G0033
Isolated limb perfusion in patient with sarcoma
98 016,00
G0035
Interventional neuroradiology for intracranial aneurysm embolization/occlusion by catheterization, including use of stent, eg, SILK, and coils
86 099,00
G0036
Insertion of intraocular lens, lens included
7 589,00
G0037
Tension free vaging tape for incontinence (TVT)
7 770,00
G0045
Mastectomy, bilateral
23 776,00
G0047
Breast reconstruction, bilateral
26 098,00
G0048
Breast reconstruction following mastectomy, bilateral
45 692,00
G0049
Breast reconstruction following mastectomy, unilateral
27 697,00
G0050
Breast reconstruction, unilateral, including nipple reconstruction
22 960,00
G0051
Mastectomy, unilateral
15 848,00
G0054
Lower extremities veins surgery, including varicose veins
10 718,00
G0055
Blood vessels surgery, including nonautogenous graft
56 044,00
G0057
Lung transplantation
341 603,00
G0058
Heart-lung transplant
478 248,00
G0059
Bone marrow transplantation; allogenic
317 168,00
G0060
Bone marrow transplantation; autologous
208 378,00
G0061
Renal and/or pancreas transplantation
227 736,00
G0062
Heart transplantation
G0063
Liver transplantation
984 369,00
G0064
Corneal surgery, including cost of cornea
19 516,00
G0066
Inguinal/femoral hernia repair, hospital day care
5 196,00
G0067
Craniotomy
63 558,00
G0070
Open prostatectomy
18 011,00
G0072
Heart surgery, including bypass
74 142,00
G0073
Diagnostic catheterization
14 341,00
G0074
Therapeutic catheterization, excluding cardiac catheterization
33 607,00
G0075
Hysterectomy
14 837,00
G0077
Transurethral prostatectomy
11 128,00
G0078
Hospital circumcision, excluding newborn
3 485,00
G0083
Osteotomy of spine, including implants, diskectomy
27 655,00
G0084
Osteotomy of spine, including implants - other surgeries
50 785,00
G0085
Cardiac catheterization, therapeutic, including insertion of drug eluting stent(s)
40 303,00
G0089
Treatment of heavy burns
193 637,00
G0090
Treatment of medium burns
110 645,00
G0096
Laparoscopic gastric banding, excluding band cost
12 131,00
G0100
Additional charge for DRG in multiple trauma, admission from ER
11 480,00
G0101
ORIF/CRIF of pelvis, closed/open fracture
59 900,00
G0102
Arthroplasty with prosthetic replacement/implant of radial head, excluding open fracture
35 016,00
G0103
Arthroplasty with prosthetic replacement/implant of radial head, open fracture
57 600,00
G0104
ORIF of foot, closed fracture, excluding calcaneus
37 856,00
G0105
ORIF of foot, open fracture, excluding calcaneus
G0106
ORIF of calcaneus/operation on femur, excluding neck, closed fracture
30 413,00
G0107
ORIF of calcaneus/operation on femur, excluding neck, open fracture
47 633,00
G0108
Operation on clavicle/humerus/forearm, closed fracture, including closed dislocation of acromioclavicular joint, excluding distal humerus and shaft of radius/ulna, including bone graft
26 050,00
G0109
Operation on clavicle/humerus/forearm, open fracture, including open dislocation of acromioclavicular joint, excluding distal humerus and shaft of radius/ulna
38 792,00
G0110
ORIF/CRIF/EF of tibia and/or fibula, closed fracture
35 125,00
G0111
ORIF/CRIF/EF of tibia and/or fibula, open fracture, including use of bone marrow aspiration concentrate
60 466,00
G0112
ORIF of patella/ankle / CRIF of calcaneus, closed fracture
21 333,00
G0113
ORIF of patella/ankle / CRIF of calcaneus, open fracture
35 349,00
G0114
CRIF of ankle/foot, closed fracture, excluding calcaneus
11 970,00
G0115
CRIF of ankle/foot, open fracture, excluding calcaneus
22 527,00
G0116
Exploration of tendon/nerve of upper limb, including ganglion decompression/lysis of adhesions
7 490,00
G0117
Suture of extensor tendons of hand, including delayed suture
12 642,00
G0118
Suture of tendons/nerves of upper limb, including delayed suture, excluding extensor tendons of hand
21 641,00
G0120
ORIF/EF of phalange of hand, closed fracture, including bone graft
12 909,00
G0121
ORIF/EF of phalange of hand, open/complex fracture
19 122,00
G0122
ORIF/EF of phalange of hand, with suture of tendons/nerves, closed/open fracture
28 874,00
G0123
ORIF/EF of phalanges of hand, closed fractures, including bone graft
18 779,00
G0124
ORIF/EF of phalanges of hand, open/complex fractures
25 467,00
G0125
ORIF/EF of phalanges of hand, with suture of tendons/nerves, closed/open fractures
35 219,00
G0126
ORIF/EF of metacarpal, closed fracture, including bone graft
14 219,00
G0127
ORIF/EF of metacarpal, open/complex fracture
20 539,00
G0128
ORIF/EF of metacarpal, with suture of tendons/nerves, closed/open fracture
30 291,00
G0129
ORIF/EF of metacarpals, closed fractures, including bone graft
22 109,00
G0130
ORIF/EF of metacarpals, open/complex fractures
29 067,00
G0131
ORIF/EF of metacarpals, with suture of tendons/nerves, closed/open fractures
38 821,00
G0132
ORIF of carpal(s), closed fracture, including bone graft
18 817,00
G0133
ORIF of carpal(s), open/complex fracture, including bone graft
25 507,00
G0134
ORIF of carpal(s), with suture of tendons/nerves, closed/open fracture, including bone graft
35 260,00
