Outpatient Hospital Fee Schedule Reference Extract

RF739 - Surgery Bundling Exception Procedures
Procedure FromProcedure ToAction CodeBegin DateEnd Date
A4554A4554052005070120080930
A4642A4642052008100120110930
A4642A4643052005070120080930
A4647A4649052005070120080930
A9500A9500052008100120110930
A9500A9605052005070120080930
A9502A9502052008100120110930
A9504A9504052009100120110930
A9505A9505052008100120110930
A9507A9507052008100120110930
A9508A9508052008100120110930
A9510A9510052009100120110930
A9511A9511052009100199999999
A9516A9516052008100120110930
A9517A9517052008100199999999
A9521A9521052008100120110930
A9524A9524052008100120110930
A9526A9526052008100120110930
A9527A9527052008100120110930
A9528A9528052008100120110930
A9529A9529052009100120110930
A9530A9530052008100199999999
A9531A9531052009100120110930
A9532A9532052009100120110930
A9535A9535052009100199999999
A9536A9536052008100120110930
A9539A9539052008100120110930
A9542A9542052008100120110930
A9543A9543052008100199999999
A9544A9544052008100120110930
A9545A9545052008100199999999
A9546A9546052008100120110930
A9547A9547052008100120110930
A9548A9548052008100120110930
A9549A9549052009100199999999
A9550A9550052008100120110930
A9551A9551052008100120110930
A9552A9552052008100120110930
A9553A9553052008100120110930
A9554A9554052009100120110930
A9555A9555052008100120110930
A9556A9556052008100120110930
A9557A9557052008100120110930
A9559A9559052008100120110930
A9560A9560052008100120110930
A9562A9562052008100120110930
A9563A9563052008100199999999
A9564A9564052008100199999999
A9565A9565052008100199999999
A9566A9566052008100120110930
A9567A9567052008100120110930
A9568A9568052008100120110930
A9581A9581052010010120110930
A9582A9582052010010199999999
A9583A9583052010010199999999
A9584A9584052012010199999999
A9600A9600052008100199999999
A9604A9604052010010199999999
A9605A9605052008100199999999
B4034B4086052005070120080930
B4149B4155052005070120080930
B4164B9006052005070120080930
C1079C1079052009100199999999
C1079C1305052005070120080930
C1080C1080052009100199999999
C1081C1081052009100199999999
C1082C1082052009100199999999
C1083C1083052009100199999999
C1091C1091052009100199999999
C1092C1092052009100199999999
C1122C1122052009100199999999
C1178C1178052009100199999999
C1200C1200052009100199999999
C1201C1201052009100199999999
C1305C1305052009100199999999
C1716C1716052008100120110930
C1717C1717052008100120110930
C1718C1718052009100199999999
C1719C1719052008100120110930
C1720C1720052009100199999999
C1749C1749052011100199999999
C1775C1775052005070120080930
C1775C1775052009100199999999
C1783C1783052009100120110930
C1814C1814052009100120110930
C1818C1818052009100120110930
C1819C1819052009100120110930
C1820C1820052008100120110930
C1821C1821052008100120110930
C1884C1884052009100120110930
C1888C1888052009100120110930
C1900C1900052009100120110930
C2614C2614052009100120110930
C2616C2616052008100120110930
C2632C2632052009100199999999
C2633C2633052009100199999999
C2634C2634052008100120110930
C2635C2635052008100120110930
C2636C2636052008100120110930
C2637C2637052008100120110930
C2638C2638052008100120110930
C2639C2639052008100120110930
C2640C2640052008100120110930
C2641C2641052008100120110930
C2642C2642052008100120110930
C2643C2643052008100120110930
C2698C2698052008100120110930
C2699C2699052008100120110930
C8900C9716052005070120080930
C9003C9003052008100199999999
C9008C9008052009100199999999
C9009C9009052009100199999999
C9013C9013052009100199999999
C9105C9105052009100199999999
C9109C9109052009100199999999
C9112C9112052009100199999999
C9113C9113052009100120110930
