ACL repair/augmentation/reconstruction

Arthrocentesis (drainage) of small joint

Arthroscopy, ankle, surgical; debridement

Arthroscopy, ankle, surgical, excision of osteochondral defect

Arthroscopy, ankle, surgical; foreign body removal

Arthroscopy, knee, surgical; with lateral release

Arthroscopy, shoulder, diagnostic

Arthroscopy, shoulder, surgical

Bi-lateral (combined anterior/posterior) spinal fusion

Carpal tunnel release

Carpal Tunnel Release

Correction, hallux valgus

Correction, hammertoe

Distal radius ORIF

Distal radius ORIF; complex

Draining or injecting medication into a large joint/bursa without ultrasound

Draining or injecting medication into a major joint/bursa without ultrasound

Excision, interdigital neuroma

Excision of nail and nail matrix

Excision, olecranon bursa

Excision; trochanteric bursa or calcification

Excision, tumor, soft tissue of foot or toe; subcutaneous

Fasciectomy, plantar fascia

Gastrocnemius recession

Hallux rigidus correction with cheilectomy

Hand/finger lesion excision

Incision, extensor tendon sheath, wrist

Injection of medication into an are that triggers pain

Injection of medication into a tendon or ligament

Injection of medication into the tendon/ligament origin

Injection of substance into spinal canal of lower back or sacrum using imaging guidance

Injection of substance into spinal canal of upper or middle back using imaging guidance

Joint replacement (hip or knee)

Knee arthroscopic cartilage removal

Knee arthroscopic chrondoplasty

Lower extremity and humerus procedures except hip, foot and femur

Major joint/limb reattachment procedure of upper extremities

Manipulation of knee joint under general anesthesia

Neuroplasty and/or transposition; ulnar nerve

Neurostimulator pulse generator

Ostectomy, partial excision

Reinsertion of ruptured biceps or triceps tendon

Removal of implant; deep

Repair of knee joint

Repair, primary, ruptured Achilles tendon;

Repair, tendon or muscle, upper arm or elbow

Shoulder arthroscopy

Shoulder arthroscopy with bone shaving

Spinal fusion (cervical)

Spinal fusion except cervical

Surgery to remove of all or part of a torn meniscus in both medial and lateral compartments

Suture of infrapatellar tendon; primary

Suture of quadriceps or hamstring muscle rupture; primary

Tendon sheath incision

Total hip replacement

Total knee replacement

Total shoulder replacement

Treatment of acromioclavicular dislocation

Treatment of bimalleolar ankle fracture

Treatment of clavicular fracture

Treatment of metatarsal fracture