Orthopedic Surgery

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Placement of stabilizing device to back, 3-6 spine bone segments	22842	6,994	6,873
Correction of toe joint deformity	28285	7,046	3,820
Injection of carpal tunnel	20526	7,047	5,926
Injection into tendon at attachment to bone or muscle	20551	7,058	4,683
Complete ultrasound scan of joint	76881	7,209	5,050
X-ray of pelvis, minimum of 3 views	72190	7,278	5,268
Fusion of spine in lower back	22612	7,471	7,356
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	99231	7,764	4,712
Release of wrist ligament using an endoscope	29848	7,838	6,729
X-ray of hand, 2 views	73120	7,909	5,638
Mri scan of upper spinal canal without contrast	72141	7,920	7,476
Removal of skin and tissue, 20.0 sq cm or less	11042	7,994	2,342
Destruction of peripheral nerve or branch	64640	8,042	1,861
X-ray of shoulder, 1 view	73020	8,106	6,658
X-ray of middle spine, 2 views	72070	8,469	7,191
Application of blood vessel compression device	97016	8,644	2,981
Cast supplies, short leg cast, adult (11 years +), fiberglass	Q4038	8,655	5,452
X-ray of joints, multiple	77077	8,904	7,977
Evaluation for physical therapy, typically 20 minutes	97161	9,250	8,721
Ultrasonic guidance for needle placement	76942	9,555	7,874
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	64483	9,765	6,902
Partial removal of collar bone at shoulder using an endoscope	29824	9,933	9,840
X-ray of hip, minimum of 4 views	73503	10,681	8,932
Insertion of needle into vein for collection of blood sample	36415	12,132	10,794
Removal of extensive shoulder joint tissue using an endoscope	29823	12,459	12,270
Imaging guidance for procedure, 60 minutes or less	76000	12,618	10,951
X-ray of elbow, 2 views	73070	12,856	9,167
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment	63047	12,974	12,850
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	13,412	8,531
X-ray of shoulder blade	73010	13,887	10,926
X-ray for bone length assessment	77073	14,026	12,935
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment	63048	14,091	8,054
Injection of trigger points, 1-2 muscles	20552	14,540	10,049
Musculoskeletal surgical navigational orthopedic operation using imaging guidance	0055T	14,610	13,974
X-ray of both hips, 2 views	73521	14,823	13,805
Therapy procedure in a group setting	97150	15,346	2,376
New patient office or other outpatient visit, 15-29 minutes	99202	16,670	16,669
Incision of tendon covering of finger	26055	17,750	12,896
X-ray of both hips, 3-4 views	73522	18,000	17,194
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	27236	18,566	18,417
X-ray of upper spine, 4-5 views	72050	19,751	18,583
X-ray of foot, 2 views	73620	19,803	14,523
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	G0283	19,875	5,052
X-ray of elbow, minimum of 3 views	73080	20,299	15,019
Injection of drug or substance under skin or into muscle	96372	20,518	12,427
X-ray of wrist, 2 views	73100	20,591	11,616
Release and/or relocation of hand nerve	64721	21,057	18,611
Fusion of additional segment of spine	22614	22,040	7,376
Insertion of cage or mesh device to spine bone and disc space during spine fusion	22853	22,146	13,453
Test or measurement for functional capacity, each 15 minutes	97750	22,576	10,333
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes	99221	23,052	22,714
Shaving of part of shoulder bone and repair of ligament using an endoscope	29826	23,974	23,731
X-ray of ankle, 2 views	73600	24,009	18,376
Repair of shoulder rotator cuff using an endoscope	29827	24,261	23,953
Fluoroscopic guidance for needle placement	77002	25,868	16,727
New patient office or other outpatient visit, 60-74 minutes	99205	26,216	26,215
X-ray of finger, minimum of 2 views	73140	26,351	19,382
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	G0180	29,001	27,352
Mri scan of arm joint without contrast	73221	30,536	27,859
Treatment of broken neck of thigh bone with bone implant	27245	31,119	30,951
X-ray of thigh bone, minimum 2 views	73552	31,895	18,775
Mri scan of lower spinal canal without contrast	72148	33,221	31,018
X-ray of upper spine, 2-3 views	72040	36,376	30,791
X-ray of both knees while standing	73565	38,062	33,745
X-ray of hip, 1 view	73501	38,549	30,034
Prosthetic repair of shoulder joint, total shoulder	23472	42,918	42,042
Aspiration and/or injection of fluid from small joint	20600	44,565	30,235
Mri scan of leg joint without contrast	73721	47,742	43,015
Aspiration and/or injection of fluid from medium joint	20605	48,313	35,195
Computer-assisted surgery for muscle and bone procedure	20985	48,699	46,434
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	55,343	54,425
Therapy procedure using functional activities	97530	55,954	12,041
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	97112	58,577	12,536
X-ray of lower and sacral spine, minimum of 4 views	72110	64,042	60,602
X-ray of pelvis, 1-2 views	72170	76,220	67,865
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99222	77,557	76,545
Injection into tendon or ligament	20550	80,054	58,442
X-ray of hand, minimum of 3 views	73130	86,958	64,746
X-ray of wrist, minimum of 3 views	73110	88,383	52,739
Established patient office or other outpatient visit, 40-54 minutes	99215	99,988	85,441
Injection, bupivacaine liposome, 1 mg	C9290	102,808	390
Therapy procedure using manual technique, each 15 minutes	97140	104,113	18,980
Replacement of thigh bone and hip joint with prosthesis	27130	122,055	118,344
X-ray of lower and sacral spine, 2-3 views	72100	149,673	126,789
X-ray of ankle, minimum of 3 views	73610	185,358	116,469
Aspiration and/or injection of fluid large joint using ultrasound guidance	20611	222,423	117,498
Replacement of knee joint, both sides of knee	27447	228,643	217,661
X-ray of foot, minimum of 3 views	73630	263,637	167,928
X-ray of knee, 1-2 views	73560	267,984	184,139
Established patient office or other outpatient visit, 10-19 minutes	99212	279,222	225,986
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	97110	294,267	34,207
X-ray of knee, 4 or more views	73564	522,185	406,935
X-ray of hip, 2-3 views	73502	531,089	399,634
X-ray of shoulder, minimum of 2 views	73030	583,412	417,904
New patient office or other outpatient visit, 45-59 minutes	99204	605,311	605,259
New patient office or other outpatient visit, 30-44 minutes	99203	613,905	613,856
X-ray of knee, 3 views	73562	639,757	451,461
Aspiration and/or injection of fluid from large joint	20610	1,700,426	1,014,801
Established patient office or other outpatient visit, 30-39 minutes	99214	1,870,381	1,383,003
Established patient office or other outpatient visit, 20-29 minutes	99213	2,699,538	1,841,347

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Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).