Icd 9 CM 7
Icd 9 CM 7
Icd 9 CM 7
This sixth edition of the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-
9- CM) is being published by the United States Government in recognition of its responsibility to
promulgate this classification throughout the United States for morbidity coding. The
International Classification of Diseases, 9th Revision, published by the World Health Organization
(WHO) is the foundation of the ICD- 9- CM and continues to be the classification employed in cause- of- death
coding in the United States. The ICD- 9- CM is completely comparable with the ICD- 9. The WHO
Collaborating Center for Classification of Diseases in North America serves as liaison between the international
obligations for comparable classifications and the national health data needs of the United States.
The ICD- 9- CM is recommended for use in all clinical settings but is required for reporting diagnoses
and diseases to all U.S. Public Health Service and the Centers for Medicare & Medicaid Services (formerly
the Health Care Financing Administration) programs. Guidance in the use of this classification can be
found in the section "Guidance in the Use of ICD- 9- CM."
ICD- 9- CM extensions, interpretations, modifications, addenda, or errata other than those approved by
the U.S. Public Health Service and the Centers for Medicare & Medicaid Services are not to be considered
official and should not be utilized. Continuous maintenance of the ICD- 9- CM is the responsibility of the
Federal Government. However, because the ICD- 9- CM represents the best in contemporary thinking of
clinicians, nosologists, epidemiologists, and statisticians from both public and private sectors, no future
modifications will be considered without extensive advice from the appropriate representatives of all major
users.
All official authorized addenda through October 1, 2009, have been included in this sixth edition.
ACKNOWLEDGMENTS
David Berglund, MD, MPH
Classifications and Public Health Data Standards Staff National Center for Health Statistics
Centers for Disease Control and Prevention
Amy L. Blum, MHSA., RHIA, CTR
Classifications and Public Health Data Standards Staff National Center for Health Statistics
Centers for Disease Control and Prevention
Lizabeth J. Fisher, RHIA
Classifications and Public Health Data Standards Staff National Center for Health Statistics
Centers for Disease Control and Prevention
Donna Pickett, MPH, RHIA
Classifications and Public Health Data Standards Staff National Center for Health Statistics
Centers for Disease Control and Prevention
Patricia E. Brooks, RHIA
Centers For Medicare and Medicaid Services Center for Medicare Management
Hospital and Ambulatory Policy Group Division of Acute Care
Ann B. Fagan, RHIA
Centers For Medicare and Medicaid Services Center for Medicare Management
Hospital and Ambulatory Policy Group Division of Acute Care
Amy L. Gruber, RHIA
Centers For Medicare and Medicaid Services Center for Medicare Management
Hospital and Ambulatory Policy Group Division of Acute Care
Mady Hue, RHIA, CCS
Centers For Medicare and Medicaid Services Center for Medicare Management
Hospital and Ambulatory Policy Group Division of Acute Care
Linda Washington Marketing
National Center for Health Statistics Development InfoStructure
2101 Wilson Boulevard, Suite 300
Arlington, VA 22201
Contact: David W. Martin
INTRODUCTION
The International Classification of Diseases, 9th Revision, Clinical Modification (ICD- 9- CM) is based on
the official version of the World Health Organization's 9th Revision, International Classification of
Diseases (ICD- 9). ICD- 9 is designed for the classification of morbidity and mortality information for
statistical purposes, and for the indexing of hospital records by disease and operations, for data storage and
retrieval. The historical background of the International Classification of Diseases may be found in the
Introduction to ICD- 9 (Manual of the International Classification of Diseases, Injuries, and Causes of Death,
World Health Organization, Geneva, Switzerland, 1977).
ICD- 9- CM is a clinical modification of the World Health Organization's International Classification of
Diseases, 9th Revision (ICD- 9). The term "clinical" is used to emphasize the modification's intent: to serve as a
useful tool in the area of classification of morbidity data for indexing of medical records, medical care
review, and ambulatory and other medical care programs, as well as for basic health statistics. To
describe the clinical picture of the patient, the codes must be more precise than those needed only for
statistical groupings and trend analysis..
() Parentheses are used to enclose supplementary words which may be present or absent in the statement of a
disease or procedure without affecting the code number to which it is assigned.
: Colons are used in the Tabular List after an incomplete term which needs one or more of the modifiers
which follow in order to make it assignable to a given category.
OTHER CONVENTIONS
Format: ICD- 9- CM uses an indented format for ease in reference.
Instructional Notations Includes:
This note appears immediately under a three- digit code title to further define, or give example of, the contents
of the category.
Excludes:
Terms following the word "excludes" are to be coded elsewhere. The term excludes means "DO NOT CODE
HERE".
Use additional code
This instruction is placed in the Tabular List in those categories where the user will need to add further
information (by using an additional code) to give a more complete picture of the diagnosis or procedure.
TABLE OF CONTENTS
CLASSIFICATION OF PROCEDURES
Chapter Code Page
CLASSIFICATION OF PROCEDURES
0. PROCEDURES AND INTERVENTIONS , NOT ELSEWHERE CLASSIFIED (00)
00 Procedures and interventions, Not Elsewhere Classified
00.0 Therapeutic ultrasound
Excludes: diagnostic ultrasound (non-invasive) (88.71-88.79) intracardiac echocardiography [ICE] (heart
chamber(s)) (37.28) intravascular imaging (adjunctive) (00.21-00.29)
00.01 Therapeutic ultrasound of vessels of head and neck
Anti- restenotic ultrasound Intravascular non- ablative ultrasound
Excludes: diagnostic ultrasound of: eye (95.13)
head and neck (88.71) that of inner ear (20.79) ultrasonic:
angioplasty of non-coronary vessel (39.50) embolectomy (38.01, 38.02)
endarterectomy (38.11, 38.12)
thrombectomy (38.01, 38.02)
00.02 Therapeutic ultrasound of heart ® Anti- restenotic ultrasound Intravascular non- ablative ultrasound
Excludes: diagnostic ultrasound of heart (88.72) ultrasonic ablation of heart lesion (37.34)
ultrasonic angioplasty of coronary vessels (00.66, 36.09)
00.03 Therapeutic ultrasound of peripheral vascular vessels
Anti- restenotic ultrasound Intravascular non- ablative ultrasound
Excludes: diagnostic ultrasound of peripheral vascular system (88.77) ultrasonic angioplasty of:
non-coronary vessel (39.50)
00.09 Other therapeutic ultrasound
Excludes: ultrasonic:
fragmentation of urinary stones (59.95)
percutaneous nephrostomy with fragmentation (55.04) physical therapy (93.35)
transurethral guided laser induced prostatectomy (TULIP) (60.21)
00.1 Pharamaceuticals
00.10 Implantation of chemotherapeutic agent
Brain wafer chemotherapy Interstitial/ intracavitary
Excludes: injection or infusion of cancer chemotherapeutic substance (99.25)
00.11 Infusion of drotrecogin alfa (activated)
Infusion of recombinant protein
00.12 Administration of inhaled nitric oxide
Nitric oxide therapy
00.13 Injection or infusion of nesiritide
Human B- type natriuretic peptide (hBNP)
00.14 Injection or infusion of oxazolidinone class of antibiotics
Linezolid injection
00.15 High-dose infusion interleukin-2 [IL-2] Infusion (IV bolus, CIV) interleukin Injection of aldesleukin
Excludes: low-dose infusion interleukin-2 (99.28)
00.16 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance
Ex- vivo treatment of vessel Hyperbaric pressurized graft [conduit]
00.17 Infusion of vasopressor agent
00.18 Infusion of immunosuppressive antibody therapy ®
Includes: during induction phase of solid organ transplantation monoclonal antibody therapy
polyclonal antibody therapy
00.19 Disruption of blood brain barrier via infusion [BBBD]
Infusion of substance to disrupt blood brain barrier Code also chemotherapy (99.25)
Excludes: other perfusion (39.97)
00.2 Intravascular imaging of blood vessels ®
Endovascular ultrasonography Intravascular ultrasound (IVUS)
Intravascular [ultrasound] imaging of blood vessels Virtual histology intravascular ultrasound [VH- IVUS]
Note: real- time imaging of lumen of blood vessel(s) using sound waves Code also any synchronous diagnostic or
therapeutic procedures
Excludes: therapeutic ultrasound (00.01-00.09)
adjunct vascular system procedures, number of vessels treated (00.40 00.43)
diagnostic procedures on blood vessels (38.21 38.29) diagnostic ultrasound of peripheral vascular system (88.77)
magnetic resonance imaging (MRI) (88.91-88.97) intravascular imaging of vessel(s) by OCT (38.24-38.25)
00.21 Intravascular imaging of extracranial cerebral vessels
Common carotid vessels and branches
Intravascular ultrasound (IVUS), extracranial cerebral vessels
Excludes: diagnostic ultrasound (non-invasive) of head and neck (88.71)
00.22 Intravascular imaging of intrathoracic vessels
Aorta and aortic arch
Intravascular ultrasound (IVUS), intrathoracic vessels Vena cava (superior) (inferior)
Excludes: diagnostic ultrasound (non-invasive) of other sites of thorax
(88.73)
00.23 Intravascular imaging of peripheral vessels
Imaging of:
vessels of arm(s) vessels of leg(s)
Intravascular ultrasound (IVUS), peripheral vessels
Excludes: diagnostic ultrasound (non-invasive) of peripheral vascular system (88.77)
00.24 Intravascular imaging of coronary vessels
Intravascular ultrasound (IVUS), coronary vessels
Excludes: diagnostic ultrasound (non-invasive) of heart (88.72) intracardiac echocardiography [ICE] (ultrasound
of
heart chamber(s)) (37.28)
00.25 Intravascular imaging of renal vessels Intravascular ultrasound (IVUS), renal vessels Renal artery
Excludes: diagnostic ultrasound (non-invasive) of urinary system (88.75)
00.28 Intravascular imaging, other specified vessel(s)
00.29 Intravascular imaging, unspecified vessel(s)
00.3 Computer assisted surgery [CAS] ®
CT- free navigation
Image guided navigation (IGN) Image guided surgery (IGS) Imageless navigation
That without the use of robotic(s) technology Code also diagnostic or therapeutic procedure
Excludes: stereotactic frame application only (93.59) robotic assisted procedures (17.41-17.49)
00.31 Computer assisted surgery with CT/CTA
00.32 Computer assisted surgery with MR/MRA
00.33 Computer assisted surgery with fluoroscopy
00.34 Imageless computer assisted surgery
00.35 Computer assisted surgery with multiple datasets
00.39 Other computer assisted surgery
Computer assisted surgery NOS
00.4 Adjunct Vascular System Procedures
Note: These codes can apply to both coronary and peripheral vessels. These codes are to be used in conjunction
with other therapeutic procedure codes to provide additional information on the number of vessels upon which a
procedure was performed and/or the number of stents inserted. As appropriate, code both the number of vessels
operated on (00.40- 00.43) , and the number of stents inserted (00.45- 00.48).
Code also any:
angioplasty or atherectomy (00.61- 00.62, 00.66, 39.50)
endarterectomy (38.10 38.18)
insertion of vascular stent(s) (00.55, 00.63- 00.65, 36.06 - 36.07, 39.90) other removal of coronary artery
obstruction (36.09)
Procedure on single vessel
Number of vessels, unspecified
Excludes: (aorto) coronary bypass (36.10 36.19) intravascular imaging of blood vessels (00.21-00.29)
Procedure on two vessels
Excludes: (aorto) coronary bypass (36.10 36.19) intravascular imaging of blood vessels (00.21-00.29)
Procedure on three vessels
Excludes: (aorto) coronary bypass (36.10 36.19) intravascular imaging of blood vessels (00.21-00.29)
Procedure on four or more vessels
Excludes: (aorto) coronary bypass (36.10 36.19) intravascular imaging of blood vessels (00.21-00.29)
00.44 Procedure on vessel bifurcation
Note: This code is to be used to identify the presence of a vessel bifurcation; it does not describe a specific
bifurcation stent. Use this code only once per operative episode, irrespective of the number of bifurcations in
vessels.
00.45 Insertion of one vascular stent
Number of stents, unspecified
00.46 Insertion of two vascular stents
00.47 Insertion of three vascular stents
00.48 Insertion of four or more vascular stents
00.49 SuperSaturated oxygen therapy Aqueous oxygen (AO) therapy SSO2
SuperOxygenation infusion therapy
Code also any:
injection or infusion of thrombolytic agent (99.10) insertion of coronary artery stent(s) (36.06- 36.07) intracoronary
artery thrombolytic infusion (36.04) number of vascular stents inserted (00.45- 00.48) number of vessels treated
(00.40- 00.43)
open chest coronary artery angioplasty (36.03)
00.40
00.41
00.42
00.43
other removal of coronary obstruction (36.09)
percutaneous transluminal coronary angioplasty [PTCA] (00.66) procedure on vessel bifurcation (00.44)
Excludes: other oxygen enrichment (93.96) other perfusion (39.97)
00.5 Other cardiovascular procedures
Implantation of cardiac resynchronization pacemaker without mention of defibrillation, total system [CRT-
P]
Biventricular pacemaker
Biventricular pacing without internal cardiac defibrillator BiV pacemaker
Implantation of cardiac resynchronization (biventricular) pulse generator pacing device, formation of pocket,
transvenous leads including placement of lead into left ventricular coronary venous system, and intraoperative
procedures for evaluation of lead signals.
That with CRT- P generator and one or more leads Note: Device testing during procedure --omit code
Excludes: implantation of cardiac resynchronization defibrillator, total system [CRT-D] (00.51)
insertion or replacement of any type pacemaker device (37.80-37.87)
replacement of cardiac resynchronization defibrillator pulse generator only [CRT-D] (00.54)
replacement of cardiac resynchronization pacemaker pulse generator only [CRT-P] (00.53)
Implantation of cardiac resynchronization defibrillator, total system [CRT-D]
BiV defibrillator Biventricular defibrillator
Biventricular pacing with internal cardiac defibrillator BiV ICD
BiV pacemaker with defibrillator BiV pacing with defibrillator
Implantation of a cardiac resynchronization (biventricular) pulse generator with defibrillator [AICD], formation
of pocket, transvenous leads, including placement of lead into left ventricular coronary venous system,
intraoperative procedures for evaluation of lead signals, and obtaining defibrillator threshold measurements.
That with CRT- D generator and one or more leads Note: Device testing during procedure --omit code
Excludes: implantation of cardiac resynchronization pacemaker, total system [CRT-P] (00.50)
implantation or replacement of automatic cardioverter/defibrillator, total system [AICD] (37.94)
replacement of cardiac resynchronization defibrillator pulse generator, only [CRT-D] (00.54)
00.50
00.51
00.52
Implantation or replacement of transvenous lead [electrode] into left ventricular coronary
venous system
Excludes: implantation of cardiac resynchronization defibrillator, total system [CRT-D] (00.51)
implantation of cardiac resynchronization pacemaker, total system [CRT-P] (00.50)
initial insertion of transvenous lead [electrode] (37.70-37.72)
replacement of transvenous atrial and/or ventricular lead(s) [electrodes] (37.76)
Implantation or replacement of cardiac resynchronization pacemaker pulse generator only
[CRT-P]
Implantation of CRT- P device with removal of any existing CRT- P or other pacemaker device
Note: Device testing during procedure --omit code
Excludes: implantation of cardiac resynchronization pacemaker, total system [CRT-P] (00.50)
implantation or replacement of cardiac resynchronization defibrillator pulse generator only [CRT-
D] (00.54)
insertion or replacement of any type pacemaker device (37.80-37.87)
Implantation or replacement of cardiac resynchronization defibrillator pulse generator device
only [CRT-D]
Implantation of CRT- D device with removal of any existing CRT- D, CRT- P, pacemaker, or
defibrillator device
Note: Device testing during procedure --omit code
Excludes: implantation of automatic cardioverter/defibrillator pulse generator only (37.96)
implantation of cardiac resynchronization defibrillator, total system [CRT-D] (00.51)
implantation or replacement of cardiac resynchronization pacemaker pulse generator only [CRT-P]
(00.53)
Insertion of drug-eluting peripheral vessel stent(s)
Endograft(s) Endovascular graft(s) Stent grafts
Code also any:
angioplasty or atherectomy of other non- coronary vessels(s) (39.50) number of vascular stents
inserted (00.45 00.48)
number of vessels treated (00.40 00.43) procedure on vessel bifurcation (00.44)
Excludes: drug-coated peripheral stents, e.g., heparin coated (39.90) insertion of cerebrovascular
stent(s) (00.63-00.65) insertion of drug-eluting coronary artery stent (36.07) insertion of non-drug-
eluting stent(s):
coronary artery (36.06)
peripheral vessel (39.90)
that for aneurysm repair (39.71 - 39.79)
00.53
00.54
00.55
00.56
Insertion or replacement of implantable pressure sensor (lead) for intracardiac or great vessel
hemodynamic monitoring ®
Code also any associated implantation or replacement of monitor (00.57)
Excludes: circulatory monitoring (blood gas, arterial or venous pressure, cardiac output and coronary blood
flow) (89.60 - 89.69)
Implantation or replacement of subcutaneous device for intracardiac or great vessel hemodynamic
monitoring ®
Implantation of monitoring device with formation of subcutaneous pocket and connection to intracardiac
pressure sensor (lead)
Code also any associated insertion or replacement of implanted pressure sensor (lead) (00.56)
00.58 Insertion of intra-aneurysm sac pressure monitoring device (intraoperative)
Insertion of pressure sensor during endovascular repair of abdominal or thoracic aortic aneurysm(s)
00.59 Intravascular pressure measurement of coronary arteries
Includes: fractional flow reserve (FFR)
Code also any synchronous diagnostic or therapeutic procedures
Excludes: intravascular pressure measurement of intrathoracic arteries (00.67)
00.6 Procedures on blood vessels
Percutaneous angioplasty or atherectomy of precerebral (extracranial) vessel(s)
Basilar Carotid Vertebral
Code also any:
injection or infusion of thrombolytic agent (99.10) percutaneous insertion of carotid artery stent(s) (00.63)
percutaneous insertion of other precerebral artery stent(s) (00.64) number of vascular stents inserted
(00.45 00.48)
number of vessels treated (00.40 00.43) procedure on vessel bifurcation (00.44)
Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)
removal of cerebrovascular obstruction of vessel(s) by open approach (38.01-38.02, 38.11-38.12, 38.31-38.32,
38.41-38.42)
Percutaneous angioplasty or atherectomy of intracranial vessel(s)
Code also any:
injection or infusion of thrombolytic agent (99.10) percutaneous insertion of intracranial stent(s) (00.65) number
of vascular stents inserted (00.45 00.48) number of vessels treated (00.40 00.43)
procedure on vessel bifurcation (00.44)
00.57
00.61
00.62
Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)
removal of cerebrovascular obstruction of vessel(s) by open approach (38.01-38.02, 38.11-38.12,
38.31-38.32,
38.41-38.42)
Percutaneous insertion of carotid artery stent(s)
Includes the use of any embolic protection device, distal protection device, filter device, or stent
delivery system
Non- drug- eluting stent
Code also any:
number of vascular stents inserted (00.45 00.48) number of vessels treated (00.40 00.43)
percutaneous angioplasty or atherectomy of precerebral vessel(s) (00.61)
procedure on vessel bifurcation (00.44)
Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)
insertion of drug-eluting peripheral vessel stent(s) (00.55)
Percutaneous insertion of other precerebral (extracranial) artery
stent(s)
Includes the use of any embolic protection device, distal protection device, filter device, or stent
delivery system
Basilar stent Vertebral stent
Code also any:
number of vascular stents inserted (00.45 00.48) number of vessels treated (00.40 00.43)
percutaneous angioplasty or atherectomy of precerebral vessel(s) (00.61)
procedure on vessel bifurcation (00.44)
Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)
insertion of drug-eluting peripheral vessel stent(s) (00.55)
Percutaneous insertion of intracranial vascular stent(s)
Includes the use of any embolic protection device, distal protection device, filter device, or stent
delivery system
Code also any:
number of vascular stents inserted (00.45 00.48) number of vessels treated (00.40 00.43)
percutaneous angioplasty or atherectomy of intracranial vessel(s) (00.62)
procedure on vessel bifurcation (00.44)
Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)
insertion of drug-eluting peripheral vessel stent(s) (00.55)
00.63
00.64
00.65
00.66
Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy ®
Balloon angioplasty of coronary artery Coronary atherectomy
Percutaneous coronary angioplasty NOS PTCA NOS
Code also any:
injection or infusion of thrombolytic agent (99.10) insertion of coronary artery stent(s) (36.06- 36.07) intracoronary
artery thrombolytic infusion (36.04) number of vascular stents inserted (00.45 00.48) number of vessels treated
(00.40 00.43) procedure on vessel bifurcation (00.44) SuperSaturated oxygen therapy (00.49)
00.67 Intravascular pressure measurement of intrathoracic arteries
Assessment of: aorta and aortic arch
carotid
Code also any synchronous diagnostic or therapeutic procedures
00.68 Intravascular pressure measurement of peripheral arteries
Assessment of: other peripheral vessels
vessels of arm(s) vessels of leg(s)
Code also any synchronous diagnostic or therapeutic procedures
00.69 Intravascular pressure measurement, other specified and unspecified vessels
Assessment of:
iliac vessels
intra- abdominal vessels mesenteric vessels renal vessels
Code also any synchronous diagnostic or therapeutic procedures
Excludes: intravascular pressure measurement of: coronary arteries (00.59)
intrathoracic arteries (00.67)
peripheral arteries (00.68)
00.7 Other hip procedures
Revision of hip replacement, both acetabular and femoral components
Total hip revision
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, acetabular component only (00.71) revision of hip replacement, femoral component
only (00.72) revision of hip replacement, Not Otherwise Specified (81.53) revision with replacement of acetabular
liner and/or femoral head
only (00.73)
00.70
00.71
Revision of hip replacement, acetabular component
Partial, acetabular component only That with:
exchange of acetabular cup and liner exchange of femoral head
Code also any type of bearing surface, if known (00.74 00.77)
Excludes:
revision of hip replacement, both acetabular and femoral components (00.70)
revision of hip replacement, femoral component (00.72) revision of hip replacement, Not Otherwise Specified
(81.53)
revision with replacement of acetabular liner and/or femoral head only (00.73)
Revision of hip replacement, femoral component
Partial, femoral component only That with:
exchange of acetabular liner exchange of femoral stem and head
Code also any type of bearing surface, if known (00.74 00.77)
Excludes:
revision of hip replacement, acetabular component (00.71)
revision of hip replacement, both acetabular and femoral components (00.70)
revision of hip replacement, not otherwise specified (81.53) revision with replacement of acetabular liner and/or
femoral head
only (00.73)
Revision of hip replacement, acetabular liner and/or femoral head only
Code also any type of bearing surface, if known (00.74 00.77)
Hip bearing surface, metal on polyethylene ®
Hip bearing surface, metal-on-metal ®
Hip bearing surface, ceramic-on-ceramic ®
Hip bearing surface, ceramic-on-polyethylene ®
00.8 Other knee and hip procedures
Note: Report up to two components using 00.81 00.83 to describe revision of knee replacements. If all three
components are revised, report 00.80.
Revision of knee replacement, total (all components) Replacement of femoral, tibial, and patellar components
(all components)
Code also any removal of (cement) (joint) spacer (84.57)
Excludes: revision of only one or two components (tibial, femoral or patellar component) (00.81 00.84)
Revision of knee replacement, tibial component
Replacement of tibial baseplate and tibial insert (liner)
Excludes: revision of knee replacement, total (all components) (00.80)
00.72
00.73
00.74
00.75
00.76
00.77
00.80
00.81
00.82
Revision of knee replacement, femoral component
That with replacement of tibial insert (liner)
Excludes: revision of knee replacement, total (all components) (00.80)
Revision of knee replacement, patellar component
Excludes: revision of knee replacement, total (all components) (00.80)
Revision of total knee replacement, tibial insert (liner)
Replacement of tibial insert (liner)
Excludes: that with replacement of tibial component (tibial baseplate and liner) (00.81)
Resurfacing hip, total, acetabulum and femoral head
Hip resurfacing arthroplasty, total
Resurfacing hip, partial, femoral head
Hip resurfacing arthroplasty, NOS
Hip resurfacing arthroplasty, partial, femoral head
Excludes: that with resurfacing of acetabulum (00.85)
Resurfacing hip, partial, acetabulum
Hip resurfacing arthroplasty, partial, acetabulum
Excludes: that with resurfacing of femoral head (00.85)
00.9 Other procedures and interventions
00.91 Transplant from live related donor
Code also organ transplant procedure
00.92 Transplant from live non-related donor
Code also organ transplant procedure
00.93 Transplant from cadaver
Code also organ transplant procedure
00.94 Intra-operative neurophysiologic monitoring
Includes: Cranial nerve, peripheral nerve and spinal cord testing performed intra- operatively
Intra- operative neurophysiologic testing IOM
Nerve monitoring Neuromonitoring
Excludes: brain temperature monitoring (01.17) intracranial oxygen monitoring (01.16)
intracranial pressure monitoring (01.10) plethysmogram (89.58)
00.83
00.84
00.85
00.86
00.87
1. OPERATIONS ON THE NERVOUS SYSTEM (01-05)
01 Incision and excision of skull, brain, and cerebral meninges
01.0 Cranial puncture
01.01 Cisternal puncture
Cisternal tap
Excludes: pneumocisternogram (87.02)
Ventriculopuncture through previously implanted catheter
Puncture of ventricular shunt tubing
Other cranial puncture
Aspiration of: subarachnoid space subdural space
Cranial aspiration NOS Puncture of anterior fontanel Subdural tap (through fontanel)
01.1 Diagnostic procedures on skull, brain, and cerebral meninges
01.10 Intracranial pressure monitoring
Includes: insertion of catheter or probe for monitoring
Closed [percutaneous] [needle] biopsy of cerebral meninges
Burr hole approach
Open biopsy of cerebral meninges
Closed [percutaneous] [needle] biopsy of brain
Burr hole approach Stereotactic method
Open biopsy of brain Biopsy of skull
01.16 Intracranial oxygen monitoring
Includes: insertion of catheter or probe for monitoring Partial pressure of brain oxygen (PbtO2)
01.17 Brain temperature monitoring
Includes: insertion of catheter or probe for monitoring
Other diagnostic procedures on brain and cerebral meninges ®
Excludes: cerebral:
arteriography (88.41)
thermography (88.81)
contrast radiogram of brain (87.01-87.02) echoencephalogram (88.71)
electroencephalogram (89.14)
microscopic examination of specimen from nervous system and of spinal fluid (90.01-90.09)
neurologic examination (89.13)
phlebography of head and neck (88.61) pneumoencephalogram (87.01)
01.02
01.09
01.11
01.12
01.13
01.14
01.15
01.18
radioisotope scan:
cerebral (92.11)
head NEC (92.12)
tomography of head:
C.A.T. scan (87.03)
other (87.04)
brain temperature monitoring (01.17) intracranial oxygen monitoring (01.16) intracranial pressure monitoring
(01.10)
Other diagnostic procedures on skull
Excludes: transillumination of skull (89.16) x-ray of skull (87.17)
01.2 Craniotomy and craniectomy
Excludes: decompression of skull fracture (02.02) exploration of orbit (16.01-16.09)
that as operative approach --omit code
Incision and drainage of cranial sinus
Removal of intracranial neurostimulator lead(s)
Code also any removal of neurostimulator pulse generator (86.05) Excludes: removal with synchronous replacement
(02.93) Reopening of craniotomy site
Other craniotomy
Cranial:
decompression exploration trephination
Craniotomy NOS Craniotomy with removal of:
epidural abscess extradural hematoma foreign body of skull
Excludes: removal of foreign body with incision into brain (01.39)
Other craniectomy Debridement of skull NOS Sequestrectomy of skull
Excludes: debridement of compound fracture of skull (02.02) strip craniectomy (02.01)
Insertion of catheter(s) into cranial cavity or tissue
Code also any concomitant procedure (e.g. resection (01.59))
Excludes: placement of intracerebral catheter(s) via burr hole(s) (01.28)
Removal of catheter(s) from cranial cavity or tissue Placement of intracerebral catheter(s) via burr hole(s)
Convection enhanced delivery
Stereotactic placement of intracerebral catheter(s) Code also infusion of medication
Excludes: insertion of catheter(s) into cranial cavity or tissue(s) (01.26)
01.19
01.21
01.22
01.23
01.24
01.25
01.26
01.27
01.28
01.3 Incision of brain and cerebral meninges
Incision of cerebral meninges
Drainage of: intracranial hygroma
subarachnoid abscess (cerebral) subdural empyema
Lobotomy and tractotomy
Division of: brain tissue
cerebral tracts
Percutaneous (radiofrequency) cingulotomy
Other incision of brain Amygdalohippocampotomy Drainage of intracerebral hematoma Incision of brain NOS
Excludes: division of cortical adhesions (02.91)
01.4 Operations on thalamus and globus pallidus
Operations on thalamus Chemothalamectomy Thalamotomy
Excludes: that by stereotactic radiosurgery (92.30 - 92.39)
Operations on globus pallidus
Pallidoansectomy Pallidotomy
Excludes: that by stereotactic radiosurgery (92.30 - 92.39)
01.5 Other excision or destruction of brain and meninges
Excision of lesion or tissue of cerebral meninges
Decortication of (cerebral) meninges Resection of (cerebral) meninges
Stripping of subdural membrane of (cerebral) meninges Excludes: biopsy of cerebral meninges (01.11-01.12)
Hemispherectomy
Lobectomy of brain
Other excision or destruction of lesion or tissue of brain
Curettage of brain Debridement of brain Marsupialization of brain cyst
Transtemporal (mastoid) excision of brain tumor
Excludes: biopsy of brain (01.13-01.14)
that by stereotactic radiosurgery (92.30 - 92.39)
laser interstitial thermal therapy [LITT] of lesion or tissue of brain under guidance (17.61)
Excision of lesion of skull
Removal of granulation tissue of cranium
Excludes: biopsy of skull (01.15)
sequestrectomy (01.25)
01.31
01.32
01.39
01.41
01.42
01.51
01.52
01.53
01.59
01.6
02 Other operations on skull, brain, and cerebral meninges
02.0 Cranioplasty
Excludes: that with synchronous repair of encephalocele (02.12)
Opening of cranial suture
Linear craniectomy Strip craniectomy
Elevation of skull fracture fragments Debridement of compound fracture of skull Decompression of skull
fracture
Reduction of skull fracture
Code also any synchronous debridement of brain (01.59)
Excludes: debridement of skull NOS (01.25)
removal of granulation tissue of cranium (01.6)
Formation of cranial bone flap
Repair of skull with flap
Bone graft to skull
Pericranial graft (autogenous) (heterogenous)
Insertion of skull plate
Replacement of skull plate
Other cranial osteoplasty
Repair of skull NOS
Revision of bone flap of skull
Removal of skull plate
Excludes: removal with synchronous replacement (02.05)
02.1 Repair of cerebral meninges
Excludes: marsupialization of cerebral lesion (01.59)
Simple suture of dura mater of brain Other repair of cerebral meninges
Closure of fistula of cerebrospinal fluid Dural graft
Repair of encephalocele including synchronous cranioplasty Repair of meninges NOS
Subdural patch
Ligation of meningeal vessel
Ligation of: longitudinal sinus
middle meningeal artery
Choroid plexectomy
Cauterization of choroid plexus
Ventriculostomy
Anastomosis of ventricle to: cervical subarachnoid space cisterna magna
Insertion of Holter valve Ventriculocisternal intubation
02.01
02.02
02.03
02.04
02.05
02.06
02.07
02.11
02.12
02.13
02.14
02.2
02.3 Extracranial ventricular shunt
Includes: that with insertion of valve
Ventricular shunt to structure in head and neck Ventricle to nasopharynx shunt Ventriculomastoid anastomosis
Ventricular shunt to circulatory system Ventriculoatrial anastomosis Ventriculocaval shunt
Ventricular shunt to thoracic cavity
Ventriculopleural anastomosis
Ventricular shunt to abdominal cavity and organs Ventriculocholecystostomy Ventriculoperitoneostomy
Ventricular shunt to urinary system
Ventricle to ureter shunt
Other operations to establish drainage of ventricle
Ventricle to bone marrow shunt Ventricular shunt to extracranial site NEC
02.4 Revision, removal, and irrigation of ventricular shunt
Excludes: revision of distal catheter of ventricular shunt (54.95)
02.41 Irrigation and exploration of ventricular shunt Exploration of ventriculoperitoneal shunt at ventricular site
Re- programming of ventriculoperitoneal shunt
Replacement of ventricular shunt Reinsertion of Holter valve Replacement of ventricular catheter
Revision of ventriculoperitoneal shunt at ventricular site
Removal of ventricular shunt
02.9 Other operations on skull, brain, and cerebral meninges
Excludes: operations on:
pineal gland (07.17, 07.51-07.59)
pituitary gland [hypophysis] (07.13-07.15, 07.61-07.79)
Lysis of cortical adhesions Repair of brain
Implantation or replacement of intracranial neurostimulator lead(s)
Implantation, insertion, placement, or replacement of intracranial: brain pacemaker [neuropacemaker]
depth electrodes epidural pegs
electroencephalographic receiver foramen ovale electrodes intracranial electrostimulator subdural grids
subdural strips
Code also any insertion of neurostimulator pulse generator(86.94- 86.98)
Insertion or replacement of skull tongs or halo traction device
02.31
02.32
02.33
02.34
02.35
02.39
02.42
02.43
02.91
02.92
02.93
02.94
02.95 Removal of skull tongs or halo traction device
02.96 Insertion of sphenoidal electrodes Other
Excludes: chemical shock therapy (94.24) electroshock therapy:
subconvulsive (94.26)
other (94.27)
02.99
03 Operations on spinal cord and spinal canal structures
Code also any application or administration of an adhesion barrier substance (99.77)
03.0 Exploration and decompression of spinal canal structures
Removal of foreign body from spinal canal Reopening of laminectomy site
Other exploration and decompression of spinal canal ®
Decompression:
laminectomy laminotomy
Expansile laminoplasty Exploration of spinal nerve root Foraminotomy
Code also any synchronous insertion, replacement and revision of posterior spinal motion preservation device(s),
if performed (84.80 - 84.85)
Excludes: drainage of spinal fluid by anastomosis (03.71-03.79) laminectomy with excision of intervertebral disc
(80.51) spinal tap (03.31)
that as operative approach --omit code
Division of intraspinal nerve root
Rhizotomy
03.2 Chordotomy
Percutaneous chordotomy
Stereotactic chordotomy
Other chordotomy
Chordotomy NOS
Tractotomy (one- stage) (two- stage) of spinal cord Transection of spinal cord tracts
03.3 Diagnostic procedures on spinal cord and spinal canal structures
Spinal tap
Lumbar puncture for removal of dye
Excludes: lumbar puncture for injection of dye [myelogram] (87.21)
Biopsy of spinal cord or spinal meninges
Other diagnostic procedures on spinal cord and spinal canal structures
03.01
03.02
03.09
03.1
03.21
03.29
03.31
03.32
03.39
Excludes: microscopic examination of specimen from nervous system or of spinal fluid (90.01-90.09)
x-ray of spine (87.21-87.29)
Excision or destruction of lesion of spinal cord or spinal meninges
Curettage of spinal cord or spinal meninges Debridement of spinal cord or spinal meninges
Marsupialization of cyst of spinal cord or spinal meninges Resection of spinal cord or spinal meninges
Excludes: biopsy of spinal cord or meninges (03.32)
03.5 Plastic operations on spinal cord structures
Repair of spinal meningocele
Repair of meningocele NOS
Repair of spinal myelomeningocele
Repair of vertebral fracture ® Elevation of spinal bone fragments Reduction of fracture of vertebrae
Removal of bony spicules from spinal canal
Excludes: percutaneous vertebral augmentation (81.66) Percutaneous vertebroplasty (81.65)
Other repair and plastic operations on spinal cord structures
Repair of:
diastematomyelia spina bifida NOS spinal cord NOS spinal meninges NOS vertebral arch defect
Lysis of adhesions of spinal cord and nerve roots
03.7 Shunt of spinal theca
Includes: that with valve
Spinal subarachnoid-peritoneal shunt
Spinal subarachnoid-ureteral shunt Other shunt of spinal theca
Lumbar- subarachnoid shunt NOS Pleurothecal anastomosis Salpingothecal anastomosis
03.8 Injection of destructive agent into spinal canal
03.9 Other operations on spinal cord and spinal canal structures
03.90 Insertion of catheter into spinal canal for infusion of therapeutic or palliative substances
Insertion of catheter into epidural, subarachnoid, or subdural space of spine with intermittent or continuous
infusion of drug (with creation of any reservoir)
Code also any implantation of infusion pump (86.06)
03.4
03.51
03.52
03.53
03.59
03.6
03.71
03.72
03.79
03.91 Injection of anesthetic into spinal canal for analgesia
Excludes: that for operative anesthesia --omit code
03.92 Injection of other agent into spinal canal
Intrathecal injection of steroid
Subarachnoid perfusion of refrigerated saline
Excludes: injection of:
contrast material for myelogram (87.21) destructive agent into spinal canal (03.8)
Implantation or replacement of spinal neurostimulator lead(s)
Code also any insertion of neurostimulator pulse generator (86.94- 86.98)
Removal of spinal neurostimulator lead(s)
Code also any removal of neurostimulator pulse generator (86.05)
03.95 Spinal blood patch
03.96 Percutaneous denervation of facet Revision of spinal thecal shunt Removal of spinal thecal shunt
Other
04 Operations on cranial and peripheral nerves
04.0 Incision, division, and excision of cranial and peripheral nerves
Excludes: opticociliary neurectomy (12.79) sympathetic ganglionectomy (05.21-05.29)
Excision of acoustic neuroma
That by craniotomy
Excludes: that by stereotactic radiosurgery (92.30 - 92.39)
Division of trigeminal nerve
Retrogasserian neurotomy
Division or crushing of other cranial and peripheral nerves
Excludes: that of:
glossopharyngeal nerve (29.92)
laryngeal nerve (31.91)
nerves to adrenal glands (07.42)
phrenic nerve for collapse of lung (33.31) vagus nerve (44.00-44.03)
Other incision of cranial and peripheral nerves Gasserian ganglionectomy
Other cranial or peripheral ganglionectomy
Excludes: sympathetic ganglionectomy (05.21-05.29)
Other excision or avulsion of cranial and peripheral nerves
Curettage of peripheral nerve Debridement of peripheral nerve Resection of peripheral nerve
Excision of peripheral neuroma [Morton's]
Excludes: biopsy of cranial or peripheral nerve (04.11-04.12)
03.93
03.94
03.97
03.98
03.99
04.01
04.02
04.03
04.04
04.05
04.06
04.07
04.1 Diagnostic procedures on peripheral nervous system
Closed [percutaneous] [needle] biopsy of cranial or peripheral nerve or ganglion
Open biopsy of cranial or peripheral nerve or ganglion
Other diagnostic procedures on cranial and peripheral nerves and ganglia
Excludes: microscopic examination of specimen from nervous system (90.01-90.09)
neurologic examination (89.13)
04.2 Destruction of cranial and peripheral nerves
Destruction of cranial or peripheral nerves by:
cryoanalgesia
injection of neurolytic agent radiofrequency Radiofrequency ablation
Suture of cranial and peripheral nerves
04.4 Lysis of adhesions and decompression of cranial and peripheral nerves
Decompression of trigeminal nerve root Other cranial nerve decompression Release of carpal tunnel
Release of tarsal tunnel
Other peripheral nerve or ganglion decompression or lysis of adhesions
Peripheral nerve neurolysis NOS
Cranial or peripheral nerve graft Transposition of cranial and peripheral nerves
Nerve transplantation
04.7 Other cranial or peripheral neuroplasty Hypoglossal-facial anastomosis Accessory-facial
anastomosis Accessory-hypoglossal anastomosis
Other anastomosis of cranial or peripheral nerve
Revision of previous repair of cranial and peripheral nerves Repair of old traumatic injury of cranial and
peripheral nerves Other neuroplasty
04.8 Injection into peripheral nerve
Excludes: destruction of nerve (by injection of neurolytic agent) (04.2)
04.80 Peripheral nerve injection, not otherwise specified
04.81 Injection of anesthetic into peripheral nerve for analgesia
Excludes: that for operative anesthesia --omit code
04.11
04.12
04.19
04.3
04.41
04.42
04.43
04.44
04.49
04.5
04.6
04.71
04.72
04.73
04.74
04.75
04.76
04.79
04.89 Injection of other agent, except neurolytic
Excludes: injection of neurolytic agent (04.2)
04.9 Other operations on cranial and peripheral nerves
Neurectasis
Implantation or replacement of peripheral neurostimulator lead(s)
Code also any insertion of neurostimulator pulse generator (86.94- 86.98)
Removal of peripheral neurostimulator lead(s)
Code also any removal of neurostimulator pulse generator (86.05)
Other
05 Operations on sympathetic nerves or ganglia
Excludes: paracervical uterine denervation (69.3)
Division of sympathetic nerve or ganglion
Excludes: that of nerves to adrenal glands (07.42)
05.1 Diagnostic procedures on sympathetic nerves or ganglia
Biopsy of sympathetic nerve or ganglion
Other diagnostic procedures on sympathetic nerves or ganglia
05.2 Sympathectomy
Sphenopalatine ganglionectomy Cervical sympathectomy Lumbar sympathectomy Presacral sympathectomy
Periarterial sympathectomy
Other sympathectomy and ganglionectomy Excision or avulsion of sympathetic nerve NOS Sympathetic
ganglionectomy NOS
Excludes: biopsy of sympathetic nerve or ganglion (05.11) opticociliary neurectomy (12.79)
periarterial sympathectomy (05.25)
tympanosympathectomy (20.91)
05.3 Injection into sympathetic nerve or ganglion
Excludes: injection of ciliary sympathetic ganglion (12.79)
05.31 Injection of anesthetic into sympathetic nerve for analgesia
05.32 Injection of neurolytic agent into sympathetic nerve
05.39 Other injection into sympathetic nerve or ganglion
05.8 Other operations on sympathetic nerves or ganglia
Repair of sympathetic nerve or ganglion Other
Other operations on nervous system
04.91
04.92
04.93
04.99
05.0
05.11
05.19
05.21
05.22
05.23
05.24
05.25
05.29
05.81
05.89
05.9
2. OPERATIONS ON THE ENDOCRINE SYSTEM (06-07)
06.02
06.09
06.12
06.13
06.19
06.2
06.3 Other partial thyroidectomy
Excision of lesion of thyroid ®
Excludes: biopsy of thyroid (06.11-06.12)
laser interstitial thermal therapy [LITT] of lesion or
tissue of neck under guidance (17.62)
06.31
06.39
Other
Isthmectomy
Partial thyroidectomy NOS
Excludes: partial substernal thyroidectomy (06.51)
Complete thyroidectomy
Excludes: complete substernal thyroidectomy (06.52) that with laryngectomy (30.3-30.4)
06.5 Substernal thyroidectomy
Substernal thyroidectomy, not otherwise specified Partial substernal thyroidectomy
Complete substernal thyroidectomy
Excision of lingual thyroid
Excision of thyroid by: submental route transoral route
Excision of thyroglossal duct or tract
06.8 Parathyroidectomy
Complete parathyroidectomy Other parathyroidectomy
Parathyroidectomy NOS Partial parathyroidectomy
Excludes: biopsy of parathyroid (06.13)
06.9 Other operations on thyroid (region) and parathyroid
Division of thyroid isthmus
Transection of thyroid isthmus Ligation of thyroid vessels Suture of thyroid gland
Thyroid tissue reimplantation
Autotransplantation of thyroid tissue
Parathyroid tissue reimplantation
Autotransplantation of parathyroid tissue
Other operations on thyroid glands Other operations on parathyroid glands
06.4
06.50
06.51
06.52
06.6
06.7
06.81
06.89
06.91
06.92
06.93
06.94
06.95
06.98
06.99
07 Operations on other endocrine glands
Includes: operations on:
adrenal glands pineal gland pituitary gland thymus
Excludes: operations on:
aortic and carotid bodies (39.8) ovaries (65.0-65.99)
pancreas (52.01-52.99)
testes (62.0-62.99)
07.0 Exploration of adrenal field
Excludes: incision of adrenal (gland) (07.41)
Exploration of adrenal field, not otherwise specified Unilateral exploration of adrenal field
Bilateral exploration of adrenal field
07.1 Diagnostic procedures on adrenal glands, pituitary gland, pineal gland, and thymus
07.11 Closed [percutaneous] [needle] biopsy of adrenal gland Open biopsy of adrenal gland
Biopsy of pituitary gland, transfrontal approach Biopsy of pituitary gland, transsphenoidal approach Biopsy of
pituitary gland, unspecified approach Biopsy of thymus
Biopsy of pineal gland
Other diagnostic procedures on adrenal glands, pituitary gland, pineal gland, and thymus
Excludes: microscopic examination of specimen from endocrine gland (90.11-90.19)
radioisotope scan of pituitary gland (92.11)
07.2 Partial adrenalectomy
Excision of lesion of adrenal gland
Excludes: biopsy of adrenal gland (07.11-07.12)
Unilateral adrenalectomy
Adrenalectomy NOS
Excludes: excision of remaining adrenal gland (07.3)
Other partial adrenalectomy
Partial adrenalectomy NOS
Bilateral adrenalectomy
Excision of remaining adrenal gland
Excludes: bilateral partial adrenalectomy (07.29)
07.00
07.01
07.02
07.12
07.13
07.14
07.15
07.16
07.17
07.19
07.21
07.22
07.29
07.3
07.4 Other operations on adrenal glands, nerves, and vessels
Incision of adrenal gland
Adrenalotomy (with drainage) Division of nerves to adrenal glands Ligation of adrenal vessels
Repair of adrenal gland
Reimplantation of adrenal tissue
Autotransplantation of adrenal tissue
Other
07.5 Operations on pineal gland
Exploration of pineal field
Excludes: that with incision of pineal gland (07.52)
Incision of pineal gland
Partial excision of pineal gland
Excludes: biopsy of pineal gland (07.17)
Total excision of pineal gland
Pinealectomy (complete) (total)
Other operations on pineal gland
07.6 Hypophysectomy
Partial excision of pituitary gland, transfrontal approach Cryohypophysectomy, partial transfrontal approach
Division of hypophyseal stalk transfrontal approach
Excision of lesion of pituitary [hypophysis] transfrontal approach Hypophysectomy, subtotal transfrontal
approach Infundibulectomy, hypophyseal transfrontal approach
Excludes: biopsy of pituitary gland, transfrontal approach (07.13) Partial excision of pituitary gland,
transsphenoidal approach Excludes: biopsy of pituitary gland, transsphenoidal approach (07.14) Partial
excision of pituitary gland, unspecified approach
Excludes: biopsy of pituitary gland NOS (07.15)
Total excision of pituitary gland, transfrontal approach
Ablation of pituitary by implantation (strontium- yttrium) (Y) transfrontal approach
Cryohypophysectomy, complete transfrontal approach
Total excision of pituitary gland, transsphenoidal approach Total excision of pituitary gland, other specified
approach
Total excision of pituitary gland, unspecified approach
Hypophysectomy NOS
Pituitectomy NOS
07.41
07.42
07.43
07.44
07.45
07.49
07.51
07.52
07.53
07.54
07.59
07.61
07.62
07.63
07.64
07.65
07.68
07.69
07.7 Other operations on hypophysis
Exploration of pituitary fossa
Excludes: exploration with incision of pituitary gland (07.72)
Incision of pituitary gland
Aspiration of:
craniobuccal pouch craniopharyngioma hypophysis pituitary gland Rathke's pouch
Other
Insertion of pack into sella turcica
07.8 Thymectomy
Thymectomy, not otherwise specified
Other partial excision of thymus ®
Open partial excision of thymus
Excludes: biopsy of thymus (07.16)
thoracoscopic partial excision of thymus (07.83)
Other total excision of thymus ®
Open total excision of thymus
Excludes: thoracoscopic total excision of thymus (07.84) Thoracoscopic partial excision of thymus Excludes:
other partial excision of thymus (07.81) Thoracoscopic total excision of thymus
Excludes: other total excision of thymus (07.82)
07.9 Other operations on thymus
Exploration of thymus field
Excludes: exploration with incision of thymus (07.92)
Other incision of thymus ®
Open incision of thymus
Excludes: thoracoscopic incision of thymus (07.95)
Repair of thymus Transplantation of thymus
Thoracoscopic incision of thymus
Excludes: other incision of thymus (07.92)
Other and unspecified thoracoscopic operations on thymus
Other and unspecified operations on thymus ®
Transcervical thymectomy
Excludes: other thoracoscopic operations on thymus (07.98)
07.71
07.72
07.79
07.80
07.81
07.82
07.83
07.84
07.91
07.92
07.93
07.94
07.95
07.98
07.99
3. OPERATIONS ON THE EYE (08-16)
08 Operations on eyelids
Includes: operations on the eyebrow
08.0 Incision of eyelid
08.01 Incision of lid margin
08.02 Severing of blepharorrhaphy
08.09 Other incision of eyelid
08.1 Diagnostic procedures on eyelid
Biopsy of eyelid
08.19 Other diagnostic procedures on eyelid
08.2 Excision or destruction of lesion or tissue of eyelid Code also any synchronous reconstruction
(08.61- 08.74) Excludes: biopsy of eyelid (08.11)
Removal of lesion of eyelid, not otherwise specified
Removal of meibomian gland NOS
Excision of chalazion
Excision of other minor lesion of eyelid
Excision of:
verucca wart
Excision of major lesion of eyelid, partial-thickness
Excision involving one- fourth or more of lid margin, partial- thickness
Excision of major lesion of eyelid, full-thickness
Excision involving one- fourth or more of lid margin, full- thickness Wedge resection of eyelid
Destruction of lesion of eyelid
08.3 Repair of blepharoptosis and lid retraction
Repair of blepharoptosis by frontalis muscle technique with suture
Repair of blepharoptosis by frontalis muscle technique with fascial sling
Repair of blepharoptosis by resection or advancement of levator muscle or aponeurosis
Repair of blepharoptosis by other levator muscle techniques Repair of blepharoptosis by tarsal technique
Repair of blepharoptosis by other techniques
Correction of eyelid ptosis NOS
Orbicularis oculi muscle sling for correction of blepharoptosis
Reduction of overcorrection of ptosis Correction of lid retraction
08.11
08.20
08.21
08.22
08.23
08.24
08.25
08.31
08.32
08.33
08.34
08.35
08.36
08.37
08.38
37 OR procedure Non OR procedure but affects ThaiDRG
08.4 Repair of entropion or ectropion
Repair of entropion or ectropion by thermocauterization Repair of entropion or ectropion by suture technique
Repair of entropion or ectropion with wedge resection Repair of entropion or ectropion with lid
reconstruction Other repair of entropion or ectropion
08.5 Other adjustment of lid position
Canthotomy
Enlargement of palpebral fissure
Blepharorrhaphy Canthorrhaphy Tarsorrhaphy
Other
Canthoplasty NOS Repair of epicanthal fold
08.6 Reconstruction of eyelid with flaps or grafts
Excludes: that associated with repair of entropion and ectropion (08.44) Reconstruction of eyelid with skin flap
or graft Reconstruction of eyelid with mucous membrane flap or graft Reconstruction of eyelid with hair
follicle graft
Reconstruction of eyelid with tarsoconjunctival flap
Transfer of tarsoconjunctival flap from opposing lid
Other reconstruction of eyelid with flaps or grafts
08.7 Other reconstruction of eyelid
Excludes: that associated with repair of entropion and ectropion (08.44) Reconstruction of eyelid, not otherwise
specified Reconstruction of eyelid involving lid margin, partial-thickness Other reconstruction of eyelid,
partial-thickness Reconstruction of eyelid involving lid margin, full-thickness Other reconstruction of eyelid,
full-thickness
08.8 Other repair of eyelid
Linear repair of laceration of eyelid or eyebrow
Repair of laceration involving lid margin, partial-thickness Other repair of laceration of eyelid, partial-
thickness Repair of laceration involving lid margin, full-thickness Other repair of laceration of eyelid, full-
thickness
Lower eyelid rhytidectomy
Upper eyelid rhytidectomy Other eyelid repair
08.41
08.42
08.43
08.44
08.49
08.51
08.52
08.59
08.61
08.62
08.63
08.64
08.69
08.70
08.71
08.72
08.73
08.74
08.81
08.82
08.83
08.84
08.85
08.86
08.87
08.89
08.9 Other operations on eyelids
Electrosurgical epilation of eyelid Cryosurgical epilation of eyelid Other epilation of eyelid
Other
08.91
08.92
08.93
08.99
09 Operations on lacrimal system
Incision of lacrimal gland
Incision of lacrimal cyst (with drainage)
09.1 Diagnostic procedures on lacrimal system
Biopsy of lacrimal gland Biopsy of lacrimal sac
Other diagnostic procedures on lacrimal system
Excludes: contrast dacryocystogram (87.05)
soft tissue x-ray of nasolacrimal duct (87.09)
09.2 Excision of lesion or tissue of lacrimal gland Excision of lacrimal gland, not otherwise specified
Excision of lesion of lacrimal gland
Excludes: biopsy of lacrimal gland (09.11) Other partial dacryoadenectomy Excludes: biopsy of lacrimal gland
(09.11) Total dacryoadenectomy
Other operations on lacrimal gland
09.4 Manipulation of lacrimal passage
Includes: removal of calculus
that with dilation
Excludes: contrast dacryocystogram (87.05) Probing of lacrimal punctum Probing of lacrimal canaliculi Probing of
nasolacrimal duct
Excludes: that with insertion of tube or stent (09.44)
Intubation of nasolacrimal duct
Insertion of stent into nasolacrimal duct
Other manipulation of lacrimal passage
09.5 Incision of lacrimal sac and passages Incision of lacrimal punctum Incision of lacrimal canaliculi
Incision of lacrimal sac
Other incision of lacrimal passages
Incision (and drainage) of nasolacrimal duct NOS
09.0
09.11
09.12
09.19
09.20
09.21
09.22
09.23
09.3
09.41
09.42
09.43
09.44
09.49
09.51
09.52
09.53
09.59
09.6
Excision of lacrimal sac and passage
Excludes: biopsy of lacrimal sac (09.12)
09.7 Repair of canaliculus and punctum
Excludes: repair of eyelid (08.81-08.89) Correction of everted punctum Other repair of punctum Repair of
canaliculus
09.8 Fistulization of lacrimal tract to nasal cavity
Dacryocystorhinostomy [DCR] Conjunctivocystorhinostomy
Conjunctivodacryocystorhinostomy [CDCR]
Excludes: that with insertion of tube or stent (09.83)
Conjunctivorhinostomy with insertion of tube or stent
09.9 Other operations on lacrimal system Obliteration of lacrimal punctum Other
10 Operations on conjunctiva
Removal of embedded foreign body from conjunctiva by incision
Excludes: removal of:
embedded foreign body without incision (98.22) superficial foreign body (98.21)
Other incision of conjunctiva
10.2 Diagnostic procedures on conjunctiva
Biopsy of conjunctiva
Other diagnostic procedures on conjunctiva
10.3 Excision or destruction of lesion or tissue of conjunctiva
Excision of lesion or tissue of conjunctiva
Excision of ring of conjunctiva around cornea Excludes: biopsy of conjunctiva (10.21) Destruction of lesion of
conjunctiva
Excludes: excision of lesion (10.31) thermocauterization for entropion (08.41)
Other destructive procedures on conjunctiva
Removal of trachoma follicles
10.4 Conjunctivoplasty
Repair of symblepharon with free graft
Reconstruction of conjunctival cul-de-sac with free graft
Excludes: revision of enucleation socket with graft (16.63)
09.71
09.72
09.73
09.81
09.82
09.83
09.91
09.99
10.0
10.1
10.21
10.29
10.31
10.32
10.33
10.41
10.42
10.43
Other reconstruction of conjunctival cul-de-sac Excludes: revision of enucleation socket (16.64) Other free
graft to conjunctiva
Other conjunctivoplasty
Excludes: repair of cornea with conjunctival flap (11.53)
Lysis of adhesions of conjunctiva and eyelid
Division of symblepharon (with insertion of conformer)
Repair of laceration of conjunctiva
Excludes: that with repair of sclera (12.81)
10.9 Other operations on conjunctiva Subconjunctival injection Other
11 Operations on cornea
Magnetic removal of embedded foreign body from cornea
Excludes: that with incision (11.1)
Incision of cornea
Incision of cornea for removal of foreign body
11.2 Diagnostic procedures on cornea Scraping of cornea for smear or culture Biopsy of cornea
Other diagnostic procedures on cornea
11.3 Excision of pterygium
Transposition of pterygium
Excision of pterygium with corneal graft Other excision of pterygium
11.4 Excision or destruction of tissue or other lesion of cornea
Mechanical removal of corneal epithelium
That by chemocauterization
Excludes: that for smear or culture (11.21) Thermocauterization of corneal lesion Cryotherapy of corneal
lesion
Other removal or destruction of corneal lesion
Excision of cornea NOS
Excludes: biopsy of cornea (11.22)
11.5 Repair of cornea
Suture of corneal laceration
Repair of postoperative wound dehiscence of cornea
Repair of corneal laceration or wound with conjunctival flap Other repair of cornea
10.44
10.49
10.5
10.6
10.91
10.99
11.0
11.1
11.21
11.22
11.29
11.31
11.32
11.39
11.41
11.42
11.43
11.49
11.51
11.52
11.53
11.59
11.6 Corneal transplant
Excludes: excision of pterygium with corneal graft (11.32)
Corneal transplant, not otherwise specified
Keratoplasty NOS
Note: To report donor source --see codes 00.91- 00.93
Lamellar keratoplasty with autograft Other lamellar keratoplasty
Penetrating keratoplasty with autograft
Perforating keratoplasty with autograft
Other penetrating keratoplasty
Perforating keratoplasty (with homograft)
Other corneal transplant
11.7 Other reconstructive and refractive surgery on cornea
Keratomileusis Keratophakia Keratoprosthesis Thermokeratoplasty Radial keratotomy Epikeratophakia Other
11.9 Other operations on cornea
Tattooing of cornea
Removal of artificial implant from cornea Other
11.60
11.61
11.62
11.63
11.64
11.69
11.71
11.72
11.73
11.74
11.75
11.76
11.79
11.91
11.92
11.99
12 Operations on iris, ciliary body, sclera, and anterior chamber
Excludes: operations on cornea (11.0-11.99)
12.0 Removal of intraocular foreign body from anterior segment of eye
Removal of intraocular foreign body from anterior segment of eye, not otherwise specified
Removal of intraocular foreign body from anterior segment of eye with use of magnet
Removal of intraocular foreign body from anterior segment of eye without use of magnet
12.1 Iridotomy and simple iridectomy
Excludes: iridectomy associated with:
cataract extraction (13.11- 13.69)
removal of lesion (12.41- 12.42)
scleral fistulization (12.61- 12.69)
Iridotomy with transfixion
12.00
12.01
12.02
12.11
12.12
Other iridotomy Corectomy Discission of iris Iridotomy NOS
Excision of prolapsed iris Other iridectomy
Iridectomy (basal) (peripheral) (total)
12.2 Diagnostic procedures on iris, ciliary body, sclera, and anterior chamber
Diagnostic aspiration of anterior chamber of eye Biopsy of iris
Other diagnostic procedures on iris, ciliary body, sclera, and anterior chamber
12.3 Iridoplasty and coreoplasty
Lysis of goniosynechiae
Lysis of goniosynechiae by injection of air or liquid
Lysis of other anterior synechiae
Lysis of anterior synechiae:
NOS
by injection of air or liquid
Lysis of posterior synechiae
Lysis of iris adhesions NOS
Lysis of corneovitreal adhesions Coreoplasty
Needling of pupillary membrane
Other iridoplasty
12.4 Excision or destruction of lesion of iris and ciliary body
Removal of lesion of anterior segment of eye, not otherwise specified
Destruction of lesion of iris, nonexcisional
Destruction of lesion of iris by: cauterization
cryotherapy photocoagulation
Excision of lesion of iris
Excludes: biopsy of iris (12.22)
Destruction of lesion of ciliary body, nonexcisional Excision of lesion of ciliary body
12.5 Facilitation of intraocular circulation Goniopuncture without goniotomy Goniotomy without
goniopuncture Goniotomy with goniopuncture
Trabeculotomy ab externo
12.13
12.14
12.21
12.22
12.29
12.31
12.32
12.33
12.34
12.35
12.39
12.40
12.41
12.42
12.43
12.44
12.51
12.52
12.53
12.54
12.55
12.59
Cyclodialysis
Other facilitation of intraocular circulation
12.6 Scleral fistulization
Excludes: exploratory sclerotomy (12.89)
Trephination of sclera with iridectomy Thermocauterization of sclera with iridectomy Iridencleisis and
iridotasis
Trabeculectomy ab externo
Other scleral fistulization with iridectomy Postoperative revision of scleral fistulization procedure
Revision of filtering bleb Excludes: repair of fistula (12.82) Other fistulizing procedure
12.7 Other procedures for relief of elevated intraocular pressure
Cyclodiathermy Cyclocryotherapy Cyclophotocoagulation
Diminution of ciliary body, not otherwise specified Other glaucoma procedures
12.8 Operations on sclera
Excludes: those associated with:
retinal reattachment (14.41-14.59)
scleral fistulization (12.61-12.69)
Suture of laceration of sclera
Suture of sclera with synchronous repair of conjunctiva
Repair of scleral fistula
Excludes: postoperative revision of scleral fistulization procedure (12.66)
Revision of operative wound of anterior segment, not elsewhere classified
Excludes: postoperative revision of scleral fistulization procedure (12.66)
Excision or destruction of lesion of sclera Repair of scleral staphyloma with graft Other repair of scleral
staphyloma
Scleral reinforcement with graft
Other scleral reinforcement Other operations on sclera
Exploratory sclerotomy
12.9 Other operations on iris, ciliary body, and anterior chamber
Therapeutic evacuation of anterior chamber
Paracentesis of anterior chamber
Excludes: diagnostic aspiration (12.21)
12.61
12.62
12.63
12.64
12.65
12.66
12.69
12.71
12.72
12.73
12.74
12.79
12.81
12.82
12.83
12.84
12.85
12.86
12.87
12.88
12.89
12.91
Injection into anterior chamber
Injection of:
air into anterior chamber liquid into anterior chamber
medication into anterior chamber
Removal or destruction of epithelial downgrowth from anterior chamber
Excludes: that with iridectomy (12.41-12.42)
Other operations on iris
Other operations on ciliary body
Other operations on anterior chamber
12.97
12.98
12.92
12.93
12.99
13 Operations on lens
13.0 Removal of foreign body from lens
Excludes: removal of pseudophakos (13.8)
Removal of foreign body from lens, not otherwise specified Removal of foreign body from lens with use of
magnet Removal of foreign body from lens without use of magnet
13.1 Intracapsular extraction of lens
Code also any synchronous insertion of pseudophakos (13.71) Intracapsular extraction of lens by temporal
inferior route Other intracapsular extraction of lens
Cataract extraction NOS
Cryoextraction of lens Erysiphake extraction of cataract Extraction of lens NOS
Extracapsular extraction of lens by linear extraction technique ®
Code also any synchronous insertion of pseudophakos (13.71)
Extracapsular extraction of lens by simple aspiration (and irrigation) technique ®
Irrigation of traumatic cataract
Code also any synchronous insertion of pseudophakos (13.71)
13.4 Extracapsular extraction of lens by fragmentation and aspiration technique ®
Code also any synchronous insertion of pseudophakos (13.71)
Phacoemulsification and aspiration of cataract
Mechanical phacofragmentation and aspiration of cataract by posterior route
Code also any synchronous vitrectomy (14.74)
Mechanical phacofragmentation and other aspiration of cataract
13.5 Other extracapsular extraction of lens
Code also any synchronous insertion of pseudophakos (13.71)
Extracapsular extraction of lens by temporal inferior route
13.00
13.01
13.02
13.11
13.19
13.2
13.3
13.41
13.42
13.43
13.51
13.59
Other extracapsular extraction of lens
13.6 Other cataract extraction
Code also any synchronous insertion of pseudophakos (13.71)
Discission of secondary membrane [after cataract]
Excision of secondary membrane [after cataract] Capsulectomy Mechanical fragmentation of secondary
membrane [after cataract] Other cataract extraction
13.7 Insertion of prosthetic lens [pseudophakos]
Excludes: implantation of intraocular telescope prosthesis (13.91)
Insertion of pseudophakos, not otherwise specified
Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage
Code also synchronous extraction of cataract (13.11- 13.69)
Secondary insertion of intraocular lens prosthesis
Removal of implanted lens
Removal of pseudophakos
13.9 Other operations on lens
Operation on lens, Not Elsewhere Classified Implantation of intraocular telescope prosthesis
Implantable miniature telescope Includes removal of lens, any method
Excludes: secondary insertion of ocular implant (16.61)
13.64
13.65
13.66
13.69
13.70
13.71
13.72
13.8
13.90
13.91
14 Operations on retina, choroid, vitreous, and posterior chamber
14.0 Removal of foreign body from posterior segment of eye
Excludes: removal of surgically implanted material (14.6)
Removal of foreign body from posterior segment of eye, not otherwise specified
Removal of foreign body from posterior segment of eye with use of magnet
Removal of foreign body from posterior segment of eye without use of magnet
14.1 Diagnostic procedures on retina, choroid, vitreous, and posterior chamber
Diagnostic aspiration of vitreous
Other diagnostic procedures on retina, choroid, vitreous, and posterior chamber
14.00
14.01
14.02
14.11
14.19
14.2 Destruction of lesion of retina and choroid
Includes: destruction of chorioretinopathy or isolated chorioretinal lesion
Excludes: that for repair of retina (14.31-14.59) Destruction of chorioretinal lesion by diathermy Destruction
of chorioretinal lesion by cryotherapy
Destruction of chorioretinal lesion by xenon arc photocoagulation Destruction of chorioretinal lesion by
laser photocoagulation
Destruction of chorioretinal lesion by photocoagulation of unspecified type
Destruction of chorioretinal lesion by radiation therapy
Destruction of chorioretinal lesion by implantation of radiation source
Other destruction of chorioretinal lesion
Destruction of lesion of retina and choroid NOS
14.3 Repair of retinal tear
Includes: repair of retinal defect
Excludes: repair of retinal detachment (14.41-14.59)
Repair of retinal tear by diathermy Repair of retinal tear by cryotherapy
Repair of retinal tear by xenon arc photocoagulation Repair of retinal tear by laser photocoagulation
Repair of retinal tear by photocoagulation of unspecified type Other repair of retinal tear
14.4 Repair of retinal detachment with scleral buckling and implant
Scleral buckling with implant Other scleral buckling
Scleral buckling with:
air tamponade resection of sclera vitrectomy
14.5 Other repair of retinal detachment
Includes: that with drainage
Repair of retinal detachment with diathermy Repair of retinal detachment with cryotherapy
Repair of retinal detachment with xenon arc photocoagulation Repair of retinal detachment with laser
photocoagulation
Repair of retinal detachment with photocoagulation of unspecified type
Other
Removal of surgically implanted material from posterior segment of eye
14.21
14.22
14.23
14.24
14.25
14.26
14.27
14.29
14.31
14.32
14.33
14.34
14.35
14.39
14.41
14.49
14.51
14.52
14.53
14.54
14.55
14.59
14.6
14.7 Operations on vitreous
Removal of vitreous, anterior approach
Open sky technique
Removal of vitreous, anterior approach (with replacement)
Other removal of vitreous
Aspiration of vitreous by posterior sclerotomy
Mechanical vitrectomy by anterior approach Other mechanical vitrectomy
Posterior approach
Injection of vitreous substitute
Excludes: that associated with removal (14.71-14.72)
Other operations on vitreous
Other operations on retina, choroid, and posterior chamber
14.71
14.72
14.73
14.74
14.75
14.79
14.9
15 Operations on extraocular muscles
15.0 Diagnostic procedures on extraocular muscles or tendons
Biopsy of extraocular muscle or tendon
Other diagnostic procedures on extraocular muscles and tendons
15.1 Operations on one extraocular muscle involving temporary detachment from globe
Recession of one extraocular muscle Advancement of one extraocular muscle Resection of one extraocular
muscle
Other operations on one extraocular muscle involving temporary detachment from globe
Excludes: transposition of muscle (15.5)
15.2 Other operations on one extraocular muscle Lengthening procedure on one extraocular muscle
Shortening procedure on one extraocular muscle Other
Operations on two or more extraocular muscles involving temporary detachment from globe, one
or both eyes
Other operations on two or more extraocular muscles, one or both eyes
Transposition of extraocular muscles
Excludes: that for correction of ptosis (08.31-08.36)
Revision of extraocular muscle surgery
15.01
15.09
15.11
15.12
15.13
15.19
15.21
15.22
15.29
15.3
15.4
15.5
15.6
Repair of injury of extraocular muscle Freeing of entrapped extraocular muscle Lysis of adhesions
of extraocular muscle
Repair of laceration of extraocular muscle, tendon, or Tenon's capsule
Other operations on extraocular muscles and tendons
15.7
15.9
16 Operations on orbit and eyeball
Excludes: reduction of fracture of orbit (76.78-76.79)
16.0 Orbitotomy
Orbitotomy with bone flap
Orbitotomy with lateral approach
Orbitotomy with insertion of orbital implant
Excludes: that with bone flap (16.01)
Other orbitotomy
Removal of penetrating foreign body from eye, not otherwise specified
Excludes: removal of nonpenetrating foreign body (98.21)
16.2 Diagnostic procedures on orbit and eyeball
16.21 Ophthalmoscopy
Diagnostic aspiration of orbit Biopsy of eyeball and orbit
Other diagnostic procedures on orbit and eyeball
Excludes: examination of form and structure of eye (95.11-95.16) general and subjective eye examination (95.01-
95.09) microscopic examination of specimen from eye (90.21-90.29) objective functional tests of eye (95.21-95.26)
ocular thermography (88.82)
tonometry (89.11)
x-ray of orbit (87.14, 87.16)
16.3 Evisceration of eyeball
Removal of ocular contents with synchronous implant into scleral shell
Other evisceration of eyeball
16.4 Enucleation of eyeball
Enucleation of eyeball with synchronous implant into Tenon's capsule with attachment of muscles
Integrated implant of eyeball
Enucleation of eyeball with other synchronous implant Other enucleation of eyeball
Removal of eyeball NOS
16.5 Exenteration of orbital contents
Exenteration of orbit with removal of adjacent structures
Radical orbitomaxillectomy
16.01
16.02
16.09
16.1
16.22
16.23
16.29
16.31
16.39
16.41
16.42
16.49
16.51
16.52
16.59
Exenteration of orbit with therapeutic removal of orbital bone
Other exenteration of orbit
Evisceration of orbit NOS
Exenteration of orbit with temporalis muscle transplant
16.6 Secondary procedures after removal of eyeball
Excludes: that with synchronous:
enucleation of eyeball (16.41-16.42) evisceration of eyeball (16.31)
Secondary insertion of ocular implant Revision and reinsertion of ocular implant Revision of enucleation socket
with graft Other revision of enucleation socket Secondary graft to exenteration cavity Other revision of
exenteration cavity
Other secondary procedures after removal of eyeball
16.7 Removal of ocular or orbital implant Removal of ocular implant Removal of orbital implant
16.8 Repair of injury of eyeball and orbit
Repair of wound of orbit
Excludes: reduction of orbital fracture (76.78-76.79) repair of extraocular muscles (15.7)
Repair of rupture of eyeball
Repair of multiple structures of eye
Excludes: repair of laceration of:
cornea (11.51-11.59)
sclera (12.81)
Other repair of injury of eyeball or orbit
16.9 Other operations on orbit and eyeball
Excludes: irrigation of eye (96.51)
prescription and fitting of low vision aids (95.31-95.33) removal of:
eye prosthesis NEC (97.31)
nonpenetrating foreign body from eye without incision (98.21)
16.91 Retrobulbar injection of therapeutic agent
Excludes: injection of radiographic contrast material (87.14) opticociliary injection (12.79)
Excision of lesion of orbit
Excludes: biopsy of orbit (16.23)
Excision of lesion of eye, unspecified structure
Excludes: biopsy of eye NOS (16.23)
Other operations on orbit Other operations on eyeball
16.61
16.62
16.63
16.64
16.65
16.66
16.69
16.71
16.72
16.81
16.82
16.89
16.92
16.93
16.98
16.99
3A OTHER MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES
17.11
17.12
17.13
17.21
17.22
17.23
17.24
17.31
17.32
17.33
17.34
17.35
17.36
17.39
17.41 Open robotic assisted procedure
Robotic assistance in open procedure
17.42 Laparoscopic robotic assisted procedure
Robotic assistance in laparoscopic procedure
17.43 Percutaneous robotic assisted procedure
Robotic assistance in percutaneous procedure
17.44 Endoscopic robotic assisted procedure
Robotic assistance in endoscopic procedure
17.45 Thoracoscopic robotic assisted procedure
Robotic assistance in thoracoscopic procedure
17.49 Other and unspecified robotic assisted procedure
Robotic assistance in other and unspecified procedure
Excludes: endoscopic robotic assisted procedure (17.44) laparoscopic robotic assisted procedure (17.42) open
robotic assisted procedure (17.41) percutaneous robotic assisted procedure (17.43) thoracoscopic robotic assisted
procedure (17.45)
17. 5 Additional cardiovascular procedures
Implantation of rechargeable cardiac contractility modulation [CCM], total system
Note: Device testing during procedure --omit code
Implantation of CCM system includes formation of pocket, transvenous leads, including placement of leads,
placement of catheter into left ventricle, intraoperative procedures for evaluation of lead signals, obtaining
sensing threshold measurements, obtaining defibrillator threshold measurements.
