ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE

OFFICE OUTPATIENT VISIT 15 MINUTES

CPT 99213

ER Visit — High Complexity

CPT 99285

Hip Replacement

CPT 27130

TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW

CPT 27245

Knee Replacement

CPT 27447

ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR

CPT 29827

Knee Arthroscopy

CPT 29881

COLLECTION VENOUS BLOOD VENIPUNCTURE

CPT 36415

Tonsillectomy & Adenoidectomy (under 12)

CPT 42820

Tonsillectomy & Adenoidectomy (12+)

CPT 42821

Upper GI Endoscopy w/ Biopsy

CPT 43239

Appendectomy

CPT 44950

Colonoscopy

CPT 45378

Colonoscopy w/ Biopsy

CPT 45380

Laparoscopic Cholecystectomy

CPT 47562

Inguinal Hernia Repair

CPT 49505

Recurrent Inguinal Hernia Repair

CPT 49520

Laparoscopic Hernia Repair

CPT 49650

Vaginal Delivery

CPT 59400

C-Section

CPT 59510

VBAC Delivery

CPT 59610

NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL

CPT 64483

Cataract Surgery — Complex

CPT 66982

Cataract Surgery

CPT 66984

MRI Brain w/o Contrast

CPT 70551

MRI Brain w/ Contrast

CPT 70553

Chest X-Ray (1 view)

CPT 71045

Chest X-Ray (2 views)

CPT 71046

CT Chest

CPT 71250

Thoracic Spine X-Ray

CPT 72072

MRI Joint of Lower Extremity

CPT 73721

CT Abdomen & Pelvis

CPT 74177

Abdominal Ultrasound

CPT 76700

Abdominal Ultrasound — Limited

CPT 76705

Retroperitoneal Ultrasound

CPT 76770

OB Ultrasound

CPT 76805

Diagnostic Mammogram (unilateral)

CPT 77065

Diagnostic Mammogram (bilateral)

CPT 77066

Screening Mammogram (bilateral)

CPT 77067

COMPREHENSIVE METABOLIC PANEL

CPT 80053

BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC

CPT 85025

PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES

CPT 90837

EKG

CPT 93000

EKG Tracing

CPT 93005

EKG Interpretation

CPT 93010

Echocardiogram w/ Doppler

CPT 93306

Echocardiogram

CPT 93307

Mechanical Traction

CPT 97012

Therapeutic Exercises

CPT 97110

Therapeutic Activities

CPT 97530

ER Visit — Low-Moderate Complexity

CPT 99283

ER Visit — Moderate Complexity

CPT 99284