CPT CODES

EVALUATION CODES 
99281   Evaluation (Level 1)
99282   Evaluation (Level 2)                  Increasing
99283   Evaluation (Level 3)                 Severity
99284   Evaluation (Level 4)
99285   Evaluation (Level 5)
99281   Rabies Series, Follow Up
99281   Wound Check or Suture Removal
99281   Wound Check or Suture Removal (global)
CRITICAL CARE
99291   CRITICAL CARE (30/74 minutes)
99292   CRITICAL CARE (each add'l 30 minutes)
OBSERVATION
99218   OBS 1st Day - Low
99219   OBS 1st Day - Moderate
99220   OBS 1st Day - High
99217   OBS &  Discharge   (2nd Day Only)
99234   OBS & Dischg Same Day - Low
99235   OBS & Dischg Same Day - Moderate
99236   OBS & Dischg Same Day - High
MISCELLANEOUS
99288   Radio Direction of EMS
99175   Induced Emesis
CARDIAC
33010   Pericardiocentesis
33210   Temporary Transvenous Pacemaker
92950   Cardiopulmonary Resuscitation
92953   Temporary Transcut Pacemaker
92960   Cardioversion, Ext. Elective, Electrical
93010   Rhythm ECG interp and report only 12 lead
93042   Rhythm ECG,EKG Inter & report 3 Leads
93308   Echocardiopraphy Transthoracic(M-mode)
TUBES
94660   Bi/C-PAP -Initiate & Manage
51710   Change Cystostomy Tube; complicated
51705   Change Cystostomy Tube; simple
43760   Change Gastrostomy Tube
32551   Chest tube
31500   Endotracheal intub
43754   Gastric intubation & aspiration, diagnostic; single specimen
43753   Gastric intubation aspiration therapeutic require phys skill
51701   Insertion of non-indwelling bladder cath.(straight)
51703   Insertion of temporary indwelling bladder cath; complicated (foley)
51702   lnsertion of temporary indwelling bladder cath; simple (foley)
49082   Peritoneocentesis Abd. Paracentesis Peritoneal Lavage
32554  Thoracentesis W/O Imaging Guid
31605  Tracheostomy Emergency/Crycoid Membrane
32555  Thoracentesis With Imag Guid  
32556  Pleural Drainage W/O Imaging   
32557  Pleural Drainage With Imaging
VENOUS
36555   Central Venous line-under 5 yrs
36556   Central Venous line 5 or older
36680   Intraosseous Infusion
36410   Venipuncture Adult/Child (3 yrs or older)
36405   Venipuncture Child (less than 3 yrs)scalp
36406   Venipuncture Infant (less 3 yrs)
36420   Venous Cut-down (0 -1 yr)
36425   Venous Cut-down (Over 1 yr)
36593   Declotting by thrombolytic agent
ARTERIAL
36620   Arterial Catheterization
36600   Arterial Puncture
94760   Pulse Oximetry
ENT
30901   Anterior Epistaxis, Nsl pk, Pack/Cautery
31525   Direct Laryngoscopy
30300   FB Removal intranasal
31505   Indirect laryngoscopy
31575   Laryngoscopy, flex fiberoptic; diagnostic
31577   Laryngoscopy, flex fiberoptic; removal FB
92511   Nasopharyngoscopy (endoscope)
30905   Posterior Epistaxis Packing / Cautery
69200   Removal, FB Ext Canal
69210   Removal Impacted Cerumen
42809   Removal of FB from Pharynx
OPHTHALMOLOGY
65210   Removal of embedded FB subconj/scleral
65205   Removal surface FB conj superficial
65222   Removal surface FB cornea w/slit lamp
65220   Removal surface FB cornea w/o slit lamp
OB/GYN
57020   Colpocentesis
59409   Emergency Delivery/Vaginal Only
56420   I&D Bartholins Gland abscess
56405   I&D of Vulva/Perineal Abscess
COLO·RECTAL
46600   Anoscopy
46608   Anoscopy FB removal
45999   Fecal Disimpaction
46320   I&D Thrombosed hemorrhoid
45300   Proctoscopy
45330   Sigmoidoscopy
46040   I&D Perirectal Abscess
TRIGGER POINTS
20552  Inj(s);single/multiple trigger point(s),1/2 muscle(s)
20553  Inj(s);single/multiple trigger point(s),3 or more muscle(s)
WOUND REPAIR SIMPLE: Scalp neck, ext. genitalia,trunk, &/or extremities