Includes implantation of device with removal of existing device
Code also any concomitant: coronary bypass (36.10 36.19)
extracorporeal circulation (39.61)
insertion or replacement of automatic cardioverter/defibrillator, total system [AICD] (37.94)
Excludes: implantation of CCM pulse generator only (17.52)
Implantation or replacement of cardiac contractility modulation [CCM] rechargeable pulse generator only
Note: Device testing during procedure --omit code
Implantation of CCM device with removal of any existing CCM device
Code also any concomitant:
revision of device pocket (37.79) revision of lead [electrode] (37.75)
17.51
17.52
17.6 Laser interstitial thermal therapy [LITT] under guidance Focused laser interstitial thermal
therapy [f- LITT] under MRI guidance MRI- guided LITT
Laser interstitial thermal therapy [LITT] of lesion or tissue of brain under guidance
Focused laser interstitial thermal therapy [f- LITT] under MRI guidance
MRI- guided LITT of lesion or tissue of brain
Excludes: laser interstitial thermal therapy [LITT] of lesion of tissue of head under guidance (17.62)
Laser interstitial thermal therapy [LITT] of lesion or tissue of head and neck under guidance
Focused laser interstitial thermal therapy [f- LITT] under MRI guidance
MRI- guided LITT of lesion or tissue of head and neck
Excludes: laser interstitial thermal therapy [LITT] of lesion or tissue of brain under guidance (17.61)
Laser interstitial thermal therapy [LITT] of lesion or tissue of liver under guidance
Focused laser interstitial thermal therapy [f- LITT] under MRI guidance
MRI- guided LITT of lesion or tissue of liver
Laser interstitial thermal therapy [LITT] of lesion or tissue of other and unspecified site under guidance
Focused laser interstitial thermal therapy [f- LITT] under MRI
guidance
MRI- guided LITT of lesion or tissue of breast MRI- guided LITT of lesion or tissue of lung MRI- guided LITT of
lesion or tissue of prostate
Excludes: laser interstitial thermal therapy [LITT] of lesion or tissue of brain under guidance (17.61)
laser interstitial thermal therapy [LITT] of lesion or tissue of head and neck under guidance (17.62)
laser interstitial thermal therapy [LITT] of lesion or tissue of liver under guidance (17.63)
17.7 Other diagnostic and therapeutic procedures
17.70 Intravenous infusion of clofarabine
Excludes: injection or infusion of cancer chemotherapeutic substance (99.25)
17.61
17.62
17.63
17.69
4. OPERATIONS ON THE EAR (18-20)
18 Operations on external ear
Includes: operations on:
external auditory canal skin and cartilage of:
auricle meatus
18.0 Incision of external ear
Excludes: removal of intraluminal foreign body (98.11)
18.01 Piercing of ear lobe
Piercing of pinna
18.02 Incision of external auditory canal
18.09 Other incision of external ear
18.1 Diagnostic procedures on external ear
18.11 Otoscopy
18.12 Biopsy of external ear
18.19 Other diagnostic procedures on external ear
Excludes: microscopic examination of specimen from ear (90.31-90.39)
18.2 Excision or destruction of lesion of external ear
Excision of preauricular sinus
Radical excision of preauricular sinus or cyst
Excludes: excision of preauricular remnant [appendage] (18.29)
18.29 Excision or destruction of other lesion of external ear
Cauterization of external ear Coagulation of external ear Cryosurgery of external ear Curettage of external ear
Electrocoagulation of external ear Enucleation of external ear Excision of:
exostosis of external auditory canal preauricular remnant [appendage]
Partial excision of ear
Excludes: biopsy of external ear (18.12) radical excision of lesion (18.31) removal of cerumen (96.52)
18.3 Other excision of external ear
Excludes: biopsy of external ear (18.12)
Radical excision of lesion of external ear
Excludes: radical excision of preauricular sinus (18.21)
Other
Amputation of external ear
Excludes: excision of lesion (18.21-18.29, 18.31)
18.21
18.31
18.39
18.4 Suture of laceration of external ear
Surgical correction of prominent ear
Ear:
pinning setback
Reconstruction of external auditory canal
Canaloplasty of external auditory meatus
Construction [reconstruction] of external meatus of ear: osseous portion
skin- lined portion (with skin graft)
18.7 Other plastic repair of external ear
Construction of auricle of ear Prosthetic appliance for absent ear Reconstruction:
auricle ear
Reattachment of amputated ear Other plastic repair of external ear
Otoplasty NOS Postauricular skin graft Repair of lop ear
Other operations on external ear
Excludes: irrigation of ear (96.52)
packing of external auditory canal (96.11) removal of:
cerumen (96.52)
foreign body (without incision) (98.11)
18.5
18.6
18.71
18.72
18.79
18.9
19 Reconstructive operations on middle ear
Stapes mobilization
Division, otosclerotic:
material process
Remobilization of stapes Stapediolysis
Transcrural stapes mobilization
Excludes: that with synchronous stapedectomy (19.11-19.19)
19.1 Stapedectomy
Excludes: revision of previous stapedectomy (19.21-19.29) stapes mobilization only (19.0)
Stapedectomy with incus replacement
Stapedectomy with incus: homograft
prosthesis
Other stapedectomy
19.0
19.11
19.19
19.2 Revision of stapedectomy
Revision of stapedectomy with incus replacement Other revision of stapedectomy
Other operations on ossicular chain
Incudectomy NOS Ossiculectomy NOS
Reconstruction of ossicles, second stage
Myringoplasty Epitympanic, type I Myringoplasty by:
cauterization graft
Tympanoplasty (type I)
19.5 Other tympanoplasty
Type II tympanoplasty
Closure of perforation with graft against incus or malleus
Type III tympanoplasty
Graft placed in contact with mobile and intact stapes
Type IV tympanoplasty
Mobile footplate left exposed with air pocket between round window and graft
Type V tympanoplasty
Fenestra in horizontal semicircular canal covered by graft
Revision of tympanoplasty Other repair of middle ear
Closure of mastoid fistula
Mastoid myoplasty
Obliteration of tympanomastoid cavity
20 Other operations on middle and inner ear
20.0 Myringotomy
Myringotomy with insertion of tube
Myringostomy
20.09 Other myringotomy
Aspiration of middle ear NOS
20.1 Removal of tympanostomy tube
20.2 Incision of mastoid and middle ear
Incision of mastoid
Incision of petrous pyramid air cells Incision of middle ear
Atticotomy
Division of tympanum
Lysis of adhesions of middle ear
19.21
19.29
19.3
19.4
19.52
19.53
19.54
19.55
19.6
19.9
20.01
20.21
20.22
20.23
Excludes: division of otosclerotic process (19.0) stapediolysis (19.0)
that with stapedectomy (19.11-19.19)
20.3 Diagnostic procedures on middle and inner ear
20.31 Electrocochleography
Biopsy of middle and inner ear
Other diagnostic procedures on middle and inner ear
Excludes: auditory and vestibular function tests (89.13, 95.41-95.49) microscopic examination of specimen from
ear
(90.31-90.39)
20.4 Mastoidectomy
Code also any:
skin graft (18.79)
tympanoplasty (19.4- 19.55)
Excludes: that with implantation of cochlear prosthetic device (20.96-20.98)
Simple mastoidectomy
Radical mastoidectomy Other mastoidectomy
Atticoantrostomy Mastoidectomy:
NOS
modified radical
20.5 Other excision of middle ear
Excludes: that with synchronous mastoidectomy (20.41-20.49)
Excision of lesion of middle ear
Excludes: biopsy of middle ear (20.32)
Other
Apicectomy of petrous pyramid Tympanectomy
20.6 Fenestration of inner ear
Fenestration of inner ear (initial)
Fenestration of:
labyrinth with graft (skin) (vein) semicircular canals with graft (skin) (vein) vestibule with graft (skin) (vein)
Excludes: that with tympanoplasty, type V (19.55)
Revision of fenestration of inner ear
20.7 Incision, excision, and destruction of inner ear
Endolymphatic shunt Injection into inner ear
Destruction by injection (alcohol):
inner ear
semicircular canals vestibule
20.32
20.39
20.41
20.42
20.49
20.51
20.59
20.61
20.62
20.71
20.72
20.79
Other incision, excision, and destruction of inner ear
Decompression of labyrinth Drainage of inner ear Fistulization:
endolymphatic sac labyrinth
Incision of endolymphatic sac Labyrinthectomy (transtympanic) Opening of bony labyrinth Perilymphatic tap
Excludes: biopsy of inner ear (20.32)
20.8 Operations on Eustachian tube Catheterization of Eustachian tube Inflation of Eustachian tube
Injection (Teflon paste) of Eustachian tube
Insufflation (boric acid- salicylic acid) Intubation of Eustachian tube Politzerization of Eustachian tube
20.9 Other operations on inner and middle ear
Tympanosympathectomy Revision of mastoidectomy
Repair of oval and round windows
Closure of fistula:
oval window perilymph round window
20.94 Injection of tympanum
Implantation of electromagnetic hearing device
Bone conduction hearing device
Excludes: cochlear prosthetic device (20.96-20.98)
Implantation or replacement of cochlear prosthetic device, not otherwise specified
Implantation of receiver (within skull) and insertion of electrode(s) in the cochlea
Includes: mastoidectomy
Excludes: electromagnetic hearing device (20.95)
Implantation or replacement of cochlear prosthetic device, single channel
Implantation of receiver (within skull) and insertion of electrode in the cochlea
Includes: mastoidectomy
Excludes: electromagnetic hearing device (20.95)
Implantation or replacement of cochlear prosthetic device, multiple channel
Implantation of receiver (within skull) and insertion of electrodes in the cochlea
Includes: mastoidectomy
Excludes: electromagnetic hearing device (20.95)
20.91
20.92
20.93
20.95
20.96
20.97
20.98
Other operations on middle and inner ear ®
Repair or removal of cochlear prosthetic device (receiver) (electrode) Attachment of
percutaneous abutment (screw) for prosthetic device
Excludes: adjustment (external components) of cochlear prosthetic device (95.49)
fitting of hearing aid (95.48)
20.99
5. OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX (21-29)
21 Operations on nose
Includes: operations on:
bone of nose skin of nose
21.0 Control of epistaxis
21.00 Control of epistaxis, not otherwise specified
21.01 Control of epistaxis by anterior nasal packing
21.02 Control of epistaxis by posterior (and anterior) packing
21.03 Control of epistaxis by cauterization (and packing) Control of epistaxis by ligation of ethmoidal arteries
Control of epistaxis by (transantral) ligation of the maxillary artery Control of epistaxis by ligation of the
external carotid artery
Control of epistaxis by excision of nasal mucosa and skin grafting of septum and lateral nasal wall
Control of epistaxis by other means
21.1 Incision of nose
Chondrotomy
Incision of skin of nose Nasal septotomy
21.2 Diagnostic procedures on nose
Rhinoscopy Biopsy of nose
21.29 Other diagnostic procedures on nose
Excludes: microscopic examination of specimen from nose (90.31-90.39) nasal:
function study (89.12)
x-ray (87.16)
rhinomanometry (89.12)
21.3 Local excision or destruction of lesion of nose
Excludes: biopsy of nose (21.22)
nasal fistulectomy (21.82)
21.30 Excision or destruction of lesion of nose, not otherwise specified
21.31 Local excision or destruction of intranasal lesion
Nasal polypectomy
21.32 Local excision or destruction of other lesion of nose
Resection of nose
Amputation of nose
Submucous resection of nasal septum
21.6 Turbinectomy
21.04
21.05
21.06
21.07
21.09
21.21
21.22
21.4
21.5
21.61
21.62
21.69
Turbinectomy by diathermy or cryosurgery Fracture of the turbinates
Other turbinectomy
Excludes: turbinectomy associated with sinusectomy
(22.31-22.39, 22.42, 22.60-22.64)
21.7 Reduction of nasal fracture
21.71 Closed reduction of nasal fracture Open reduction of nasal fracture
21.8 Repair and plastic operations on the nose
21.81 Suture of laceration of nose Closure of nasal fistula
Nasolabial fistulectomy Nasopharyngeal fistulectomy Oronasal fistulectomy
Total nasal reconstruction
Reconstruction of nose with:
arm flap forehead flap
Revision rhinoplasty Rhinoseptoplasty Twisted nose rhinoplasty
Augmentation rhinoplasty
Augmentation rhinoplasty with:
graft
synthetic implant
Limited rhinoplasty
Plastic repair of nasolabial flaps Tip rhinoplasty
Other rhinoplasty
Rhinoplasty NOS
Other septoplasty
Crushing of nasal septum Repair of septal perforation
Excludes: septoplasty associated with submucous resection of septum (21.5)
Other repair and plastic operations on nose
Reattachment of amputated nose
21.9 Other operations on nose
21.91 Lysis of adhesions of nose
Posterior nasal scrub
21.72
21.82
21.83
21.84
21.85
21.86
21.87
21.88
21.89
21.99
Other
Excludes: dilation of frontonasal duct (96.21) irrigation of nasal passages (96.53) removal of:
intraluminal foreign body without incision (98.12) nasal packing (97.32)
replacement of nasal packing (97.21)
22 Operations on nasal sinuses
22.0 Aspiration and lavage of nasal sinus
22.00 Aspiration and lavage of nasal sinus, not otherwise specified
22.01 Puncture of nasal sinus for aspiration or lavage
22.02 Aspiration or lavage of nasal sinus through natural ostium
22.1 Diagnostic procedures on nasal sinus
Closed [endoscopic] [needle] biopsy of nasal sinus Open biopsy of nasal sinus
22.19 Other diagnostic procedures on nasal sinuses
Endoscopy without biopsy
Excludes: transillumination of sinus (89.35) x-ray of sinus (87.15-87.16)
22.2 Intranasal antrotomy
Excludes: antrotomy with external approach (22.31-22.39)
22.3 External maxillary antrotomy
Radical maxillary antrotomy
Removal of lining membrane of maxillary sinus using Caldwell- Luc approach
Other external maxillary antrotomy
Exploration of maxillary antrum with Caldwell- Luc approach
22.4 Frontal sinusotomy and sinusectomy
Frontal sinusotomy Frontal sinusectomy
Excision of lesion of frontal sinus
Obliteration of frontal sinus (with fat)
Excludes: biopsy of nasal sinus (22.11-22.12)
22.5 Other nasal sinusotomy
Sinusotomy, not otherwise specified Ethmoidotomy
Sphenoidotomy
Incision of multiple nasal sinuses
22.11
22.12
22.31
22.39
22.41
22.42
22.50
22.51
22.52
22.53
22.6 Other nasal sinusectomy
Includes: that with incidental turbinectomy
Excludes: biopsy of nasal sinus (22.11-22.12)
Sinusectomy, not otherwise specified
Excision of lesion of maxillary sinus with Caldwell-Luc approach Excision of lesion of maxillary sinus with
other approach Ethmoidectomy
Sphenoidectomy
22.7 Repair of nasal sinus
Closure of nasal sinus fistula
Repair of oro- antral fistula
Other repair of nasal sinus Reconstruction of frontonasal duct Repair of bone of accessory sinus
Other operations on nasal sinuses Exteriorization of maxillary sinus Fistulization of sinus
Excludes: dilation of frontonasal duct (96.21)
22.60
22.61
22.62
22.63
22.64
22.71
22.79
22.9
23 Removal and restoration of teeth
23.0 Forceps extraction of tooth
Extraction of deciduous tooth Extraction of other tooth
Extraction of tooth NOS
23.1 Surgical removal of tooth
Removal of residual root
Other surgical extraction of tooth
Odontectomy NOS Removal of impacted tooth
Tooth extraction with elevation of mucoperiosteal flap
Restoration of tooth by filling Restoration of tooth by inlay
23.4 Other dental restoration
Application of crown Insertion of fixed bridge Insertion of removable bridge Other
Implantation of tooth
Prosthetic dental implant
23.01
23.09
23.11
23.19
23.2
23.3
23.41
23.42
23.43
23.49
23.5
23.6
Endosseous dental implant
23.7 Apicoectomy and root canal therapy Root canal, not otherwise specified Root canal therapy with
irrigation Root canal therapy with apicoectomy
Apicoectomy
23.70
23.71
23.72
23.73
24 Other operations on teeth, gums, and alveoli
24.0 Incision of gum or alveolar bone
Apical alveolotomy
24.1 Diagnostic procedures on teeth, gums, and alveoli
Biopsy of gum Biopsy of alveolus
24.19 Other diagnostic procedures on teeth, gums, and alveoli
Excludes: dental:
examination (89.31) x-ray:
full-mouth (87.11)
other (87.12)
microscopic examination of dental specimen (90.81-90.89)
Gingivoplasty
Gingivoplasty with bone or soft tissue graft
24.3 Other operations on gum
24.31 Excision of lesion or tissue of gum
Excludes: biopsy of gum (24.11)
excision of odontogenic lesion (24.4)
24.32 Suture of laceration of gum
24.39 Other
Excision of dental lesion of jaw
Excision of odontogenic lesion
Alveoloplasty
Alveolectomy (interradicular) (intraseptal) (radical) (simple) (with graft or implant)
Excludes: biopsy of alveolus (24.12)
en bloc resection of alveolar process and palate (27.32)
24.6 Exposure of tooth
24.11
24.12
24.2
24.4
24.5
24.7
Application of orthodontic appliance
Application, insertion, or fitting of:
arch bars
orthodontic obturator orthodontic wiring periodontal splint
Excludes: nonorthodontic dental wiring (93.55)
24.8 Other orthodontic operation Closure of diastema (alveolar) (dental) Occlusal adjustment
Removal of arch bars Repair of dental arch
Excludes: removal of nonorthodontic wiring (97.33)
24.9 Other dental operations
24.91 Extension or deepening of buccolabial or lingual sulcus
24.99 Other
Excludes: dental:
debridement (96.54)
examination (89.31)
prophylaxis (96.54)
scaling and polishing (96.54) wiring (93.55)
fitting of dental appliance [denture] (99.97)
microscopic examination of dental specimen (90.81-90.89) removal of dental:
packing (97.34)
prosthesis (97.35)
wiring (97.33)
replacement of dental packing (97.22)
25 Operations on tongue
25.0 Diagnostic procedures on tongue Closed [needle] biopsy of tongue Open biopsy of tongue
Wedge biopsy
25.09 Other diagnostic procedures on tongue
Excision or destruction of lesion or tissue of tongue
Excludes: biopsy of tongue (25.01-25.02) frenumectomy:
labial (27.41)
lingual (25.92)
Partial glossectomy Complete glossectomy
Glossectomy NOS
Code also any neck dissection (40.40- 40.42)
25.01
25.02
25.1
25.2
25.3
25.4
Radical glossectomy
Code also any:
neck dissection (40.40- 40.42)
tracheostomy (31.1- 31.29)
25.5 Repair of tongue and glossoplasty
25.51 Suture of laceration of tongue
Other repair and plastic operations on tongue
Fascial sling of tongue Fusion of tongue (to lip)
Graft of mucosa or skin to tongue
Excludes: lysis of adhesions of tongue (25.93)
25.9 Other operations on tongue
25.91 Lingual frenotomy
Excludes: labial frenotomy (27.91)
25.92 Lingual frenectomy
Excludes: labial frenectomy (27.41)
25.93 Lysis of adhesions of tongue Other glossotomy
Other
25.59
25.94
25.99
26 Operations on salivary glands and ducts
Includes: operations on:
lesser salivary gland and duct parotid gland and duct sublingual gland and duct submaxillary gland and duct
Code also any neck dissection (40.40- 40.42)
26.0 Incision of salivary gland or duct
26.1 Diagnostic procedures on salivary glands and ducts Closed [needle] biopsy of salivary gland or
duct Open biopsy of salivary gland or duct
26.19 Other diagnostic procedures on salivary glands and ducts
Excludes: x-ray of salivary gland (87.09)
26.2 Excision of lesion of salivary gland Marsupialization of salivary gland cyst Other excision of
salivary gland lesion
Excludes: biopsy of salivary gland (26.11-26.12) salivary fistulectomy (26.42)
26.11
26.12
26.21
26.29
26.3 Sialoadenectomy
Sialoadenectomy, not otherwise specified Partial sialoadenectomy
Complete sialoadenectomy
En bloc excision of salivary gland lesion Radical sialoadenectomy
26.4 Repair of salivary gland or duct
Suture of laceration of salivary gland Closure of salivary fistula
Other repair and plastic operations on salivary gland or duct
Fistulization of salivary gland
Plastic repair of salivary gland or duct NOS Transplantation of salivary duct opening
26.9 Other operations on salivary gland or duct
26.91 Probing of salivary duct Other
26.30
26.31
26.32
26.41
26.42
26.49
26.99
27 Other operations on mouth and face
Includes: operations on:
lips palate
soft tissue of face and mouth, except tongue and gingiva
Excludes: operations on:
gingiva (24.0-24.99)
tongue (25.01-25.99)
Drainage of face and floor of mouth
Drainage of:
facial region (abscess) fascial compartment of face Ludwig's angina
Excludes: drainage of thyroglossal tract (06.09)
Incision of palate
27.2 Diagnostic procedures on oral cavity
Biopsy of bony palate
Biopsy of uvula and soft palate Biopsy of lip
27.24 Biopsy of mouth, unspecified structure
27.29 Other diagnostic procedures on oral cavity
Excludes: soft tissue x- ray (87.09)
27.0
27.1
27.21
27.22
27.23
27.3 Excision of lesion or tissue of bony palate
Local excision or destruction of lesion or tissue of bony palate
Local excision or destruction of palate by: cautery
chemotherapy cryotherapy
Excludes: biopsy of bony palate (27.21)
Wide excision or destruction of lesion or tissue of bony palate
En bloc resection of alveolar process and palate
27.4 Excision of other parts of mouth
27.41 Labial frenectomy
Excludes: division of labial frenum (27.91)
Wide excision of lesion of lip
Other excision of lesion or tissue of lip Other excision of mouth
Excludes: biopsy of mouth NOS (27.24) excision of lesion of:
palate (27.31-27.32)
tongue (25.1)
uvula (27.72)
fistulectomy of mouth (27.53) frenectomy of:
lip (27.41)
tongue (25.92)
27.5 Plastic repair of lip and mouth ®
Excludes: palatoplasty (27.61-27.69)
27.51 Suture of laceration of lip
27.52 Suture of laceration of other part of mouth Closure of fistula of mouth
Excludes: fistulectomy:
nasolabial (21.82)
oro-antral (22.71)
oronasal (21.82)
Repair of cleft lip
Full-thickness skin graft to lip and mouth Other skin graft to lip and mouth
Attachment of pedicle or flap graft to lip and mouth Other plastic repair of mouth
27.6 Palatoplasty
Suture of laceration of palate Correction of cleft palate
Correction of cleft palate by push- back operation
Excludes: revision of cleft palate repair (27.63)
27.31
27.32
27.42
27.43
27.49
27.53
27.54
27.55
27.56
27.57
27.59
27.61
27.62
27.63
Revision of cleft palate repair
Secondary:
attachment of pharyngeal flap lengthening of palate
27.64 Insertion of palatal implant
Other plastic repair of palate
Code also any insertion of palatal implant (27.64)
Excludes: fistulectomy of mouth (27.53)
27.7 Operations on uvula
Incision of uvula Excision of uvula
Excludes: biopsy of uvula (27.22)
Repair of uvula
Excludes: that with synchronous cleft palate repair (27.62) uranostaphylorrhaphy (27.62)
Other operations on uvula
27.9 Other operations on mouth and face
27.91 Labial frenotomy
Division of labial frenum
Excludes: lingual frenotomy (25.91) Incision of mouth, unspecified structure Excludes: incision of:
gum (24.0)
palate (27.1)
salivary gland or duct (26.0) tongue (25.94)
uvula (27.71)
Other operations on oral cavity
Graft of buccal sulcus
Excludes: removal of:
intraluminal foreign body (98.01)
penetrating foreign body from mouth without incision (98.22)
27.69
27.71
27.72
27.73
27.79
27.92
27.99
28 Operations on tonsils and adenoids
Incision and drainage of tonsil and peritonsillar structures
Drainage (oral) (transcervical) of:
parapharyngeal abscess peritonsillar abscess retropharyngeal abscess tonsillar abscess
28.1 Diagnostic procedures on tonsils and adenoids
Biopsy of tonsils and adenoids
Other diagnostic procedures on tonsils and adenoids
Excludes: soft tissue x-ray (87.09) Tonsillectomy without adenoidectomy Tonsillectomy with
adenoidectomy Excision of tonsil tag
Excision of lingual tonsil
Adenoidectomy without tonsillectomy
Excision of adenoid tag
Control of hemorrhage after tonsillectomy and adenoidectomy
28.9 Other operations on tonsils and adenoids
Removal of foreign body from tonsil and adenoid by incision
Excludes: that without incision (98.13) Excision of lesion of tonsil and adenoid Excludes: biopsy of tonsil and
adenoid (28.11)
Other
28.0
28.11
28.19
28.2
28.3
28.4
28.5
28.6
28.7
28.91
28.92
28.99
29 Operations on pharynx
Includes: operations on:
hypopharynx nasopharynx oropharynx pharyngeal pouch pyriform sinus
Pharyngotomy
Drainage of pharyngeal bursa
Excludes: incision and drainage of retropharyngeal abscess (28.0) removal of foreign body (without incision)
(98.13)
29.1 Diagnostic procedures on pharynx
Pharyngoscopy
29.12 Pharyngeal biopsy
Biopsy of supraglottic mass
29.0
29.11
29.19 Other diagnostic procedures on pharynx
Excludes: x-ray of nasopharynx:
contrast (87.06)
other (87.09)
Excision of branchial cleft cyst or vestige
Excludes: branchial cleft fistulectomy (29.52)
29.3 Excision or destruction of lesion or tissue of pharynx
Cricopharyngeal myotomy
Excludes: that with pharyngeal diverticulectomy (29.32)
Pharyngeal diverticulectomy Pharyngectomy (partial)
Excludes: laryngopharyngectomy (30.3)
Other excision or destruction of lesion or tissue of pharynx
Plastic operation on pharynx
Correction of nasopharyngeal atresia
Excludes: pharyngoplasty associated with cleft palate repair (27.62-27.63)
29.5 Other repair of pharynx
Suture of laceration of pharynx Closure of branchial cleft fistula
Closure of other fistula of pharynx
Pharyngoesophageal fistulectomy Lysis of pharyngeal adhesions Other
29.9 Other operations on pharynx
29.91 Dilation of pharynx
Dilation of nasopharynx
Division of glossopharyngeal nerve Other
Excludes: insertion of radium into pharynx and nasopharynx (92.27) removal of intraluminal foreign body (98.13)
29.2
29.31
29.32
29.33
29.39
29.4
29.51
29.52
29.53
29.54
29.59
29.92
29.99
6. OPERATIONS ON THE RESPIRATORY SYSTEM (30-34)
30 Excision of larynx
30.0 Excision or destruction of lesion or tissue of larynx
Marsupialization of laryngeal cyst
Other excision or destruction of lesion or tissue of larynx
Stripping of vocal cords
Excludes: biopsy of larynx (31.43) laryngeal fistulectomy (31.62)
laryngotracheal fistulectomy (31.62)
Hemilaryngectomy
30.2 Other partial laryngectomy
Epiglottidectomy Vocal cordectomy
Excision of vocal cords
Other partial laryngectomy
Excision of laryngeal cartilage
Complete laryngectomy
Block dissection of larynx (with thyroidectomy) (with synchronous tracheostomy)
Laryngopharyngectomy
Excludes: that with radical neck dissection (30.4)
Radical laryngectomy
Complete [total] laryngectomy with radical neck dissection (with thyroidectomy) (with synchronous tracheostomy)
30.01
30.09
30.1
30.21
30.22
30.29
30.3
30.4
31 Other operations on larynx and trachea
31.0 Injection of larynx
Injection of inert material into larynx or vocal cords
Temporary tracheostomy ®
Tracheotomy for assistance in breathing
Temporary percutaneous dilatational tracheostomy [PDT]
Code also any synchronous bronchoscopy, if performed (33.21 33.24, 33.27)
31.2 Permanent tracheostomy
Mediastinal tracheostomy
Other permanent tracheostomy ®
Permanent percutaneous dilatational tracheostomy [PDT]
Code also any synchronous bronchoscopy, if performed (33.21 33.24, 33.27)
Excludes: that with laryngectomy (30.3-30.4)
31.1
31.21
31.29
31.3
Other incision of larynx or trachea
Excludes: that for assistance in breathing (31.1-31.29)
31.4 Diagnostic procedures on larynx and trachea Tracheoscopy through artificial stoma Excludes:
that with biopsy (31.43-31.44) Laryngoscopy and other tracheoscopy Excludes: that with biopsy (31.43-31.44)
Closed [endoscopic] biopsy of larynx
Closed [endoscopic] biopsy of trachea Open biopsy of larynx or trachea
31.48 Other diagnostic procedures on larynx
Excludes: contrast laryngogram (87.07)
microscopic examination of specimen from larynx (90.31-90.39)
soft tissue x-ray of larynx NEC (87.09)
31.49 Other diagnostic procedures on trachea
Excludes: microscopic examination of specimen from trachea (90.41-90.49)
x-ray of trachea (87.49)
Local excision or destruction of lesion or tissue of trachea
Excludes: biopsy of trachea (31.44-31.45)
laryngotracheal fistulectomy (31.62)
tracheoesophageal fistulectomy (31.73)
31.6 Repair of larynx
Suture of laceration of larynx Closure of fistula of larynx
Laryngotracheal fistulectomy Take- down of laryngostomy
Revision of laryngostomy Repair of laryngeal fracture
Other repair of larynx
Arytenoidopexy Graft of larynx
Transposition of vocal cords
Excludes: construction of artificial larynx (31.75)
31.7 Repair and plastic operations on trachea
Suture of laceration of trachea Closure of external fistula of trachea
Closure of tracheotomy
Closure of other fistula of trachea
Tracheoesophageal fistulectomy
Excludes: laryngotracheal fistulectomy (31.62)
31.41
31.42
31.43
31.44
31.45
31.5
31.61
31.62
31.63
31.64
31.69
31.71
31.72
31.73
31.74
31.75
Revision of tracheostomy
Reconstruction of trachea and construction of artificial larynx
Tracheoplasty with artificial larynx
Other repair and plastic operations on trachea
31.9 Other operations on larynx and trachea
Division of laryngeal nerve
Lysis of adhesions of trachea or larynx
31.93 Replacement of laryngeal or tracheal stent
31.94 Injection of locally-acting therapeutic substance into trachea
31.95 Tracheoesophageal fistulization Other operations on larynx
Dilation of larynx
Division of congenital web of larynx Removal of keel or stent of larynx
Excludes: removal of intraluminal foreign body from larynx without incision (98.14)
Other operations on trachea
Excludes: removal of:
intraluminal foreign body from trachea without incision (98.15)
tracheostomy tube (97.37)
replacement of tracheostomy tube (97.23) tracheostomy toilette (96.55)
31.79
31.91
31.92
31.98
31.99
32 Excision of lung and bronchus
Includes: rib resection as operative approach sternotomy as operative approach
sternum- splitting incision as operative approach thoracotomy as operative approach
Code also any synchronous bronchoplasty (33.48)
32.0 Local excision or destruction of lesion or tissue of bronchus
Excludes: biopsy of bronchus (33.24-33.25) bronchial fistulectomy (33.42)
Endoscopic excision or destruction of lesion or tissue of bronchus Other local excision or destruction of
lesion or tissue of bronchus Excludes: that by endoscopic approach (32.01)
Other excision of bronchus
Resection (wide sleeve) of bronchus
Excludes: radical dissection [excision] of bronchus (32.6)
32.2 Local excision or destruction of lesion or tissue of lung
Thoracoscopic excision of lesion or tissue of lung
Thoracoscopic wedge resection
Plication of emphysematous bleb
32.01
32.09
32.1
32.20
32.21
32.22
32.23
32.24
32.25
Lung volume reduction surgery
Open ablation of lung lesion or tissue Percutaneous ablation of lung lesion or tissue Thoracoscopic
ablation of lung lesion or tissue
Excludes: thoracoscopic excision of lesion or tissue of lung (32.20) Other and unspecified ablation of lung
lesion or tissue Endoscopic excision or destruction of lesion or tissue of lung
Excludes: ablation of lung lesion or tissue: open (32.23)
other (32.26)
percutaneous (32.24)
thoracoscopic (32.25) biopsy of lung (33.26-33.27)
Other local excision or destruction of lesion or tissue of lung
Resection of lung:
NOS
wedge
Excludes: ablation of lung lesion or tissue:
open (32.23)
other (32.26)
percutaneous (32.24)
thoracoscopic (32.25)
biopsy of lung (33.26-33.27)
that by endoscopic approach (32.28)
thoracoscopic excision of lesion or tissue of lung (32.20) wide excision of lesion of lung (32.3)
32.3 Segmental resection of lung
Partial lobectomy
Thoracoscopic segmental resection of lung
Other and unspecified segmental resection of lung
Excludes: thoracoscopic segmental resection of lung (32.30)
32.4 Lobectomy of lung
Lobectomy with segmental resection of adjacent lobes of lung
Excludes: that with radical dissection [excision] of thoracic structures (32.6)
Thoracoscopic lobectomy of lung
Other lobectomy of lung
Excludes: thoracoscopic lobectomy of lung (32.41)
32.5 Pneumonectomy ®
Excision of lung NOS
Pneumonectomy (with mediastinal dissection)
Thoracoscopic pneumonectomy
Other and unspecified pneumonectomy
Excludes: thoracoscopic pneumonectomy (32.50)
32.26
32.28
32.29
32.30
32.39
32.41
32.49
32.50
32.59
32.6
Radical dissection of thoracic structures
Block [en bloc] dissection of bronchus, lobe of lung, brachial plexus, intercostal structure, ribs (transverse
process), and sympathetic nerves
Other excision of lung
Excludes: biopsy of lung and bronchus (33.24-33.27) pulmonary decortication (34.51)
33 Other operations on lung and bronchus
Includes: rib resection as operative approach sternotomy as operative approach
sternum- splitting incision as operative approach thoracotomy as operative approach
Incision of bronchus Incision of lung
Excludes: puncture of lung (33.93)
33.2 Diagnostic procedures on lung and bronchus
Thoracoscopic lung biopsy
Excludes: closed endoscopic biopsy of lung (33.27)
closed [percutaneous] [needle] biopsy of lung (33.26) open biopsy of lung (33.28)
Bronchoscopy through artificial stoma Excludes: that with biopsy (33.24,33.27) Fiber-optic bronchoscopy
Excludes: that with biopsy (33.24,33.27)
Other bronchoscopy
Excludes: that for:
aspiration (96.05)
biopsy (33.24,33.27)
Closed [endoscopic] biopsy of bronchus ®
Bronchoscopy (fiberoptic) (rigid) with:
brush biopsy of "lung"
brushing or washing for specimen collection excision (bite) biopsy
Diagnostic bronchoalveolar lavage (BAL) Transbronchoscopic needle aspiration [TBNA]
Excludes: closed biopsy of lung, other than brush biopsy of "lung" (33.26,33.27)
whole lung lavage (33.99)
Open biopsy of bronchus
Excludes: open biopsy of lung (33.28)
Closed [percutaneous] [needle] biopsy of lung ®
Fine needle aspiration (FNA) of lung Transthoracic needle biopsy of lung (TTNB)
Excludes: endoscopic biopsy of lung (33.27) thoracoscopic lung biopsy (33.20)
32.9
33.0
33.1
33.20
33.21
33.22
33.23
33.24
33.25
33.26
33.27
Closed endoscopic biopsy of lung ®
Fiber- optic (flexible) bronchoscopy with fluoroscopic guidance with biopsy
Transbronchial lung biopsy
Excludes: brush biopsy of "lung" (33.24) percutaneous biopsy of lung (33.26) thoracoscopic lung biopsy (33.20)
Open biopsy of lung
Other diagnostic procedures on lung and bronchus ®
Excludes: contrast bronchogram:
endotracheal (87.31)
other (87.32)
endoscopic pulmonary airway flow measurement (33.72) laser interstitial thermal therapy [LITT] of lesion or tissue
of
lung under guidance (17.69) lung scan (92.15)
magnetic resonance imaging (88.92)
microscopic examination of specimen from bronchus or lung (90.41-90.49)
routine chest x-ray (87.44) ultrasonography of lung (88.73) vital capacity determination (89.37)
x-ray of bronchus or lung NOS (87.49)
33.3 Surgical collapse of lung
33.31 Destruction of phrenic nerve for collapse of lung
33.32 Artificial pneumothorax for collapse of lung
Thoracotomy for collapse of lung
33.33 Pneumoperitoneum for collapse of lung Thoracoplasty
Other surgical collapse of lung
Collapse of lung NOS
33.4 Repair and plastic operation on lung and bronchus
Suture of laceration of bronchus Closure of bronchial fistula
Closure of bronchostomy Fistulectomy:
bronchocutaneous bronchoesophageal bronchovisceral
Excludes: closure of fistula:
bronchomediastinal (34.73)
bronchopleural (34.73)
bronchopleuromediastinal (34.73)
Closure of laceration of lung
Other repair and plastic operations on bronchus Other repair and plastic operations on lung Excludes: closure of
pleural fistula (34.73)
33.28
33.29
33.34
33.39
33.41
33.42
33.43
33.48
33.49
33.5 Lung transplant
Note: To report donor source --see codes 00.91- 00.93
Excludes: combined heart-lung transplantation (33.6)
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
Lung transplantation, not otherwise specified Unilateral lung transplantation
Bilateral lung transplantation Double- lung transplantation En bloc transplantation
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
33.6 Combined heart-lung transplantation
Note: To report donor source --see codes 00.91- 00.93
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
33.7 Other endoscopic procedures in bronchus or lung ®
Excludes: insertion of tracheobronchial stent (96.05)
Endoscopic insertion or replacement of bronchial valve(s), single lobe ®
Endobronchial airflow redirection valve Intrabronchial airflow redirection valve
Excludes: endoscopic insertion or replacement of bronchial valve(s), multiple lobes (33.73)
33.72 Endoscopic pulmonary airway flow measurement
Assessment of pulmonary airway flow
Code also any diagnostic or therapeutic procedure if performed
Endoscopic insertion or replacement of bronchial valve(s), multiple lobes
Excludes: endoscopic insertion or replacement of bronchial valve(s), single lobe (33.71)
Endoscopic removal of bronchial device(s) or substances Endoscopic insertion of other bronchial device or
substances
Biologic Lung Volume Reduction NOS (BLVR)
33.9 Other operations on lung and bronchus
33.91 Bronchial dilation Ligation of bronchus Puncture of lung
Excludes: needle biopsy (33.26)
Other operations on bronchus
Excludes: bronchial lavage (96.56)
removal of intraluminal foreign body from bronchus without incision (98.15)
33.50
33.51
33.52
33.71
33.73
33.78
33.79
33.92
33.93
33.98
33.99
Other operations on lung
Whole lung lavage
Excludes: other continuous mechanical ventilation (96.70-96.72) respiratory therapy (93.90-93.99)
34 Operations on chest wall, pleura, mediastinum, and diaphragm
Excludes: operations on breast (85.0-85.99)
34.0 Incision of chest wall and pleura
Excludes: that as operative approach --omit code
Incision of chest wall
Extrapleural drainage
Excludes: incision of pleura (34.09)
Exploratory thoracotomy
Reopening of recent thoracotomy site Insertion of intercostal catheter for drainage
Chest tube
Closed chest drainage
Revision of intercostal catheter (chest tube) (with lysis of adhesions)
Excludes: thoracoscopic drainage of pleural cavity (34.06)
34.05 Creation of pleuroperitoneal shunt Thoracoscopic drainage of pleural cavity
Evacuation of empyema
34.09 Other incision of pleura
Creation of pleural window for drainage Intercostal stab
Open chest drainage
Excludes: thoracoscopy (34.21)
thoracotomy for collapse of lung (33.32)
Incision of mediastinum ®
Code also any biopsy, if performed
Excludes: mediastinoscopy (34.22)
mediastinotomy associated with pneumonectomy (32.5)
34.2 Diagnostic procedures on chest wall, pleura, mediastinum, and diaphragm
Thoracoscopic pleural biopsy Transpleural thoracoscopy Mediastinoscopy
Code also any biopsy, if performed
Biopsy of chest wall Other pleural biopsy ®
Excludes: thoracoscopic pleural biopsy (34.20)
34.01
34.02
34.03
34.04
34.06
34.1
34.20
34.21
34.22
34.23
34.24
34.25
Closed [percutaneous] [needle] biopsy of mediastinum Open mediastinal biopsy
Biopsy of diaphragm
Other diagnostic procedures on chest wall, pleura, and diaphragm
Excludes: angiocardiography (88.50-88.58)
aortography (88.42) arteriography of:
intrathoracic vessels NEC (88.44) pulmonary arteries (88.43)
microscopic examination of specimen from chest wall, pleura, and diaphragm (90.41-90.49)
phlebography of:
intrathoracic vessels NEC (88.63) pulmonary veins (88.62)
radiological examinations of thorax:
C.A.T. scan (87.41)
diaphragmatic x-ray (87.49)
intrathoracic lymphangiogram (87.34) routine chest x-ray (87.44)
sinogram of chest wall (87.38)
soft tissue x-ray of chest wall NEC (87.39) tomogram of thorax NEC (87.42) ultrasonography of thorax (88.73)
Other diagnostic procedures on mediastinum
Excludes: mediastinal:
pneumogram (87.33)
x-ray NEC (87.49)
Excision or destruction of lesion or tissue of mediastinum
Excludes: biopsy of mediastinum (34.25-34.26) mediastinal fistulectomy (34.73)
Excision or destruction of lesion of chest wall
Excision of lesion of chest wall NOS (with excision of ribs)
Excludes: biopsy of chest wall (34.23)
costectomy not incidental to thoracic procedure (77.91) excision of lesion of:
breast (85.20-85.25)
cartilage (80.89)
skin (86.2-86.3)
fistulectomy (34.73)
34.5 Pleurectomy
Decortication of lung ®
Excludes: thoracoscopic decortication of lung (34.52)
Thoracoscopic decortication of lung
Other excision of pleura
Excision of pleural lesion
Excludes: biopsy of pleura (34.24) pleural fistulectomy (34.73)
34.26
34.27
34.28
34.29
34.3
34.4
34.51
34.52
34.59
34.6
Scarification of pleura
Pleurosclerosis
Excludes: injection of sclerosing agent (34.92)
34.7 Repair of chest wall
34.71 Suture of laceration of chest wall
Excludes: suture of skin and subcutaneous tissue alone (86.59)
34.72 Closure of thoracostomy
Closure of other fistula of thorax
Closure of:
bronchopleural fistula bronchopleurocutaneous fistula bronchopleuromediastinal fistula
Repair of pectus deformity
Repair of:
pectus carinatum (with implant) pectus excavatum (with implant)
Other repair of chest wall
Repair of chest wall NOS
34.8 Operations on diaphragm
Excision of lesion or tissue of diaphragm Excludes: biopsy of diaphragm (34.27) Suture of laceration of
diaphragm
Closure of fistula of diaphragm Thoracicoabdominal fistulectomy Thoracicogastric fistulectomy
Thoracicointestinal fistulectomy
Other repair of diaphragm
Excludes: repair of diaphragmatic hernia (53.7-53.82)
Implantation of diaphragmatic pacemaker Other operations on diaphragm
34.9 Other operations on thorax
Thoracentesis
34.92 Injection into thoracic cavity ®
Chemical pleurodesis
Injection of cytotoxic agent or tetracycline Instillation into thoracic cavity
Requires additional code for any cancer chemotherapeutic substance (99.25)
Excludes: that for collapse of lung (33.32)
Repair of pleura Other
Excludes: removal of:
mediastinal drain (97.42)
sutures (97.43)
thoracotomy tube (97.41)
34.73
34.74
34.79
34.81
34.82
34.83
34.84
34.85
34.89
34.91
34.93
34.99
7. OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)
35 Operations on valves and septa of heart
Includes: sternotomy (median) (transverse) as operative approach thoracotomy as operative approach
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
35.0 Closed heart valvotomy
Excludes: percutaneous (balloon) valvuloplasty (35.96) Closed heart valvotomy, unspecified valve Closed heart
valvotomy, aortic valve
Closed heart valvotomy, mitral valve Closed heart valvotomy, pulmonary valve Closed heart valvotomy,
tricuspid valve
35.1 Open heart valvuloplasty without replacement
Includes: open heart valvotomy
Excludes: that associated with repair of:
endocardial cushion defect (35.54, 35.63, 35.73)
valvular defect associated with atrial and ventricular septal defects (35.54, 35.63, 35.73)
percutaneous (balloon) valvuloplasty (35.96)
Code also cardiopulmonary bypass if performed [extracorporeal circulation] [heart- lung machine] (39.61)
Open heart valvuloplasty without replacement, unspecified valve Open heart valvuloplasty of aortic valve
without replacement Open heart valvuloplasty of mitral valve without replacement Open heart valvuloplasty of
pulmonary valve without replacement Open heart valvuloplasty of tricuspid valve without replacement
35.2 Replacement of heart valve
Includes: excision of heart valve with replacement
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
Excludes: that associated with repair of:
endocardial cushion defect (35.54, 35.63, 35.73)
valvular defect associated with atrial and ventricular septal defects (35.54, 35.63, 35.73)
Replacement of unspecified heart valve
Repair of unspecified heart valve with tissue graft or prosthetic implant
Replacement of aortic valve with tissue graft
Repair of aortic valve with tissue graft (autograft) (heterograft)
(homograft)
35.00
35.01
35.02
35.03
35.04
35.10
35.11
35.12
35.13
35.14
35.20
35.21
35.22
Other replacement of aortic valve
Repair of aortic valve with replacement:
NOS
prosthetic (partial) (synthetic) (total)
Replacement of mitral valve with tissue graft
Repair of mitral valve with tissue graft (autograft) (heterograft) (homograft)
Other replacement of mitral valve
Repair of mitral valve with replacement:
NOS
prosthetic (partial) (synthetic) (total)
Replacement of pulmonary valve with tissue graft
Repair of pulmonary valve with tissue graft (autograft) (heterograft) (homograft)
Other replacement of pulmonary valve
Repair of pulmonary valve with replacement: NOS
prosthetic (partial) (synthetic) (total)
Replacement of tricuspid valve with tissue graft
Repair of tricuspid valve with tissue graft (autograft) (heterograft) (homograft)
Other replacement of tricuspid valve
Repair of tricuspid valve with replacement: NOS
prosthetic (partial) (synthetic) (total)
35.3 Operations on structures adjacent to heart valves
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
Operations on papillary muscle Division of papillary muscle Reattachment of papillary muscle Repair of papillary
muscle
Operations on chordae tendineae Division of chordae tendineae Repair of chordae tendineae
Annuloplasty
Plication of annulus
Infundibulectomy
Right ventricular infundibulectomy
Operations on trabeculae carneae cordis Division of trabeculae carneae cordis Excision of trabeculae carneae
cordis Excision of aortic subvalvular ring
Operations on other structures adjacent to valves of heart
Repair of sinus of Valsalva (aneurysm)
35.23
35.24
35.25
35.26
35.27
35.28
35.31
35.32
35.33
35.34
35.35
35.39
35.4 Production of septal defect in heart
35.41 Enlargement of existing atrial septal defect
Rashkind procedure Septostomy (atrial) (balloon)
Creation of septal defect in heart
Blalock- Hanlon operation
35.5 Repair of atrial and ventricular septa with prosthesis
Includes: repair of septa with synthetic implant or patch
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
Repair of unspecified septal defect of heart with prosthesis
Excludes: that associated with repair of: endocardial cushion defect (35.54)
septal defect associated with valvular defect (35.54)
Repair of atrial septal defect with prosthesis, open technique
Atrioseptoplasty with prosthesis
Correction of atrial septal defect with prosthesis Repair:
foramen ovale (patent)
with prosthesis ostium secundum defect with prosthesis
Excludes: that associated with repair of:
atrial septal defect associated with valvular and ventricular septal defects (35.54)
endocardial cushion defect (35.54)
Repair of atrial septal defect with prosthesis, closed technique
Insertion of atrial septal umbrella [King- Mills]
Repair of ventricular septal defect with prosthesis, open technique
Correction of ventricular septal defect with prosthesis Repair of supracristal defect with prosthesis
Excludes: that associated with repair of: endocardial cushion defect (35.54)
ventricular defect associated with valvular and atrial septal defects (35.54)
Repair of endocardial cushion defect with prosthesis
Repair:
atrioventricular canal with prosthesis (grafted to septa) ostium primum defect with prosthesis (grafted to septa)
valvular defect associated with atrial and ventricular septal defects with prosthesis (grafted to septa)
Excludes: repair of isolated:
atrial septal defect (35.51-35.52)
valvular defect (35.20, 35.22, 35.24, 35.26, 35.28) ventricular septal defect (35.53)
Repair of ventricular septal defect with prosthesis, closed technique
35.42
35.50
35.51
35.52
35.53
35.54
35.55
35.6 Repair of atrial and ventricular septa with tissue graft
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
Repair of unspecified septal defect of heart with tissue graft
Excludes: that associated with repair of: endocardial cushion defect (35.63)
septal defect associated withvalvular defect (35.63)
Repair of atrial septal defect with tissue graft
Atrioseptoplasty with tissue graft
Correction of atrial septal defect with tissue graft Repair:
foramen ovale (patent) with tissue graft ostium secundum defect with tissue graft
Excludes: that associated with repair of:
atrial septal defect associated with valvular and ventricular septal defects (35.63)
endocardial cushion defect (35.63)
Repair of ventricular septal defect with tissue graft Correction of ventricular septal defect with tissue graft
Repair of supracristal defect with tissue graft
Excludes: that associated with repair of: endocardial cushion defect(35.63)
ventricular defect associate with valvular and atrial septal defects (35.63)
Repair of endocardial cushion defect with tissue graft
Repair of:
atrioventricular canal with tissue graft ostium primum defect with tissue graft
valvular defect associated with atrial and ventricular septal defects with tissue graft
Excludes: repair of isolated:
atrial septal defect (35.61)
valvular defect (35.20-35.21, 35.23, 35.25, 35.27) ventricular septal defect (35.62)
35.7 Other and unspecified repair of atrial and ventricular septa
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
Other and unspecified repair of unspecified septal defect of heart
Repair of septal defect NOS
Excludes: that associated with repair of: endocardial cushion defect (35.73)
septal defect associated wit valvular defect (35.73)
35.60
35.61
35.62
35.63
35.70
35.71
Other and unspecified repair of atrial septal defect
Repair NOS:
atrial septum
foramen ovale (patent) ostium secundum defect
Excludes: that associated with repair of:
atrial septal defect associated with valvular ventricular septal defects (35.73)
endocardial cushion defect (35.73)
Other and unspecified repair of ventricular septal defect
Repair NOS:
supracristal defect ventricular septum
Excludes: that associated with repair of: endocardial cushion defect (35.73)
ventricular septal defect associated with valvular and atrial septal defects (35.73)
Other and unspecified repair of endocardial cushion defect
Repair NOS:
atrioventricular canal ostium primum defect
valvular defect associated with atrial and ventricular septal defects
Excludes: repair of isolated:
atrial septal defect (35.71)
valvular defect (35.20, 35.22, 35.24, 35.26, 35.28) ventricular septal defect (35.72)
35.8 Total repair of certain congenital cardiac anomalies
Note: For partial repair of defect [e.g. repair of atrial septal defect in tetralogy of Fallot] -- code to specific
procedure
Total repair of tetralogy of Fallot
One- stage total correction of tetralogy of Fallot with or without: commissurotomy of pulmonary valve
infundibulectomy outflow tract prosthesis
patch graft of outflow tract prosthetic tube for pulmonary artery
repair of ventricular septal defect (with prosthesis)
take- down of previous systemic- pulmonary artery anastomosis
Total repair of total anomalous pulmonary venous connection
One- stage total correction of total anomalous pulmonary venous connection with or without:
anastomosis between (horizontal) common pulmonary trunk and posterior wall of left atrium (side- to- side)
enlargement of foramen ovale
incision [excision] of common wall between posterior left atrium and coronary sinus and roofing of resultant
defect with patch graft (synthetic)
ligation of venous connection (descending anomalous vein) (to left innominate vein) (to superior vena cava)
repair of atrial septal defect (with prosthesis)
35.72
35.73
35.81
35.82
35.83
Total repair of truncus arteriosus
One- stage total correction of truncus arteriosus with or without: construction (with aortic homograft) (with
prosthesis) of a
pulmonary artery placed from right ventricle to arteries supplying the lung
ligation of connections between aorta and pulmonary artery repair of ventricular septal defect (with prosthesis)
Total correction of transposition of great vessels, not elsewhere classified
Arterial switch operation [Jatene]
Total correction of transposition of great arteries at the arterial level by switching the great arteries, including
the left or both coronary arteries, implanted in the wall of the pulmonary artery
Excludes: baffle operation [Mustard] [Senning] (35.91)
creation of shunt between right ventricle and pulmonary artery [Rastelli] (35.92)
35.9 Other operations on valves and septa of heart
Code also cardiopulmonary bypass, if performed [extracorporeal circulation] [heart- lung machine] (39.61)
Interatrial transposition of venous return
Baffle:
atrial interatrial
Mustard's operation
Resection of atrial septum and insertion of patch to direct systemic venous return to tricuspid valve and
pulmonary venousreturn to mitral valve
Creation of conduit between right ventricle and pulmonary artery
Creation of shunt between right ventricle and (distal) pulmonary artery
Excludes: that associated with total repair of truncus arteriosus (35.83)
Creation of conduit between left ventricle and aorta
Creation of apicoaortic shunt
Shunt between apex of left ventricle and aorta
Creation of conduit between atrium and pulmonary artery
Fontan procedure
Revision of corrective procedure on heart Replacement of prosthetic heart valve poppet Resuture of prosthesis
of:
septum valve
Excludes: complete revision -- code to specific procedure replacement of prosthesis or graft of:
septum (35.50-35.63)
valve (35.20-35.28)
Percutaneous valvuloplasty
Percutaneous balloon valvuloplasty
Other operations on septa of heart Other operations on valves of heart
35.84
35.91
35.92
35.93
35.94
35.95
35.96
35.98
35.99
36 Operations on vessels of heart
Includes: sternotomy (median) (transverse) as operative approach thoracotomy as operative approach
Code also any:
cardiopulmonary bypass, if performed [extracorporeal circulation] [heart- lung machine] (39.61)
injection or infusion of platelet inhibitor (99.20) injection or infusion of thrombolytic agent (99.10)
36.0 Removal of coronary artery obstruction and insertion of stent(s)
Open chest coronary artery angioplasty
Coronary (artery):
endarterectomy (with patch graft) thromboendarterectomy (with patch graft)
Open surgery for direct relief of coronary artery obstruction
Excludes: that with coronary artery bypass graft (36.10-36.19)
Code also any:
insertion of drug- eluting coronary stent(s) (36.07) insertion of non- drug- eluting coronary stent(s) (36.06) number of
vascular stents inserted (00.45- 00.48) number of vessels treated (00.40- 00.43)
procedure on vessel bifurcation (00.44)
36.04 Intracoronary artery thrombolytic infusion
That by direct coronary artery injection, infusion, or catheterization enzyme infusion
Platelet inhibitor
Excludes: infusion of platelet inhibitor (99.20) infusion of thrombolytic agent (99.10)
that associated with any procedure in 36.03
Insertion of non-drug-eluting coronary artery stent(s)
Bare stent(s) Bonded stent(s)
Drug- coated stent(s), i.e. heparin coated Endograft(s)
Endovascular graft(s) Stent grafts
Code also any:
number of vascular stents inserted (00.45- 00.48) number of vessels treated (00.40- 00.43)
open chest coronary artery angioplasty (36.03) percutaneous transluminal coronary angioplasty [PTCA] or
coronary atherectomy (00.66) procedure on vessel bifurcation (00.44)
Excludes: insertion of drug-eluting coronary artery stent(s) (36.07)
36.03
36.06
36.07
Insertion of drug-eluting coronary artery stent(s)
Endograft(s) Endovascular graft(s) Stent graft(s)
Code also any:
number of vascular stents inserted (00.45- 00.48) number of vessels treated (00.40- 00.43)
open chest coronary artery angioplasty (36.03) percutaneous transluminal coronary angioplasty [PTCA] or
coronary atherectomy (00.66) procedure on vessel bifurcation (00.44)
Excludes: drug-coated stents, e.g., heparin coated (36.06)
insertion of non-drug-eluting coronary artery stent(s) (36.06)
Other removal of coronary artery obstruction
Coronary angioplasty NOS Code also any:
number of vascular stents inserted (00.45- 00.48) number of vessels treated (00.40- 00.43) procedure on vessel
bifurcation (00.44)
Excludes: that by open angioplasty (36.03)
that by percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy (00.66)
36.1 Bypass anastomosis for heart revascularization
Note: Do not assign codes from series 00.40- 00.43 with codes from series 36.10- 36.19
Code also: cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance, if performed (00.16)
Aortocoronary bypass for heart revascularization, not otherwise specified
Direct revascularization:
cardiac with catheter stent, prosthesis, or vein graft coronary with catheter stent, prosthesis, or vein graft heart
muscle with catheter stent, prosthesis, or vein graft myocardial with catheter stent, prosthesis, or vein graft
Heart revascularization NOS
(Aorto)coronary bypass of one coronary artery (Aorto)coronary bypass of two coronary arteries
(Aorto)coronary bypass of three coronary arteries (Aorto)coronary bypass of four or more coronary arteries
Single internal mammary-coronary artery bypass
Anastomosis (single):
mammary artery to coronary artery thoracic artery to coronary artery
36.09
36.10
36.11
36.12
36.13
36.14
36.15
36.16
Double internal mammary-coronary artery bypass
Anastomosis, double:
mammary artery to coronary artery thoracic artery to coronary artery
Abdominal - coronary artery bypass
Anastomosis:
Gastroepiploic - coronary artery
Other bypass anastomosis for heart revascularization
Heart revascularization by arterial implant
Implantation of:
aortic branches [ascending aortic branches] into heart muscle blood vessels into myocardium
internal mammary artery [internal thoracic artery] into: heart muscle
myocardium ventricle ventricular wall
Indirect heart revascularization NOS
36.3 Other heart revascularization
Open chest transmyocardial revascularization Other transmyocardial revascularization
Endoscopic transmyocardial revascularization ®
Thoracoscopic transmyocardial revascularization
Percutaneous transmyocardial revascularization
Endovascular transmyocardial revascularization
Other heart revascularization Abrasion of epicardium Cardio- omentopexy Intrapericardial poudrage
Myocardial graft:
mediastinal fat omentum pectoral muscles
36.9 Other operations on vessels of heart
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
Repair of aneurysm of coronary vessel Other operations on vessels of heart
Exploration of coronary artery
Incision of coronary artery
Ligation of coronary artery Repair of arteriovenous fistula
36.17
36.19
36.2
36.31
36.32
36.33
36.34
36.39
36.91
36.99
37 Other operations on heart and pericardium
Code also any injection or infusion of platelet inhibitor (99.20)
37.0 Pericardiocentesis
37.1 Cardiotomy and pericardiotomy
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
Incision of heart, not otherwise specified
Cardiolysis NOS
Cardiotomy
Incision of:
atrium endocardium myocardium ventricle
Pericardiotomy
Pericardial window operation Pericardiolysis Pericardiotomy
37.2 Diagnostic procedures on heart and pericardium
Noninvasive programmed electrical stimulation (NIPS)
Excludes: that as part of intraoperative testing --omit code
catheter based invasive electrophysiologic testing (37.26) device interrogation only without arrhythmia
induction
(bedside check) (89.45-89.49)
Right heart cardiac catheterization
Cardiac catheterization NOS
Excludes: that with catheterization of left heart (37.23)
Left heart cardiac catheterization
Excludes: that with catheterization of right heart (37.23) Combined right and left heart cardiac
catheterization Biopsy of pericardium
37.25 Biopsy of heart
Catheter based invasive electrophysiologic testing
Electrophysiologic studies [EPS] Code also any concomitant procedure
Excludes: that as part of intraoperative testing --omit code
device interrogation only without arrhythmia induction (bedside check) (89.45-89.49)
His bundle recording (37.29)
noninvasive programmed electrical stimulation (NIPS) (37.20)
Cardiac mapping
Code also any concomitant procedure
Excludes: electrocardiogram (89.52) His bundle recording (37.29)
37.10
37.11
37.12
37.20
37.21
37.22
37.23
37.24
37.26
37.27
37.28
Intracardiac echocardiography Echocardiography of heart chambers ICE
Code also any synchronous Doppler flow mapping (88.72)
Excludes: intravascular imaging of coronary vessels (intravascular ultrasound)(IVUS) (00.24)
37.29 Other diagnostic procedures on heart and pericardium
Excludes: angiocardiography (88.50-88.58) cardiac function tests (89.41-89.69)
cardiovascular radioisotopic scan and function study (92.05) coronary arteriography (88.55-88.57)
diagnostic pericardiocentesis (37.0) diagnostic ultrasound of heart (88.72) x-ray of heart (87.49)
37.3 Pericardiectomy and excision of lesion of heart
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
Pericardiectomy
Excision of:
adhesions of pericardium constricting scar of: epicardium
pericardium
Excision of aneurysm of heart
Repair of aneurysm of heart
Excision or destruction of other lesion or tissue of heart,open approach ®
Ablation of heart tissue (cryoablation) (electrocurrent) (laser) (microwave) (radiofrequency) (resection), open
chest approach
Cox- maze procedure Maze procedure
Modified maze procedure, trans- thoracic approach
Excludes: ablation,excision or destruction of lesion or tissue of heart, endovascular approach (37.34)
excision or destruction of left atrial appendage (LAA) (37.36)
Excision or destruction of other lesion or tissue of heart,other approach
Ablation of heart tissue (cryoablation) (electrocurrent)(laser) (microwave) (radiofrequency) (resection), via
peripherally inserted catheter
Modified maze procedure, endovascular approach
Partial ventriculectomy Ventricular reduction surgery Ventricular remodeling
Code also any synchronous:
mitral valve repair (35.02, 35.12)
mitral valve replacement (35.23 - 35.24)
37.31
37.32
37.33
37.34
37.35
37.36
Excision or destruction of left atrial appendage (LAA)
Includes: Thoracoscopic approach, minithoracotomy approach Clipping of left atrial appendage
Exclusion of left atrial appendage Oversewing of left atrial appendage Stapling of left atrial appendage
Code also any concomitant procedure performed
Excludes: ablation, excision or destruction of lesion or tissue of heart, endovascular approach (37.34)
37.4 Repair of heart and pericardium
Implantation of prosthetic cardiac support device around the heart
Cardiac support device (CSD) Epicardial support device Fabric (textile) (mesh) device
Ventricular support device on surface of heart
Code also any:
cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] if performed (39.61)
mitral valve repair (35.02, 35.12)
mitral valve replacement (35.23 - 35.24)
transesophageal echocardiography (88.72)
Excludes: circulatory assist systems (37.61 - 37.68)
Other repair of heart and pericardium
37.5 Heart replacement procedures
Heart transplantation
Excludes: combined heart-lung transplantation (33.6)
Implantation of total internal biventricular heart replacement system ®
Artificial heart
Excludes: implantation of heart assist system [VAD] (37.62, 37.65, 37.66,37.68)
Note: This procedure includes substantial removal of part or all of the biological heart. Both ventricles are
resected, and the native heart is no longer intact. Ventriculectomy is included in this procedure; do not code
separately.
Replacement or repair of thoracic unit of (total) replacement heart system ®
Excludes: replacement and repair of heart assist system [VAD](37.63)
Replacement or repair of other implantable component of (total) replacement heart system ®
Implantable battery Implantable controller
Transcutaneous energy transfer [TET] device
Excludes: replacement and repair of heart assist system [VAD] (37.63) replacement or repair of thoracic unit of
(total) replacement
heart system (37.53)
37.41
37.49
37.51
37.52
37.53
37.54
37.55
Removal of internal biventricular heart replacement system
Explantation of artificial heart
Code also any concomitant procedure, such as: combined heart- lung transplantation (33.6) heart transplantation
(37.51)
implantation of internal biventricular heart replacement system (37.52)
Excludes: explantation [removal] of external heart assist system (37.64) explantation [removal] of percutaneous
external heart assist
device (97.44)
nonoperative removal of heart assist system (97.44)
that with replacement or repair of heart replacement system (37.53, 37.54)
37.6 Implantation of heart and circulatory assist system(s)
Excludes: implantation of prosthetic cardiac support system (37.41)
Implantation or insertion of biventricular external heart assist system
Temporary cardiac support for both left and right ventricles, inserted in the same operative episode
Includes: open chest (sternotomy) procedure for cannulae attachments Note: Device (outside the body but
connected to heart) with external
circulation pump. Ventriculotomy is included; do not code separately.
Excludes: implantation of internal biventricular heart replacement system (artificial heart) (37.52)
implant of pulsation balloon (37.61)
insertion of percutaneous external heart assist device (37.68)
insertion of temporary non-implantable extracorporeal circulatory assist device (37.62)
Implant of pulsation balloon
Insertion of temporary non-implantable extracorporeal circulatory assist device ®
Acute circulatory support device Insertion of heart assist system, NOS Insertion of heart pump
Short- term circulatory support (up to six hours)
Excludes: implantation of total internal biventricular heart replacement system [artificial heart] (37.52)
insertion of percutaneous external heart assist device (37.68) implant of external heart assist system (37.65)
insertion of implantable extracorporeal heart assist system (37.66)
removal of heart assist system (37.64)
Note: Includes explantation of this device; do not code separately.
37.60
37.61
37.62
Repair of heart assist system ®
Replacement of parts of an existing ventricular assist device (VAD)
Excludes: replacement or repair of other implantable component of (total) replacement heart
system [artificial heart] (37.54)
replacement or repair of thoracic unit of (total) replacement heart system [artificial heart] (37.53)
Removal of heart assist system(s) or device(s) ®
Explantation of external device(s) providing left and right ventricular support
Explantation of single external device and cannulae
Excludes: that with replacement of implant (37.63) explantation [removal] of percutaneous
external heart
assist device (97.44)
nonoperative removal of heart assist system (97.44) temporary non-implantable extracorporeal
circulatory assist
device (37.62)
Implant of single ventricular (extracorporeal) external heart assist system ®
Insertion of one device into one ventricle
Note: Device (outside the body but connected to heart) with external circulation and pump.
Insertion or implantation of one external VAD for left or right heart support.
Includes open chest (sternotomy) procedure for cannulae attachments
Excludes: implant of pulsation balloon (37.61)
implantation of total internal biventricular heart replacement system (37.52)
insertion of percutaneous external heart assist device (37.68) insertion of implantable heart assist
system (37.66)
insertion or implantation of two external VADs for simultaneous right and left heart support
(37.60)
that without sternotomy (37.62)
Insertion of implantable heart assist system ®
Axial flow heart assist system Diagonal pump heart assist system Left ventricular assist device
(LVAD) Pulsatile heart assist system
Right ventricular assist device (RVAD) Rotary pump heart assist system
Transportable, implantable heart assist system Ventricular assist device (VAD) not otherwise
specified
Note: Device directly connected to the heart and implanted in the upper left quadrant of peritoneal
cavity.
This device can be used for either destination therapy (DT) or bridge- to- transplant (BTT)
Excludes: implant of pulsation balloon (37.61)
implantation of total internal biventricular heart replacement system [artificial heart] (37.52)
insertion of percutaneous external heart assist device (37.68)
37.63
37.64
37.65
37.66
37.67
Implantation of cardiomyostimulation system
Note: Two- step open procedure consisting of transfer of one end of the latissimus dorsi muscle; wrapping it
around the heart; rib resection; implantation of epicardial cardiac pacing leads into the right ventricle; tunneling
and pocket creation for the cardiomyostimulator.