C9121C9121052008100199999999
C9123C9123052009100199999999
C9124C9124052009100199999999
C9125C9125052009100199999999
C9127C9127052009100199999999
C9128C9128052009100199999999
C9200C9200052009100199999999
C9201C9201052009100199999999
C9202C9202052009100199999999
C9203C9203052009100199999999
C9205C9205052009100199999999
C9206C9206052009100199999999
C9207C9207052009100199999999
C9208C9208052009100199999999
C9209C9209052009100199999999
C9210C9210052009100199999999
C9211C9211052009100199999999
C9212C9212052009100199999999
C9213C9213052009100199999999
C9214C9214052009100199999999
C9215C9215052009100199999999
C9216C9216052009100199999999
C9217C9217052009100199999999
C9218C9218052009100199999999
C9219C9219052009100120110930
C9220C9220052009100199999999
C9221C9221052009100199999999
C9222C9222052009100199999999
C9223C9223052009100199999999
C9224C9224052009100199999999
C9225C9225052009100199999999
C9226C9226052009100199999999
C9227C9227052009100199999999
C9228C9228052009100199999999
C9229C9229052009100199999999
C9230C9230052009100199999999
C9232C9232052008100199999999
C9233C9233052008100199999999
C9234C9234052008100199999999
C9235C9235052008100199999999
C9236C9236052008100199999999
C9237C9237052009100199999999
C9238C9238052009100199999999
C9239C9239052009100199999999
C9240C9240052009100199999999
C9241C9241052009100199999999
C9242C9242052009100199999999
C9245C9245052009010199999999
C9246C9246052009010199999999
C9248C9248052009010199999999
C9249C9249052009040199999999
C9250C9250052009070199999999
C9251C9251052009070199999999
C9252C9252052009070199999999
C9253C9253052009070199999999
C9254C9254052010010199999999
C9255C9255052010010199999999
C9256C9256052010010199999999
C9257C9257052010010199999999
C9258C9258052010040199999999
C9259C9259052010040199999999
C9260C9260052010040199999999
C9261C9261052010040199999999
C9262C9262052010040199999999
C9263C9263052010040199999999
C9264C9264052010070199999999
C9265C9265052010070199999999
C9266C9266052010070199999999
C9267C9267052010070199999999
C9268C9268052010070199999999
C9270C9270052011100199999999
C9272C9272052011100199999999
C9274C9274052011010199999999
C9275C9275052011010199999999
C9276C9276052011010199999999
C9277C9277052011010199999999
C9278C9278052011010199999999
C9279C9279052011010199999999
C9280C9280052011040199999999
C9281C9281052011040199999999
C9282C9282052011040199999999
C9283C9283052011070199999999
C9285C9285052011070199999999
C9286C9286052011100199999999
C9287C9287052012010199999999
C9288C9288052012040199999999
C9289C9289052012040199999999
C9290C9290052012040199999999
C9291C9291052012040199999999
C9350C9350052008100199999999
C9351C9351052008100199999999
C9352C9352052009100120110930
C9353C9353052009100120110930
C9354C9354052009100199999999
C9355C9355052009100199999999
C9356C9356052009100199999999
C9357C9357052009100199999999
C9358C9358052009100199999999
C9359C9359052009100120110930
C9360C9360052009070199999999
C9361C9361052009070199999999
C9362C9362052009070199999999
C9363C9363052009070199999999
C9364C9364052009070199999999
C9366C9366052012010199999999
C9400C9400052009100199999999
C9401C9401052009100199999999
C9402C9402052009100199999999
C9403C9403052009100199999999
C9404C9404052009100199999999
C9405C9405052009100199999999
C9406C9406052011070199999999
C9410C9410052009100199999999
C9411C9411052009100199999999
C9412C9412052009100199999999
C9413C9413052009100199999999
C9414C9414052009100199999999
C9415C9415052009100199999999
C9417C9417052009100199999999
C9418C9418052009100199999999
C9419C9419052009100199999999
C9420C9420052009100199999999
