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Table 1 Specific cost categories

From: Knee OA cost comparison for hyaluronic acid and knee arthroplasty

Category ICD procedure or HCPCS codes
HA J7321, J7323 to J7327 (with diagnosis code of 711.x6, 712.x6, 715.x6, 716.x6, 717.x, 718.x6, 719.x6, 836.x, 844.x on the same claim as injection)
Primary knee arthroplasty 81.54, 0SRC0J* (without 0SPC* on the same claim), 0SRT0J* (without 0SPC0* on the same claim), 0SRU0J* (without 0SPD0* on the same claim), 0SRV0J* (without 0SPC0* on the same claim), 0SRW0J* (without 0SPD0* on the same claim), 0SRC0L*, 0SRD0J* (without 0SPD*on the same claim), 0SRD0L*, 27446, 27447
Revision knee arthroplasty 80.06, 81.55, 00.8x, 84.56, 84.57, 0SWC*JZ, 0SWD*JZ, (0SRC0JZ with 0SPC*), (0SRD0JZ with 0SPD*), (0SRV0JZ with 0SPC0*), (0SRW0JZ with 0SPD0*), (0SRT0JZ with 0SPC0*), (0SRU0JZ with 0SPD0*), (0SUW09Z with 0SPD0*), (0SUC0JZ with 0SPC0*), (0SUT09Z with 0SPC0*), (0SUD0JZ with 0SPD0*), (0SUU09Z with 0SPD0*), (0QRD0JZ with 0QPD0*), (0QUD0JZ with 0QPD0*), (0SUC09C with 0QPD0*), (0QRF0JZ with 0QPF0*), (0QUF0JZ with 0QPF0*), (0SUD09C with 0QPF0*), (0SUV09Z with 0SPC0*), (0SUW09Z with 0SPD0*), 0SHB08Z, 0SH908Z, 0SHC08Z, 0SHD08Z, 0SPC08Z, 0SPD08Z, 0SPB08Z, 0SP908Z, 27091, 27486, 27487, 11981, 11982
Physical therapy 97012, 97014, 97016, 97022, 97032, 97034, 97035, 97036, 97110, 97112, 97113, 97116, 97140, 97150, 97530, G0151
Intra-articular corticosteroid J0702, J0704 (expired after Dec 31, 2010), J1020, J1030, J1040, J1094, J1100, J1700, J1710, J1720, J2650, J2920, J2930, J3300, J3301, J3302, J3303 (eff Jan 1, 2009)
Arthrocentesis 20610
Knee arthroscopy 80.26, 80.6, 80.76, 80.86, 81.45, 81.46, 81.47, 0SJC4ZZ, 0SJD4ZZ, 0SQC4ZZ, 0SQD4ZZ, 0SBD4ZZ, 0SBC4ZZ, 0S9C40Z, 0S9D40Z, 29866 to 29868, 29870 to 29871, 29873 to 29877, 29879 to 29888, 29999, G0289
Knee brace L1800, L1810, L1812, L1820, L1830, L1831, L1832, L1833, L1834, L1836, L1840, L1843, L1844, L1845, L1846, L1847, L1848, L1850, L1860, L1870, L1880, K0901, K0902
Anesthesia for knee surgery 01400, 01402, 01404
Ultrasound/fluoroscopic imaging 20611 (eff 2015 onwards), 76942 or 77002
Knee imaging 73560, 73562, 73564, 73565, 73580, 73700 to 73702, 73706, 73721 to 73723, 73725, 76942