71 Operations On Vulva and Perineum: Excludes

71 Operations on vulva and perineum
Code also any application or administration of an adhesion barrier

substance (99.77)
71.0 Incision of vulva and perineum
71.01 Lysis of vulvar adhesions
71.09 Other incision of vulva and perineum
Enlargement of introitus NOS
Excludes: removal of foreign body without incision (98.23)
71.1 Diagnostic procedures on vulva
71.11 Biopsy of vulva
71.19 Other diagnostic procedures on vulva
71.2 Operations on Bartholin's gland
71.21 Percutaneous aspiration of Bartholin's gland (cyst)
71.22 Incision of Bartholin's gland (cyst)
71.23 Marsupialization of Bartholin's gland (cyst)
71.24 Excision or other destruction of Bartholin's gland (cyst)
71.29 Other operations on Bartholin's gland
71.3 Other local excision or destruction of vulva and perineum

Division of Skene's gland
Excludes: biopsy of vulva (71.11)
vulvar fistulectomy (71.72)
71.4 Operations on clitoris
Amputation of clitoris
Clitoridotomy
Female circumcision
71.5 Radical vulvectomy
Code also any synchronous lymph gland dissection (40.3, 40.5)
71.6 Other vulvectomy
71.61 Unilateral vulvectomy
71.62 Bilateral vulvectomy
Vulvectomy NOS
71.7 Repair of vulva and perineum
Excludes: repair of current obstetric laceration (75.69)
71.7
1 Suture of laceration of vulva or perineum
71.7
2 Repair of fistula of vulva or perineum
Excludes: repair of fistula:
urethroperineal (58.43)
urethroperineovesical (57.84)
vaginoperineal (70.75)
71.7
9 Other repair of vulva and perineum
Repair of old obstetric laceration of vulva or perineum
Non OR procedure but affects
186 1 .1 OR procedure ThaiDRG
OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)
71.8 Other operations on vulva

Excludes: removal of:
foreign body without incision (98.23)
packing (97.75)
replacement of packing (97.26)
71.9 Other operations on female genital organs

New code®Revised code 4 digit required
th 187
ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)
13. OBSTETRICAL PROCEDURES (72-75)
72 Forceps, vacuum, and breech delivery

72.0 Low forceps operation
Outlet forceps operation
72.1 Low forceps operation with episiotomy

Outlet forceps operation with episiotomy
72.2 Mid forceps operation
72.21 Mid forceps operation with episiotomy
72.29 Other mid forceps operation
72.3 High forceps operation

72.31 High forceps operation with episiotomy
72.39 Other high forceps operation
72.4 Forceps rotation of fetal head

DeLee maneuver
Key- in- lock rotation
Kielland rotation
Scanzoni's maneuver
Code also any associated forceps extraction (72.0- 72.39)
72.5 Breech extraction

72.51 Partial breech extraction with forceps to aftercoming head
72.52 Other partial breech extraction
72.53 Total breech extraction with forceps to aftercoming head
72.54 Other total breech extraction
72.6 Forceps application to aftercoming head

Piper forceps operation
Excludes: partial breech extraction with forceps to aftercoming head (72.51)
total breech extraction with forceps to aftercoming head
(72.53)
72.7 Vacuum extraction

Includes: Malström's extraction
72.71 Vacuum extraction with episiotomy
72.79 Other vacuum extraction
72.8 Other specified instrumental delivery

72.9 Unspecified instrumental delivery

OBSTETRICAL PROCEDURES (72-75)
73 Other procedures inducing or assisting delivery

73.0 Artificial rupture of membranes
73.01 Induction of labor by artificial rupture of
membranes Surgical induction NOS
Excludes: artificial rupture of membranes after onset of labor
(73.09)
73.09 Other artificial rupture of membranes
Artificial rupture of membranes at time of delivery
73.1 Other surgical induction of labor
Induction by cervical dilation
Excludes: Injection for abortion (75.0)
insertion of suppository for abortion (96.49)
73.2 Internal and combined version and extraction
73.21 Internal and combined version without
extraction Version NOS
73.22 Internal and combined version with extraction
73.3 Failed forceps

Application of forceps without delivery
Trial forceps
73.4 Medical induction of labor

Excludes: medication to augment active labor -- omit code
73.5 Manually assisted delivery

73.51 Manual rotation of fetal head
73.59 Other manually assisted
delivery Assisted spontaneous
delivery Crede maneuver
73.6 Episiotomy
Episioproctotomy
Episiotomy with subsequent episiorrhaphy
Excludes: that with:
high forceps (72.31)
low forceps (72.1)
mid forceps (72.21)
outlet forceps (72.1)
vacuum extraction (72.71)
73.8 Operations on fetus to facilitate delivery

Clavicotomy on fetus
Destruction of fetus
Needling of hydrocephalic head
73.9 Other operations assisting delivery

73.91 External version

New code®Revised code 4 digit
th
required 189
73.92 Replacement of prolapsed umbilical cord

73.93 Incision of cervix to assist
delivery Dührssen's incisions
73.94 Pubiotomy to assist delivery
Obstetrical symphysiotomy
73.99 Other
Excludes: dilation of cervix, obstetrical to induce labor (73.1)
insertion of bag or bougie to induce labor (73.1)
removal of cerclage material (69.96)
74 Cesarean section and removal of fetus

Code also any synchronous:
hysterectomy (68.3- 68.4, 68.6,
68.8) myomectomy (68.29)
sterilization (66.31- 66.39, 66.63)
74.0 Classical cesarean section

Transperitoneal classical cesarean section
74.1 Low cervical cesarean section

Lower uterine segment cesarean section
74.2 Extraperitoneal cesarean section

Supravesical cesarean section
74.3 Removal of extratubal ectopic pregnancy

Removal of:
ectopic abdominal pregnancy
fetus from peritoneal or extraperitoneal cavity following uterine or
tubal rupture
Excludes: that by salpingostomy (66.02)
that by salpingotomy (66.01)
that with synchronous salpingectomy (66.62)
74.4 Cesarean section of other specified type

Peritoneal exclusion cesarean section
Transperitoneal cesarean section NOS
Vaginal cesarean section
74.9 Cesarean section of unspecified type

