ADAM SAVAGE, M.D.

Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance

Treatment of broken lower spine bone with placement of stabilizing device

Treatment of broken spine bone with stabilizing device, each additional segment

Insertion of spinal neurostimulator electrode array through skin

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose

Fusion of sacroiliac joint between spine and pelvis with bone graft, accessed through skin using imaging guidance

Placement of stabilizing device to lower spine level

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

Insertion of spinal neurostimulator generator or receiver

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

Injection of substance into middle or upper spine canal using imaging guidance

Injection of substance into lower spine canal using imaging guidance

Injection of upper or middle spine facet joint using imaging guidance, single level

Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint

Injection of lower or sacral spine facet joint using imaging guidance, single level

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint

Evaluation of neuropsychological test, first hour

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level

Evaluation of psychological test, first hour

Ultrasonic guidance for needle placement

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance

Injection of upper or middle spine facet joint using imaging guidance, second level

Injection of lower or sacral spine facet joint using imaging guidance, second level

New patient office or other outpatient visit, 45-59 minutes

X-ray lower and sacral spine, minimum of 6 views

Established patient office or other outpatient visit, 30-39 minutes

Aspiration and/or injection of fluid from large joint

X-ray of lower and sacral spine, minimum of 4 views

X-ray of upper spine, 4-5 views

Established patient office or other outpatient visit, 20-29 minutes

Administration of psychological or neuropsychological test by technician, first 30 minutes

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes

X-ray of middle spine, 3 views

X-ray of hip, 2-3 views

X-ray of knee, 3 views

X-ray of shoulder, minimum of 2 views

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

Annual depression screening, 5 to 15 minutes

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

Injection, dexamethasone sodium phosphate, 1 mg