Insertion of percutaneous external heart assist device
Includes percutaneous [femoral] insertion of cannulae attachments Circulatory assist device
Extrinsic heart assist device pVAD
Percutaneous heart assist device
37.7 Insertion, revision, replacement, and removal of leads; insertion of temporary pacemaker
system; or revision of cardiac device pocket
Code also any insertion and replacement of pacemaker device (37.80- 37.87)
Excludes: implantation or replacement of transvenous lead [electrode] into left ventricular cardiac venous system
(00.52)
Initial insertion of lead [electrode], not otherwise specified
Excludes: insertion of temporary transvenous pacemaker system (37.78)
replacement of atrial and/or ventricular lead(s) (37.76)
Initial insertion of transvenous lead [electrode] into ventricle
Excludes: insertion of temporary transvenous pacemaker system (37.78)
replacement of atrial and/or ventricular lead(s) (37.76)
Initial insertion of transvenous leads [electrodes] into atrium and ventricle
Excludes: insertion of temporary transvenous pacemaker system (37.78)
replacement of atrial and/or ventricular lead(s) (37.76)
Initial insertion of transvenous lead [electrode] into atrium
Excludes: insertion of temporary transvenous pacemaker system (37.78)
replacement of atrial and/or ventricular lead(s) (37.76)
Insertion or replacement of epicardial lead [electrode] into epicardium
Insertion or replacement of epicardial by:
sternotomy thoracotomy
Excludes: replacement of atrial and/or ventricular lead(s) (37.76)
Revision of lead [electrode]
Repair of electrode [removal with re- insertion]
Repositioning of lead(s) (AICD) (cardiac device) (CRT- D) (CRT- P) (defibrillator) (pacemaker) (pacing) (sensing)
[electrode]
Revision of lead NOS
Excludes: repositioning of temporary transvenous pacemaker system
--omit code
37.68
37.70
37.71
37.72
37.73
37.74
37.75
37.76
Replacement of transvenous atrial and/or ventricular lead(s) [electrode]
Removal or abandonment of existing transvenous or epicardial lead(s) with transvenous lead(s) replacement
Excludes: replacement of epicardial lead [electrode] (37.74)
Removal of lead(s) [electrode] without replacement
Removal:
epicardial lead (transthoracic approach) transvenous lead(s)
Excludes: removal of temporary transvenous pacemaker system
--omit code
that with replacement of:
atrial and/or ventricular lead(s) [electrode] (37.76) epicardial lead [electrode] (37.74)
Insertion of temporary transvenous pacemaker system
Excludes: intraoperative cardiac pacemaker (39.64)
Revision or relocation of pacemaker pocket ®
Debridement and reforming pocket (skin and subcutaneous tissue) Insertion of loop recorder
Relocation of pocket [creation of new pocket] pacemaker or CRT- P Removal of cardiac device/pulse generator
without replacement Removal of the implantable hemodynamic presssure sensor (lead)
and monitor device
Removal without replacement of cardiac resynchronization defibrillator device
Repositioning of implantable hemodynamic pressure sensor (lead) and monitor device
Repositioning of pulse generator
Revision of cardioverter/defibrillator (automatic) pocket Revision of pocket for intracardiac hemodynamic
monitoring Revision or relocation of CRT- D pocket
Revision or relocation of pacemaker, defibrillator, or other implanted cardiac device pocket
Excludes: removal of loop recorder (86.05)
37.8 Insertion, replacement, removal, and revision of pacemaker device
Note: Device testing during procedure --omit code
Code also any lead insertion, lead replacement, lead removal and/or lead revision (37.70- 37.77)
Excludes: implantation of cardiac resynchronization pacemaker[CRT-P](00.50) implantation or replacement of
cardiac resynchronization
pacemaker pulse generator only [CRT-P] (00.53)
Insertion of permanent pacemaker, initial or replacement, type of device not specified
Initial insertion of single-chamber device, not specified as rate responsive
Excludes: replacement of existing pacemaker device (37.85- 37.87)
37.77
37.78
37.79
37.80
37.81
37.82
Initial insertion of single-chamber device, rate responsive
Rate responsive to physiologic stimuli other than atrial rate
Excludes: replacement of existing pacemaker device (37.85- 37.87)
Initial insertion of dual-chamber device
Atrial ventricular sequential device
Excludes: replacement of existing pacemaker device (37.85- 37.87)
Replacement of any type pacemaker device with single-chamber device, not specified as rate responsive
Replacement of any type of pacemaker device with single-chamber device, rate responsive
Rate responsive to physiologic stimuli other than atrial rate
Replacement of any type pacemaker device with dual-chamber device
Atrial ventricular sequential device
Revision or removal of pacemaker device
Removal without replacement of cardiac resynchronization pacemaker device [CRT- P]
Repair of pacemaker device
Excludes: removal of temporary transvenous pacemaker system
--omit code
replacement of existing pacemaker device (37.85- 37.87) replacement of existing pacemaker device with CRT-P
pacemaker device (00.53)
37.9 Other operations on heart and pericardium
Insertion of left atrial appendage device
Left atrial filter Left atrial occluder
Transseptal catheter technique
Open chest cardiac massage
Excludes: closed chest cardiac massage (99.63)
37.92 Injection of therapeutic substance into heart
37.93 Injection of therapeutic substance into pericardium
Implantation or replacement of automatic cardioverter/ defibrillator, total system [AICD] ®
Implantation of defibrillator with leads (epicardial patches), formation of pocket (abdominal fascia)
(subcutaneous), any transvenous leads, intraoperative procedures for evaluation of lead signals, and obtaining
defibrillator threshold measurements
Techniques:
lateral thoracotomy medial sternotomy subxiphoid procedure
Note: Device testing during procedure --omit code
Code also extracorporeal circulation, if performed (39.61)
Code also any concomitant procedure [e.g., coronary bypass (36.00- 36.19) or CCM, total system (17.51)]
Excludes: implantation of cardiac resynchronization defibrillator, total system [CRT-D] (00.51)
37.83
37.85
37.86
37.87
37.89
37.90
37.91
37.94
37.95
Implantation of automatic cardioverter/defibrillator lead(s) only
Implantation of automatic cardioverter/defibrillator pulse generator only
Note: Device testing during procedure --omit code
Excludes: implantation or replacement of cardiac resynchronization defibrillator, pulse generator
device only [CRT-D] (00.54)
Replacement of automatic cardioverter/defibrillator lead(s) only
Excludes: replacement of epicardial lead [electrode] into epicardium (37.74)
replacement of transvenous lead [electrode] into left ventricular coronary venous system (00.52)
Replacement of automatic cardioverter/defibrillator pulse generator only
Excludes: replacement of cardiac resynchronization defibrillator, pulse generator device only
[CRT-D] (00.54)
37.96
37.97
37.98
37.99
Other
Excludes: cardiac retraining (93.36)
conversion of cardiac rhythm (99.60-99.69) implantation of prosthetic cardiac support device
(37.41) insertion of left atrial appendage device (37.90)
maze procedure (Cox-maze), open (37.33)
maze procedure, endovascular approach (37.34) repositioning of pulse generator (37.79)
revision of lead(s) (37.75)
revision or relocation of pacemaker, defibrillator or other implanted cardiac device pocket
(37.79)
38.0
38.1
38.2 Diagnostic procedures on blood vessels
Excludes: adjunct vascular system procedures (00.40-00.43)
Biopsy of blood vessel
38.22 Percutaneous angioscopy
Excludes: angioscopy of eye (95.12)
38.23 Intravascular spectroscopy
Includes: spectroscopy of both coronary and peripheral vessels Intravascular chemography
Near infrared (NIR) spectroscopy
Excludes: intravascular imaging of:
coronary vessels (00.24, 38.24)
peripheral vessels (00.23, 38.25)
38.24 Intravascular imaging of coronary vessel(s) by optical coherence tomography [OCT]
38.25 Intravascular imaging of non-coronary vessel(s) by optical coherence tomography [OCT]
Excludes: intravascular imaging of coronary vessel(s) by OCT (38.24)
Other diagnostic procedures on blood vessels
Excludes: blood vessel thermography (88.86) circulatory monitoring (89.61-89.69) contrast:
angiocardiography (88.50-88.58)
arteriography (88.40-88.49)
phlebography (88.60-88.67)
impedance phlebography (88.68)
peripheral vascular ultrasonography (88.77) plethysmogram (89.58)
Resection of vessel with anastomosis
[0- 9] Angiectomy Excision of:
aneurysm (arteriovenous) with anastomosis blood vessel (lesion) with anastomosis
Resection of vessel with replacement
[0- 9] Angiectomy Excision of:
aneurysm (arteriovenous) or blood vessel (lesion) with replacement Partial resection with replacement
Excludes: endovascular repair of aneurysm (39.71 - 39.79)
Requires the use of one of the following fourth- digit subclassifications to identify site:
0 unspecified site
1 intracranial vessels
Cerebral (anterior) (middle) Circle of Willis
Posterior communicating artery
38.21
38.29
38.3
38.4
2 other vessels of head and neck
Carotid artery (common) (external) (internal) Jugular vein (external) (internal)
3 upper limb vessels
Axillary Brachial Radial Ulnar
4 aorta, abdominal
Code also any thoracic vessel involvement (thoracoabdominal procedure) (38.45)
5 thoracic vessels
Aorta (thoracic) Innominate
Pulmonary (artery) (vein) Subclavian
Vena cava, superior
Code also any abdominal aorta involvement (thoracoabdominal procedure) (38.44)
6 abdominal arteries
Celiac Mesenteric
Gastric Renal
Hepatic Splenic
Iliac Umbilical
Excludes: abdominal aorta (4)
7 abdominal veins Iliac
Portal Renal Splenic
Vena cava (inferior)
8 lower limb arteries
Femoral (common) (superficial) Popliteal
Tibial
9 lower limb veins
Femoral Popliteal Saphenous Tibial
Ligation and stripping of varicose veins
[0- 3,5,7,9] Excludes: ligation of varices:
esophageal (42.91)
gastric (44.91)
Other excision of vessel
[0- 9] Excision of blood vessel (lesion) NOS
38.5
38.6
Excludes: excision of vessel for aortocoronary bypass (36.10-36.14) excision with:
anastomosis (38.30-38.39)
graft replacement (38.40-38.49)
implant (38.40-38.49)
Interruption of the vena cava Insertion of implant or sieve in vena cava Ligation of vena cava (inferior)
(superior) Plication of vena cava
Other surgical occlusion of vessels
[0- 9] Clamping of blood vessel Division of blood vessel Ligation of blood vessel Occlusion of blood vessel
Excludes: adrenal vessels (07.43) esophageal varices (42.91)
gastric or duodenal vessel for ulcer (44.40-44.49) gastric varices (44.91)
meningeal vessel (02.13)
percutaneous transcatheter infusion embolization (99.29) spermatic vein for varicocele (63.1)
surgical occlusion of vena cava (38.7) that for chemoembolization (99.25)
that for control of (postoperative) hemorrhage: anus (49.95)
bladder (57.93)
following vascular procedure (39.41) nose (21.00-21.09)
prostate (60.94)
tonsil (28.7)
thyroid vessel (06.92)
transcatheter (infusion) (99.29)
38.9 Puncture of vessel
Excludes: that for circulatory monitoring (89.60-89.69)
Arterial catheterization Umbilical vein catheterization
Venous catheterization, not elsewhere classified
Excludes: that for cardiac catheterization (37.21-37.23) that for renal dialysis (38.95)
Venous cutdown
38.95 Venous catheterization for renal dialysis
Excludes: insertion of totally implantable vascular access device [VAD] (86.07)
38.98 Other puncture of artery
Excludes: that for:
arteriography (88.40-88.49)
coronary arteriography (88.55-88.57)
38.7
38.8
38.91
38.92
38.93
38.94
38.99 Other puncture of vein ®
Phlebotomy
Excludes: that for:
angiography of veins (88.60-88.68) extracorporeal circulation (39.61, 50.92) injection or infusion of:
sclerosing solution (39.92)
therapeutic or prophylactic substance (99.11-99.29) perfusion (39.96-39.97)
phlebography (88.60-88.68)
transfusion (99.01-99.09)
39 Other operations on vessels ®
Excludes: those on coronary vessels (36.03-36.99)
Systemic to pulmonary artery shunt
Descending aorta- pulmonary artery anastomosis (graft) Left to right anastomosis (graft)
Subclavian- pulmonary anastomosis (graft)
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
Intra-abdominal venous shunt
Anastomosis:
mesocaval portacaval
portal vein to inferior vena cava splenic and renal veins
transjugular intrahepatic portosystemic shunt (TIPS)
Excludes: peritoneovenous shunt (54.94)
39.2 Other shunt or vascular bypass
Code also pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance, if performed
(00.16)
Caval-pulmonary artery anastomosis
Code also cardiopulmonary bypass (39.61)
Aorta-subclavian-carotid bypass
Bypass (arterial):
aorta to carotid and brachial aorta to subclavian and carotid carotid to subclavian
Other intrathoracic vascular shunt or bypass
Intrathoracic (arterial) bypass graft NOS
Excludes: coronary artery bypass (36.10-36.19)
Aorta-renal bypass
39.0
39.1
39.21
39.22
39.23
39.24
39.25
Aorta-iliac-femoral bypass
Bypass:
aortofemoral aortoiliac
aortoiliac to popliteal aortopopliteal
iliofemoral [iliac- femoral]
Other intra-abdominal vascular shunt or bypass
Bypass:
aortoceliac
aortic- superior mesenteric
common hepatic- common iliac- renal Intra- abdominal arterial bypass graft NOS
Excludes: peritoneovenous shunt (54.94)
Arteriovenostomy for renal dialysis Anastomosis for renal dialysis Formation of (peripheral) arteriovenous
fistula for renal [kidney] dialysis Code also any renal dialysis (39.95)
Extracranial-intracranial (EC-IC) vascular bypass
Other (peripheral) vascular shunt or bypass
Bypass (graft):
axillary- brachial
axillary- femoral [axillofemoral] (superficial) brachial
femoral- femoral femoroperoneal femoropopliteal (arteries)
femorotibial (anterior) (posterior) popliteal
vascular NOS
Excludes: peritoneovenous shunt (54.94)
39.3 Suture of vessel
Repair of laceration of blood vessel
Excludes: any other vascular puncture closure device --omit code suture of aneurysm (39.52)
that for control of hemorrhage (postoperative): anus (49.95)
bladder (57.93)
following vascular procedure (39.41) nose (21.00-21.09)
prostate (60.94)
tonsil (28.7)
Suture of unspecified blood vessel Suture of artery
Suture of vein
39.26
39.27
39.28
39.29
39.30
39.31
39.32
39.4 Revision of vascular procedure
Control of hemorrhage following vascular surgery
Excludes: that for control of hemorrhage (post operative): anus (49.95)
bladder (57.93)
nose (21.00-21.09)
prostate (60.94)
tonsil (28.7)
Revision of arteriovenous shunt for renal dialysis
Conversion of renal dialysis:
end- to- end anastomosis to end- to- side end- to- side anastomosis to end- to- end
vessel- to- vessel cannula to arteriovenous shunt
Removal of old arteriovenous shunt and creation of new shunt Excludes: replacement of vessel-to-vessel cannula
(39.94) Removal of arteriovenous shunt for renal dialysis
Excludes: that with replacement [revision] of shunt (39.42)
Other revision of vascular procedure
Declotting (graft) Revision of:
anastomosis of blood vessel vascular procedure (previous)
39.5 Other repair of vessels
Angioplasty or atherectomy of other non-coronary vessel(s) ®
Percutaneous transluminal angioplasty (PTA) of non- coronary vessels: Lower extremity vessels
Mesenteric artery Renal artery
Upper extremity vessels
Code also any:
injection or infusion of thrombolytic agent (99.10)
Insertion of non- drug- eluting peripheral vessel stent(s) or stent grafts(s) (39.90)
percutaneous insertion of carotid artery stent(s) (00.63) number of vascular stents inserted (00.45- 00.48) number
of vessels treated (00.40- 00.43)
procedure on vessel bifurcation (00.44)
insertion of drug- eluting peripheral vessel stent (00.55)
Excludes: percutaneous angioplasty or atherectomy of precerebral or cerebral vessel(s) (00.61 -00.62)
Clipping of aneurysm
Excludes: clipping of arteriovenous fistula (39.53)
39.41
39.42
39.43
39.49
39.50
39.51
39.52
Other repair of aneurysm
Repair of aneurysm by:
coagulation electrocoagulation filipuncture
methyl methacrylate suture
wiring wrapping
Excludes: endovascular repair of aneurysm (39.71 - 39.79) re-entry operation (aorta) (39.54)
that with:
graft replacement (38.40-38.49)
resection (38.30-38.49, 38.60-38.69)
Repair of arteriovenous fistula Embolization of carotid cavernous fistula Repair of arteriovenous
fistula by:
clipping coagulation
ligation and division
Excludes: repair of :
arteriovenous shunt for renal dialysis (39.42)
head and neck vessels, endovascular approach (39.72) that with:
graft replacement (38.40-38.49)
resection (38.30-38.49, 38.60-38.69)
Re-entry operation (aorta)
Fenestration of dissecting aneurysm of thoracic aorta
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
Reimplantation of aberrant renal vessel Repair of blood vessel with tissue patch graft
Excludes: that with resection (38.40-38.49)
Repair of blood vessel with synthetic patch graft
Excludes: that with resection (38.40-38.49)
Repair of blood vessel with unspecified type of patch graft
Excludes: that with resection (38.40-38.49)
Other repair of vessel Aorticopulmonary window operation Arterioplasty NOS
Construction of venous valves (peripheral) Plication of vein (peripheral) Reimplantation of artery
Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lung machine] (39.61)
39.53
39.54
39.55
39.56
39.57
39.58
39.59
Excludes: interruption of the vena cava (38.7) reimplantation of renal artery (39.55) that with:
graft (39.56-39.58)
resection (38.30-38.49, 38.60-38.69)
39.6 Extracorporeal circulation and procedures auxiliary to heart surgery
39.61
Extracorporeal circulation auxiliary to open heart surgery
Artificial heart and lung Cardiopulmonary bypass Pump oxygenator
Excludes: extracorporeal hepatic assistance (50.92) extracorporeal membrane oxygenation [ECMO] (39.65)
hemodialysis (39.95)
percutaneous cardiopulmonary bypass (39.66)
Hypothermia (systemic) incidental to open heart surgery Cardioplegia
Arrest:
anoxic circulatory
Intraoperative cardiac pacemaker
Temporary pacemaker used during and immediately following cardiac surgery
Extracorporeal membrane oxygenation [ECMO]
Excludes: extracorporeal circulation auxiliary to open heart surgery (39.61) percutaneous cardiopulmonary bypass
(39.66)
Percutaneous cardiopulmonary bypass
Closed chest
Excludes: extracorporeal circulation auxiliary to open heart surgery (39.61) extracorporeal hepatic assistance
(50.92)
extracorporeal membrane oxygenation [ECMO] (39.65) hemodialysis (39.95)
39.7 Endovascular procedures on vessel (s) ®
Endoluminal repair Embolization Implantation Occlusion
Removal Repair
Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50) insertion of non-drug-eluting
peripheral vessel stent(s) (39.90) other repair of aneurysm (39.52)
percutaneous insertion of carotid artery stent(s) (00.63) percutaneous insertion of intracranial stent(s) (00.65)
percutaneous insertion of other precerebral artery stent(s) (00.64) resection of abdominal aorta with
replacement (38.44)
resection of lower limb arteries with replacement (38.48)
resection of thoracic aorta with replacement (38.45)
39.62
39.63
39.64
39.65
39.66
resection of upper limb vessels with replacement (38.43)
Endovascular implantation of graft in abdominal aorta ® Endovascular repair of abdominal
aortic aneurysm with graft Stent graft(s)
Code also intra- aneurysm sac pressure monitoring (intraoperative) (00.58)
Endovascular embolization or occlusion of head and neck vessels ®
Endograft(s) Endovascular graft(s)
Liquid tissue adhesive (glue) embolization or occlusion
Other implant or substance for repair, embolization or occlusion That for repair of aneurysm,
arteriovenous malformation[AVM] or
fistula
Excludes: mechanical thrombectomy of pre-cerebral and cerebral vessels (39.74)
embolization of head or neck vessels using bare coils (39.75) embolization of head or neck vessels
using bioactive coils
(39.76)
Endovascular implantation of graft in thoracic aorta ®
Endograft(s) Endovascular graft(s)
Endovascular repair of defect of thoracic aorta with graft(s) or device(s)
Stent graft(s) or device(s)
That for repair of aneurysm, dissection, or injury
Excludes: fenestration of dissecting aneurysm of thoracic aorta (39.54)
Code also intra- aneurysm sac pressure monitoring (intraoperative) (00.58)
Endovascular removal of obstruction from head and neck vessel(s) ®
Endovascular embolectomy
Endovascular thrombectomy of pre- cerebral and cerebral vessels Mechanical embolectomy or
thrombectomy
Code also: any injection or infusion of thrombolytic agent (99.10) number of vessels treated
(00.40- 00.43)
procedure on vessel bifurcation (00.44)
Excludes: endarterectomy of intracranial vessels and other vessels of head and neck
(38.11 - 38.12)
occlusive endovascular embolization of head or neck vessel(s) using bare coils (39.75)
occlusive endovascular embolization of head or neck vessel(s) using bioactive coils (39.76)
open embolectomy or thrombectomy (38.01-38.02)
Endovascular embolization or occlusion of vessel(s) of head or neck using bare coils
Bare metal coils
Bare platinum coils [BPC]
That for treatment of aneurysm, arteriovenous malformation [AVM] or fistula
39.71
39.72
39.73
39.74
39.75
39.76
Endovascular embolization or occlusion of vessel(s) of head or neck using bioactive coils
Biodegradable inner luminal polymer coils
Coil embolization or occlusion utilizing bioactivecoils Coils containing polyglycolic acid [PGA]
That for treatment of aneurysm, arteriovenous malformation [AVM] or fistula
Other endovascular procedures on other vessels ®
Other coil embolization or occlusion Endograft(s)
Endovascular graft(s)
Liquid tissue adhesive (glue) embolization or occlusion
Other implant or substance for repair, embolization or occlusion Repair of aneurysm
Excludes: abdominal aortic aneurysm resection [AAA] (38.44) endovascular implantation of graft in abdominal
aorta (39.71) endovascular embolization or occlusion of head and neck
vessels , bare metal coils (39.75)
endovascular embolization or occlusion of head and neck vessels, bioactive coils (39.76)
insertion of drug-eluting peripheral vessel stent(s) (00.55) insertion of non-drug-eluting peripheral vessel (s) (for
other than aneurysm repair) (39.90)
non-endovascular repair of arteriovenous fistula (39.53) other surgical occlusion of vessels -see category 38.8
percutaneous transcatheter infusion (99.29)
thoracic aortic aneurysm resection (38.45)
transcatheter embolization for gastric or duodenal bleeding (44.44)
Operations on carotid body, carotid sinus and other vascular bodies ®
Chemodectomy Denervation of:
aortic body carotid body
Glomectomy, carotid Electronic stimulator
Implantation or replacement of carotid sinus baroreflex activation device
Excludes: excision of glomus jugulare (20.51)
replacement of carotid sinus lead(s) only (04.92)
39.9 Other operations on vessels
Insertion of non-drug-eluting peripheral vessel (non-coronary) stent(s) ®
Bare stent(s) Bonded stent(s)
Drug- coated stent(s), i.e., heparin coated Endograft(s)
Endovascular graft(s)
Endovascular recanalization techniques Stent graft(s)
39.79
39.8
39.90
Code also any
non- coronary angioplasty or atherectomy (39.50) number of vascular stents inserted (00.45- 00.48)
number of vessels treated (00.40- 00.43) procedure on vessel bifurcation (00.44)
Excludes: insertion of drug-eluting peripheral vessel stent(s) (00.55) percutaneous insertion of carotid
artery stent(s) (00.63) percutaneous insertion of intracranial stent(s) (00.65) percutaneous insertion of
other precerebral artery stent(s)
(00.64)
that for aneurysm repair (39.71 - 39.79)
Freeing of vessel
Dissection and freeing of adherent tissue: artery- vein- nerve bundle
vascular bundle
Injection of sclerosing agent into vein
Excludes: injection:
esophageal varices (42.33)
hemorrhoids (49.42)
Insertion of vessel-to-vessel cannula
Formation of:
arteriovenous:
fistula by external cannula shunt by external cannula
Code also any renal dialysis (39.95)
Replacement of vessel-to-vessel cannula
Revision of vessel- to- vessel cannula
Hemodialysis Artificial kidney Hemodiafiltration Hemofiltration Renal dialysis
Excludes: peritoneal dialysis (54.98)
39.96 Total body perfusion
Code also substance perfused (99.21- 99.29)
39.97 Other perfusion ®
Perfusion NOS
Perfusion, local [regional] of:
carotid artery coronary artery head
lower limb neck upper limb
Code also substance perfused (99.21- 99.29)
39.91
39.92
39.93
39.94
39.95
Excludes: perfusion of:
kidney (55.95)
large intestine (46.96)
liver (50.93)
small intestine (46.95) SuperSaturated oxygen therapy (00.49)
Control of hemorrhage, not otherwise specified
Angiotripsy
Control of postoperative hemorrhage NOS Venotripsy
Excludes: control of hemorrhage (postoperative): anus (49.95)
bladder (57.93)
following vascular procedure (39.41) nose (21.00-21.09)
prostate (60.94)
tonsil (28.7) that by:
ligation (38.80-38.89)
suture (39.30-39.32)
Other operations on vessels
Excludes: injection or infusion of therapeutic or prophylactic substance (99.11-99.29)
transfusion of blood and blood components (99.01-99.09)
39.98
39.99
8. OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM (40-41)
40 Operations on lymphatic system
Incision of lymphatic structures
40.1 Diagnostic procedures on lymphatic structures
Biopsy of lymphatic structure
Other diagnostic procedures on lymphatic structures
Excludes: lymphangiogram:
abdominal (88.04)
cervical (87.08)
intrathoracic (87.34)
lower limb (88.36)
upper limb (88.34)
microscopic examination of specimen (90.71-90.79) radioisotope scan (92.16)
thermography (88.89)
40.2 Simple excision of lymphatic structure Excludes: biopsy of lymphatic structure (40.11) Excision of
deep cervical lymph node
Excision of internal mammary lymph node Excision of axillary lymph node
Excision of inguinal lymph node
Simple excision of other lymphatic structure
Excision of:
cystic hygroma lymphangioma
Simple lymphadenectomy
Regional lymph node excision
Extended regional lymph node excision
Regional lymph node excision with excision of lymphatic drainage area including skin, subcutaneous tissue, and
fat
40.4 Radical excision of cervical lymph nodes
Resection of cervical lymph nodes down to muscle and deep fascia
Excludes: that associated with radical laryngectomy (30.4) Radical neck dissection, not otherwise specified
Radical neck dissection, unilateral
Radical neck dissection, bilateral
40.5 Radical excision of other lymph nodes
Excludes: that associated with radical mastectomy (85.45-85.48)
Radical excision of lymph nodes, not otherwise specified
Radical (lymph) node dissection NOS Radical excision of axillary lymph nodes Radical excision of periaortic
lymph nodes
113 OR procedure Non OR procedure but affects ThaiDRG
40.0
40.11
40.19
40.21
40.22
40.23
40.24
40.29
40.3
40.40
40.41
40.42
40.50
40.51
40.52
40.53
40.54
40.59
Radical excision of iliac lymph nodes Radical groin dissection
Radical excision of other lymph nodes
Excludes: radical neck dissection (40.40- 40.42)
40.6 Operations on thoracic duct
Cannulation of thoracic duct Fistulization of thoracic duct Closure of fistula of thoracic duct Ligation of
thoracic duct
Other operations on thoracic duct
Other operations on lymphatic structures Anastomosis of peripheral lymphatics Dilation of peripheral
lymphatics
Ligation of peripheral lymphatics Obliteration of peripheral lymphatics Reconstruction of peripheral lymphatics
Repair of peripheral lymphatics Transplantation of peripheral lymphatics Correction of lymphedema of limb, NOS
Excludes: reduction of elephantiasis of scrotum (61.3)
41 Operations on bone marrow and spleen
41.0 Bone marrow or hematopoietic stem cell transplant
Note: To report donor source --see codes 00.91- 00.93
Excludes: aspiration of bone marrow from donor (41.91)
Bone marrow transplant, not otherwise specified Autologous bone marrow transplant without purging Excludes:
that with purging (41.09)
Allogeneic bone marrow transplant with purging
Allograft of bone marrow with in vitro removal (purging) of T- cells
Allogeneic bone marrow transplant without purging
Allograft of bone marrow NOS
Autologous hematopoietic stem cell transplant without purging
Excludes: that with purging (41.07)
Allogeneic hematopoietic stem cell transplant without purging
Excludes: that with purging (41.08)
Cord blood stem cell transplant
Autologous hematopoietic stem cell transplant with purging
Cell depletion
Allogeneic hematopoietic stem cell transplant
Cell depletion
Autologous bone marrow transplant with purging
With extracorporeal purging of malignant cells from marrow
Cell depletion
40.61
40.62
40.63
40.64
40.69
40.9
41.00
41.01
41.02
41.03
41.04
41.05
41.06
41.07
41.08
41.09
41.1 Puncture of spleen
Excludes: aspiration biopsy of spleen (41.32)
Splenotomy
41.3 Diagnostic procedures on bone marrow and spleen
Biopsy of bone marrow
41.32 Closed [aspiration] [percutaneous] biopsy of spleen Open biopsy of spleen
41.38 Other diagnostic procedures on bone marrow
Excludes: microscopic examination of specimen from bone marrow (90.61-90.69)
radioisotope scan (92.05)
41.39 Other diagnostic procedures on spleen
Excludes: microscopic examination of specimen from spleen (90.61-90.69)
radioisotope scan (92.05)
41.4 Excision or destruction of lesion or tissue of spleen
Code also any application or administration of an adhesion barrier substance (99.77)
Excludes: excision of accessory spleen (41.93) Marsupialization of splenic cyst Excision of lesion or tissue of
spleen Excludes: biopsy of spleen (41.32- 41.33) Partial splenectomy
Total splenectomy
Splenectomy NOS
Code also any application or administration of an adhesion barrier substance (99.77)
41.9 Other operations on spleen and bone marrow
Code also any application or administration of an adhesion barrier substance (99.77)
41.91 Aspiration of bone marrow from donor for transplant
Excludes: biopsy of bone marrow (41.31)
41.92 Injection into bone marrow
Excludes: bone marrow transplant (41.00- 41.03)
Excision of accessory spleen Transplantation of spleen
Repair and plastic operations on spleen
41.98 Other operations on bone marrow Other operations on spleen
41.2
41.31
41.33
41.41
41.42
41.43
41.5
41.93
41.94
41.95
41.99
9. OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)
42 Operations on esophagus
42.0 Esophagotomy
Incision of esophageal web Other incision of esophagus
Esophagotomy NOS
Excludes: esophagomyotomy (42.7)
esophagostomy (42.10-42.19)
42.1 Esophagostomy
Esophagostomy, not otherwise specified Cervical esophagostomy
Exteriorization of esophageal pouch
Other external fistulization of esophagus
Thoracic esophagostomy
Code also any resection (42.40- 42.42)
42.2 Diagnostic procedures on esophagus Operative esophagoscopy by incision Esophagoscopy
through artificial stoma Excludes: that with biopsy (42.24)
Other esophagoscopy
Excludes: that with biopsy (42.24)
Closed [endoscopic] biopsy of esophagus Brushing or washing for specimen collection Esophagoscopy with
biopsy
Suction biopsy of the esophagus
Excludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16)
Open biopsy of esophagus
42.29 Other diagnostic procedures on esophagus
Excludes: barium swallow (87.61) esophageal manometry (89.32)
microscopic examination of specimen from esophagus (90.81-90.89)
42.3 Local excision or destruction of lesion or tissue of esophagus
Local excision of esophageal diverticulum
Local excision of other lesion or tissue of esophagus
Excludes: biopsy of esophagus (42.24-42.25) esophageal fistulectomy (42.84)
42.01
42.09
42.10
42.11
42.12
42.19
42.21
42.22
42.23
42.24
42.25
42.31
42.32
42.33
Endoscopic excision or destruction of lesion or tissue of esophagus
Ablation of esophageal neoplasm by endoscopic approach
Control of esophageal bleeding by endoscopic approach Esophageal polypectomy by endoscopic approach
Esophageal varices by endoscopic approach
Injection of esophageal varices by endoscopic approach
Excludes: biopsy of esophagus (42.24-42.25) fistulectomy (42.84)
open ligation of esophageal varices (42.91) Other destruction of lesion or tissue of esophagus Excludes: that
by endoscopic approach (42.33)
42.4 Excision of esophagus
Excludes: esophagogastrectomy NOS (43.99) Esophagectomy, not otherwise specified Partial esophagectomy
Code also any synchronous:
anastomosis other than end- to- end (42.51- 42.69) esophagostomy (42.10- 42.19)
gastrostomy (43.11- 43.19)
Total esophagectomy
Code also any synchronous: gastrostomy (43.11- 43.19)
interposition or anastomosis other than end- to- end (42.51- 42.69)
Excludes: esophagogastrectomy (43.99)
42.5 Intrathoracic anastomosis of esophagus
Code also any synchronous: esophagectomy (42.40- 42.42)
gastrostomy (43.1)
Intrathoracic esophagoesophagostomy Intrathoracic esophagogastrostomy
Intrathoracic esophageal anastomosis with interposition of small bowel
Other intrathoracic esophagoenterostomy
Anastomosis of esophagus to intestinal segment NOS
Intrathoracic esophageal anastomosis with interposition of colon Other intrathoracic esophagocolostomy
Esophagocolostomy NOS
Intrathoracic esophageal anastomosis with other interposition
Construction of artificial esophagus Retrosternal formation of reversed gastric tube
Other intrathoracic anastomosis of esophagus
42.39
42.40
42.41
42.42
42.51
42.52
42.53
42.54
42.55
42.56
42.58
42.59
42.6 Antesternal anastomosis of esophagus
Code also any synchronous: esophagectomy (42.40- 42.42)
gastrostomy (43.1)
Antesternal esophagoesophagostomy Antesternal esophagogastrostomy
Antesternal esophageal anastomosis with interposition of small bowel
Other antesternal esophagoenterostomy
Antethoracic:
esophagoenterostomy esophagoileostomy esophagojejunostomy
Antesternal esophageal anastomosis with interposition of colon Other antesternal esophagocolostomy
Antethoracic esophagocolostomy
Other antesternal esophageal anastomosis with interposition Other antesternal anastomosis of esophagus
Esophagomyotomy
42.8 Other repair of esophagus
Insertion of permanent tube into esophagus Suture of laceration of esophagus
Closure of esophagostomy
Repair of esophageal fistula, not elsewhere classified
Excludes: repair of fistula:
bronchoesophageal (33.42)
esophagopleurocutaneous (34.73)
pharyngoesophageal (29.53)
tracheoesophageal (31.73)
Repair of esophageal stricture
Production of subcutaneous tunnel without esophageal anastomosis
Other graft of esophagus
Excludes: antesternal esophageal anastomosis with interposition of: colon (42.65)
small bowel (42.63)
antesternal esophageal anastomosis with other interposition (42.68)
intrathoracic esophageal anastomosis with interposition of: colon (42.55)
small bowel (42.53)
intrathoracic esophageal anastomosis with other interposition (42.58)
Other repair of esophagus
42.61
42.62
42.63
42.64
42.65
42.66
42.68
42.69
42.7
42.81
42.82
42.83
42.84
42.85
42.86
42.87
42.89
42.9 Other operations on esophagusLigation of esophageal varicesExcludes: that by endoscopic approach (42.33)Dilation of esophagusDila
42.91
42.92
43 Incision and excision of stomach
Code also any application or administration of an adhesion barrier substance (99.77)
Gastrotomy
Excludes: gastrostomy (43.11-43.19)
that for control of hemorrhage (44.49)
43.1 Gastrostomy
Percutaneous [endoscopic] gastrostomy [PEG]
Percutaneous transabdominal gastrostomy
Other gastrostomy
Excludes: percutaneous [endoscopic] gastrostomy [PEG] (43.11)
Pyloromyotomy
43.4 Local excision or destruction of lesion or tissue of stomach
Endoscopic excision or destruction of lesion or tissue of stomach
Gastric polypectomy by endoscopic approach Gastric varices by endoscopic approach
Excludes: biopsy of stomach (44.14-44.15) control of hemorrhage (44.43)
open ligation of gastric varices (44.91)
Local excision of other lesion or tissue of stomach
Excludes: biopsy of stomach (44.14-44.15) gastric fistulectomy (44.62-44.63)
partial gastrectomy (43.5-43.89)
Other destruction of lesion or tissue of stomach
Excludes: that by endoscopic approach (43.41)
Partial gastrectomy with anastomosis to esophagus
Proximal gastrectomy
43.0
43.11
43.19
43.3
43.41
43.42
43.49
43.5
43.6
Partial gastrectomy with anastomosis to duodenum
Billroth I operation Distal gastrectomy Gastropylorectomy
Partial gastrectomy with anastomosis to jejunum
Billroth II operation
43.8 Other partial gastrectomy
Partial gastrectomy with jejunal transposition
Henley jejunal transposition operation
Code also any synchronous intestinal resection (45.51)
Other
Partial gastrectomy with bypass gastrogastrostomy Sleeve resection of stomach
43.9 Total gastrectomy
Total gastrectomy with intestinal interposition Other total gastrectomy
Complete gastroduodenectomy
Esophagoduodenostomy with complete gastrectomy Esophagogastrectomy NOS
Esophagojejunostomy with complete gastrectomy Radical gastrectomy
44 Other operations on stomach
Code also any application or administration of an adhesion barrier substance (99.77)
44.0 Vagotomy
Vagotomy, not otherwise specified
Division of vagus nerve NOS
Truncal vagotomy
Highly selective vagotomy Parietal cell vagotomy Selective proximal vagotomy
Other selective vagotomy
44.1 Diagnostic procedures on stomach
Transabdominal gastroscopy
Intraoperative gastroscopy
Excludes: that with biopsy (44.14) Gastroscopy through artificial stoma Excludes: that with biopsy (44.14) Other
gastroscopy
Excludes: that with biopsy (44.14)
Closed [endoscopic] biopsy of stomach
Brushing or washing for specimen collection
Excludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16)
43.7
43.81
43.89
43.91
43.99
44.00
44.01
44.02
44.03
44.11
44.12
44.13
44.14
44.15
Open biopsy of stomach
44.19 Other diagnostic procedures on stomach
Excludes: gastric lavage (96.33)
microscopic examination of specimen from stomach (90.81-90.89)
upper GI series (87.62)
44.2 Pyloroplasty
Dilation of pylorus by incision Endoscopic dilation of pylorus
Dilation with balloon endoscope
Endoscopic dilation of gastrojejunostomy site
Other pyloroplasty Pyloroplasty NOS Revision of pylorus
44.3 Gastroenterostomy without gastrectomy
High gastric bypass
Printen and Mason gastric bypass
Percutaneous [endoscopic] gastrojejunostomy ®
Bypass:
gastroduodenostomy PEGJJ
Excludes: percutaneous (endoscopic) feeding jejunostomy (46.32)
Laparoscopic gastroenterostomy
Bypass:
gastroduodenostomy gastroenterostomy gastrogastrostomy
Laparoscopic gastrojejunostomy without gastrectomy NEC
Excludes: gastroenterostomy, open approach (44.39)
Other gastroenterostomy
Bypass:
gastroduodenostomy gastroenterostomy gastrogastrostomy
Gastrojejunostomy without gastrectomy NOS
44.4 Control of hemorrhage and suture of ulcer of stomach or duodenum
Suture of peptic ulcer, not otherwise specified Suture of gastric ulcer site
Excludes: ligation of gastric varices (44.91)
Suture of duodenal ulcer site
Endoscopic control of gastric or duodenal bleeding Transcatheter embolization for gastric or duodenal
bleeding
Excludes: surgical occlusion of abdominal vessels (38.86-38.87)
44.21
44.22
44.29
44.31
44.32
44.38
44.39
44.40
44.41
44.42
44.43
44.44
44.49 Other control of hemorrhage of stomach or duodenum
That with gastrotomy
Revision of gastric anastomosis
Closure of:
gastric anastomosis gastroduodenostomy gastrojejunostomy Pantaloon operation
44.6 Other repair of stomach
Suture of laceration of stomach Excludes: that of ulcer site (44.41) Closure of gastrostomy
Closure of other gastric fistula
Closure of:
gastrocolic fistula gastrojejunocolic fistula
Gastropexy Esophagogastroplasty
Belsey operation
Esophagus and stomach cardioplasty
Other procedures for creation of esophagogastric sphincteric
competence Fundoplication Gastric cardioplasty
Nissen's fundoplication
Restoration of cardio- esophageal angle
Excludes: that by laparoscopy (44.67)
Laparoscopic procedures for creation of esophagogastric sphincteric competence
Fundoplication Gastric cardioplasty
Nissen's fundoplication
Restoration of cardio- esophageal angle
Laparoscopic gastroplasty
Banding
Silastic vertical banding
Vertical banded gastroplasty (VBG)
Code also any synchronous laparoscopic gastroenterostomy (44.38)
Excludes: insertion, laparoscopic adjustable gastric band (restrictive procedure) (44.95)
other repair of stomach, open approach (44.61-44.65, 44.69)
44.5
44.61
44.62
44.63
44.64
44.65
44.66
44.67
44.68
44.69
Other
Inversion of gastric diverticulum Repair of stomach NOS
44.9 Other operations on stomach
Ligation of gastric varices
Excludes: that by endoscopic approach (43.41)
Intraoperative manipulation of stomach
Reduction of gastric volvulus Insertion of gastric bubble (balloon) Removal of gastric bubble (balloon)
Laparoscopic gastric restrictive procedure
Adjustable gastric band and port insertion
Excludes: laparoscopic gastroplasty (44.68) other repair of stomach (44.69)
Laparoscopic revision of gastric restrictive procedure
Revision or replacement of:
adjustable gastric band subcutaneous gastric port device
Laparoscopic removal of gastric restrictive device(s)
Removal of either or both:
adjustable gastric band subcutaneous port device
Excludes: nonoperative removal of gastric restrictive device(s) (97.86) open removal of gastric restrictive device(s)
(44.99)
(Laparoscopic) adjustment of size of adjustable gastric restrictive device
Infusion of saline for device tightening Withdrawal of saline for device loosening Code also any:
abdominal ultrasound (88.76) abdominal wall fluoroscopy (88.09) barium swallow (87.61)
Other
Excludes: change of gastrostomy tube (97.02) dilation of cardiac sphincter (42.92) gastric:
cooling (96.31)
freezing (96.32)
gavage (96.35)
hypothermia (96.31)
lavage (96.33)
insertion of nasogastric tube (96.07) irrigation of gastrostomy (96.36) irrigation of nasogastric tube (96.34)
removal of:
gastrostomy tube (97.51)
intraluminal foreign body from stomach without incision (98.03)
replacement of: gastrostomy tube (97.02)
(naso-)gastric tube (97.01)
44.91
44.92
44.93
44.94
44.95
44.96
44.97
44.98
44.99
45 Incision, excision, and anastomosis of intestine
Code also any application or administration of an adhesion barrier substance (99.77)
45.0 Enterotomy
Excludes: duodenocholedochotomy (51.41-51.42, 51.51) that for destruction of lesion (45.30-45.34)
that of exteriorized intestine (46.14, 46.24, 46.31) Incision of intestine, not otherwise specified Incision of
duodenum
Other incision of small intestine Incision of large intestine Excludes: proctotomy (48.0)
45.1 Diagnostic procedures on small intestine
Code also any laparotomy (54.11- 54.19)
Transabdominal endoscopy of small intestine
Intraoperative endoscopy of small intestine
Excludes: that with biopsy (45.14)
Endoscopy of small intestine through artificial stoma
Excludes: that with biopsy (45.14)
Other endoscopy of small intestine
Esophagogastroduodenoscopy [EGD]
Excludes: that with biopsy (45.14, 45.16)
Closed [endoscopic] biopsy of small intestine
Brushing or washing for specimen collection
Excludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16)
Open biopsy of small intestine Esophagogastroduodenoscopy [EGD] with closed biopsy
Biopsy of one or more sites involving esophagus, stomach, and/or duodenum
45.19 Other diagnostic procedures on small intestine
Excludes: microscopic examination of specimen from small intestine (90.91-90.99)
radioisotope scan (92.04)
ultrasonography (88.74)
x-ray (87.61-87.69)
45.2 Diagnostic procedures on large intestine
Code also any laparotomy (54.11- 54.19)
Transabdominal endoscopy of large intestine
Intraoperative endoscopy of large intestine
Excludes: that with biopsy (45.25)
Endoscopy of large intestine through artificial stoma
Excludes: that with biopsy (45.25)
45.00
45.01
45.02
45.03
45.11
45.12
45.13
45.14
45.15
45.16
45.21
45.22
45.23
Colonoscopy
Flexible fiberoptic colonoscopy
Excludes: endoscopy of large intestine through artificial stoma (45.22) flexible sigmoidoscopy (45.24)
rigid proctosigmoidoscopy (48.23)
transabdominal endoscopy of large intestine (45.21)
Flexible sigmoidoscopy
Endoscopy of descending colon
Excludes: rigid proctosigmoidoscopy (48.23)
Closed [endoscopic] biopsy of large intestine Biopsy, closed, of unspecified intestinal site Brushing or washing for
specimen collection Colonoscopy with biopsy
Excludes: proctosigmoidoscopy with biopsy (48.24)
Open biopsy of large intestine
45.27 Intestinal biopsy, site unspecified
45.28 Other diagnostic procedures on large intestine
45.29 Other diagnostic procedures on intestine, site unspecified
Excludes: microscopic examination of specimen (90.91-90.99) scan and radioisotope function study (92.04)
ultrasonography (88.74)
x-ray (87.61-87.69)
45.3 Local excision or destruction of lesion or tissue of small intestine
Endoscopic excision or destruction of lesion of duodenum
Excludes: biopsy of duodenum (45.14-45.15) control of hemorrhage (44.43) fistulectomy (46.72)
Other local excision of lesion of duodenum
Excludes: biopsy of duodenum (45.14-45.15) fistulectomy (46.72)
multiple segmental resection (45.61) that by endoscopic approach (45.30)
Other destruction of lesion of duodenum
Excludes: that by endoscopic approach (45.30)
Local excision of lesion or tissue of small intestine, except duodenum
Excision of redundant mucosa of ileostomy
Excludes: biopsy of small intestine (45.14-45.15) fistulectomy (46.74)
multiple segmental resection (45.61)
Other destruction of lesion of small intestine, except duodenum
45.24
45.25
45.26
45.30
45.31
45.32
45.33
45.34
45.4 Local excision or destruction of lesion or tissue of large intestine
Excision of lesion or tissue of large intestine ®
Excision of redundant mucosa of colostomy
Excludes: biopsy of large intestine (45.25-45.27) endoscopic polypectomy of large intestine (45.42) fistulectomy
(46.76)
multiple segmental resection (17.31, 45.71) that by endoscopic approach (45.42-45.43)
Endoscopic polypectomy of large intestine
Excludes: that by open approach (45.41)
Endoscopic destruction of other lesion or tissue of large intestine
Endoscopic ablation of tumor of large intestine Endoscopic control of colonic bleeding
Excludes: endoscopic polypectomy of large intestine (45.42)
Other destruction of lesion of large intestine
Excludes: that by endoscopic approach (45.43)
45.5 Isolation of intestinal segment
Code also any synchronous:
anastomosis other than end- to- end (45.90- 45.94) enterostomy (46.10- 46.39)
Isolation of intestinal segment, not otherwise specified
Isolation of intestinal pedicle flap Reversal of intestinal segment
Isolation of segment of small intestine
Isolation of ileal loop
Resection of small intestine for interposition
Isolation of segment of large intestine
Resection of colon for interposition
45.6 Other excision of small intestine ®
Code also any synchronous:
anastomosis other than end- to- end (45.90- 45.93, 45.95)
colostomy (46.10- 46.13)
enterostomy (46.10- 46.39)
Excludes: cecectomy (17.32, 45.72)
Enterocolectomy (17.39, 45.79)
gastroduodenectomy (43.6-43.99)
ileocolectomy (17.33, (45.73)
pancreatoduodenectomy (52.51-52.7)
Multiple segmental resection of small intestine
Segmental resection for multiple traumatic lesions of small intestine
Other partial resection of small intestine ®
Duodenectomy Ileectomy Jejunectomy
Excludes: duodenectomy with synchronous pancreatectomy (52.51-52.7) resection of cecum and terminal ileum
(17.32, 45.72)
45.41
45.42
45.43
45.49
45.50
45.51
45.52
45.61
45.62
45.63
Total removal of small intestine
45.7 Open and other partial excision of large intestine ®
Code also any synchronous:
anastomosis other than end- to- end (45.92- 45.94) enterostomy (46.10- 46.39)
Excludes: laparoscopic partial excision of large intestine (17.31 17.39)
Open and other multiple segmental resection of large intestine ®
Segmental resection for multiple traumatic lesions of large intestine
Open and other cecectomy ®
Resection of cecum and terminal ileum
Open and other right hemicolectomy ®
Ileocolectomy
Right radical colectomy
Open and other resection of transverse colon ®
Open and other left hemicolectomy ®
Excludes: proctosigmoidectomy (48.41-48.69) second stage Mikulicz operation (46.04)
Open and other sigmoidectomy ®
Other and unspecified partial excision of large intestine ®
Enterocolectomy NEC
45.8 Total intra-abdominal colectomy
Excision of cecum, colon, and sigmoid
Excludes: coloproctectomy (48.41-48.69)
Laparoscopic total intra-abdominal colectomy
Open total intra-abdominal colectomy
Other and unspecified total intra-abdominal colectomy
45.9 Intestinal anastomosis
Code also any synchronous resection (45.31- 45.8, 48.41- 48.69)
Excludes: end-to-end anastomosis --omit code
Intestinal anastomosis, not otherwise specified
Small-to-small intestinal anastomosis Anastomosis of small intestine to rectal stump
Hampton procedure
Other small-to-large intestinal anastomosis Large-to-large intestinal anastomosis Excludes: rectorectostomy
(48.74)
Anastomosis to anus
Formation of endorectal ileal pouch (H- pouch) (J- pouch) (S- pouch) with anastomosis of small intestine to anus
45.71
45.72
45.73
45.74
45.75
45.76
45.79
45.81
45.82
45.83
45.90
45.91
45.92
45.93
45.94
45.95
46 Other operations on intestine
Code also any application or administration of an adhesion barrier substance (99.77)
46.0 Exteriorization of intestine
Includes: loop enterostomy
multiple stage resection of intestine
Exteriorization of small intestine
Loop ileostomy
Resection of exteriorized segment of small intestine Exteriorization of large intestine
Exteriorization of intestine NOS
First stage Mikulicz exteriorization of intestine Loop colostomy
Resection of exteriorized segment of large intestine Resection of exteriorized segment of intestine NOS Second
stage Mikulicz operation
46.1 Colostomy
Code also any synchronous resection (45.49, 45.71- 45.79, 45.8)
Excludes: loop colostomy (46.03)
that with abdominoperineal resection of rectum (48.5) that with synchronous anterior rectal resection (48.62)
Colostomy, not otherwise specified Temporary colostomy
Permanent colostomy
Delayed opening of colostomy
46.2 Ileostomy
Code also any synchronous resection (45.34, 45.61- 45.63)
Excludes: loop ileostomy (46.01)
Ileostomy, not otherwise specified Temporary ileostomy
Continent ileostomy
Other permanent ileostomy Delayed opening of ileostomy
46.3 Other enterostomy
Code also any synchronous resection (45.61- 45.8) Delayed opening of other enterostomy Percutaneous
(endoscopic) jejunostomy [PEJ] ®
Endoscopic conversion of gastrostomy to jejunostomy
Percutaneous (endoscopic) feeding enterostomy
Excludes: percutaneous [endoscopic] gastrojejunostomy (bypass) (44.32)
46.01
46.02
46.03
46.04
46.10
46.11
46.13
46.14
46.20
46.21
46.22
46.23
46.24
46.31
46.32
46.39
Other
Duodenostomy Feeding enterostomy
46.4 Revision of intestinal stoma
Revision of intestinal stoma, not otherwise specified Plastic enlargement of intestinal stoma Reconstruction
of stoma of intestine
Release of scar tissue of intestinal stoma Excludes: excision of redundant mucosa (45.41) Revision of stoma of
small intestine
Excludes: excision of redundant mucosa (45.33)
Repair of pericolostomy hernia
Other revision of stoma of large intestine
Excludes: excision of redundant mucosa (45.41)
46.5 Closure of intestinal stoma
Code also any synchronous resection (45.34, 45.49, 45.61- 45.8) Closure of intestinal stoma, not otherwise
specified Closure of stoma of small intestine
Closure of stoma of large intestine
Closure or take- down of:
cecostomy colostomy sigmoidostomy
46.6 Fixation of intestine
Fixation of intestine, not otherwise specified
Fixation of intestine to abdominal wall
Fixation of small intestine to abdominal wall
Ileopexy
Other fixation of small intestine Noble plication of small intestine Plication of jejunum
Fixation of large intestine to abdominal wall
Cecocoloplicopexy Sigmoidopexy (Moschowitz)
Other fixation of large intestine
Cecofixation Colofixation
46.7 Other repair of intestine
Excludes: closure of:
ulcer of duodenum (44.42) vesicoenteric fistula (57.83)
Suture of laceration of duodenum Closure of fistula of duodenum
Suture of laceration of small intestine, except duodenum
46.40
46.41
46.42
46.43
46.50
46.51
46.52
46.60
46.61
46.62
46.63
46.64
46.71
46.72
46.73
46.74
Closure of fistula of small intestine, except duodenum
Excludes: closure of:
artificial stoma (46.51)
vaginal fistula (70.74)
repair of gastrojejunocolic fistula (44.63)
Suture of laceration of large intestine Closure of fistula of large intestine Excludes: closure of:
gastrocolic fistula (44.63)
rectal fistula (48.73)
sigmoidovesical fistula (57.83)
stoma (46.52)
vaginal fistula (70.72-70.73)
vesicocolic fistula (57.83)
vesicosigmoidovaginal fistula (57.83)
46.79 Other repair of intestine
Duodenoplasty
46.8 Dilation and manipulation of intestine
Intra-abdominal manipulation of intestine, not otherwise specified
Correction of intestinal malrotation Reduction of:
intestinal torsion intestinal volvulus intussusception
Excludes: reduction of intussusception with: fluoroscopy (96.29)
ionizing radiation enema (96.29) ultrasonography guidance (96.29))
Intra-abdominal manipulation of small intestine Intra-abdominal manipulation of large intestine
Dilation of intestine ®
Dilation (balloon) of duodenum Dilation (balloon) of jejunum
Endoscopic dilation (balloon) of large intestine That through rectum or colostomy
Excludes: with insertion of colonic stent (46.86- 46.87)
Endoscopic insertion of colonic stent(s)
Colonoscopy (flexible) (through stoma) with transendoscopic stent placement
Combined with fluoroscopic- guided insertion Stent endoprosthesis of colon
Through the scope [TTS] technique
Excludes: other non-endoscopic insertion of colonic stent (46.87)
46.75
46.76
46.80
46.81
46.82
46.85
46.86
46.87
Other insertion of colonic stent(s)
Includes: that by:
fluoroscopic guidance only rectal guiding tube
Non- endoscopic insertion
Code also any synchronous diagnostic procedure(s)
Excludes: endoscopic insertion of colonic stent (46.86)
46.9 Other operations on intestines
Myotomy of sigmoid colon Myotomy of other parts of colon
Revision of anastomosis of small intestine Revision of anastomosis of large intestine
46.95 Local perfusion of small intestine
Code also substance perfused (99.21- 99.29)
46.96 Local perfusion of large intestine
Code also substance perfused (99.21- 99.29)
Transplant of intestine
Note: To report donor source --see codes 00.91- 00.93
Other
Ileoentectropy
Excludes: diagnostic procedures on intestine (45.11-45.29) dilation of enterostomy stoma (96.24)
intestinal intubation (96.08) removal of:
intraluminal foreign body from large intestine without incision (98.04)
intraluminal foreign body from small intestine without incision (98.03)
tube from large intestine (97.53) tube from small intestine (97.52)
replacement of:
large intestine tube or enterostomy device (97.04)
small intestine tube or enterostomy device (97.03)
46.91
46.92
46.93
46.94
46.97
46.99
47 Operations on appendix
Includes: appendiceal stump
Code also any application or administration of an adhesion barrier substance (99.77)
47.0 Appendectomy
Excludes: incidental appendectomy, so described laparoscopic (47.11)
other (47.19)
Laparoscopic appendectomy Other appendectomy
47.01
47.09
47.1 Incidental appendectomy
Laparoscopic incidental appendectomy Other incidental appendectomy
Drainage of appendiceal abscess
Excludes: that with appendectomy (47.0)
47.9 Other operations on appendix
Appendicostomy
Closure of appendiceal fistula Other
Anastomosis of appendix
Excludes: diagnostic procedures on appendix (45.21-45.29)
47.11
47.19
47.2
47.91
47.92
47.99
48 Operations on rectum, rectosigmoid and perirectal tissue
Code also any application or administration of an adhesion barrier substance (99.77)
Proctotomy
Decompression of imperforate anus Panas' operation [linear proctotomy]
Excludes: incision of perirectal tissue (48.81)
Proctostomy
48.2 Diagnostic procedures on rectum, rectosigmoid and perirectal tissue
Transabdominal proctosigmoidoscopy
Intraoperative proctosigmoidoscopy
Excludes: that with biopsy (48.24) Proctosigmoidoscopy through artificial stoma Excludes: that with biopsy
(48.24)
Rigid proctosigmoidoscopy
Excludes: flexible sigmoidoscopy (45.24)
Closed [endoscopic] biopsy of rectum Brushing or washing for specimen collection Proctosigmoidoscopy with
biopsy
Open biopsy of rectum Biopsy of perirectal tissue
48.29 Other diagnostic procedures on rectum, rectosigmoid and perirectal tissue
Excludes: digital examination of rectum (89.34) lower GI series (87.64)
microscopic examination of specimen from rectum (90.91-90.99)
48.0
48.1
48.21
48.22
48.23
48.24
48.25
48.26
48.3 Local excision or destruction of lesion or tissue of rectum
48.31 Radical electrocoagulation of rectal lesion or tissue
48.32 Other electrocoagulation of rectal lesion or tissue
48.33 Destruction of rectal lesion or tissue by laser
48.34 Destruction of rectal lesion or tissue by cryosurgery Local excision of rectal lesion or tissue
Excludes: biopsy of rectum (48.24-48.25) excision of perirectal tissue (48.82) hemorrhoidectomy (49.46)
[endoscopic] polypectomy of rectum (48.36) rectal fistulectomy (48.73)
[Endoscopic] polypectomy of rectum
48.4 Pull-through resection of rectum
Code also any synchronous anastomosis other than end- to- end (45.90, 45.92- 45.95)
Pull-through resection of rectum, not otherwise specified
Pull- through resection NOS
Excludes: abdominoperineal pull-through NOS (48.50)
Soave submucosal resection of rectum
Endorectal pull- through operation
Laparoscopic pull-through resection of rectum
Open pull-through resection of rectum
Other pull-through resection of rectum ®
Abdominoperineal pull- through Altemeier operation
Swenson proctectomy
Excludes: Duhamel abdominoperineal pull through (48.65) laparoscopic pull-through resection of rectum
(48.42) open pull-through resection of rectum (48.43)
pull-through resection of rectum, not otherwise specified (48.40)
48.5 Abdominoperineal resection of rectum
Includes: with synchronous colostomy Combined abdominoendorectal resection Complete proctectomy
Code also any synchronous anastomosis other than end- to- end (45.90, 45.92- 45.95)
Excludes: Duhamel abdominoperineal pull-through (48.65) that as part of pelvic exenteration (68.8)
Abdominoperineal resection of the rectum, not otherwise specified
Laparoscopic abdominoperineal resection of the rectum Open abdominoperineal resection of the rectum
48.35
48.36
48.40
48.41
48.42
48.43
48.49
48.50
48.51
48.52
48.59
Other abdominoperineal resection of the rectum
Excludes: abdominoperineal resection of the rectum, NOS (48.50) laparoscopic abdominoperineal resection of the
rectum
(48.51)
open abdominoperineal resection of the rectum (48.52)
48.6 Other resection of rectum
Code also any synchronous anastomosis other than end- to- end (45.90, 45.92- 45.95)
Transsacral rectosigmoidectomy
Anterior resection of rectum with synchronous colostomy Other anterior resection of rectum
Excludes: that with synchronous colostomy (48.62)
Posterior resection of rectum Duhamel resection of rectum
Duhamel abdominoperineal pull- through
Other
Partial proctectomy Rectal resection NOS
48.7 Repair of rectum ®
Excludes: repair of:
current obstetric laceration (75.62)
vaginal rectocele (70.50, 70.52, 70.53, 70.55)
Suture of laceration of rectum Closure of proctostomy Closure of other rectal fistula
Excludes: fistulectomy:
perirectal (48.93)
rectourethral (58.43)
rectovaginal (70.73)
rectovesical (57.83)
rectovesicovaginal (57.83)
Rectorectostomy ®
Rectal anastomosis NOS
Stapled transanal rectal resection (STARR)
Abdominal proctopexy
Frickman procedure
Ripstein repair of rectal prolapse
Other proctopexy
Delorme repair of prolapsed rectum Proctosigmoidopexy
Puborectalis sling operation
Excludes: manual reduction of rectal prolapse (96.26)
48.61
48.62
48.63
48.64
48.65
48.69
48.71
48.72
48.73
48.74
48.75
48.76
48.79
Other repair of rectum
Repair of old obstetric laceration of rectum
Excludes: anastomosis to:
large intestine (45.94)
small intestine (45.92-45.93) repair of:
current obstetrica laceration (75.62) vaginal rectocele (70.50, 70.52)
48.8 Incision or excision of perirectal tissue or lesion
Includes: pelvirectal tissue
rectovaginal septum
Incision of perirectal tissue
Incision of rectovaginal septum
Excision of perirectal tissue
Excludes: perirectal biopsy (48.26) perirectofistulectomy (48.93)
rectal fistulectomy (48.73)
48.9 Other operations on rectum and perirectal tissue
Incision of rectal stricture Anorectal myectomy Repair of perirectal fistula
Excludes: that opening into rectum (48.73)
Other
Excludes: digital examination of rectum (89.34) dilation of rectum (96.22)
insertion of rectal tube (96.09) irrigation of rectum (96.38-96.39)
manual reduction of rectal prolapse (96.26) proctoclysis (96.37)
rectal massage (99.93)
rectal packing (96.19) removal of:
impacted feces (96.38)
intraluminal foreign body from rectum without incision (98.05)
rectal packing (97.59)
transanal enema (96.39)
49 Operations on anus
Code also any application or administration of an adhesion barrier substance (99.77)
49.0 Incision or excision of perianal tissue
Incision of perianal abscess Other incision of perianal tissue
Undercutting of perianal tissue
Excludes: anal fistulotomy (49.11)
48.81
48.82
48.91
48.92
48.93
48.99
49.01
49.02
49.03 Excision of perianal skin tags Other excision of perianal tissue
Excludes: anal fistulectomy (49.12) biopsy of perianal tissue (49.22)
49.1 Incision or excision of anal fistula
Excludes: closure of anal fistula (49.73)
Anal fistulotomy Anal fistulectomy
49.2 Diagnostic procedures on anus and perianal tissue
Anoscopy
Biopsy of perianal tissue Biopsy of anus
49.29 Other diagnostic procedures on anus and perianal tissue
Excludes: microscopic examination of specimen from anus (90.91-90.99)
49.3 Local excision or destruction of other lesion or tissue of anus
Anal cryptotomy
Cauterization of lesion of anus
Excludes: biopsy of anus (49.23)
control of (postoperative) hemorrhage of anus (49.95) hemorrhoidectomy (49.46)
Endoscopic excision or destruction of lesion or tissue of anus Other local excision or destruction of lesion or
tissue of anus Excludes: that by endoscopic approach (49.31)
49.4 Procedures on hemorrhoids
49.41 Reduction of hemorrhoids
49.42 Injection of hemorrhoids
49.43 Cauterization of hemorrhoids
Clamp and cautery of hemorrhoids Destruction of hemorrhoids by cryotherapy Ligation of hemorrhoids
Excision of hemorrhoids
Hemorrhoidectomy NOS
49.47 Evacuation of thrombosed hemorrhoids Other procedures on hemorrhoids
Lord procedure
49.5 Division of anal sphincter
Left lateral anal sphincterotomy Posterior anal sphincterotomy Other anal sphincterotomy
Division of sphincter NOS
49.04
49.11
49.12
49.21
49.22
49.23
49.31
49.39
49.44
49.45
49.46
49.49
49.51
49.52
49.59
49.6
Excision of anus
49.7 Repair of anus
Excludes: repair of current obstetric laceration (75.62)
Suture of laceration of anus Anal cerclage
Closure of anal fistula
Excludes: excision of anal fistula (49.12)
Gracilis muscle transplant for anal incontinence Implantation or revision of artificial anal sphincter
Removal with subsequent replacement
Replacement during same or subsequent operative episode
Removal of artificial anal sphincter
Explantation or removal without replacement
Excludes: revision with implantation during same operative episode (49.75)
Other repair of anal sphincter
Repair of old obstetric laceration of anus
Excludes: anoplasty with synchronous hemorrhoidectomy (49.46) repair of current obstetric laceration (75.62)
49.9 Other operations on anus
Excludes: dilation of anus (sphincter) (96.23)
Incision of anal septum
Insertion of subcutaneous electrical anal stimulator Other incision of anus
Removal of:
foreign body from anus with incision seton from anus
Excludes: anal fistulotomy (49.11)
removal of intraluminal foreign body without incision (98.05)
Reduction of anal prolapse
Excludes: manual reduction of rectal prolapse (96.26)
Control of (postoperative) hemorrhage of anus Other
49.71
49.72
49.73
49.74
49.75
49.76
49.79
49.91
49.92
49.93
49.94
49.95
49.99
50 Operations on liver
Code also any application or administration of an adhesion barrier substance (99.77)
50.0 Hepatotomy
Incision of abscess of liver Removal of gallstones from liver Stromeyer- Little operation
50.1 Diagnostic procedures on liver
Closed (percutaneous) [needle] biopsy of liver
Diagnostic aspiration of liver
Open biopsy of liver
Wedge biopsy
Transjugular liver biopsy
Transvenous liver biopsy
Excludes: closed (percutaneous) [needle] biopsy of liver (50.11) laparoscopic liver biopsy (50.14)
Laparoscopic liver biopsy
Excludes: closed (percutaneous) [needle] biopsy of liver (50.11) open biopsy of liver (50.12)
transjugular liver biopsy (50.13)
Other diagnostic procedures on liver ®
Excludes: liver scan and radioisotope function study (92.02) microscopic examination of specimen from liver
(91.01-91.09) laparoscopic liver biopsy (50.14)
transjugular liver biopsy (50.13)
50.2 Local excision or destruction of liver tissue or lesion
Marsupialization of lesion of liver Partial hepatectomy
Wedge resection of liver
Excludes: biopsy of liver (50.11-50.12) hepatic lobectomy (50.3)
Open ablation of liver lesion or tissue Percutaneous ablation of liver lesion or tissue Laparoscopic ablation of
liver lesion or tissue
Other and unspecified ablation of liver lesion or tissue
Other destruction of lesion of liver ® Cauterization of hepatic lesion Enucleation of hepatic lesion Evacuation of
hepatic lesion
Excludes: ablation of liver lesion or tissue
laparoscopic (50.25)
open (50.23)
other (50.26)
percutaneous (50.24)
50.11
50.12
50.13
50.14
50.19
50.21
50.22
50.23
50.24
50.25
50.26
50.29
percutaneous aspiration of lesion (50.91)
laser interstitial thermal therapy [LITT] of lesion or tissue of liver under guidance
(17.63)
50.3
Lobectomy of liverTotal hepatic lobectomy with partial excision of other lobeTotal hepatectomy Liver transplantNote: To report donor s
50.4
50.5
50.51
50.59
50.61
50.69
51 Operations on gallbladder and biliary tract
Includes: operations on:
ampulla of Vater common bile duct cystic duct hepatic duct
intrahepatic bile duct sphincter of Oddi
Code also any application or administration of an adhesion barrier substance (99.77)
51.0 Cholecystotomy and cholecystostomy
51.01 Percutaneous aspiration of gallbladder Percutaneous cholecystotomy for drainage That by: needle or
catheter
Excludes: needle biopsy (51.12)
Trocar cholecystostomy Other cholecystostomy
51.02
51.03
51.04
Other cholecystotomy
Cholelithotomy NOS
51.1 Diagnostic procedures on biliary tract
Excludes: that for endoscopic procedures classifiable to 51.64, 51.84-51.88, 52.14, 52.21, 52.93-52.94, 52.97-
52.98
Endoscopic retrograde cholangiopancreatography [ERCP]
Excludes: endoscopic retrograde:
cholangiography [ERC] (51.11)
pancreatography [ERP] (52.13)
Endoscopic retrograde cholangiography [ERC]
Laparoscopic exploration of common bile duct
Excludes: endoscopic retrograde:
cholangiopancreatography [ERCP] (51.10)
pancreatography [ERP] (52.13)
Percutaneous biopsy of gallbladder or bile ducts
Needle biopsy of gallbladder
Open biopsy of gallbladder or bile ducts
Other closed [endoscopic] biopsy of biliary duct or sphincter of Oddi
Brushing or washing for specimen collection
Closed biopsy of biliary duct or sphincter of Oddi by procedures classifiable to 51.10- 51.11, 52.13
Pressure measurement of sphincter of Oddi
Pressure measurement of sphincter by procedures classifiable to 51.10- 51.11, 52.13
Other diagnostic procedures on biliary tract
Excludes: biliary tract x-ray (87.51-87.59)
microscopic examination of specimen from biliary tract (91.01-91.09)
51.2 Cholecystectomy
Other partial cholecystectomy
Revision of prior cholecystectomy Excludes: that by laparoscope (51.24) Cholecystectomy
Excludes: laparoscopic cholecystectomy (51.23)
Laparoscopic cholecystectomy
That by laser
Laparoscopic partial cholecystectomy
51.3 Anastomosis of gallbladder or bile duct
Excludes: resection with end-to-end anastomosis (51.61-51. 9)
51.10
51.11
51.12
51.13
51.14
51.15
51.19
51.21
51.22
51.23
51.24
51.35
Other gallbladder anastomosis
Gallbladder anastomosis NOS
Choledochoenterostomy
Anastomosis of hepatic duct to gastrointestinal tract
Kasai portoenterostomy
Other bile duct anastomosis Anastomosis of bile duct NOS Anastomosis of unspecified bile duct to:
intestine liver pancreas stomach
51.4 Incision of bile duct for relief of obstruction Common duct exploration for removal of calculus
Excludes: percutaneous extraction (51.96)
Common duct exploration for relief of other obstruction
Insertion of choledochohepatic tube for decompression
Hepatocholedochostomy
Incision of other bile ducts for relief of obstruction
51.5 Other incision of bile duct
Excludes: that for relief of obstruction (51.41-51.49)
Exploration of common duct
Incision of common bile duct
Incision of other bile duct
51.6 Local excision or destruction of lesion or tissue of biliary ducts and sphincter of Oddi
Code also anastomosis other than end- to- end (51.31,51.36- 51.39)
Excludes: biopsy of bile duct (51.12-51.13)
Excision of cystic duct remnant
Excision of ampulla of Vater (with reimplantation of common duct) Other excision of common duct
Choledochectomy
Excludes: fistulectomy (51.72)
Endoscopic excision or destruction of lesion of biliary ducts or sphincter of Oddi
Excision or destruction of lesion of biliary duct by procedures
classifiable to 51.10- 51.11, 52.13
Excision of other bile duct
Excision of lesion of bile duct NOS
Excludes: fistulectomy (51.79)
51.7 Repair of bile ducts
Simple suture of common bile duct
51.36
51.37
51.39
51.41
51.42
51.43
51.49
51.51
51.59
51.61
51.62
51.63
51.64
51.69
51.71
51.72
Choledochoplasty
Repair of fistula of common bile duct
Repair of other bile ducts
Closure of artificial opening of bile duct NOS Suture of bile duct NOS
Excludes: operative removal of prosthetic device (51.95)
51.8 Other operations on biliary ducts and sphincter of Oddi
Dilation of sphincter of Oddi
Dilation of ampulla of Vater
Excludes: that by endoscopic approach (51.84)
Pancreatic sphincterotomy
Incision of pancreatic sphincter Transduodenal ampullary sphincterotomy
Excludes: that by endoscopic approach (51.85)
Pancreatic sphincteroplasty
Endoscopic dilation of ampulla and biliary duct
Dilation of ampulla and biliary duct by procedures classifiable to 51.10- 51.11, 52.13
Endoscopic sphincterotomy and papillotomy
Sphincterotomy and papillotomy by procedures classifiable to 51.10- 51.11, 52.13
Endoscopic insertion of nasobiliary drainage tube
Insertion of nasobiliary tube by procedures classifiable to 51.10- 51.11, 52.13
Endoscopic insertion of stent (tube) into bile duct
Endoprosthesis of bile duct
Insertion of stent into bile duct by procedures classifiable to 51.10- 51.11, 52.13
Excludes: nasobiliary drainage tube (51.86) replacement of stent (tube) (97.05)
Endoscopic removal of stone(s) from biliary tract
Laparoscopic removal of stone(s) from biliary tract
Removal of biliary tract stone(s) by procedures classifiable to 51.10- 51.11, 52.13
Excludes: percutaneous extraction of common duct stones (51.96)
Other operations on sphincter of Oddi
51.9 Other operations on biliary tract Repair of laceration of gallbladder Closure of cholecystostomy
Closure of other biliary fistula
Cholecystogastroenteric fistulectomy Revision of anastomosis of biliary tract Removal of prosthetic device
from bile duct
Excludes: nonoperative removal (97.55)
51.79
51.81
51.82
51.83
51.84
51.85
51.86
51.87
51.88
51.89
51.91
51.92
51.93
51.94
51.95
51.96
51.98
Percutaneous extraction of common duct stones
Other percutaneous procedures on biliary tract
Percutaneous biliary endoscopy via existing T- tube or other tract for: dilation of biliary duct
stricture
removal of stone(s) except common duct stone exploration (postoperative)
Percutaneous transhepatic biliary drainage
Excludes: percutaneous aspiration of gallbladder (51.01) percutaneous biopsy and/or collection
of specimen by
brushing or washing (51.12)