12001  2.5cm (<1 font="" less="" or=""> 12002  2.6cm(1") <_l cm="" font=""> 12004  7.6cm (3") <_ cm="" font="" l=""> 12005  12.6cm (5")<_l cm="" font=""> 12006  20.1cm-30cm 12007  over 30cm WOUND REPAIR SIMPLE: Face,ears,eyelids, nose, lips and/or mucus membranes 12011  2.5cm (<1 font="" less="" or=""> 12013  2.6cm (1)<_l cm="" font=""> 12014  5.1cm (2")<_ cm="" font="" l=""> 12015  7.6cm(3")<_l cm="" font=""> 12016  12.6cm(5')<_l cm="" font=""> 12017  20.1cm-30cm 12018  over 30cm WOUND REPAIR SIMPLE:Tongue 41250  Anterior 2/3; 2.5cm «1") or less 41251  Posterior 1/3 41252  Repair tongue; L > 2.6cm (>1) or complex WOUND REPAIR INTERMEDIATE: Scalp,Axillae,trunk,prox.Extrem 12031  2.5cm(<1 font="" less="" or=""> 12032  2.6cm (1') 12034  7.6cm (3') <_l cm="" font=""> 12035  12.6cm (5") <_ cm="" font="" l=""> 12036  20.1cm (8") <_l cm="" font=""> 12037  Over 30 cm (12') WOUND REPAIR INTERMEDIATE: Neck, hand, foot, ext.genitalia 12041  2.5cm (<1 font="" less="" or=""> 12042  2.6cm (1") < L <_7 .5cm="" font=""> 12044  7.6cm (3') 12045  12.6cm (5') 12046  20.1cm (8') <_ cm="" font="" l=""> 12047  Over 30cm (12') WOUND REPAIR INTERMEDIATE: Face, ears, eyelids, nose, lips 12051  2.5cm (<1 font="" less="" or=""> 12052  2.6cm (1') < L>_5cm(<2 font=""> 12053  5.1cm (2") < L<_ 7.5cm="" font=""> 12054  7.6cm (3") 12055  12.6cm (5")<_l cm="" font=""> 12056  20.1cm (8") < L<_30cm font=""> 12057  Over 30cm (12") WOUND REPAIR COMPLEX:Trunk 13100  1.1cm <_l cm="" font="" l=""> 13101  2.6cm (1') <_l cm="" font=""> 13102  Each AddtI. 5cm or less WOUND REPAIR COMPLEX: Scalp, arm, leg, other 13120  1.1cm <_ cm="" font="" l=""> 13121  2.6cm (l') <_l cm="" font=""> 13122  Each Addtl. 5 cm or less WOUND REPAIR COMPLEX: Forehead, cheek, chin, mouth neck, genitalia, hands, feet 13131  1.1cm<_l cm="" font=""> 13132  2.6cm (1") <_l 7.5cm="" font=""> 13133  Each Addtl. 5 cm or less WOUND REPAIR COMPLEX: Eyelids, nose, ears, lip 13150  1.0cm or less 13151  1.1cm <_ cm="" font="" l=""> 13152  2.6cm <_ cm="" font="" l=""> 13153  Each AddtI. 5 cm or less DIAGNOSTIC ULTRASOUND 76857  Ultrasound, Limited, Pelvic, Non-Obstetric      76815  Ultrasound, Limited, Pregnant Uterus      76775  Ultrasound, Limited, Retroperitoneal      76705  Ultrasound, Limited, Abdominal    76882  US, extremity, nonvascular, w/ image doc; anatomic specific 93971  Duplex scan of extremity veins; unilateral or ltd study  76511  Ophthalmic ultrasound, diagnostic; quantitative A-scan only 49083  Abdominal paracentesis; with imaging guidance 76937  Ultrasonic guidance for vascular access 76942  Ultrasonic guidance for needle placement 76604  Ultrasound Chest, real time w/image documentation PREVENTIVE MED.(Child Welfare Exams) 99381  Less than 1 year old 99382  1-4 years old 99383  5-11 years old 99384  12-17 years old TOBACCO/ALCOHOL USAGE 99406  Counsel >3 up to 10 minutes (tobacco) 99407  Counsel > 10 minutes (tobacco) 99408  Alcohol/Substance screening 15-30 min. 99409  Alcohol/Substance screening > 30 min. BURNS 16000  1 Burn, local treatment only 16020  Burn, part thickness, sm: debride/dress 16025  Burn, part thickness, <_9 debride="" dress="" font=""> 16030  Burn, part thickness, >9% BSA:debride/dress 97597  Debridement; first 20 sq cm or less 97598  Debridement; each additional 20 sq cm or part thereof  I&D SubQ. ABSCESS (not fingertip) 10060  I&D Absc. Cyst/furuncle/paronychia, cutaneous/subcutaneous; simple 10061  I&D Absc. Cyst/furuncle/paronychia complicated or multiple 10140  I&D Hematoma 42700  I&D Peritonsillar abscess 10080  I&D Pilonidal cyst  10160  Punct Aspir of Hematoma cyst or absc  SubQ. FOREIGN BODY 10120  I&Removal subcut FB (simple) 10121  I&Removal subcut FB (complex)  SKIN (paring or cutting) 11055  Benign hyperkeratosis; 1 lesion  11056  Benign hyperkeratosis; 2-4 lesions  SPINAL TAP 62270  Spinal Tap  BONES AND JOINTS IMMOBILIZATION 29540  Ankle strapping 29260  Elbow or wrist strapping 29280  Hand/fingers strap 29530  Knee strapping 29200  Rib strapping 29240  Shoulder strapping 29550  Toe taping 29799  Unlisted procedure. casting or strapping 29580  Unna boot CASTING/Splinting (Plaster) 29405  Ankle (short leg) 29065  Elbow (long arm) 29130  Finger 29075  Hand or wrist (short arm) 29345  Knee (long leg) 29700  Removing/bivalving cast 29105  Long Arm Splint 29125  Short