C9421C9421052009100199999999
C9422C9422052009100199999999
C9423C9423052009100199999999
C9424C9424052009100199999999
C9425C9425052009100199999999
C9426C9426052009100199999999
C9427C9427052009100199999999
C9428C9428052009100199999999
C9429C9429052009100199999999
C9430C9430052009100199999999
C9431C9431052009100199999999
C9432C9432052009100199999999
C9433C9433052009100199999999
C9435C9435052009100199999999
C9436C9436052009100199999999
C9437C9437052009100199999999
C9438C9438052009100199999999
C9439C9439052009100199999999
C9440C9440052009100199999999
D0230D0230082005070199999999
D0260D0260082005070199999999
D2953D2953082005070199999999
D2957D2957082005070199999999
D3426D3426082005070199999999
D6976D6976082005070199999999
D6977D6977082005070199999999
D9221D9221082005070199999999
D9242D9242082005070199999999
E0100E8002052005070120080930
G0008G0008052009100120110930
G0008G9020052005070120080930
G0008G9143092005070199999999
G0009G0009052009100120110930
G0010G0010052009100120110930
J0120J0120052009100120110930
J0120J9999052005070120080930
J0128J0128052008100199999999
J0129J0129052008100199999999
J0130J0130052008100199999999
J0131J0131052012010199999999
J0132J0132052008100199999999
J0135J0135052008100199999999
J0150J0150052008100120110930
J0152J0152052008100199999999
J0180J0180052008100199999999
J0190J0190052008100120110930
J0205J0205052008100199999999
J0207J0207052008100199999999
J0210J0210052008100199999999
J0215J0215052008100199999999
J0220J0220052009100199999999
J0221J0221052012010199999999
J0256J0256052008100199999999
J0257J0257052012010199999999
J0278J0278052009100120110930
J0282J0282052009100120110930
J0285J0285052009100120110930
J0287J0287052008100199999999
J0288J0288052008100199999999
J0289J0289052008100199999999
J0348J0348052008100199999999
J0350J0350052008100120110930
J0364J0364052008100120110930
J0365J0365052008100120110930
J0380J0380052008100120110930
J0395J0395052008100120110930
J0400J0400052009100120110930
J0470J0470052009100120110930
J0475J0475052008100199999999
J0476J0476052008100199999999
J0480J0480052008100199999999
J0490J0490052012010199999999
J0515J0515052011100199999999
J0550J0550052009100199999999
J0583J0583052008100199999999
J0585J0585052008100199999999
J0586J0586052010010199999999
J0587J0587052008100199999999
J0588J0588052012010199999999
J0594J0594052008100199999999
J0595J0595052009100120110930
J0597J0597052011010199999999
J0598J0598052010010199999999
J0600J0600052008100199999999
J0630J0630052009100199999999
J0637J0637052008100199999999
J0638J0638052011010199999999
J0641J0641052009010199999999
J0706J0706052008100199999999
J0712J0712052012010199999999
J0718J0718052010010199999999
J0735J0735052008100199999999
J0740J0740052008100199999999
J0743J0743052009100120110930
J0775J0775052011010199999999
J0795J0795052008100199999999
J0800J0800052008100199999999
J0833J0833052010010199999999
J0834J0834052010010199999999
J0835J0835052008100199999999
J0840J0840052012010199999999
J0850J0850052008100199999999
J0878J0878052008100199999999
J0881J0881052008100199999999
J0885J0885052008100199999999
J0894J0894052008100199999999
J0895J0895052008100120110930
J0897J0897052012010199999999
J0900J0900052009100120110930
J0945J0945052009100199999999
J1051J1051052009100120110930
J1110J1110052009100120110930
J1162J1162052008100199999999
J1180J1180052009100120110930
J1190J1190052008100199999999
J1205J1205052008100199999999
J1212J1212052009100199999999
J1230J1230052009100120110930
J1245J1245052009100120110930
J1260J1260052008100120110930
J1267J1267052009010120110930
J1290J1290052011010199999999