percutaneous removal of common duct stone(s) (51.96)
51.99
Other
Insertion or replacement of biliary tract prosthesis
Excludes: biopsy of gallbladder (51.12-51.13)
irrigation of cholecystostomy and other biliary tube (96.41) lysis of peritoneal adhesions (54.5)
nonoperative removal of: cholecystostomy tube (97.54)
tube from biliary tract or liver (97.55)
52 Operations on pancreas
Includes: operations on pancreatic duct
Code also any application or administration of an adhesion barrier substance (99.77)
52.0 Pancreatotomy
Drainage of pancreatic cyst by catheter Other pancreatotomy
Pancreatolithotomy
Excludes: drainage by anastomosis (52.4, 52.96) incision of pancreatic sphincte (51.82) marsupialization of cyst
(52.3)
52.1 Diagnostic procedures on pancreas
Closed [aspiration] [needle] [percutaneous] biopsy of pancreas Open biopsy of pancreas
Endoscopic retrograde pancreatography [ERP]
Excludes: endoscopic retrograde:
cholangiography [ERC] (51.11)
cholangiopancreatography [ERCP] (51.10)
that for procedures classifiable to 51.14-51.15, 51.64, 51.84-51.88, 52.14, 52.21, 52.92-52.94, 52.97-52.98
Closed [endoscopic] biopsy of pancreatic duct
Closed biopsy of pancreatic duct by procedures classifiable to 51.10- 51.11, 52.13
52.01
52.09
52.11
52.12
52.13
52.14
52.19
Other diagnostic procedures on pancreas
Excludes: contrast pancreatogram (87.66)
endoscopic retrograde pancreatography [ERP] (52.13) microscopic examination of specimen from pancreas
(91.01-91.09)
52.2 Local excision or destruction of pancreas and pancreatic duct
Excludes: biopsy of pancreas (52.11-52.12, 52.14)
pancreatic fistulectomy (52.95)
Endoscopic excision or destruction of lesion or tissue of pancreatic duct
Excision or destruction of lesion or tissue of pancreatic duct by procedures classifiable to 51.10- 51.11, 52.13
Other excision or destruction of lesion or tissue of pancreas or pancreatic duct
Marsupialization of pancreatic cyst
Excludes: drainage of cyst by catheter (52.01)
Internal drainage of pancreatic cyst Pancreaticocystoduodenostomy Pancreaticocystogastrostomy
Pancreaticocystojejunostomy
52.5 Partial pancreatectomy
Excludes: pancreatic fistulectomy (52.95)
Proximal pancreatectomy
Excision of head of pancreas (with part of body)
Proximal pancreatectomy with synchronous duodenectomy
Distal pancreatectomy
Excision of tail of pancreas (with part of body)
Radical subtotal pancreatectomy Other partial pancreatectomy
Total pancreatectomy
Pancreatectomy with synchronous duodenectomy
Radical pancreaticoduodenectomy
One- stage pancreaticoduodenal resection with choledochojejunal anastomosis, pancreaticojejunal anastomosis, and
gastrojejunostomy
Two- stage pancreaticoduodenal resection (first stage) (second stage) Radical resection of the pancreas
Whipple procedure
Excludes: radical subtotal pancreatectomy (52.53)
52.8 Transplant of pancreas
Note: To report donor source --see codes 00.91- 00.93 Pancreatic transplant, not otherwise specified
Reimplantation of pancreatic tissue
Homotransplant of pancreas
52.21
52.22
52.3
52.4
52.51
52.52
52.53
52.59
52.6
52.7
52.80
52.81
52.82
52.83
Heterotransplant of pancreas
Autotransplantation of cells of Islets of Langerhans
Homotransplantation of islet cells of pancreas
Allotransplantation of cells of Islets of Langerhans
Heterotransplantation of islet cells of pancreas
Transplantation of cells of Islets of Langerhans, not otherwise specified
52.9 Other operations on pancreas
Cannulation of pancreatic duct
Excludes: that by endoscopic approach (52.93)
Endoscopic insertion of stent (tube) into pancreatic duct
Insertion of cannula or stent into pancreatic duct by procedures classifiable to 51.10- 51.11, 52.13
Excludes: endoscopic insertion of nasopancreatic drainage tube (52.97) replacement of stent (tube) (97.05)
Endoscopic removal of stone(s) from pancreatic duct
Removal of stone(s) from pancreatic duct by procedures classifiable to 51.10- 51.11, 52.13
Other repair of pancreas Fistulectomy of pancreas Simple suture of pancreas
Anastomosis of pancreas
Anastomosis of pancreas (duct) to:
intestine jejunum stomach
Excludes: anastomosis to:
bile duct (51.39)
gallbladder (51.33)
Endoscopic insertion of nasopancreatic drainage tube
Insertion of nasopancreatic drainage tube by procedures classifiable to 51.10- 51.11, 52.13
Excludes: drainage of pancreatic cyst by catheter (52.01) replacement of stent (tube) (97.05)
Endoscopic dilation of pancreatic duct
Dilation of Wirsung's duct by procedures classifiable to 51.10- 51.11, 52.13
52.84
52.85
52.86
52.92
52.93
52.94
52.95
52.96
52.97
52.98
52.99
Other
Dilation of pancreatic [Wirsung's] duct by open approach Repair of pancreatic [Wirsung's] duct by
open approach
Excludes: irrigation of pancreatic tube (96.42) removal of pancreatic tub (97.56)
53 Repair of hernia
Includes: hernioplasty
herniorrhaphy
Code also any application or administration of an adhesion barrier substance (99.77)
Excludes: manual reduction of hernia (96.27)
53.0 Other unilateral repair of inguinal hernia ®
Excludes: laparoscopic unilateral repair of inguinal hernia (17.11-17.13)
Unilateral repair of inguinal hernia, not otherwise specified
Inguinal herniorrhaphy NOS
Other and open repair of direct inguinal hernia ®
Direct and indirect inguinal hernia
Other and open repair of indirect inguinal hernia ®
Other and open repair of direct inguinal hernia with graft or prosthesis ®
Other and open repair of indirect inguinal hernia with graft or prosthesis ®
Repair of inguinal hernia with graft or prosthesis, not otherwise specified
53.1 Other bilateral repair of inguinal hernia ®
Excludes: laparoscopic bilateral repair of inguinal hernia (17.21 17.24) Bilateral repair of inguinal hernia, not
otherwise specified Other and open bilateral repair of direct inguinal hernia ® Other and open bilateral repair
of indirect inguinal hernia ®
Other and open bilateral repair of inguinal hernia, one direct and
one indirect ®
Other and open bilateral repair of direct inguinal hernia with graft or prosthesis ®
Other and open bilateral repair of indirect inguinal hernia with graft or prosthesis ®
Other and open bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis ®
Bilateral inguinal hernia repair with graft or prosthesis, not otherwise specified
53.2 Unilateral repair of femoral hernia
Unilateral repair of femoral hernia with graft or prosthesis Other unilateral femoral herniorrhaphy
53.3 Bilateral repair of femoral hernia
Bilateral repair of femoral hernia with graft or prosthesis Other bilateral femoral herniorrhaphy
53.00
53.01
53.02
53.03
53.04
53.05
53.10
53.11
53.12
53.13
53.14
53.15
53.16
53.17
53.21
53.29
53.31
53.39
53.4 Repair of umbilical hernia
Excludes: repair of gastroschisis (54.71)
Other and open repair of umbilical hernia with graft or prosthesis ®
Laparoscopic repair of umbilical hernia with graft or prosthesis
Other laparoscopic umbilical herniorrhaphy
Other open umbilical herniorrhaphy ®
Excludes: other laparoscopic umbilical herniorrhaphy (53.43) repair of umbilical hernia with graft or prosthesis
(53.41, 53.42)
53.5 Repair of other hernia of anterior abdominal wall (without graft or prosthesis)
Incisional hernia repair
Repair of other hernia of anterior abdominal wall
Repair of hernia:
epigastric hypogastric spigelian ventral
53.6 Repair of other hernia of anterior abdominal wall with graft or prosthesis
Other open incisional hernia repair with graft or prosthesis ®
Laparoscopic incisional hernia repair with graft or prosthesis
Other laparoscopic repair of other hernia of anterior abdominal wall with graft or prosthesis
Other and open repair of other hernia of anterior abdominal wall with graft or prosthesis ®
Excludes: other laparoscopic repair of other hernia of anterior abdominal wall with graft or prosthesis (53.63)
Repair of diaphragmatic hernia, abdominal approach
Laparoscopic repair of diaphragmatic hernia, abdominal approach
Other and open repair of diaphragmatic hernia, abdominal approach
Repair of diaphragmatic hernia, abdominal approach, not otherwise specified
Excludes: laparoscopic repair of diaphragmatic hernia (53.71) other and open repair of diaphragmatic hernia
(53.72)
53.8 Repair of diaphragmatic hernia, thoracic approach
Repair of diaphragmatic hernia with thoracic approach, not otherwise specified
Thoracoabdominal repair of diaphragmatic hernia
Plication of the diaphragm
53.41
53.42
53.43
53.49
53.51
53.59
53.61
53.62
53.63
53.69
53.7
53.71
53.72
53.75
53.80
53.81
53.82
Repair of parasternal hernia
Laparoscopic repair of diaphragmatic hernia, with thoracic approach
Other and open repair of diaphragmatic hernia, with thoracic approach
Excludes: repair of diaphragmatic hernia with thoracic approach, NOS (53.80)
Other hernia repair
Repair of hernia:
ischiatic ischiorectal lumbar obturator omental retroperitoneal sciatic
Excludes: relief of strangulated hernia with exteriorization of intestine (46.01, 46.03)
repair of pericolostomy hernia (46.42)
repair of vaginal enterocele (70.92)
53.83
53.84
53.9
54 Other operations on abdominal region ®
Includes: operations on:
epigastric region flank
groin region hypochondrium inguinal region loin region pelvic cavity mesentery omentum peritoneum
retroperitoneal tissue space
Code also any application or administration of an adhesion barrier substance (99.77)
Excludes: hernia repair (53.00-53.9)
obliteration of cul-de-sac (70.92) retroperitoneal tissue dissection (59.00-59.09)
skin and subcutaneous tissue of abdominalwall (86.01-86.99)
Incision of abdominal wall
Drainage of:
abdominal wall extraperitoneal abscess retroperitoneal abscess
Excludes: incision of peritoneum (54.95) laparotomy (54.11-54.19)
54.1 Laparotomy
54.0
54.11
Exploratory laparotomy
Excludes: exploration incidental to intra abdominal surgery --omit code
Reopening of recent laparotomy site
Reopening of recent laparotomy site for:
control of hemorrhage exploration
incision of hematoma
Other laparotomy
Drainage of intraperitoneal abscess or hematoma
Excludes: culdocentesis (70.0)
drainage of appendiceal abscess (47.2)
exploration incidental to intra abdominal surgery --omit code Ladd operation (54.95)
percutaneous drainage of abdomen (54.91) removal of foreign body (54.92)
54.2 Diagnostic procedures of abdominal region
Laparoscopy
Peritoneoscopy
Excludes: laparoscopic cholecystectomy (51.23)
that incidental to destruction of fallopian tubes (66.21-66.29)
Biopsy of abdominal wall or umbilicus Biopsy of peritoneum
Biopsy of:
mesentery omentum peritoneal implant
Excludes: closed biopsy of:
omentum (54.24)
peritoneum (54.24)
Closed [percutaneous] [needle] biopsy of intra-abdominal mass
Closed biopsy of: omentum peritoneal implant peritoneum
Excludes: that of:
fallopian tube (66.11)
ovary (65.11)
uterine ligaments (68.15)
uterus (68.16)
Peritoneal lavage
Diagnostic peritoneal lavage
Excludes: peritoneal dialysis (54.98)
54.12
54.19
54.21
54.22
54.23
54.24
54.25
54.29
Other diagnostic procedures on abdominal region
Excludes: abdominal lymphangiogram (88.04) abdominal x-ray NEC (88.19) angiocardiography of venae cava
(88.51)
C.A.T. scan of abdomen (88.01)
contrast x-ray of abdominal cavity (88.11-88.15) intra-abdominal arteriography NEC (88.47)
microscopic examination of peritoneal and retroperitoneal specimen (91.11-91.19)
phlebography of:
intra-abdominal vessels NEC (88.65) portal venous system (88.64)
sinogram of abdominal wall (88.03)
soft tissue x-ray of abdominal wall NEC (88.09) tomography of abdomen NE (88.02)
ultrasonography of abdomen and retroperitoneum (88.76)
Excision or destruction of lesion or tissue of abdominal wall or umbilicus
Debridement of abdominal wall Omphalectomy
Excludes: biopsy of abdominal wall or umbilicus (54.22) size reduction operation (86.83)
that of skin of abdominal wall (86.22, 86.26, 86.3)
Excision or destruction of peritoneal tissue
Excision of:
appendices epiploicae falciform ligament gastrocolic ligament lesion of:
mesentery omentum peritoneum
presacral lesion NOS retroperitoneal lesion NOS
Excludes: biopsy of peritoneum (54.23) endometrectomy of cul-de-sac (70.32)
54.5 Lysis of peritoneal adhesions
Freeing of adhesions of: biliary tract
intestines liver
pelvic peritoneum peritoneum spleen
uterus
54.3
54.4
Excludes: lysis of adhesions of:
bladder (59.11) fallopian tube and ovary
laparoscopic (65.81)
other (65.89)
kidney (59.02)
ureter (59.02)
Laparoscopic lysis of peritoneal adhesions Other lysis of peritoneal adhesions
54.6 Suture of abdominal wall and peritoneum
Reclosure of postoperative disruption of abdominal wall Delayed closure of granulating abdominal wound
Tertiary subcutaneous wound closure
Other suture of abdominal wall
Suture of laceration of abdominal wall
Excludes: closure of operative wound --omit code
Suture of peritoneum
Secondary suture of peritoneum
Excludes: closure of operative wound --omit code
54.7 Other repair of abdominal wall and peritoneum
Repair of gastroschisis
Other repair of abdominal wall Other repair of peritoneum
Suture of gastrocolic ligament
Other repair of omentum
Epiplorrhaphy Graft of omentum Omentopexy
Reduction of torsion of omentum
Excludes: cardio-omentopexy (36.39)
Other repair of mesentery Mesenteric plication Mesenteropexy
54.9 Other operations of abdominal region
Excludes: removal of ectopic pregnancy (74.3)
Percutaneous abdominal drainage
Paracentesis
Excludes: creation of cutaneoperitoneal fistula (54.93) Removal of foreign body from peritoneal cavity
Creation of cutaneoperitoneal fistula
Creation of peritoneovascular shunt
Peritoneovenous shunt
54.51
54.59
54.61
54.62
54.63
54.64
54.71
54.72
54.73
54.74
54.75
54.91
54.92
54.93
54.94
54.95
Incision of peritoneum
Exploration of ventriculoperitoneal shunt at peritoneal site Ladd operation
Revision of distal catheter of ventricular shunt
Revision of ventriculoperitoneal shunt at peritoneal site
Excludes: that incidental to laparotomy (54.11-54.19)
54.96 Injection of air into peritoneal cavity
Pneumoperitoneum
Excludes: that for:
collapse of lung (33.33) radiography (88.12-88.13, 88.15)
54.97 Injection of locally-acting therapeutic substance into peritoneal cavity
Excludes: peritoneal dialysis (54.98)
Peritoneal dialysis
Excludes: peritoneal lavage (diagnostic) (54.25)
54.99 Other
Excludes: removal of:
abdominal wall suture (97.83)
peritoneal drainage device (97.82) retroperitoneal drainage device (97.81)
54.98
10. OPERATIONS ON THE URINARY SYSTEM (55-59)
55 Operations on kidney
Includes: operations on renal pelvis
Code also any application or administration of an adhesion barrier substance (99.77)
Excludes: perirenal tissue (59.00-59.09, 59.21-59.29,59.91-59.92)
55.0 Nephrotomy and nephrostomy
Excludes: drainage by:
anastomosis (55.86)
aspiration (55.92)
incision of kidney pelvis (55.11-55.12)
Nephrotomy
Evacuation of renal cyst Exploration of kidney Nephrolithotomy
Nephrostomy
Percutaneous nephrostomy without fragmentation Nephrostolithotomy, percutaneous (nephroscopic)
Percutaneous removal of kidney stone(s) by:
basket extraction
forceps extraction (nephroscopic) Pyelostolithotomy, percutaneous (nephroscopic) With placement of catheter
down ureter
Excludes: percutaneous removal by fragmentation (55.04)
repeat nephroscopic removal during current episode (55.92)
Percutaneous nephrostomy with fragmentation
Percutaneous nephrostomy with disruption of kidney stone by ultrasonic energy and extraction (suction) through
endoscope
With placement of catheter down ureter With fluoroscopic guidance
Excludes: repeat fragmentation during current episode (59.95)
55.1 Pyelotomy and pyelostomy
Excludes: drainage by anastomosis (55.86) percutaneous pyelostolithotomy (55.03) removal of calculus without
incision (56.0)
Pyelotomy
Exploration of renal pelvis Pyelolithotomy
Pyelostomy
Insertion of drainage tube into renal pelvis
55.2 Diagnostic procedures on kidney
Nephroscopy Pyeloscopy
55.01
55.02
55.03
55.04
55.11
55.12
55.21
55.22
55.23
Closed [percutaneous] [needle] biopsy of kidney
Endoscopic biopsy via existing nephrostomy, nephrotomy, pyelostomy, or pyelotomy
Open biopsy of kidney
Other diagnostic procedures on kidney
Excludes: microscopic examination of specimen from kidney (91.21-91.29)
pyelogram:
intravenous (87.73)
percutaneous (87.75)
retrograde (87.74)
radioisotope scan (92.03)
renal arteriography (88.45) tomography:
C.A.T. scan (87.71)
other (87.72)
55.3 Local excision or destruction of lesion or tissue of kidney
Marsupialization of kidney lesion Open ablation of renal lesion or tissue
Percutaneous ablation of renal lesion or tissue Laparoscopic ablation of renal lesion or tissue
Other and unspecified ablation of renal lesion or tissue
Other local destruction or excision of renal lesion or tissue
Obliteration of calyceal diverticulum
Excludes: ablation of renal lesion or tissue: laparoscopic (55.34)
open (55.32)
other (55.35)
percutaneous (55.33)
biopsy of kidney (55.23-55.24) partial nephrectomy (55.4)
percutaneous aspiration of kidney (55.92) wedge resection of kidney (55.4)
Partial nephrectomy
Calycectomy
Wedge resection of kidney
Code also any synchronous resection of ureter (56.40- 56.42)
55.5 Complete nephrectomy
Code also any synchronous excision of: adrenal gland (07.21- 07.3)
bladder segment (57.6)
lymph nodes (40.3, 40.52- 40.59)
Nephroureterectomy Nephroureterectomy with bladder cuff Total nephrectomy (unilateral)
Excludes: removal of transplanted kidney (55.53)
55.24
55.29
55.31
55.32
55.33
55.34
55.35
55.39
55.4
55.51
55.52
Nephrectomy of remaining kidney
Removal of solitary kidney
Excludes: removal of transplanted kidney (55.53) Removal of transplanted or rejected kidney Bilateral
nephrectomy
Excludes: complete nephrectomy NOS (55.51)
55.6 Transplant of kidney
Note: To report donor source --see codes 00.91- 00.93
Renal autotransplantation Other kidney transplantation
Nephropexy
Fixation or suspension of movable [floating] kidney
55.8 Other repair of kidney
Suture of laceration of kidney
Closure of nephrostomy and pyelostomy Closure of other fistula of kidney Reduction of torsion of renal pedicle
Symphysiotomy for horseshoe kidney
Anastomosis of kidney Nephropyeloureterostomy Pyeloureterovesical anastomosis Ureterocalyceal anastomosis
Excludes: nephrocystanastomosis NOS (56.73)
Correction of ureteropelvic junction Other
55.9 Other operations on kidney
Excludes: lysis of perirenal adhesions (59.02)
Decapsulation of kidney Capsulectomy of kidney Decortication of kidney
55.92 Percutaneous aspiration of kidney (pelvis)
Aspiration of renal cyst Renipuncture
Excludes: percutaneous biopsy of kidney (55.23)
55.93 Replacement of nephrostomy tube
55.94 Replacement of pyelostomy tube
55.95 Local perfusion of kidney
55.96 Other injection of therapeutic substance into kidney
Injection into renal cyst
Implantation or replacement of mechanical kidney Removal of mechanical kidney
55.53
55.54
55.61
55.69
55.7
55.81
55.82
55.83
55.84
55.85
55.86
55.87
55.89
55.91
55.97
55.98
55.99
Other
Excludes: removal of pyelostomy or nephrostomy tube (97.61)
56 Operations on ureter
Code also any application or administration of an adhesion barrier substance (99.77)
Transurethral removal of obstruction from ureter and renal pelvis
Removal of:
blood clot from ureter or renal pelvis without incision calculus from ureter or renal pelvis without incision foreign
body from ureter or renal pelvis without incision
Excludes: manipulation without removal of obstruction (59.8) that by incision (55.11, 56.2)
transurethral insertion of ureteral stent for passage of calculus (59.8)
Ureteral meatotomy Ureterotomy
Incision of ureter for:
drainage exploration removal of calculus
Excludes: cutting of ureterovesical orifice (56.1) removal of calculus without incision (56.0)
transurethral insertion of ureteral stent for passage of calculus (59.8)
urinary diversion (56.51-56.79)
56.3 Diagnostic procedures on ureter
Ureteroscopy
Closed percutaneous biopsy of ureter
Excludes: endoscopic biopsy of ureter (56.33)
Closed endoscopic biopsy of ureter Cystourethroscopy with ureteral biopsy Transurethral biopsy of ureter
Ureteral endoscopy with biopsy through ureterotomy Ureteroscopy with biopsy
Excludes: percutaneous biopsy of ureter (56.32)
Open biopsy of ureter
Endoscopy (cystoscopy) (looposcopy)of ileal conduit Other diagnostic procedures on ureter
Excludes: microscopic examination of specimen from ureter
(91.21-91.29)
56.0
56.1
56.2
56.31
56.32
56.33
56.34
56.35
56.39
56.4 Ureterectomy
Code also anastomosis other than end- to- end (56.51- 56.79)
Excludes: fistulectomy (56.84)
nephroureterectomy (55.51-55.54)
Ureterectomy, not otherwise specified Partial ureterectomy
Excision of lesion of ureter
Shortening of ureter with reimplantation Excludes: biopsy of ureter (56.32-56.34) Total ureterectomy
56.5 Cutaneous uretero-ileostomy
Formation of cutaneous uretero-ileostomy
Construction of ileal conduit External ureteral ileostomy Formation of open ileal bladder Ileal loop operation
Ileoureterostomy (Bricker's) (ileal bladder)
Transplantation of ureter into ileum with external diversion
Excludes: closed ileal bladder (57.87)
replacement of ureteral defect by ileal segment (56.89)
Revision of cutaneous uretero-ileostomy
56.6 Other external urinary diversion
Formation of other cutaneous ureterostomy
Anastomosis of ureter to skin Ureterostomy NOS
Revision of other cutaneous ureterostomy
Revision of ureterostomy stoma
Excludes: nonoperative removal of ureterostomy tube (97.62)
56.7 Other anastomosis or bypass of ureter
Excludes: ureteropyelostomy (55.86)
Urinary diversion to intestine Anastomosis of ureter to intestine Internal urinary diversion NOS
Code also any synchronous colostomy (46.10- 46.13) Excludes: external ureteral ileostomy (56.51) Revision of
ureterointestinal anastomosis
Excludes: revision of external ureteral ileostomy (56.52)
Nephrocystanastomosis, not otherwise specified Ureteroneocystostomy
Replacement of ureter with bladder flap Ureterovesical anastomosis
Transureteroureterostomy
Excludes: ureteroureterostomy associated with partial resection (56.41)
Other
56.40
56.41
56.42
56.51
56.52
56.61
56.62
56.71
56.72
56.73
56.74
56.75
56.79
56.8 Repair of ureter
Lysis of intraluminal adhesions of ureter ®
Excludes: lysis of periureteral adhesions (59.02-59.03) ureterolysis (59.02-59.03)
Suture of laceration of ureter Closure of ureterostomy
Closure of other fistula of ureter Ureteropexy
Removal of ligature from ureter
Other repair of ureter
Graft of ureter
Replacement of ureter with ileal segment implanted into bladder Ureteroplication
56.9 Other operations on ureter
Dilation of ureteral meatus
Implantation of electronic ureteral stimulator Replacement of electronic ureteral stimulator Removal of
electronic ureteral stimulator Excludes: that with synchronous replacement (56.93) Ligation of ureter
Other
Excludes: removal of ureterostomy tube an ureteral catheter (97.62) ureteral catheterization (59.8)
56.81
56.82
56.83
56.84
56.85
56.86
56.89
56.91
56.92
56.93
56.94
56.95
56.99
57 Operations on urinary bladder
Code also any application or administration of an adhesion barrier substance (99.77)
Excludes: perivesical tissue (59.11-59.29, 59.91-59.92)
ureterovesical orifice (56.0-56.99)
Transurethral clearance of bladder Drainage of bladder without incision Removal of:
blood clots from bladder without incision calculus from bladder without incision foreign body from bladder without
incision
Excludes: that by incision (57.19)
57.1 Cystotomy and cystostomy
Excludes: cystotomy and cystostomy as operative approach --omit code
Percutaneous aspiration of bladder
Lysis of intraluminal adhesions with incision into bladder
Excludes: transurethral lysis of intraluminal adhesions (57.41)
57.0
57.11
57.12
57.17
Percutaneous cystostomy
Closed cystostomy
Percutaneous suprapubic cystostomy
Excludes: removal of cystostomy tube (97.63) replacement of cystostomy tube (59.94)
Other suprapubic cystostomy
Excludes: percutaneous cystostomy (57.17) removal of cystostomy tub (97.63) replacement of
cystostomy tube (59.94)
Other cystotomy
Cystolithotomy
Excludes: percutaneous cystostomy (57.17) suprapubic cystostomy (57.18)
57.18
57.19
57.2 Vesicostomy
Excludes: percutaneous cystostomy (57.17) suprapubic cystostomy (57.18)
Vesicostomy
Creation of permanent opening from bladder to skin using a bladder flap
Revision or closure of vesicostomy
Excludes: closure of cystostomy (57.82)
57.3 Diagnostic procedures on bladder
Cystoscopy through artificial stoma Other cystoscopy
Transurethral cystoscopy
Excludes: cystourethroscopy with ureteral biopsy (56.33) retrograde pyelogram (87.74)
that for control of hemorrhage (postoperative): bladder (57.93)
prostate (60.94)
Closed [transurethral] biopsy of bladder Open biopsy of bladder
Other diagnostic procedures on bladder
Excludes: cystogram NEC (87.77)
microscopic examination of specimen from bladder (91.31-91.39)
retrograde cystourethrogram (87.76) therapeutic distention of bladder (96.25)
57.4 Transurethral excision or destruction of bladder tissue
Transurethral lysis of intraluminal adhesions
Other transurethral excision or destruction of lesion or tissue of bladder
Endoscopic resection of bladder lesion
Excludes: transurethral biopsy of bladder (57.33) transurethral fistulectomy (57.83-57.84)
57.21
57.22
57.31
57.32
57.33
57.34
57.39
57.41
57.49
57.5 Other excision or destruction of bladder tissue
Excludes: that with transurethral approach (57.41-57.49)
Excision of urachus
Excision of urachal sinus of bladder
Excludes: excision of urachal cyst of abdominal wall (54.3)
Open excision or destruction of other lesion or tissue of bladder
Endometrectomy of bladder Suprapubic excision of bladder lesion
Excludes: biopsy of bladder (57.33-57.34) fistulectomy of bladder (57.83-57.84)
Partial cystectomy Excision of bladder dome Trigonectomy
Wedge resection of bladder
57.7 Total cystectomy
Includes: total cystectomy with urethrectomy
Radical cystectomy
Pelvic exenteration in male
Removal of bladder, prostate, seminal vesicles, and fat Removal of bladder, urethra, and fat in a female
Code also any:
lymph node dissection (40.3, 40.5)
urinary diversion (56.51- 56.79)
Excludes: that as part of pelvic exenteration in female (68.8)
Other total cystectomy
57.8 Other repair of urinary bladder
Excludes: repair of:
current obstetric laceration (75.61) cystocele (70.50-70.51)
that for stress incontinence (59.3-59.79)
Suture of laceration of bladder Closure of cystostomy
Repair of fistula involving bladder and intestine Rectovesicovaginal fistulectomy Vesicosigmoidovaginal
fistulectomy
Repair of other fistula of bladder Cervicovesical fistulectomy Urethroperineovesical fistulectomy Uterovesical
fistulectomy Vaginovesical fistulectomy
Excludes: vesicoureterovagina fistulectomy (56.84)
Cystourethroplasty and plastic repair of bladder neck
Plication of sphincter of urinary bladder V- Y plasty of bladder neck
Repair of bladder exstrophy
57.51
57.59
57.6
57.71
57.79
57.81
57.82
57.83
57.84
57.85
57.86
57.87
Reconstruction of urinary bladder
Anastomosis of bladder with isolated segment of ileum Augmentation of bladder
Replacement of bladder with ileum or sigmoid [closed ileal bladder] Code also resection of intestine (45.50- 45.52)
Other anastomosis of bladder Anastomosis of bladder to intestine NOS Cystocolic anastomosis
Excludes: formation of closed ilea bladder (57.87)
Other repair of bladder
Bladder suspension, not elsewhere classified Cystopexy NOS
Repair of old obstetric laceration of bladder
Excludes: repair of current obstetric laceration (75.61)
57.9 Other operations on bladder
Sphincterotomy of bladder
Division of bladder neck
57.92 Dilation of bladder neck
Control of (postoperative) hemorrhage of bladder Insertion of indwelling urinary catheter
57.95 Replacement of indwelling urinary catheter Implantation of electronic bladder stimulator Replacement of
electronic bladder stimulator Removal of electronic bladder stimulator Excludes: that with synchronou
replacement (57.97) Other
Excludes: irrigation of:
cystostomy (96.47)
other indwelling urinary catheter (96.48) lysis of external adhesions (59.11)
removal of:
cystostomy tube (97.63)
other urinary drainage devic (97.64)
therapeutic distention of bladder (96.25)
57.88
57.89
57.91
57.93
57.94
57.96
57.97
57.98
57.99
58 Operations on urethra
Includes: operations on:
bulbourethral gland [Cowper's gland] periurethral tissue
Code also any application or administration of an adhesion barrier substance (99.77)
58.0
Urethrotomy
Excision of urethral septum Formation of urethrovaginal fistula Perineal urethrostomy
Removal of calculus from urethra by incision
Excludes: drainage of bulbourethral gland or periurethral tissue (58.91) internal urethral meatotomy (58.5)
removal of urethral calculus without incision (58.6)
Urethral meatotomy
Excludes: internal urethral meatotomy (58.5)
58.2 Diagnostic procedures on urethra
Perineal urethroscopy Other urethroscopy Biopsy of urethra
Biopsy of periurethral tissue
58.29 Other diagnostic procedures on urethra and periurethral tissue
Excludes: microscopic examination of specimen from urethra (91.31-91.39)
retrograde cystourethrogram (87.76) urethral pressure profil (89.25)
urethral sphincter electromyogram (89.23)
58.3 Excision or destruction of lesion or tissue of urethra
Excludes: biopsy of urethra (58.23)
excision of bulbourethral gland (58.92) fistulectomy (58.43)
urethrectomy as part of:
complete cystectomy (57.79)
pelvic evisceration (68.8)
radical cystectomy (57.71)
Endoscopic excision or destruction of lesion or tissue of urethra
Fulguration of urethral lesion
58.39 Other local excision or destruction of lesion or tissue of urethra
Excision of:
congenital valve of urethra lesion of urethra
stricture of urethra Urethrectomy
Excludes: that by endoscopic approach (58.31)
58.4 Repair of urethra
Excludes: repair of current obstetric laceration (75.61)
Suture of laceration of urethra Closure of urethrostomy
Closure of other fistula of urethra
Excludes: repair of urethroperineovesical fistula (57.84)
58.1
58.21
58.22
58.23
58.24
58.31
58.41
58.42
58.43
58.44
Reanastomosis of urethra
Anastomosis of urethra
Repair of hypospadias or epispadias Other reconstruction of urethra
Urethral construction
Urethral meatoplasty Other repair of urethra
Benenenti rotation of bulbous urethra
Repair of old obstetric laceration of urethra Urethral plication
Excludes: repair of:
current obstetric laceration (75.61) urethrocele (70.50-70.51)
Release of urethral stricture Cutting of urethral sphincter Internal urethral meatotomy Urethrolysis
58.6 Dilation of urethra
Dilation of urethrovesical junction Passage of sounds through urethra
Removal of calculus from urethra without incision
Excludes: urethral calibration (89.29)
58.9 Other operations on urethra and periurethral tissue
Incision of periurethral tissue
Drainage of bulbourethral gland
Excision of periurethral tissue
Excludes: biopsy of periurethral tissue (58.24) lysis of periurethral adhesions
laparoscopic (59.12)
other (59.11)
Implantation of artificial urinary sphincter [AUS]
Placement of inflatable:
bladder sphincter urethral sphincter
Removal with replacement of sphincter device [AUS] With pump and/or reservoir
Other
Removal of inflatable urinary sphincter without replacement Repair of inflatable sphincter pump and/or reservoir
Surgical correction of hydraulic pressure of inflatable sphincter device
Excludes: removal of:
intraluminal foreign body from urethra without incision (98.19)
urethral stent (97.65)
58.45
58.46
58.47
58.49
58.5
58.91
58.92
58.93
58.99
59 Other operations on urinary tract
Code also any application or administration of an adhesion barrier substance (99.77)
59.0 Dissection of retroperitoneal tissue
Retroperitoneal dissection, not otherwise specified Other lysis of perirenal or periureteral adhesions Excludes:
that by laparoscope (59.03)
Laparoscopic lysis of perirenal or periureteral adhesions
Other incision of perirenal or periureteral tissue
Exploration of perinephric area Incision of perirenal abscess
59.1 Incision of perivesical tissue
Other lysis of perivesical adhesions Laparoscopic lysis of perivesical adhesions Other incision of perivesical
tissue
Exploration of perivesical tissue
Incision of hematoma of space of Retzius Retropubic exploration
59.2 Diagnostic procedures on perirenal and perivesical tissue
Biopsy of perirenal or perivesical tissue
Other diagnostic procedures on perirenal tissue, perivesical tissue, and retroperitoneum
Excludes: microscopic examination of specimen from: perirenal tissue (91.21-91.29)
perivesical tissue (91.31-91.39)
retroperitoneum NEC (91.11-91.19)
retroperitoneal x-ray (88.14-88.16)
Plication of urethrovesical junction Kelly- Kennedy operation on urethra Kelly- Stoeckel urethral plication
Suprapubic sling operation
Goebel- Frangenheim- Stoeckel urethrovesical suspension Millin- Read urethrovesical suspension
Oxford operation for urinary incontinence Urethrocystopexy by suprapubic suspension
Retropubic urethral suspension
Burch procedure
Marshall- Marchetti- Krantz operation
Suture of periurethral tissue to symphysis pubis Urethral suspension NOS
Paraurethral suspension Pereyra paraurethral suspension Periurethral suspension
59.00
59.02
59.03
59.09
59.11
59.12
59.19
59.21
59.29
59.3
59.4
59.5
59.6
59.7 Other repair of urinary stress incontinence
Levator muscle operation for urethrovesical suspension
Cystourethropexy with levator muscle sling
Gracilis muscle transplant for urethrovesical suspension Pubococcygeal sling
59.72 Injection of implant into urethra and/or bladder neck
Collagen implant
Endoscopic injection of implant Fat implant
Polytef implant
Other
Anterior urethropexy
Repair of stress incontinence NOS Tudor "rabbit ear" urethropexy
Ureteral catheterization Drainage of kidney by catheter Insertion of ureteral stent Ureterovesical orifice
dilation
Code also any ureterotomy (56.2)
Excludes: that for:
retrograde pyelogram (87.74)
transurethral removal of calculus or clot from ureter and renal pelvis (56.0)
59.9 Other operations on urinary system
Excludes: nonoperative removal of therapeutic device (97.61-97.69)
Excision of perirenal or perivesical tissue
Excludes: biopsy of perirenal or perivesical tissue (59.21)
Other operations on perirenal or perivesical tissue
59.93 Replacement of ureterostomy tube Change of ureterostomy tube Reinsertion of ureterostomy tube
Excludes: nonoperative removal of ureterostomy tube (97.62)
59.94 Replacement of cystostomy tube
Excludes: nonoperative removal of cystostomy tube (97.63)
59.95 Ultrasonic fragmentation of urinary stones
Shattered urinary stones
Excludes: percutaneous nephrostomy with fragmentation (55.04) shock-wave disintegratio (98.51)
59.71
59.79
59.8
59.91
59.92
59.99 Other
Excludes: instillation of medication into urinary tract (96.49) irrigation of urinary tract (96.45-96.48)
60.0
60.11
60.12
60.13
60.14
60.15
60.18
60.19
60.21
60.29
60.3
Suprapubic prostatectomy
Transvesical prostatectomy
Excludes: local excision of lesion of prostate (60.61) radical prostatectomy (60.5)
Retropubic prostatectomy
Excludes: local excision of lesion of prostate (60.61) radical prostatectomy (60.5)
Radical prostatectomy
Prostatovesiculectomy
Radical prostatectomy by any approach
Excludes: cystoprostatectomy (57.71)
60.6 Other prostatectomy
Local excision of lesion of prostate ®
Excludes: biopsy of prostate (60.11-60.12)
laser interstitial thermal therapy [LITT] of lesion or tissue of prostate under guidance (17.69)
Perineal prostatectomy Cryoablation of prostate Cryoprostatectomy Cryosurgery of prostate
Radical cryosurgical ablation of prostate (RCSA) Excludes: local excision of lesion of prostate (60.61) Other
60.7 Operations on seminal vesicles
60.71 Percutaneous aspiration of seminal vesicle Excludes: needle biopsy of seminal vesicle (60.13) Incision
of seminal vesicle
Excision of seminal vesicle Excision of Müllerian duct cyst Spermatocystectomy
Excludes: biopsy of seminal vesicle (60.13-60.14) prostatovesiculectomy (60.5)
Other operations on seminal vesicles
60.8 Incision or excision of periprostatic tissue
Incision of periprostatic tissue
Drainage of periprostatic abscess
Excision of periprostatic tissue
Excision of lesion of periprostatic tissue
Excludes: biopsy of periprostatic tissue (60.15)
60.9 Other operations on prostate
60.91 Percutaneous aspiration of prostate
Excludes: needle biopsy of prostat (60.11)
60.4
60.5
60.61
60.62
60.69
60.72
60.73
60.79
60.81
60.82
60.92 Injection into prostate test link Repair of prostate
Control of (postoperative) hemorrhage of prostate
Coagulation of prostatic bed
Cystoscopy for control of prostatic hemorrhage
Transurethral balloon dilation of the prostatic urethra
Transurethral destruction of prostate tissue by microwave thermotherapy
Transurethral microwave thermotherapy (TUMT) of prostate
Excludes: Prostatectomy:
other (60.61 - 60.69)
radical (60.5)
retropubic (60.4)
suprapubic (60.3)
transurethral (60.21 - 60.29)
Other transurethral destruction of prostate tissue by other thermotherapy
Radiofrequency thermotherapy
Transurethral needle ablation (TUNA) of prostate
Excludes: Prostatectomy:
other (60.61 - 60.69)
radical (60.5)
retropubic (60.4)
suprapubic (60.3)
transurethral (60.21 - 60.29)
60.93
60.94
60.95
60.96
60.97
60.99
Other
Excludes: prostatic massage (99.94)
61 Operations on scrotum and tunica vaginalis
Incision and drainage of scrotum and tunica vaginalis
Excludes: percutaneous aspiration of hydrocele (61.91)
61.1 Diagnostic procedures on scrotum and tunica vaginalis
Biopsy of scrotum or tunica vaginalis
61.19 Other diagnostic procedures on scrotum and tunica vaginalis
Excision of hydrocele (of tunica vaginalis)
Bottle repair of hydrocele of tunica vaginalis
Excludes: percutaneous aspiration of hydrocele (61.91)
Excision or destruction of lesion or tissue of scrotum
Fulguration of lesion of scrotum Reduction of elephantiasis of scrotum Partial scrotectomy of scrotum
Excludes: biopsy of scrotum (61.11) scrotal fistulectomy (61.42)
61.0
61.11
61.2
61.3
61.4 Repair of scrotum and tunica vaginalis
61.41 Suture of laceration of scrotum and tunica vaginalis Repair of scrotal fistula
Other repair of scrotum and tunica vaginalis
Reconstruction with rotational or pedicle flaps
61.9 Other operations on scrotum and tunica vaginalis
61.91 Percutaneous aspiration of tunica vaginalis
Aspiration of hydrocele of tunica vaginalis
Excision of lesion of tunica vaginalis other than hydrocele
Excision of hematocele of tunica vaginalis
Other
Excludes: removal of foreign body from scrotum without incision (98.24)
61.42
61.49
61.92
61.99
62 Operations on testes
Incision of testis
62.1 Diagnostic procedures on testes
Closed [percutaneous] [needle] biopsy of testis Open biopsy of testis
Other diagnostic procedures on testes
Excision or destruction of testicular lesion
Excision of appendix testis
Excision of cyst of Morgagni in the male
Excludes: biopsy of testis (62.11-62.12)
Unilateral orchiectomy
Orchidectomy (with epididymectomy) NOS
62.4 Bilateral orchiectomy
Male castration
Radical bilateral orchiectomy (with epididymectomy)
Code also any synchronous lymph node dissection (40.3, 40.5)
Removal of both testes at same operative episode
Bilateral orchidectomy NOS
Removal of remaining testis
Removal of solitary testis
Orchiopexy
Mobilization and replacement of testis in scrotum Orchiopexy with detorsion of testis
Torek (- Bevan) operation (orchidopexy) (first stage) (second stage) Transplantation to and fixation of testis in
scrotum
62.0
62.11
62.12
62.19
62.2
62.3
62.41
62.42
62.5
62.6 Repair of testes
Excludes: reduction of torsion (63.52)
Suture of laceration of testis Other repair of testis
Testicular graft
Insertion of testicular prosthesis
62.9 Other operations on testes
62.91 Aspiration of testis
Excludes: percutaneous biopsy of testis (62.11)
62.92 Injection of therapeutic substance into testis Other
62.61
62.69
62.7
62.99
63 Operations on spermatic cord, epididymis, and vas deferens
63.0 Diagnostic procedures on spermatic cord, epididymis, and vas deferens
Biopsy of spermatic cord, epididymis, or vas deferens
Other diagnostic procedures on spermatic cord, epididymis, and vas deferens
Excludes: contrast epididymogram (87.93) contrast vasogram (87.94)
other x-ray of epididymis and vas deferens (87.95)
Excision of varicocele and hydrocele of spermatic cord
High ligation of spermatic vein Hydrocelectomy of canal of Nuck
Excision of cyst of epididymis
Spermatocelectomy
Excision of other lesion or tissue of spermatic cord and epididymis
Excision of appendix epididymis
Excludes: biopsy of spermatic cord or epididymis (63.01)
Epididymectomy
Excludes: that synchronous with orchiectomy (62.3-62.42)
63.5 Repair of spermatic cord and epididymis
Suture of laceration of spermatic cord and epididymis
63.52 Reduction of torsion of testis or spermatic cord Excludes: that associated with orchiopexy (62.5)
Transplantation of spermatic cord
Other repair of spermatic cord and epididymis
63.01
63.09
63.1
63.2
63.3
63.4
63.51
63.53
63.59
63.6 Vasotomy
Vasostomy
63.7 Vasectomy and ligation of vas deferens
Male sterilization procedure, not otherwise specified Ligation of vas deferens
Crushing of vas deferens Division of vas deferens
Ligation of spermatic cord Vasectomy
63.8 Repair of vas deferens and epididymis
Suture of laceration of vas deferens and epididymis Reconstruction of surgically divided vas deferens
Epididymovasostomy
63.84 Removal of ligature from vas deferens Removal of valve from vas deferens
Other repair of vas deferens and epididymis
63.9 Other operations on spermatic cord, epididymis, and vas deferens
63.91 Aspiration of spermatocele Epididymotomy
Incision of spermatic cord
Lysis of adhesions of spermatic cord
Insertion of valve in vas deferens Other
63.70
63.71
63.72
63.73
63.81
63.82
63.83
63.85
63.89
63.92
63.93
63.94
63.95
63.99
64 Operations on penis
Includes: operations on:
corpora cavernosa glans penis prepuce
Circumcision
64.1 Diagnostic procedures on the penis
Biopsy of penis
64.19 Other diagnostic procedures on penis
Local excision or destruction of lesion of penis
Excludes: biopsy of penis (64.11)
Amputation of penis
64.4 Repair and plastic operation on penis
Suture of laceration of penis
64.0
64.11
64.2
64.3
64.41
64.42
64.43
64.44
64.45
Release of chordee Construction of penis Reconstruction of penis
Replantation of penis
Reattachment of amputated penis
Other repair of penis
Excludes: repair of epispadias and hypospadias (58.45)
Operations for sex transformation, not elsewhere classified
64.9 Other operations on male genital organs
64.91 Dorsal or lateral slit of prepuce Incision of penis
Division of penile adhesions
64.94 Fitting of external prosthesis of penis
Penile prosthesis NOS
Insertion or replacement of non-inflatable penile prosthesis
Insertion of semi- rigid rod prosthesis into shaft of penis
Excludes: external penile prosthesis (64.94) inflatable penile prosthesis (64.97) plastic repair, penis (64.43-64.49)
that associated with:
construction (64.43)
reconstruction (64.44)
Removal of internal prosthesis of penis
Removal without replacement of non- inflatable or inflatable penile prosthesis
Insertion or replacement of inflatable penile prosthesis
Insertion of cylinders into shaft of penis and placement of pump and reservoir
Excludes: external penile prosthesis (64.94)
non-inflatable penile prosthesi s (64.95) plastic repair, penis (64.43-64.49)
Other operations on penis
Corpora cavernosa- corpus spongiosum shunt Corpora- saphenous shunt
Irrigation of corpus cavernosum
Excludes: removal of foreign body:
intraluminal (98.19)
without incision (98.24) stretching of foreskin (99.95)
64.49
64.5
64.92
64.93
64.95
64.96
64.97
64.98
64.99
Other
Excludes: collection of sperm fo artificial insemination (99.96)
12. OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)
65 Operations on ovary
Code also any application or administration of an adhesion barrier substance (99.77)
65.0 Oophorotomy
Salpingo- oophorotomy Laparoscopic oophorotomy Other oophorotomy
65.1 Diagnostic procedures on ovaries Aspiration biopsy of ovary Other biopsy of ovary Laparoscopic
biopsy of ovary
Other laparoscopic diagnostic procedures on ovaries Other diagnostic procedures on ovaries
Excludes: microscopic examination of specimen from ovary (91.41-91.49)
65.2 Local excision or destruction of ovarian lesion or tissue
Marsupialization of ovarian cyst Excludes: that by laparoscope (65.23) Wedge resection of ovary
Excludes: that by laparoscope (65.24) Laparoscopic marsupialization of ovarian cyst Laparoscopic wedge
resection of ovary
Other laparoscopic local excision or destruction of ovary
Other local excision or destruction of ovary
Bisection of ovary Cauterization of ovary Partial excision of ovary
Excludes: biopsy of ovary (65.11-65.13)
that by laparoscope (65.25)
65.3 Unilateral oophorectomy
Laparoscopic unilateral oophorectomy Other unilateral oophorectomy Excludes: that by laparoscope (65.31)
65.4 Unilateral salpingo-oophorectomy
Laparoscopic unilateral salpingo-oophorectomy Other unilateral salpingo-oophorectomy
65.01
65.09
65.11
65.12
65.13
65.14
65.19
65.21
65.22
65.23
65.24
65.25
65.29
65.31
65.39
65.41
65.49
65.5 Bilateral oophorectomy
Other removal of both ovaries at same operative episode
Female castration
Excludes: that by laparoscope (65.53)
Other removal of remaining ovary
Removal of solitary ovary
Excludes: that by laparoscope (65.54)
Laparoscopic removal of both ovaries at same operative episode Laparoscopic removal of remaining ovary
65.6 Bilateral salpingo-oophorectomy
Other removal of both ovaries and tubes at same operative episode
Excludes: that by laparoscope (65.63)
Other removal of remaining ovary and tube
Removal of solitary ovary and tube
Excludes: that by laparoscope (65.64)
Laparoscopic removal of both ovaries and tubes at same operative episode
Laparoscopic removal of remaining ovary and tube
65.7 Repair of ovary
Excludes: salpingo-oophorostomy (66.72) Other simple suture of ovary Excludes: that by laparoscope (65.74) Other
reimplantation of ovary Excludes: that by laparoscope (65.75) Other salpingo-oophoroplasty Excludes: that by
laparoscope (65.76) Laparoscopic simple suture of ovary Laparoscopic reimplantation of ovary
Laparoscopic salpingo-oophoroplasty
Other repair of ovary
Oophoropexy
65.8 Lysis of adhesions of ovary and fallopian tube Laparoscopic lysis of adhesions of ovary and
fallopian tube Other lysis of adhesions of ovary and fallopian tube Excludes: that by laparoscope (65.81)
65.9 Other operations on ovary
Aspiration of ovary
Excludes: aspiration biopsy of ovary (65.11)
65.51
65.52
65.53
65.54
65.61
65.62
65.63
65.64
65.71
65.72
65.73
65.74
65.75
65.76
65.79
65.81
65.89
65.91
Transplantation of ovary
Excludes: reimplantation of ovary
laparoscopic (65.75)
other (65.72) Manual rupture of ovarian cyst Ovarian denervation
Release of torsion of ovary
Other
Ovarian drilling
65.92
65.93
65.94
65.95
65.99
66 Operations on fallopian tubes
Code also any application or administration of an adhesion barrier substance (99.77)
66.0 Salpingotomy and salpingostomy
Salpingotomy Salpingostomy
66.1 Diagnostic procedures on fallopian tubes
Biopsy of fallopian tube
Other diagnostic procedures on fallopian tubes
Excludes: microscopic examination of specimen from fallopian tubes (91.41-91.49)
radiography of fallopian tubes (87.82-87.83, 87.85)
Rubin's test (66.8)
66.2 Bilateral endoscopic destruction or occlusion of fallopian tubes
Includes: bilateral endoscopic destruction or occlusion of fallopian tubes by: culdoscopy
endoscopy hysteroscopy laparoscopy peritoneoscopy
endoscopic destruction of solitary fallopian tube
Bilateral endoscopic ligation and crushing of fallopian tubes Bilateral endoscopic ligation and division of
fallopian tubes
Other bilateral endoscopic destruction or occlusion of fallopian tubes
66.3 Other bilateral destruction or occlusion of fallopian tubes
Includes: destruction of solitary fallopian tube
Excludes: endoscopic destruction or occlusion of fallopian tubes (66.21-66.29)
Other bilateral ligation and crushing of fallopian tubes Other bilateral ligation and division of fallopian tubes
Pomeroy operation
Other bilateral destruction or occlusion of fallopian tubes
Female sterilization operation NOS
66.01
66.02
66.11
66.19
66.21
66.22
66.29
66.31
66.32
66.39
66.4
Total unilateral salpingectomy
66.5 Total bilateral salpingectomy
Excludes: bilateral partial salpingectomy for sterilization (66.39) that with oophorectomy (65.61-65.64)
Removal of both fallopian tubes at same operative episode Removal of remaining fallopian tube
Removal of solitary fallopian tube
66.6 Other salpingectomy
Includes: salpingectomy by:
cauterization coagulation electrocoagulation excision
Excludes: fistulectomy (66.73)
Excision or destruction of lesion of fallopian tube Excludes: biopsy of fallopian tube (66.11) Salpingectomy
with removal of tubal pregnancy
Code also any synchronous oophorectomy (65.31, 65.39) Bilateral partial salpingectomy, not otherwise specified
Other partial salpingectomy
66.7 Repair of fallopian tube
Simple suture of fallopian tube Salpingo-oophorostomy Salpingo-salpingostomy Salpingo-uterostomy
Other repair of fallopian tube
Graft of fallopian tube
Reopening of divided fallopian tube Salpingoplasty
66.8 Insufflation of fallopian tube
Insufflation of fallopian tube with:
air dye gas saline
Rubin's test
Excludes: insufflation of therapeutic agent (66.95) that for hysterosalpingography (87.82-87.83)
66.9 Other operations on fallopian tubes
66.91 Aspiration of fallopian tube
Unilateral destruction or occlusion of fallopian tube
Excludes: that of solitary tube (66.21-66.39)
66.51
66.52
66.61
66.62
66.63
66.69
66.71
66.72
66.73
66.74
66.79
66.92
66.93
66.94
66.95
66.96
66.97
66.99
Implantation or replacement of prosthesis of fallopian tube Removal of prosthesis of fallopian tube
Insufflation of therapeutic agent into fallopian tubes Dilation of fallopian tube
Burying of fimbriae in uterine wall
Other
Excludes: lysis of adhesions of ovary and tube laparoscopic (65.81)
other (65.89)
67 Operations on cervix
Code also any application or administration of an adhesion barrier substance (99.77)
67.0 Dilation of cervical canal
Excludes: dilation and curettage (69.01-69.09) that for induction of labor (73.1)
67.1 Diagnostic procedures on cervix
Endocervical biopsy
Excludes: conization of cervix (67.2)
Other cervical biopsy
Punch biopsy of cervix NOS
Excludes: conization of cervix (67.2)
Other diagnostic procedures on cervix
Excludes: microscopic examination of specimen from cervix (91.41-91.49)
Conization of cervix
Excludes: that by:
cryosurgery (67.33)
electrosurgery (67.32)
67.3 Other excision or destruction of lesion or tissue of cervix
Marsupialization of cervical cyst
Destruction of lesion of cervix by cauterization
Electroconization of cervix
LEEP (loop electrosurgical excision procedure)
LLETZ (large loop excision of the transformation zone)
Destruction of lesion of cervix by cryosurgery
Cryoconization of cervix
Other excision or destruction of lesion or tissue of cervix
Excludes: biopsy of cervix (67.11-67.12) cervical fistulectomy (67.62) conization of cervix (67.2)
Amputation of cervix
Cervicectomy with synchronous colporrhaphy
67.11
67.12
67.19
67.2
67.31
67.32
67.33
67.39
67.4
67.5 Repair of internal cervical os
Transabdominal cerclage of cervix Other repair of internal cervical os
Cerclage of isthmus uteri McDonald operation Shirodkar operation Transvaginal cerclage
Excludes: laparoscopically assisted supracervical hysterectomy [LASH] (68.31)
transabdominal cerclage of cervix (67.51)
67.6 Other repair of cervix
Excludes: repair of current obstetric laceration (75.51)
Suture of laceration of cervix Repair of fistula of cervix
Cervicosigmoidal fistulectomy
Excludes: fistulectomy:
cervicovesical (57.84)
ureterocervical (56.84)
vesicocervicovaginal (57.84)
Other repair of cervix
Repair of old obstetric laceration of cervix
68 Other incision and excision of uterus
Code also any application or administration of an adhesion barrier substance (99.77)
Hysterotomy
Hysterotomy with removal of hydatidiform mole
Excludes: hysterotomy for termination of pregnancy (74.91)
68.1 Diagnostic procedures on uterus and supporting structures
68.11 Digital examination of uterus
Excludes: pelvic examination, so describe (89.26)
postpartal manual exploration of uterine cavity (75.7)
Hysteroscopy
Excludes: that with biopsy (68.16)
Open biopsy of uterus
Excludes: closed biopsy of uterus (68.16)
Open biopsy of uterine ligaments
Excludes: closed biopsy of uterine ligaments (68.15)
Closed biopsy of uterine ligaments
Endoscopic (laparoscopy) biopsy of uterine adnexa, except ovary and fallopian tube
Closed biopsy of uterus
Endoscopic (laparoscopy) hysteroscopy) biopsy of uterus
Excludes: open biopsy of uterus (68.13)
67.51
67.59
67.61
67.62
67.69
68.0
68.12
68.13
68.14
68.15
68.16
68.19
Other diagnostic procedures on uterus and supporting structures
Excludes: diagnostic:
aspiration curettage (69.59) dilation and curettage (69.09)
microscopic examination of specimen from uterus (91.41-91.49)
pelvic examination (89.26) radioisotope scan of:
placenta (92.17)
uterus (92.19)
ultrasonography of uterus (88.78-88.79) x-ray of uterus (87.81-87.89)
68.2 Excision or destruction of lesion or tissue of uterus
Division of endometrial synechiae
Lysis of intraluminal uterine adhesions
Incision or excision of congenital septum of uterus Endometrial ablation
Dilation and curettage
Hysteroscopic endometrial ablation
Other excision or destruction of lesion of uterus
Uterine myomectomy
Excludes: biopsy of uterus (68.13, 68.16)
uterine fistulectomy (69.42)
68.3 Subtotal abdominal hysterectomy
Laparoscopic supracervical hysterectomy [LSH]
Classic infrafascial SEMM hysterectomy [CISH] Laparoscopically assisted supracervical hysterectomy [LASH]
Other and unspecified subtotal abdominal hysterectomy, NOS
Supracervical hysterectomy
Excludes: classic infrafascial SEMM hysterectomy [CISH] (68.31) laparoscopic supracervical hysterectomy [LSH]
(68.31)
68.4 Total abdominal hysterectomy
Hysterectomy:
extended
Code also any synchronous removal of tubes and ovaries (65.31- 65.64)
Excludes: radical abdominal hysterectomy, any approach (68.61 - 68.69)
Laparoscopic total abdominal hysterectomy
Total laparoscopic hysterectomy [TLH]
Other and unspecified total abdominal hysterectomy
Hysterectomy: extended
68.21
68.22
68.23
68.29
68.31
68.39
68.41
68.49
68.5 Vaginal hysterectomy
Code also any synchronous:
removal of tubes and ovaries (65.31- 65.64) repair of cystocele or rectocele (70.50- 70.52) repair of pelvic floor
(70.79)
Laparoscopically assisted vaginal hysterectomy (LAVH) Other and unspecified vaginal hysterectomy
Excludes: laparoscopically assisted vaginal hysterectomy (LAVH) (68.51) radical vaginal hysterectomy (68.7)
68.6 Radical abdominal hysterectomy
Code also any synchronous:
lymph gland dissection (40.3, 40.5) removal of tubes and ovaries (65.31- 65.64)
Excludes: pelvic evisceration (68.8)
Laparoscopic radical abdominal hysterectomy Laparoscopic modified radical hysterectomy Total laparoscopic
radical hysterectomy [TLRH]
Other and unspecified radical abdominal hysterectomy
Modified radical hysterectomy Wertheim's operation
Excludes: laparoscopic total abdominal hysterectomy (68.41) laparoscopic radical abdominal hysterectomy
(68.61)
68.7 Radical vaginal hysterectomy
Code also any synchronous:
lymph gland dissection (40.3, 40.5) removal of tubes and ovaries (65.31- 65.64)
Excludes: abdominal hysterectomy, any approach (68.31-68.39, 68.41-68.49, 68.61-68.69, 68.9)
Laparoscopic radical vaginal hysterectomy [LRVH] Other and unspecified radical vaginal hysterectomy
Hysterocolpectomy
Schauta operation
Pelvic evisceration
Removal of ovaries, tubes, uterus, vagina, bladder, and urethra (with removal of sigmoid colon and rectum)
Code also any synchronous: colostomy (46.12- 46.13)
lymph gland dissection (40.3, 40.5)
urinary diversion (56.51- 56.79)
Other and unspecified hysterectomy
Hysterectomy NOS
Excludes: abdominal hysterectomy, any approach (68.31-68.39, 68.41-68.49, 68.61-68.69,)
vaginal hysterectomy, any approach (68.51- 68.59, 68.71-68.79)
68.51
68.59
68.61
68.69
68.71
68.79
68.8
68.9
69 Other operations on uterus and supporting structures
Code also any application or administration of an adhesion barrier substance (99.77)
69.0 Dilation and curettage of uterus
Excludes: aspiration curettage of uterus (69.51-69.59)
Dilation and curettage for termination of pregnancy
Dilation and curettage following delivery or abortion Other dilation and curettage
Diagnostic D and C
69.1 Excision or destruction of lesion or tissue of uterus and supporting structures
Other excision or destruction of uterus and supporting structures
Excludes: biopsy of uterine ligamen (68.14)
69.2 Repair of uterine supporting structures
Interposition operation
Watkins procedure
Other uterine suspension
Hysteropexy Manchester operation
Plication of uterine ligament
Vaginal repair of chronic inversion of uterus Other repair of uterus and supporting structures
Paracervical uterine denervation
69.4 Uterine repair
Excludes: repair of current obstetric laceration (75.50-75.52)
Suture of laceration of uterus Closure of fistula of uterus
Excludes: uterovesical fistulectom (57.84)
Other repair of uterus
Repair of old obstetric laceration of uterus
69.5 Aspiration curettage of uterus
Excludes: menstrual extraction (69.6)
Aspiration curettage of uterus for termination of pregnancy
Therapeutic abortion NOS
Aspiration curettage following delivery or abortion Other aspiration curettage of uterus
69.6 Menstrual extraction or regulation
69.7 Insertion of intrauterine contraceptive device
69.01
69.02
69.09
69.19
69.21
69.22
69.23
69.29
69.3
69.41
69.42
69.49
69.51
69.52
69.59
69.9 Other operations on uterus, cervix, and supporting structures
Excludes: obstetric dilation or incision of cervix (73.1, 73.93)
69.91 Insertion of therapeutic device into uterus
Excludes: insertion of:
intrauterine contraceptive device (69.7) laminaria (69.93)
obstetric insertion of bag, bougie, or pack (73.1)
69.92 Artificial insemination
69.93 Insertion of laminaria
69.94 Manual replacement of inverted uterus
Excludes: that in immediate postpartal period (75.94)
Incision of cervix
Excludes: that to assist delivery (73.93)
69.96 Removal of cerclage material from cervix
Removal of other penetrating foreign body from cervix Excludes: removal of intraluminal foreign body from
cervix (98.16) Other operations on supporting structures of uterus
Excludes: biopsy of uterine ligamen (68.14)
Other operations on cervix and uterus
Excludes: removal of:
foreign body (98.16)
intrauterine contraceptive device (97.71) obstetric bag, bougie, or pack (97.72) packing (97.72)
70 Operations on vagina and cul-de-sac
Code also any application or administration of an adhesion barrier substance (99.77)
70.0 Culdocentesis
70.1 Incision of vagina and cul-de-sac
70.11 Hymenotomy
Culdotomy
Lysis of intraluminal adhesions of vagina Other vaginotomy
Division of vaginal septum
Drainage of hematoma of vaginal cuff
70.2 Diagnostic procedures on vagina and cul-de-sac
Vaginoscopy Culdoscopy
Biopsy of cul-de-sac
Vaginal biopsy
Other diagnostic procedures on vagina and cul- de-sac
69.95
69.97
69.98
69.99
70.12
70.13
70.14
70.21
70.22
70.23
70.24
70.29
70.3 Local excision or destruction of vagina and cul-de-sac
Hymenectomy
Excision or destruction of lesion of cul-de- sac
Endometrectomy of cul- de- sac
Excludes: biopsy of cul-de-sac (70.23) Excision or destruction of lesion of vagina Excludes: biopsy of vagina
(70.24)
vaginal fistulectomy (70.72-70.75)
Obliteration and total excision of vagina
Vaginectomy
Excludes: obliteration of vaginal vault (70.8)
70.5 Repair of cystocele and rectocele
Repair of cystocele and rectocele ®
Excludes: repair of cystocele and rectocele with graft or prosthesis (70.53)
Repair of cystocele ®
Anterior colporrhaphy (with urethrocele repair)
Excludes: repair of cystocele and rectocele with graft or prosthesis (70.53)
repair of cystocele with graft or prosthesis (70.54)
Repair of rectocele ®
Posterior colporrhaphy
Excludes: STARR procedure (48.74)
repair of cystocele and rectocele with graft or prosthesis (70.53)
repair of rectocele with graft or prosthesis (70.55)
Repair of cystocele and rectocele with graft or prosthesis
Use additional code for biological substance (70.94) or synthetic substance (70.95), if known
Repair of cystocele with graft or prosthesis
Anterior colporrhaphy (with urethrocele repair)
Use additional code for biological substance (70.94) or synthetic substance (70.95), if known
Repair of rectocele with graft or prosthesis
Posterior colporrhaphy
Use additional code for biological substance (70.94) or synthetic substance (70.95), if known
70.6 Vaginal construction and reconstruction
Vaginal construction Vaginal reconstruction
70.31
70.32
70.33
70.4
70.50
70.51
70.52
70.53
70.54
70.55
70.61
70.62
70.63
Vaginal construction with graft or prosthesis
Use additional code for biological substance (70.94) or synthetic substance (70.95), if known
Excludes: vaginal construction (70.61)
Vaginal reconstruction with graft or prosthesis
Use additional code for biological substance (70.94) or synthetic substance (70.95), if known
Excludes: vaginal reconstruction (70.62)
70.7 Other repair of vagina
Excludes: lysis of intraluminal adhesions (70.13) repair of current obstetric laceration (75.69)
that associated with cervical amputation (67.4)
Suture of laceration of vagina Repair of colovaginal fistula Repair of rectovaginal fistula
Repair of other vaginoenteric fistula Repair of other fistula of vagina
Excludes: repair of fistula:
rectovesicovaginal (57.83)
ureterovaginal (56.84)
urethrovaginal (58.43)
uterovaginal (69.42)
vesicocervicovaginal (57.84)
vesicosigmoidovaginal (57.83)
vesicoureterovaginal (56.84)
vesicovaginal (57.84)
Hymenorrhaphy
Vaginal suspension and fixation
Vaginal suspension and fixation with graft or prosthesis
Use additional code for biological substance (70.94) or synthetic substance (70.95), if known
Other repair of vagina
Colpoperineoplasty
Repair of old obstetric laceration of vagina
Obliteration of vaginal vault
LeFort operation
70.64
70.71
70.72
70.73
70.74
70.75
70.76
70.77
70.78
70.79
70.8
70.9 Other operations on vagina and cul-de-sac
Other operations on vagina
Excludes: insertion of:
diaphragm (96.17)
mold (96.15)
pack (96.14)
pessary (96.18)
suppository (96.49) removal of:
diaphragm (97.73)
foreign body (98.17)
pack (97.75)
pessary (97.74) replacement of:
diaphragm (97.24)
pack (97.26)
pessary (97.25)
vaginal dilation (96.16)
vaginal douche (96.44)
Other operations on cul-de-sac Obliteration of cul- de- sac Repair of vaginal enterocele
Other operations on cul-de-sac with graft or prosthesis
Repair of vaginal enterocele with graft or prosthesis
Use additional code for biological substance (70.94) or synthetic substance (70.95), if known
70.94 Insertion of biological graft Allogenic material or substance Allograft
Autograft
Autologous material or substance Heterograft
Xenogenic material or substance
Code first these procedures when done with graft or prosthesis: Other operations on cul- de- sac (70.93)
Repair of cystocele (70.54)
Repair of cystocele and rectocele (70.53) Repair of rectocele (70.55)
Vaginal construction (70.63)
Vaginal reconstruction (70.64)
Vaginal suspension and fixation (70.78)
70.95 Insertion of synthetic graft or prosthesis
Artificial tissue
Code first these procedures when done with graft or prosthesis: Other operations on cul- de- sac (70.93)
Repair of cystocele (70.54)
Repair of cystocele and rectocele (70.53) Repair of rectocele (70.55)
Vaginal construction (70.63)
Vaginal reconstruction (70.64)
Vaginal suspension and fixation (70.78)
70.91
70.92
70.93
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
Lysis of vulvar adhesions
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
Biopsy of vulva
Other diagnostic procedures on vulva
71.2 Operations on Bartholin's gland
71.21 Percutaneous aspiration of Bartholin's gland (cyst) Incision of Bartholin's gland (cyst) Marsupialization
of Bartholin's gland (cyst)
Excision or other destruction of Bartholin's gland (cyst) Other operations on Bartholin's gland
Other local excision or destruction of vulva and perineum
Division of Skene's gland
Excludes: biopsy of vulva (71.11)
vulvar fistulectomy (71.72)
Operations on clitoris Amputation of clitoris Clitoridotomy
Female circumcision
Radical vulvectomy
Code also any synchronous lymph gland dissection (40.3, 40.5)
71.6 Other vulvectomy
Unilateral vulvectomy Bilateral vulvectomy
Vulvectomy NOS
71.7 Repair of vulva and perineum
Excludes: repair of current obstetric laceration (75.69) Suture of laceration of vulva or perineum Repair of
fistula of vulva or perineum
Excludes: repair of fistula:
urethroperineal (58.43)
urethroperineovesical (57.84)
vaginoperineal (70.75)
Other repair of vulva and perineum
Repair of old obstetric laceration of vulva or perineum
71.01
71.09
71.11
71.19
71.22
71.23
71.24
71.29
71.3
71.4
71.5
71.61
71.62
71.71
71.72
71.79
71.8
Other operations on vulva
Excludes: removal of:
foreign body without incision (98.23) packing (97.75)
replacement of packing (97.26)
Other operations on female genital organs
71.9
13. OBSTETRICAL PROCEDURES (72-75)
72.0
72.1
72.21
72.29
72.31
72.39
72.4
72.51
72.52
72.53
72.54
72.71
72.79
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
Internal and combined version without extraction
Version NOS
Internal and combined version with extraction
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)
Operations on fetus to facilitate delivery
Clavicotomy on fetus Destruction of fetus
Needling of hydrocephalic head
73.9 Other operations assisting delivery
External version
73.21
73.22
73.3
73.8
73.91
73.92
Replacement of prolapsed umbilical cord
73.93 Incision of cervix to assist delivery
Dührssen's incisions
Pubiotomy to assist delivery
Obstetrical symphysiotomy
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)
73.94
73.99
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)
Classical cesarean section
Transperitoneal classical cesarean section
Low cervical cesarean section
Lower uterine segment cesarean section
Extraperitoneal cesarean section
Supravesical cesarean section
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)
Cesarean section of other specified type Peritoneal exclusion cesarean section Transperitoneal cesarean
section NOS Vaginal cesarean section
74.9 Cesarean section of unspecified type
Hysterotomy to terminate pregnancy
Therapeutic abortion by hysterotomy
Other cesarean section of unspecified type
Cesarean section NOS Obstetrical abdominouterotomy
Obstetrical hysterotomy
74.0
74.1
74.2
74.3
74.4
74.91
74.99
75 Other obstetric operations
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)
Diagnostic amniocentesis 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)
Amnioscopy Fetoscopy Laparoamnioscopy
75.32 Fetal EKG (scalp)
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)
Correction of fetal defect
Amnioinfusion
Code also injection of antibiotic (99.21)
75.38 Fetal pulse oximetry
Transcervical fetal oxygen saturation monitoring Transcervical fetal SpO 2 monitoring
Manual removal of retained placenta
Excludes: aspiration curettage (69.52) dilation and curettage (69.02)
75.0
75.1
75.2
75.31
75.33
75.36
75.37
75.4
75.5 Repair of current obstetric laceration of uterus
Repair of current obstetric laceration of uterus, not otherwise specified
Repair of current obstetric laceration of cervix Repair of current obstetric laceration of corpus uteri
75.6 Repair of other current obstetric laceration
Repair of current obstetric laceration of bladder and urethra 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)
Manual exploration of uterine cavity, postpartum
75.8 Obstetric tamponade of uterus or vagina
Excludes: antepartum tamponade (73.1)
75.9 Other obstetric operations
Evacuation of obstetrical incisional hematoma of perineum
Evacuation of hematoma of:
episiotomy perineorrhaphy
Evacuation of other hematoma of vulva or vagina Surgical correction of inverted uterus
Spintelli operation
Excludes: vaginal repair of chronic inversion of uterus (69.23)
Manual replacement of inverted uterus Other
75.50
75.51
75.52
75.61
75.62
75.7
75.91
75.92
75.93
75.94
75.99
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
Sequestrectomy of facial bone
Removal of necrotic bone chip from facial bone
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
Biopsy of facial bone
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)
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
Partial mandibulectomy
Hemimandibulectomy
Excludes: that associated with temporomandibular arthroplasty (76.5)
Partial ostectomy of other facial bone
Hemimaxillectomy (with bone graft or prosthesis)
76.4 Excision and reconstruction of facial bones
Total mandibulectomy with synchronous reconstruction Other total mandibulectomy
Other reconstruction of mandible
Excludes: genioplasty (76.67-76.68)
that with synchronous total mandibulectomy (76.41)
Total ostectomy of other facial bone with synchronous reconstruction
Other total ostectomy of other facial bone Other reconstruction of other facial bone
Excludes: that with synchronous total ostectomy (76.44)
Temporomandibular arthroplasty
76.01
76.09
76.11
76.19
76.2
76.31
76.39
76.41
76.42
76.43
76.44
76.45
76.46
76.5
76.6 Other facial bone repair and orthognathic surgery
Code also any synchronous: bone graft (76.91)
synthetic implant (76.92)
Excludes: reconstruction of facial bones (76.41-76.46)
Closed osteoplasty [osteotomy] of mandibular ramus
Gigli saw osteotomy
Open osteoplasty [osteotomy] of mandibular ramus Osteoplasty [osteotomy] of body of mandible
Other orthognathic surgery on mandible
Mandibular osteoplasty NOS Segmental or subapical osteotomy
Segmental osteoplasty [osteotomy] of maxilla
Maxillary osteoplasty NOS
Total osteoplasty [osteotomy] of maxilla Reduction genioplasty
Reduction mentoplasty
Augmentation genioplasty
Mentoplasty:
NOS
with graft or implant
Other facial bone repair
Osteoplasty of facial bone NOS
76.7 Reduction of facial fracture
Includes: internal fixation Code also any synchronous:
bone graft (76.91)
synthetic implant (76.92)
Excludes: that of nasal bones (21.71-21.72)
Reduction of facial fracture, not otherwise specified
76.71 Closed reduction of malar and zygomatic fracture Open reduction of malar and zygomatic fracture
76.73 Closed reduction of maxillary fracture Open reduction of maxillary fracture
76.75 Closed reduction of mandibular fracture
Open reduction of mandibular fracture 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)
Other open reduction of facial fracture
Open reduction of orbit rim or wall
Excludes: nasal bone (21.72)
76.61
76.62
76.63
76.64
76.65
76.66
76.67
76.68
76.69
76.70
76.72
76.74
76.76
76.77
76.79
76.9 Other operations on facial bones and joints
Bone graft to facial bone Autogenous graft to facial bone Bone bank graft to facial bone Heterogenous graft to
facial bone
Insertion of synthetic implant in facial bone
Alloplastic implant to facial bone
76.93 Closed reduction of temporomandibular dislocation Open reduction of temporomandibular
dislocation
76.95 Other manipulation of temporomandibular joint
76.96 Injection of therapeutic substance into temporomandibular joint Removal of internal fixation device
from facial bone
Excludes: removal of:
dental wiring (97.33)
external mandibular fixation device NEC (97.36)
76.91
76.92
76.94
76.97
Other
76.99
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)
nasal bones (21.00-21.99)
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]
77.1
Other incision of bone without division [0- 9] Reopening of osteotomy siteExcludes: aspiration of bone marrow (41.31, 41.91)remov
77.2
77.3
77.4
[0- 9] Excision and repair of bunion and other toe deformities
