X
610.36
X
70498
004
XXX
4
X
826.08
X
70498
26
004
XXX
4
X
215.76
X
70498
TC
004
XXX
4
X
610.36
X
70498
002
XXX
4
X
826.08
X
70498
26
002
XXX
4
X
215.76
X
70498
TC
002
XXX
4
X
610.36
X
70498
001
XXX
4
X
970.24
X
70498
26
001
XXX
4
X
234.27
X
70498
TC
001
XXX
4
X
735.98
X
70540
002
XXX
4
X
1,409.43
X
70540
26
002
XXX
4
X
256.88
X
70540
003
XXX
4
X
1,306.38
X
70540
26
003
XXX
4
X
246.64
X
70540
004
XXX
4
X
1,286.71
X
70540
26
004
XXX
4
X
244.32
X
70540
001
XXX
4
X
1,433.95
X
70540
26
001
XXX
4
X
257.64
X
70540
TC
001
XXX
4
X
1,198.77
X
70540
TC
002
XXX
4
X
1,177.10
X
70540
TC
003
XXX
4
X
1,085.94
X
70540
TC
004
XXX
4
X
1,068.72
X
70542
001
XXX
4
X
1,491.56
X
70542
26
001
XXX
4
X
151.94
X
70542
TC
001
XXX
4
X
1,339.58
X
70542
003
XXX
4
X
1,268.91
X
70542
26
003
XXX
4
X
140.24
X
70542
TC
003
XXX
4
X
1,128.65
X
70542
002
XXX
4
X
1,268.91
X
70542
26
002
XXX
4
X
140.24
X
70542
TC
002
XXX
4
X
1,128.65
X
70542
004
XXX
4
X
1,268.91
X
70542
26
004
XXX
4
X
140.24
X
70542
TC
004
XXX
4
X
1,128.65
X
70543
001
XXX
4
X
2,684.42
X
70543
26
001
XXX
4
X
205.65
X
70543
TC
001
XXX
4
X
2,478.78
X
70543
004
XXX
4
X
2,277.84
X
70543
26
004
XXX
4
X
188.68
X
70543
TC
004
XXX
4
X
2,089.19
X
70543
002
XXX
4
X
2,277.84
X
70543
26
002
XXX
4
X
188.68
X
70543
TC
002
XXX
4
X
2,089.19
X
70543
003
XXX
4
X
2,277.84
X
70543
26
003
XXX
4
X
188.68
X
70543
TC
003
XXX
4
X
2,089.19
X
70544
002
XXX
4
X
1,097.60
X
70544
26
002
XXX
4
X
145.59
X
70544
TC
002
XXX
4
X
952.00
X
70544
003
XXX
4
X
1,097.60
X
70544
26
003
XXX
4
X
145.59
X
70544
TC
003
XXX
4
X
952.00
X
70544
001
XXX
4
X
1,296.01
X
70544
26
001
XXX
4
X
159.12
X
70544
TC
001
XXX
4
X
1,136.86
X
70544
004
XXX
4
X
1,097.60
X
70544
26
004
XXX
4
X
145.59
X
70544
TC
004
XXX
4
X
952.00
X
70545
001
XXX
4
X
1,296.01
X
70545
26
001
XXX
4
X
159.12
X
70545
TC
001
XXX
4
X
1,136.86
X
70545
004
XXX
4
X
1,097.60
X
70545
26
004
XXX
4
X
145.59
X
70545
TC
004
XXX
4
X
952.00
X
70545
002
XXX
4
X
1,097.60
X
70545
26
002
XXX
4
X
145.59
X
70545
TC
002
XXX
4
X
952.00
X
70545
003
XXX
4
X
1,097.60
X
70545
26
003
XXX
4
X
145.59
X
70545
TC
003
XXX
4
X
952.00
X
70546
004
XXX
4
X
2,088.21
X
70546
26
004
XXX
4
X
215.82
X
70546
TC
004
XXX
4
X
1,872.40
X
70546
001
XXX
4
X
2,449.74
X
70546
26
001
XXX
4
X
234.09
X
70546
TC
001
XXX
4
X
2,215.64
X
70546
003
XXX
4
X
2,088.21
X
70546
26
003
XXX
4
X
215.82
X
70546
TC
003
XXX
4
X
1,872.40
X
70546
002
XXX
4
X
2,088.21
X
70546
26
002
XXX
4
X
215.82
X
70546
TC
002
XXX
4
X
1,872.40
X
70547
004
XXX
4
X
1,097.60
X
70547
26
004
XXX
4
X
145.59
X
70547
TC
004
XXX
4
X
952.00
X
70547
003
XXX
4
X
1,097.60
X
70547
26
003
XXX
4
X
145.59
X
70547
TC
003
XXX
4
X
952.00
X
70547
002
XXX
4
X
1,097.60
X
70547
26
002
XXX
4
X
145.59
X
70547
TC
002
XXX
4
X
952.00
X
70547
001
XXX
4
X
1,296.01