J1300J1300052009100199999999
J1324J1324052008100120110930
J1325J1325052009100120110930
J1327J1327052008100199999999
J1330J1330052008100120110930
J1410J1410052008100199999999
J1430J1430052008100199999999
J1436J1436052008100120110930
J1438J1438052008100199999999
J1440J1440052008100199999999
J1441J1441052008100199999999
J1451J1451052008100199999999
J1452J1452052008100120110930
J1453J1453052009010199999999
J1455J1455052008100120110930
J1457J1457052009100199999999
J1458J1458052008100199999999
J1459J1459052009010199999999
J1460J1460052008100199999999
J1470J1470052009100199999999
J1480J1480052009100199999999
J1490J1490052009100199999999
J1500J1500052009100199999999
J1510J1510052009100199999999
J1520J1520052009100199999999
J1530J1530052009100199999999
J1540J1540052009100199999999
J1550J1550052009100199999999
J1557J1557052012010199999999
J1559J1559052011010199999999
J1560J1560052009100199999999
J1561J1561052009100199999999
J1562J1562052008100199999999
J1563J1563052009100199999999
J1564J1564052009100199999999
J1565J1565052008100199999999
J1566J1566052008100199999999
J1567J1567052009100199999999
J1568J1568052009100199999999
J1569J1569052009100199999999
J1570J1570052009100120110930
J1571J1571052009100199999999
J1572J1572052009100199999999
J1573J1573052009100199999999
J1595J1595052009100199999999
J1610J1610052008100199999999
J1620J1620052008100120110930
J1626J1626052008100120110930
J1640J1640052008100199999999
J1652J1652052009100120110930
J1655J1655052008100120110930
J1670J1670052008100199999999
J1680J1680052010010199999999
J1725J1725052012010199999999
J1730J1730052008100199999999
J1740J1740052008100199999999
J1742J1742052008100199999999
J1743J1743052009100199999999
J1745J1745052008100199999999
J1750J1750052009010199999999
J1751J1751052008100199999999
J1752J1752052008100199999999
J1756J1756052008100199999999
J1785J1785052008100199999999
J1786J1786052011010199999999
J1830J1830052008100199999999
J1835J1835052008100120110930
J1930J1930052009010199999999
J1931J1931052008100199999999
J1945J1945052008100199999999
J1950J1950052008100199999999
J1953J1953052009010120110930
J2020J2020052008100199999999
J2170J2170052008100199999999
J2185J2185052008100120110930
J2248J2248052008100199999999
J2260J2260052009100120110930
J2278J2278052008100199999999
J2280J2280052009100120110930
J2315J2315052008100199999999
J2320J2320052011100199999999
J2323J2323052009100199999999
J2324J2324052009100199999999
J2325J2325052008100199999999
J2353J2353052008100199999999
J2354J2354052009100120110930
J2355J2355052008100199999999
J2357J2357052008100199999999
J2358J2358052011010199999999
J2405J2405052008100120110930
J2425J2425052008100199999999
J2426J2426052011010199999999
J2430J2430052008100120110930
J2460J2460052009100120110930
J2469J2469052008100199999999
J2503J2503052008100199999999
J2504J2504052008100199999999
J2505J2505052008100199999999
J2507J2507052012010199999999
J2510J2510052011100199999999
J2513J2513052009100199999999
J2515J2515052009100120110930
J2562J2562052010010199999999
J2597J2597052009100120110930
J2700J2700052009100199999999
J2724J2724052009100199999999
J2725J2725052009100120110930
J2730J2730052009100199999999
J2760J2760052009100120110930
J2770J2770052008100199999999
J2778J2778052009100199999999
J2783J2783052008100199999999
J2785J2785052009010199999999
J2788J2788052008100199999999
J2790J2790052008100199999999
J2791J2791052009100199999999
J2792J2792052008100199999999
J2793J2793052010010199999999
J2794J2794052008100199999999
J2796J2796052010010199999999
J2805J2805052009100199999999
J2820J2820052008100199999999
J2850J2850052008100199999999