Bunionectomy with soft tissue correction and osteotomy of the first metatarsal
Bunionectomy with soft tissue correction and arthrodesis Other bunionectomy with soft tissue
correction
Excision or correction of bunionette
That with osteotomy
Repair of hammer toe
Fusion of hammer toe
Phalangectomy (partial) of hammer toe Filleting of hammer toe
Repair of claw toe
Fusion of claw toe
Phalangectomy (partial) of claw toe Capsulotomy of claw toe
Tendon lengthening of claw toe
Other excision, fusion and repair of toes
Cockup toe repair Overlapping toe repair
That with use of prosthetic materials
Other bunionectomy
Resection of hallux valgus joint with insertion of prosthesis
Local excision of lesion or tissue of bone
77.5
77.51
77.52
77.53
77.54
77.56
77.57
77.58
77.59
77.6
[0- 9] Excludes: biopsy of bone (77.40-77.49)debridement of compound fracture (79.60-79.69)Excision of bone for graft
77.7
[0- 9]
Other partial ostectomy ®[0- 9] CondylectomyExcludes: amputation (84.00-84.19, 84.91)arthrectomy (80.90-80.99)excision of bone e
77.8
77.9
78 Other operations on bones, except facial bones
Excludes: operations on:
accessory sinuses (22.00-22.9)
facial bones (76.01-76.99)
joint structures (80.00-81.99)
nasal bones (21.00-21.99)
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
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
78.0
Bone graft [0- 9] Bone:bank graftgraft (autogenous) (heterogenous)That with debridement of bone graft site (removal of sclerosed, fib
78.1
78.2
78.3
78.4
78.5
78.6
Removal of implanted devices from bone ®[0- 9] External fixator device (invasive) Internal fixation deviceRemoval of bone growth
78.7
[0- 9]Diagnostic procedures on bone, not elsewhere classified
78.8
[0- 9] Excludes: biopsy of bone (77.40-77.49)magnetic resonance imaging (88.94)microscopic examination of specimen from bone (9
78.9
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:
facial bones (76.70-76.79)
nasal bones (21.71-21.72)
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
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
3 carpals and metacarpals Hand NOS
4 phalanges of hand
5 femur
6 tibia and fibula Leg NOS
7 tarsals and metatarsals 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)Closed reducti
79.1
79.2
79.3
79.4
79.5
79.6
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)
Open reduction of dislocation of unspecified site Open reduction of dislocation of shoulder
Open reduction of dislocation of elbow Open reduction of dislocation of wrist
Open reduction of dislocation of hand and finger Open reduction of dislocation of hip
Open reduction of dislocation of knee Open reduction of dislocation of ankle
Open reduction of dislocation of foot and toe
Open reduction of dislocation of other specified sites
Unspecified operation on bone injury
79.80
79.81
79.82
79.83
79.84
79.85
79.86
79.87
79.88
79.89
79.9
[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
80.0
Arthrotomy for removal of prosthesis without replacement ®[0- 9] Includes removal of posterior spinal motion preservation (dynamic
80.1
80.2
[0- 9]80.3 Biopsy of joint structure [0- 9] Aspiration biopsyDivision of joint capsule, ligament, or cartilage [0- 9] Goldner club
80.4
80.50
80.51
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)
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)
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)
Other destruction of intervertebral disc
Destruction NEC That by laser
Excision of semilunar cartilage of knee
Excision of meniscus of knee
Synovectomy
[0- 9] Complete or partial resection of synovial membrane
Excludes: excision of Baker's cyst (83.39)
Other local excision or destruction of lesion of joint
80.53
80.54
80.59
80.6
80.7
80.8
[0- 9] Other excision of joint
80.9
[0- 9] Excludes: cheilectomy of joint (77.80-77.89)excision of bone ends (77.80-77.89)
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)
Spinal fusion, not otherwise specified 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
Other cervical fusion, anterior technique
Arthrodesis of C2 level or below:
anterior (interbody) technique anterolateral technique
Other cervical fusion, posterior technique
Arthrodesis of C2 level or below:
posterior (interbody) technique posterolateral technique
Dorsal and dorsolumbar fusion, anterior technique
Arthrodesis of thoracic or thoracolumbar region:
anterior (interbody) technique anterolateral technique
Dorsal and dorsolumbar fusion, posterior technique
Arthrodesis of thoracic or thoracolumbar region:
posterior (interbody) technique posterolateral technique
Lumbar and lumbosacral fusion, anterior technique
Anterior lumbar interbody fusion (ALIF) Arthrodesis of lumbar or lumbosacral region:
anterior (interbody) technique anterolateral technique
Lumbar and lumbosacral fusion, lateral transverse process technique Lumbar and lumbosacral fusion,
posterior technique
Arthrodesis of lumbar or lumbosacral region:
posterior (interbody) technique posterolateral technique
Posterior lumbar interbody fusion (PLIF)
Transforaminal lumbar interbody fusion (TLIF)
81.00
81.01
81.02
81.03
81.04
81.05
81.06
81.07
81.08
81.1 Arthrodesis and arthroereisis of foot and ankle
Includes: arthrodesis of foot and ankle with: bone graft
external fixation device
Ankle fusion
Tibiotalar fusion
Triple arthrodesis
Talus to calcaneus and calcaneus to cuboid and navicular
Subtalar fusion
Excludes: arthroereisis (81.18) Midtarsal fusion Tarsometatarsal fusion Metatarsophalangeal fusion Other
fusion of foot Subtalar joint arthroereisis
81.2 Arthrodesis of other joint
Includes: arthrodesis with:
bone graft
external fixation device
excision of bone ends and compression Arthrodesis of unspecified joint Arthrodesis of hip
Arthrodesis of knee Arthrodesis of shoulder Arthrodesis of elbow Carporadial fusion Metacarpocarpal
fusion Metacarpophalangeal fusion Interphalangeal fusion
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)
Refusion of spine, not otherwise specified
81.11
81.12
81.13
81.14
81.15
81.16
81.17
81.18
81.20
81.21
81.22
81.23
81.24
81.25
81.26
81.27
81.28
81.29
81.30
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
Refusion of other cervical spine, anterior technique
Arthrodesis of C2 level or below:
anterior (interbody) technique anterolateral technique
Refusion of other cervical spine, posterior technique
Anterior lumbar interbody fusion (ALIF) Arthrodesis of C2 level or below:
posterior (interbody) technique posterolateral technique
Refusion of dorsal and dorsolumbar spine, anterior technique
Arthrodesis of thoracic or thoracolumbar region: anterior (interbody) technique
anterolateral technique
Refusion of dorsal and dorsolumbar spine, posterior technique
Arthrodesis of thoracic or thoracolumbar region: posterior (interbody) technique
posterolateral technique
Refusion of lumbar and lumbosacral spine, anterior technique
Arthrodesis of lumbar or lumbosacral region: anterior (interbody) technique anterolateral technique
Refusion of lumbar and lumbosacral spine, lateral transverse process technique
Refusion of lumbar and lumbosacral spine, posterior technique
Arthrodesis of lumbar or lumbosacral region: posterior (interbody) technique posterolateral technique
Posterior lumbar interbody fusion (PLIF) Transforaminal lumbar interbody fusion (TLIF)
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
Repair of hip, not elsewhere classified Five-in-one repair of knee
Medial meniscectomy, medial collateral ligament repair, vastus
medialis advancement, semitendinosus advancement, and pes anserinus transfer
Triad knee repair
Medial meniscectomy with repair of the anterior cruciate ligament and the medial collateral ligament
O'Donoghue procedure
81.32
81.33
81.34
81.35
81.36
81.37
81.38
81.39
81.40
81.42
81.43
81.44
Patellar stabilization
Roux- Goldthwait operation for recurrent dislocation of patella
Other repair of the cruciate ligaments Other repair of the collateral ligaments Other repair of knee
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
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)
Partial hip replacement ®
Bipolar endoprosthesis
Code also any type of bearing surface, if known (00.74- 00.77)
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)
Total knee replacement ® Bicompartmental Tricompartmental Unicompartmental (hemijoint) Partial knee
replacement
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)
Total ankle replacement Replacement of joint of foot and toe
Revision of joint replacement of lower extremity, not elsewhere classified
81.45
81.46
81.47
81.49
81.51
81.52
81.53
81.54
81.55
81.56
81.57
81.59
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 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)
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)
Arthroplasty of metacarpophalangeal and interphalangeal joint with implant
Arthroplasty of metacarpophalangeal and interphalangeal joint without implant
Total wrist replacement
Arthroplasty of carpocarpal or carpometacarpal joint with implant
Arthroplasty of carpocarpal or carpometacarpal joint without implant
Other repair of hand, fingers and wrist
81.65
81.66
81.71
81.72
81.73
81.74
81.75
81.79
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
Total shoulder replacement Partial shoulder replacement
Repair of recurrent dislocation of shoulder
Other repair of shoulder
Revision of arthroplasty of shoulder
Total elbow replacement
Partial elbow replacement
Other repair of elbow
81.9 Other operations on joint structures
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 Suture of capsule or ligament of upper extremity
Excludes: that associated wit arthroplasty (81.71-81.75, 81.80-81.81, 81.84)
Suture of capsule or ligament of ankle and foot Excludes: that associated wit arthroplasty (81.56-81.59) Suture of
capsule or ligament of other lower extremity
Excludes: that associated wit arthroplasty (81.51-81.55, 81.59)
Other repair of joint
Revision of joint replacement of upper extremity
Partial
Removal of cement spacer Total
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)
81.80
81.81
81.82
81.83
81.84
81.85
81.91
81.93
81.94
81.95
81.96
81.97
81.98
81.99
Other
82 Operations on muscle, tendon, and fascia of hand
Includes: operations on:
aponeurosis
synovial membrane (tendon sheath) tendon sheath
82.0 Incision of muscle, tendon, fascia, and bursa of hand
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)
Myotomy of hand
Excludes: myotomy for division (82.19)
Bursotomy of hand
82.04 Incision and drainage of palmar or thenar space 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
Tenotomy of hand
Division of tendon of hand
Fasciotomy of hand
Division of fascia of hand
Other division of soft tissue of hand
Division of muscle of hand
82.2 Excision of lesion of muscle, tendon, and fascia of hand
Excision of lesion of tendon sheath of hand
Ganglionectomy of tendon sheath (wrist)
Excision of lesion of muscle of hand
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)
Bursectomy of hand
Excision of tendon of hand for graft Other tenonectomy of hand
Tenosynovectomy of hand
Excludes: excision of lesion of:
tendon (82.29)
sheath (82.21)
Excision of muscle or fascia of hand for graft
82.01
82.02
82.03
82.09
82.11
82.12
82.19
82.21
82.22
82.29
82.31
82.32
82.33
82.34
82.35
Other fasciectomy of hand
Release of Dupuytren's contracture Excludes: excision of lesion of fascia (82.29) Other myectomy of hand
Excludes: excision of lesion of muscle (82.22)
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
Suture of tendon sheath of hand Delayed suture of flexor tendon of hand Delayed suture of other tendon of
hand Other suture of flexor tendon of hand
Excludes: delayed suture of flexor tendon of hand (82.42)
Other suture of other tendon of hand
Excludes: delayed suture of other tendon of hand (82.43)
Suture of muscle or fascia of hand
82.5 Transplantation of muscle and tendon of hand
Advancement of tendon of hand Recession of tendon of hand Reattachment of tendon of hand Reattachment of
muscle of hand
Other change in hand muscle or tendon length Other hand tendon transfer or transplantation
Excludes: pollicization of thumb (82.61)
transfer of finger, except thum (82.81)
Other hand tendon transposition
Other hand muscle transfer or transplantation 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)
Pollicization operation carrying over nerves and blood supply 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
Tendon pulley reconstruction
Reconstruction for opponensplasty
82.36
82.39
82.41
82.42
82.43
82.44
82.45
82.46
82.51
82.52
82.53
82.54
82.55
82.56
82.57
82.58
82.59
82.61
82.69
82.71
82.72
82.79
Plastic operation on hand with graft of muscle or fascia
Plastic operation on hand with other graft or implant
Tendon graft to hand
82.8 Other plastic operations on hand Transfer of finger, except thumb Excludes: pollicization of thumb
(82.61) Repair of cleft hand
Repair of macrodactyly
Repair of mallet finger Other tenodesis of hand
Tendon fixation of hand NOS
Other tenoplasty of hand
Myotenoplasty of hand
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)
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)
Other operations on muscle, tendon, and fascia of hand
82.81
82.82
82.83
82.84
82.85
82.86
82.89
82.91
82.99
83 Operations on muscle, tendon, fascia, and bursa, except hand
Includes: operations on:
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
Myotomy
Excludes: cricopharyngeal myotomy (29.31)
Bursotomy
Removal of calcareous deposit of bursa
Excludes: aspiration of burs (percutaneous) (83.94)
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
Achillotenotomy Adductor tenotomy of hip
Other tenotomy Aponeurotomy Division of tendon Tendon release Tendon transection
Tenotomy for thoracic outlet decompression
Fasciotomy
Division of fascia Division of iliotibial band Fascia stripping
Release of Volkmann's contracture by fasciotomy
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
Biopsy of soft tissue
Excludes: biopsy of chest wall (34.23)
biopsy of skin and subcutaneous tissue (86.11)
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)
83.02
83.03
83.09
83.11
83.12
83.13
83.14
83.19
83.21
83.29
83.3 Excision of lesion of muscle, tendon, fascia, and bursa
Excludes: biopsy of soft tissue (83.21)
Excision of lesion of tendon sheath
Excision of ganglion of tendon sheath, except of hand
Excision of lesion of muscle
Excision of:
heterotopic bone
muscle scar for release of Volkmann's contracture myositis ossificans
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
Excision of tendon for graft Other tenonectomy
Excision of:
aponeurosis tendon sheath
Tenosynovectomy
Excision of muscle or fascia for graft Other fasciectomy
Other myectomy Debridement of muscle NOS Scalenectomy
Other excision of soft tissue
Bursectomy
83.6 Suture of muscle, tendon, and fascia
Suture of tendon sheath Delayed suture of tendon Rotator cuff repair
Other suture of tendon Achillorrhaphy Aponeurorrhaphy
Excludes: delayed suture of tendon (83.62)
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
Advancement of tendon Recession of tendon
Reattachment of tendon
83.31
83.32
83.39
83.41
83.42
83.43
83.44
83.45
83.49
83.5
83.61
83.62
83.63
83.64
83.65
83.71
83.72
83.73
83.74
83.75
83.76
83.77
Reattachment of muscle
Tendon transfer or transplantation Other tendon transposition
Muscle transfer or transplantation
Release of Volkmann's contracture by muscle transplantation
Other muscle transposition
83.8 Other plastic operations on muscle, tendon, and fascia
Excludes: plastic operations on muscle, tendon, and fascia associated with arthroplasty
Tendon graft
Graft of muscle or fascia Tendon pulley reconstruction
Release of clubfoot, not elsewhere classified
Evans operation on clubfoot
Other change in muscle or tendon length
Hamstring lengthening Heel cord shortening Plastic achillotenotomy Tendon plication
Quadricepsplasty
Other plastic operations on muscle
Musculoplasty Myoplasty
Other plastic operations on tendon
Myotenoplasty Tendon fixation Tenodesis Tenoplasty
Other plastic operations on fascia
Fascia lengthening Fascioplasty Plication of fascia
83.9 Other operations on muscle, tendon, fascia, and bursa
Excludes: nonoperative:
manipulation (93.25-93.29)
stretching (93.27-93.29)
Lysis of adhesions of muscle, tendon, fascia, and barsa
Excludes: that for tarsal tunnel syndrome (04.44)
Insertion or replacement of skeletal muscle stimulator
Implantation, insertion, placement, or replacement of skeletal muscle:
electrodes stimulator
Removal of skeletal muscle stimulator
83.94 Aspiration of barsa
83.79
83.81
83.82
83.83
83.84
83.85
83.86
83.87
83.88
83.89
83.91
83.92
83.93
83.95 Aspiration of other soft tissue
Excludes: that of skin and subcutaneous tissue (86.01)
83.96 Injection of therapeutic substance into bursa
83.97 Injection of therapeutic substance into tendon
83.98 Injection of locally-acting therapeutic substance into other soft tissue
Excludes: subcutaneous or intramuscular injection (99.11-99.29)
Other operations on muscle, tendon, fascia, and bursa
Suture of bursa
83.99
84 Other procedures on musculoskeletal system
84.0 Amputation of upper limb
Excludes: revision of amputation stump (84.3)
Upper limb amputation, not otherwise specified Closed flap amputation of upper limb NOS Kineplastic
amputation of upper limb NOS
Open or guillotine amputation of upper limb NOS
Revision of current traumatic amputation of upper limb NOS
Amputation and disarticulation of finger Excludes: ligation of supernumerary finger (86.26) Amputation and
disarticulation of thumb
Amputation through hand
Amputation through carpals
Disarticulation of wrist Amputation through forearm
Forearm amputation
Disarticulation of elbow Amputation through humerus
Upper arm amputation
Disarticulation of shoulder Interthoracoscapular amputation
Forequarter amputation
84.1 Amputation of lower limb
Excludes: revision of amputation stump (84.3)
Lower limb amputation, not otherwise specified Closed flap amputation of lower limb NOS Kineplastic amputation
of lower limb NOS
Open or guillotine amputation of lower limb NOS
Revision of current traumatic amputation of lower limb NOS
84.00
84.01
84.02
84.03
84.04
84.05
84.06
84.07
84.08
84.09
84.10
84.11
Amputation of toe
Amputation through metatarsophalangeal joint Disarticulation of toe
Metatarsal head amputation
Ray amputation of foot (disarticulation of the metatarsal head of the toe extending across the forefoot just
proximal to the metatarsophalangeal crease)
Excludes: ligation of supernumerary toe (86.26)
Amputation through foot Amputation of forefoot Amputation through middle of foot Chopart's amputation
Midtarsal amputation
Transmetatarsal amputation (amputation of the forefoot, including all the toes)
Excludes: Ray amputation of foot (84.11)
Disarticulation of ankle
Amputation of ankle through malleoli of tibia and fibula Other amputation below knee
Amputation of leg through tibia and fibula NOS
Disarticulation of knee
Batch, Spitler, and McFaddin amputation Mazet amputation
S.P. Roger's amputation
Amputation above knee Amputation of leg through femur Amputation of thigh
Conversion of below- knee amputation into above- knee amputation Supracondylar above- knee amputation
Disarticulation of hip Abdominopelvic amputation
Hemipelvectomy Hindquarter amputation
84.2 Reattachment of extremity
Thumb reattachment Finger reattachment
Forearm, wrist, or hand reattachment
Upper arm reattachment
Reattachment of arm NOS
Toe reattachment Foot reattachment
Lower leg or ankle reattachment
Reattachment of leg NOS
Thigh reattachment Other reattachment
84.12
84.13
84.14
84.15
84.16
84.17
84.18
84.19
84.21
84.22
84.23
84.24
84.25
84.26
84.27
84.28
84.29
84.3
Revision of amputation stump
Reamputation of stump Secondary closure of stump Trimming of stump
Excludes: revision of current traumatic amputation [revision by further amputation of current injury] (84.00-
84.19, 84.91)
84.4 Implantation or fitting of prosthetic limb device
Implantation or fitting of prosthetic limb device, not otherwise specified
84.41 Fitting of prosthesis of upper arm and shoulder
84.42 Fitting of prosthesis of lower arm and hand
84.43 Fitting of prosthesis of arm, not otherwise specified Implantation of prosthetic device of arm
84.45 Fitting of prosthesis above knee
84.46 Fitting of prosthesis below knee
84.47 Fitting of prosthesis of leg, not otherwise specified Implantation of prosthetic device of leg
84.5 Implantation of other musculoskeletal devices and substances
Excludes: insertion of (non-fusion) spinal disc replacement device (84.60 - 84.69)
84.51 Insertion of interbody spinal fusion device
Insertion of:cages (carbon, ceramic, metal, plastic or titanium) interbody fusion cage
synthetic cages or spacers threaded bone dowels
Code also refusion of spine (81.30 - 81.39)
Code also spinal fusion (81.00 - 81.08)
84.52 Insertion of recombinant bone morphogenetic protein
rhBMP
That via collagen sponge, coral, ceramic and other carriers Code also primary procedure performed:
fracture repair (79.00- 79.99)
spinal fusion (81.00 - 81.08)
spinal refusion (81.30 - 81.39)
84.53 Implantation of internal limb lengthening device with kinetic distraction
Code also limb lengthening procedure (78.30 - 78.39)
84.54 Implantation of other internal limb lengthening device
Implantation of internal limb lengthening device, Not Otherwise Specified (NOS)
Code also limb lengthening procedure (78.30 - 78.39)
84.40
84.44
84.48
84.55 Insertion of bone void filler ®
Insertion of:
acrylic cement (PMMA) bone void cement
calcium based bone void filler polymethylmethacrylate (PMMA)
Excludes: that with percutaneous vertebral augmentation (81.66) that with percutaneous vertebroplasty
(81.65)
84.56 Insertion or replacement of (cement) spacer ®
Insertion or replacement of joint (methylmethacrylate) spacer
84.57 Removal of (cement) spacer ®
Removal of joint (methylmethacrylate) spacer
Insertion of other spinal devices ®
Excludes: initial insertion of pedicle screws with spinal fusion --omit code
insertion of facet replacement device(s) (84.84) insertion of interspinous process device(s) (84.80)
insertion of pedicle-based dynamic stabilization device(s)
(84.82)
84.59
*Delete code 84.58
84.6 Replacement of spinal disc
Includes: non- fusion arthroplasty of the spine with insertion of artificial disc prosthesis
Insertion of spinal disc prosthesis, not otherwise specified
Replacement of spinal disc, NOS Includes: diskectomy (discectomy)
Insertion of partial spinal disc prosthesis, cervical
Nuclear replacement device, cervical
Partial artificial disc prosthesis (flexible), cervical Replacement of nuclear disc (nucleus pulposus), cervical
Includes: diskectomy (discectomy)
Insertion of total spinal disc prosthesis, cervical Replacement of cervical spinal disc, NOS Replacement of total
spinal disc, cervical
Total artificial disc prosthesis (flexible), cervical Includes: diskectomy (discectomy)
Insertion of spinal disc prosthesis, thoracic Artificial disc prosthesis (flexible), thoracic Replacement of
thoracic spinal disc, partial or total Includes: diskectomy (discectomy)
Insertion of partial spinal disc prosthesis, lumbosacral
Nuclear replacement device, lumbar
Partial artificial disc prosthesis (flexible), lumbar
Replacement of nuclear disc (nucleus pulposus), lumbar Includes: diskectomy (discectomy)
84.60
84.61
84.62
84.63
84.64
84.65
Insertion of total spinal disc prosthesis, lumbosacral
Replacement of lumbar spinal disc, NOS Replacement of total spinal disc, lumbar
Total artificial disc prosthesis (flexible), lumbar Includes: diskectomy (discectomy)
Revision or replacement of artificial spinal disc prosthesis, cervical
Removal of (partial) (total) spinal disc prosthesis with synchronous insertion of new (partial) (total) spinal disc
prosthesis, cervical
Repair of previously inserted spinal disc prosthesis, cervical
Revision or replacement of artificial spinal disc prosthesis, thoracic
Removal of (partial) (total) spinal disc prosthesis with synchronous insertion of new (partial) (total) spinal disc
prosthesis, thoracic
Repair of previously inserted spinal disc prosthesis, thoracic
Revision or replacement of artificial spinal disc prosthesis, lumbosacral
Removal of (partial) (total) spinal disc prosthesis with synchronous insertion of new (partial)(total) spinal disc
prosthesis, lumbosacral
Repair of previously inserted spinal disc prosthesis, lumbosacral
Revision or replacement of artificial spinal disc prosthesis, not
otherwise specified
Removal of (partial) (total) spinal disc prosthesis with synchronous insertion of new (partial)(total) spinal disc
prosthesis
Repair of previously inserted spinal disc prosthesis
84.7 Adjunct codes for external fixator devices
Code also any primary procedure performed:
application of external fixator device (78.10, 78.12- 78.13, 78.15,
78.17- 78.19)
reduction of fracture and dislocation (79.00- 79.89)
84.71 Application of external fixator device, monoplanar system
Excludes: other hybrid device or system (84.73) ring device or system (84.72)
84.72 Application of external fixator device, ring system
Ilizarov type Sheffield type
Excludes: monoplanar device or system (84.71) other hybrid device or system (84.73)
84.73 Application of hybrid external fixator device
Computer (assisted) (dependent) external fixator device Hybrid system using both ring and monoplanar devices
Excludes: monoplanar device or system, when used alone (84.71) ring device or system, when used alone (84.72)
84.66
84.67
84.68
84.69
84.8 Insertion, replacement and revision of posterior spinal motion preservation device(s)
Dynamic spinal stabilization device(s)
Includes any synchronous facetectomy (partial, total) performed at the same level
Code also any synchronous surgical decompression (foraminotomy, laminectomy, laminotomy), if performed
(03.09)
Excludes: fusion of spine (81.00 81.08, 81.30-81.39) insertion of artificial disc prosthesis (84.60-84.69)
insertion of interbody spinal fusion device (84.51)
Insertion or replacement of interspinous process device(s)
Interspinous process decompression device(s) Interspinous process distraction device(s)
Excludes: insertion or replacement of facet replacement device (84.84) insertion or replacement of pedicle-
based dynamic
stabilization device (84.82)
Revision of interspinous process device(s)
Repair of previously inserted interspinous process device(s)
Excludes: revision of facet replacement device(s) (84.85) revision of pedicle-based dynamic stabilization device
(84.83)
Insertion or replacement of pedicle-based dynamic stabilization device(s)
Excludes: initial insertion of pedicle screws with spinal fusion--omit code insertion or replacement of facet
replacement device(s)
(84.84)
insertion or replacement of interspinous process device(s) (84.80)
replacement of pedicle screws used in spinal fusion (78.59)
Revision of pedicle-based dynamic stabilization device(s) Repair of previously inserted pedicle- based
dynamic stabilization device(s)
Excludes: removal of pedicle screws used in spinal fusion (78.69) replacement of pedicle screws used in spinal
fusion (78.59) revision of facet replacement device(s) (84.85)
revision of interspinous process device(s) (84.81)
Insertion or replacement of facet replacement device(s)
Facet arthroplasty
Excludes: initial insertion of pedicle screws with spinal fusion--omit code insertion or replacement of
interspinous process device(s)
(84.80)
insertion or replacement of pedicle-based dynamic stabilization device(s) (84.82))
replacement of pedicle screws used in spinal fusion (78.59)
84.80
84.81
84.82
84.83
84.84
84.85
Revision of facet replacement device(s)
Repair of previously inserted facet replacement device(s)
Excludes: removal of pedicle screws used in spinal fusion (78.69) replacement of pedicle screws used in spinal
fusion(78.59) revision of interspinous process device(s) (84.81)
revision of pedicle-based dynamic stabilization device(s) (84.83)
84.9 Other operations on musculoskeletal system
Excludes: nonoperative manipulation (93.25-93.29) Amputation, not otherwise specified Separation of equal
conjoined twins
Separation of unequal conjoined twins
Separation of conjoined twins NOS
Other
84.91
84.92
84.93
84.99
15. OPERATIONS ON THE INTEGUMENTARY SYSTEM (85-86)
85.11
85.12
85.20
85.21
85.22
85.23
85.24
85.25
85.3 Reduction mammoplasty and subcutaneous mammectomy
Unilateral reduction mammoplasty
Unilateral:
amputative mammoplasty size reduction mammoplasty
Bilateral reduction mammoplasty
Amputative mammoplasty
Reduction mammoplasty (for gynecomastia)
Unilateral subcutaneous mammectomy with synchronous implant
Excludes: that without synchronous implant (85.34)
Other unilateral subcutaneous mammectomy
Removal of breast tissue with preservation of skin and nipple Subcutaneous mammectomy NOS
Bilateral subcutaneous mammectomy with synchronous implant
Excludes: that without synchronous implant (85.36)
Other bilateral subcutaneous mammectomy
85.4 Mastectomy
Unilateral simple mastectomy
Mastectomy:
NOS
complete
Bilateral simple mastectomy
Bilateral complete mastectomy
Unilateral extended simple mastectomy Extended simple mastectomy NOS Modified radical mastectomy
Simple mastectomy with excision of regional lymph nodes
Bilateral extended simple mastectomy Unilateral radical mastectomy
Excision of breast, pectoral muscles, and regional lymph nodes [axillary, clavicular, supraclavicular]
Radical mastectomy NOS
Bilateral radical mastectomy
Unilateral extended radical mastectomy
Excision of breast, muscles, and lymph nodes [axillary, clavicular, supraclavicular, internal mammary, and
mediastinal]
Extended radical mastectomy NOS
Bilateral extended radical mastectomy
85.5 Augmentation mammoplasty
Excludes: that associated with subcutaneous mammectomy (85.33, 85.35)
Augmentation mammoplasty, not otherwise specified
85.51 Unilateral injection into breast for augmentation
85.52 Bilateral injection into breast for augmentation
Injection into breast for augmentation NOS
85.31
85.32
85.33
85.34
85.35
85.36
85.41
85.42
85.43
85.44
85.45
85.46
85.47
85.48
85.50
85.53
85.54
Unilateral breast implant
Bilateral breast implant
Breast implant NOS
Mastopexy
85.7 Total reconstruction of breast ®
Total reconstruction of breast, not otherwise specified
Perforator flap, free
Latissimus dorsi myocutaneous flap
Transverse rectus abdominis myocutaneous (TRAM) flap, pedicled
Excludes: transverse rectus abdominis myocutaneous (TRAM) flap, free (85.73)
Transverse rectus abdominis myocutaneous (TRAM) flap, free
Excludes: transverse rectus abdominis myocutaneous (TRAM) flap, pedicled (85.72)
Deep inferior epigastric artery perforator (DIEP) flap, free Superficial inferior epigastric artery (SIEA) flap,
free Gluteal artery perforator (GAP) flap, free
Other total reconstruction of breast
Excludes: deep inferior epigastric artery perforator (DIEP) flap, free (85.74)
gluteal artery perforator (GAP) flap, free (85.76) latissimus dorsi myocutaneous flap (85.71) perforator flap,
free (85.70)
superficial inferior epigastric artery (SIEA) flap, free (85.75) total reconstruction of breast, not otherwise
specified
(85.70)
transverse rectus abdominis myocutaneous (TRAM) flap, free (85.73)
transverse rectus abdominis myocutaneous (TRAM) flap, pedicled (85.72)
85.8 Other repair and plastic operations on breast ®
Excludes: that for:
augmentation (85.50-85.54)
reconstruction (85.70-85.76, 85.79)
reduction (85.31-85.32)
85.81 Suture of laceration of breast Split-thickness graft to breast Full-thickness graft to breast Pedicle graft
to breast
Muscle flap graft to breast Transposition of nipple
Other repair or reconstruction of nipple
Other mammoplasty
85.6
85.70
85.71
85.72
85.73
85.74
85.75
85.76
85.79
85.82
85.83
85.84
85.85
85.86
85.87
85.89
85.9 Other operations on the breast
Aspiration of breast
Excludes: percutaneous biopsy of breast (85.11)
85.92 Injection of therapeutic agent into breast
Excludes: that for augmentation of breast (85.51-85.52)
Revision of implant of breast
Removal of implant of breast Insertion of breast tissue expander
Insertion (soft tissue) of tissue expander (one or more) under muscle or platysma to develop skin flaps for donor
use
Removal of breast tissue expander Other
85.91
85.93
85.94
85.95
85.96
85.99
86 Operations on skin and subcutaneous tissue
Includes: operations on:
hair follicles male perineum nails
sebaceous glands subcutaneous fat pads sudoriferous glands superficial fossae
Excludes: those on skin of:
anus (49.01-49.99)
breast (mastectomy site) (85.0-85.99) ear (18.01-18.9)
eyebrow (08.01-08.99)
eyelid (08.01-08.99)
female perineum (71.01-71.9)
lips (27.0-27.99)
nose (21.00-21.99)
penis (64.0-64.99)
scrotum (61.0-61.99)
vulva (71.01-71.9)
86.0 Incision of skin and subcutaneous tissue
86.01 Aspiration of skin and subcutaneous tissue
Aspiration of:
abscess of nail, skin, or subcutaneous tissue hematoma of nail, skin, or subcutaneous tissue seroma of nail, skin, or
subcutaneous tissue
86.02 Injection or tattooing of skin lesion or defect
Injection of filling material Insertion of filling material
Pigmenting of skin of filling material
86.03 Incision of pilonidal sinus or cyst
Excludes: marsupialization (86.21)
86.04 Other incision with drainage of skin and subcutaneous tissue
Excludes: drainage of:
fascial compartments of face and mouth (27.0) palmar or thenar space (82.04)
pilonidal sinus or cyst (86.03)
86.05 Incision with removal of foreign body or device from skin and ®
subcutaneous tissue
Removal of loop recorder
Removal of neurostimulator pulse generator (single array, dual array)
Removal of tissue expander(s) from skin or soft tissue other than breast tissue
Removal of carotid sinus baroreflex activation device
Excludes: removal of foreign body without incision (98.20-98.29)
Insertion of totally implantable infusion pump
Code also any associated catheterization
Excludes: insertion of totally implantable vascular access device (86.07)
Insertion of totally implantable vascular access device [VAD]
Totally implanted port
Excludes: insertion of totally implantable infusion pump (86.06)
Other incision of skin and subcutaneous tissue ®
Creation of thalamic stimulator pulse generator pocket, new site Escharotomy
Exploration:
sinus tract, skin superficial fossa
Relocation of subcutaneous device pocket NEC
Reopening subcutaneous pocket for device revision without replacement
Undercutting of hair follicle
Excludes: creation of loop recorder pocket, new site and insertion/relocation of device (37.79)
creation of pocket for implantable, patient-activated cardiac event recorder and insertion/relocation of device
(37.79)
removal of catheter from cranial cavity (01.27)
that of:
cardiac pacemaker pocket, new site (37.79) fascial compartments of face and mouth (27.0)
that for drainage (86.04)
86.1 Diagnostic procedures on skin and subcutaneous tissue
Biopsy of skin and subcutaneous tissue
86.19 Other diagnostic procedures on skin and subcutaneous tissue
Excludes: microscopic examination of specimen from skin and subcutaneous tissue (91.61-91.79)
86.06
86.07
86.09
86.11
86.2 Excision or destruction of lesion or tissue of skin and subcutaneous
tissue
86.21
Excision of pilonidal cyst or sinus
Marsupialization of cyst
Excludes: incision of pilonidal cyst or sinus (86.03)
Excisional debridement of wound, infection, or burn
Removal by excision of:
devitalized tissue necrosis
slough
Excludes: debridement of:
abdominal wall (wound) (54.3) bone (77.60-77.69)
muscle (83.45)
of hand (82.36)
nail (bed) (fold) (86.27)
nonexcisional debridement of wound, infection, or burn (86.28)
open fracture site (79.60-79.69) pedicle or flap graft (86.75)
86.23 Removal of nail, nail bed, or nail fold
86.24 Chemosurgery of skin
Chemical peel of skin
Dermabrasion
That with laser
Excludes: dermabrasion of wound to remove embedded debris (86.28)
86.26 Ligation of dermal appendage
Excludes: excision of preauricula appendage (18.29)
86.27 Debridement of nail, nail bed, or nail fold
Removal of:
necrosis slough
Excludes: removal of nail, nail bed, or nail fold (86.23)
86.28 Nonexcisional debridement of wound, infection or burn
Debridement NOS Maggot therapy
Removal of devitalized tissue, necrosis and slough by such methods as: brushing
irrigation (under pressure) scrubbing
washing
Water scalpel (jet)
86.22
86.25
86.3
Other local excision or destruction of lesion or tissue of skin and
subcutaneous tissue
Destruction of skin by:
cauterization cryosurgery fulguration
laser beam That with Z- plasty
Excludes: adipectomy (86.83)
biopsy of skin (86.11)
wide or radical excision of skin (86.4) Z-plasty without excision (86.84)
Radical excision of skin lesion
Wide excision of skin lesion involving underlying or adjacent structure Code also any lymph node dissection
(40.3- 40.5)
86.5 Suture or other closure of skin and subcutaneous tissue
86.51 Replantation of scalp
Closure of skin and subcutaneous tissue of other sites
Adhesives (surgical) (tissue) Staples
Sutures
Excludes: application of adhesive strips (butterfly) --omit code
86.6 Free skin graft ®
Includes: excision of skin for autogenous graft
Excludes: construction or reconstruction of: penis (64.43-64.44)
trachea (31.75)
vagina (70.61-70.64)
Free skin graft, not otherwise specified Full-thickness skin graft to hand
Excludes: heterograft (86.65)
homograft (86.66)
Other skin graft to hand
Excludes: heterograft (86.65)
homograft (86.66)
Full-thickness skin graft to other sites
Excludes: heterograft (86.65)
homograft (86.66)
86.64 Hair transplant
Excludes: hair follicle transplant to eyebrow or eyelash (08.63)
Heterograft to skin Pigskin graft Porcine graft
Excludes: application of dressing only (93.57)
86.4
86.59
86.60
86.61
86.62
86.63
86.65
86.66
Homograft to skin
Graft to skin of:
amnionic membrane from donor skin from donor
Dermal regenerative graft Artificial skin, NOS Creation of "neodermis" Decellularized allodermis
Integumentary matrix implants Prosthetic implant of dermal layer of skin Regenerate dermal layer of skin
Excludes: heterograft to skin (86.65)
homograft to skin (86.66)
Other skin graft to other sites
Excludes: heterograft (86.65)
homograft (86.66)
86.7 Pedicle grafts or flaps ®
Excludes: construction or reconstruction of:
penis (64.43-64.44)
trachea (31.75)
vagina (70.61-70.64)
Pedicle or flap graft, not otherwise specified Cutting and preparation of pedicle grafts or flaps
Elevation of pedicle from its bed
Flap design and raising
Partial cutting of pedicle or tube Pedicle delay
Excludes: pollicization or digital transfer (82.61, 82.81) revision of pedicle (86.75)
Advancement of pedicle graft
Attachment of pedicle or flap graft to hand
Excludes: pollicization or digital transfer (82.61, 82.81)
Attachment of pedicle or flap graft to other sites
Attachment by:
advanced flap double pedicled flap pedicle graft rotating flap
sliding flap tube graft
Revision of pedicle or flap graft Debridement of pedicle or flap graft Defatting of pedicle or flap graft
86.8 Other repair and reconstruction of skin and subcutaneous tissue
Repair for facial weakness
86.67
86.69
86.70
86.71
86.72
86.73
86.74
86.75
86.81
86.82
Facial rhytidectomy
Face lift
Excludes: rhytidectomy of eyelid (08.86-08.87)
Size reduction plastic operation
Liposuction
Reduction of adipose tissue of:
abdominal wall (pendulous) arms (batwing)
buttock
thighs (trochanteric lipomatosis)
Excludes: breast (85.31-85.32)
Relaxation of scar or web contracture of skin
Z- plasty of skin
Excludes: Z-plasty with excision of lesion (86.3)
Correction of syndactyly Onychoplasty
Other repair and reconstruction of skin and subcutaneous tissue
Excludes: mentoplasty (76.67-76.68)
86.9 Other operations on skin and subcutaneous tissue
Excision of skin for graft
Excision of skin with closure of donor site
Excludes: that with graft at same operative episode (86.60- 86.69)
86.92 Electrolysis and other epilation of skin
Excludes: epilation of eyelid (08.91-08.93)
Insertion of tissue expander
Insertion (subcutaneous) (soft tissue) of expander(one or more) in scalp (subgaleal space), face, neck, trunk
except breast, and upper and lower extremities for development of skin flaps for donor use
Excludes: flap graft preparation (86.71) tissue expander, breast (85.95)
Insertion or replacement of single array neurostimulator pulse generator, not specified as rechargeable
Pulse generator (single array, single channel) for intracranial, spinal, and peripheral neurostimulator
Code also any associated lead implantation (02.93,03.93,04.92)
Excludes: insertion or replacement of single array rechargeable neurostimulator pulse generator (86.97)
Insertion or replacement of dual array neurostimulator pulse generator, not specified as rechargeable
Pulse generator (dual array, dual channel) for intracranial, spinal, and peripheral neurostimulator
Code also any associated lead implantation (02.93,03.93,04.92)
Excludes: insertion or replacement of dual array rechargeable neurostimulator pulse generator (86.98)
86.83
86.84
86.85
86.86
86.89
86.91
86.93
86.94
86.95
86.96
Insertion or replacement of other neurostimulator pulse generator
Code also any associated lead implantation (02.93,03.93,04.92)
Excludes: insertion of dual array neurostimulator pulse generator (86.95, 86.98)
insertion of single array neurostimulator pulse generator (86.94, 86.97)
Insertion or replacement of single array rechargeable neurostimulator pulse generator
Rechargeable pulse generator (single array, single channel) for intracranial, spinal, and peripheral
neurostimulator
Code also any associated lead implantation (02.93,03.93,04.92)
Insertion or replacement of dual array rechargeable neurostimulator pulse generator
Rechargeable pulse generator (dual array, dual channel) for intracranial, spinal, and peripheral
neurostimulator
Code also any associated lead implantation (02.93,03.93,04.92)
86.99 Other
Excludes: removal of sutures from:
abdomen (97.83) head and neck (97.38) thorax (97.43)
trunk NEC (97.84) wound catheter:
irrigation (96.58)
replacement (97.15)
86.97
86.98
16. MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)
87 Diagnostic Radiology
87.0 Soft tissue x-ray of face, head, and neck
Excludes: angiography (88.40-88.68)
Pneumoencephalogram
Other contrast radiogram of brain and skull
Pneumocisternogram Pneumoventriculogram Posterior fossa myelogram
Computerized axial tomography of head
C.A.T. scan of head
Other tomography of head
87.05 Contrast dacryocystogram
Contrast radiogram of nasopharynx
87.07 Contrast laryngogram
87.08 Cervical lymphangiogram
87.09 Other soft tissue x-ray of face, head, and neck
Noncontrast x- ray of:
adenoid larynx
nasolacrimal duct nasopharynx salivary gland thyroid region uvula
Excludes: x-ray study of eye (95.14)
87.1 Other x-ray of face, head, and neck
Excludes: angiography (88.40-88.68)
87.11 Full-mouth x-ray of teeth
87.12 Other dental x-ray
Orthodontic cephalogram or cephalometrics Panorex examination of mandible
Root canal x- ray
87.13 Temporomandibular contrast arthrogram Contrast radiogram of orbit
Contrast radiogram of sinus
87.16 Other x-ray of facial bones
X- ray of:
frontal area mandible maxilla
nasal sinuses
87.01
87.02
87.03
87.04
87.06
87.14
87.15
nose orbit
supraorbital area symphysis menti
zygomaticomaxillary complex
87.17 Other x-ray of skull
Lateral projection of skull Sagittal projection Tangential projection
87.2 X-ray of spine
Contrast myelogram
87.22 Other x-ray of cervical spine
87.23 Other x-ray of thoracic spine
87.24 Other x-ray of lumbosacral spine
Sacrococcygeal x- ray
87.29 Other x-ray of spine
Spinal x- ray NOS
87.3 Soft tissue x-ray of thorax
Excludes: angiocardiography (88.50-88.58)
angiography (88.40-88.68)
87.31 Endotracheal bronchogram
87.32 Other contrast bronchogram
Transcricoid bronchogram
87.33 Mediastinal pneumogram
87.34 Intrathoracic lymphangiogram Contrast radiogram of mammary ducts Xerography of breast
Other mammography
87.38 Sinogram of chest wall
Fistulogram of chest wall
87.39 Other soft tissue x-ray of chest wall
87.4 Other x-ray of thorax
Excludes: angiocardiography (88.50-88.58)
angiography (88.40-88.68)
Computerized axial tomography of thorax ®
C.A.T. scan of thorax
C.A.T. scan of heart
Crystal linea scan of x- ray beam of thorax Electronic substraction of thorax Photoelectric response of thorax
Tomography with use of computer, x- rays, and camera of thorax
87.42 Other tomography of thorax ®
Cardiac tomogram
Excludes: C.A.T. scan of heart (87.41)
87.21
87.35
87.36
87.37
87.41
87.43 X-ray of ribs, sternum, and clavicle
Examination for:
cervical rib fracture
87.44 Routine chest x-ray, so described
X- ray of chest NOS
87.49 Other chest x-ray
X- ray of:
bronchus NOS diaphragm NOS heart NOS
lung NOS mediastinum NOS trachea NOS
87.5 Biliary tract x-ray
Percutaneous hepatic cholangiogram Intravenous cholangiogram Intraoperative cholangiogram
Other cholangiogram
Other biliary tract x-ray
Cholecystogram
87.6 Other x-ray of digestive system
Barium swallow Upper GI series Small bowel series Lower GI series
Other x-ray of intestine Contrast pancreatogram
87.69 Other digestive tract x-ray
87.7 X-ray of urinary system
Excludes: angiography of renal vessels (88.45, 88.65)
Computerized axial tomography of kidney
C.A.T. scan of kidney
Other nephrotomogram Intravenous pyelogram
Diuretic infusion pyelogram
Retrograde pyelogram Percutaneous pyelogram Retrograde cystourethrogram Other cystogram
87.78 Ileal conduitogram
87.51
87.52
87.53
87.54
87.59
87.61
87.62
87.63
87.64
87.65
87.66
87.71
87.72
87.73
87.74
87.75
87.76
87.77
87.79 Other x-ray of the urinary system
KUB x- ray
87.8 X-ray of female genital organs
87.81 X-ray of gravid uterus
Intrauterine cephalometry by x- ray
87.82 Gas contrast hysterosalpingogram
87.83 Opaque dye contrast hysterosalpingogram
87.84 Percutaneous hysterogram
87.85 Other x-ray of fallopian tubes and uterus
87.89 Other x-ray of female genital organs
87.9 X-ray of male genital organs
Contrast seminal vesiculogram
87.92 Other x-ray of prostate and seminal vesicles Contrast epididymogram
87.94 Contrast vasogram
87.95 Other x-ray of epididymis and vas deferens
87.99 Other x-ray of male genital organs
87.91
87.93
88 Other diagnostic radiology and related techniques
88.0 Soft tissue x-ray of abdomen
Excludes: angiography (88.40-88.68)
Computerized axial tomography of abdomen
C.A.T. scan of abdomen
Excludes: C.A.T. scan of kidney (87.71) Other abdomen tomography Excludes: nephrotomogram (87.72)
88.03 Sinogram of abdominal wall
Fistulogram of abdominal wall
Abdominal lymphangiogram
88.09 Other soft tissue x-ray of abdominal wall
88.1 Other x-ray of abdomen
88.11 Pelvic opaque dye contrast radiography
88.12 Pelvic gas contrast radiography
Pelvic pneumoperitoneum
88.13 Other peritoneal pneumogram
88.14 Retroperitoneal fistulogram
88.15 Retroperitoneal pneumogram
88.16 Other retroperitoneal x-ray
88.19 Other x-ray of abdomen
Flat plate of abdomen
88.01
88.02
88.04
88.2 Skeletal x-ray of extremities and pelvis
Excludes: contrast radiogram of joint (88.32)
88.21 Skeletal x-ray of shoulder and upper arm
88.22 Skeletal x-ray of elbow and forearm
88.23 Skeletal x-ray of wrist and hand
88.24 Skeletal x-ray of upper limb, not otherwise specified
88.25 Pelvimetry
88.26 Other skeletal x-ray of pelvis and hip
88.27 Skeletal x-ray of thigh, knee, and lower leg
88.28 Skeletal x-ray of ankle and foot
88.29 Skeletal x-ray of lower limb, not otherwise specified
88.3 Other x-ray
88.31 Skeletal series
X- ray of whole skeleton
88.32 Contrast arthrogram
Excludes: that of temporomandibular joint (87.13)
88.33 Other skeletal x-ray
Excludes: skeletal x-ray of:
extremities and pelvis (88.21-88.29) face, head, and neck (87.11-87.17) spine (87.21-87.29)
thorax (87.43)
Lymphangiogram of upper limb
88.35 Other soft tissue x-ray of upper limb Lymphangiogram of lower limb
88.37 Other soft tissue x-ray of lower limb
Excludes: femoral angiography (88.48,88.66)
Other computerized axial tomography ®
C.A.T. scan NOS
Excludes: C.A.T. scan of:
abdomen (88.01)
head (87.03)
heart (87.41)
kidney (87.71)
thorax (87.41)
88.39 X-ray, other and unspecified
88.34
88.36
88.38
88.4 Arteriography using contrast material
Includes: angiography of arteries
arterial puncture for injection of contrast material radiography of arteries (by fluoroscopy) retrograde
arteriography
The fourth- digit subclassification identifies the site to be viewed, not the site of injection.
Excludes: arteriography using:
radioisotopes or radionuclides (92.01-92.19) ultrasound (88.71-88.79)
fluorescein angiography of eye (95.12)
88.40 Arteriography using contrast material, unspecified site Arteriography of cerebral arteries
Angiography of:
basilar artery carotid (internal)
posterior cerebral circulation vertebral artery
88.42 Aortography
Arteriography of aorta and aortic arch
88.43 Arteriography of pulmonary arteries
88.44 Arteriography of other intrathoracic vessels
Excludes: angiocardiography (88.50-88.58)
arteriography of coronary arteries (88.55-88.57)
Arteriography of renal arteries
88.46 Arteriography of placenta
Placentogram using contrast material
Arteriography of other intra-abdominal arteries Arteriography of femoral and other lower extremity arteries
88.49 Arteriography of other specified sites
88.5 Angiocardiography using contrast material
Includes: arterial puncture and insertion of arterial catheter for injection of contrast material
cineangiocardiography selective angiocardiography
Code also synchronous cardiac catheterization (37.21- 37.23)
Excludes: angiography of pulmonary vessels (88.43, 88.62)
88.50 Angiocardiography, not otherwise specified
88.51 Angiocardiography of venae cavae
Inferior vena cavography
Phlebography of vena cava (inferior) (superior)
88.41
88.45
88.47
88.48
88.52
Angiocardiography of right heart structures ®
Angiocardiography of:
pulmonary valve right atrium
right ventricle (outflow tract)
Excludes: that combined with left heart angiocardiography (88.54) intra-operative fluorescence vascular
angiography (88.59)
Angiocardiography of left heart structures ®
Angiocardiography of:
aortic valve left atrium
left ventricle (outflow tract)
Excludes: that combined with right heart angiocardiography (88.54) intra-operative fluorescence vascular
angiography (88.59)
Combined right and left heart angiocardiography ®
Excludes: intra-operative fluorescence vascular angiography (88.59)
Coronary arteriography using a single catheter ®
Coronary arteriography by Sones technique Direct selective coronary arteriography
using a single catheter
Excludes: intra-operative fluorescence vascular angiography (88.59)
Coronary arteriography using two catheters ®
Coronary arteriography by:
Judkins technique
Ricketts and Abrams technique
Direct selective coronary arteriography using two catheters
Excludes: intra-operative fluorescence vascular angiography (88.59)
Other and unspecified coronary arteriography ®
Coronary arteriography NOS
Excludes: intra-operative fluorescence vascular angiography (88.59)
Negative-contrast cardiac roentgenography
Cardiac roentgenography with injection of carbon dioxide
88.59 Intra-operative fluorescence vascular angiography
Intraoperative laser arteriogram (SPY) SPY arteriogram
SPY arteriography
88.6 Phlebography
Includes: angiography of veins
radiography of veins (by fluoroscopy) retrograde phlebography
venipuncture for injection of contrast material venography using contrast material
Note: The fourth- digit subclassification (88.60- 88.67) identifies the site to be viewed, not the site of injection.
88.53
88.54
88.55
88.56
88.57
88.58
Excludes: angiography using:
radioisotopes or radionuclides (92.01-92.19) ultrasound (88.71-88.79)
fluorescein angiography of eye (95.12)
88.60 Phlebography using contrast material, unspecified site Phlebography of veins of head and neck using
contrast material
88.62 Phlebography of pulmonary veins using contrast material
88.63 Phlebography of other intrathoracic veins using contrast material Phlebography of the portal venous
system using contrast material
Splenoportogram (by splenic arteriography)
Phlebography of other intra-abdominal veins using contrast material
88.66 Phlebography of femoral and other lower extremity veins using contrast material
88.67 Phlebography of other specified sites using contrast material
88.68 Impedance phlebography
88.7 Diagnostic ultrasound
Includes: Echography
Non- invasive ultrasound Ultrasonic angiography Ultrasonography
Excludes: intravascular imaging (adjunctive) (IVUS) (00.21-00.29) therapeutic ultrasound (00.01 -00.09)
Diagnostic ultrasound of head and neck Determination of midline shift of brain Echoencephalography
Excludes: eye (95.13)
Diagnostic ultrasound of heart
Echocardiography
Transesophageal echocardiography
Excludes: echocardiography of heart chambers (37.28) intracardiac echocardiography (ICE) (37.28) intravascular
(IVUS) imaging of coronary vessels (00.24)
Diagnostic ultrasound of other sites of thorax
Aortic arch ultrasonography Breast ultrasonography Lung ultrasonography
Diagnostic ultrasound of digestive system Diagnostic ultrasound of urinary system
Diagnostic ultrasound of abdomen and retroperitoneum
88.77 Diagnostic ultrasound of peripheral vascular system
Deep vein thrombosis ultrasonic scanning
Excludes: adjunct vascular system procedures (00.40-00.43)
88.61
88.64
88.65
88.71
88.72
88.73
88.74
88.75
88.76
88.78 Diagnostic ultrasound of gravid uterus
Intrauterine cephalometry:
echo ultrasonic
Placental localization by ultrasound
Other diagnostic ultrasound
Ultrasonography of:
multiple sites nongravid uterus total body
88.8 Thermography
88.81 Cerebral thermography
88.82 Ocular thermography
88.83 Bone thermography
Osteoarticular thermography
88.84 Muscle thermography
88.85 Breast thermography
88.86 Blood vessel thermography
Deep vein thermography
88.89 Thermography of other sites Lymph gland thermography Thermography NOS
88.9 Other diagnostic imaging
88.90 Diagnostic imaging, not elsewhere classified
Magnetic resonance imaging of brain and brain stem ®
Excludes: intraoperative magnetic resonance imaging (88.96) real-time magnetic resonance imaging (88.96)
laser interstitial thermal therapy [LITT] of lesion or tissue of brain under guidance (17.61)
Magnetic resonance imaging of chest and myocardium ®
For evaluation of hilar and mediastinal lymphadenopathy
Excludes: laser interstitial thermal therapy [LITT] of lesion or tissue of breast under guidance (17.69)
laser interstitial thermal therapy [LITT] of lesion or tissue of lung under guidance (17.69)
Magnetic resonance imaging of spinal canal
Spinal cord levels:
cervical thoracic
lumbar (lumbosacral) Spinal cord
Spine
Magnetic resonance imaging of musculoskeletal
Bone marrow blood supply Extremities (upper) (lower)
88.79
88.91
88.92
88.93
88.94
88.95
Magnetic resonance imaging of pelvis, prostate, and bladder ®
Excludes: laser interstitial thermal therapy [LITT] of lesion or tissue of prostate under guidance (17.69)
88.96 Other intraoperative magnetic resonance imaging
iMRI
Real- time magnetic resonance imaging
Magnetic resonance imaging of other and unspecified sites ®
Abdomen Eye orbit Face Neck
Excludes: laser interstitial thermal therapy [LITT] of lesion or tissue of other and unspecified site under guidance
(17.69)
88.98 Bone mineral density studies
Dual photon absorptiometry
Quantitative computed tomography (CT) studies Radiographic densitometry
Single photon absorptiometry
88.97
89 Interview, evaluation, consultation, and examination
89.0 Diagnostic interview, consultation, and evaluation
Excludes: psychiatric diagnostic interview (94.11-94.19)
89.01 Interview and evaluation, described as brief
Abbreviated history and evaluation
89.02 Interview and evaluation, described as limited
Interval history and evaluation
89.03 Interview and evaluation, described as comprehensive
History and evaluation of new problem
89.04 Other interview and evaluation
89.05 Diagnostic interview and evaluation, not otherwise specified
89.06 Consultation, described as limited
Consultation on a single organ system
89.07 Consultation, described as comprehensive
89.08 Other consultation
89.09 Consultation, not otherwise specified
89.1 Anatomic and physiologic measurements and manual examinations -- nervous system and
sense organs
Excludes: ear examination (95.41-95.49) eye examination (95.01-95.26)
the listed procedures when done as part of a general physical examination (89.7)
89.10 Intracarotid amobarbital test
Wada test
89.11 Tonometry
89.12 Nasal function study
Rhinomanometry
89.13 Neurologic examination
89.14 Electroencephalogram
Excludes: that with polysomnogram (89.17)
89.15 Other nonoperative neurologic function tests
89.16 Transillumination of newborn skull
89.17 Polysomnogram
Sleep recording
89.18 Other sleep disorder function tests
Multiple sleep latency test [MSLT]
89.19 Video and radio-telemetered electroencephalographic monitoring
Radiographic EEG monitoring Video EEG monitoring
89.2 Anatomic and physiologic measurements and manual examinations -- genitourinary
system
Excludes: the listed procedures when done as part of a general physical examination (89.7)
89.21 Urinary manometry
Manometry through:
indwelling ureteral catheter nephrostomy
pyelostomy ureterostomy
89.22 Cystometrogram
89.23 Urethral sphincter electromyogram
89.24 Uroflowmetry [UFR]
89.25 Urethral pressure profile [UPP]
89.26 Gynecological examination
Pelvic examination
89.29 Other nonoperative genitourinary system measurements
Bioassay of urine Renal clearance Urine chemistry
89.3 Other anatomic and physiologic measurements and manual examinations
Excludes: the listed procedures when done as part of a general physical examination (89.7)
89.31 Dental examination
Oral mucosal survey Periodontal survey
89.32 Esophageal manometry
89.33 Digital examination of enterostomy stoma
Digital examination of colostomy stoma
89.34 Digital examination of rectum
89.35 Transillumination of nasal sinuses
89.36 Manual examination of breast
89.37 Vital capacity determination ®
Excludes: endoscopic pulmonary airway flow measurement (33.72)
89.38 Other nonoperative respiratory measurements ® Plethysmography for measurement of respiratory function
Thoracic impedance plethysmography
Excludes: endoscopic pulmonary airway flow measurement (33.72)
89.39 Other nonoperative measurements and examinations
14 C- Urea breath test Basal metabolic rate [BMR] Gastric:
analysis function NEC
Excludes: body measurement (93.07) cardiac tests (89.41-89.69)
fundus photography (95.11)
limb length measurement (93.06)
89.4 Cardiac stress tests, pacemaker and defibrillator checks
89.41 Cardiovascular stress test using treadmill
89.42 Masters' two-step stress test
89.43 Cardiovascular stress test using bicycle ergometer
89.44 Other cardiovascular stress test
Thallium stress test with or without transesophageal pacing
89.45 Artificial pacemaker rate check
Artificial pacemaker function check NOS
Bedside device check of pacemaker or cardiac resynchronization pacemaker [CRT- P]
Interrogation only without arrhythmia induction
Excludes: catheter based invasive electrophysiologic testing (37.26) non-invasive programmed electrical stimulation
[NIPS]
(arrhythmia induction) (37.20)
89.46 Artificial pacemaker artifact wave form check
89.47 Artificial pacemaker electrode impedance check
89.48 Artificial pacemaker voltage or amperage threshold check
89.49 Automatic implantable cardioverter/defibrillator (AICD) check
Bedside check of an AICD or cardiac resynchronization defibrillator [CRT- D]
Checking pacing thresholds of device Interrogation only without arrhythmia induction
Excludes: catheter based invasive electrophysiologic testing (37.26) non-invasive programmed electrical stimulation
[NIPS]
(arrhythmia induction) (37.20)
89.5 Other nonoperative cardiac and vascular diagnostic procedures
Excludes: fetal EKG (75.32)
89.50 Ambulatory cardiac monitoring
Analog devices [Holter- type]
89.51 Rhythm electrocardiogram
Rhythm EKG (with one to three leads)
89.52 Electrocardiogram
ECG NOS
EKG (with 12 or more leads)
89.53 Vectorcardiogram (with ECG)
89.54 Electrographic monitoring
Telemetry
Excludes: ambulatory cardiac monitoring (89.50) electrographic monitoring during surgery --omit code
89.55 Phonocardiogram with ECG lead
89.56 Carotid pulse tracing with ECG lead
Excludes: oculoplethysmography (89.58)
89.57 Apexcardiogram (with ECG lead)
89.58 Plethysmogram
Penile plethysmography with nerve stimulation
Excludes: plethysmography (for):
measurement of respiratory function (89.38) thoracic impedance (89.38)
89.59 Other nonoperative cardiac and vascular measurements
89.6 Circulatory monitoring
Excludes: electrocardiographic monitoring during surgery --omit code implantation or replacement of
subcutaneous device for
intracardiac hemodynamic monitoring (00.57)
insertion or replacement of implantable pressure sensor (lead) for intracardiac hemodynamic monitoring (00.56)
89.60 Continuous intra-arterial blood gas monitoring
Insertion of blood gas monitoring system and continuous monitoring of blood gases through an intra- arterial
sensor
89.61 Systemic arterial pressure monitoring ®
Excludes: intra-aneurysm sac pressure monitoring (intraoperative) (00.58)
intravascular pressure measurement of intrathoracic arteries (00.67)
intravascular pressure measurement of peripheral arteries (00.68)
89.62 Central venous pressure monitoring ®
Excludes: intravascular pressure measurement, other specified and unspecified vessels (00.69)
89.63 Pulmonary artery pressure monitoring
Excludes: pulmonary artery wedge monitoring (89.64)
Pulmonary artery wedge monitoring Pulmonary capillary wedge [PCW] monitoring Swan- Ganz catheterization
89.65 Measurement of systemic arterial blood gases
Excludes: continuous intra-arterial blood gas monitoring (89.60)
89.66 Measurement of mixed venous blood gases
89.67 Monitoring of cardiac output by oxygen consumption technique
Fick method
89.68 Monitoring of cardiac output by other technique
Cardiac output monitor by thermodilution indicator
89.69 Monitoring of coronary blood flow ®
Coronary blood flow monitoring by coincidence counting technique
Excludes: intravascular pressure measurement of coronary arteries (00.59)
89.7 General physical examination
89.8 Autopsy
89.64
90 Microscopic examination-I
The following fourth- digit subclassification is for use with categories in section 90 to identify type of examination:
1 bacterial smear
2 culture
3 culture and sensitivity
4 parasitology
5 toxicology
6 cell block and Papanicolaou smear
9 other microscopic examination
90.0 Microscopic examination of specimen from nervous system and of spinal fluid
90.1 Microscopic examination of specimen from endocrine gland, not elsewhere classified
90.2 Microscopic examination of specimen from eye
90.3 Microscopic examination of specimen from ear, nose, throat, and larynx
90.4 Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other
thoracic specimen, and of sputum
90.5 Microscopic examination of blood
90.6 Microscopic examination of specimen from spleen and of bone marrow
91 Microscopic examination-II
The following fourth- digit subclassification is for use with categories in section 91 to identify type of
examination
1 bacterial smear
2 culture
3 culture and sensitivity
4 parasitology
5 toxicology
6 cell block and Papanicolaou smear
9 other microscopic examination
91.0 Microscopic examination of specimen from liver, biliary tract, and pancreas
91.1 Microscopic examination of peritoneal and retroperitoneal specimen
91.2 Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue
91.3 Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle,
perivesical tissue, and of urine and semen
91.4 Microscopic examination of specimen from female genital tract
Amnionic sac Fetus
91.5 Microscopic examination of specimen from musculoskeletal system and of joint fluid
Microscopic examination of: bone
bursa cartilage fascia ligament muscle
synovial membrane tendon
92.02
92.04
92.11
92.12
92.14
92.16
92.18
92.2 Therapeutic radiology and nuclear medicine
Excludes: that for:
ablation of pituitary gland (07.64-07.69) destruction of chorioretinal lesion (14.26-14.27)
92.20 Infusion of liquid brachytherapy radioisotope
I- 125 radioisotope Intracavitary brachytherapy
Includes: removal of radioisotope
92.21 Superficial radiation
Contact radiation [up to 150 KVP]
92.22 Orthovoltage radiation
Deep radiation [200- 300 KVP]
92.23 Radioisotopic teleradiotherapy
Teleradiotherapy using: cobalt- 60
iodine- 125 radioactive cesium
92.24 Teleradiotherapy using photons
Megavoltage NOS Supervoltage NOS Use of:
Betatron
linear accelerator
92.25 Teleradiotherapy using electrons ®
Beta particles
Excludes: intra-operative electron radiation therapy (92.41)
92.26 Teleradiotherapy of other particulate radiation
Neutrons Protons NOS
Implantation or insertion of radioactive elements
Intravascular brachytherapy Code also incision of site
Excludes: infusion of liquid brachytherapy radioisotope (92.20)
92.28 Injection or instillation of radioisotopes Injection or infusion of radioimmunoconjugate Intracavitary
injection or instillation Intravenous injection or instillation
Iodine- 131 [I- 131] tositumomab Radioimmunotherapy
Ytrium- 90 [Y- 90] ibritumomab tiuxetan
Excludes: infusion of liquid brachytherapy radioisotope (92.20)
92.29 Other radiotherapeutic procedure
92.3 Stereotactic radiosurgery
Code also stereotactic head frame application (93.59)
Excludes: stereotactic biopsy
Stereotactic radiosurgery, not otherwise specified
92.27
92.30
Single source photon radiosurgery
High energy x- rays Linear accelerator (LINAC)
Multi-source photon radiosurgery
Cobalt 60 radiation Gamma irradiation
Particulate radiosurgery
Particle beam radiation (cyclotron) Proton accerlerator
Stereotactic radiosurgery, not elsewhere classified
92.31
92.32
92.33
92.39
92.4 Intra-operative radiation procedures
Intra-operative electron radiation therapy
IOERT
That using a mobile linear accelerator
92.41
93 Physical therapy, respiratory therapy, rehabilitation, and related procedures
93.0 Diagnostic physical therapy
93.01 Functional evaluation
93.02 Orthotic evaluation
93.03 Prosthetic evaluation
93.04 Manual testing of muscle function
93.05 Range of motion testing
93.06 Measurement of limb length
93.07 Body measurement
Girth measurement
Measurement of skull circumference
93.08 Electromyography
Excludes: eye EMG (95.25)
that with polysomnogram (89.17) urethral sphincter EMG (89.23)
93.09 Other diagnostic physical therapy procedure
93.1 Physical therapy exercises
93.11 Assisting exercise
Excludes: assisted exercise in pool (93.31)
93.12 Other active musculoskeletal exercise
93.13 Resistive exercise
93.14 Training in joint movements
93.15 Mobilization of spine
93.16 Mobilization of other joints
Excludes: manipulation o temporomandibular joint (76.95)
93.17 Other passive musculoskeletal exercise
93.18 Breathing exercise
93.19 Exercise, not elsewhere classified
93.2 Other physical therapy musculoskeletal manipulation
93.21 Manual and mechanical traction
Excludes: skeletal traction (93.43-93.44) skin traction (93.45-93.46)
spinal traction (93.41-93.42)
93.22 Ambulation and gait training
93.23 Fitting of orthotic device
93.24 Training in use of prosthetic or orthotic device
Training in crutch walking
93.25 Forced extension of limb
93.26 Manual rupture of joint adhesions
93.27 Stretching of muscle or tendon
93.28 Stretching of fascia
93.29 Other forcible correction of deformity
93.3 Other physical therapy therapeutic procedures
93.31 Assisted exercise in pool
93.32 Whirlpool treatment
93.33 Other hydrotherapy
93.34 Diathermy
93.35 Other heat therapy
Acupuncture with smouldering moxa Hot packs
Hyperthermia NEC Infrared irradiation Moxibustion Paraffin bath
Excludes: hyperthermia for treatment of cancer (99.85)
93.36 Cardiac retraining
93.37 Prenatal training
Training for natural childbirth
93.38 Combined physical therapy without mention of the components
93.39 Other physical therapy
93.4 Skeletal traction and other traction
93.41 Spinal traction using skull device
Traction using:
caliper tongs Crutchfield tongs halo device Vinke tongs
Excludes: insertion of tongs or halo traction device (02.94)
93.42 Other spinal traction
Cotrel's traction
Excludes: cervical collar (93.52)
93.43 Intermittent skeletal traction
93.44 Other skeletal traction Bryant's traction Dunlop's traction Lyman Smith traction Russell's traction
93.45 Thomas' splint traction
93.46 Other skin traction of limbs
Adhesive tape traction Boot traction
Buck's traction Gallows traction
93.5 Other immobilization, pressure, and attention to wound
Excludes: external fixator device (84.71-84.73) wound cleansing (96.58-96.59)
93.51 Application of plaster jacket
Excludes: Minerva jacket (93.52)
93.52 Application of neck support
Application of: cervical collar Minerva jacket
molded neck support
93.53 Application of other cast
93.54 Application of splint
Plaster splint Tray splint
Excludes: periodontal splint (24.7)
93.55 Dental wiring
Excludes: that for orthodontia (24.7)
93.56 Application of pressure dressing
Application of: Gibney bandage
Robert Jones' bandage Shanz dressing
93.57 Application of other wound dressing
Porcine wound dressing
93.58 Application of pressure trousers
Application of:
anti- shock trousers
MAST trousers vasopneumatic device
93.59 Other immobilization, pressure, and attention to wound
Elastic stockings Electronic gaiter
Intermittent pressure device Oxygenation of wound (hyperbaric) Stereotactic head frame application Velpeau
dressing
93.6 Osteopathic manipulative treatment
93.61 Osteopathic manipulative treatment for general mobilization
General articulatory treatment
93.62 Osteopathic manipulative treatment using high- velocity, low-amplitude forces
Thrusting forces
93.63 Osteopathic manipulative treatment using low- velocity, high-amplitude forces
Springing forces
93.64 Osteopathic manipulative treatment using isotonic, isometric forces
93.65 Osteopathic manipulative treatment using indirect forces
93.66 Osteopathic manipulative treatment to move tissue fluids
Lymphatic pump
93.67 Other specified osteopathic manipulative treatment
93.7 Speech and reading rehabilitation and rehabilitation of the blind
93.71 Dyslexia training
93.72 Dysphasia training
93.73 Esophageal speech training
93.74 Speech defect training
93.75 Other speech training and therapy
93.76 Training in use of lead dog for the blind
93.77 Training in braille or Moon
93.78 Other rehabilitation for the blind
93.8 Other rehabilitation therapy
93.81 Recreation therapy
Diversional therapy Play therapy
Excludes: play psychotherapy (94.36)
93.82 Educational therapy
Education of bed- bound children Special schooling for the handicapped
93.83 Occupational therapy
Daily living activities therapy
Excludes: training in activities of daily living for the blind (93.78)
93.84 Music therapy
93.85 Vocational rehabilitation Sheltered employment Vocational:
assessment retraining training
93.89 Rehabilitation, not elsewhere classified
93.9 Respiratory therapy ®
Excludes: insertion of airway (96.01-96.05)
other continuous invasive (through endotracheal tube or tracheostomy) mechanical ventilation (96.70-96.72)
Non-invasive mechanical ventilation ®
Bi- level airway pressure
BiPAP without (delivery through) endotracheal tube or tracheostomy CPAP without (delivery through) endotracheal
tube or tracheostomy Mechanical ventilation NOS
Non- invasive PPV
Non- invasive positive pressure (NIPPV) NPPV
That delivered by non- invasive interface:
face mask nasal mask nasal pillow
oral mouthpiece oronasal mask
Excludes: invasive (through endotracheal tube or tracheostomy) continuous mechanical ventilation (96.70-96.72)
Note: Patients admitted on non- invasive mechanical ventilation that subsequently require invasive mechanical
ventilation; code both types of mechanical ventilation.