X
70547
26
001
XXX
4
X
159.12
X
70547
TC
001
XXX
4
X
1,136.86
X
70548
002
XXX
4
X
1,097.60
X
70548
26
002
XXX
4
X
145.59
X
70548
TC
002
XXX
4
X
952.00
X
70548
003
XXX
4
X
1,097.60
X
70548
26
003
XXX
4
X
145.59
X
70548
TC
003
XXX
4
X
952.00
X
70548
001
XXX
4
X
1,296.01
X
70548
26
001
XXX
4
X
159.12
X
70548
TC
001
XXX
4
X
1,136.86
X
70548
004
XXX
4
X
1,097.60
X
70548
26
004
XXX
4
X
145.59
X
70548
TC
004
XXX
4
X
952.00
X
70549
003
XXX
4
X
2,088.21
X
70549
26
003
XXX
4
X
215.82
X
70549
TC
003
XXX
4
X
1,872.40
X
70549
002
XXX
4
X
2,088.21
X
70549
26
002
XXX
4
X
215.82
X
70549
TC
002
XXX
4
X
1,872.40
X
70549
001
XXX
4
X
2,449.74
X
70549
26
001
XXX
4
X
234.09
X
70549
TC
001
XXX
4
X
2,215.64
X
70549
004
XXX
4
X
2,088.21
X
70549
26
004
XXX
4
X
215.82
X
70549
TC
004
XXX
4
X
1,872.40
X
70551
001
XXX
4
X
1,433.95
X
70551
26
001
XXX
4
X
257.64
X
70551
TC
001
XXX
4
X
1,198.77
X
70551
004
XXX
4
X
1,286.71
X
70551
26
004
XXX
4
X
241.45
X
70551
TC
004
XXX
4
X
1,068.72
X
70551
002
XXX
4
X
1,409.43
X
70551
26
002
XXX
4
X
256.88
X
70551
TC
002
XXX
4
X
1,177.10
X
70551
003
XXX
4
X
1,306.38
X
70551
26
003
XXX
4
X
246.40
X
70551
TC
003
XXX
4
X
1,085.94
X
70552
002
XXX
4
X
1,691.46
X
70552
003
XXX
4
X
1,567.62
X
70552
001
XXX
4
X
1,720.89
X
70552
26
001
XXX
4
X
282.81
X
70552
TC
001
XXX
4
X
1,438.05
X
70552
004
XXX
4
X
1,544.04
X
70552
26
002
XXX
4
X
283.72
X
70552
TC
002
XXX
4
X
1,412.10
X
70552
26
003
XXX
4
X
271.71
X
70552
TC
003
XXX
4
X
1,302.58
X
70552
26
004
XXX
4
X
267.74
X
70552
TC
004
XXX
4
X
1,281.87
X
70553
002
XXX
4
X
2,985.16
X
70553
26
002
XXX
4
X
410.81
X
70553
TC
002
XXX
4
X
2,613.67
X
70553
003
XXX
4
X
2,763.62
X
70553
26
003
XXX
4
X
393.00
X
70553
TC
003
XXX
4
X
2,411.13
X
70553
001
XXX
4
X
3,037.76
X
70553
26
001
XXX
4
X
411.96
X
70553
TC
001
XXX
4
X
2,661.65
X
70553
004
XXX
4
X
2,721.39
X
70553
26
004
XXX
4
X
382.90
X
70553
TC
004
XXX
4
X
2,372.86
X
70554
004
XXX
4
X
1,024.02
X
70554
26
004
XXX
4
X
173.33
X
70554
TC
004
XXX
4
X
850.70
X
70554
001
XXX
4
X
1,251.91
X
70554
26
001
XXX
4
X
188.80
X
70554
TC
001
XXX
4
X
1,063.14
X
70554
002
XXX
4
X
1,024.02
X
70554
26
002
XXX
4
X
173.33
X
70554
TC
002
XXX
4
X
850.70
X
70554
003
XXX
4
X
1,024.02
X
70554
26
003
XXX
4
X
173.33
X
70554
TC
003
XXX
4
X
850.70
X
70555
26
004
XXX
0
X
207.43
X
70555
26
002
XXX
0
X
207.43
X
70555
26
003
XXX
0
X
207.43
X
70555
26
001
XXX
0
X
225.61
X
70557
26
003
XXX
0
X
313.98
X
70557
26
002
XXX
0
X
313.98
X
70557
26
004
XXX
0
X
313.98
X
70557
26
001
XXX
0
X
336.29
X
70558
26
002
XXX
0
X
347.13
X
70558
26
003
XXX
0
X
347.13
X
70558
26
001
XXX
0
X
372.25
X
70558
26
004
XXX
0
X
347.13
X
70559
26
003
XXX
0
X
348.36
X
70559
26
002
XXX
0
X
348.36
X
70559
26
004
XXX
0
X
348.36
X
70559
26
001
XXX
0
X
374.54
X
71045
002
XXX
0
X