J2910J2910052009100120110930
J2916J2916052009100120110930
J2940J2940052008100120110930
J2941J2941052008100199999999
J2993J2993052008100199999999
J2995J2995052008100199999999
J2997J2997052008100199999999
J3030J3030052008100120110930
J3095J3095052011010199999999
J3100J3100052008100199999999
J3101J3101052009010199999999
J3240J3240052008100199999999
J3243J3243052008100199999999
J3245J3245052009100199999999
J3246J3246052008100199999999
J3262J3262052011010199999999
J3285J3285052008100199999999
J3300J3300052011100199999999
J3305J3305052008100120110930
J3310J3310052011100199999999
J3315J3315052008100199999999
J3320J3320052008100120110930
J3350J3350052008100199999999
J3355J3355052008100199999999
J3357J3357052011010199999999
J3365J3365052008100199999999
J3385J3385052011010199999999
J3395J3395052009100199999999
J3396J3396052008100199999999
J3400J3400052009100120110930
J3411J3411052009100120110930
J3415J3415052009100120110930
J3465J3465052008100199999999
J3470J3470052009100120110930
J3471J3471052009100120110930
J3472J3472052008100120110930
J3473J3473052008100120110930
J3486J3486052009100120110930
J3487J3487052008100199999999
J3488J3488052009100199999999
J3530J3530052009100120110930
J7180J7180052012010199999999
J7183J7183052012010199999999
J7184J7184052011010120110930
J7185J7185052010010199999999
J7186J7186052009010199999999
J7187J7187052008100199999999
J7188J7188052009100199999999
J7189J7189052008100199999999
J7190J7190052008100199999999
J7191J7191052008100199999999
J7192J7192052008100199999999
J7193J7193052008100199999999
J7194J7194052008100199999999
J7195J7195052008100199999999
J7196J7196052011010199999999
J7197J7197052008100199999999
J7198J7198052008100199999999
J7308J7308052008100199999999
J7309J7309052011010199999999
J7310J7310052008100199999999
J7311J7311052008100199999999
J7312J7312052011010199999999
J7317J7317052009100199999999
J7320J7320052009100199999999
J7321J7321052009100199999999
J7322J7322052009100199999999
J7323J7323052009100199999999
J7324J7324052009100199999999
J7325J7325052010010199999999
J7326J7326052012010199999999
J7335J7335052011010199999999
J7340J7340052008100199999999
J7341J7341052008100199999999
J7342J7342052008100199999999
J7343J7343052008100199999999
J7344J7344052008100199999999
J7345J7345052008100199999999
J7346J7346052008100199999999
J7347J7347052009100199999999
J7348J7348052009100199999999
J7349J7349052009100199999999
J7350J7350052009100199999999
J7501J7501052008100199999999
J7502J7502052008100120110930
J7504J7504052008100199999999
J7505J7505052008100199999999
J7507J7507052008100120110930
J7511J7511052008100199999999
J7513J7513052008100199999999
J7515J7515052009100120110930
J7516J7516052009100120110930
J7517J7517052008100120110930
J7518J7518052008100120110930
J7520J7520052008100120110930
J7525J7525052008100199999999
J7674J7674052009100120110930
J8501J8501052008100199999999
J8510J8510052008100199999999
J8520J8520052008100199999999
J8521J8521052009100199999999
J8540J8540052009100120110930
J8560J8560052008100199999999
J8561J8561052012010199999999
J8562J8562052011010199999999
J8600J8600052009100120110930
J8650J8650052008100120110930
J8700J8700052008100199999999
J8705J8705052009010199999999
J9000J9000052008100120110930
J9001J9001052008100199999999
J9010J9010052008100199999999
J9015J9015052008100199999999
J9017J9017052008100199999999
J9020J9020052008100199999999
J9025J9025052008100199999999
J9027J9027052008100199999999
J9031J9031052008100199999999
J9033J9033052009010199999999
J9035J9035052008100199999999
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