74.91 Hysterotomy to terminate
pregnancy Therapeutic abortion by
hysterotomy
74.99 Other cesarean section of unspecified
type Cesarean section NOS
Obstetrical abdominouterotomy
Obstetrical hysterotomy

OBSTETRICAL PROCEDURES (72-75)
75 Other obstetric operations

75.0 Intra-amniotic injection for abortion
Injection of:
prostaglandin for induction of abortion
saline for induction of abortion
Termination of pregnancy by intrauterine injection
Excludes: insertion of prostaglandin suppository for abortion (96.49)
75.1 Diagnostic amniocentesis

75.2 Intrauterine transfusion
Exchange transfusion in utero
Insertion of catheter into abdomen of fetus for transfusion
Code also any hysterotomy approach (68.0)
75.3 Other intrauterine operations on fetus and amnion
Code also any hysterotomy approach (68.0)
75.31 Amnioscopy
Fetoscopy
Laparoamnioscopy
75.32 Fetal EKG (scalp)
75.33 Fetal blood sampling and biopsy
75.34 Other fetal monitoring
Antepartum fetal nonstress test
Fetal monitoring, not otherwise specified
Excludes: fetal pulse oximetry (75.38)
75.35 Other diagnostic procedures on fetus and
amnion Intrauterine pressure determination
Excludes: amniocentesis (75.1)
diagnostic procedures on gravid uterus and placenta
(87.81, 88.46, 88.78, 92.17)
75.36 Correction of fetal defect
75.37 Amnioinfusion
Code also injection of antibiotic (99.21)
75.38 Fetal pulse oximetry
Transcervical fetal oxygen saturation
monitoring Transcervical fetal SpO2
monitoring
75.4 Manual removal of retained

placenta
Excludes: aspiration curettage (69.52)
dilation and curettage (69.02)

th 191
75.5 Repair of current obstetric laceration of uterus

75.50 Repair of current obstetric laceration of uterus, not
otherwise specified
75.51 Repair of current obstetric laceration of cervix
75.52 Repair of current obstetric laceration of corpus uteri
75.6 Repair of other current obstetric laceration

75.61 Repair of current obstetric laceration of bladder and
urethra
75.62 Repair of current obstetric laceration of rectum and
sphincter ani
75.69 Repair of other current obstetric
laceration Episioperineorrhaphy
Repair of:
pelvic floor
perineum
vagina
vulva
Secondary repair of episiotomy
Excludes: repair of routine episiotomy (73.6)
75.7 Manual exploration of uterine cavity, postpartum

75.8 Obstetric tamponade of uterus or vagina
Excludes: antepartum tamponade (73.1)
75.9 Other obstetric operations

75.91 Evacuation of obstetrical incisional hematoma of perineum
Evacuation of hematoma of:
episiotomy perineorrhaphy
75.92 Evacuation of other hematoma of vulva or vagina
75.93 Surgical correction of inverted
uterus Spintelli operation
Excludes: vaginal repair of chronic inversion of uterus (69.23)
75.94 Manual replacement of inverted uterus
75.99 Other

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)
14. OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)
76 Operations on facial bones and joints

Excludes: accessory sinuses (22.00-22.9)
nasal bones (21.00-21.99)
skull (01.01-02.99)
76.0 Incision of facial bone without division

76.01 Sequestrectomy of facial bone
Removal of necrotic bone chip from facial bone
76.09 Other incision of facial bone
Reopening of osteotomy site of facial bone
Excludes: osteotomy associated with orthognathic
surgery (76.61-76.69)
removal of internal fixation device (76.97)
76.1 Diagnostic procedures on facial bones and joints

76.11 Biopsy of facial bone
76.19 Other diagnostic procedures on facial bones and joints
Excludes: contrast arthrogram of temporomandibular joint (87.13)
other x-ray (87.11-87.12, 87.14-87.16)
76.2 Local excision or destruction of lesion of facial bone
Excludes: biopsy of facial bone (76.11)
excision of odontogenic lesion (24.4)
76.3 Partial ostectomy of facial
bone
76.31 Partial mandibulectomy
Hemimandibulectomy
Excludes: that associated with temporomandibular arthroplasty (76.5)
76.39 Partial ostectomy of other facial bone
Hemimaxillectomy (with bone graft or
prosthesis)
76.4 Excision and reconstruction of facial bones

76.41 Total mandibulectomy with synchronous reconstruction
76.42 Other total mandibulectomy
76.43 Other reconstruction of mandible
Excludes: genioplasty (76.67-76.68)
that with synchronous total mandibulectomy (76.41)
76.44 Total ostectomy of other facial bone with
synchronous reconstruction
76.45 Other total ostectomy of other facial bone
76.46 Other reconstruction of other facial bone
Excludes: that with synchronous total ostectomy (76.44)
76.5 Temporomandibular arthroplasty


th 193
76.6 Other facial bone repair and orthognathic surgery

bone graft (76.91)
synthetic implant (76.92)
Excludes: reconstruction of facial bones (76.41-76.46)
76.61 Closed osteoplasty [osteotomy] of mandibular
ramus Gigli saw osteotomy
76.62 Open osteoplasty [osteotomy] of mandibular ramus
76.63 Osteoplasty [osteotomy] of body of mandible
76.64 Other orthognathic surgery on
mandible Mandibular osteoplasty NOS
Segmental or subapical osteotomy
76.65 Segmental osteoplasty [osteotomy] of
maxilla Maxillary osteoplasty NOS
76.66 Total osteoplasty [osteotomy] of maxilla
76.67 Reduction genioplasty
Reduction mentoplasty
76.68 Augmentation genioplasty
Mentoplasty:
NOS
with graft or implant
76.69 Other facial bone repair
Osteoplasty of facial bone NOS
76.7 Reduction of facial fracture
Includes: internal fixation
bone graft (76.91)
synthetic implant (76.92)
Excludes: that of nasal bones (21.71-21.72)
76.70 Reduction of facial fracture, not otherwise specified
76.71 Closed reduction of malar and zygomatic fracture
76.72 Open reduction of malar and zygomatic fracture
76.73 Closed reduction of maxillary fracture
76.74 Open reduction of maxillary fracture
76.75 Closed reduction of mandibular fracture
76.76 Open reduction of mandibular fracture
76.77 Open reduction of alveolar fracture
Reduction of alveolar fracture with stabilization of teeth
76.78 Other closed reduction of facial
fracture Closed reduction of orbital
fracture
Excludes: nasal bone (21.71)
76.79 Other open reduction of facial
fracture Open reduction of orbit rim
or wall
Excludes: nasal bone (21.72)