Intermittent positive pressure breathing [IPPB]
93.93 Nonmechanical methods of resuscitation
Artificial respiration Manual resuscitation
Mouth- to- mouth resuscitation
93.94 Respiratory medication administered by nebulizer
Mist therapy
93.95 Hyperbaric oxygenation
Excludes: oxygenation of wound (93.59)
93.96 Other oxygen enrichment ® Catalytic oxygen therapy Cytoreductive effect Oxygenators
Oxygen therapy
Excludes: oxygenation of wound (93.59) SuperSaturated oxygen therapy (00.49)
93.97 Decompression chamber
93.90
93.91
93.98 Other control of atmospheric pressure and composition
Antigen- free air conditioning Helium therapy
Excludes: inhaled nitric oxide therapy (INO) (00.12)
93.99 Other respiratory procedures
Continuous negative pressure ventilation [CNP] Postural drainage
94 Procedures related to the psyche
94.0 Psychologic evaluation and testing
94.01 Administration of intelligence test
Administration of: Stanford- Binet
Wechsler Adult Intelligence Scale Wechsler Intelligence Scale for Children
94.02 Administration of psychologic test
Administration of:
Bender Visual- Motor Gestalt Test Benton Visual Retention Test
Minnesota Multiphasic Personality Inventory Wechsler Memory Scale
94.03 Character analysis
94.08 Other psychologic evaluation and testing
94.09 Psychologic mental status determination, not otherwise specified
94.1 Psychiatric interviews, consultations, and evaluations
94.11 Psychiatric mental status determination Clinical psychiatric mental status determination Evaluation for
criminal responsibility
Evaluation for testimentary capacity Medicolegal mental status determination Mental status determination NOS
94.12 Routine psychiatric visit, not otherwise specified
94.13 Psychiatric commitment evaluation
Pre- commitment interview
94.19 Other psychiatric interview and evaluation
Follow- up psychiatric interview NOS
94.2 Psychiatric somatotherapy
94.21 Narcoanalysis
Narcosynthesis
94.22 Lithium therapy
94.23 Neuroleptic therapy
94.24 Chemical shock therapy
94.25 Other psychiatric drug therapy
94.26 Subconvulsive electroshock therapy
94.27
Other electroshock therapy Electroconvulsive therapy (ECT) EST
94.29 Other psychiatric somatotherapy
94.3 Individual psychotherapy
94.31 Psychoanalysis
94.32 Hypnotherapy
Hypnodrome Hypnosis
94.33 Behavior therapy
Aversion therapy Behavior modification Desensitization therapy Extinction therapy Relaxation training Token
economy
94.34 Individual therapy for psychosexual dysfunction
Excludes: that performed in group setting (94.41)
94.35 Crisis intervention
94.36 Play psychotherapy
94.37 Exploratory verbal psychotherapy
94.38 Supportive verbal psychotherapy
94.39 Other individual psychotherapy
Biofeedback
94.4 Other psychotherapy and counselling
94.41 Group therapy for psychosexual dysfunction
94.42 Family therapy
94.43 Psychodrama
94.44 Other group therapy
94.45 Drug addiction counselling
94.46 Alcoholism counselling
94.49 Other counselling
94.5 Referral for psychologic rehabilitation
94.51 Referral for psychotherapy
94.52 Referral for psychiatric aftercare:
That in:
halfway house outpatient (clinic) facility
94.53 Referral for alcoholism rehabilitation
94.54 Referral for drug addiction rehabilitation
94.55 Referral for vocational rehabilitation
94.59 Referral for other psychologic rehabilitation
95.04
95.23
95.24 Electronystagmogram [ENG] Electromyogram of eye [EMG]
95.26 Tonography, provocative tests, and other glaucoma testing
95.3 Special vision services
95.31 Fitting and dispensing of spectacles
95.32 Prescription, fitting, and dispensing of contact lens
95.33 Dispensing of other low vision aids
95.34 Ocular prosthetics
95.35 Orthoptic training
95.36 Ophthalmologic counselling and instruction
Counselling in:
adaptation to visual loss use of low vision aids
95.4 Nonoperative procedures related to hearing
Audiometry
Békésy 5- tone audiometry Impedance audiometry Stapedial reflex response Subjective audiometry Tympanogram
95.42 Clinical test of hearing Tuning fork test Whispered speech test
95.43 Audiological evaluation
Audiological evaluation by:
Bárány noise machine blindfold test
delayed feedback masking
Weber lateralization
95.44 Clinical vestibular function tests
Thermal test of vestibular function
95.45 Rotation tests
Bárány chair
95.46 Other auditory and vestibular function tests
95.47 Hearing examination, not otherwise specified
95.48 Fitting of hearing aid
Excludes: implantation of electromagnetic hearing device (20.95)
95.49 Other nonoperative procedures related to hearing
Adjustment (external components) of cochlear prosthetic device
95.25
95.41
96 Nonoperative intubation and irrigation
96.0 Nonoperative intubation of gastrointestinal and respiratory tracts
96.01 Insertion of nasopharyngeal airway
96.02 Insertion of oropharyngeal airway
96.03 Insertion of esophageal obturator airway
96.04 Insertion of endotracheal tube
96.05 Other intubation of respiratory tract
Excludes: endoscopic insertion or replacement of bronchial device or substance (33.71, 33.79)
96.06 Insertion of Sengstaken tube
Esophageal tamponade
96.07 Insertion of other (naso-)gastric tube
Intubation for decompression
Excludes: that for enteral infusion of nutritional substance (96.6)
Insertion of (naso-)intestinal tube
Miller- Abbott tube (for decompression)
96.09 Insertion of rectal tube
Replacement of rectal tube
96.1 Other nonoperative insertion
Excludes: nasolacrimal intubation (09.44)
96.11 Packing of external auditory canal
96.14 Vaginal packing
96.15 Insertion of vaginal mold
96.16 Other vaginal dilation
96.17 Insertion of vaginal diaphragm
96.18 Insertion of other vaginal pessary
96.19 Rectal packing
96.2 Nonoperative dilation and manipulation
96.21 Dilation of frontonasal duct
96.22 Dilation of rectum Dilation of anal sphincter
96.24 Dilation and manipulation of enterostomy stoma
96.25 Therapeutic distention of bladder
Intermittent distention of bladder
96.26 Manual reduction of rectal prolapse
96.27 Manual reduction of hernia
96.28 Manual reduction of enterostomy prolapse
96.08
96.23
96.29 Reduction of intussusception of alimentary tract
With:
fluoroscopy
ionizing radiation enema ultrasonography guidance
Hydrostatic reduction Pneumatic reduction
Excludes: intra-abdominal manipulation of intestine, not otherwise specified (46.80)
96.3 Nonoperative alimentary tract irrigation, cleaning, and local instillation
96.31 Gastric cooling
Gastric hypothermia
96.32 Gastric freezing
96.33 Gastric lavage
96.34 Other irrigation of (naso-)gastric tube Gastric gavage
96.36 Irrigation of gastrostomy or enterostomy
96.37 Proctoclysis
96.38 Removal of impacted feces
Removal of impaction: by flushing manually
96.39 Other transanal enema
Rectal irrigation
Excludes: reduction of intussusception of alimentary tract by ionizing radiation enema (96.29)
96.4 Nonoperative irrigation, cleaning, and local instillation of other digestive and genitourinary
organs
96.41 Irrigation of cholecystostomy and other biliary tube
96.42 Irrigation of pancreatic tube
96.43 Digestive tract instillation, except gastric gavage
96.44 Vaginal douche
96.45 Irrigation of nephrostomy and pyelostomy
96.46 Irrigation of ureterostomy and ureteral catheter
96.47 Irrigation of cystostomy
96.48 Irrigation of other indwelling urinary catheter
96.49 Other genitourinary instillation
Insertion of prostaglandin suppository
96.5 Other nonoperative irrigation and cleaning
96.51 Irrigation of eye
Irrigation of cornea
Excludes: irrigation with removal of foreign body (98.21)
96.35
96.52 Irrigation of ear
Irrigation with removal of cerumen
96.53 Irrigation of nasal passages
96.54 Dental scaling, polishing, and debridement
Dental prophylaxis Plaque removal
96.55 Tracheostomy toilette
96.56 Other lavage of bronchus and trachea
Excludes: diagnostic bronchoalveolar lavage (BAL) (33.24) whole lung lavage (33.99)
96.57 Irrigation of vascular catheter
96.58 Irrigation of wound catheter
96.59 Other irrigation of wound
Wound cleaning NOS
Excludes: debridement (86.22, 86.27-86.28)
96.6 Enteral infusion of concentrated nutritional substances
96.7 Other continuous invasive mechanical ventilation ®
Includes: Endotracheal respiratory assistance
BiPAP delivered through endotracheal tube or tracheostomy (invasive interface)
CPAP delivered through endotracheal tube or tracheostomy (invasive interface)
Invasive positive pressure ventilation [IPPV]
Mechanical ventilation through invasive interfaceThat by tracheostomy
Weaning of an intubated (endotracheal tube) patient
Excludes: non-invasive bi-level positive airway pressure [BiPAP] (93.90) continuous negative pressure
ventilation [CNP] (iron lung) (cuirass)
(93.99)
non-invasive continuous positive airway pressure [CPAP] (93.90) intermittent positive pressure breathing [IPPB]
(93.91)
non-invasive positive pressure (NIPPV) (93.90) that by face mask (93.90-93.99)
that by nasal cannula(93.90-93.99) that by nasal catheter (93.90-93.99))
Code also any associated:
endotracheal tube insertion (96.04) tracheostomy (31.1- 31.29)
Note: Endotracheal Intubation
To calculate the number of hours (duration) of continuous mechanical ventilation during a hospitalization, begin
the count from the start of the (endotracheal) intubation. The duration ends with (endotracheal) extubation.
If a patient is intubated prior to admission, begin counting the duration from the time of the admission. If a
patient is transferred (discharged)
while intubated, the duration would end at the time of transfer (discharge).
For patients who begin on (endotracheal) intubation and subsequently have a tracheostomy performed
for mechanical ventilation, the duration begins with the (endotracheal) intubation and ends when the
mechanical ventilation is turned off (after the weaning period).
Tracheostomy
To calculate the number of hours of continuous mechanical ventilation during a hospitalization, begin
counting the duration when mechanical ventilation is started. The duration ends when the mechanical
ventilator is turned off (after the weaning period).
If a patient has received a tracheostomy prior to admission and is on mechanical ventilation at the
time of admission, begin counting the duration from the time of admission. If a patient is transferred
(discharged) while still on mechanical ventilation via tracheostomy, the duration would end at the
time of the transfer (discharge).
Continuous invasive mechanical ventilation of unspecified duration ®
Invasive mechanical ventilation NOS
Continuous invasive mechanical ventilation for less than 96 consecutive hours ®
Continuous invasive mechanical ventilation for 96 consecutive hours or more ®
96.70
96.71
96.72
97 Replacement and removal of therapeutic appliances
97.0 Nonoperative replacement of gastrointestinal appliance
97.01 Replacement of (naso-)gastric or esophagostomy tube
97.02 Replacement of gastrostomy tube
97.03 Replacement of tube or enterostomy device of small intestine
97.04 Replacement of tube or enterostomy device of large intestine
97.05 Replacement of stent (tube) in biliary or pancreatic duct
97.1 Nonoperative replacement of musculoskeletal and integumentary system appliance
97.11 Replacement of cast on upper limb
97.12 Replacement of cast on lower limb
97.13 Replacement of other cast
97.14 Replacement of other device for musculoskeletal immobilization
Splinting Strapping
97.15 Replacement of wound catheter
97.16 Replacement of wound packing or drain
Excludes: repacking of:
dental wound (97.22)
vulvar wound (97.26)
97.2 Other nonoperative replacement
97.21 Replacement of nasal packing
97.22 Replacement of dental packing
97.23 Replacement of tracheostomy tube
97.24 Replacement and refitting of vaginal diaphragm
97.25 Replacement of other vaginal pessary
97.26 Replacement of vaginal or vulvar packing or drain
97.29 Other nonoperative replacements
97.3 Nonoperative removal of therapeutic device from head and neck
97.31 Removal of eye prosthesis
Excludes: removal of ocular implant (16.71) removal of orbital implant (16.72)
97.32 Removal of nasal packing
97.33 Removal of dental wiring
97.34 Removal of dental packing
97.35 Removal of dental prosthesis
97.36 Removal of other external mandibular fixation device
97.37 Removal of tracheostomy tube
97.38 Removal of sutures from head and neck
97.39 Removal of other therapeutic device from head and neck
Excludes: removal of skull tongs (02.94)
97.4 Nonoperative removal of therapeutic device from thorax
97.41 Removal of thoracotomy tube or pleural cavity drain
97.42 Removal of mediastinal drain
97.43 Removal of sutures from thorax
97.44 Nonoperative removal of heart assist system
Explantation [removal] of circulatory assist device
Explantation [removal] of percutaneous external heart assist device Intra- aortic balloon pump [IABP]
Removal of extrinsic heart assist device Removal of pVAD
Removal of percutaneous heart assist device
97.49 Removal of other device from thorax ®
Excludes: Endoscopic removal of bronchial device(s) or substances (33.78)
97.5 Nonoperative removal of therapeutic device from digestive system
97.51 Removal of gastrostomy tube
97.52 Removal of tube from small intestine
97.53 Removal of tube from large intestine or appendix
97.54 Removal of cholecystostomy tube
97.55 Removal of T-tube, other bile duct tube, or liver tube
Removal of bile duct stent
97.56 Removal of pancreatic tube or drain
97.59 Removal of other device from digestive system
Removal of rectal packing
97.6 Nonoperative removal of therapeutic device from urinary system
97.61 Removal of pyelostomy and nephrostomy tube Removal of ureterostomy tube and ureteral catheter
97.63 Removal of cystostomy tube
97.64 Removal of other urinary drainage device
Removal of indwelling urinary catheter
97.65 Removal of urethral stent
97.69 Removal of other device from urinary system
97.7 Nonoperative removal of therapeutic device from genital system
97.71 Removal of intrauterine contraceptive device
97.72 Removal of intrauterine pack
97.73 Removal of vaginal diaphragm
97.74 Removal of other vaginal pessary
97.75 Removal of vaginal or vulvar packing
97.79 Removal of other device from genital tract
Removal of sutures
97.8 Other nonoperative removal of therapeutic device
97.81 Removal of retroperitoneal drainage device
97.82 Removal of peritoneal drainage device
97.83 Removal of abdominal wall sutures
97.84 Removal of sutures from trunk, not elsewhere classified
97.85 Removal of packing from trunk, not elsewhere classified
97.86 Removal of other device from abdomen
97.87 Removal of other device from trunk
97.88 Removal of external immobilization device
Removal of:
brace cast splint
97.89 Removal of other therapeutic device
97.62
98 Nonoperative removal of foreign body or calculus
98.0 Removal of intraluminal foreign body from digestive system without incision
Excludes: removal of therapeutic device (97.51-97.59)
98.01 Removal of intraluminal foreign body from mouth without incision
98.02
Removal of intraluminal foreign body from esophagus without incision
Removal of intraluminal foreign body from stomach and small intestine without incision
Removal of intraluminal foreign body from large intestine without incision
98.05 Removal of intraluminal foreign body from rectum and anus without incision
98.1 Removal of intraluminal foreign body from other sites without incision
Excludes: removal of therapeutic device (97.31-97.49, 97.61-97.89)
98.11 Removal of intraluminal foreign body from ear without incision
98.12 Removal of intraluminal foreign body from nose without incision
98.13 Removal of intraluminal foreign body from pharynx without incision
98.14 Removal of intraluminal foreign body from larynx without incision
98.15 Removal of intraluminal foreign body from trachea and bronchus without incision ®
Excludes: Endoscopic removal of bronchial device(s) or substances (33.78)
98.16 Removal of intraluminal foreign body from uterus without incision
Excludes: removal of intrauterine contraceptive device (97.71)
98.17 Removal of intraluminal foreign body from vagina without incision
98.18 Removal of intraluminal foreign body from artificial stoma without incision
98.19 Removal of intraluminal foreign body from urethra without incision
98.2 Removal of other foreign body without incision
Excludes: removal of intraluminal foreign body (98.01-98.19)
98.20 Removal of foreign body, not otherwise specified
98.21 Removal of superficial foreign body from eye without incision
98.22 Removal of other foreign body without incision from head and neck
Removal of embedded foreign body from eyelid or conjunctiva without incision
98.23 Removal of foreign body from vulva without incision
98.24 Removal of foreign body from scrotum or penis without incision
98.25 Removal of other foreign body without incision from trunk except scrotum, penis, or vulva
98.26 Removal of foreign body from hand without incision
98.27 Removal of foreign body without incision from upper limb, except hand
98.28 Removal of foreign body from foot without incision
98.03
98.04
98.29 Removal of foreign body without incision from lower limb, except foot
98.5 Extracorporeal shockwave lithotripsy [ESWL]
Lithotriptor tank procedure
Disintegration of stones by extracorporeal induced shockwaves That with insertion of stent
Extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureter and/or bladder
98.52 Extracorporeal shockwave lithotripsy [ESWL] of the gallbladder and/or bile duct
98.59 Extracorporeal shockwave lithotripsy of other sites
98.51
99 Other nonoperative procedures
99.0 Transfusion of blood and blood components
Use additional code for that done via catheter or cutdown (38.92- 38.94)
99.00 Perioperative autologous transfusion of whole blood or blood components
Intraoperative blood collection Postoperative blood collection Salvage
Exchange transfusion
Transfusion: exsanguination replacement
Transfusion of previously collected autologous blood
Blood component
Other transfusion of whole blood
Transfusion: blood NOS hemodilution NOS
Transfusion of packed cells Transfusion of platelets
Transfusion of thrombocytes
Transfusion of coagulation factors
Transfusion of antihemophilic factor
Transfusion of other serum
Transfusion of plasma
Excludes: injection [transfusion] of:
antivenin (99.16)
gamma globulin (99.14)
99.08 Transfusion of blood expander
Transfusion of Dextran
99.01
99.02
99.03
99.04
99.05
99.06
99.07
99.09
Transfusion of other substance
Transfusion of:
blood surrogate granulocytes
Excludes: transplantation [transfusion] of bone marrow (41.0)
99.1 Injection or infusion of therapeutic or prophylactic substance
Includes: injection or infusion given:
hypodermically acting locally or systemically intramuscularly acting locally or systemically intravenously acting
locally or systemically
Injection or infusion of thrombolytic agent ®
Alteplase Anistreplase Reteplase Streptokinase Tenecteplase
Tissue plasminogen activator (TPA) Urokinase
Excludes: aspirin --omit code
GP IIB/IIIa platelet inhibitor (99.20) heparin (99.19)
SuperSaturated oxygen therapy (00.49) warfarin --omit code
99.11 Injection of Rh immune globulin
Injection of:
Anti- D (Rhesus) globulin RhoGAM
99.12 Immunization for allergy
Desensitization
99.13 Immunization for autoimmune disease Injection or infusion of gamma globulin ®
Injection of immune sera
Parenteral infusion of concentrated nutritional substances
Hyperalimentation
Total parenteral nutrition [TPN] Peripheral parenteral nutrition [PPN]
99.16 Injection of antidote
Injection of: antivenin
heavy metal antagonist
99.17 Injection of insulin
99.18 Injection or infusion of electrolytes
99.19 Injection of anticoagulant
Excludes: infusion of drotrecogin alfa (activated) (00.11)
99.10
99.14
99.15
99.2 Injection or infusion of other therapeutic or prophylactic substance ®
Includes: injection or infusion given:
hypodermically acting locally or systemically intramuscularly acting locally or systemically intravenously acting
locally or systemically
Use additional code for: injection (into):
breast (85.92)
bursa (82.94, 83.96)
intraperitoneal (cavity) (54.97)
intrathecal (03.92)
joint (76.96, 81.92)
kidney (55.96)
liver (50.94)
orbit (16.91)
other sites --see Alphabetic Index perfusion:
NOS (39.97)
intestine (46.95, 46.96)
kidney (55.95)
liver (50.93)
total body (39.96)
Excludes: SuperSaturated oxygen therapy (00.49)
Injection or infusion of platelet inhibitor
Glycoprotein IIB/IIIa inhibitor GP IIB/IIIa inhibitor
GP IIB- IIIa inhibitor
Excludes: infusion of heparin (99.19)
injection or infusion of thrombolytic agent (99.10)
99.21 Injection of antibiotic
Excludes: injection or infusion of oxazolidinone class of antibiotics (00.14)
99.22 Injection of other anti-infective
Excludes: injection or infusion of oxazolidinone class of antibiotics (00.14)
99.23 Injection of steroid
Injection of cortisone
Subdermal implantation of progesterone
99.24 Injection of other hormone
99.20
99.25 Injection or infusion of cancer chemotherapeutic substance ®
Chemoembolization
Injection or infusion of antineoplastic agent
Use additional code for disruption of blood brain barrier, if performed [BBBD] (00.19)
Excludes: immunotherapy, antineoplastic (00.15, 99.28) implantation of chemotherapeutic agent (00.10)
injection of radioisotope (92.28)
injection or infusion of biological response modifier [BRM] as an antineoplastic agent (99.28)
intravenous infusion of clofarabine (17.70)
99.26 Injection of tranquilizer
99.27 Iontophoresis
99.28 Injection or infusion of biological response modifier [BRM] as an antineoplastic agent
Low- dose interleukin- 2 (IL- 2) therapy Infusion of cintredekin besudotox Immunotherapy, antineoplastic
Interleukin therapy
Tumor vaccine
Excludes: high-dose infusion interleukin-2 [IL-2] (00.15)
99.29 Injection or infusion of other therapeutic or prophylactic substance ®
Excludes: administration of neuroprotective agent (99.75) immunization (99.31-99.59)
injection of sclerosing agent into:
esophageal varices (42.33)
hemorrhoids (49.42)
veins (39.92)
injection or infusion of human B-type natriuretic peptide (hBNP)(00.13)
injection or infusion of nesiritide (00.13) injection or infusion of platelet inhibitor (99.20)
injection or infusion of thrombolytic agent (99.10)
infusion of blood brain barrier disruption substance (00.19)
99.3 Prophylactic vaccination and inoculation against certain bacterial diseases
99.31 Vaccination against cholera
99.32 Vaccination against typhoid and paratyphoid fever
Administration of TAB vaccine
99.33 Vaccination against tuberculosis
Administration of BCG vaccine
99.34 Vaccination against plague
99.35 Vaccination against tularemia
99.36 Administration of diphtheria toxoid
Excludes: administration of:
diphtheria antitoxin (99.58)
diphtheria-tetanus-pertussis, combined (99.39)
99.37 Vaccination against pertussis
Excludes: administration of diphtheria tetanus-pertussis, combined (99.39)
99.38 Administration of tetanus toxoid
Excludes: administration of:
diphtheria-tetanus-pertussis, combined (99.39)
tetanus antitoxin (99.56)
99.39 Administration of diphtheria-tetanus- pertussis, combined
99.4 Prophylactic vaccination and inoculation against certain viral diseases
99.41 Administration of poliomyelitis vaccine
99.42 Vaccination against smallpox
99.43 Vaccination against yellow fever
99.44 Vaccination against rabies
99.45 Vaccination against measles
Excludes: administration of measles-mumps rubella vaccine (99.48)
99.46 Vaccination against mumps
Excludes: administration of measles-mumps rubella vaccine (99.48)
99.47 Vaccination against rubella
Excludes: administration of measles-mumps rubella vaccine (99.48)
99.48 Administration of measles-mumps-rubella vaccine
99.5 Other vaccination and inoculation
99.51 Prophylactic vaccination against the common cold
99.52 Prophylactic vaccination against influenza
99.53 Prophylactic vaccination against arthropod- borne viral encephalitis
99.54 Prophylactic vaccination against other arthropod-borne viral diseases
99.55 Prophylactic administration of vaccine against other diseases
Vaccination against:
anthrax brucellosis
Rocky Mountain spotted fever Staphylococcus Streptococcus
typhus
99.56 Administration of tetanus antitoxin
99.57 Administration of botulism antitoxin
99.58 Administration of other antitoxins
Administration of: diphtheria antitoxin
gas gangrene antitoxin scarlet fever antitoxin
99.59 Other vaccination and inoculation
Vaccination NOS
Excludes: injection of:
gamma globulin (99.14)
Rh immune globulin (99.11) immunization for:
allergy (99.12)
autoimmune disease (99.13)
99.6 Conversion of cardiac rhythm
Excludes: open chest cardiac:
electric stimulation (37.91)
massage (37.91)
Cardiopulmonary resuscitation, not otherwise specified
99.61 Atrial cardioversion
Other electric countershock of heart
Cardioversion:
NOS
external
Conversion to sinus rhythm Defibrillation
External electrode stimulation
99.63 Closed chest cardiac massage
Cardiac massage NOS
Manual external cardiac massage
99.64 Carotid sinus stimulation
99.69 Other conversion of cardiac rhythm
99.7 Therapeutic apheresis or other injection, administration, or infusion of other therapeutic or
prophylactic substance
99.71 Therapeutic plasmapheresis
Excludes: extracorporeal immunoadsorption [ECI] 99.76
99.72 Therapeutic leukopheresis
Therapeutic leukocytapheresis
99.73 Therapeutic erythrocytapheresis
Therapeutic erythropheresis
99.74 Therapeutic plateletpheresis
99.75 Administration of neuroprotective agent
99.76 Extracorporeal immunoadsorption
Removal of antibodies from plasma with protein A columns
99.77 Application or administration of adhesion barrier substance
99.78 Aquapheresis
Plasma water removal Ultrafiltration [for water removal]
Excludes: hemodiafiltration (39.95)
hemodialysis (39.95)
therapeutic plasmapheresis (99.71)
99.60
99.62
99.79 Other
Apheresis (harvest) of stem cells
99.8 Miscellaneous physical procedures
99.81 Hypothermia (central) (local)
Excludes: gastric cooling (96.31)
gastric freezing (96.32)
that incidental to open heart surgery (39.62)
99.82 Ultraviolet light therapy
Actinotherapy
99.83 Other phototherapy
Phototherapy of the newborn
Excludes: extracorporeal photochemotherap (99.88) photocoagulation of retinal lesion (14.23-14.25,
14.33-14.35, 14.53-14.55)
99.84 Isolation
Isolation after contact with infectious disease Protection of individual from his surroundings Protection of
surroundings from individual
99.85 Hyperthermia for treatment of cancer
Hyperthermia (adjunct therapy) induced by microwave, ultrasound, low energy radio frequency, probes
(interstitial), or other means in the treatment of cancer
Code also any concurrent chemotherapy or radiation therapy
99.86 Non-invasive placement of bone growth stimulator
Transcutaneous (surface) placement of pads or patches for stimulation to aid bone healing
Excludes: insertion of invasive or semi invasive bone growth stimulators (device) (percutaneous electrodes) (78.90-
78.99)
99.88 Therapeutic photopheresis Extracorporeal photochemotherapy Extracorporeal photopheresis
Excludes: other phototherapy (99.83) ultraviolet light therap (99.82)
99.9 Other miscellaneous procedures
99.91 Acupuncture for anesthesia
99.92 Other acupuncture
Excludes: that with smouldering mox (93.35)
99.93 Rectal massage (for levator spasm)
99.94 Prostatic massage
99.95 Stretching of foreskin
99.96 Collection of sperm for artificial insemination
99.97 Fitting of denture
99.98 Extraction of milk from lactating breast
99.99 Other
Leech therapy
Index to Procedures
A
Abbe operation Ablation---Cont.
construction of vagina 70.61 with graft or prosthesis 70.63 prostate by
intestinal anastomosis see Anastomosis, intestine cryoablation 60.62
Abciximab, infusion 99.20 laser, transurethral 60.21
Abdominocentesis 54.91 radical cryosurgical ablation (RCSA) 60.62
Abdominohysterectomy 68.49 radiofrequency thermotherapy 60.97 transurethral needle ablation
laparoscopic 68.41 (TUNA) 60.97
Abdominoplasty 86.83 tissue
Abdominoscopy 54.21 heart --see ablation, lesion, heart liver --see Ablation, lesion, liver
Abdominouterotomy 68.0 lung --see Ablation, lesion, lung renal --see Ablation, lesion, renal
obstetrical 74.99 Abortion, therapeutic 69.51 by
Abduction, arytenoid 31.69 aspiration curettage 69.51 dilation and curettage 69.01 hysterectomy
AbioCor® total replacement heart 37.52 see Hysterectomy hysterotomy 74.91
Ablation insertion laminaria 69.93
biliary tract (lesion) by ERCP 51.64 endometrial prostaglandin suppository 96.49 intra- amniotic injection (saline)
(hysteroscopic) 68.23 75.0
inner ear (cryosurgery) (ultrasound) 20.79 by injection 20.72 Abrasion
lesion corneal epithelium 11.41
esophagus 42.39 for smear or culture 11.21
endoscopic 42.33 heart epicardial surface 36.39
by peripherally inserted catheter 37.34 pleural 34.6
endovascular approach 37.34 maze procedure (Cox- maze) skin 86.25
endovascular approach 37.34 Abscission, cornea 11.49
open (trans- thoracic) approach 37.33 trans- thoracic approach Absorptiometry photon (dual) (single) 88.98
37.33 Aburel operation (intra- amniotic injection for abortion) 75.0
intestine large 45.49 Accouchement forcé 73.99
endoscopic 45.43 Acetabulectomy 77.85
large intestine 45.49 Acetabuloplasty NEC 81.40 with prosthetic implant 81.52
endoscopic 45.43 Achillorrhaphy 83.64
liver 50.26 delayed 83.62
laparoscopic 50.25 Achillotenotomy 83.11
open 50.23 plastic 83.85
percutaneous 50.24 Achillotomy 83.11
lung 32.26 plastic 83.85
open 32.23 Acid peel, skin 86.24
percutaneous 32.24 Acromionectomy 77.81
thoracoscopic 32.25 Acromioplasty 81.83
renal 55.35 for recurrent dislocation of shoulder 81.82 partial replacement 81.81
laparoscopic 55.34 total replacement 81.80
open 55.32 Actinotherapy 99.82
percutaneous 55.33 Activities of daily living (ADL) therapy 93.83
pituitary 07.69 by training for the blind 93.78
Cobalt- 60 92.32
implantation (strontium- yttrium) (Y)
NEC 07.68
transfrontal approach 07.64
transphenoidal approach 07.65 proton beam (Bragg peak)
92.33
Acupuncture 99.92 Administration---Cont.
with smouldering moxa 93.35 for anesthesia 99.91 Tenecteplase (tPA, generic) 99.10
Adams operation 99.10
advancement of round ligament 69.22 crushing of nasal toxoid
septum 21.88 excision of palmar fascia 82.35 diphtheria 99.36
Adenectomy --see also Excision, by site prostate NEC with tetanus and pertussis, combined (DTP) 99.39
60.69 tetanus 99.38
retropubic 60.4 with diphtheria and pertussis, combined (DTP) 99.39
Adenoidectomy (without tonsillectomy) 28.6 with vaccine --see also Vaccination BCG 99.33
tonsillectomy 28.3 measles- mumps- rubella (MMR) 99.48
Adhesiolysis --see also Lysis, adhesions for collapse of poliomyelitis 99.41
lung 33.39 TAB 99.32
middle ear 20.23 Wechsler
Adipectomy 86.83 Intelligence Scale (adult) (children) 94.01 Memory Scale 94.02
Adjustment Xigris® 00.11
cardiac pacemaker program (reprogramming) --omit code Adrenalectomy (unilateral) 07.22
cochlear prosthetic device (external components) 95.49 with partial removal of remaining gland 07.29 bilateral 07.3
dental 99.97 partial 07.29
gastric restrictive device (laparoscopic) 44.98 subtotal 07.29
occlusal 24.8 complete 07.3
orthopedic device (noninvasive) external fixator --omit partial NEC 07.29
code remaining gland 07.3
spectacles 95.31 subtotal NEC 07.29
Administration (of) --see also Injection Activase® 99.10 total 07.3
adhesion barrier substance 99.77 Alteplase (tPA, generic) Adrenalorrhaphy 07.44 Adrenalotomy (with drainage) 07.41
99.10 Anistreplase (tPA, generic) 99.10 antitoxins NEC Advancement
99.58 extraocular muscle 15.12
botulism 99.57 multiple (with resection or recession) 15.3 eyelid muscle 08.59
diphtheria 99.58 eye muscle 15.12
gas gangrene 99.58 multiple (with resection or recession) 15.3 graft --see Graft
scarlet fever 99.58 leaflet (heart) 35.10
tetanus 99.56 pedicle (flap) 86.72
Bender Visual- Motor Gestalt test 94.02 Benton Visual profundus tendon (Wagner) 82.51 round ligament 69.22
Retention test 94.02 DrotAA 00.11 tendon 83.71
Eminase® 99.10 hand 82.51
inhaled nitric oxide 00.12 profundus (Wagner) 82.51 Wagner (profundus tendon) 82.51
intelligence test or scale (Stanford- Binet) (Wechsler) AESOP® (Automated Endoscopic System for Optimal Positioning)
(adult) (children) 94.01 --see category 17.4
Minnesota Multiphasic Personality Inventory (MMPI) 94.02 Albee operation
MMPI (Minnesota Multiphasic Personality Inventory) 94.02 bone peg, femoral neck 78.05 graft for slipping patella 78.06 sliding
neuroprotective agent 99.75 Proleukin® (low- dose) 99.28 inlay graft, tibia 78.07
high- dose 00.15 Albert operation (arthrodesis of knee) 81.22
psychologic test 94.02 Aldridge (-Studdiford) operation
Retavase® 99.10 (urethral sling) 59.5
Reteplase (tPA, generic) 99.10 Stanford- Binet test 94.01
Streptase® 99.10
Streptokinase (tPA, generic) 99.10
Alexander operation Amputation---Cont.
prostatectomy perineal 60.62 finger, except thumb 84.01 thumb 84.02
suprapubic 60.3 foot (middle) 84.12
shortening of round ligaments 69.22 forearm 84.05
Alexander-Adams operation (shortening of round forefoot 84.12
ligaments) 69.22 forequarter 84.09
Alimentation, parenteral 99.29 Gordon- Taylor (hindquarter) 84.19
Allograft --see Graft Gritti- Stokes (knee disarticulation) 84.16 Guyon (ankle) 84.13
Almoor operation (extrapetrosal drainage) 20.22 hallux 84.11
Altemeier operation (perineal rectal pull- through) 48.49 hand 84.03
Alveolectomy (interradicular) (intraseptal) (radical) Hey's (foot) 84.12
(simple) (with graft) (with implant) 24.5 hindquarter 84.19
Alveoloplasty (with graft or implant) 24.5 hip (disarticulation) 84.18
Alveolotomy (apical) 24.0 humerus 84.07
Ambulatory cardiac monitoring(ACM) 89.50 Ammon interscapulothoracic 84.09
operation (dacryocystotomy) 09.53 interthoracoscapular 84.09
Amniocentesis(transuterine)(diagnostic) 75.1 King- Steelquist (hindquarter) 84.19 Kirk (thigh) 84.17
with intra- amniotic injection of saline 75.0 knee (disarticulation) 84.16
Amniography 87.81 Kutler (revision of current traumatic amputation of finger) 84.01
Amnioinfusion 75.37 Larry (shoulder disarticulation) 84.08 leg NEC 84.10
Amnioscopy, internal 75.31 above knee (AK) 84.17 below knee (BK) 84.15 through
Amniotomy 73.09 ankle (disarticulation) 84.13
to induce labor 73.01 femur (AK) 84.17
Amputation (cineplastic) (closed flap) (guillotine) foot 84.12
(kineplastic) (open) 84.91 hip (disarticulation) 84.18 tibia and fibula (BK) 84.15
abdominopelvic 84.19 Lisfranc
above- elbow 84.07 above- knee (AK) 84.17 foot 84.12
ankle (disarticulation) 84.13 shoulder (disarticulation) 84.08
through malleoli of tibia & fibula 84.14 arm NEC 84.00 Littlewood (forequarter) 84.09 lower limb NEC
through --see also Amputation, leg 84.10 Mazet (knee disarticulation) 84.16
carpals 84.03 metacarpal 84.03
elbow (disarticulation) 84.06 metatarsal 84.11
forearm 84.05 head (bunionectomy) 77.59
humerus 84.07 metatarsophalangeal (joint) 84.11
shoulder (disarticulation) 84.08 midtarsal 84.12
wrist (disarticulation) 84.04 nose 21.4
upper 84.07 penis (circle) (complete) (flap) (partial) (radical) 64.3
Batch- Spittler- McFaddin(knee disarticu- lation) 84.16 Pirogoff's (ankle amputation through malleoli of tibia and fibula) 84.14
below- knee (BK) NEC 84.15 ray
conversion into above- knee amputation 84.17 finger 84.01
Boyd (hip disarticulation) 84.18 Callander's (knee foot 84.11
disarticulation) 84.16 carpals 84.03 toe (metatarsal head) 84.11 root (tooth) (apex) 23.73
cervix 67.4 with root canal therapy 23.72 shoulder (disarticulation) 84.08 Sorondo-
Chopart's (midtarsal) 84.12 Ferre (hindquarter) 84.19
clitoris 71.4 S. P. Rogers (knee disarticulation) 84.16
Dieffenbach (hip disarticulation) 84.18
Dupuytren's(shoulder disarticulation)84.08 ear, external
18.39
elbow (disarticulation) 84.06
Amputation---Cont. Anastomosis---Cont.
supracondyler, above- knee 84.17 supramalleolar, foot bowel--see also Anastomosis,intestine 45.90 bronchotracheal 33.48
84.14 bronchus 33.48
Syme's (ankle amputation through malleoli of tibia and carotid- subclavian artery 39.22 caval- mesenteric vein 39.1 caval-
fibula) 84.14 pulmonary artery 39.21 cervicoesophageal 42.59
thigh 84.17 colohypopharyngeal (intrathoracic) 42.55 antesternal or antethoracic
thumb 84.02 42.65
toe (through metatarsophalangeal join 84.11 common bile duct 51.39
transcarpal 84.03 common pulmonary trunk and left atrium (posterior wall) 35.82
transmetatarsal 84.12 cystic bile duct 51.39 cystocolic 57.88
upper limb NEC--see also Amputation, 84.00 epididymis to vas deferens 63.83 esophagocolic (intrathoracic) NEC
wrist (disarticulation) 84.04 42.56
Amygdalohippocampotomy 01.39 with interposition 42.55
Amygdalotomy 01.39 antesternal or antethoracic NEC 42.66 with interposition 42.65
Analysis esophagocologastric (intrathoracic) 42.55 antesternal or antethoracic
cardiac rhythm device (CRT- D) (CRT- P (AICD) (pacemaker) 42.65
- see Interroga esophagoduodenal(intrathoracic)NEC42.54 with interposition 42.53
character 94.03 esophagoenteric (intrathoracic) NEC --see also Anastomosis,
gastric 89.39 esophagus, to intestinal segment 42.54
psychologic 94.31 transactional antesternal or antethoracic NEC --see also Anastomosis, esophagus,
group 94.44 antesternal, to intestinal segment 42.64
individual 94.39 esophagoesophageal (intrathoracic) 42.51 antesternal or antethoracic
Anastomosis 42.61
abdominal artery to coronary artery 3 accessory- facial esophagogastric (intrathoracic) 42.52 antesternal or antethoracic 42.62
nerve 04.72 accessory- hypoglossal nerve 04.73 anus (with esophagus (intrapleural) (intrathoracic) (retrosternal) NEC 42.59
formation of endorectal ilea with
pouch) 45.95 gastrectomy (partial) 43.5 complete or total 43.99 interposition (of)
aorta (descending)- pulmonary(artery) aorta- renal artery NEC 42.58 colon 42.55
39.24 jejunum 42.53
aorta- subclavian artery 39.22 aortoceliac 39.26 small bowel 42.53
aorto(ilio)femoral 39.25 antesternal or antethoracic NEC 42.69 with
aortomesenteric 39.26 interposition (of) NEC 42.68 colon 42.65
appendix 47.99 jejunal loop 42.63
arteriovenous NEC 39.29 for renal dialysis 39.27 small bowel 42.63
artery (suture of distal to proximal en 39.31 rubber tube 42.68
with to intestinal segment NEC 42.64 with interposition 42.68
bypass graft 39.29 colon NEC 42.66
extracranial- intracranial[EC- IC] excision or resection of with interposition 42.65 small bowel NEC 42.64
vessel with interposition 42.63 to intestinal segment(intrathoracic)
--see Arteriectomy, with anastomosis, by site NEC42.54
revision 39.49 with interposition 42.58
bile ducts 51.39
bladder NEC 57.88 with
isolated segment of intestine
57.87 [45.50]
colon (sigmoid) 57.87 [45.52]
ileum 57.87 [45.51]
open loop of ileum 57.87 [45.51
to intestine 57.88
ileum 57.87 [45.51]
t)
arm
)
tion
6.17
l 39.0
d)
39.28
]
Anastomosis---Cont. Anastomosis---Cont.
antesternal or antethoracic NEC 42.64 with interposition pancreas (duct) (to) 52.96 bile duct 51.39
42.68 gall bladder 51.33
colon (intrathoracic) NEC 42.56 with interposition 42.55 intestine 52.96
antesternal or antethoracic 42.66 with interposition 42.65 jejunum 52.96
small bowel NEC 42.54 stomach 52.96
with interposition 42.53 antesternal or antethoracic 42.64 pleurothecal (with valve) 03.79 portacaval 39.1
with interposition 42.63 facial- accessory nerve 04.72 portal vein to inferior vena cava 39.1 pulmonary- aortic (Pott's) 39.0
facial- hypoglossal nerve 04.71 fallopian tube 66.73 pulmonary artery and superior vena cava
by reanastomosis 66.79 39.21
gallbladder 51.35 to pulmonary- innominate artery (Blalock) 39.0
hepatic ducts 51.31 pulmonary- subclavian artery (Blalock- Taussig) 39.0
intestine 51.32 pulmonary vein and azygos vein 39.23 pyeloileocutaneous 56.51
pancreas 51.33 pyeloureterovesical 55.86
stomach 51.34 radial artery 36.19 rectum, rectal NEC 48.74
gastroepiploic artery to coronary artery 36.17 stump to small intestine 45.92 renal (pelvis) 55.86
hepatic duct 51.39 vein and splenic vein 39.1 renoportal 39.1
hypoglossal- accessory nerve 04.73 hypoglossal- facial salpingothecal (with valve) 03.79 splenic to renal veins 39.1
nerve 04.71 ileal loop to bladder 57.87 [45.51] splenorenal (venous) 39.1
ileoanal 45.95 arterial 39.26
ileorectal 45.93 subarachnoid- peritoneal (with valve) 03.71
inferior vena cava and portal vein 39.1 internal mammary subarachnoid- ureteral (with valve) 03.72 subclavian- aortic 39.22
artery (to) superior vena cava to pulmonary artery39.21
coronary artery (single vessel) 36.15 double vessel 36.16 systemic- pulmonary artery 39.0 thoracic artery (to)
myocardium 36.2 coronary artery (single) 36.15 double 36.16
intestine 45.90 myocardium 36.2 ureter (to) NEC 56.79
large- to- anus 45.95 large- to- large 45.94 large- to- bladder 56.74
rectum 45.94 large- to- small 45.93 small- to- anus 45.95 colon 56.71
small- to- large 45.93 ileal pouch (bladder) 56.51 ileum 56.71
small- to- rectal stump 45.92 small- to- small 45.91 intestine 56.71
intrahepatic 51.79 intrathoracic vessel NEC 39.23 kidney skin 56.61
(pelvis) 55.86 ureterocalyceal 55.86
lacrimal sac to conjunctiva 09.82 ureterocolic 56.71
left- to- right (systemic- pulmonary artery) 39.0 ureterovesical 56.74 urethra (end- to- end) 58.44 vas deferens 63.82
lymphatic (channel) (peripheral) 40.9 mesenteric- caval veins (suture of proximal to distal end) (with bypass graft) 39.29
39.1 with excision or resection of vessel
mesocaval 39.1 --see Phlebectomy, with anastomosis, by site
nasolacrimal 09.81 mesenteric to vena cava 39.1
nerve (cranial) (peripheral) NEC 04.74 accessory- facial
04.72
accessory- hypoglossal 04.73
hypoglossal- facial 04.71
Anastomosis - veins ---Cont. Aneurysmectomy ---Cont. atrial, auricular 37.32 head and neck NEC
portal to inferior vena cava 39.1 revision 39.49 38.62 heart 37.32
splenic and renal 39.1 intracranial NEC 38.61 lower limb
ventricle, ventricular (intracerebral) (with valve) --see artery 38.68
also Shunt, ventricular 02.2 vein 38.69
ventriculoatrial (with valve) 02.32 ventriculocaval (with sinus of Valsalva 35.39 thoracic NEC 38.65
valve) 02.32 ventriculomastoid (with valve) 02.31 upper limb (artery) (vein) 38.63 ventricle (myocardium) 37.32
ventriculopleural (with valve) 02.33 vesicle --see Aneurysmoplasty --see Aneurysmorrhaphy
Anastomosis, bladder Aneurysmorrhaphy NEC 39.52 by or with
Anderson operation (tibial lengthening) 78.37 anastomosis --see Aneurysmectomy, with anastomosis, by site
Anel operation (dilation of lacrimal duct) 09.42 clipping 39.51
Anesthesia coagulation 39.52
acupunture for 99.91 cryoanalgesia nerve (cranial) electrocoagulation 39.52 endovascular graft
(peripheral) 04.2 spinal --omit code abdominal aorta 39.71
Aneurysmectomy 38.60 with lower extremity artery(s) 39.79 thoracic aorta 39.73
anastomosis 38.30 abdominal artery 38.36 upper extremity artery(s) 39.79 excision or resection --see also
vein 38.37 Aneurys- mectomy, by site with
aorta (arch)(ascending)(descending) 38.34 anastomosis --see Aneurysmectomy, with anastomosis, by site
head and neck NEC 38.32 intracranial NEC 38.31 lower graft replacement --see Aneurysmectomy, with graft replacement, by
limb site
artery 38.38 filipuncture 39.52
vein 38.39 graft replacement --see Aneurysmectomy, with graft replacement, by
thoracic NEC 38.35 site
upper limb (artery) (vein) 38.33 graft replacement methyl methacrylate 39.52
(interposition) 38.40 suture 39.52
abdominal aorta wiring 39.52
endovascular approach 39.71 wrapping 39.52
open approach 38.44 Matas' 39.52
39.71 Aneurysmotomy --see Aneurysmectomy
artery 38.46 Angiectomy
vein 38.47 with
aorta (arch)(ascending)(descending thoracic) anastomosis 38.30 abdominal artery 38.36
abdominal 38.44 vein 38.37
thoracic 38.45 aorta (arch) (ascending) (descending) 38.34
thoracoabdominal 38.45 [38.44] head and neck NEC 38.42 head and neck NEC 38.32 intracranial NEC 38.31 lower limb
intracranial NEC 38.41 artery 38.38
lower limb artery 38.48 vein 38.39
vein 38.49 thoracic vessel NEC 38.35 upper limb (artery) (vein) 38.33
thoracic NEC 38.45
upper limb (artery) (vein) 38.43 abdominal
artery 38.66
vein 38.67
aorta (arch)(ascending)(descending) 38.64
Angiectomy-with ---Cont. A
graft replacement (interposition) 38.40 abdominal n
aorta 38.44 g
artery 38.46 i
vein 38.47 o
aorta (arch) (ascending) (descending thoracic) g
abdominal 38.44 r
thoracic 38.45 a
thoracoabdominal 38.45 [38.44] head and neck NEC 38.42 p
h
intracranial NEC 38.41
y
lower limb artery 38.48
vein 38.49 -
thoracic vessel NEC 38.45 upper limb (artery) (vein) 38.43 -
Angiocardiography (selective) 88.50 carbon dioxide -
(negative contrast) 88.58 combined right and left heart C
88.54 intra- operative fluorescence vascular o
88.59 n
left heart (aortic valve) (atrium) (ventricle) (ventricular t
outflow tract) 88.53 .
combined with right heart 88.54 right heart (atrium) p
(pulmonary valve) u
(ventricle) (ventricular outflow tract) 88.52 l
combined with left heart 88.54 SPY 88.59 m
vena cava (inferior) (superior) 88.51 o
Angiography (arterial) --see also n
Arteriography 88.40 a
by C.A.T. --seeScan, C.A.T., by site by computed r
tomography --seeScan, y
C.A.T., by site
by radioisotope --see Scan, radioisotope, by site 8
by ultrasound --see Ultrasonography, by site 8
basilar 88.41 .
brachial 88.49 4
carotid (internal) 88.41 3
celiac 88.47 r
cerebral (posterior circulation) 88.41 coronary NEC 88.57 e
intra- operative fluorescence vascular 88.59 n
eye (fluorescein) 95.12 a
femoral 88.48 l
heart 88.50
intra- abdominal NEC 88.47 intracranial 88.41 8
intrathoracic vessels NEC 88.44 lower extremity NEC 8
88.48 neck 88.41 .
placenta 88.46 4
5
s
p
e
c
i
f
i
e
d
a
r
t
Note: Also use 00.40, 00.41, 00.42, or 00.43 e
to show the total number of vessels treated. Use code 00.44
once to show procedure on a bifurcated vessel. In addition,
use 00.45, 00.46, 00.47, or
00.48 to show the number of vascular
stents inserted.
Angiotomy ---Cont. Aponeurectomy 83.42
head and neck NEC 38.02 intracranial NEC 38.01 lower limb hand 82.33
artery 38.08 Aponeurorrhaphy
vein 38.09 --see also Suture,tendon 83.64 hand--see also Suture, tendon, hand
thoracic NEC 38.05 82.45
upper limb (artery) (vein) 38.03 Aponeurotomy 83.13
Angiotripsy 39.98 hand 82.11
Ankylosis, production of --see Arthrodesis Annuloplasty Appendectomy (with drainage) 47.09 incidental 47.19
(heart) (posteromedial) 35.33 Anoplasty 49.79 laparoscopic 47.11
with hemorrhoidectomy 49.46 laparoscopic 47.01
Anoscopy 49.21 Appendicectomy (with drainage) 47.09 incidental 47.19
Antibiogram --see Examination, microscopic Antiembolic laparoscopic 47.11
filter, vena cava 38.7 Antiphobic treatment 94.39 laparoscopic 47.01
Antrectomy Appendicocecostomy 47.91
mastoid 20.49 Appendicoenterostomy 47.91
maxillary 22.39 Appendicolysis 54.59
radical 22.31 with appendectomy 47.09
pyloric 43.6 laparoscopic 47.01
Antrostomy --see Antrotomy other 47.09
Antrotomy (exploratory) (nasal sinus) 22.2 Caldwell- Luc laparoscopic 54.51
(maxillary sinus) 22.39 Appendicostomy 47.91
with removal of membrane lining 22.31 intranasal 22.2 closure 47.92
with external approach (Caldwell- Luc) 22.39 Appendicotomy 47.2
radical 22.31 Application
maxillary (simple) 22.2 adhesion barrier substance 99.77 anti- shock trousers 93.58
with Caldwell- Luc approach 22.39 with removal of arch bars (orthodontic) 24.7
membrane lining for immobilization (fracture) 93.55 barrier substance, adhesion 99.77
22.31 Barton's tongs (skull) (with synchronous
external (Caldwell- Luc approach) 22.39 with removal of skeletal traction) 02.94 bone growth stimulator (surface)
membrane lining (transcutaneous) 99.86 bone morphogenetic protein
22.31 (OP- ) (recombinant) (rhBMP) 84.52 Bryant's traction 93.44
radical(with removal of membrane lining) 22.31 with reduction of fracture or dislocation
Antrum window operation --see Reduction, fracture and Reduction, dislocation
--see Antrotomy,maxillary Aorticopulmonary window Buck's traction 93.46
operation 39.59 Aortogram, aortography (abdominal) caliper tongs (skull) (with synchronous skeletal traction) 02.94
(retrograde) (selective) (translumbar) 88.42 cast (fiberglass) (plaster) (plastic)NEC 93.53 with reduction of fracture
Aortoplasty (aortic valve) (gusset type) 35.11 or dislocation
Aortotomy 38.04 --see Reduction, fracture and Reduction, dislocation
Apexcardiogram (with ECG lead) 89.57 Apheresis, spica 93.51
therapeutic --see category 99.7 Apicectomy cervical collar 93.52
lung 32.39 with reduction of fracture or dislocation
thoracoscopic 32.30 --see Reduction, fracture and Reduction, dislocation
petrous pyramid 20.59 clamp, cerebral aneurysm (Crutchfield) (Silverstone) 39.51
tooth (root) 23.73 croupette, croup tent 93.94 crown (artificial) 23.41
with root canal therapy 23.72
Apicoectomy 23.73
with root canal therapy 23.72
Apicolysis (lung) 33.39
Apicostomy, alveolar 24.0
Application---Cont. Application---Cont.
Crutchfield tongs (skull) (with synchronous skeletal pressure
traction) 02.94 dressing (bandage) (Gibney) (Robert Jones') (Shanz) 93.56
Dunlop's traction 93.44 trousers (anti- shock) (MAST) 93.58 prosthesis for missing ear 18.71
with reduction of fracture or dislocation Russell's traction 93.44
--see Reduction, fracture and Reduction, dislocation with reduction of fracture or dislocation
elastic stockings 93.59 --see Reduction, fracture and Reduction, dislocation
electronic gaiter 93.59 splint, for immobilization (plaster) (pneumatic) (tray) 93.54
external fixator device (bone) 78.10 carpal, metacarpal with fracture reduction
78.14 --see Reduction,fracture stereotactic head frame 93.59 strapping
clavicle 78.11 (non- traction) 93.59 substance, adhesion barrier 99.77 Thomas
computer assisted (dependent) 84.73 femur 78.15 collar 93.52
fibula 78.17 with reduction of fracture or dislocation
humerus 78.12 --see Reduction, fracture and Reduction, dislocation
hybrid device or system 84.73 Ilizarov type 84.72 traction
monoplanar system or device 84.71 patella 78.16 with reduction of fracture or dislocation
pelvic 78.19 --see Reduction, fracture and Reduction, dislocation
phalanges (foot) (hand) 78.19 radius 78.13 adhesive tape (skin) 93.46 boot 93.46
ring device or system 84.72 scapula 78.11 Bryant's 93.44
Sheffield type 84.72 specified site NEC 78.19 tarsal, Buck's 93.46
metatarsal 78.18 thorax (ribs) (sternum) 78.11 tibia 78.17 Cotrel's 93.42
ulna 78.13 Dunlop's 93.44
vertebrae 78.19 gallows 93.46
forceps, with delivery --see Delivery, forceps graft --see Lyman Smith 93.44
Graft Russell's 93.44
gravity (G- ) suit 93.59 intermittent pressure device skeletal NEC 93.44
93.59 Jewett extension brace 93.59 intermittent 93.43 skin, limbs NEC 93.46 spinal NEC 93.42
Jobst pumping unit (reduction of edema) 93.59 with skull device (halo)(caliper) (Crutchfield) (Gardner- Wells)
Lyman Smith traction 93.44 (Vinke) (tongs) 93.41
with reduction of fracture or dislocation with synchronous insertion 02.94 Thomas' splint 93.45
--see Reduction, fracture and Reduction, dislocation Unna's paste boot 93.53 vasopneumatic device 93.58
MAST (military anti- shock trousers) 93.58 Minerva jacket Velpeau dressing 93.59
93.52 Vinke tongs (skull) (with synchronous skeletal traction) 02.94
minifixator device (bone) wound dressing NEC 93.57
--see category 78.1 Aquapheresis 99.78
neck support (molded) 93.52 obturator (orthodontic) 24.7 Arc lamp --see Photocoagulation
orthodontic appliance(obturator)(wiring) 24.7 Arcuplasty 81.66
pelvic sling 93.44 Arrest
with reduction of fracture or dislocation bone growth (epiphyseal) 78.20
--see Reduction, fracture and Reduction, dislocation by stapling --see Stapling, epiphyseal plate femur 78.25
peridontal splint (orthodontic) 24.7 plaster jacket 93.51 fibula 78.27
Minerva 93.52 humerus 78.22
radius 78.23
Arrest -bone growth---Cont. Arteriography---Cont.
tibia 78.27 femoral 88.48
ulna 78.23 head and neck 88.41
cardiac, induced (anoxic)(circulatory)39.63 circulatory, intra- abdominal NEC 88.47 intrathoracic NEC 88.44
induced (anoxic) 39.63 hemorrhage --see Control, lower extremity 88.48
hemorrhage placenta 88.46
Arslan operation(fenestration of inner ear) 20.61 pulmonary 88.43
Arteriectomy 38.60 with SPY 88.59
anastomosis 38.30 radioisotope --see Scan, radioisotope renal 88.45
abdominal 38.36 specified site NEC 88.49 superior mesenteric artery 88.47 transfemoral
aorta (arch) (ascending) (descending) 38.34 88.48
head and neck NEC 38.32 intracranial NEC 38.31 ultrasound --see Ultrasonography, by site upper extremity 88.49
lower limb 38.38 Arterioplasty --see Repair, artery
thoracic NEC 38.35 Arteriorrhaphy 39.31
upper limb 38.33 Arteriotomy 38.00
graft replacement (interposition) 38.40 abdominal abdominal 38.06
aorta 38.44 aorta (arch) (ascending) (descending)38.04 head and neck NEC 38.02
aorta (arch) (ascending) (descending thoracic) (thoracic) intracranial NEC 38.01
abdominal 38.44 lower limb 38.08
thoracic 38.45 thoracic NEC 38.05
thoracoabdominal 38.45 [38.44] head and neck NEC 38.42 upper limb 38.03
intracranial NEC 38.41 Arteriovenostomy 39.29 for renal dialysis 39.27
lower limb 38.48 Arthrectomy 80.90
thoracic NEC 38.45 ankle 80.97
upper limb 38.43 elbow 80.92
abdominal 38.66 foot and toe 80.98 hand and finger 80.94 hip 80.95
aorta (arch) (ascending)(descending) 38.64 head and neck intervertebral disc --see category 80.5 knee 80.96
NEC 38.62 semilunar cartilage 80.6
intracranial NEC 38.61 shoulder 80.91
lower- limb 38.68 specified site NEC 80.99 spine NEC 80.99
thoracic NEC 38.65 wrist 80.93
upper limb 38.63 Arthrocentesis 81.91
Arteriography (contrast) (fluoroscopic) (retrograde) 88.40 for arthrography --see Arthrogram
by Arthrodesis (compression) (extra- articular) (intra- articular) (with
radioisotope --see Scan, radioisotope ultrasound(Doppler) bone graft) (with fixation device) 81.20
--see Ultrasonography, by site ankle 81.11
aorta (arch) (ascending) (descending) 88.42 basilar 88.41 carporadial 81.25
brachial 88.49 cricoarytenoid 31.69
carotid (internal) 88.41 elbow 81.24
cerebral (posterior circulation) 88.41 coronary (direct) finger 81.28
(selective) NEC 88.57 foot NEC 81.17
double catheter technique (Judkins) (Ricketts and Abrams) hip 81.21 interphalangeal
88.56 finger 81.28
intra- operative fluorescence vascular 88.59 toe NEC 77.58
single catheter technique (Sones) 88.55 Doppler (ultrasonic) claw toe repair 77.57 hammer toe repair 77.56
--see ischiofemoral 81.21
Ultrasono- graphy, by site
Arthrodesis ---Cont. Arthroplasty ---Cont.
knee 81.22 hand (metacarpophalangeal) (interphalangeal) 81.72
lumbosacral, lumbar NEC 81.08 with prosthetic implant 81.71 hip (with bone graft) 81.40
ALIF (anterior lumbar interbody fusion) 81.06 cup (partial hip) 81.52 femoral head NEC 81.40
anterior (interbody), anterolateral technique 81.06 with prosthetic implant 81.52 with total replacement 81.51
lateral transverse process technique 81.07 partial replacement 81.52
PLIF (posterior lumbar interbody fusion) 81.08 total replacement 81.51
posterior (interbody), posterolateral technique 81.08 interphalangeal joint 81.72
TLIF (transforaminal lumbar interbody fusion) 81.08 with prosthetic implant 81.71 Kessler (carpometacarpal joint) 81.74
McKeever (metatarsophalangeal) 81.16 knee --see also Repair, knee 81.47
metacarpocarpal 81.26 prosthetic replacement (bicompartmental) (hemijoint) (partial)
metacarpophalangeal 81.27 (total) (tricompartmental) (unicompartmental) 81.54
metatarsophalangeal 81.16 revision 81.85
midtarsal 81.14 metacarpophalangeal joint 81.72 with prosthetic implant 81.71
pantalar 81.11 shoulder 81.83
sacroiliac 81.08 prosthetic replacement (partial) 81.81 total 81.80
shoulder 81.23 for recurrent dislocation 81.82 temporomandibular 76.5
specified joint NEC 81.29 toe NEC 77.58
spinal --see also Fusion, spinal 81.00 subtalar 81.13 with prosthetic replacement 81.57 for hallux valgus repair 77.59
tarsometatarsal 81.15 wrist 81.75
tibiotalar 81.11 with prosthetic implant 81.74 total replacement 81.73
toe NEC 77.58 Arthroscopy 80.20
claw toe repair 77.57 hammer toe repair 77.56 ankle 80.27
triple 81.12 elbow 80.22
wrist 81.26 finger 80.24
Arthroendoscopy --see Arthroscopy Arthroereisis, foot 80.28
subtalar joint 81.18 Arthrogram, arthrography 88.32 hand 80.24
temporomandibular 87.13 hip 80.25
Arthrolysis 93.26 knee 80.26
Arthroplasty (with fixation device) (with traction) 81.96 shoulder 80.21 specified site NEC 80.29 toe 80.28
ankle 81.49 wrist 80.23
carpals 81.75 Arthrostomy --see also Arthrotomy 80.10
with prosthetic implant 81.74 carpocarpal, Arthrotomy 80.10
carpometacarpal 81.75 as operative approach --omit code
with prosthetic implant 81.74 Carroll and Taber (proximal with
interphalangeal joint) 81.72 cup (partial hip) 81.52 arthrography --see Arthrogram arthroscopy --see Arthroscopy
Curtis (interphalangeal joint) 81.72 elbow 81.85 injection of drug 81.92 removal of prosthesis without
with prosthetic replacement (partial) (total) 81.84 replacement --see Removal, prosthesis, joint structures
femoral head NEC 81.40 ankle 80.17
with prosthetic implant 81.52 finger(s) 81.72 elbow 80.12
with prosthetic implant 81.71 foot and toe 80.18 hand and finger 80.14
foot (metatarsal) with joint replacement 81.57
Fowler (metacarpophalangeal joint) 81.72
Arthrotomy ---Cont. Aspiration---Cont.
hip 80.15 eye (anterior chamber) (therapeutic) 12.91
knee 80.16 diagnostic 12.21
shoulder 80.11 specified site NEC 80.19 spine 80.19 fallopian tube 66.91
wrist 80.13 fascia 83.95
Artificial hand 82.93
heart 37.52 gallbladder (percutaneous 51.01 hematoma --see also Aspiration, by site
AbioCor® 37.52 obstetrical 75.92
- t) 37.52 incisional 75.91
insemination 69.92 hydrocele, tunica vaginalis 61.91 hygroma --see Aspiration, by site
kidney 39.95 hyphema 12.91
rupture of membranes 73.09 hypophysis 07.72
Arytenoidectomy 30.29 intracranial space (epidural) (extradural) (subarachnoid) (subdural)
Arytenoidopexy 31.69 (ventricular) 01.09
Asai operation (larynx) 31.75 through previously implanted catheter or reservoir (Ommaya) (Rickham)
Aspiration 01.02
abscess --see Aspiration, by site joint 81.91
anterior chamber, eye (therapeutic) 12.91 diagnostic 12.21 for arthrography --see Arthrogram kidney (cyst) (pelvis) (percutaneous)
aqueous (eye) (humor) (therapeutic) 12.91 diagnostic 12.21 (therapeutic) 55.92
ascites 54.91 Bartholin's diagnostic 55.23
gland(cyst)(percutaneous)71.21 biopsy --see Biopsy, by site liver (percutaneous 50.91
bladder (catheter) 57.0 lung (percutaneous) (puncture) (needle) (trocar) 33.93
percutaneous (needle) 57.11 bone marrow (for biopsy) 41.31 middle ear 20.09
from donor for transplant 41.91 stem cell 99.79 with intubation 20.01
branchial cleft cyst 29.0 breast 85.91 muscle 83.95
bronchus 96.05 hand 82.93
with lavage 96.56 nail 86.01
bursa (percutaneous) 83.94 nasal sinus 22.00
hand 82.92 by puncture 22.01
calculus, bladder 57.0 through natural ostium 22.02 nasotracheal 96.04
cataract 13.3 with with lavage 96.56
phacoemulsification 13.41 orbit, diagnostic 16.22
phacofragmentation 13.43 ovary 65.91
posterior route 13.42 percutaneous --see Aspiration, by site pericardium (wound) 37.0
chest 34.91 pituitary gland 07.72
cisternal 01.01 pleural cavity 34.91
cranial (puncture) 01.09 prostate (percutaneous) 60.91
craniobuccal pouch 07.72 Rathke's pouch 07.72
craniopharyngioma 07.72 cul- de- sac (abscess) 70.0 seminal vesicles 60.71
curettage, uterus 69.59 seroma --see Aspiration, by site skin 86.01
after abortion or delivery 69.52 diagnostic 69.59 soft tissue NEC 83.95 hand 82.93
to terminate pregnancy 69.51 cyst --see Aspiration, by site spermatocele 63.91
diverticulum, pharynx 29.0 spinal (puncture) 03.31
endotracheal 96.04 spleen (cyst) 41.1
with lavage 96.56 stem cell 99.79
extradural 01.09 subarachnoid space (cerebral) 01.09 subcutaneous tissue 86.01
subdural space (cerebral) 01.09
Aspiration ---Cont. Attachment ---Cont.
