ICD9-CPT Crosswalk UR Advisor (sample data)
ICD9 Code	ICD9 Name	CPT Code	CPT Name	Incidence Rate per 100,000 Workers	% CPT Frequency for ICD9	Visits 25th %	Visits 50th %	Visits 75th %	Visits Mean	Costs Mean	ODG CAA	Bill Review Payment Flag
354.0	Carpal tunnel syndrome	01710	Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; not otherwise specified	0.10	0.32%	1	1	1	1.17	$425.74	n/a	Red
354.0	Carpal tunnel syndrome	01810	Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand	6.70	21.38%	1	1	2	1.53	$543.61	n/a	Yellow
354.0	Carpal tunnel syndrome	01820	Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones	0.12	0.39%	1	1	1	1.23	$309.80	n/a	Red
354.0	Carpal tunnel syndrome	01830	Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not otherwise specified	0.27	0.87%	1	1	1	1.22	$382.63	n/a	Red
354.0	Carpal tunnel syndrome	01995	Regional intravenous administration of local anesthetic agent or other medication (upper or lower extremity)	0.44	1.41%	1	1	1	1.20	$161.72	n/a	Red
354.0	Carpal tunnel syndrome	01999	Unlisted anesthesia procedure(s)	0.91	2.91%	1	1	2	1.34	$358.89	n/a	Red
354.0	Carpal tunnel syndrome	15736	Muscle-skin graft, arm	0.19	0.60%	2	2	2	2.15	$3,777.64	n/a	Red
354.0	Carpal tunnel syndrome	20526	Ther injection carpal tunnel	2.11	6.74%	1	1	2	1.43	$186.57	1	Green
354.0	Carpal tunnel syndrome	20550	Inject tendon/ligament/cyst	2.44	7.80%	1	1	2	1.57	$222.59	n/a	Red
354.0	Carpal tunnel syndrome	20551	Inject tendon origin/insert	0.18	0.57%	1	1	1	1.31	$142.93	n/a	Red
354.0	Carpal tunnel syndrome	20552	Inject trigger point, 1 or 2	0.10	0.30%	1	1	3	2.24	$264.21	n/a	Red
354.0	Carpal tunnel syndrome	20600	Drain/inject, joint/bursa	0.59	1.89%	1	1	1	1.29	$128.31	n/a	Red
354.0	Carpal tunnel syndrome	20605	Drain/inject, joint/bursa	1.93	6.15%	1	1	1	1.32	$153.45	n/a	Yellow
354.0	Carpal tunnel syndrome	20610	Drain/inject, joint/bursa	0.50	1.58%	1	1	1	1.45	$186.43	n/a	Red
354.0	Carpal tunnel syndrome	24350	Repair of tennis elbow	0.13	0.41%	1	1	2	1.43	$1,568.34	n/a	Red
354.0	Carpal tunnel syndrome	24356	Revision of tennis elbow	0.17	0.55%	1	1	2	1.45	$1,936.49	n/a	Red
354.0	Carpal tunnel syndrome	25000	Incision of tendon sheath	0.36	1.16%	1	1	2	1.58	$1,224.81	n/a	Red
354.0	Carpal tunnel syndrome	25111	Remove wrist tendon lesion	0.24	0.76%	1	1	2	1.35	$977.48	n/a	Red
354.0	Carpal tunnel syndrome	25115	Remove wrist/forearm lesion	0.63	2.01%	1	1	2	1.58	$2,351.63	n/a	Red
354.0	Carpal tunnel syndrome	26055	Incise finger tendon sheath	0.63	1.99%	1	1	2	1.67	$1,112.27	n/a	Red
354.0	Carpal tunnel syndrome	26145	Tendon excision, palm/finger	0.30	0.96%	1	1	1	1.30	$1,700.83	n/a	Red
354.0	Carpal tunnel syndrome	29075	Application of forearm cast	0.15	0.48%	1	1	1	1.11	$168.97	n/a	Red
354.0	Carpal tunnel syndrome	29125	Apply forearm splint	1.66	5.30%	1	1	1	1.22	$102.16	n/a	Yellow
354.0	Carpal tunnel syndrome	29130	Application of finger splint	0.10	0.32%	1	1	1	1.00	$74.23	n/a	Red