76.9 Other operations on facial bones and joints

76.91 Bone graft to facial bone
Autogenous graft to facial bone
Bone bank graft to facial bone
Heterogenous graft to facial
bone
76.92 Insertion of synthetic implant in facial
bone Alloplastic implant to facial bone
76.93 Closed reduction of temporomandibular dislocation
76.94 Open reduction of temporomandibular dislocation
76.95 Other manipulation of temporomandibular joint
76.96 Injection of therapeutic substance into temporomandibular
joint
76.97 Removal of internal fixation device from facial bone
Excludes: removal of:
dental wiring (97.33)
external mandibular fixation device NEC (97.36)
76.99 Other
77 Incision, excision, and division of other bones

Excludes: laminectomy for decompression (03.09)
operations on:
accessory sinuses (22.00-22.9)
ear ossicles (19.0-19.55)
facial bones (76.01-76.99)
joint structures (80.00-81.99)
mastoid (19.9-20.99)
skull (01.01-02.99)
The following fourth- digit subclassification is for use with appropriate
categories in section 77 to identify the site. Valid fourth- digit categories
are in brackets under each code.
0 unspecified site
1 scapula, clavicle, and thorax [ribs and sternum]
2 humerus
3 radius and ulna
4 carpals and metacarpals
5 femur
6 patella
7 tibia and fibula
8 tarsals and metatarsals
9 other
Pelvic bones
Phalanges (of foot) (of
hand) Vertebrae
77.0 Sequestrectomy 
[0-9]

th 195
77.1 Other incision of bone without division 

[0- 9] Reopening of osteotomy site
Excludes: aspiration of bone marrow (41.31, 41.91)
removal of internal fixation device (78.60-78.69)
77.2 Wedge osteotomy 
[0- 9] Excludes: that for hallux valgus (77.51)

77.3 Other division of bone
[0- 9] Osteoarthrotomy
Excludes: clavicotomy of fetus (73.8)
laminotomy or incision of vertebra (03.01-03.09)
pubiotomy to assist delivery (73.94)
sternotomy incidental to thoracic operation --omit code
77.4 Biopsy of bone 
[0- 9]
77.5 Excision and repair of bunion and other toe deformities

77.51 Bunionectomy with soft tissue correction and osteotomy
of the first metatarsal
77.52 Bunionectomy with soft tissue correction and
arthrodesis
77.53 Other bunionectomy with soft tissue correction
77.54 Excision or correction of
bunionette That with osteotomy
77.56 Repair of hammer toe
Fusion of hammer toe
Phalangectomy (partial) of hammer toe
Filleting of hammer toe
77.57 Repair of claw toe
Fusion of claw toe
Phalangectomy (partial) of claw toe
Capsulotomy of claw toe
Tendon lengthening of claw toe
77.58 Other excision, fusion and repair of
toes Cockup toe repair
Overlapping toe repair
That with use of prosthetic materials
77.59 Other bunionectomy
Resection of hallux valgus joint with insertion of prosthesis
77.6 Local excision of lesion or tissue of
bone  [0- 9] Excludes: biopsy of bone (77.40-77.49)
debridement of compound fracture (79.60-79.69)
77.7 Excision of bone for graft
 [0- 9]

77.8 Other partial ostectomy  ®

[0- 9] Condylectomy
Excludes: amputation (84.00-84.19, 84.91)
arthrectomy (80.90-80.99)
excision of bone ends associated with:
arthrodesis (81.00-81.39, 81.62-81.66)
arthroplasty (81.40-81.59, 81.71-81.85)
excision of cartilage (80.5-80.6, 80.80-80.99)
excision of head of femur with synchronous
replacement (00.70-00.73, 81.51-81.53)
hemilaminectomy (03.01-03.09)
laminectomy (03.01-03.09)
ostectomy for hallux valgus (77.51-77.59)
partial amputation:
finger (84.01)
thumb (84.02)
toe (84.11)
resection of ribs incidental to thoracic operation --omit
code that incidental to other operation --omit code
77.9 Total ostectomy 
[0- 9] Excludes: amputation of limb (84.00- 84.19, 84.91)
that incidental to other operation --omit code
78 Other operations on bones, except facial bones

Excludes: operations on:
accessory sinuses (22.00-22.9)
joint structures (80.00-81.99)
skull (01.01-02.99)
The following fourth- digit subclassification is for use with categories in
section 78 to identify the site. Valid fourth- digit categories are in
[brackets] under each code.
0 unspecified site
1 scapula, clavicle, and thorax [ribs and sternum]
2 humerus
3 radius and ulna
5 femur
6 patella
7 tibia and fibula
9 other
Pelvic bones
Phalanges (of foot) (of
hand) Vertebrae

th 197
78.0 Bone graft 

[0- 9] Bone:
bank graft
graft (autogenous) (heterogenous)
That with debridement of bone graft site (removal of sclerosed, fibrous
or necrotic bone or tissue)
Transplantation of bone
Code also any excision of bone for graft (77.70- 77.79)
Excludes: that for bone lengthening (78.30-78.39)
78.1 Application of external fixator device 

[0- 9] Fixator with insertion of pins/wires/screws into bone Code
also any type of fixator device, if known (84.71- 84.73)
Excludes: other immobilization, pressure, and attention to wound (93.51-
93.59)
78.2 Limb shortening procedures 
[0,2-5 ,7- 9] Epiphyseal stapling
Open epiphysiodesis
Percutaneous epiphysiodesis
Resection/osteotomy
78.3 Limb lengthening procedures 

[0,2-5 ,7- 9]Bone graft with or without internal fixation devices or
osteotomy Distraction technique with or without
corticotomy/osteotomy
Code also any application of an external fixation device (78.10- 78.19)
78.4 Other repair or plastic operations on bone 