tendon 83.95 pedicle (flap) graft 86.74 hand 86.73
hand 82.93 lip 27.57
testis 62.91 mouth 27.57
thymus 07.92 pharyngeal flap (for cleft palate repair) 27.62
thoracoscopic 07.95 thyroid (field) (gland) 06.01 secondary or subsequent 27.63 prosthetic ear device, abutment 20.99
postoperative 06.02 retina --see Reattachment, retina
trachea 96.04 Atticoantrostomy (ear) 20.49
with lavage 96.56 Atticoantrotomy (ear) 20.49
percutaneous 31.99 tunica vaginalis (hydrocele) Atticotomy (ear) 20.23
(percutaneous) 61.91 vitreous (and replacement) 14.72 Audiometry (Bekesy 5- tone) (impedance) (stapedial reflex response)
diagnostic 14.11 (subjective) 95.41
Assessment Augmentation
fitness to testify 94.11 mental status 94.11 bladder 57.87
nutritional status 89.39 breast --see Mammoplasty, augmentation buttock ("fanny- lift") 86.89
personality 94.03 chin 76.68
temperament 94.02 genioplasty 76.68
vocational 93.85 mammoplasty --see Mammoplasty, augmentation
Assistance outflow tract (pulmonary valve) (gusset type) 35.26
cardiac --see also Resuscitation, cardiac extracorporeal in total repair of tetralogy of Fallot 35.81
circulation 39.61 vocal cord(s) 31.0
endotracheal respiratory --see category 96.7 Auriculectomy 18.39
hepatic, extracorporeal 50.92 respiratory (endotracheal) Autograft --see Graft
(mechanical) Autologous --see Blood, transfusion
--see Ventilation, mechanical 96.7 Autopsy 89.8
Asymmetrogammagram Autotransfusion (whole blood) 99.02
--see Scan, radioisotope --see Blood, transfusion
Atherectomy Autotransplant, autotransplantation
cerebrovascular --see angioplasty coronary --see Angioplasty --see also Reimplantation
peripheral 39.50 adrenal tissue (heterotopic) (orthotopic) 07.45
Atriocommissuropexy (mitral valve) 35.12 kidney 55.61
Atrioplasty NEC 37.99 lung --see Transplant, transplantation, lung 33.5
combined with repair of valvular and ventricular septal ovary 65.72
defects --see Repair, endocardial cushion defect laparoscopic 65.75
septum (heart) NEC 35.71 pancreatic tissue 52.81 parathyroid tissue (heterotopic)
Atrioseptopexy --see also Repair, atrial septal defect 35.71 (orthotopic) 06.95
Atrioseptoplasty --see also Repair, atrial septal defect 35.71 thyroid tissue (heterotopic) (orthotopic) 06.94
Atrioseptostomy (balloon) 35.41 tooth 23.5
Atriotomy 37.11 Avulsion, nerve (cranial) (peripheral) NEC 04.07
Atrioventriculostomy (cerebral- heart) 02.32 acoustic 04.01
Attachment phrenic 33.31
abutment (screw) for prosthetic ear device percutaneous sympathetic 05.29
20.99 Azygography 88.63
eye muscle
orbicularis oculi to eyebrow 08.36 rectus to frontalis 15.9
B
Bacterial smear --see Examination, microscopic Bell-Beuttner operation (subtotal abdominal hysterectomy) 68.39
Baffes operation (interatrial transposition of venous laparoscopic 68.31
return) 35.91 Belsey operation (esophagogastric sphincter) 44.65
Baffle, atrial or interatrial 35.91 Benenenti operation (rotation of bulbous urethra) 58.49
Balanoplasty 64.49 Berke operation (levator resection of eyelid) 08.33
Baldy-Webster operation (uterine suspension) 69.22 Bicuspidization of heart valve 35.10 aortic 35.11
Ballistocardiography 89.59 mitral 35.12
Balloon Bicycle dynamometer 93.01
angioplasty --see Angioplasty, balloon pump, intra- aortic Biesenberger operation (size reduction of breast, bilateral) 85.32
37.61 unilateral 85.31
systostomy (atrial) 35.41 Bifurcation, bone --see also Osteotomy 77.30
Ball operation Bigelow operation (litholapaxy) 57.0 Bililite therapy (ultraviolet) 99.82
herniorrhaphy--see Repair, hernia,inguinal undercutting Billroth I operation (partial gastrectomy
49.02 with gastroduodenostomy) 43.6
Bandage 93.37 Billroth II operation (partial gastrectomy with gastrojejunostomy) 43.7
elastic 93.56 Binnie operation (hepatopexy) 50.69 Biofeedback, psychotherapy 94.39
Banding Biopsy
gastric 44.68 abdominal wall 54.22
vertical 44.68 adenoid 28.11
pulmonary artery 38.85 adrenal gland NEC 07.11 closed 07.11
Bankhart operation (capsular repair into glenoid, for open 07.12
shoulder dislocation) 81.82 percutaneous (aspiration) (needle) 07.11 alveolus 24.12
Bardenheurer operation (ligation of innominate artery) anus 49.23
38.85 appendix 45.26 artery (any site) 38.21
Barium swallow 87.61 aspiration --see Biopsy, by site bile ducts 51.14
Barkan operation (goniotomy) 12.52 with goniopuncture closed (endoscopic) 51.14
12.53 open 51.13
Barr operation (transfer of tibialis posterior tendon) 83.75 percutaneous (needle) 51.12
Barsky operation(closure of cleft hand)82.82 bladder 57.33
Basal metabolic rate 89.39 closed 57.33
Basiotripsy 73.8 open 57.34
Bassett operation (vulvectomy with inguinal lymph node transurethral 57.33
dissection) 71.5 [40.3] blood vessel (any site) 38.21 bone 77.40
Bassini operation--see Repair,hernia,inguinal carpal, metacarpal 77.44
Batch-Spittler-McFaddin operation clavicle 77.41
(knee disarticulation) 84.16 facial 76.11
Batista operation (partial ventriculectomy) (ventricular femur 77.45
reduction) (ventricular remodeling) 37.35 fibula 77.47
Bearing surface, hip ceramic- on- ceramic 00.76 humerus 77.42
ceramic- on- polyethylene 00.77 metal- on- metal 00.75
metal on polyethylene 00.74
Beck operation
aorta- coronary sinus shunt 36.39 epicardial poudrage
36.39
Beck-Jianu operation (permanent gastrostomy) 43.19
Behavior modification 94.33
288
Biopsy - bone ---Cont. Biopsy - duodenum ---Cont.
marrow 41.31 closed (endoscopic) 45.14
patella 77.46 open 45.15
pelvic 77.49 ear (external) 18.12 middle or inner 20.32
phalanges (foot) (hand) 77.49 radius 77.43 endocervix 67.11
scapula 77.41 endometrium NEC 68.16 by
specified site NEC 77.49 tarsal, metatarsal 77.48 thorax (ribs) aspiration curettage 69.59 dilation and curettage 69.09
(sternum) 77.41 tibia 77.47 closed (endoscopic) 68.16
ulna 77.43 open 68.13
vertebrae 77.49 epididymis 63.01
bowel --see Biopsy, intestine brain NEC 01.13 esophagus 42.24
closed 01.13 closed (endoscopic) 42.24
open 01.14 open 42.25
percutaneous (needle) 01.13 extraocular muscle or tendon 15.01 eye 16.23
breast 85.11 muscle (oblique) (rectus) 15.01 eyelid 08.11
blind 85.11 fallopian tube 66.11
closed 85.11 fascia 83.21
open 85.12 fetus 75.33
percutaneous (needle) (Vimm- Silverman) 85.11 gallbladder 51.12
bronchus NEC 33.24 closed (endoscopic) 51.14
brush 33.24 open 51.13
closed (endoscopic) 33.24 percutaneous (needle) 51.12
open 33.25 transbronchoscopic needle ganglion (cranial) (peripheral) NEC 04.11 closed 04.11
aspiration (TBNA) 33.24 open 04.12
Wang needle (transbronchoscopic) 33.24 percutaneous (needle) 04.11
washings 33.24 sympathetic nerve 05.11
bursa 83.21 gum 24.11
cardioesophageal (junction) 44.14 heart 37.25
closed (endoscopic) 44.14 hypophysis --see also Biopsy, pituitary gland 07.15
open 44.15 ileum 45.14
cecum 45.25 brush 45.14
brush 45.25 closed (endoscopic) 45.14
closed (endoscopic) 45.25 open 45.15
open 45.26 intestine NEC 45.27
cerebral meninges NEC 01.11 closed 01.11 large 45.25
open 01.12 brush 45.25
percutaneous (needle) 01.11 closed (endoscopic) 45.25
cervix (punch) 67.12 open 45.26
conization (sharp) 67.2 small 45.14
chest wall 34.23 brush 45.14
clitoris 71.11 closed (endoscopic) 45.14
colon 45.25 open 45.15
brush 45.25 intra- abdominal mass 54.24 closed 54.24
closed (endoscopic) 45.25 percutaneous (needle) 54.24
open 45.26 iris 12.22
conjunctiva 10.21 jejunum 45.14
cornea 11.22 brush 45.14
cul- de- sac 70.23 diaphragm 34.27 closed (endoscopic) 45.14
duodenum 45.14 open 45.15
brush 45.14 joint structure (aspiration) 80.30 ankle 80.37
Biopsy - joint structure ---Cont. Biopsy - muscle ---Cont.
elbow 80.32 ocular 15.01
foot and toe 80.38 hand and finger 80.34 hip 80.35 nasopharynx 29.12
knee 80.36 nerve (cranial) (peripheral) NEC 04.11 closed 04.11
shoulder 80.31 specified site NEC 80.39 spine 80.39 open 04.12
wrist 80.33 percutaneous (needle) 04.11
kidney 55.23 sympathetic 05.11
closed 55.23 nose, nasal 21.22
open 55.24 sinus 22.11
percutaneous (aspiration) (needle) 55.23 closed (endoscopic) (needle) 22.11 open 22.12
labia 71.11 lacrimal ocular muscle or tendon 15.01 omentum
gland 09.11 closed 54.24
sac 09.12 open 54.23
larynx 31.43 percutaneous (needle) 54.24
brush 31.43 orbit 16.23
closed (endoscopic) 31.43 by aspiration 16.22
open 31.45 ovary 65.12
lip 27.23 by aspiration 65.11
liver 50.11 laparoscopic 65.13
closed 50.11 palate (bony) 27.21
laparoscopic 50.14 soft 27.22
open 50.12 pancreas 52.11
percutaneous (aspiration) (needle) 50.11 closed (endoscopic) 52.11
transjugular 50.13 open 52.12
transvenous 50.13 percutaneous (aspiration) (needle) 52.11 pancreatic duct 52.14
lung NEC 33.27 closed (endoscopic) 52.14
brush 33.24 parathyroid gland 06.13
closed (percutaneous) (needle) 33.26 brush 33.24 penis 64.11
endoscopic 33.27 perianal tissue 49.22
brush 33.24 pericardium 37.24
endoscopic 33.27 periprostatic 60.15
brush 33.24 perirectal tissue 48.26
open 33.28 perirenal tissue 59.21 peritoneal implant
transbronchial 33.27 closed 54.24
transthoracic 33.26 open 54.23
thoracoscopic 33.20 percutaneous (needle) 54.24 peritoneum
lymphatic structure (channel) (node) (vessel) 40.11 closed 54.24
mediastinum NEC 34.25 open 54.23
closed 34.25 percutaneous (needle) 54.24
open 34.26 periurethral tissue 58.24
percutaneous (needle) 34.25 meninges (cerebral) NEC 01.11 perivesical tissue 59.21
closed 01.11 pharynx, pharyngeal 29.12
open 01.12 pineal gland 07.17
percutaneous (needle) 01.11 pituitary gland 07.15
spinal 03.32 transfrontal approach 07.13
mesentery 54.23 transsphenoidal approach 07.14
mouth NEC 27.24 pleura, pleural 34.24
muscle 83.21 thoracoscopic 34.20
extraocular 15.01 prostate NEC 60.11
closed (transurethral) 60.11
open 60.12
percutaneous (needle) 60.11
transrectal 60.11
Biopsy---Cont. Biopsy---Cont.
rectum 48.24 tonsil 28.11
brush 48.24 trachea 31.44
closed (endoscopic) 48.24 brush 31.44
open 48.25 closed (endoscopic) 31.44
retroperitoneal tissue 54.24 salivary gland or duct 26.11 open 31.45
closed (needle) 26.11 tunica vaginalis 61.11
open 26.12 umbilicus 54.22
scrotum 61.11 ureter 56.33
seminal vesicle NEC 60.13 closed 60.13 closed (percutaneous) 56.32
open 60.14 endoscopic 56.33
percutaneous (needle) 60.13 open 56.34
sigmoid colon 45.25 transurethral 56.33
brush 45.25 urethra 58.23
closed (endoscopic) 45.25 uterus, uterine (endometrial) 68.16 by
open 45.26 aspiration curettage 69.59 dilation and curettage 69.09
sinus, nasal 22.11 closed (endoscopic) 68.16
closed (endoscopic) (needle) 22.11 open 22.12 ligaments 68.15
skin (punch) 86.11 closed (endoscopic) 68.15
skull 01.15 open 68.14
soft palate 27.22 open 68.13
soft tissue NEC 83.21 spermatic cord 63.01 sphincter of Oddi uvula 27.22
51.14 vagina 70.24
closed (endoscopic) 51.14 vas deferens 63.01 vein (any site) 38.21 vulva 71.11
open 51.13 BiPAP 93.90
spinal cord (meninges) 03.32 spleen 41.32 delivered by
closed 41.32 endotracheal tube --see category 96.7 tracheostomy --seecategory 96.7
open 41.33 BIS (bispectral index) monitoring
percutaneous (aspiration) (needle) 41.32 00.94 [89.14]
stomach 44.14 Bischoff operation
brush 44.14 (ureteroneocystostomy) 56.74
closed (endoscopic) 44.14 Bisection --see also Excision hysterectomy 68.39
open 44.15 laparoscopic 68.31
subcutaneous tissue (punch) 86.11 supraglottic mass 29.12 ovary 65.29
sympathetic nerve 05.11 laparoscopic 65.25 stapes foot plate 19.19
tendon 83.21 with incus replacement 19.11
extraocular 15.01 Bischoff operation (spinal myelotomy) 03.29
ocular 15.01 Blalock operation (systemic- pulmonary anastomosis) 39.0
testis NEC 62.11 Blalock-Hanlon operation (creation of atrial septal defect) 35.42
closed 62.11 Blalock-Taussig operation (subclavian- pulmonary anastomosis) 39.0
open 62.12 Blascovic operation (resection and advancement of levator palpebrae
percutaneous (needle) 62.11 superioris) 08.33
thymus 07.16 Blepharectomy 08.20
thyroid gland NEC 06.11 closed 06.11 Blepharoplasty --see also
open 06.12 Reconstruction, eyelid 08.70
percutaneous(aspiration) (needle) 06.11 extensive 08.44
tongue 25.01
closed (needle) 25.01
open 25.02
Blepharorrhaphy 08.52 division or severing 08.02 Bone
Blepharotomy 08.09 age studies 88.33
Blind rehabilitation therapy NEC 93.78 mineral density study 88.98
Block Bonney operation (abdominal hysterectomy) 68.49
caudal --see Injection, spinal celiac ganglion or plexus laparoscopic 68.41
05.31 Borthen operation (iridotasis) 12.63
dissection breast Bost operation
bilateral 85.46 plantar dissection 80.48
unilateral 85.45 radiocarpal fusion 81.26
bronchus 32.6 Bosworth operation
larynx 30.3 arthroplasty for acromioclavicular separation 81.83
lymph nodes 40.50 fusion of posterior lumbar and lumbosacral spine 81.08
neck 40.40 for pseudarthrosis 81.38
vulva 71.5 Resection of radial head ligaments (for tennis elbow) 80.92
epidural, spinal --see Injection, spinal gasserian ganglion shelf procedure, hip 81.40
04.81 Bottle repair of hydrocele, tunica-vaginalis
intercostal nerves 04.81 intrathecal --see injection, spinal 61.2
nerve (cranial) (peripheral) NEC 04.81 paravertebral Boyd operation (hip disarticulation) 84.18
stellate ganglion 05.31 peripheral nerve 04.81 Brachytherapy
spinal nerve root (intrathecal) intravascular 92.27
--see Injection, spinal stellate (ganglion) 05.31 Brauer operation (cardiolysis) 37.10 Breech extraction --see Extraction,
subarachnoid, spinal --see Injection,spinal sympathetic breech Bricker operation (ileoureterostomy) 56.51 Brisement (forcé)
nerve 05.31 93.26
trigeminal nerve 04.81 Bristow operation (repair of shoulder dislocation) 81.82
Blood Brock operation (pulmonary valvotomy)35.03
flow study, Doppler- type (ultrasound) Brockman operation (soft tissue release for clubfoot) 83.84
--see Ultrasonography patch, spine (epidural) 03.95 Bronchogram, bronchography 87.32
transfusion endotracheal 87.31
antihemophilic factor 99.06 autologous transcricoid 87.32
collected prior to surgery 99.02 intraoperative 99.00 Bronchoplasty 33.48
perioperative 99.00 Bronchorrhaphy 33.41
postoperative 99.00 Bronchoscopy NEC 33.23
previously collected 99.02 with biopsy 33.24
salvage 99.00 lung 33.27
blood expander 99.08 brush 33.24
blood surrogate 99.09 fiberoptic 33.22
coagulation factors 99.06 with biopsy 33.24
exchange 99.01 lung 33.27
granulocytes 99.09 brush 33.24
hemodilution 99.03 through tracheostomy 33.21
other substance 99.09 with biopsy 33.24
packed cells 99.04 lung 33.27
plasma 99.07 brush 33.24
platelets 99.05 Bronchospirometry 89.38
serum, other 99.07 Bronchostomy 33.0
thrombocytes 99.05 closure 33.42
Blount operation Bronchotomy 33.0
femoral shortening(with blade plate) 78.25 by epiphyseal Browne (-Denis) operation
stapling 78.25 (hypospadias repair) 58.45
Boari operation (bladder flap) 56.74 Brunschwig operation (temporary gastrostomy) 43.19
Bobb operation (cholelithotomy) 51.04
Buckling, scleral 14.49 with Bypass ---Cont.
air tamponade 14.49 gastroduodenostomy (jaboulay's) 44.39
implant (silicone) (vitreous) 14.41 resection of sclera 14.49 laparoscopic 44.38
vitrectomy 14.49 percutaneous [endoscopic] 44.32
vitreous implant (silicone) 14.41 gastroenterostomy 44.39
Bunionectomy (radical) 77.59 with laparoscopic 44.38
arthrodesis 77.52 gastroepiploic - coronary artery 36.17 gastrogastrostomy 44.39
osteotomy of first metatarsal 77.51 resection of joint with laparoscopic 44.38
prosthetic graft, pressurized treatment 00.16 heart- lung (complete) (partial)
implant 77.59 39.61
soft tissue correction NEC 77.53 Bunnell operation (tendon open 39.61
transfer) 82.56 Burch procedure (retropubic urethral percutaneous (closed) 39.66
suspension for urinary stress incontinence) 59.5 high gastric 44.31
Burgess operation(amputation of ankle) 84.14 ileo- jejunal 45.91
Burn dressing 93.57 internal mammary- coronary artery (single) 36.13
Burr holes 01.24 double vessel 36.16
Bursectomy 83.5 jejunal- ileum 45.91
hand 82.31 pulmonary 39.61
Bursocentesis 83.94 open 39.61
hand 82.92 percutaneous (closed) 39.66 shunt
Bursotomy 83.03 intestine
hand 83.03 large- to- large 45.94 small- to- large 45.93 small- to- small 45.91
Burying of fimbriae in uterine wall 66.97 stomach 44.39
Bypass high gastric 44.31
abdominal - coronary artery 36.17 aortocoronary (catheter laparoscopic 44.38
stent) (with terminal ileum 45.93
prosthesis) (with saphenous vein graft) (with vein graft) 36.10 vascular (arterial) (graft) (mandril grown graft) (vein graft) NEC 39.29
one coronary vessel 36.11 two coronary vessels 36.12 three aorta- carotid- brachial 39.22 aorta- iliac- femoral 39.25 aorta- renal
coronary vessels 36.13 four coronary vessels 36.14 39.24
arterial (graft) (mandril grown graft) (vein graft) NEC 39.29 aorta- subclavian- carotid 39.22 aortic- superior mesenteric 39.26
carotid- cerebral 39.28 aortocarotid 39.22
carotid- vertebral 39.28 aortoceliac 39.26 aortocoronary --see also Bypass,
extracranial- intracranial [EC- IC] 39.28 intra- abdominal NEC aortocoronary 36.10
39.26 intrathoracic NEC 39.23 aortofemoral 39.25
peripheral NEC 39.29 aortofemoral- popliteal 39.25
cardiopulmonary 39.61 aortoiliac 39.25
open 39.61 to popliteal 39.25
percutaneous (closed) 39.66 aortoiliofemoral 39.25
carotid- cerebral 39.28 aortomesenteric 39.26
carotid- vertebral 39.28 coronary --see also Bypass, aortopopliteal 39.25
aortocoronary 36.10 extracranial- intracranial [EC- IC] aortorenal 39.24
39.28 aortosubclavian 39.22
gastric 44.39 axillary- brachial 39.29
high 44.31 axillary- femoral (superficial) 39.29 axillofemoral (superficial) 39.29
laparoscopic 44.38 Printen and Mason 44.31 carotid- cerebral 39.28
carotid- vertebral 39.28
carotid to subclavian artery 39.22 common hepatic- common iliac-
renal
39.26
Bypass---Cont.
coronary --see also Bypass, aortocoronary 36.10
extracranial- intracranial [EC- IC] 39.28 femoral- femoral 39.29
femoroperoneal 39.29 femoropopliteal (reversed saphenous
vein) (saphenous) 39.29 femorotibial (anterior) (posterior) 39.29 iliofemoral 39.25
ilioiliac 39.26
internal mammary- coronary artery (single) 36.15
double vessel 36.16
intra- abdominal (arterial) NEC 39.26 venous NEC 39.1
intrathoracic NEC 39.23 peripheral artery NEC 39.29 popliteal- tibial 39.29
renal artery 39.24
splenorenal (venous) 39.1
arterial 39.26
subclavian- axillary 39.29
subclavian- carotid 39.22
subclavian- subclavian 39.22 Y graft to renal arteries 39.24
C
Caldwell operation (sulcus extension) 24.91 Capsulectomy ---Cont.
Caldwell-Luc operation (maxillary sinusotomy) 22.39 ovary 65.29
with removal of membrane lining 22.31 laparoscopic 65.25
Calibration, urethra 89.29 Capsulo-iridectomy 13.65 Capsuloplasty --see Arthroplasty
Calicectomy (renal) 55.4 Capsulorrhaphy 81.96
Callander operation (knee disarticulation) 84.16 with arthroplasty --see Arthroplasty ankle 81.94
Caloric test, vestibular function 95.44 foot 81.94
Calycectomy (renal) 55.4 lower extremity NEC 81.95 upper extremity 81.93
Calyco-ileoneocystostomy 55.86 Capsulotomy
Calycotomy (renal) 55.11 joint --see also Division, joint capsule 80.40 for claw toe repair
Campbell operation 77.57
bone block, ankle 81.11 fasciotomy (iliac crest) 83.14 lens 13.64 with
reconstruction of anterior cruciate discission of lens 13.2 removal of foreign body 13.02 by magnet
ligament 81.45 extraction 13.01
Campimetry 95.05 Cardiac
Canaliculodacryocystorhinostomy 09.81 mapping 37.27
Canaliculoplasty 09.73 massage (external) (closed chest) 99.63 open chest 37.91
Canaliculorhinostomy 09.81 Canaloplasty,external retraining 93.36
auditory meatus18.6 Cannulation --see also Insertion, Cardiac support device (CSD) 37.41
catheter Cardiectomy (stomach) 43.5
ampulla of Vater 51.99 antrum 22.01 Cardiocentesis 37.0
arteriovenous 39.93 Cardiography --see also Angiocardiography 88.50
artery 38.91 Cardiolysis 37.10
caval- mesenteric vein 39.1 cisterna chyli 40.61 Cardiomyopexy 36.39
Eustachian tube 20.8 Cardiomyotomy 42.7
lacrimal apparatus 09.42 Cardio-omentopexy 36.39
lymphatic duct, left (thoracic) 40.61 nasal sinus (by Cardiopericardiopexy 36.39
puncture) 22.01 Cardioplasty (stomach and esophagus) 44.65 stomach alone 44.66
through natural ostium 22.02 pancreatic duct 52.92 laparoscopic 44.67
by retrograde endoscopy (ERP) 52.93 renoportal 39.1 Cardioplegia 39.63
sinus (nasal) (by puncture) 22.01 through natural ostium Cardiopneumopexy 36.39
22.02 Cardiorrhaphy 37.49
splenorenal (venous) 39.1 Cardioschisis 37.12
arterial 39.26 Cardiosplenopexy 36.39
thoracic duct (cervical approach) (thoracic approach) Cardiotomy (exploratory) 37.11 Cardiovalvulotomy --see
40.61 Valvulotomy, heart Cardioversion (external) 99.62
Cannulization --see Cannulation atrial 99.61
Canthocystostomy 09.82 Heart (TAH- t) 37.52
Canthoplasty 08.59 Carotid pulse tracing with ECG lead 89.56
Canthorrhaphy 08.52 division or severing 08.02 Carpectomy (partial) 77.84
Canthotomy 08.51 total 77.94
Capsulectomy Carroll and Taber arthroplasty (proximal interphalangeal joint)
joint --see also Arthrectomy 80.90 kidney 55.91 81.72
lens 13.65
with extraction of lens 13.51
Casting (for immobilization) NEC 93.53 with fracture- Cauterization --see also Destruction, lesion, by site
reduction --see Reduction, anus NEC 49.39
fracture endoscopic 49.31
Castration Bartholin's gland 71.24
female (oophorectomy, bilateral) 65.51 laparoscopic 65.53 broad ligament 69.19
male 62.41 bronchus 32.09
C.A.T. (computerized axial tomography) --see also Scan, endoscopic 32.01
C.A.T. 88.38 canaliculi 09.73
Catheterization --see also Insertion, catheter arteriovenous cervix 67.32
39.93 chalazion 08.25
artery 38.91 choroid plexus 02.14
bladder, indwelling 57.94 conjunctiva 10.33
percutaneous (cystostomy) 57.17 lesion 10.32
suprapubic NEC 57.18 cornea (fistula) (ulcer) 11.42 ear, external 18.29
bronchus 96.05 endometrial implant --see Excision, lesion, by site
with lavage 96.56 entropion 08.41
cardiac (right) 37.21 esophagus 42.39
combined left and right 37.23 left 37.22 endoscopic 42.33
combined with right heart 37.23 right 37.21 eyelid 08.25
combined with left heart 37.23 central venous NEC 38.93 for entropion or ectropion 08.41 fallopian tube 66.61
peripherally inserted central catheter (PICC) 38.93 by endoscopy (hysteroscopy) (laparoscopy) 66.29
chest 34.04 hemorrhoids 49.43
revision (with lysis of adhesions) 34.04 thoracoscopic 34.06 iris 12.41 lacrimal
thoracoscopic 34.06 gland 09.21
Eustachian tube 20.8 punctum 09.72
heart (right) 37.21 for eversion 09.71
combined left and right 37.23 left 37.22 sac 09.6
combined with right heart 37.23 right 37.21 larynx 30.09
combined with left heart 37.23 hepatic vein 38.93 liver 50.29
inferior vena cava 38.93 lung 32.29
intercostal space (with water seal), for drainage 34.04 endoscopic 32.28
revision (with lysis of adhesions) 34.04 thoracoscopic 34.06 meibomian gland 08.25
thoracoscopic 34.06 nose, for epistaxis (with packing) 21.03 ovary 65.29
lacrimonasal duct 09.44 laparoscopic 65.25
laryngeal 96.05 palate (bony) 27.31
nasolacrimal duct 09.44 pannus (superficial) 11.42
pancreatic cyst 52.01 pharynx 29.39
renal vein 38.93 punctum, lacrimal 09.72
Swan- Ganz (pulmonary) 89.64 transtracheal for oxygenation for eversion 09.71
31.99 umbilical vein 38.92 rectum 48.32
ureter (to kidney) 59.8 radical 48.31
for retrograde pyelogram 87.74 urethra, indwelling 57.94 round ligament 69.19
vein NEC 38.93 sclera 12.84
for renal dialysis 38.95 with iridectomy 12.62
Cattell operation (herniorrhaphy) 53.51 skin 86.3
subcutaneous tissue 86.3
tonsillar fossa 28.7
urethra 58.39
endoscopic 58.31
uterosacral ligament 69.19
uterotubal ostia 66.61
uterus 68.29
Cauterization ---Cont. Cesarean section 74.99
vagina 70.33 classical 74.0
vocal cords 30.09 corporeal 74.0
vulva 71.3 extraperitoneal 74.2
Cavernoscopy 34.21 fundal 74.0
Cavernostomy 33.1 laparotrachelotomy 74.1
Cavernotomy, kidney 55.39 Cavography (inferior vena cava) Latzko 74.2
88.51 CCM (implantation of cardiac contractility low cervical 74.1
modulation) lower uterine segment 74.1 peritoneal exclusion 74.4 specified type
rechargeable pulse generator only 17.52 total system 17.51 NEC 74.4 supravesical 74.2
Cecectomy (with resection of terminal ileum) laparoscopic transperitoneal 74.4
17.32 classical 74.0
open and other 45.72 low cervical 74.1
Cecil operation (urethral reconstruction) 58.46 upper uterine segment 74.0 vaginal 74.4
Cecocoloplicopexy 46.63 Waters 74.2
Cecocolostomy 45.94 Chamberlain procedure --see Mediastinotomy Chandler operation
Cecofixation 46.64 (hip fusion) 81.21 Change --see also Replacement
Ceco-ileostomy 45.93 cast NEC 97.13
Cecopexy 46.64 lower limb 97.12
Cecoplication 46.62 upper limb 97.11
Cecorrhaphy 46.75 cystostomy catheter or tube 59.94 gastrostomy tube 97.02
Cecosigmoidostomy 45.94 length
Cecostomy (tube)--see also Colostomy 46.10 bone --see either category 78.2 Shortening, bone or category 78.3
Cecotomy 45.03 Lengthening, bone
Celiocentesis 54.91 muscle 83.85
Celioscopy 54.21 hand 82.55
Celiotomy, exploratory 54.11 tendon 83.85
Cell block and Papanicolaou smear hand 82.55
--see Examination, microscopic nephrostomy catheter or tube 55.93 pyelostomy catheter or tube 55.94
CentriMag® acute circulatory support device 37.62 splint 97.14
Cephalogram 87.17 tracheostomy tube 97.23 ureterostomy catheter or tube 55.93 urethral
dental 87.12 catheter, indwelling 57.95
orthodontic 87.12 Character analysis, psychologic 94.03
Cephalometry, cephalometrics 87.17 Charles operation (correction of lymphedema) 40.9
echo 88.78 Charnley operation (compression arthrodesis) ankle 81.11
orthodontic 87.12 hip 81.21
ultrasound (sonar) 88.78 knee 81.22
x- ray 87.81 Cheatle-Henry operation --see Repair, hernia, femoral
Cephalotomy, fetus 73.8 Check
Cerclage automatic implantable cardioverter/defibrillator (AICD) (interrogation
anus 49.72 only) 89.49
cervix 67.51 CRT- D (cardiac resynchronization defibrillator) (interrogation only)
transabdominal 67.51 89.49
transvaginal 67.59 isthmus uteri (cervix) 67.59 CRT- P (cardiac resynchronization pacemaker) (interrogation only)
retinal reattachment --see also 89.45
Buckling, scleral 14.49
sclera --see also Buckling, scleral 14.49
Cervicectomy (with synchronous colporrhaphy) 67.4
Cervicoplasty 67.69
Check ---Cont. Cholangiogram 87.54
pacemaker, artificial (cardiac)(function) (interrogation endoscopic retrograde (ERC) 51.11 intraoperative 87.53
only)(rate) 89.45 intravenous 87.52
amperage threshold 89.48 artifact wave form 89.46 percutaneous hepatic 87.51
electrode impedance 89.47 transhepatic 87.53
voltage threshold 89.48 Cholangiography --see also
vision NEC 95.09 Cholangiogram 87.54
Cheiloplasty 27.59 Cholangiojejunostomy (intrahepatic) 51.39
Cheilorrhaphy 27.51 Cholangiopancreatography, endoscopic retrograde (ERCP) 51.10
Cheilostomatoplasty 27.59 Cholangiostomy 51.59
Cheilotomy 27.0 Cholangiotomy 51.59
Chemical peel, skin 86.24 Cholecystectomy (total) 51.22
Chemocauterization --see also Destruction, lesion, by site partial 51.21
corneal epithelium 11.41 laparoscopic 51.24
palate 27.31 total 51.22
Chemodectomy 39.8 laparoscopic 51.23
Chemoembolization 99.25 Cholecystenterorrhaphy 51.91
Chemolysis Cholecystocecostomy 51.32
nerve (peripheral) 04.2 spinal canal structure 03.8 Cholecystocholangiogram 87.59
Chemoneurolysis 04.2 Cholecystocolostomy 51.32
Chemonucleolysis (nucleus pulposus) 80.52 Cholecystoduodenostomy 51.32
Chemopallidectomy 01.42 Cholecystoenterostomy (Winiwater) 51.32
Chemopeel (skin) 86.24 Cholecystogastrostomy 51.34
Chemosurgery Cholecystogram 87.59
esophagus 42.39 Cholecystoileostomy 51.32
endoscopic 42.33 Cholecystojejunostomy (Roux- en- Y) (with jejunojejunostomy)
Mohs' 86.24 51.32
skin (superficial) 86.24 Cholecystopancreatostomy 51.33
stomach 43.49 Cholecystopexy 51.99
endoscopic 43.41 Cholecystorrhaphy 51.91
Chemothalamectomy 01.41 Cholecystostomy NEC 51.03
Chemotherapy --see also Immunotherapy Antabuse 94.25 by trocar 51.02
for cancer NEC 99.25 Cholecystotomy 51.04
brain wafer implantation 00.10 CLO 17.70 percutaneous 51.01
clofarabine 17.70 Choledochectomy 51.63
CLOLAR® 17.70 Choledochoduodenostomy 51.36
implantation of chemotherapeutic agent 00.10 Choledochoenterostomy 51.36
interstitial implantation 00.10 Choledochojejunostomy 51.36
intracavitary implantation 00.10 Choledocholithotomy 51.41
wafer chemotherapy 00.10 endoscopic 51.88
ithium 94.22 Choledocholithotripsy 51.41
methadone 94.25 endoscopic 51.88
palate (bony) 27.31 Choledochopancreatostomy 51.39
Chevalier-Jackson operation Choledochoplasty 51.72
(partial laryngectomy) 30.29 Choledochorrhaphy 51.71
Child operation (radical subtotal pancreatectomy) 52.53 Choledochoscopy 51.11
Cholangiocholangiostomy 51.39 Choledochostomy 51.51
Cholangiocholecystocholedochectomy Choledochotomy 51.51
51.22 Cholelithotomy 51.04
Cholangio-enterostomy 51.39 Chondrectomy 80.90
Cholangiogastrostomy 51.39 ankle 80.97
elbow 80.92
foot and toe 80.98 hand and finger 80.94 hip 80.95
intervertebral cartilage --see category 80.5 knee (semilunar
cartilage) 80.6
Chondrectomy---Cont Clearance
nasal (submucous) 21.5 semilunar cartilage (knee) 80.6 bladder (transurethral) 57.0 pelvic
shoulder 80.91 female 68.8
specified site NEC 80.99 spine --see category 80.5 wrist male 57.71 prescalene fat pad 40.21
80.93 renal pelvis (transurethral) 56.0 ureter (transurethral) 56.0
Chondroplasty --see Arthroplasty Cleidotomy 77.31
Chondrosternoplasty (for pectus excavatum repair) fetal 73.8
34.74 Clipping
Chondrotomy--see also Division, cartilage 80.40 aneurysm (basilar) (carotid) (cerebellar) (cerebellopontine)
nasal 21.1 (communicating artery) (vertebral) 39.51
Chopart operation (midtarsal amputation) 84.12 arteriovenous fistula 39.53 frenulum, frenum
Chordectomy, vocal 30.22 labia (lips) 27.91
Chordotomy (spinothalmic) (anterior) (posterior) NEC lingual (tongue) 25.91 left atrial appendage 37.36 tip of uvula 27.72
03.29 Clitoridectomy 71.4
percutaneous 03.21 Clitoridotomy 71.4
stereotactic 03.21 Clivogram 87.02
Ciliarotomy 12.55 Closure --see also Repair abdominal wall 54.63
Ciliectomy (ciliary body) 12.44 eyelid margin 08.20 delayed (granulating wound) 54.62 secondary 54.61
Cinch, cinching tertiary 54.62
for scleral buckling --see also Buckling, scleral 14.49 amputation stump, secondary 84.3 anular disc 80.54
ocular muscle (oblique) (rectus) 15.22 multiple (two or with graft or prosthesis 80.53 anulus fibrosus 80.54
more muscles) 15.4 with graft or prosthesis 80.53 aorticopulmonary fenestration(fistula)
Cineangiocardiography --see also Angiocardiography 39.59
88.50 Cineplasty, cineplastic prosthesis appendicostomy 47.92 artificial opening
amputation --see Amputation arm 84.44 bile duct 51.79
biceps 84.44 bladder 57.82
extremity 84.40 bronchus 33.42
lower 84.48 common duct 51.72
upper 84.44 esophagus 42.83
leg 84.48 gallbladder 51.92
Cineradiograph --see Radiography hepatic duct 51.79
Cingulumotomy (brain) (percutaneous radio- frequency) intestine 46.50
01.32 large 46.52
Circumcision (male) 64.0 small 46.51
female 71.4 kidney 55.82
CISH [classic infrafascial SEMM hysterectomy] 68.31 larynx 31.62
Clagett operation (closure of chest wall following open rectum 48.72
flap drainage) 34.72 stomach 44.62
Clamp and cautery, hemorrhoids 49.43 thorax 34.72
Clamping trachea 31.72
aneurysm (cerebral) 39.51 ureter 56.83
blood vessel --see Ligation, blood vessel ventricular shunt urethra 58.42
02.43 atrial septal defect --see also Repair, atrial septal defect 35.71
Clavicotomy 77.31 with umbrella device(King- Mills type) 35.52
fetal 73.8
Claviculectomy (partial) 77.81
total 77.91
Clayton operation (resection of metatarsal heads and
bases of phalanges) 77.88
Cleaning, wound 96.59
Closure - atrial septal defect ---Cont. Closure fistula ---Cont.
combined with repair of valvular and ventricular septal common duct 51.72
defects --see Repair, endocardial cushion defect cornea 11.49
bronchostomy 33.42 with lamellar graft (homograft) 11.62 autograft 11.61
cecostomy 46.52 diaphragm 34.83
cholecystostomy 51.92 duodenum 46.72
cleft hand 82.82 ear, middle 19.9
colostomy 46.52 ear drum 19.4
cystostomy 57.82 enterocolic 46.74
diastema (alveolar) (dental) 24.8 disrupted abdominal wall enterocutaneous 46.74
(postoperative) enterouterine 69.42
54.61 enterovaginal 70.74
duodenostomy 46.51 enterovesical 57.83
encephalocele 02.12 esophagobronchial 33.42
endocardial cushion defect --see also Repair, endocardial esophagocutaneous 42.84
cushion defect 35.73 esophagopleurocutaneous 34.73
enterostomy 46.50 esophagotracheal 31.73
esophagostomy 42.83 fenestration esophagus NEC 42.84
aorticopulmonary 39.59 fecal 46.79
septal, heart --see also Repair, heart, septum 35.70 gallbladder 51.93
filtering bleb, corneoscleral (post- glaucoma) 12.66 gastric NEC 44.63
fistula gastrocolic 44.63
abdominothoracic 34.83 gastroenterocolic 44.63
anorectal 48.73 gastroesophageal 42.84
anovaginal 70.73 gastrojejunal 44.63
antrobuccal 22.71 gastrojejunocolic 44.63
anus 49.73 heart valve --see Repair, heart, valve hepatic duct 51.79
aorticopulmonary (fenestration) 39.59 hepatopleural 34.73
aortoduodenal 39.59 hepatopulmonary 34.73
appendix 47.92 ileorectal 46.74
biliary tract 51.79 ileosigmoidal 46.74
bladder NEC 57.84 ileovesical 57.83
branchial cleft 29.52 ileum 46.74
bronchocutaneous 33.42 in ano 49.73
bronchoesophageal 33.42 intestine 46.79
bronchomediastinal 34.73 large 46.76
bronchopleural 34.73 small NEC 46.74
bronchopleurocutaneous 34.73 intestinocolonic 46.74
bronchopleuromediastinal 34.73 intestinoureteral 56.84
bronchovisceral 33.42 intestinouterine 69.42
bronchus 33.42 intestinovaginal 70.74
cecosigmoidal 46.76 intestinovesical 57.83
cerebrospinal fluid 02.12 jejunum 46.74
cervicoaural 18.79 kidney 55.83
cervicosigmoidal 67.62 lacrimal 09.99
cervicovesical 57.84 laryngotracheal 31.62
cervix 67.62 larynx 31.62
cholecystocolic 51.93 lymphatic duct, left (thoracic) 40.63 mastoid (antrum) 19.9
cholecystoduodenal 51.93 mediastinobronchial 34.73
cholecystoenteric 51.93 mediastinocutaneous 34.73
cholecystogastric 51.93 mouth (external) 27.53
cholecystojejunal 51.93 nasal 21.82
cisterna chyli 40.63 sinus 22.71
colon 46.76 nasolabial 21.82
colovaginal 70.72 nasopharyngeal 21.82
oroantral 22.71
Closure fistula ---Cont. Closure fistula ---Cont.
oronasal 21.82 uteroureteric 56.84
oval window (ear) 20.93 pancreaticoduodenal 52.95 uterovaginal 69.42
perilymph 20.93 uterovesical 57.84
perineorectal 48.73 vagina 70.75
perineosigmoidal 46.76 vaginocutaneous 70.75
perineourethroscrotal 58.43 vaginoenteric 70.74
perineum 71.72 vaginoperineal 70.75
perirectal 48.93 vaginovesical 57.84
pharyngoesophageal 29.53 vesicocervicovaginal 57.84
pharynx NEC 29.53 pleura, pleural NEC 34.93 pleurocutaneous vesicocolic 57.83
34.73 vesicocutaneous 57.84
pleuropericardial 37.49 vesicoenteric 57.83
pleuroperitoneal 34.83 vesicometrorectal 57.83
pulmonoperitoneal 34.83 vesicoperineal 57.84
rectolabial 48.73 vesicorectal 57.83
rectoureteral 56.84 vesicosigmoidal 57.83
rectourethral 58.43 vesicosigmoidovaginal 57.83
rectovaginal 70.73 vesicoureteral 56.84
rectovesical 57.83 vesicoureterovaginal 56.84
rectovesicovaginal 57.83 vesicourethral 57.84
rectovulvar 48.73 vesicourethrorectal 57.83
rectum NEC 48.73 vesicouterine 57.84
renal 55.83 vesicovaginal 57.84
reno- intestinal 55.83 vulva 71.72
round window 20.93 salivary (gland) (duct) 26.42 scrotum vulvorectal 48.73
61.42 foramen ovale (patent) 35.71 with
sigmoidovaginal 70.74 prosthesis(open heart technique)35.51 closed heart technique 35.52
sigmoidovesical 57.83 tissue graft 35.61
splenocolic 41.95 gastroduodenostomy 44.5
stomach NEC 44.63 gastrojejunostomy 44.5
thoracic duct 40.63 gastrostomy 44.62
thoracoabdominal 34.83 ileostomy 46.51
thoracogastric 34.83 jejunostomy 46.51
thoracointestinal 34.83 laceration --see also Suture, by site liver 50.61
thorax NEC 34.73 laparotomy, delayed 54.62
trachea NEC 31.73 meningocele (spinal) 03.51
tracheoesophageal 31.73 tympanic membrane --see also cerebral 02.12
Tympanoplasty 19.4 myelomeningocele 03.52
umbilicourinary 57.51 nephrostomy 55.82
ureter 56.84 palmar cleft 82.82
ureterocervical 56.84 patent ductus arteriosus 38.85 pelviostomy 55.82
ureterorectal 56.84 peptic ulcer (bleeding) (perforated) 44.40 perforation
ureterosigmoidal 56.84 ear drum--see also Tympanoplasty 19.4 esophagus 42.82
ureterovaginal 56.84 nasal septum 21.88
ureterovesical 56.84 tympanic membrane --see also
urethra 58.43 Tympanoplasty 19.4
urethroperineal 58.43 proctostomy 48.72
urethroperineovesical 57.84 punctum, lacrimal (papilla) 09.91 pyelostomy 55.82
urethrorectal 58.43 rectostomy 48.72
urethroscrotal 58.43 septum defect (heart) --see also Repair, heart, septum 35.70
urethrovaginal 58.43
uteroenteric 69.42
uterointestinal 69.42
uterorectal 69.42
Closure ---Cont. sigmoidostomy 46.52 skin (V- Y type) 86.59 Coagulation, electrocoagulation ---Cont.
stoma rectum (polyp) 48.32
bile duct 51.79 radical 48.31 retina (for)
bladder 57.82 destruction of lesion 14.21 reattachment 14.51
bronchus 33.42 repair for tear 14.31 round ligament 69.19
common duct 51.72 semicircular canals 20.79 spinal cord (lesion) 03.4
esophagus 42.83 urethrovesical junction,transurethral 57.49
gallbladder 51.92 uterosacral ligament 69.19
hepatic duct 51.79 uterus 68.29
intestine 46.50 vagina 70.33
large 46.52 vulva 71.3
small 46.51 Coating, aneurysm of brain 39.52 Cobalt-60 therapy (treatment)
kidney 55.82 92.23 Coccygectomy (partial) 77.89
larynx 31.62 total 77.99
rectum 48.72 Coccygotomy 77.39
stomach 44.62 "Cocked hat" procedure (metacarpal lengthening and transfer of
thorax 34.72 local flap) 82.69
trachea 31.72 Cockett operation (varicose vein) lower limb 38.59
ureter 56.83 upper limb 38.53
urethra 58.42 Cody tack (perforation of footplate) 19.0
thoracostomy 34.72 Coffey operation (uterine suspension) (Meig's modification) 69.22
tracheostomy 31.72 Cole operation (anterior tarsal wedge osteotomy) 77.28
ulcer (bleeding) (peptic) (perforated) 44.40 duodenum 44.42 Colectomy (partial) (segmental) (subtotal) cecum (with terminal
gastric 44.41 ileum)
intestine (perforated) 46.79 laparoscopic 17.32 open and other 45.72
skin 86.59 laparoscopic 17.39
stomach 44.41 left (Hartmann) (lower) (radical) laparoscopic 17.35
ureterostomy 56.83 open and other 45.75 multiple segmental
urethrostomy 58.42 laparoscopic 17.31 open and other 45.71
vagina 70.8 vascular open and other 45.79
percutaneous puncture --omit code right (radical) laparoscopic 17.33 open and other 45.73
vesicostomy 57.22 sigmoid laparoscopic 17.36
wound --see also Suture, by site with graft --see Graft open and other 45.76 terminal ileum with cecum
with tissue adhesive 86.59 laparoscopic 17.32 open and other 45.72
Coagulation, electrocoagulation --see also total
Destruction,lesion, by site laparoscopic 45.81
aneurysm (cerebral) (peripheral vessel) 39.52 open 45.82
arteriovenous fistula 39.53 other 45.83
brain tissue (incremental) (radiofrequency) 01.59 unspecified 45.83 transverse
broad ligament 69.19 laparoscopic 17.34 open and other 45.74
cervix 67.32 ear
external 18.29
inner 20.79
middle 20.51
fallopian tube 66.61
gasserian ganglion 04.05
nose, for epistaxis (with packing) 21.03 ovary 65.29
laparoscopic 65.25 pharynx (by diathermy) 29.39 prostatic
bed 60.94
Collapse, lung, surgical 33.39 by Colpopoiesis 70.61
destruction of phrenic nerve 33.31 pneumoperitoneum vaginal construction 70.61
33.33 pneumothorax, artificially- induced thoracoplasty with graft or prosthesis 70.63
33.34 Colporrhaphy 70.71
Collection, sperm for artificial insemination 99.96 anterior (cystocele repair) 70.51 with graft or prosthesis 70.54
Collis-Nissen operation (hiatal hernia r with for repair of cystocele 70.51
esophagogastroplasty) 53.80 with rectocele 70.50
Colocentesis 45.03 with graft or prosthesis 70.53 enterocele 70.92
Colocolostomy 45.94 with graft or prosthesis 70.93 rectocele 70.52
proximal to distal segment 45.79 with cystocele 70.50
Colocystoplasty 57.87 [45.52] with graft or prosthesis 70.53 urethrocele 70.51
Colofixation 46.64 with graft or prosthesis 70.54 posterior (rectocele repair) 70.52
Coloileotomy 45.00 with graft or prosthesis 70.55
Colonna operation Colposcopy 70.21
adductor tenotomy (first stage) 83.12 hip arthroplasty Colpotomy 70.14
(second stage) 81.40 reconstruction of hip (second stage) for pelvic peritoneal drainage 70.12
8 Commando operation (radical glossectomy) 25.4
Colonoscopy 45.23 with Commissurotomy
biopsy 45.25 closed heart technique --see Valvulotomy, heart
rectum 48.24 open heart technique --see
stent --see Insertion, stent, colon fiberoptic (flexible) Valvuloplasty, heart Compression, trigeminal nerve 04.02
45.23 Conchectomy 21.69
intraoperative 45.21 Conchotomy 21.1
through stoma (artificial) 45.22 transabdominal 45.21 Conduction study, nerve 89.15 Conduitogram, ileum 87.78
Colopexy 46.63 Condylectomy --see category 77.8
Coloplication 46.64 mandible 76.5
Coloproctostomy 45.94 Condylotomy NEC --see also Division, joint capsule 80.40
Colorectosigmoidostomy 45.94 mandible (open) 76.62
Colorectostomy 45.94 closed 76.61
Colorrhaphy 46.75 Coloscopy --see Colonoscopy Conization
Colosigmoidostomy 45.94 cervix (knife) (sharp) (biopsy) 67.2 by
Colostomy (ileo- ascending) (ileotransve (perineal) cryosurgery 67.33
(transverse) 46.10 electroconization 67.32
with anterior rectal resection 48.62 delayed opening Conjunctivocystorhinostomy 09.82 with insertion of tube or stent
46.14 09.83
loop 46.03 Conjunctivodacryocystorhinostomy
permanent (magnetic) 46.13 (CDCR) 09.82
temporary 46.11 with insertion of tube or stent 09.83
Colotomy 45.03 Conjunctivodacryocystostomy 09.82 with insertion of tube or
Colpectomy 70.4 stent 09.83
Colpoceliocentesis 70.0 Conjunctivoplasty 10.49
Colpocentesis 70.0 Conjunctivorhinostomy 09.82
Colpocleisis (complete) (partial) 70.8 with insertion of tube or stent 09.83
Colpohysterectomy 68.59 laparoscopically assisted Constriction of globe, for scleral buckling
(LAVH) 68.51 --see also Buckling, scleral 14.49
Colpoperineoplasty 70.79
with repair of urethrocele 70.51 with graft or prosthesis
70.53
Colpoperineorrhaphy 70.71
following delivery 75.69
Colpopexy 70.77
with graft or prosthesis 70.78
Colpoplasty 70.79
33.32
epair
1.40
rse)
Construction Control hemorrhage ---Cont.
auricle,ear(with graft)(with implant)18.71 ear colon 45.49
auricle(with graft)(with implant) 18.71 meatus (osseous) endoscopic 45.43
(skin- lined) 18.6 duodenum (ulcer) 44.49 by
endorectal ileal pouch (J- pouch) (H- pouch) (S- pouch) embolization (transcatheter) 44.44
(with anastomosis to anus) 45.95 suture (ligation) 44.42
esophagus, artificial --see Anastomosis, esophagus endoscopic 44.43
ileal bladder (open) 56.51 closed 57.87 [45.51] esophagus 42.39
ileal conduit 56.51 endoscopic 42.33
larynx, artificial 31.75 patent meatus (ear) 18.6 penis (rib gastric (ulcer) 44.49 by
graft) (skin graft) embolization (transcatheter) 44.44
(myocutaneous flap) 64.43 pharyngeal valve, artificial suture (ligation) 44.41
31.75 urethra 58.46 endoscopic 44.43
vagina, artificial 70.61 intrapleural 34.09
with graft or prosthesis 70.63 venous valves (peripheral) postoperative (recurrent) 34.03
39.59 laparotomy site 54.12
Consultation 89.09 nose --see also Control, epistaxis 21.00 peptic (ulcer) 44.49
comprehensive 89.07 by
limited (single organ system) 89.06 specified type NEC embolization (transcatheter) 44.44
89.08 suture (ligation) 44.40
Continuous positive airway pressure [CPAP] (non- endoscopic 44.43 pleura, pleural cavity 34.09
invasive) 93.90 postoperative (recurrent) 34.03
delivered by postoperative NEC 39.98
endotracheal tube --see category 96.7 tracheostomy -- postvascular surgery 39.41
seecategory 96.7 prostate 60.94
Control specified site NEC 39.98
atmospheric pressure and composition NEC 93.98 stomach --see Control, hemorrhage, gastric
antigen- free air conditioning 93.98 decompression thorax NEC 34.09
chamber 93.97 postoperative (recurrent) 34.03
mountain sanatorium 93.98 thyroid (postoperative) 06.02
epistaxis 21.00 by tonsils (postoperative) 28.7
cauterization (and packing) 21.03 coagulation (with Conversion
packing) 21.03 electrocoagulation (with packing) anastomosis --see Revision, anastomosis atrial rhythm (to sinus rhythm)
21.03 99.61 cardiac rhythm NEC 99.69
excision of nasal mucosa with grafting 21.07 to sinus rhythm 99.62 gastrostomy to jejunostomy
ligation of artery 21.09 ethmoidal 21.04 (endoscopic)
external carotid 21.06 for feeding tube placement 46.32 obstetrical position --see Version
maxillary (transantral) 21.05 packing (nasal) (anterior) Cooling, gastric 96.31
21.01 posterior (and anterior) 21.02 specified means NEC 37.41
21.09 Cordectomy, vocal 30.22
hemorrhage 39.98 Cordopexy, vocal 31.69
abdominal cavity 54.19 Cordotomy
adenoids (postoperative) 28.7 spinal (bilateral) NEC 03.29 percutaneous 03.21
anus (postoperative) 49.95 vocal 31.3
bladder (postoperative) 57.93 Corectomy 12.12
chest 34.09 Corelysis 12.35
Coreoplasty 12.35
Corneoconjunctivoplasty 11.53
Corpectomy, (vertebral) 80.99
with diskectomy 80.99
Correction --see also Repair atresia Correction ---Cont.
esophageal 42.85 palate (cleft) 27.62
by magnetic forces 42.99 external meatus (ear) 18.6 prognathism NEC 76.64
nasopharynx, nasopharyngeal 29.4 prominent ear 18.5
rectum 48.0 punctum (everted) 09.71
tricuspid 35.94 spinal pseudarthrosis --see Refusion, spinal
atrial septal defect --see also Repair, atrial septal defect syndactyly 86.85 tetralogy of Fallot
35.71 one- stage 35.81
combined with repair of valvular and ventricular septal partial --see specific procedure total 35.81
defects total anomalous pulmonary venous connection
--see Repair, endocardial cushion defect one- stage 35.82
blepharoptosis --see also Repair, blepharoptosis 08.36 partial --see specific procedure total 35.82
bunionette (with osteotomy) 77.54 chordee 64.42 transposition, great arteries, total 35.84 tricuspid atresia 35.94
claw toe 77.57 cleft truncus arteriosus one- stage 35.83
lip 27.54 partial --see specific procedure total 35.83
palate 27.62 ureteropelvic junction 55.87
clubfoot NEC 83.84 coarctation of aorta ventricular septal defect --see also Repair, ventricular septal
with defect 35.72
anastomosis 38.34 combined with repair of valvular and atrial septal defects --see
graft replacement 38.44 Repair, endocardial cushion defect
cornea NEC 11.59 Costectomy 77.91
refractive NEC 11.79 with lung excision --see Excision, lung associated with thoracic
epikeratophakia 11.76 operation
keratomileusis 11.71 --omit code
keratophakia 11.72 Costochondrectomy 77.91 associated with thoracic operation
radial keratotomy 11.75 --omit code
esophageal atresia 42.85 by magnetic forces 42.99 Costosternoplasty (pectus excavatum repair) 34.74
everted lacrimal punctum 09.71 eyelid Costotomy 77.31
ptosis --see also Repair, blepharoptosis 08.36 Costotransversectomy 77.91 associated with thoracic operation
retraction 08.38 --omit code
fetal defect 75.36 Counseling (for) NEC 94.49 alcoholism 94.46
forcible, of musculoskeletal deformity NEC 93.29 drug addiction 94.45
hammer toe 77.56 employers 94.49
hydraulic pressure, open surgery for penile inflatable Counseling ---Cont.
prosthesis 64.99 family (medical) (social) 94.49 marriage 94.49
urinary artificial sphincter 58.99 intestinal malrotation 46.80 ophthalmologic (with instruction) 95.36 pastoral 94.49
large 46.82 Countershock, cardiac NEC 99.62
small 46.81 Coventry operation (tibial wedge osteotomy) 77.27
inverted uterus --see Repair, inverted uterus CPAP (continuous positive airway pressure) 93.90
lymphedema (of limb) 40.9 excision with graft 40.9 delivered by
obliteration of lymphatics 40.9 transplantation of autogenous endotracheal tube --see category 96.7 tracheostomy --seecategory
lymphatics 40.9 96.7
nasopharyngeal atresia 29.4
overlapping toes 77.58
Craniectomy 01.25 Creation ---Cont.
linear (opening of cranial suture) 02.01 reopening of site subcutaneous tunnel for esophageal anastomosis 42.86
01.23 with anastomosis --see Anastomosis, esophagus, antesternal
strip (opening of cranial suture) 02.01 syndactyly (finger) (toe) 86.89 thalamic stimulator pulse generator
Cranioclasis, fetal 73.8 with initial insertion of battery package
Cranioplasty 02.06 --omit code
with synchronous repair of encephalocele 02.12 new site (skin)(subcutaneous) 86.09 tracheoesophageal fistula 31.95
Craniotomy 01.24 window
as operative approach --omit code pericardial 37.12
fetal 73.8 pleura, for drainage 34.09
for decompression of fracture 02.02 reopening of site Credé maneuver 73.59
01.23 Cricoidectomy 30.29
Craterization, bone --see also Excision, lesion, bone 77.60 Cricothyreotomy (for assistance in breathing) 31.1
Crawford operation (tarso- frontalis sling of eyelid) 08.32 Cricothyroidectomy 30.29
Creation --see also Formation Cricothyrostomy 31.1
cardiac device (defibrillator) (pacemaker) pocket Cricothyrotomy (for assistance in breathing) 31.1
with initial insertion of cardiac device Cricotomy (for assistance in breathing) 31.1
--omit code Cricotracheotomy (for assistance in breathing) 31.1
new site (skin) (subcutaneous) 37.79 conduit Crisis intervention 94.35
ileal (urinary) 56.51 Croupette, croup tent 93.94
left ventricle and aorta 35.93 Crown, dental (ceramic) (gold) 23.41
right atrium and pulmonary artery 35.94 right ventricle Crushing
and pulmonary bone --see category 78.4 calculus
(distal) artery 35.92 in repair of bile (hepatic) passage 51.49 endoscopic 51.88
pulmonary artery atresia 35.92 transposition of great bladder (urinary) 57.0
vessels 35.92 truncus arteriosus 35.83 pancreatic duct 52.09
endorectal ileal pouch (J- pouch) (H- pouch) (S- pouch) endoscopic 52.94
(with anastomosis to anus) 45.95 fallopian tube --see also Ligation, fallopian tube 66.39
esophagogastric sphincteric competence NEC 44.66 ganglion --see Crushing, nerve hemorrhoids 49.45
laparoscopic 44.67 nasal septum 21.88
Hartmann pouch --see Colectomy, by site interatrial nerve (cranial) (peripheral) NEC 04.03 acoustic 04.01
fistula 35.42 auditory 04.01
pericardial window 37.12 phrenic 04.03
pleural window, for drainage 34.09 pocket for collapse of lung 33.31 sympathetic 05.0
cardiac device (defibrillator) (pacemaker) with initial trigeminal 04.02
insertion of cardiac vestibular 04.01
device --omit code vas deferens 63.71
new site (skin)(subcutaneous) 37.79 loop recorder 37.79 Cryoablation --see Ablation
thalamic stimulator pulse generator with initial insertion Cryoanalgesia nerve (cranial) (peripheral) 04.2
of battery Cryoconization, cervix 67.33
package --omit code Cryodestruction--see Destruction,lesion,by site
new site (skin)(subcutaneous) 86.09 shunt --see also Shunt Cryoextraction, lens --see also Extraction, cataract, intracapsular 13.19
arteriovenous fistula, for dialysis 39.93 left- to- right Cryohypophysectomy (complete) (total)
(systemic to --see also Hypophysectomy 07.69
pulmonary circulation) 39.0 Cryoleucotomy 01.32
Cryopexy, retinal --see Cryotherapy, retina Curettage (with packing) (with secondary closure)--see also Dilation
Cryoprostatectomy 60.62 Cryoretinopexy (for) and curettage
reattachment 14.52 adenoids 28.6
repair of tear or defect 14.32 Cryosurgery --see anus 49.39
Cryotherapy Cryothalamectomy 01.41 endoscopic 49.31
Cryotherapy --see also Destruction, lesion, by site bladder 57.59
bladder 57.59 transurethral 57.49
brain 01.59 bone--see also Excision,lesion,bone77.60 brain 01.59
cataract 13.19 bursa 83.39
cervix 67.33 hand 82.29
choroid --see Cryotherapy, retina ciliary body 12.72 cartilage --see also Excision, lesion, joint 80.80
corneal lesion (ulcer) 11.43 to reshape cornea 11.79 cerebral meninges 01.51
ear chalazion 08.25
external 18.29 conjunctiva (trachoma follicles) 10.33 corneal epithelium 11.41
inner 20.79 for smear or culture 11.21 ear, external 18.29
esophagus 42.39 eyelid 08.25
endoscopic 42.33 joint--see also Excision, lesion,joint 80.80 meninges (cerebral) 01.51
eyelid 08.25 spinal 03.4
hemorrhoids 49.44 muscle 83.32
iris 12.41 hand 82.22
nasal turbinates 21.61 nerve (peripheral) 04.07
palate (bony) 27.31 sympathetic 05.29
prostate 60.62 retina (for) sclera 12.84
destruction of lesion 14.22 reattachment 14.52 skin 86.3
repair of tear 14.32 skin 86.3 spinal cord (meninges) 03.4 subgingival 24.31
stomach 43.49 tendon 83.39
endoscopic 43.41 sheath 83.31
subcutaneous tissue 86.3 hand 82.21
turbinates (nasal) 21.61 uterus (with dilation) 69.09 aspiration (diagnostic) NEC 69.59
warts 86.3 after abortion or delivery 69.52 to terminate pregnancy 69.51
genital 71.3 following delivery or abortion 69.02
Cryptectomy (anus) 49.39 Curette evacuation, lens 13.2
endoscopic 49.31 Curtis operation (interphalangeal joint arthroplasty) 81.72
Cryptorchidectomy (unilateral) 62.3 Cutaneolipectomy 86.83
bilateral 62.41 Cutdown, venous 38.94
Cryptotomy (anus) 49.39 Cutting
endoscopic 49.31 nerve (cranial) (peripheral) NEC 04.03 acoustic 04.01
Cuirass 93.99 auditory 04.01
Culdocentesis 70.0 root, spinal 03.1
Culdoplasty 70.92 sympathetic 05.0
with graft or prosthesis 70.93 trigeminal 04.02
Culdoscopy (exploration) (removal of foreign body or vestibular 04.01 pedicle (flap) graft 86.71
lesion) 70.22 pylorus (with wedge resection) 43.3 spinal nerve root 03.1
Culdotomy 70.12 ureterovesical orifice 56.1
Culp-Deweerd operation (spiral flap pyeloplasty) 55.87 urethral sphincter 58.5
Culp-Scardino operation (ureteral flap pyeloplasty) CVP (central venous pressure monitoring) 89.62
55.87
Culture (and sensitivity) --see Examination, microscopic
Cyclectomy (ciliary body) 12.44 eyelid margin 08.20 Cystoscopy (transurethral) 57.32
Cyclicotomy 12.55 with biopsy 57.33 for
Cycloanemization 12.74 control of hemorrhage bladder 57.93
Cyclocryotherapy 12.72 prostate 60.94
Cyclodialysis (initial) (subsequent) 12.55 retrograde pyelography 87.74
Cyclodiathermy (penetrating) (surface) 12.71 ileal conduit 56.35
Cycloelectrolysis 12.71 through stoma (artificial) 57.31
Cyclophotocoagulation 12.73 Cystostomy
Cyclotomy 12.55 closed (suprapubic) (percutaneous) 57.17 open (suprapubic) 57.18
Cystectomy --see also Excision, lesion, by site percutaneous (closed) (suprapubic) 57.17 suprapubic
gallbladder --see Cholecystectomy urinary (partial) closed 57.17
(subtotal) 57.6 open 57.18
complete (with urethrectomy) 57.79 radical 57.71 Cystotomy (open) (for removal of calculi) 57.19
with pelvic exenteration (female) 68.8 total (with Cystourethrogram (retrograde) (voiding) 87.76
urethrectomy) 57.79 Cystourethropexy (by) 59.79 levator muscle sling 59.71 retropubic
Cystocolostomy 57.88 suspension 59.5
Cystogram, cystography NEC 87.77 suprapubic suspension 59.4
Cystolitholapaxy 57.0 Cystourethroplasty 57.85
Cystolithotomy 57.19 Cystourethroscopy 57.32 with biopsy
Cystometrogram 89.22 bladder 57.33
Cystopexy NEC 57.89 ureter 56.33
Cystoplasty NEC 57.89 Cytology --see Examination, microscopic
Cystoproctostomy 57.88
Cystoprostatectomy, radical 57.71
Cystopyelography 87.74
Cystorrhaphy 57.81
Decompression ---Cont. Deepening
common bile duct 51.42 by intubation 51.43 alveolar ridge 24.5
endoscopic 51.87 buccolabial sulcus 24.91
percutaneous 51.98 lingual sulcus 24.91
cranial 01.24 Defatting, flap or pedicle graft 86.75
for skull fracture 02.02 endolymphatic sac 20.79 ganglion Defibrillation,electric(external)(internal) 99.62
(peripheral) NEC 04.49 automatic cardioverter/defibrillator
cranial NEC 04.42 --see category 37.9
gastric 96.07 de Grandmont operation (tarsectomy) 08.35
heart 37.0 Delaying of pedicle graft 86.71
intestine 96.08 Delivery (with)
by incision 45.00 assisted spontaneous 73.59 breech extraction (assisted) 72.52
endoscopic (balloon) 46.85 partial 72.52
intracranial 01.24 with forceps to aftercoming head 72.51 total 72.54
labyrinth 20.79 with forceps to aftercoming head 72.53 unassisted (spontaneous delivery)
laminectomy 03.09 --omit code
laminotomy 03.09 cesarean section --see Cesarean section Credé maneuver 73.59
median nerve 04.43 De Lee maneuver 72.4 forceps 72.9
muscle 83.02 application to aftercoming head(Piper) 72.6
hand 82.02 with breech extraction partial 72.51
nerve (peripheral) NEC 04.49 auditory 04.42 total 72.53
cranial NEC 04.42 Barton's 72.4
median 04.43 failed 73.3
trigeminal (root) 04.41 high 72.39
orbit --see also Orbitotomy 16.09 pancreatic duct 52.92 with episiotomy 72.31
endoscopic 52.93 low (outlet) 72.0
pericardium 37.0 with episiotomy 72.1
rectum 48.0 mid 72.29
skull fracture 02.02 spinal cord (canal) 03.09 tarsal tunnel with episiotomy 72.21
04.44 outlet (low) 72.0
tendon (sheath) 83.01 with episiotomy 72.1 rotation of fetal head 72.4 trial 73.3
hand 82.01 thoracic outlet instrumental NEC 72.9
by specified NEC 72.8 key- in- lock rotation 72.4 Kielland rotation 72.4
myotomy (division of scalenus anticus muscle) 83.19 Malstrom's extraction 72.79
tenotomy 83.13 trigeminal (nerve root) 04.41 with episiotomy 72.71
Decortication manually assisted (spontaneous) 73.59 spontaneous (unassisted) 73.59
arterial 05.25 assisted 73.59
brain 01.51 vacuum extraction 72.79
cerebral meninges 01.51 with episiotomy 72.71
heart 37.31 Delorme operation
kidney 55.91 pericardiectomy 37.31
lung (partial) (total) 34.51 thoracoscopic 34.52 proctopexy 48.76
nasal turbinates --see Turbinectomy nose 21.89 repair of prolapsed rectum 48.76 thoracoplasty 33.34
ovary 65.29
laparoscopic 65.25
periarterial 05.25
pericardium 37.31
ventricle, heart (complete) 37.31
Decoy, E2F 00.16
Denervation Destruction ---Cont.