354.0	Carpal tunnel syndrome	29260	Strapping of elbow or wrist	0.45	1.44%	1	1	2	1.47	$99.62	n/a	Red
354.0	Carpal tunnel syndrome	29280	Strapping of hand or finger	0.09	0.28%	1	1	1	1.19	$77.67	n/a	Black
354.0	Carpal tunnel syndrome	29826	Shoulder arthroscopy/surgery	0.11	0.33%	1	1	2	1.58	$3,414.32	n/a	Red
354.0	Carpal tunnel syndrome	29848	Wrist endoscopy/surgery	2.58	8.24%	1	2	3	2.31	$2,614.33	1	Green
354.0	Carpal tunnel syndrome	36415	Collection of venous blood by venipuncture	7.23	23.10%	1	1	1	1.30	$10.11	n/a	Yellow
354.0	Carpal tunnel syndrome	64450	Injection for nerve block	0.15	0.48%	1	1	3	1.93	$337.02	n/a	Red
354.0	Carpal tunnel syndrome	64718	Revise ulnar nerve at elbow	0.12	0.37%	1	1	1	1.14	$1,370.18	n/a	Red
354.0	Carpal tunnel syndrome	64719	Revise ulnar nerve at wrist	0.18	0.58%	1	1	2	1.42	$845.00	n/a	Red
354.0	Carpal tunnel syndrome	64721	Carpal tunnel surgery	17.92	57.23%	1	2	3	2.32	$2,181.52	1	Green
354.0	Carpal tunnel syndrome	64727	Internal nerve revision	0.29	0.92%	1	1	1	1.35	$711.69	n/a	Red
354.0	Carpal tunnel syndrome	70030	X-ray eye for foreign body	0.10	0.30%	1	1	1	1.00	$87.71	n/a	Red
354.0	Carpal tunnel syndrome	71010	Chest x-ray	0.16	0.51%	1	1	1	1.03	$86.84	n/a	Red
354.0	Carpal tunnel syndrome	71020	Chest x-ray	1.72	5.48%	1	1	1	1.05	$103.17	n/a	Yellow
354.0	Carpal tunnel syndrome	72040	X-ray exam of neck spine	0.52	1.66%	1	1	1	1.12	$72.75	n/a	Red
354.0	Carpal tunnel syndrome	72050	X-ray exam of neck spine	0.40	1.28%	1	1	1	1.03	$116.94	n/a	Red
354.0	Carpal tunnel syndrome	72052	X-ray exam of neck spine	0.18	0.57%	1	1	1	1.00	$115.37	n/a	Red
354.0	Carpal tunnel syndrome	72070	X-ray exam of thoracic spine	0.08	0.26%	1	1	1	1.00	$58.88	n/a	Black
354.0	Carpal tunnel syndrome	72100	X-ray exam of lower spine	0.16	0.51%	1	1	1	1.03	$111.52	n/a	Red
354.0	Carpal tunnel syndrome	72141	Mri neck spine w/o dye	0.37	1.17%	1	1	1	1.06	$976.44	n/a	Red
354.0	Carpal tunnel syndrome	73030	X-ray exam of shoulder	0.77	2.46%	1	1	1	1.18	$88.30	n/a	Yellow
354.0	Carpal tunnel syndrome	73070	X-ray exam of elbow	0.45	1.44%	1	1	1	1.26	$64.66	n/a	Red
354.0	Carpal tunnel syndrome	73080	X-ray exam of elbow	0.53	1.69%	1	1	1	1.17	$92.79	n/a	Red
354.0	Carpal tunnel syndrome	73090	X-ray exam of forearm	0.38	1.21%	1	1	1	1.22	$97.43	n/a	Red
354.0	Carpal tunnel syndrome	73100	X-ray exam of wrist	2.21	7.07%	1	1	1	1.15	$70.99	1	Green
354.0	Carpal tunnel syndrome	73110	X-ray exam of wrist	5.73	18.30%	1	1	1	1.26	$100.48	1	Green
354.0	Carpal tunnel syndrome	73120	X-ray exam of hand	0.72	2.30%	1	1	1	1.17	$69.40	n/a	Yellow
354.0	Carpal tunnel syndrome	73130	X-ray exam of hand	2.72	8.67%	1	1	1	1.22	$97.41	n/a	Yellow
354.0	Carpal tunnel syndrome	73140	X-ray exam of finger(s)	0.50	1.60%	1	1	1	1.39	$65.83	n/a	Red
354.0	Carpal tunnel syndrome	73218	Mri upper extremity w/o dye	0.10	0.32%	1	1	1	1.00	$848.42	n/a	Red