[0- 9] Other operation on bone NEC
Repair of malunion or nonunion fracture NEC
Excludes: application of external fixation device (78.10-78.19)
limb lengthening procedures (78.30-78.39)
limb shortening procedures (78.20-78.29)
osteotomy (77.3)
reconstruction of thumb (82.61-82.69)
repair of pectus deformity (34.74)
repair with bone graft (78.00-78.09)
78.5 Internal fixation of bone without fracture reduction 
[0- 9] Internal fixation of bone (prophylactic)
Reinsertion of internal fixation device
Revision of displaced or broken fixation
device
Excludes: arthroplasty and arthrodesis (81.00-81.85)
bone graft (78.00-78.09)
limb shortening procedures (78.20-78.29)
that for fracture reduction (79.10-79.19,79.30-79.59)
78.6 Removal of implanted devices from bone  ®

[0- 9] External fixator device
(invasive)
Internal fixation device
Removal of bone growth stimulator (invasive)
Removal of internal limb lengthening device
Removal of pedicle screw(s) used in spinal fusion
Excludes: removal of cast, splint, and traction device (Kirschner wire)
(Steinmann pin) (97.88)
removal of skull tongs or halo traction device (02.95)
removal of posterior spinal motion preservation (facet
replacement, pedicle-based dynamic stabilization,
interspinous process) device(s) (80.09)
78.7 Osteoclasis 
[0- 9]
78.8 Diagnostic procedures on bone, not elsewhere classified


[0- 9] Excludes: biopsy of bone (77.40-77.49)
magnetic resonance imaging (88.94)
microscopic examination of specimen from bone (91.51-
91.59)
radioisotope scan (92.14)
skeletal x-ray (87.21-87.29, 87.43, 88.21-88.33)
thermography (88.83)
78.9 Insertion of bone growth stimulator 
[0- 9] Insertion of:
bone stimulator (electrical) to aid bone healing
osteogenic electrodes for bone growth
stimulation totally implanted device (invasive)
Excludes: non-invasive (transcutaneous) (surface) stimulator (99.86)
79 Reduction of fracture and dislocation

Includes: application of cast or splint
reduction with insertion of traction device (Kirschner wire)
(Steinmann pin)
Code also any:
application of external fixatior device (78.10- 78.19)
type of fixator device, if known (84.71- 84.73)
Excludes: external fixation alone for immobilization of
fracture (93.51-93.56, 93.59)
internal fixation without reduction of fracture (78.50-78.59)
operations on:
orbit (76.78-76.79)
skull (02.02)
vertebrae (03.53)
removal of cast or splint (97.88)
replacement of cast or splint (97.11-97.14)
traction alone for reduction of fracture (93.41-93.46)
The following fourth- digit subclassification is for use with appropriate

th
required 199
categories in section 79 to identify the site. Valid fourth- digit

categories are in [brackets] under each code.
0 unspecified site
1 humerus
2 radius and ulna
Arm NOS
Hand NOS
4 phalanges of hand
5 femur
6 tibia and fibula
Leg NOS
Foot NOS
8 phalanges of foot
9 other specified bone
79.0 Closed reduction of fracture without internal fixation 

[0- 9] Excludes: that for separation of epiphysis (79.40-79.49)
79.1 Closed reduction of fracture with internal fixation 
79.2 Open reduction of fracture without internal fixation 
79.3 Open reduction of fracture with internal fixation 
79.4 Closed reduction of separated epiphysis 
[0- 2,5,6,9] Reduction with or without internal fixation
79.5 Open reduction of separated epiphysis 
[0- 2,5,6,9] Reduction with or without internal fixation
79.6 Debridement of open fracture site 
[0- 9] Debridement of compound fracture
79.7 Closed reduction of dislocation

Includes: closed reduction (with external traction device)
Excludes: closed reduction of dislocation of temporomandibular joint (76.93)
79.7
0 Closed reduction of dislocation of unspecified site
79.7
1 Closed reduction of dislocation of shoulder
79.7
2 Closed reduction of dislocation of elbow
79.7
3 Closed reduction of dislocation of wrist
79.7
4 Closed reduction of dislocation of hand and finger
79.7
5 Closed reduction of dislocation of hip
79.7
6 Closed reduction of dislocation of knee
79.7
7 Closed reduction of dislocation of ankle
79.7
8 Closed reduction of dislocation of foot and toe
79.7
9 Closed reduction of dislocation of other specified sites

79.8 Open reduction of dislocation

Includes: open reduction (with internal and external fixation devices)
Excludes: open reduction of dislocation of temporomandibular joint (76.94)
79.80 Open reduction of dislocation of unspecified site
79.81 Open reduction of dislocation of shoulder
79.82 Open reduction of dislocation of elbow
79.83 Open reduction of dislocation of wrist
79.84 Open reduction of dislocation of hand and finger
79.85 Open reduction of dislocation of hip
79.86 Open reduction of dislocation of knee
79.87 Open reduction of dislocation of ankle
79.88 Open reduction of dislocation of foot and toe
79.89 Open reduction of dislocation of other specified sites
79.9 Unspecified operation on bone injury 
[0- 9]
80 Incision and excision of joint structures

Includes: operations on:
capsule of joint
cartilage
condyle
ligament
meniscus
synovial membrane
Excludes: cartilage of:
ear (18.01-18.9)
nose (21.00-21.99)
temporomandibular joint (76.01-76.99)
The following fourth- digit subclassification is for use with
appropriate categories in section 80 to identify the site:
0 unspecified site
1 shoulder
2 elbow
3 wrist
4 hand and finger
5 hip
6 knee
7 ankle
8 foot and toe
9 other specified sites
Spine

th 201
80.0 Arthrotomy for removal of prosthesis without

replacement  ®
[0- 9] Includes removal of posterior spinal motion preservation
(dynamic stabilization, facet replacement, interspinous process)
device(s)
Code also any:
insertion of (cement)(joint) (methylmethacrylate) spacer (84.56)
removal of (cement)(joint) (methylmethacrylate) spacer (84.57)
Excludes: removal of pedicle screws used in spinal fusion (78.69)
80.1 Other arthrotomy 