Arm Splint 29505  Long Leg Splint 29515  Short Leg Splint DISLOCATIONS 27840   Ankle 24600   Elbow 27250   Hip, traumatic 28660   Interphalangeal Toe 26770   Interphalangeal finger w/manipulation 28630   Metatarsophalangeal 26700   Metacarpophalangeal finger 27550   Knee Dislocation 27560   Patella 24640   Radial Head (Child Nursemaid Elbow) 23650   Shoulder w/manipulation 21480   Temporomandibular REDUCTION & IMMOBILIZATION 26600  Metacarpal fx, single:w/o manipulation 26605  Metacarpal w/manipulation 26700  Metacarpophalangeal dislocation finger w/manipulation 26755  DistalPhalanx,Fx finger,thumb;each w/manipulation 28495  Great Toe,fractured w/manipulation;each 28515  Toe w/manipulation:each 26725  Closed tx of prox or mid phalanx shaft fx w/ reduction, each 27810  Closed tx of bimalleolar ankle fx; with reduction 25605  Closed tx of distal radial fracture with reduction 26720  Closed tx of prox or mid phalanx fx; w/o reduction 26740  Closed tx of interph'l articular fx; w/o reduction, each 26750  Closed tx of distal phalangeal fx w/o manipulation, each 28490  Closed tx of fx great toe, phalanges; w/o reduction 28510  Closed tx of fx, toes 2-5, w/o reduction, each 23500  Closed tx of clavicular fx w/o reduction 24505  Closed tx of humeral shaft fx with reduction 23600  Closed tx of prox humerus fx w/o reduction 27816  Closed tx of trimalleolar ankle fx; with reduction 21800  Closed tx of rib fracture, uncomplicated each 21315  Closed tx of nasal bone fracture 25535  Closed tx of ulnar shaft fracture; with manipulation 25565  Closed tx of radial and ulnar shaft fx; w/ manipulation 25505  Radial Shaft fx w/manipulation 24675  Closed tx of Ulnar Fracture, Proximal end (Olecranon Process) with Manipulation 25690  Closed tx of Lunate Dislocation, with Manipulation 27232  Closed tx of femoral Fracture, proximal end, neck: with Manipulation 27781  Closed tx of Proximal Fibula or Shaft Facture:with Manipulation 27788  Closed tx of distal fibular facture:with manipulation 27818  Closed tx of Trimalleolar ankle facture: with Manipulation NAIL BED 11760  Repair of Nail Bed JOINTS and BURSA (aspiration and/or injection) 20600  Arthrocentesis, sm 20605  Arthrocentesis, intermediate 20610  Arthrocentesis, major ANESTH/ MODERATE SEDATION 99143  Consc.Sed.30 min.< 5yrs old(same phy) 99144  Consc.Sed.30 min.> 5 yrs old(same phy) 99145  Consc.Sed.add.15 min.(same physician) 99148  Consc.Sed.30 min.<5 diff="" font="" old="" phy="" yrs=""> 99149  Consc.Sed.30 min.>5 yrs old (diff phy) 99150  Consc.Sed.add.15 min. (diff physician) 64400  Nerve block (Trigeminal) any division or branch 64450  Nerve block (peripheral) 66402  Nerve block (Facial) any division or branch 11730  Avulsion of nail part/comp 11740  Subungual hematoma evacuation 11750  Excision of nail, part/complete 26011  Drainage of felon MODIFIERS DC  Down Code ("DC")  GC  Resident Modifier ("GC") NC  No Charge T   Tissue Adhesive, Derma Bond ("T") (Needs an additional CPT)

U   Unsuccessful Procedure ("U)

Cedar Creek Kayak Trip

On August 8th we took a trip down Cedar Creek located in Double Trouble State Park, Ocean County, NJ.
I was a great day to kayak with perfect weather and warm water. we started about 9 am in the morning and finished at 2:30 PM.

It was a great time for everyone.

Bamber Lake Kayaking Trip

On August 7th we kayaked and fished Bamber Lake in Ocean County, NJ

Not even a bite to report, then again we went late in the day

On August 6th we kayaked Tom's River in Ocean County NJ.

Some photo's of the fleet. Both kayaks are made by "Ocean Kayak" The red is a "Caper" and the orange is a "Prowler Big Game. The water in the background is Lake Hopatcong, New Jersey. Lake Hopatcong is our home base for all our kayaking adventures.




















The kayaks shot from the front appear vastly difference in size. The red "Caper" is 11 feet long but seems so much smaller then the 13 foot "Prowler".