Transplant Surgery
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Removal or exploration of parathyroid glands | 25 |
| Removal of gallbladder with x-ray study of bile ducts using an endoscope | 25 |
| Dialysis services, 1 physician visit per month (20 years or older) | 25 |
| Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes | 26 |
| Incision of bladder with insertion of tube or stent in ureter | 27 |
| Electronic analysis of implanted gastric neurostimulator generator during surgery with programming | 27 |
| Ultrasound of leg arteries or artery grafts | 31 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 |
| Revision of hemodialysis graft with removal of blood clot | 31 |
| Insertion of peripheral or gastric neurostimulator generator | 31 |
| Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist | 32 |
| Insertion of stent in ureter using an endoscope | 33 |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 34 |
| Partial removal of pancreas, bile duct, and small bowel with connection of pancreas to small bowel | 34 |
| Other procedure on blood vessel | 36 |
| Other procedure on stomach using an endoscope | 37 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 38 |
| Ultrasonic guidance for needle placement | 38 |
| Strapping, unna boot | 39 |
| Ct scan of abdomen with contrast | 40 |
| Removal of infected graft of arm or leg | 41 |
| Destruction of growths of liver using an endoscope | 44 |
| Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 47 |
| Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 48 |
| Repair of groin hernia (5 years or older) | 49 |
| Biopsy of large bowel using a flexible endoscope | 49 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 50 |
| Biopsy or removal of lymph nodes | 51 |
| Repair of aneurysm or arm artery with graft | 56 |
| Insertion of central venous tube with port (5 years or older) | 57 |
| Ultrasonic guidance for blood vessel access | 58 |
| Measurement of liver stiffness | 58 |
| Removal of skin and tissue, 20.0 sq cm or less | 59 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 59 |
| Alpha-fetoprotein (afp) level, serum | 59 |
| Telephone medical discussion with physician, 5-10 minutes | 60 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 65 |
| Fusion of spine bones through front of body with partial removal of disc, each additional disc | 70 |
| Removal of blood clot from hemodialysis graft | 78 |
| Preparation of donor liver for transplantation | 81 |
| Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes | 82 |
| Evaluation of lower heart chamber assist device | 84 |
| Removal of tunneled central venous tube | 102 |
| Telephone medical discussion with physician, 11-20 minutes | 103 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 115 |
| Diagnostic exam of bladder and urethra using an endoscope | 124 |
| Fusion of lower spine bone through abdomen with partial removal of disc | 124 |
| Ultrasound measurement of bladder capacity after voiding | 125 |
| Dialysis services, 2-3 physician visits per month (20 years or older) | 125 |
| Blood test, comprehensive group of blood chemicals | 129 |
| Automated urinalysis test | 137 |
| Balloon dilation of dialysis segment with review by radiologist | 146 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 147 |
| Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access | 154 |
| Telephone medical discussion with physician, 21-30 minutes | 155 |
| Insertion of tunneled central venous tube for infusion (5 years or older) | 156 |
| Home dialysis services per month (20 years or older) | 157 |
| Removal of kidney from living donor using an endoscope | 159 |
| Hemodialysis procedure with physician evaluation | 167 |
| Insertion of abdominal cavity tube using an endoscope | 167 |
| New patient office or other outpatient visit, 15-29 minutes | 169 |
| Ultrasonic guidance during surgery | 177 |
| Needle biopsy of kidney | 183 |
| Preparation of donor kidney and arteries for transplantation | 207 |
| Creation of artery-vein connection using tube graft for hemodialysis | 217 |
| Revision of hemodialysis graft | 230 |
| Preparation of living donor kidney for transplantation | 232 |
| Tying or banding of surgically created artery-vein connection | 246 |
| Transplantation of donor liver | 251 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 255 |
| Preparation of donor kidney and ureter for transplantation | 256 |
| Advance care planning, first 30 minutes | 282 |
| Biopsy of kidney | 287 |
| Removal of abdominal cavity tube | 318 |
| Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 332 |
| Relocation of arm vein with connection to arm artery for hemodialysis | 347 |
| Dialysis services, 4 or more physician visits per month (20 years or older) | 363 |
| Ultrasound of hemodialysis access | 449 |
| Insertion of needle into vein for collection of blood sample | 457 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 491 |
| Established patient office or other outpatient visit, 10-19 minutes | 549 |
| Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 597 |
| Critical care, first 30-74 minutes | 601 |
| New patient office or other outpatient visit, 30-44 minutes | 845 |
| Hospital discharge day management, more than 30 minutes | 848 |
| Insertion of stent in ureter | 904 |
| Hospital discharge day management, 30 minutes or less | 1,028 |
| Preparation of donor kidney and veins for transplantation | 1,138 |
| New patient office or other outpatient visit, 45-59 minutes | 1,939 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 2,361 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 2,362 |
| New patient office or other outpatient visit, 60-74 minutes | 2,374 |
| Established patient office or other outpatient visit, 40-54 minutes | 4,336 |
| Preparation of donor kidney for transplantation | 4,535 |
| Established patient office or other outpatient visit, 20-29 minutes | 6,449 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 6,550 |
| Transplantation of donor kidney | 6,614 |
| Established patient office or other outpatient visit, 30-39 minutes | 8,282 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 14,267 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 25,635 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).