[0- 9] Arthrostomy
Excludes: that for:
arthrography (88.32)
arthroscopy (80.20-80.29)
injection of drug (81.92)
operative approach --omit code
80.2 Arthroscopy 
[0- 9]
80.3 Biopsy of joint structure 
[0- 9] Aspiration biopsy
80.4 Division of joint capsule, ligament, or cartilage 

[0- 9] Goldner clubfoot release
Heyman- Herndon(- Strong) correction of metatarsus varus
Release of:
adherent or constrictive joint capsule
joint
ligament
Excludes: symphysiotomy to assist delivery (73.94)
that for:
carpal tunnel syndrome (04.43)
tarsal tunnel syndrome (04.44)
80.5 Excision, destruction and other repair of intervertebral
disc®
80.50 Excision or destruction of intervertebral disc,
unspecified Unspecified as to excision or destruction
80.51 Excision of intervertebral disc
® Diskectomy
Removal of herniated nucleus pulposus
Level:
cervical
thoracic
lumbar (lumbosacral)
That by laminotomy or hemilaminectomy
That with decompression of spinal nerve root at same level
Requires additional code for any concomitant decompression of
spinal nerve root at different level from excision site
Code also any concurrent spinal fusion (81.00 - 81.09) Code
also any repair of the anulus fibrosus (80.53- 80.54)
Excludes: that for insertion of (non-fusion) spinal disc replacement

device (84.60 - 84.69)
that with corpectomy, (vertebral) (80.99)
intervertebral chemonucleolysis (80.52)
laminectomy for exploration of intraspinal canal (03.09)
laminotomy for decompression of spinal nerve root only (03.09)
80.52 Intervertebral chemonucleolysis
With aspiration of disc fragments
With diskography
Injection of proteolytic enzyme into intervertebral
space (chymopapain)
Excludes: injection of anesthetic substance (03.91)
injection of other substances (03.92)
80.53 Repair of the anulus fibrosus with graft or
prosthesis  Anular disc repair
Closure (sealing) of the anulus fibrosus defect
Includes:
microsurgical suture repair with fascial autograft
soft tissue re- approximation repair with tension
bands surgical mesh repair
Code also any:
application or administration of adhesion barrier substance,
if performed (99.77)
intervertebral discectomy, if performed (80.51)
locally harvested fascia for graft (83.43)
80.54 Other and unspecified repair of the anulus
fibrosus  Anular disc repair
Closure (sealing) of the anulus fibrosus defect
Microsurgical suture repair without fascial autograft
Percutaneous repair of the anulus fibrosus
Code also any:
application or administration of adhesion barrier substance,
if performed (99.77)
intervertebral discectomy, if performed (80.51)
80.59 Other destruction of intervertebral
disc Destruction NEC
That by laser
80.
6 Excision of semilunar cartilage of knee
Excision of meniscus of knee
80.
7 Synovectomy 
[0-
9] Complete or partial resection of synovial membrane
Excludes: excision of Baker's cyst (83.39)
80. Other local excision or destruction of lesion of joint

8 
[0-
9]
80. 
9 Other excision of joint
[0-
9] Excludes: cheilectomy of joint (77.80-77.89)
excision of bone ends (77.80-77.89)

th
203
81 Repair and plastic operations on joint structures

81.0 Spinal fusion ®
Includes: arthrodesis of spine with:
bone graft
internal fixation
Code also any insertion of interbody spinal fusion device (84.51)
Code also any insertion of recombinant bone morphogenetic protein (84.52)
Code also the total number of vertebrae fused (81.62- 81.64)
Code also any synchronous excision of (locally) harvested bone for
graft (77.70- 77.79)
Excludes: correction of pseudarthrosis of spine (81.30- 81.39)
refusion of spine (81.30- 81.39)
81.00 Spinal fusion, not otherwise specified
81.01 Atlas-axis spinal fusion
Craniocervical fusion by anterior, transoral, or posterior technique
C1- C2 fusion by anterior, transoral, or posterior technique
Occiput C2 fusion by anterior, transoral, or posterior technique
81.02 Other cervical fusion, anterior technique
Arthrodesis of C2 level or below:
anterior (interbody) technique
anterolateral technique
81.03 Other cervical fusion, posterior technique
posterior (interbody) technique
posterolateral technique
81.04 Dorsal and dorsolumbar fusion, anterior technique
Arthrodesis of thoracic or thoracolumbar region:
81.05 Dorsal and dorsolumbar fusion, posterior technique
81.06 Lumbar and lumbosacral fusion, anterior
technique Anterior lumbar interbody fusion (ALIF)
Arthrodesis of lumbar or lumbosacral
region: anterior (interbody) technique
81.07 Lumbar and lumbosacral fusion, lateral transverse process
technique
81.08 Lumbar and lumbosacral fusion, posterior technique
Arthrodesis of lumbar or lumbosacral
region: posterior (interbody) technique
Posterior lumbar interbody fusion (PLIF)
Transforaminal lumbar interbody fusion (TLIF)

81.1 Arthrodesis and arthroereisis of foot and ankle

Includes: arthrodesis of foot and ankle with:
bone graft
external fixation device
81.11 Ankle fusion
Tibiotalar fusion
81.12 Triple arthrodesis
Talus to calcaneus and calcaneus to cuboid and navicular
81.13 Subtalar fusion
Excludes: arthroereisis (81.18)
81.14 Midtarsal fusion
81.15 Tarsometatarsal fusion
81.16 Metatarsophalangeal fusion
81.17 Other fusion of foot
81.18 Subtalar joint arthroereisis
81.2 Arthrodesis of other

joint
Includes: arthrodesis with:
bone graft
external fixation device
excision of bone ends and compression
81.20 Arthrodesis of unspecified joint
81.21 Arthrodesis of hip
81.22 Arthrodesis of knee
81.23 Arthrodesis of shoulder
81.24 Arthrodesis of elbow
81.25 Carporadial fusion
81.26 Metacarpocarpal fusion
81.27 Metacarpophalangeal fusion
81.28 Interphalangeal fusion
81.29 Arthrodesis of other specified joints
81.3 Refusion of spine ®
Includes: arthrodesis of spine with:
bone graft
internal fixation
correction of pseudarthrosis of spine
Code also any insertion of interbody spinal fusion device (84.51)
Code also any insertion of recombinant bone morphogenetic protein
(84.52)
Code also the total number of vertebrae fused (81.62- 81.64)
Code also any synchronous excision of (locally) harvested bone for
graft (77.70- 77.79)
81.30 Refusion of spine, not otherwise specified
 205
th
required
81.31 Refusion of atlas-axis spine