354.0	Carpal tunnel syndrome	73221	Mri joint upr extrem w/o dye	1.44	4.60%	1	1	1	1.08	$1,071.70	n/a	Red
354.0	Carpal tunnel syndrome	76000	Fluoroscope examination	0.08	0.26%	1	1	1	1.20	$212.61	n/a	Black
354.0	Carpal tunnel syndrome	78300	Bone imaging, limited area	0.10	0.30%	1	1	1	1.00	$274.49	n/a	Red
354.0	Carpal tunnel syndrome	78315	Bone imaging, 3 phase	0.23	0.73%	1	1	1	1.05	$555.15	n/a	Red
354.0	Carpal tunnel syndrome	80048	Basic metabolic panel This panel must include the following: Calcium (82310) Carbon dioxide (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)	2.91	9.28%	1	1	1	1.15	$44.70	n/a	Yellow
354.0	Carpal tunnel syndrome	80051	Electrolyte panel This panel must include the following: Carbon dioxide (82374) Chloride (82435) Potassium (84132) Sodium (84295)	0.73	2.32%	1	1	1	1.16	$43.23	n/a	Yellow
354.0	Carpal tunnel syndrome	80053	Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)	0.97	3.10%	1	1	1	1.13	$65.91	n/a	Yellow
354.0	Carpal tunnel syndrome	80061	Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)	0.23	0.74%	1	1	1	1.02	$42.11	n/a	Red
354.0	Carpal tunnel syndrome	80076	Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)	0.15	0.46%	1	1	1	1.15	$46.84	n/a	Red
354.0	Carpal tunnel syndrome	81000	Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy	0.10	0.32%	1	1	1	1.28	$21.00	n/a	Red
354.0	Carpal tunnel syndrome	81001	Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy	0.55	1.74%	1	1	1	1.15	$20.19	n/a	Yellow
354.0	Carpal tunnel syndrome	81002	Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy	0.18	0.58%	1	1	1	1.12	$15.05	n/a	Red
354.0	Carpal tunnel syndrome	81003	Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy	0.54	1.71%	1	1	1	1.14	$15.87	n/a	Yellow
354.0	Carpal tunnel syndrome	81025	Urine pregnancy test, by visual color comparison methods	0.60	1.92%	1	1	1	1.22	$36.50	n/a	Yellow
354.0	Carpal tunnel syndrome	82310	Calcium; total	0.22	0.69%	1	1	1	1.13	$16.82	n/a	Red
354.0	Carpal tunnel syndrome	82374	Carbon dioxide (bicarbonate)	0.15	0.48%	1	1	1	1.15	$9.36	n/a	Red
354.0	Carpal tunnel syndrome	82435	Chloride; blood	0.24	0.76%	1	1	1	1.12	$9.63	n/a	Red
354.0	Carpal tunnel syndrome	82550	Creatine kinase (CK), (CPK); total	0.11	0.33%	1	1	1	1.00	$21.19	n/a	Red
354.0	Carpal tunnel syndrome	82565	Creatinine; blood	0.87	2.78%	1	1	1	1.15	$14.70	n/a	Yellow
354.0	Carpal tunnel syndrome	82947	Glucose; quantitative, blood (except reagent strip)	0.83	2.66%	1	1	1	1.17	$14.47	n/a	Yellow
354.0	Carpal tunnel syndrome	82948	Glucose; blood, reagent strip	0.13	0.41%	1	1	2	1.26	$169.86	n/a	Red
354.0	Carpal tunnel syndrome	82962	Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use	0.16	0.49%	1	1	1	1.14	$19.53	n/a	Red
354.0	Carpal tunnel syndrome	84132	Potassium; serum	0.78	2.48%	1	1	1	1.13	$14.61	n/a	Yellow
354.0	Carpal tunnel syndrome	84295	Sodium; serum	0.28	0.89%	1	1	1	1.10	$11.33	n/a	Red
354.0	Carpal tunnel syndrome	84436	Thyroxine; total	0.18	0.58%	1	1	1	1.00	$22.21	n/a	Red