28.27
X
71045
26
002
XXX
0
X
13.47
X
71045
TC
002
XXX
0
X
14.81
X
71045
003
XXX
0
X
28.27
X
71045
26
003
XXX
0
X
13.47
X
71045
TC
003
XXX
0
X
14.81
X
71045
004
XXX
0
X
28.27
X
71045
26
004
XXX
0
X
13.47
X
71045
TC
004
XXX
0
X
14.81
X
71045
001
XXX
0
X
31.45
X
71045
26
001
XXX
0
X
14.36
X
71045
TC
001
XXX
0
X
17.10
X
71046
004
XXX
0
X
43.17
X
71046
26
004
XXX
0
X
16.05
X
71046
TC
004
XXX
0
X
27.13
X
71046
002
XXX
0
X
43.17
X
71046
26
002
XXX
0
X
16.05
X
71046
TC
002
XXX
0
X
27.13
X
71046
003
XXX
0
X
43.17
X
71046
26
003
XXX
0
X
16.05
X
71046
TC
003
XXX
0
X
27.13
X
71046
001
XXX
0
X
48.29
X
71046
26
001
XXX
0
X
17.06
X
71046
TC
001
XXX
0
X
31.23
X
71047
001
XXX
0
X
61.71
X
71047
26
001
XXX
0
X
22.02
X
71047
TC
001
XXX
0
X
39.70
X
71047
004
XXX
0
X
55.16
X
71047
26
004
XXX
0
X
20.66
X
71047
TC
004
XXX
0
X
34.50
X
71047
003
XXX
0
X
55.16
X
71047
26
003
XXX
0
X
20.66
X
71047
TC
003
XXX
0
X
34.50
X
71047
002
XXX
0
X
55.16
X
71047
26
002
XXX
0
X
20.66
X
71047
TC
002
XXX
0
X
34.50
X
71048
004
XXX
0
X
59.21
X
71048
26
004
XXX
0
X
23.73
X
71048
TC
004
XXX
0
X
35.50
X
71048
001
XXX
0
X
66.11
X
71048
26
001
XXX
0
X
25.28
X
71048
TC
001
XXX
0
X
40.83
X
71048
003
XXX
0
X
59.21
X
71048
26
003
XXX
0
X
23.73
X
71048
TC
003
XXX
0
X
35.50
X
71048
002
XXX
0
X
59.21
X
71048
26
002
XXX
0
X
23.73
X
71048
TC
002
XXX
0
X
35.50
X
71100
002
XXX
0
X
96.98
X
71100
26
002
XXX
0
X
38.43
X
71100
TC
002
XXX
0
X
64.48
X
71100
003
XXX
0
X
91.68
X
71100
26
003
XXX
0
X
36.73
X
71100
TC
003
XXX
0
X
57.40
X
71100
004
XXX
0
X
89.01
X
71100
26
004
XXX
0
X
35.85
X
71100
TC
004
XXX
0
X
54.94
X
71100
001
XXX
0
X
97.35
X
71100
26
001
XXX
0
X
38.57
X
71100
TC
001
XXX
0
X
66.87
X
71101
001
XXX
0
X
127.16
X
71101
26
001
XXX
0
X
46.89
X
71101
004
XXX
0
X
106.18
X
71101
26
004
XXX
0
X
43.62
X
71101
002
XXX
0
X
116.83
X
71101
26
002
XXX
0
X
46.71
X
71101
003
XXX
0
X
109.12
X
71101
26
003
XXX
0
X
44.71
X
71101
TC
001
XXX
0
X
78.84
X
71101
TC
002
XXX
0
X
73.70
X
71101
TC
003
XXX
0
X
65.27
X
71101
TC
004
XXX
0
X
64.25
X
71110
001
XXX
0
X
128.37
X
71110
26
001
XXX
0
X
46.89
X
71110
004
XXX
0
X
115.73
X
71110
26
004
XXX
0
X
43.46
X
71110
003
XXX
0
X
119.43
X
71110
26
003
XXX
0
X
44.67
X
71110
002
XXX
0
X
126.24
X
71110
26
002
XXX
0
X
46.71
X
71110
TC
001
XXX
0
X
84.69
X
71110
TC
002
XXX
0
X
83.13
X
71110
TC
003
XXX
0
X
76.62
X
71110
TC
004
XXX
0
X
75.40
X
71111
001
XXX
0
X
147.04
X
71111
26
001
XXX
0
X
54.66
X
71111
TC
001
XXX
0
X
96.38
X
71111
002
XXX
0
X
149.46
X
71111
26
002
XXX
0
X
54.44
X
71111
TC
002
XXX
0
X
96.36
X
71111
003
XXX
0
X
136.95
X
71111
26
003
XXX
0
X
52.06
X
71111
TC
003
XXX
0
X
87.03
X
71111
004
XXX
0
X
133.34
X
71111
26
004
XXX
0
X
51.21
X
71111
TC
004
XXX
0
X
85.64
X
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