Craniocervical fusion by anterior, transoral, or posterior technique
C1- C2 fusion by anterior, transoral, or posterior technique
Occiput C2 fusion by anterior, transoral, or posterior technique
81.32 Refusion of other cervical spine, anterior technique
81.33 Refusion of other cervical spine, posterior
technique Anterior lumbar interbody fusion (ALIF)
81.34 Refusion of dorsal and dorsolumbar spine, anterior
technique
81.35 Refusion of dorsal and dorsolumbar spine, posterior
technique
81.36 Refusion of lumbar and lumbosacral spine, anterior
technique
Arthrodesis of lumbar or lumbosacral region:
81.37 Refusion of lumbar and lumbosacral spine, lateral
transverse process technique
81.38 Refusion of lumbar and lumbosacral spine, posterior
technique
Arthrodesis of lumbar or lumbosacral region:
Posterior lumbar interbody fusion (PLIF)
Transforaminal lumbar interbody fusion (TLIF)
81.39 Refusion of spine, not elsewhere classified
81.4 Other repair of joint of lower extremity
Includes: arthroplasty of lower extremity
with: external traction or fixation
graft of bone (chips) or cartilage
internal fixation device
81.4
0 Repair of hip, not elsewhere classified
81.4
2 Five-in-one repair of knee
Medial meniscectomy, medial collateral ligament repair, vastus
medialis advancement, semitendinosus advancement, and pes
anserinus transfer
81.4
3 Triad knee repair
Medial meniscectomy with repair of the anterior cruciate ligament
and
the medial collateral ligament
O'Donoghue
procedure
206 1 .1 OR procedure Non OR procedure but affects ThaiDRG

81.44 Patellar stabilization

Roux- Goldthwait operation for recurrent dislocation of patella
81.45 Other repair of the cruciate ligaments
81.46 Other repair of the collateral ligaments
81.47 Other repair of knee
81.49 Other repair of ankle
81.5 Joint replacement of lower extremity ®

Includes: arthroplasty of lower extremity with:
external traction or fixation graft of
bone (chips) or cartilage internal
fixation device or prosthesis
Note: Removal of prior prosthesis --omit
code 81.51 Total hip replacement ®
Replacement of both femoral head and acetabulum by
prosthesis Total reconstruction of hip
Code also any type of bearing surface, if known (00.74- 00.77)
81.52 Partial hip replacement ®
Bipolar endoprosthesis
Code also any type of bearing surface, if known (00.74- 00.77)
81.53 Revision of hip replacement, not otherwise specified ®
Revision of hip replacement, not specified as to components(s)
replaced, (acetabular, femoral or both)
Code also any:
removal of (cement)(joint) spacer (84.57)
type of bearing surface, if known (00.74- 00.77)
Excludes: revision of hip replacement, components
specified (00.70-00.73)
81.54 Total knee replacement ®
Bicompartmental
Tricompartmental
Unicompartmental (hemijoint)
Partial knee replacement
81.55 Revision of knee replacement,not otherwise specified
Code also any removal of (cement) spacer (84.57)
Excludes: arthrodesis of knee (81.22)
revision of knee replacement, components
specified (00.80-00.84)
81.56 Total ankle replacement
81.57 Replacement of joint of foot and toe
81.59 Revision of joint replacement of lower extremity, not
elsewhere classified

th 207
81.6 Other procedures on

spine
Note: Number of vertebrae
The vertebral spine consists of 25 vertebrae in the following order
and number:
Cervical: C1 (atlas), C2 (axis), C3, C4, C5, C6, C7
Thoracic or Dorsal: T1, T2, T3, T4, T5, T6, T7, T8, T9, T10, T11, T12
Lumbar and Sacral: L1, L2, L3, L4, L5, S1
Coders should report only one code from the series 81.62 or 81.63
or 81.64 to show the total number of vertebrae fused on the
patient.
Code also the level and approach of the fusion or refusion (81.00-
81.08, 81.30- 81.39)
81.62 Fusion or refusion of 2-3 vertebrae
81.63 Fusion or refusion of 4- 8 vertebrae
81.64 Fusion or refusion of 9 or more vertebrae
81.65 Percutaneous vertebroplasty ®
Injection of bone void filler (cement) (polymethylmethacrylate)
(PMMA) into the diseased or fractured vertebral body
Excludes: kyphoplasty (81.66)
percutaneous vertebral augmentation (81.66)
81.66 Percutaneous vertebral augmentation ®
Insertion of inflatable balloon, bone tamp, or other device displacing
(removing) (compacting) bone to create a space (cavity) (void)
prior to injection of bone void filler (cement)
(polymethylmethacrylate) (PMMA) or other substance
Arcuplasty
Kyphoplasty
SKyphoplasty
Spineoplasty
Excludes: percutaneous vertebroplasty (81.65)
81.7 Arthroplasty and repair of hand, fingers and wrist

Includes: arthroplasty of hand and finger with:
external traction or fixation
graft of bone (chips) or cartilage
internal fixation device or prosthesis
Excludes: operations on muscle, tendon and fascia of hand (82.01-82.99)
81.71 Arthroplasty of metacarpophalangeal and
interphalangeal joint with implant
81.72 Arthroplasty of metacarpophalangeal and
interphalangeal joint without implant
81.73 Total wrist replacement
81.74 Arthroplasty of carpocarpal or carpometacarpal joint with
implant
81.75 Arthroplasty of carpocarpal or carpometacarpal joint
without implant
81.79 Other repair of hand, fingers and wrist
81.8 Arthroplasty and repair of shoulder and elbow