354.0	Carpal tunnel syndrome	84443	Thyroid stimulating hormone (TSH)	0.51	1.62%	1	1	1	1.04	$49.69	n/a	Yellow
354.0	Carpal tunnel syndrome	84450	Transferase; aspartate amino (AST) (SGOT)	0.11	0.33%	1	1	1	1.26	$16.96	n/a	Red
354.0	Carpal tunnel syndrome	84460	Transferase; alanine amino (ALT) (SGPT)	0.11	0.35%	1	1	1	1.25	$17.58	n/a	Red
354.0	Carpal tunnel syndrome	84479	Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)	0.10	0.30%	1	1	1	1.00	$21.36	n/a	Red
354.0	Carpal tunnel syndrome	84520	Urea nitrogen; quantitative	0.95	3.03%	1	1	1	1.15	$13.79	n/a	Yellow
354.0	Carpal tunnel syndrome	84550	Uric acid; blood	0.28	0.89%	1	1	1	1.04	$15.98	n/a	Red
354.0	Carpal tunnel syndrome	84702	Gonadotropin, chorionic (hCG); quantitative	0.20	0.64%	1	1	1	1.17	$42.40	n/a	Red
354.0	Carpal tunnel syndrome	84703	Gonadotropin, chorionic (hCG); qualitative	1.40	4.46%	1	1	1	1.25	$38.62	n/a	Yellow
354.0	Carpal tunnel syndrome	85014	Blood count; hematocrit (Hct)	1.17	3.73%	1	1	1	1.25	$12.60	n/a	Yellow
354.0	Carpal tunnel syndrome	85018	Blood count; hemoglobin (Hgb)	1.29	4.10%	1	1	1	1.27	$12.01	n/a	Yellow
354.0	Carpal tunnel syndrome	85025	Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count	4.93	15.74%	1	1	1	1.21	$35.31	n/a	Yellow
354.0	Carpal tunnel syndrome	85027	Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)	1.41	4.49%	1	1	1	1.18	$24.79	n/a	Yellow
354.0	Carpal tunnel syndrome	85610	Prothrombin time;	1.38	4.40%	1	1	1	1.17	$23.76	n/a	Yellow
354.0	Carpal tunnel syndrome	85651	Sedimentation rate, erythrocyte; non-automated	0.43	1.37%	1	1	1	1.08	$16.01	n/a	Yellow
354.0	Carpal tunnel syndrome	85652	Sedimentation rate, erythrocyte; automated	0.40	1.26%	1	1	1	1.13	$19.38	n/a	Yellow
354.0	Carpal tunnel syndrome	85730	Thromboplastin time, partial (PTT); plasma or whole blood	1.35	4.30%	1	1	1	1.20	$29.46	n/a	Yellow
354.0	Carpal tunnel syndrome	86038	Antinuclear antibodies (ANA);	0.35	1.10%	1	1	1	1.02	$39.18	n/a	Yellow
354.0	Carpal tunnel syndrome	86039	Antinuclear antibodies (ANA); titer	0.10	0.30%	1	1	1	1.00	$40.02	n/a	Red
354.0	Carpal tunnel syndrome	86140	C-reactive protein;	0.11	0.33%	1	1	1	1.00	$31.00	n/a	Red
354.0	Carpal tunnel syndrome	86430	Rheumatoid factor; qualitative	0.23	0.73%	1	1	1	1.00	$25.07	n/a	Red
354.0	Carpal tunnel syndrome	86431	Rheumatoid factor; quantitative	0.23	0.74%	1	1	1	1.07	$26.05	n/a	Red
354.0	Carpal tunnel syndrome	87070	Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates	0.11	0.35%	1	1	1	1.05	$36.38	n/a	Red
354.0	Carpal tunnel syndrome	88304	Tissue exam by pathologist	1.55	4.94%	1	1	2	1.31	$89.17	n/a	Yellow
354.0	Carpal tunnel syndrome	88305	Tissue exam by pathologist	0.40	1.28%	1	1	1	1.29	$140.19	n/a	Red
354.0	Carpal tunnel syndrome	90801	Psy dx interview	0.11	0.33%	1	1	1	1.21	$165.23	n/a	Red
354.0	Carpal tunnel syndrome	90806	Psytx, off, 45-50 min	0.14	0.44%	1	3	5	5.00	$477.72	n/a	Red
354.0	Carpal tunnel