Trauma Surgery
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Application of light to destroy precancer skin growth | 25 |
| Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth | 25 |
| Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 25 |
| Imaging of lymph nodes during surgery | 25 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 26 |
| Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope | 26 |
| Ct scan of abdomen and pelvis before and after contrast | 28 |
| Insertion of cage or mesh device to spine bone and disc space during spine fusion | 29 |
| Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 30 |
| Partial removal of breast | 31 |
| Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | 33 |
| Mri scan of pelvis before and after contrast | 33 |
| Creation of brain fluid drainage shunt, ventriculo-peritoneal, -pleural, other terminus | 36 |
| Insertion of needle into vein (3 years or older) | 36 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 39 |
| Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 43 |
| Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 44 |
| Initial repair of sliding hernia of abdomen, 3-10 cm in length | 44 |
| Insertion of central venous tube with port (5 years or older) | 46 |
| Ultrasound scan of head and neck soft tissue | 46 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 47 |
| Ultrasound of heart | 47 |
| Complete ultrasound scan behind abdominal cavity | 48 |
| Mri scan of abdomen before and after contrast | 51 |
| Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 53 |
| Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 55 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 55 |
| Biopsy of large bowel using a flexible endoscope | 58 |
| Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less | 59 |
| Fusion of spine bones through front of body with partial removal of disc, each additional disc | 60 |
| Removal or exploration of parathyroid glands | 62 |
| Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm | 67 |
| Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 69 |
| Ultrasonic guidance for blood vessel access | 73 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 75 |
| Telephone medical discussion with physician, 11-20 minutes | 76 |
| Emergency department visit with straightforward medical decision making | 81 |
| Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 82 |
| Incision of windpipe for insertion of breathing tube (older than 2 years) | 82 |
| Telephone medical discussion with physician, 21-30 minutes | 84 |
| Repair of groin hernia (5 years or older) | 84 |
| Application of chemical to stop tissue regrowth in wound | 85 |
| Removal of skin and tissue, each additional 20.0 sq cm or less | 85 |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 87 |
| X-ray of abdomen, 1 view | 89 |
| Complete ultrasound study of arm and leg arteries | 91 |
| New patient office or other outpatient visit, 15-29 minutes | 92 |
| Coagulation function screening test with interpretation and report | 95 |
| Complete ultrasound scan of abdomen | 96 |
| Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm | 97 |
| Fusion of lower spine bone through abdomen with partial removal of disc | 102 |
| Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 108 |
| Ct scan of abdomen and pelvis without contrast | 115 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 130 |
| Removal of gallbladder with x-ray study of bile ducts using an endoscope | 136 |
| Repair of groin hernia using an endoscope | 142 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 147 |
| Insertion of stomach tube using a flexible endoscope | 148 |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 152 |
| Limited ultrasound scan behind abdominal cavity | 186 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 208 |
| Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 216 |
| Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 233 |
| Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 283 |
| Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 298 |
| Management of oxygen chamber therapy | 304 |
| Removal of bone, 20.0 sq cm or less | 310 |
| Ultrasound scan of chest | 311 |
| Insertion of artery tube for blood sampling or infusion through skin | 343 |
| Removal of muscle and/or tissue, 20.0 sq cm or less | 347 |
| Established patient office or other outpatient visit, 40-54 minutes | 348 |
| Removal of skin and tissue, 20.0 sq cm or less | 376 |
| New patient office or other outpatient visit, 60-74 minutes | 387 |
| Ct scan of abdomen and pelvis with contrast | 415 |
| Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 417 |
| Removal of gallbladder using an endoscope | 432 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 497 |
| Removal of bone, each additional 20.0 sq cm or less | 653 |
| Ultrasound of heart, follow-up | 762 |
| Emergency department visit with high level of medical decision making | 826 |
| Emergency department visit with low level of medical decision making | 929 |
| Limited ultrasound scan of abdomen | 984 |
| Critical care, each additional 30 minutes | 1,050 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 1,116 |
| Established patient office or other outpatient visit, 10-19 minutes | 1,186 |
| New patient office or other outpatient visit, 30-44 minutes | 1,369 |
| Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 1,512 |
| New patient office or other outpatient visit, 45-59 minutes | 1,547 |
| Established patient office or other outpatient visit, 30-39 minutes | 1,821 |
| Emergency department visit with moderate level of medical decision making | 1,824 |
| Hospital discharge day management, more than 30 minutes | 2,003 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 3,246 |
| Established patient office or other outpatient visit, 20-29 minutes | 3,590 |
| Hospital discharge day management, 30 minutes or less | 5,023 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 15,357 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16,486 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17,380 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 25,091 |
| Critical care, first 30-74 minutes | 35,167 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 58,887 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).