Includes: arthroplasty of upper limb NEC with:
external traction or fixation graft of
bone (chips) or cartilage internal
fixation device or prosthesis
81.8
0 Total shoulder replacement
81.8
1 Partial shoulder replacement
81.8 Repair of recurrent dislocation of
2 shoulder
81.8
3 Other repair of shoulder
Revision of arthroplasty of shoulder
81.8
4 Total elbow replacement
Partial elbow replacement
81.8
5 Other repair of elbow
81.9 Other operations on joint structures
81.91 Arthrocentesis
Joint aspiration
Excludes: that for:
arthrography (88.32)
biopsy of joint structure (80.30-80.39)
injection of drug (81.92)
81.92 Injection of therapeutic substance into joint or ligament
81.93 Suture of capsule or ligament of upper extremity
Excludes: that associated wit arthroplasty (81.71-81.75, 81.80-
81.81, 81.84)
81.94 Suture of capsule or ligament of ankle and foot
Excludes: that associated wit arthroplasty (81.56-81.59)
81.95 Suture of capsule or ligament of other lower extremity
Excludes: that associated wit arthroplasty (81.51-81.55, 81.59)
81.96 Other repair of joint
81.97 Revision of joint replacement of upper
extremity Partial
Removal of cement spacer
Total
81.98 Other diagnostic procedures on joint structures
Excludes: arthroscopy (80.20-80.29)
biopsy of joint structure (80.30-80.39)
microscopic examination of specimen from joint (91.51-91.59)
thermography (88.83)
x-ray (87.21-87.29, 88.21-88.33)
81.99 Other

th 209
82 Operations on muscle, tendon, and fascia of hand

aponeurosis
synovial membrane (tendon sheath)
tendon sheath
82.0 Incision of muscle, tendon, fascia, and bursa of hand

82.0
1 Exploration of tendon sheath of hand
Incision of tendon sheath of hand
Removal of rice bodies in tendon sheath of hand
Excludes: division of tendon (82.11)
82.0
2 Myotomy of hand
Excludes: myotomy for division (82.19)
82.0
3 Bursotomy of hand
82.0
4 Incision and drainage of palmar or thenar space
82.0
9 Other incision of soft tissue of hand
Excludes: incision of skin an subcutaneous tissue alone (86.01-
86.09)
82.1 Division of muscle, tendon, and fascia of hand

82.11 Tenotomy of hand
Division of tendon of hand
82.12 Fasciotomy of hand
Division of fascia of hand
82.19 Other division of soft tissue of
hand Division of muscle of hand
82.2 Excision of lesion of muscle, tendon, and fascia of hand
82.21 Excision of lesion of tendon sheath of
hand Ganglionectomy of tendon sheath
(wrist)
82.22 Excision of lesion of muscle of hand
82.29 Excision of other lesion of soft tissue of hand
Excludes: excision of lesion of skin and subcutaneous
tissue (86.21-86.3)
82.3 Other excision of soft tissue of hand

Code also any skin graft (86.61- 86.62, 86.73)
Excludes: excision of skin and subcutaneous tissue (86.21-86.3)
82.3
1 Bursectomy of hand
82.3
2 Excision of tendon of hand for graft
82.3
3 Other tenonectomy of hand
Tenosynovectomy of hand
Excludes: excision of lesion of:
tendon (82.29)
sheath (82.21)
82.3
4 Excision of muscle or fascia of hand for graft

82.35 Other fasciectomy of hand

Release of Dupuytren's
contracture
Excludes: excision of lesion of fascia (82.29)
82.36 Other myectomy of hand
Excludes: excision of lesion of muscle (82.22)
82.39 Other excision of soft tissue of hand
Excludes: excision of skin (86.21-86.3)
excision of soft tissue lesion (82.29)
82.4 Suture of muscle, tendon, and fascia of hand
82.4
1 Suture of tendon sheath of hand
82.4
2 Delayed suture of flexor tendon of hand
82.4
3 Delayed suture of other tendon of hand
82.4
4 Other suture of flexor tendon of hand
Excludes: delayed suture of flexor tendon of hand
(82.42)
82.4
5 Other suture of other tendon of hand
Excludes: delayed suture of other tendon of hand
(82.43)
82.4
6 Suture of muscle or fascia of hand
82.5 Transplantation of muscle and tendon of hand
82.5
1 Advancement of tendon of hand
82.5
2 Recession of tendon of hand
82.5
3 Reattachment of tendon of hand
82.5
4 Reattachment of muscle of hand
82.5
5 Other change in hand muscle or tendon length
82.5
6 Other hand tendon transfer or transplantation
Excludes: pollicization of thumb (82.61)
transfer of finger, except thum (82.81)
82.5
7 Other hand tendon transposition
82.5
8 Other hand muscle transfer or transplantation
82.5
9 Other hand muscle transposition
82.6 Reconstruction of thumb
Includes: digital transfer to act as thumb
Code also any amputation for digital transfer (84.01, 84.11)
82.6 Pollicization operation carrying over nerves and blood
1 supply
82.6
9 Other reconstruction of thumb
"Cocked- hat" procedure [skin flap and bone]
Grafts:
bone to thumb
skin (pedicle) to thumb
82.7 Plastic operation on hand with graft or implant

82.7
1 Tendon pulley reconstruction
Reconstruction for opponensplasty

th
required 211
82.72 Plastic operation on hand with graft of muscle or fascia

82.79 Plastic operation on hand with other graft or
implant Tendon graft to hand
82.8 Other plastic operations on hand
82.81 Transfer of finger, except thumb
Excludes: pollicization of thumb (82.61)
82.82 Repair of cleft hand
82.83 Repair of macrodactyly
82.84 Repair of mallet finger
82.85 Other tenodesis of hand
Tendon fixation of hand NOS
82.86 Other tenoplasty of hand
Myotenoplasty of hand
82.89 Other plastic operations on
hand Plication of fascia
Repair of fascial hernia
Excludes: that with graft or implant (82.71-82.79)
82.9 Other operations on muscle, tendon, and fascia of

hand
Excludes: diagnostic procedures on soft tissue of hand (83.21-83.29)
82.91 Lysis of adhesions of hand
Freeing of adhesions of fascia, muscle, and tendon of hand
Excludes: decompression of carpal tunnel (04.43)
that by stretching o manipulation only (93.26)
82.92 Aspiration of bursa of hand
82.93 Aspiration of other soft tissue of hand
Excludes: skin and subcutaneous tissue (86.01)
82.94 Injection of therapeutic substance into bursa of hand
82.95 Injection of therapeutic substance into tendon of hand
82.96 Other injection of locally-acting therapeutic
substance into soft tissue of hand
Excludes: subcutaneous or intramuscular injection (99.11-
99.29)
82.99 Other operations on muscle, tendon, and fascia of hand
83 Operations on muscle, tendon, fascia, and bursa,

except hand
aponeurosis
synovial membrane of bursa and tendon
sheaths tendon sheaths
Excludes: diaphragm (34.81-34.89)
hand (82.01- 82.99)
muscles of eye (15.01- 15.9)
83.0 Incision of muscle, tendon, fascia, and bursa

83.01 Exploration of tendon sheath

Incision of tendon sheath
Removal of rice bodies from tendon
sheath 83.02 Myotomy
Excludes: cricopharyngeal myotomy (29.31)
83.03 Bursotomy
Removal of calcareous deposit of bursa
Excludes: aspiration of burs (percutaneous) (83.94)
83.09 Other incision of soft tissue
Incision of fascia
Excludes: incision of skin an subcutaneous tissue alone (86.01-
86.09)
83.1 Division of muscle, tendon, and fascia

83.1
1 Achillotenotomy
83.1
2 Adductor tenotomy of hip
83.1
3 Other tenotomy
Aponeurotomy
Division of tendon
Tendon release
Tendon transection
Tenotomy for thoracic outlet decompression
83.1
4 Fasciotomy
Division of fascia
Division of iliotibial band
Fascia stripping
Release of Volkmann's contracture by
fasciotomy
83.1
9 Other division of soft tissue
Division of muscle
Muscle release
Myotomy for thoracic outlet decompression
Myotomy with division
Scalenotomy
Transection of muscle
83.2 Diagnostic procedures on muscle, tendon, fascia, and
bursa, including that of hand
83.21 Biopsy of soft tissue
Excludes: biopsy of chest wall (34.23)
biopsy of skin and subcutaneous tissue (86.11)
83.29 Other diagnostic procedures on muscle, tendon, fascia, and
bursa, including that of hand
Excludes: microscopic examination of specimen (91.51-91.59)
soft tissue x-ray (87.09, 87.38-87.39, 88.09, 88.35, 88.37)
thermography of muscle (88.84)

th 213
83.3 Excision of lesion of muscle, tendon, fascia, and bursa

Excludes: biopsy of soft tissue (83.21)
83.31 Excision of lesion of tendon sheath
Excision of ganglion of tendon sheath, except of hand
83.32 Excision of lesion of muscle
Excision of:
heterotopic bone
muscle scar for release of Volkmann's contracture
myositis ossificans
83.39 Excision of lesion of other soft
tissue Excision of Baker's cyst
Excludes: bursectomy (83.5)
excision of lesion of skin and subcutaneous tissue (86.3)
synovectomy (80.70-80.79)
83.4 Other excision of muscle, tendon, and fascia

83.41 Excision of tendon for graft
83.42 Other tenonectomy
Excision of:
aponeurosis
tendon sheath
Tenosynovectomy
83.43 Excision of muscle or fascia for graft
83.44 Other fasciectomy
83.45 Other myectomy
Debridement of muscle NOS
Scalenectomy
83.49 Other excision of soft tissue
83.5 Bursectomy
83.6 Suture of muscle, tendon, and fascia
83.61 Suture of tendon sheath
83.62 Delayed suture of tendon
83.63 Rotator cuff repair
83.64 Other suture of tendon
Achillorrhaphy
Aponeurorrhaphy
Excludes: delayed suture of tendon (83.62)
83.65 Other suture of muscle or fascia
Repair of diastasis recti
83.7 Reconstruction of muscle and tendon

Excludes: reconstruction of muscle and tendon associated with arthroplasty
83.71 Advancement of tendon
83.72 Recession of tendon
83.73 Reattachment of tendon

71 Operations On Vulva and Perineum: Excludes

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71 Operations on vulva and perineum

Code also any application or administration of an adhesion barrier

71.3 Other local excision or destruction of vulva and perineum

71.8 Other operations on vulva

71.9 Other operations on female genital organs

13. OBSTETRICAL PROCEDURES (72-75)

72 Forceps, vacuum, and breech delivery

72.1 Low forceps operation with episiotomy

72.3 High forceps operation

72.4 Forceps rotation of fetal head

72.5 Breech extraction

72.6 Forceps application to aftercoming head

72.7 Vacuum extraction

72.8 Other specified instrumental delivery

Non OR procedure but affects

73 Other procedures inducing or assisting delivery

73.3 Failed forceps

73.4 Medical induction of labor

73.5 Manually assisted delivery

73.8 Operations on fetus to facilitate delivery

73.9 Other operations assisting delivery

73.92 Replacement of prolapsed umbilical cord

74 Cesarean section and removal of fetus

74.0 Classical cesarean section

74.1 Low cervical cesarean section

74.2 Extraperitoneal cesarean section

74.3 Removal of extratubal ectopic pregnancy

74.4 Cesarean section of other specified type

74.9 Cesarean section of unspecified type

Non OR procedure but affects

75 Other obstetric operations

75.1 Diagnostic amniocentesis

75.4 Manual removal of retained

75.5 Repair of current obstetric laceration of uterus

75.6 Repair of other current obstetric laceration

75.7 Manual exploration of uterine cavity, postpartum

75.9 Other obstetric operations

Non OR procedure but affects

14. OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)

76 Operations on facial bones and joints

76.0 Incision of facial bone without division

76.1 Diagnostic procedures on facial bones and joints

76.4 Excision and reconstruction of facial bones

76.5 Temporomandibular arthroplasty

76.6 Other facial bone repair and orthognathic surgery

Non OR procedure but affects

76.9 Other operations on facial bones and joints

77 Incision, excision, and division of other bones

77.1 Other incision of bone without division 

77.5 Excision and repair of bunion and other toe deformities

Non OR procedure but affects

77.8 Other partial ostectomy  ®

78 Other operations on bones, except facial bones

78.0 Bone graft 

78.1 Application of external fixator device 

78.3 Limb lengthening procedures 

78.4 Other repair or plastic operations on bone 

78.6 Removal of implanted devices from bone  ®

78.8 Diagnostic procedures on bone, not elsewhere classified