aortic body 39.8 intervertebral disc (NOS) 80.50 by injection 80.52
carotid body 39.8 by other specified method 80.59 herniated (nucleus pulposus) 80.51
facet, percutaneous(radiofrequency)03.96 ovarian 65.94 lacrimal sac 09.6
paracervical uterine 69.3 LAA 37.36
uterosacral 69.3 left atrial appendage 37.36 lesion (local)
Denker operation (radical maxillary antrotomy) 22.31 anus 49.39
Dennis-Barco operation endoscopic 49.31
--see Repair, hernia, femoral Bartholin's gland 71.24 by
Denonvillier operation (limited rhinoplasty) 21.86 aspiration 71.21
Densitometry, bone (serial) (radiographic) 88.98 excision 71.24
Depilation, skin 86.92 incision 71.22
Derlacki operation (tympanoplasty) 19.4 marsupialization 71.23
Dermabond 86.59 biliary ducts 51.69
Dermabrasion (laser) 86.25 endoscopic 51.64
for wound debridement 86.28 Derotation --see bladder 57.59
Reduction, torsion Desensitization transurethral 57.49
allergy 99.12 bone --see Excision, lesion, bone
psychologic 94.33 bowel --see Destruction, lesion, intestine brain (transtemporal
Desmotomy --see also Division, ligament 80.40 approach)NEC 01.59
Destruction by stereotactic radiosurgery 92.30 cobalt 60 92.32
breast 85.20 linear accelerator (LINAC) 92.31 multi- source 92.32
chorioretinopathy --see also Destruction, lesion, choroid particle beam 92.33
14.29 particulate 92.33
ciliary body 12.74 radiosurgery NEC 92.39 single source photon 92.31
epithelial downgrowth, anterior chamber 12.93 breast NEC 85.20
fallopian tube 66.39 with bronchus NEC 32.09
crushing (and ligation) 66.31 endoscopic 32.01
by endoscopy (laparoscopy) 66.21 division (and ligation) cerebral NEC 01.59
66.32 meninges 01.51
by endoscopy (culdoscopy) (hysteroscopy) (laparoscopy) cervix 67.39 by
(peritoneoscopy) 66.22 cauterization 67.32
ligation 66.39 with cryosurgery, cryoconization 67.33
crushing 66.31 electroconization 67.32
by endoscopy (laparoscopy) 66.21 choroid 14.29 by
division 66.32 cryotherapy 14.22
by endoscopy (culdoscopy) (hysteroscopy) (laparoscopy) diathermy 14.21
(peritoneoscopy) 66.22 implantation of radiation source14.27 photocoagulation 14.25
fetus 73.8 laser 14.24
hemorrhoids 49.49 by xenon arc 14.23
cryotherapy 49.44 radiation therapy 14.26
sclerotherapy 49.42 inner ear NEC 20.79 ciliary body (nonexcisional) 12.43 by excision 12.44
by injection 20.72 conjunctiva 10.32
by excision 10.31
Destruction - lesion (local) --- Cont. Destruction - lesion (local) --- Cont.
cornea NEC 11.49 by pancreas 52.22
cryotherapy 11.43 by marsupialization 52.3
electrocauterization 11.42 endoscopic 52.21
thermocauterization 11.42 cul- de- sac 70.32 pancreatic duct 52.22
duodenum NEC 45.32 endoscopic 52.21
by excision 45.31 penis 64.2
endoscopic 45.30 pharynx (excisional) 29.39 pituitary gland
endoscopic 45.30 esophagus (chemosurgery) by stereotactic radiosurgery 92.30 cobalt 60 92.32
(cryosurgery) (electroresection) (fulguration) NEC 42.39 linear accelerator (LINAC) 92.31 multi- source 92.32
by excision 42.32 particle beam 92.33
endoscopic 42.33 particulate 92.33
endoscopic 42.33 radiosurgery NEC 92.39 single source photon 92.31
eye NEC 16.93 rectum (local) 48.32 by
eyebrow 08.25 cryosurgery 48.34
eyelid 08.25 electrocoagulation 48.32
excisional--see Excision, lesion, eyelid heart excision 48.35
by catheter ablation 37.34 fulguration 48.32
by endovascular approach 37.34 by open approach 37.33 laser (Argon) 48.33
left atrial appendage 37.36 intestine (large) 45.49 polyp 48.36
by excision 45.41 radical 48.31
endoscopic 45.43 retina 14.29 by
polypectomy 45.42 cryotherapy 14.22
endoscopic 45.43 diathermy 14.21
polypectomy 45.42 implantation of radiation source 14.27 photocoagulation 14.25
small 45.34 laser 14.24
by excision 45.33 xenon arc 14.23
intranasal 21.31 radiation therapy 14.26 salivary gland NEC 26.29
iris (nonexcisional) NEC 12.41 by excision 12.42 by marsupialization 26.21
kidney 55.39 sclera 12.84
by marsupialization 55.31 scrotum 61.3
lacrimal sac 09.6 skin NEC 86.3
larynx 30.09 sphincter of Oddi 51.69 endoscopic 51.64
liver 50.29 spinal cord (meninges) 03.4 spleen 41.42
lung 32.29 by marsupialization 41.41
endoscopic 32.28 stomach NEC 43.49
meninges (cerebral) 01.51 by excision 43.42
spinal 03.4 endoscopic 43.41
nerve (peripheral) 04.07 endoscopic 43.41 subcutaneous tissue NEC 86.3 testis 62.2
sympathetic 05.29 tongue 25.1
nose 21.30 urethra (excisional) 58.39
intranasal 21.31 endoscopic 58.31
specified NEC 21.32 ovary uterus 68.29
by nerve (cranial) (peripheral) (by
aspiration 65.91 cryo- analgesia) (by radiofrequency) 04.2 sympathetic, by injection of
excision 65.29 neurolytic
laparoscopic 65.25 agent 05.32
cyst by rupture (manual) 65.93 palate (bony) (local) 27.31
wide 27.32
Destruction --- Cont. Detoxification therapy --- Cont
neuroma acoustic 04.01 drug 94.65
by craniotomy 04.01 with rehabilitation 94.66 combined alcohol and drug 94.68
by stereotactic radiosurgery 92.30 cobalt 60 92.32 with rehabilitation 94.69
linear accelerator (LINAC) 92.31 multi- source 92.32 Devascularization, stomach 44.99
particle beam 92.33 Device
particulate 92.33 37.41
radiosurgery NEC 92.39 single source photon 92.31 external fixator --see Fixator, external
cranial 04.07 Dewebbing
Morton's 04.07 peripheral esophagus 42.01
Morton's 04.07 prostate (prostatic tissue) syndactyly (fingers) (toes) 86.85 Dextrorotation --see Reduction,
by torsion Dialysis
cryotherapy 60.62 hemodiafiltration, hemofiltration (extracorporeal) 39.95
microwave 60.96 kidney (extracorporeal) 39.95
radiofrequency 60.97 transurethral microwave liver 50.92
thermotherapy (TUMT) 60.96 transurethral needle ablation peritoneal 54.98
(TUNA) renal (extracorporeal) 39.95
60.97 Diaphanoscopy
TULIP (transurethral (ultrasound) guided laser induced nasal sinuses 89.35
prostatectomy) 60.21 skull (newborn) 89.16 Diaphysectomy --see category 77.8 Diathermy
TUMT (transurethral microwave thermotherapy) 60.96 93.34
TUNA (transurethral needle ablation) 60.97 choroid --see Diathermy, retina nasal turbinates 21.61
semicircular canals, by injection 20.72 vestibule, by injection retina for
20.72 destruction of lesion 14.21 reattachment 14.51
Detachment, uterosacral ligaments 69.3 repair of tear 14.31
Determination surgical --see Destruction, lesion, by site turbinates (nasal) 21.61
mental status (clinical) (medico- legal) (psychiatric) NEC 94.11 Dickson operation (fascial transplant) 83.82
psychologic NEC 94.09 Dickson-Diveley operation (tendon transfer and arthrodesis to correct
vital capacity (pulmonary) 89.37 claw toe) 77.57
Detorsion Dieffenbach operation (hip disarticulation) 84.18
intestine (twisted) (volvulus) 46.80 large 46.82 Dilation
endoscopic (balloon) 46.85 achalasia 42.92 ampulla of Vater 51.81
small 46.81 endoscopic 51.84
kidney 55.84 anus, anal (sphincter) 96.23 biliary duct
ovary 65.95 endoscopic 51.84
spermatic cord 63.52 pancreatic duct 52.99
with orchiopexy 62.5 endoscopic 52.98
testis 63.52 percutaneous (endoscopy) 51.98 sphincter
with orchiopexy 62.5 of Oddi 51.81
volvulus 46.80 endoscopic 51.84
endoscopic (balloon) 46.85 pancreatic 51.82
Detoxification therapy 94.25 endoscopic 51.85
alcohol 94.62 bladder 96.25
with rehabilitation 94.63 combined alcohol and drug 94.68 neck 57.92
with rehabilitation 94.69 bronchus 33.91
Dilation Cont. Dilation - sphincter ---Cont.
cervix (canal) 67.0 cardiac 42.92
obstetrical 73.1 of Oddi 51.81
to assist delivery 73.1 choanae (nasopharynx) 29.91 endoscopic 51.84
colon (endoscopic) (balloon) 46.85 with insertion of colonic pancreatic 51.82
stent endoscopic 51.85
endoscopic 46.86 pylorus, endoscopic 44.22
other 46.87 by incision 44.21
colostomy stoma 96.24 Stenson's duct 26.91
duodenum (endoscopic) (balloon) 46.85 with insertion of trachea 31.99
colonic stent ureter 59.8
endoscopic 46.86 meatus 56.91
other 46.87 ureterovesical orifice 59.8
endoscopic --see Dilation, by site enterostomy stoma 96.24 urethra 58.6
esophagus(by bougie)(by sound) 42.92 fallopian tube 66.96 prostatic (transurethral) (balloon) 60.95
foreskin (newborn) 99.95 urethrovesical junction 58.6
frontonasal duct 96.21 gastrojejunostomy site, endoscopic vagina (instrumental) (manual) NEC 96.16 vesical neck 57.92
44.22 heart valve --see Valvulotomy, heart ileostomy stoma Wharton's duct 26.91
96.24 Wirsung's duct 52.99
ileum (endoscopic) (balloon) 46.85 with insertion of colonic endoscopic 52.98
stent Dilation and curettage,uterus (diagnostic) 69.09
endoscopic 46.86 after
other 46.87 abortion 69.02
intestinal stoma (artificial) 96.24 intestine (endoscopic) delivery 69.02
(balloon) 46.85 to terminate pregnancy 69.01 Diminution, ciliary body 12.74
with insertion of colonic stent endoscopic 46.86 Disarticulation 84.91
other 46.87 ankle 84.13
jejunum (endoscopic) (balloon) 46.85 with insertion of elbow 84.06
colonic stent finger, except thumb 84.01 thumb 84.02
endoscopic 46.86 hip 84.18
other 46.87 lacrimal knee 84.16
duct 09.42 shoulder 84.08
punctum 09.41 thumb 84.02
larynx 31.98 toe 84.11
lymphatic structure(s) (peripheral) 40.9 nares 21.99 wrist 84.04
nasolacrimal duct (retrograde) 09.43 with insertion of tube Discectomy --see Diskectomy
or stent 09.44 Discission
nasopharynx 29.91 capsular membrane 13.64
pancreatic duct 52.99 cataract (Wheeler knife) (Ziegler knife) 13.2
endoscopic 52.98 congenital 13.69
pharynx 29.91 secondary membrane 13.64
prostatic urethra (transurethral) (balloon) 60.95 iris 12.12
punctum, lacrimal papilla 09.41 pylorus lens (capsule) (Wheeler knife) (Ziegler knife) (with capsulotomy) 13.2
by incision 44.21 orbitomaxillary, radical 16.51
endoscopic 44.22 pupillary 13.2
rectum 96.22 secondary membrane (after cataract) 13.64 vitreous strands (posterior
salivary duct 26.91 approach) 14.74
sphenoid ostia 22.52 sphincter anterior approach 14.73
anal 96.23 Discogram, diskogram 87.21
Discolysis (by injection) 80.52
Diskectomy(discectomy),intervertebral Diverticulectomy ---Cont.
80.51 intestine large 45.41
with corpectomy 80.99 endoscopic 45.43
herniated (nucleus pulposus) 80.51 percutaneous 80.59 small 45.33
Dispensing (with fitting) contact lens 95.32 kidney 55.39
low vision aids NEC 95.33 spectacles 95.31 Meckel's 45.33
Disruption pharyngeal (by cricopharyngeal myotomy) 29.32
blood brain barrier via infusion [BBBD] 00.19 pharyngoesophageal (by
Dissection --see also Excision aneurysm 38.60 crico- pharyngeal myotomy) 29.32 stomach 43.42
artery- vein- nerve bundle 39.91 branchial cleft fistula or endoscopic 43.41
sinus 29.52 bronchus 32.1 urethra 58.39
femoral hernia 53.29 endoscopic 58.31
groin, radical 40.54 Division
larynx block (en bloc) 30.3 Achilles tendon 83.11 adductor tendon (hip) 83.12
mediastinum with pneumonectomy 32.59 thoracoscopic adhesions --see Lysis, adhesions angle of mandible (open) 76.62
32.50 closed 76.61
neck, radical 40.40 anterior synechiae 12.32
with laryngectomy 30.4 aponeurosis 83.13
bilateral 40.42 arcuate ligament (spine) --omit code arteriovenous fistula (with
unilateral 40.41 ligation) 39.53 artery (with ligation) 38.80
orbital fibrous bands 16.92 pterygium (with reposition) abdominal 38.86
11.31 aorta (arch) (ascending) (descending) 38.84
radical neck --see Dissection, neck, radical head and neck NEC 38.82 intracranial NEC 38.81
retroperitoneal NEC 59.00 lower limb 38.88
thoracic structures (block) (en bloc) (radical) (brachial thoracic NEC 38.85
plexus, bronchus, lobe of lung, ribs, and sympathetic upper limb 38.83
nerves) 32.6 bladder neck 57.91
vascular bundle 39.91 blepharorrhaphy 08.02 blood vessels, cornea 10.1
Distention, bladder (therapeutic) (intermittent) 96.25 bone --see also Osteotomy 77.30 brain tissue 01.32
Diversion cortical adhesions 02.91
biliopancreatic(BPD) 43.7 [45.51] [45.91] with duodenal canaliculus 09.52
switch 43.89[45.51][45.91] canthorrhaphy 08.02
urinary cartilage 80.40
cutaneous 56.61 ankle 80.47
ileal conduit 56.51 elbow 80.42
internal NEC 56.71 ureter to foot and toe 80.48 hand and finger 80.44 hip 80.45
intestine 56.71 knee 80.46
skin 56.61 shoulder 80.41 specified site NEC 80.49 spine 80.49
uretero- ileostomy 56.51 wrist 80.43
Diversional therapy 93.81 cerebral tracts 01.32
Diverticulectomy chordae tendineae 35.32
bladder (suprapubic) 57.59 common wall between posterior left atrium and coronary sinus (with
transurethral approach 57.49 roofing of resultant defect with patch graft) 35.82
duodenum 45.31
endoscopic 45.30
esophagus 42.31
endoscopic 42.33
esophagomyotomy 42.7 hypopharyngeal (by
cricopharyngeal
myotomy) 29.32
Division ---Cont. Division ---Cont.
congenital web larynx 31.98 nerve (cranial) (peripheral) NEC 04.03 acoustic 04.01
pharynx 29.54 adrenal gland 07.42
endometrial synechiae 68.21 fallopian tube auditory 04.01
--see Ligation, fallopian tube fascia 83.14 glossopharyngeal 29.92
hand 82.12 frenulum, frenum labial 27.91 lacrimal branch 05.0
lingual 25.91 laryngeal (external) (recurrent) (superior) 31.91
tongue 25.91 phrenic 04.03
ganglion, sympathetic 05.0 for collapse of lung 33.31 root, spinal or intraspinal 03.1 sympathetic 05.0
glossopharyngeal nerve 29.92 tracts
goniosynechiae 12.31 hypophyseal stalk --see also cerebral 01.32
Hypophysectomy, partial 07.63 spinal cord 03.29
iliotibial band 83.14 isthmus percutaneous 03.21
horseshoe kidney 55.85 trigeminal 04.02
thyroid 06.91 vagus --see also Vagotomy 44.00 vestibular 04.01
joint capsule 80.40 otosclerotic process or material, middle ear 19.0
ankle 80.47 papillary muscle (heart) 35.31 patent ductus arteriosus 38.85 penile
elbow 80.42 adhesions 64.93
foot and toe 80.48 hand and finger 80.44 hip 80.45 posterior synechiae 12.33
knee 80.46 pylorus (with wedge resection) 43.3 rectum (stricture) 48.91
shoulder 80.41 specified site NEC 80.49 wrist 80.43 scalenus anticus muscle 83.19 Skene's gland 71.3
labial frenum 27.91 soft tissue NEC 83.19 hand 82.19
lacrimal ductules 09.0 sphincter
laryngeal nerve (external) (recurrent) (superior) 31.91 anal (external) (internal) 49.59 left lateral 49.51
ligament 80.40 posterior 49.52
ankle 80.47 cardiac 42.7
arcuate (spine) --omit code of Oddi 51.82
canthal 08.36 endoscopic 51.85
elbow 80.42 pancreatic 51.82
foot and toe 80.48 hand and finger 80.44 hip 80.45 endoscopic 51.85 spinal
knee 80.46 cord tracts 03.29
palpebrae 08.36 percutaneous 03.21
shoulder 80.41 specified site NEC 80.49 spine 80.49 nerve root 03.1 symblepharon(with insertion of
arcuate --omit code conformer) 10.5 synechiae
flavum --omit code endometrial 68.21
uterosacral 69.3 iris (posterior) 12.33
wrist 80.43 anterior 12.32
ligamentum flavum (spine) --omit code tarsorrhaphy 08.02
meninges (cerebral) 01.31 tendon 83.13
muscle 83.19 Achilles 83.11
hand 82.19 adductor (hip) 83.12
nasolacrimal duct stricture (with drainage) 09.59 hand 82.11
trabeculae carneae cordis (heart) 35.35 tympanum 20.23
uterosacral ligaments 69.3
Division ---Cont. Drainage abscess ---Cont.
vaginal septum 70.14 thyroid (field) (gland) 06.09 percutaneous (needle) 06.01
vas deferens 63.71 postoperative 06.02
vein (with ligation) 38.80 abdominal 38.87 tonsil,tonsillar(oral)(transcervical) 28.0
head and neck NEC 38.82 intracranial NEC 38.81 antecubital fossa 86.04
lower limb 38.89 appendix 47.91
varicose 38.59 with appendectomy 47.09
thoracic NEC 38.85 laparoscopic 47.01
upper limb 38.83 abscess 47.2
varicose 38.50 with appendectomy 47.09
abdominal 38.57 laparoscopic 47.01
head and neck NEC 38.52 intracranial NEC 38.51 axilla 86.04
lower limb 38.59 bladder (without incision) 57.0 by indwelling catheter 57.94
thoracic NEC 38.55 percutaneous suprapubic (closed) 57.17 suprapubic NEC 57.18
upper limb 38.53 buccal space 27.0
vitreous, cicatricial bands (posterior approach) 14.74 bursa 83.03
anterior approach 14.73 by aspiration 83.94
Doleris operation (shortening of round ligaments) 69.22 hand 82.92
D'Ombrain operation (excision of pterygium with corneal hand 82.03
graft) 11.32 by aspiration 82.92
Domestic tasks therapy 93.83 radial 82.03
Dopplergram, Doppler flow mapping ulnar 82.03
--see also Ultrasonography aortic arch 88.73 cerebrum, cerebral (meninges) (ventricle) (incision) (trephination)
head and neck 88.71 heart 88.72 01.39
thorax NEC 88.73 by
Dorrance operation (push- back operation for cleft palate) anastomosis --see Shunt, ventricular aspiration 01.09
27.62 through previously implanted catheter 01.02
Dotter operation (transluminal angioplasty) 39.59 chest (closed) 34.04
Douche, vagina 96.44 open (by incision) 34.09 thoracoscopic 34.06
Douglas' operation (suture of tongue to lip for micrognathia) cranial sinus (incision) (trephination) 01.21 by aspiration 01.09
25.59 cul- de- sac 70.12
Downstream® System (AO therapy) (aqueous oxygen) 00.49 by aspiration 70.0
Doyle operation (paracervical uterine denervation) 69.3 cyst --see also Drainage, by site and Incision, by site
Drainage pancreas (by catheter) 52.01 by marsupialization 52.3
by internal (anastomosis) 52.4
anastomosis --see Anastomosis aspiration --see Aspiration pilonidal 86.03
incision --see Incision spleen, splenic(by marsupialization) 41.41 duodenum (tube) 46.39
abdomen 54.19 by incision 45.01 ear
percutaneous 54.91 external 18.09
abscess --see also Drainage, by site and Incision, by site inner 20.79
appendix 47.2 middle (by myringotomy) 20.09 with intubation 20.01
with appendectomy 47.09 epidural space, cerebral (incision) (trephination) 01.24
laparoscopic 47.01 by aspiration 01.09
parapharyngeal(oral)(transcervical) 28.0 peritonsillar (oral) extradural space, cerebral (incision) (trephination) 01.24
(transcervical) 28.0 retropharyngeal(oral)(transcervical) 28.0 by aspiration 01.09
Drainage ---Cont. Drainage ---Cont.
extraperitoneal 54.0 pericardium 37.0
facial region 27.0 perigastric 54.19
fascial compartments, head and neck 27.0 fetal percutaneous 54.91 perineum
hydrocephalic head (needling) female 71.09
(trocar) 73.8 male 86.04
gallbladder 51.04 by perisplenic tissue 54.19
anastomosis 51.35 percutaneous 54.91
aspiration 51.01 peritoneum 54.19
incision 51.04 pelvic (female) 70.12
groin region(abdominal wall) (inguinal) 54.0 percutaneous 54.91
skin 86.04 peritonsillar 28.0
subcutaneous tissue 86.04 hematoma --see Drainage, by pharyngeal space, lateral 27.0 pilonidal cyst or sinus 86.03 pleura
site and (closed) 34.04
Incision, by site open (by incision) 34.09 thoracoscopic 34.06
hydrocephalic head(needling)(trocar) 73.8 popliteal space 86.04
hypochondrium 54.0 postural 93.99
intra- abdominal 54.19 postzygomatic space 27.0
iliac fossa 54.0 pseudocyst, pancreas 52.3
infratemporal fossa 27.0 intracranial space (epidural) by anastomosis 52.4
(extradural) (incision) (trephination) 01.24 pterygopalatine fossa 27.0
by aspiration 01.09 retropharyngeal 28.0
subarachnoid or subdural (incision) (trephination) 01.31 scrotum 61.0
by aspiration 01.09 skin 86.04
intraperitoneal 54.19 spinal (canal) (cord) 03.09
percutaneous 54.91 kidney (by incision) 55.01 by anastomosis --see Shunt, spinal diagnostic 03.31
by spleen 41.2
anastomosis 55.86 cyst (by marsupialization) 41.41 subarachnoid space, cerebral
catheter 59.8 (incision) (trephination) 01.31
pelvis (by incision) 55.11 liver 50.0 by aspiration 01.09
by aspiration 50.91 subcutaneous tissue 86.04
Ludwig's angina 27.0 lung (by incision) 33.1 subdiaphragmatic 54.19
by punch (needle) (trocar) 33.93 midpalmar space 82.04 percutaneous 54.91
mouth floor 27.0 subdural space, cerebral (incision) (trephination) 01.31
mucocele, nasal sinus 22.00 by puncture 22.01 by aspiration 01.09
through natural ostium 22.02 omentum 54.19 subhepatic space 54.19
percutaneous 54.91 percutaneous 54.91
ovary (aspiration) 65.91 sublingual space 27.0
by incision 65.09 submental space 27.0
laparoscopic 65.01 palmar space (middle) 82.04 pancreas subphrenic space 54.19
(by catheter) 52.01 percutaneous 54.91
by anastomosis 52.96 supraclavicular fossa 86.04
parapharyngeal 28.0 temporal pouches 27.0
paronychia 86.04 tendon (sheath) 83.01
parotid space 27.0 hand 82.01
pelvic peritoneum (female) 70.12 male 54.19 thenar space 82.04
thorax (closed) 34.04 open (by incision) 34.09 thoracoscopic 34.06
thyroglossal tract (by incision) 06.09 by aspiration 06.01
Drainage ---Cont. Dunn operation (triple arthrodesis) 81.12
thyroid (field) (gland) (by incision) 06.09 by aspiration Duodenectomy 45.62 with
06.01 gastrectomy --see Gastrectomy pancreatectomy --see
postoperative 06.02 Pancreatectomy
tonsil 28.0 Duodenocholedochotomy 51.51
tunica vaginalis 61.0 ureter (by catheter) 59.8 Duodenoduodenostomy 45.91 proximal to distal segment 45.62
by Duodenoileostomy 45.91
anastomosis NEC --see also Duodenojejunostomy 45.91
Anastomosis, ureter 56.79 Duodenorrhaphy 46.71
incision 56.2 Duodenoplasty 46.79
ventricle (cerebral) (incision) NEC 02.39 by Duodenoscopy 45.13
anastomosis --see Shunt, ventricular aspiration 01.09 through stoma (artificial) 45.12 transabdominal (operative) 45.11
through previously implanted catheter 01.02 Duodenostomy 46.39
vertebral column 03.09 Duodenotomy 45.01
Drawing test 94.08 Dupuytren operation
Dressing fasciectomy 82.35
burn 93.57 fasciotomy 82.12
ulcer 93.56 with excision 82.35
wound 93.57 shoulder disarticulation 84.08
Drilling Durabond 86.59
bone --see also Incision, bone 77.10 ovary 65.99 Duraplasty 02.12
Drotrecogin alfa (activated), infusion 00.11 Durham (-Caldwell) operation (transfer of biceps femoris tendon)
Ductogram, mammary 87.35 83.75
Duhamel operation (abdominoperineal pull- through) DuToit and Roux operation (staple capsulorrhaphy of shoulder)
48.65 81.82
Duhrssen's DuVries operation (tenoplasty) 83.88
incisions (cervix, to assist delivery) 73.93 operation Dwyer operation
(vaginofixation of uterus) 69.22 fasciotomy 83.14
soft tissue release NEC 83.84 wedge osteotomy, calcaneus 77.28
E
E2F decoy 00.16 Electrocoagulation ---Cont.
Eagleton operation (extrapetrosal drainage) 20.22 nasal turbinates 21.61
ECG --see Electrocardiogram nose, for epistaxis (with packing) 21.03 ovary 65.29
Echocardiography 88.72 laparoscopic 65.25
intracardiac (heart chambers) (ICE) 37.28 intravascular prostatic bed 60.94
(coronary vessels) 00.24 transesophageal 88.72 rectum (polyp) 48.32
monitoring (Doppler)(ultrasound)89.68 radical 48.31 retina (for)
Echoencephalography 88.71 Echography --see destruction of lesion 14.21 reattachment 14.51
Ultrasonography Echogynography 88.79 repair of tear 14.31 round ligament 69.19
Echoplacentogram 88.78 semicircular canals 20.79
ECMO (extracorporeal membrane oxygenation) 39.65 urethrovesical junction,transurethral 57.49
Eden-Hybinette operation (glenoid bone block) 78.01 uterine ligament 69.19
Educational therapy (bed- bound children) (handicapped) uterosacral ligament 69.19
93.82 uterus 68.29
EEG (electroencephalogram) 89.14 monitoring vagina 70.33
(radiographic) (video) 89.19 vulva 71.3
Effler operation (heart) 36.2 Electrocochleography 20.31
Effleurage 93.39 Electroconization, cervix 67.32 Electroconvulsive therapy (ECT)
EGD (esophagogastroduodenoscopy) 45.13 with closed 94.27 Electroencephalogram (EEG) 89.14
biopsy 45.16 monitoring (radiographic) (video) 89.19
Eggers operation Electrogastrogram 44.19
tendon release (patellar retinacula) 83.13 tendon transfer Electrokeratotomy 11.49
(biceps femoris tendon) Electrolysis
(hamstring tendon) 83.75 ciliary body 12.71
EKG --see also Electrocardiogram 89.52 hair follicle 86.92 retina (for)
Elastic hosiery 93.59 destruction of lesion 14.21 reattachment 14.51
Electrocardiogram (with 12 or more leads) 89.52 repair of tear 14.31 skin 86.92
with vectorcardiogram 89.53 fetal (scalp), intrauterine 75.32 subcutaneous tissue 86.92
rhythm (with one to three leads) 89.51 Electromyogram, electromyography (EMG) (muscle) 93.08
Electrocautery --see also Cauterization cervix 67.32 eye 95.25
corneal lesion (ulcer) 11.42 esophagus 42.39 urethral sphincter 89.23
endoscopic 42.33 Electronarcosis 94.29
Electrocoagulation --see also Destruction, lesion, by site Electronic gaiter 93.59
aneurysm (cerebral) (peripheral vessels) 39.52 Electronystagmogram (ENG) 95.24
cervix 67.32 Electro-oculogram (EOG) 95.22
cystoscopic 57.49 ear Electroresection --see also Destruction, lesion, by site
external 18.29 bladder neck (transurethral) 57.49 esophagus 42.39
inner 20.79 endoscopic 42.33
middle 20.51 prostate (transurethral) 60.29
fallopian tube (lesion) 66.61 stomach 43.49
for tubal ligation --see Ligation, fallopian tube endoscopic 43.41
gasserian ganglion 04.02 Electroretinogram (ERG) 95.21
Electroshock therapy (EST) 94.27 subconvulsive 94.26
Elevation E
bone fragments (fractured) orbit 76.79 m
sinus (nasal) frontal 22.79 b
maxillary 22.79 o
skull (with debridement) 02.02 spinal 03.53 l
pedicle graft 86.71 i
Elliot operation (scleral trephination with iridectomy) z
12.61 a
Ellis Jones operation (repair of peroneal tendon) 83.88 t
Ellison operation (reinforcement of collateral ligament) i
o
81.44
n
Elmslie-Cholmeley operation (tarsal wedge osteotomy)
77.28
Eloesser operation
thoracoplasty 33.34 a
thoracostomy 34.09 Elongation --see Lengthening r
Embolectomy 38.00 t
with endarterectomy --see Endarterectomy abdominal e
artery 38.06 r
vein 38.07 y
aorta (arch) (ascending) (descending) 38.04
arteriovenous shunt or cannula 39.49 bovine graft 39.49 -
head and neck NEC 38.02 intracranial NEC 38.01 lower -
limb -
artery 38.08 C
vein 38.09 mechanical o
endovascular n
head and neck 39.74 pulmonary (artery) (vein) 38.05 t
thoracic NEC 38.05 .
upper limb (artery) (vein) 38.03 a
Embolization (transcatheter) adhesive (glue) 39.79 o
head and neck 39.72 arteriovenous fistula 39.53 r
endovascular 39.72 t
artery (selective) 38.80 by a
endovascular approach 39.79 head and neck vessels
bare coils 39.75 (
bioactive coils 39.76 percutaneous transcatheter infusion a
99.29 r
abdominal NEC 38.86 c
duodenal (transcatheter) 44.44 h
gastric (transcatheter) 44.44 )
renal (transcatheter) 38.86
(
a
s
c
e
n
d
i
n
g
)
(
d
e
s
Note: Also use 00.40, 00.41, 00.42, or
00.43 to show the total number of vessels treated. Use
code 00.44 once to show procedure on a bifurcated
vessel. In addition, use 00.45, 00.46, 00.47, or 00.48 to
show the number
of vascular stents inserted.
Endarterectomy ---Cont. Endoscopy ---Cont.
intracranial (open) NEC 38.11 ileum 45.13
percutaneous approach, intracranial vessel(s) 00.62 through stoma (artificial) 45.12 transabdominal (operative) 45.11
lower limb 38.18 intestine NEC 45.24
thoracic NEC 38.15 large 45.24
upper limb 38.13 fiberoptic (flexible) 45.23 through stoma (artificial) 45.22
Endoaneurysmorrhaphy --see also transabdominal (intraoperative) 45.21
Aneurysmorrhaphy 39.52 by or with small 45.13 esophagogastroduodenosopy (EGD)
endovascular graft abdominal aorta 39.71 45.13
lower extremity artery(s) 39.79 thoracic aorta 39.73 with closed biopsy 45.16 through stoma (artificial) 45.12
upper extremity artery(s) 39.79 transabdominal (operative) 45.11
Endolymphatic (-subarachnoid) shunt jejunum 45.13
20.71 through stoma (artificial) 45.12 transabdominal (operative) 45.11
Endometrectomy (uterine) (internal) 68.29 bladder 57.59 kidney 55.21
cul- de- sac 70.32 larynx 31.42
Endoprosthesis through stoma (artificial) 31.41 lung --see Bronchoscopy mediastinum
bile duct 51.87 (transpleural) 34.22
femoral head (bipolar) 81.52 nasal sinus 22.19
Endoscopy nose 21.21
with biopsy --see Biopsy, by site, closed anus 49.21 pancreatic duct 52.13
biliary tract (operative) 51.11 pelvis 55.22
by retrograde cholangiography (ERC) 51.11 peritoneum 54.21
by retrograde cholangiopancreatography (ERCP) 51.10 pharynx 29.11
intraoperative 51.11 rectum 48.23
percutaneous (via T- tube or other tract) 51.98 through stoma (artificial) 48.22 transabdominal (operative) 48.21
with removal of common duct stones 51.96 sinus, nasal 22.19
bladder 57.32 stomach NEC 44.13
through stoma (artificial) 57.31 bronchus NEC 33.23 through stoma (artificial) 44.12 transabdominal (operative) 44.11
with biopsy 33.24 thorax (transpleural) 34.21
fiberoptic 33.22 trachea NEC 31.42
through stoma (artificial) 33.21 colon 45.23 through stoma (artificial) 31.41 transpleural
through stoma (artificial) 45.22 transabdominal mediastinum 34.22
(operative) 45.21 thorax 34.21
cul- de- sac 70.22 ear 18.11 ureter 56.31
esophagus NEC 42.23 urethra 58.22
through stoma (artificial) 42.22 transabdominal uterus 68.12
(operative) 42.21 vagina 70.21
Enema (transanal) NEC 96.39
for removal of impacted feces 96.38 ENG (electronystagmogram)
95.24 Enlargement
aortic lumen, thoracic 38.14
atrial septal defect (pre- existing) 35.41 in repair of total anomalous
pulmonary
venous connection 35.82
eye socket 16.64
foramen ovale (pre- existing) 35.41
in repair of total anomalous pulmonary venous connection 35.82
377
Laser interstitial thermal therapy- lesion---Cont. lung 17.69 Lengthening ---Cont.
prostate 17.69 palate 27.62
thyroid 17.62 secondary or subsequent 27.63 tendon 83.85
Lash operation for claw toe repair 77.57 hand 82.55
internal cervical os repair 67.59 laparoscopic supracervical Leriche operation (periarterial sympathectomy) 05.25
hysterectomy Leucotomy, leukotomy 01.32
68.31 Leukopheresis, therapeutic 99.72
LASIK(Laser- assisted in situ keratomileusis) 11.71 Lid suture operation (blepharoptosis) 08.31
Latzko operation Ligation
cesarean section 74.2 adrenal vessel (artery) (vein) 07.43 aneurysm 39.52
colpocleisis 70.8 appendages, dermal 86.26
Lavage arteriovenous fistula 39.53
antral 22.00 coronary artery 36.99
bronchus NEC 96.56 artery 38.80
diagnostic (endoscopic) bronchoalveolar lavage (BAL) 33.24 abdominal 38.86
endotracheal 96.56 adrenal 07.43
gastric 96.33 aorta (arch)(ascending)(descending)38.84 coronary (anomalous)
lung (total)(whole) 33.99 36.99
diagnostic (endoscopic) bronchoalveolar lavage (BAL) 33.24 ethmoidal 21.04
nasal sinus(es) 22.00 external carotid 21.06
by puncture 22.01 for control of epistaxis--see Control, epistaxis
through natural ostium 22.02 peritoneal (diagnostic) 54.25 head and neck NEC 38.82 intracranial NEC 38.81
trachea NEC 96.56 lower limb 38.88
Leadbetter operation (urethral reconstruction) 58.46 maxillary (transantral) 21.05
Leadbetter-Politano operation middle meningeal 02.13
(ureteroneocystostomy) 56.74 thoracic NEC 38.85
LEEP(loop electrosurgical excision procedure) of cervix 67.32 thyroid 06.92
Le Fort operation (colpocleisis) 70.8 LeMesurier operation upper limb 38.83
(cleft lip repair) 27.54 Lengthening atrium, heart 37.99
bone (with bone graft) 78.30 femur 78.35 auricle, heart 37.99
for reconstruction of thumb 82.69 specified site NEC --see also bleeding vessel --see Control, hemorrhage blood vessel 38.80
category abdominal artery 38.86
78.3, 78.39 vein 38.87
tibia 78.37 adrenal 07.43
ulna 78.33 aorta (arch)(ascending)(descending) 38.84
extraocular muscle NEC 15.21 multiple (two or more muscles) esophagus 42.91
15.4 endoscopic 42.33 head and neck 38.82 intracranial NEC 38.81 lower
fascia 83.89 limb
hand 82.89 artery 38.88
hamstring NEC 83.85 vein 38.89
heel cord 83.85 leg meningeal (artery) (longitudinal sinus) 02.13 thoracic NEC 38.85
femur 78.35 thyroid 06.92
tibia 78.37 upper limb (artery) (vein) 38.83 bronchus 33.92
levator palpebrae muscle 08.38 muscle 83.85 cisterna chyli 40.64 coronary
extraocular 15.21 artery (anomalous) 36.99
multiple (two or more muscles) 15.4 hand 82.55 sinus 36.39
Ligation---Cont. Ligation---Cont.
dermal appendage 86.26 ductus arteriosus, patent 38.85 vas deferens 63.71
esophageal vessel 42.91 vein 38.80
endoscopic 42.33 abdominal 38.87
ethmoidal artery 21.04 external carotid artery 21.06 adrenal 07.43
fallopian tube (bilateral) (remaining) (solitary) 66.39 head and neck NEC 38.82 intracranial NEC 38.81
by endoscopy (culdoscopy) (hysteroscopy) (laparoscopy) lower limb 38.89
(peritoneoscopy) 66.29 spermatic, high 63.1
with thoracic NEC 38.85
crushing 66.31 thyroid 06.92
by endoscopy (laparoscopy) 66.21 division 66.32 upper limb 38.83
by endoscopy (culdoscopy) (laparoscopy) (peritoneoscopy) varicose 38.50
66.22 abdominal 38.57
Falope ring 66.39 esophagus 42.91
by endoscopy (laparoscopy) 66.29 unilateral 66.92 endoscopic 42.33
fistula, arteriovenous 39.53 gastric 44.91
coronary artery 36.99 gastric endoscopic 43.41 head and neck 38.52 intracranial NEC 38.51
artery 38.86 lower limb 38.59
varices 44.91 stomach 44.91
endoscopic 43.41 thoracic NEC 38.55
hemorrhoids 49.45 upper limb 38.53 vena cava, inferior 38.7
longitudinal sinus (superior) 02.13 lymphatic (channel) venous connection between anomalous vein to
(peripheral) 40.9 left innominate vein 35.82 superior vena cava 35.82
thoracic duct 40.64 wart 86.26
maxillary artery 21.05 Light coagulation --see Photocoagulation
meningeal vessel 02.13 spermatic Lindholm operation (repair of ruptured tendon) 83.88
cord 63.72 Lingulectomy, lung 32.39
varicocele 63.1 Linton operation (varicose vein) 38.59
vein (high) 63.1 Lipectomy (subcutaneous tissue) (abdominal) (submental) 86.83
splenic vessels 38.86 Liposuction 86.83
subclavian artery 38.85 Lip reading training 95.49
superior longitudinal sinus 02.13 supernumerary digit 86.26 Lip shave 27.43
thoracic duct 40.64 Lisfranc operation
thyroid vessel (artery) (vein) 06.92 toes (supernumerary) 86.26 foot amputation 84.12
tooth 93.55 shoulder disarticulation 84.08
impacted 24.6 Litholapaxy, bladder 57.0
ulcer (peptic) (base) (bed) (bleeding vessel) 44.40 by incision 57.19
duodenal 44.42 Lithotomy
gastric 44.41 bile passage 51.49
ureter 56.95 varices bladder (urinary) 57.19
esophageal 42.91 common duct 51.41
endoscopic 42.33 percutaneous 51.96
gastric 44.91 gallbladder 51.04
endoscopic 43.41 hepatic duct 51.49
peripheral vein (lower limb) 38.59 upper limb 38.53 kidney 55.01
varicocele 63.1 percutaneous 55.03
ureter 56.2
Lithotripsy
bile duct NEC 51.49
extracorporeal shockwave(ESWL) 98.52
Lithotripsy ---Cont. Lobectomy ---Cont.
bladder 57.0 thyroid (total) (unilateral) (with removal of isthmus) (with removal
with ultrasonic fragmentation57.0[59.95] extracorporeal of portion of remaining lobe) 06.2
shockwave (ESWL) 98.51 partial --see also Thyroidectomy, partial 06.39
extracorporeal shockwave (ESWL) NEC 98.59 bile duct 98.52 substernal 06.51
bladder (urinary) 98.51 subtotal --see also Thyroidectomy, partial 06.39
gallbladder 98.52 Lobotomy, brain 01.32
kidney 98.51 Localization, placenta 88.78 by RISA injection 92.17
Kock pouch 98.51 Longmire operation (bile duct anastomosis) 51.39
renal pelvis 98.51 specified site NEC 98.59 ureter 98.51 Loop ileal stoma (see also Ileostomy) 46.01
gallbladder NEC 51.04 Loopogram 87.78
endoscopic 51.88 Looposcopy (ileal conduit)
extracorporeal shockwave (ESWL) 98.52 kidney 56.0
extracorporeal shockwave (ESWL) 98.51 percutaneous
nephrostomy with
frag- mentation (laser) (ultrasound) 55.04
renal pelvis 56.0
extracorporeal shockwave (ESWL) 98.51 percutaneous
nephrostomy with
fragmentation (laser) (ultrasound) 55.04
ureter 56.0
extracorporeal shockwave (ESWL) 98.51
LITT (laser interstitial thermal therapy)
under guidance
lesion
brain 17.61
breast 17.69
head and neck 17.62 liver 17.63
lung 17.69
prostate 17.69
thyroid 17.62
Littlewood operation (forequarter amputation) 84.09
LLETZ (large loop excision of the transformation zone) of
cervix 67.32
Lloyd-Davies operation (abdominoperineal resection), NOS
48.50
laparoscopic 48.51
open 48.52
other 48.59
Lobectomy
brain 01.53
partial 01.59
liver (with partial excision of adjacent lobes) 50.3
lung (complete) 32.49
partial 32.39
thoracoscopic 32.30
segmental (with resection of adjacent lobes) 32.49
thoracoscopic 32.41
thoracoscopic 32.41
Lysis adhesions ---Cont. Lysis adhesions ---Cont.
bladder (neck) (intraluminal) 57.12 external 59.11 nerve (peripheral) NEC 04.49 cranial NEC 04.42
laparoscopic 59.12 roots, spinal 03.6
transurethral 57.41 trigeminal 04.41
blood vessels 39.91 bone --see category 78.4 bursa 83.91 nose, nasal 21.91
by stretching or manipulation 93.28 hand 82.91 ocular muscle 15.7
cartilage of joint 93.26 chest wall 33.99 ovary 65.89
choanae (nasopharynx) 29.54 laparoscopic 65.81
conjunctiva 10.5 pelvic 54.59
corneovitreal 12.34 laparoscopic 54.51
cortical (brain) 02.91 penile 64.93
ear, middle 20.23 pericardium 37.12
Eustachian tube 20.8 perineal (female) 71.01
extraocular muscle 15.7 peripheral vessels 39.91
extrauterine 54.59 perirectal 48.81
laparoscopic 54.51 perirenal 59.02
eyelid 08.09 laparoscopic 59.03
and conjunctiva 10.5 peritoneum (pelvic) 54.59
eye muscle 15.7 laparoscopic 54.51
fallopian tube 65.89 periureteral 59.02
laparoscopic 65.81 laparoscopic 59.03
fascia 83.91 perivesical 59.11
hand 82.91 laparoscopic 59.12
by stretching or manipulation 93.26 gallbladder 54.59 pharynx 29.54
laparoscopic 54.51 pleura (for collapse of lung) 33.39 spermatic cord 63.94
ganglion (peripheral) NEC 04.49 cranial NEC 04.42 spinal (cord) (meninges) (nerve roots) 03.6 spleen 54.59
hand 82.91 laparoscopic 54.51
by stretching or manipulation 93.26 heart 37.10 tendon 83.91
intestines 54.59 by stretching or manipulation 93.27 hand 82.91
laparoscopic 54.51 by stretching or manipulation 93.26 thorax 34.99
iris (posterior) 12.33 tongue 25.93
anterior 12.32 trachea 31.92
joint (capsule) (structure) --see also tubo- ovarian 65.89
Division, joint capsule 80.40 kidney 59.02 laparoscopic 65.81
laparoscopic 59.03 ureter 59.02
labia (vulva) 71.01 with freeing or repositioning of ureter 59.02
larynx 31.92 intraluminal 56.81
liver 54.59 laparoscopic 59.03
laparoscopic 54.51 urethra (intraluminal) 58.5
lung (for collapse of lung) 33.39 mediastinum 34.99 uterus 54.59
meninges (spinal) 03.6 intraluminal 68.21
cortical 02.91 laparoscopic 54.51
middle ear 20.23 peritoneal 54.59
muscle 83.91 laparoscopic 54.51
by stretching or manipulation 93.27 extraocular 15.7 vagina (intraluminal) 70.13 vitreous (posterior approach) 14.74
hand 82.91 anterior approach 14.73
by stretching or manipulation 93.26 nasopharynx 29.54 vulva 71.01
goniosynechiae (with injection of air or liquid) 12.31
synechiae (posterior) 12.33
anterior (with injection of air or liquid) 12.32
M
Madlener operation (tubal ligation) 66.31 Mammotomy 85.0
Magnet extraction Manchester (-Donald) (-Fothergill) operation (uterine suspension)
foreign body 69.22
anterior chamber, eye 12.01 choroid 14.01 Mandibulectomy (partial) 76.31
ciliary body 12.01 total 76.42
conjunctiva 98.22 with reconstruction 76.41
cornea 11.0 Maneuver (method) Bracht 72.52
eye, eyeball NEC 98.21 anterior segment 12.01 Credé 73.59
posterior segment 14.01 intraocular (anterior segment) De Lee (key- in- lock) 72.4 Kristeller 72.54
12.01 iris 12.01 Loveset's (extraction of arms in breech birth) 72.52
lens 13.01 Mauriceau (- Smellie- Veit) 72.52 Pinard (total breech extraction)
orbit 98.21 72.54 Prague 72.52
retina 14.01 Ritgen 73.59
sclera 12.01 Scanzoni (rotation) 72.4
vitreous 14.01 Van Hoorn 72.52
Magnetic resonance imaging (nuclear) Wigand- Martin 72.52
--see Imaging, magnetic resonance Manipulation
Magnuson (-Stack) operation (arthroplasty for recurrent with reduction of fracture or dislocation
shoulder dislocation) 81.82 --see Reduction, fracture and Reduction, dislocation
--see category 17.4 enterostomy stoma (with dilation) 96.24 intestine (intra- abdominal)
Malleostapediopexy 19.19 with incus replacement 19.11 46.80
Malström's vacuum extraction 72.79 with episiotomy large 46.82
72.71 small 46.81 joint
Mammaplasty --see Mammoplasty adhesions 93.26
Mammectomy --see also Mastectomy subcutaneous temporomandibular 76.95 dislocation --see Reduction, dislocation
(unilateral) 85.34 lacrimal passage (tract) NEC 09.49 muscle structures 93.27
with synchronous implant 85.33 bilateral 85.36 musculoskeletal(physical therapy) NEC 93.29 nasal septum, displaced
with synchronous implant 85.35 21.88
Mammilliplasty 85.87 osteopathic NEC 93.67
Mammography NEC 87.37 for general mobilization (general articulation) 93.61
Mammoplasty 85.89 with high- velocity, low- amplitude forces (thrusting) 93.62
full- thickness graft 85.83 muscle flap 85.85 indirect forces 93.65
pedicle graft 85.84 isotonic, isometric forces 93.64
split- thickness graft 85.82 amputative (reduction) low- velocity, high- amplitude forces (springing) 93.63
(bilateral) 85.32 to move tissue fluids 93.66 rectum 96.22
unilateral 85.31 salivary duct 26.91
augmentation 85.50 with stomach, intraoperative 44.92 temporomandibular joint NEC 76.95
breast implant (bilateral) 85.54 unilateral 85.53 ureteral calculus by catheter
injection into breast (bilateral) 85.52 unilateral 85.51 with removal 56.0
reduction (bilateral) 85.32 without removal 59.8
unilateral 85.31
revision 85.89
size reduction (gynecomastia) (bilateral) 85.32
unilateral 85.31
Manipulation ---Cont. Mastectomy -with ---Cont.
uterus NEC 69.98 preservation of skin and nipple 85.34 with synchronous implant 85.33
gravid 75.99 inverted bilateral 85.36
manual replacement (following delivery) 75.94 with synchronous implant 85.35 bilateral 85.42
surgical --see Repair, inverted uterus extended
Manometry radical (Urban) (unilateral) 85.47 bilateral 85.48
esophageal 89.32 simple (with regional lymphadenectomy) (unilateral) 85.43
spinal fluid 89.15 bilateral 85.44
urinary 89.21 modified radical (unilateral) 85.43 bilateral 85.44
Manual arts therapy 93.81 partial 85.23
Mapping radical (Halsted) (Meyer) (unilateral) 85.45 bilateral 85.46
cardiac (electrophysiologic) 37.27 extended (Urban) (unilateral) 85.47 bilateral 85.48
doppler (flow) 88.72 modified (unilateral) 85.43
electrocardiogram only 89.52 bilateral 85.44
Marckwald operation (cervical os repair) 67.59 subcutaneous 85.34
Marshall-Marchetti (- Krantz) operation (retropubic with synchronous implant 85.33 bilateral 85.36
urethral suspension) 59.5 with synchronous implant 85.35 subtotal 85.23
Marsupialization --see also Destruction, lesion, by site Masters' stress test (two- step) 89.42
cyst Mastoidectomy (cortical)(conservative) 20.49
Bartholin's 71.23 complete (simple) 20.41
brain 01.59 modified radical 20.49
cervical (nabothian) 67.31 radical 20.42
dental 24.4 modified 20.49
dentigerous 24.4 simple (complete) 20.41
kidney 55.31 Mastoidotomy 20.21
larynx 30.01 Mastoidotympanectomy 20.42
liver 50.21 Mastopexy 85.6
ovary 65.21 Mastoplasty --see Mammoplasty
laparoscopic 65.23 Mastorrhaphy 85.81
pancreas 52.3 Mastotomy 85.0
pilonidal (open excision) (with partial closure) 86.21 Matas operation (aneurysmorrhaphy) 39.52
salivary gland 26.21 Mayo operation bunionectomy 77.59 herniorrhaphy
spinal (intraspinal) (meninges) 03.4 spleen, splenic 41.41 laparoscopic 53.43
lesion with graft or prosthesis 53.42
brain 01.59 other and open with graft or prosthesis 53.41
cerebral 01.59 other open 53.49
liver 50.21 vaginal hysterectomy 68.59 laparoscopically assisted (LAVH) 68.51
pilonidal cyst or sinus (open excision) (with partial Mazet operation (knee disarticulation) 84.16
closure) 86.21 McBride operation (bunionectomy with soft tissue correction) 77.53
pseudocyst, pancreas 52.3 ranula, salivary gland 26.21 McBurney operation --see Repair, hernia, inguinal
Massage McCall operation (enterocele repair) 70.92 McCauley
cardiac (external) (manual) (closed) 99.63 open 37.91 operation(release of clubfoot) 83.84 McDonald operation
prostatic 99.94 (encirclement suture,
rectal (for levator spasm) 99.93 cervix) 67.59
MAST (military anti- shock trousers) 93.58
Mastectomy (complete) (prophylactic) (simple)
(unilateral) 85.41
with
excision of regional lymph nodes 85.43 bilateral 85.44
McIndoe operation (vaginal construction) 70.61 Measurement ---Cont. range of motion 93.05 renal clearance 89.29
with graft or prosthesis 70.63 respiratory NEC 89.38 skin fold thickness 93.07 skull circumference
McKeever operation (fusion of first metatarsophalangeal 93.07
joint for hallux valgus repair) 77.52 sphincter of Oddi pressure 51.15 systemic arterial
McKissock operation (breast reduction) 85.33 blood gases 89.65
McReynolds operation (transposition of pterygium) 11.31 continuous intra- arterial 89.60 pressure 89.61
McVay operation urine (bioassay) (chemistry) 89.29 vascular 89.59
femoral hernia --see Repair, hernia,femoral inguinal venous blood gases 89.66
hernia --see Repair, hernia,inguinal vital capacity (pulmonary) 89.37
Measurement Meatoplasty
airway resistance 89.38 ear 18.6
anatomic NEC 89.39 arterial blood gases 89.65 urethra 58.47
basal metabolic rate (BMR) 89.39 blood gases Meatotomy
arterial 89.65 ureter 56.1
continuous intra- arterial 89.60 venous 89.66 urethra 58.1
body 93.07 cardiac output (by) internal 58.5
Fick method 89.67 Mechanical ventilation --see Ventilation
indicator dilution technique 89.68 oxygen consumption Mediastinectomy 34.3
technique 89.67 thermodilution indicator 89.68 Mediastinoscopy 34.22
cardiovascular NEC 89.59 central venous pressure 89.62 Mediastinotomy (Chamberlain procedure) 34.1 with
coronary blood flow 89.69 pneumonectomy 32.59
fractional flow reserve (FFR) 00.59 intravascular pressure thoracoscopic 32.50
measurement Meloplasty, facial 86.82
00.59 Meningeorrhaphy (cerebral) 02.12
gastric function NEC 89.39 girth 93.07 spinal NEC 03.59 for
intelligence 94.01 meningocele 03.51
intracranial pressure 01.10 intraocular tension or pressure myelomeningocele 03.52
89.11 Meniscectomy (knee) NEC 80.6 acromioclavicular 80.91
as part of extended ophthalmologic work- up 95.03 sternoclavicular 80.91
intrauterine pressure 75.35 temporomandibular (joint) 76.5
intravascular pressure 00.69 wrist 80.93
coronary 00.59 Menstrual extraction or regulation 69.6
iliac 00.69 Mentoplasty (augmentation) (with graft) (with implant) 76.68
intra- abdominal 00.69 reduction 76.67
intrathoracic 00.67 Mesenterectomy 54.4
aorta 00.67 Mesenteriopexy 54.75
aortic arch 00.67 Mesenteriplication 54.75
carotid 00.67 Mesocoloplication 54.75
mesenteric 00.69 Mesopexy 54.75
peripheral 00.68 Metatarsectomy 77.98
renal 00.69 Metroplasty 69.49
limb length 93.06 Mid forceps delivery 72.29
lung volume 89.37 Mikulicz operation (exteriorization of intestine) (first stage) 46.03
mixed venous blood gases 89.66 physiologic NEC 89.39 second stage 46.04
portovenous pressure 89.62 Miles operation (proctectomy), NOS 48.50 laparoscopic 48.51
pulmonary airway flow, endoscopic 33.72 open 48.52
other 48.59
Military anti-shock trousers (MAST) 93.58
Millard operation (cheiloplasty) 27.54 Monitoring - fetus ---Cont.
Miller operation intrapartum (during labor) (extrauterine) (external) 75.34
midtarsal arthrodesis 81.14 ausculatory (stethoscopy) --omit code
urethrovesical suspension 59.4 internal (with contraction measurements) (ECG) 75.32
Millin-Read operation (urethrovesical suspension) 59.4 intrauterine (direct) (ECG) 75.32 phonocardiographic (extrauterine)
Mist therapy 93.94 75.34
Mitchell operation(hallux valgus repair) 77.51 pulsed ultrasound (Doppler) 88.78 transcervical fetal oxygen
Mobilization saturation
joint NEC 93.16 monitoring 75.38
mandible 76.95 transcervical fetal SpO2 monitoring75.38 Holter- type device
neostrophingic (mitral valve) 35.12 spine 93.15 (cardiac) 89.50
stapes (transcrural) 19.0 testis in scrotum 62.5 IAEMT (intraoperative anesthetic effect monitoring and titration)
Mohs operation (chemosurgical excision of skin) 86.24 00.94 [ 89.14]
Molegraphy 87.81 intra- aneursym sac pressure 00.58 intracranial oxygen 01.16
Monitoring intracranial pressure 01.10
BIS (bispectral index) monitoring intraoperative anesthetic effect monitoring and titration (IAEMT)
00.94 [ 89.14] 00.94 [ 89.14]
brain temperature 01.17 cardiac output (by) intravascular pressure 00.69
ambulatory (ACM) 89.50 coronary 00.59
electrographic 89.54 iliac 00.69
during surgery --omit code intra- abdominal 00.69
Fick method 89.67 Holter- type device 89.50 intrathoracic 00.67
indicator dilution technique 89.68 intracardiac or great aorta 00.67
vessel hemodynamic aortic arch 00.67
sensor (lead) 00.56 carotid 00.67
subcutaneous device 00.57 oxygen consumption technique mesenteric 00.69
89.67 specified technique NEC 89.68 telemetry (cardiac) peripheral 00.68
89.54 renal 00.69 neurophysiologic
thermodilution indicator 89.68 transesophageal (Doppler) intra- operative 00.94
(ultrasound) 89.68 central venous pressure 89.62 partial pressure of brain oxygen (PbtO )
2
01.16
pulmonary artery pressure 89.63
wedge 89.64
circulatory NEC 89.69 sleep (recording) --see categories 89.17- 89.18 systemic arterial
continuous intra- arterial blood gas 89.60 coronary blood flow pressure 89.61
(coincidence intra- aneursym sac pressure 00.58 telemetry (cardiac) 89.54
counting technique) 89.69 fractional flow reserve (FFR) 00.59 transesophageal cardiac output(Doppler)
intravascular pressure measurement 89.68
00.59 ventricular pressure (cardiac) 89.62 Moore operation
electroencephalographic 89.19 (arthroplasty) 81.52 Moschowitz
radio- telemetered 89.19 enterocele repair 70.92
video 89.19 fetus (fetal heart) antepartum with graft or prosthesis 70.93 herniorrhaphy --see Repair, hernia,
nonstress (fetal activity acceleration determinations) 75.34 femoral sigmoidopexy 46.63
oxytocin challenge (contraction stress test) 75.35 Mountain resort sanitarium 93.98
ultrasonography (early pregnancy) (Doppler) 88.78 Mouth-to-mouth resuscitation 93.93
Moxibustion 93.35
MRI --see Imaging, magnetic resonance
Muller operation (banding of pulmonary artery) 38.85
Multiple sleep latency test (MSLT) 89.18
h,
69.22
Operation ---Cont. Operation ---Cont.
adrenal (gland) (nerve) (vessel) NEC 07.49 Albee Bell- Beuttner (subtotal abdominal hysterectomy) 68.39
bone peg, femoral neck 78.05 graft for slipping patella 78.06 Belsey (esophagogastric sphincter) 44.65 Benenenti (rotation of
sliding inlay graft, tibia 78.07 bulbous urethra)
Albert (arthrodesis, knee) 81.22 58.49
Aldridge (- Studdiford) (urethral sling) 59.5 Alexander Berke (levator resection eyelid) 08.33 Biesenberger (size reduction
prostatectomy perineal 60.62 of breast,
suprapubic 60.3 bilateral) 85.32
shortening of round ligaments of uterus 69.22 unilateral 85.31
Alexander- Adams (shortening of round ligaments of uterus) Bigelow (litholapaxy) 57.0 biliary (duct) (tract) NEC 51.99
69.22 Billroth I (partial gastrectomy with gastroduodenostomy) 43.6
Almoor (extrapetrosal drainage) 20.22 Altemeier (perineal Billroth II (partial gastrectomy with gastrojejunostomy) 43.7
rectal pull- through) 48.49 Ammon (dacryocystotomy) 09.53 Binnie (hepatopexy) 50.69
Anderson (tibial lengthening) 78.37 Anel (dilation of lacrimal Bischoff (ureteroneocystostomy) 56.74
duct) 09.42 anterior chamber (eye) NEC 12.99 anti- bisection hysterectomy 68.39
incontinence NEC 59.79 antrum window (nasal sinus) 22.2 laparoscopic 68.31
with Caldwell- Luc approach 22.39 anus NEC 49.99 Bishoff (spinal myelotomy) 03.29 bladder NEC 57.99
aortic body NEC 39.8 aorticopulmonary window 39.59 flap 56.74
appendix NEC 47.99 Blalock (systemic- pulmonary anastomosis) 39.0
Arslan (fenestration of inner ear) 20.61 artery NEC 39.99 Blalock- Hanlon (creation of atrial septal defect) 35.42
Asai (larynx) 31.75 Blalock- Taussig (subclavian- pulmonary anastomosis) 39.0
Baffes (interatrial transposition of venous return) 35.91 Blascovic (resection and advancement of levator palpebrae
Baldy- Webster (uterine suspension) 69.22 Ball superioris) 08.33
herniorrhaphy--see Repair, hernia, inguinal undercutting blood vessel NEC 39.99 Blount
49.02 femoral shortening(with blade plate) 78.25 by epiphyseal stapling
Bankhart (capsular repair into glenoid, for shoulder 78.25
dislocation) 81.82 Boari (bladder flap) 56.74 Bobb (cholelithotomy) 51.04 bone NEC --
Bardenheurer (ligation of innominate artery) 38.85 see category 78.4
Barkan (goniotomy) 12.52 facial 76.99
with goniopuncture 12.53 injury NEC --see category 79.9 marrow NEC 41.98
Barr (transfer of tibialis posterior tendon) 83.75 skull NEC 02.99
Barsky (closure of cleft hand) 82.82 Bassett (vulvectomy with Bonney (abdominal hysterectomy) 68.49 laparoscopic 68.41
inguinal lymph Borthen (iridotasis) 12.63 Bost
node dissection) 71.5 [40.3] plantar dissection 80.48
Bassini (herniorrhaphy) --see Repair, hernia, inguinal radiocarpal fusion 81.26 Bosworth
Batch- Spittler- McFaddin (knee disarticulation) 84.16 arthroplasty for acromioclavicular separation 81.83
Batista (partial ventriculectomy)(ventricular reduction) fusion of posterior lumbar spine 81.08 for pseudarthrosis 81.38
(ventricular remodeling) 37.35 resection of radial head ligaments (for tennis elbow) 80.92
Beck I (epicardial poudrage) 36.39 shelf procedure, hip 81.40 Bottle (repair of hydrocele of tunica
Beck II (aorta- coronary sinus shunt) 36.39 Beck- Jianu vaginalis) 61.2
(permanent gastrostomy) 43.19 Boyd (hip disarticulation) 84.18
Operation ---Cont. Operation ---Cont.
brain NEC 02.99 Clayton (resection of metatarsal heads and bases of phalanges) 77.88
Brauer (cardiolysis) 37.10 clitoris NEC 71.4
breast NEC 85.99 cocked hat (metacarpal lengthening and transfer of local flap) 82.69
Bricker (ileoureterostomy) 56.51 Cockett (varicose vein) lower limb 38.59
Bristow (repair of shoulder dislocation) 8 Brock (pulmonary upper limb 38.53
valvulotomy) 35.03 Brockman (soft tissue release for clubfoo Cody tack (perforation of footplate) 19.0 Coffey (uterine suspension)
83.84 (Meigs'
bronchus NEC 33.98 modification) 69.22
Browne (- Denis)(hypospadias repair) 58.4 Brunschwig Cole (anterior tarsal wedge osteotomy) 77.28
(temporary gastrostomy) 43. buccal cavity NEC 27.99 Collis- Nissen (hiatal hernia repair) 53.80 colon NEC 46.99
Bunnell (tendon transfer) 82.56 Burch procedure (retropubic Colonna
urethral adductor tenotomy (first stage) 83.12 hip arthroplasty (second stage)
suspension for urinary stress incontinence) 59.5 81.40 reconstruction of hip (second stage)
Burgess (amputation of ankle) 84.14 bursa NEC 83.99 81.40
hand 82.99 bypass --see Bypass commando (radical glossectomy) 25.4 conjunctiva NEC 83.12
Caldwell (sulcus extension) 24.91 Caldwell- Luc (maxillary destructive NEC 10.33
sinusotomy) 22.3 cornea NEC 11.99
with removal of membrane lining 22.3 Callander (knee Coventry (tibial wedge osteotomy) 77.27 Cox- maze procedure
disarticulation) 84.16 Campbell (ablation or
bone block, ankle 81.11 fasciotomy (iliac crest) 83.14 destruction of heart tissue) --see
reconstruction of anterior cruciate maze procedure
ligaments 81.45 Crawford (tarso- frontalis sling of eyelid) 08.32
canthus NEC 08.99 cul- de- sac NEC 70.92
cardiac NEC 37.99 Culp- Deweerd (spiral flap pyeloplasty) 55.87
septum NEC 35.98 Culp- Scardino (ureteral flap pyeloplasty) 55.87
valve NEC 35.99 Curtis (interphalangeal joint arthroplasty) 81.72
carotid body or gland NEC 39.8 cystocele NEC 70.51
Carroll and Taber (arthroplasty proximal interphalangeal Dahlman (excision of esophageal diverticulum) 42.31
joint) 81.72 Dana (posterior rhizotomy) 03.1 Danforth (fetal) 73.8
Cattell (herniorrhaphy) 53.51 Darrach (ulnar resection) 77.83 Davis (intubated ureterotomy) 56.2 de
Cecil (urethral reconstruction) 58.46 cecum NEC 46.99 Grandmont (tarsectomy) 08.35 Delorme
cerebral (meninges) NEC 02.99 cervix NEC 69.99 pericardiectomy 37.31
Chandler (hip fusion) 81.21 proctopexy 48.76
Charles (correction of lymphedema) 40.9 Charnley repair of prolapsed rectum 48.76
(compression arthrodesis) 9 thoracoplasty 33.34
ankle 81.11 Denker (radical maxillary antrotomy) 22.31
hip 81.21 Dennis- Varco (herniorrhaphy)
knee 81.22 --see Repair, hernia, femoral Denonvillier (limited rhinoplasty) 21.86
Cheatle- Henry --see Repair, hernia, femor chest cavity NEC dental NEC 24.99
34.99 orthodontic NEC 24.8
Chevalier- Jackson (partial laryngectomy) Child (radical Derlacki (tympanoplasty) 19.4
subtotal pancreatectomy) 5 Chopart (midtarsal amputation)
84.12 chordae tendineae NEC 35.32
choroid NEC 14.9 ciliary body NEC 12.98
cisterna chyli NEC 40.69
Clagett (closure of chest wall following open flap drainage)
34.72
1.82
t)
5
19
9
1
al
30.2
2.53
Operation ---Cont. Operation ---Cont.
diaphragm NEC 34.89 Estes (ovary) 65.72
Dickson (fascial transplant) 83.82 Dickson- Diveley (tendon laparoscopic 65.75
transfer and Estlander (thoracoplasty) 33.34 Evans (release of clubfoot) 83.84
arthrodesis to correct claw toe) 77.57 Dieffenbach (hip extraocular muscle NEC 15.9
disarticulation) 84.18 digestive tract NEC 46.99 multiple (two or more muscles) 15.4 with temporary detachment
Doleris (shortening of round ligaments) 69.22 D'Ombrain from
(excision of pterygium with globe 15.3
corneal graft) 11.32 revision 15.6
Dorrance (push- back operation for cleft palate) 27.62 single 15.29
Dotter (transluminal angioplasty) 39.59 Douglas (suture of with temporary detachment from globe 15.19
tongue to lip for eyeball NEC 16.99
micrognathia) 25.59 Doyle (paracervical uterine eyelid(s) NEC 08.99
denervation) 69.3 Dühamel (abdominoperineal face NEC 27.99
pull- through) 48.65 facial bone or joint NEC 76.99 fallopian tube NEC 66.99 Farabeuf
Duhrssen (vaginofixation of uterus) 69.22 Dunn (triple (ischiopubiotomy) 77.39 Fasanella- Servatt(blepharoptosis
arthrodesis) 81.12 duodenum NEC 46.99 repair) 08.35
Dupuytren fasciectomy 82.35 fascia NEC 83.99
fasciotomy 82.12 hand 82.99
with excision 82.35 female (genital organs) NEC 71.9 hysterectomy NEC 68.9
shoulder disarticulation 84.08 Durham (- Caldwell) (transfer fenestration (aorta) 39.54 Ferguson (hernia repair) 53.00 Fick
of biceps (perforation of footplate) 19.0 filtering (for glaucoma) 12.79
femoris tendon) 83.75 DuToit and Roux (staple with iridectomy 12.65
capsulorrhaphy of shoulder) 81.82 DuVries (tenoplasty) 83.88 Finney (pyloroplasty) 44.29 fistulizing, sclera NEC 12.69 Foley
Dwyer (pyeloplasty) 55.87
fasciotomy 83.14 Fontan (creation of conduit between right atrium and pulmonary
soft tissue release NEC 83.84 wedge osteotomy, calcaneus artery) 35.94
77.28 Fothergill(- Donald)(uterine suspension) 69.22
Eagleton (extrapetrosal drainage) 20.22 ear (external) NEC Fowler
18.9 arthroplasty of metacarpophalangeal joint 81.72
middle or inner NEC 20.99 release (mallet finger repair) 82.84 tenodesis (hand) 82.85
Eden- Hybinette (glenoid bone block) 78.01 Effler (heart) thoracoplasty 33.34
36.2 Fox (entropion repair with wedge resection) 08.43
Eggers Franco (suprapubic cystotomy) 57.19 Frank (permanent
tendon release(patellar retinacula) 83.13 tendon transfer gastrostomy) 43.19 Frazier (- Spiller) (subtemporal
(biceps femoris tendon) trigeminal rhizotomy) 04.02 Fredet- Ramstedt (pyloromyotomy)
(hamstring tendon) 83.75 Elliot(scleral trephination with (with wedge resection) 43.3 Frenckner (intrapetrosal drainage)
iridectomy) 20.22 Frickman (abdominal proctopexy) 48.75 Frommel (shortening
12.61 of uterosacral
Ellis Jones(repair of peroneal tendon) 83.88 Ellison ligaments) 69.22
(reinforcement of collateral ligament)
81.44
Elmslie- Cholmeley(tarsal wedge osteotomy) 77.28
Eloesser
thoracoplasty 33.34
thoracostomy 34.09
Emmet (cervix) 67.61 endorectal pull- through 48.41
epididymis NEC 63.99
esophagus NEC 42.99
Operation ---Cont. Operation ---Cont.
Gabriel (abdominoperineal resection of rectum), NOS 48.50 Gross (herniorrhaphy) laparoscopic 53.43
laparoscopic 48.51 with graft or prosthesis 53.42 other and open with graft or
open 48.52 prosthesis 53.41
other 48.59 other open 53.49
gallbladder NEC 51.99 gum NEC 24.39
ganglia NEC 04.99 Guyon (amputation of ankle) 84.13 Hagner (epididymotomy) 63.92
sympathetic 05.89 Halsted --see Repair, hernia, inguinal Halsted mastectomy 85.45
Gant(wedge osteotomy of trochanter) 77.25 Garceau (tibial Hampton (anastomosis small intestine to rectal stump) 45.92
tendon transfer) 83.75 Gardner (spinal meningocele repair) hanging hip (muscle release) 83.19 harelip 27.54
03.51 gastric NEC 44.99 Harrison- Richardson (vaginal suspension) 70.77
Gelman (release of clubfoot) 83.84 genital organ NEC with graft or prosthesis 70.78 Hartmann --see Colectomy, by site
female 71.9 Hauser
male 64.99 achillotenotomy 83.11 bunionectomy with adductor tendon
Ghormley (hip fusion) 81.21 Giffod transfer 77.53 stabilization of patella 81.44
destruction of lacrimal sac 09.6 keratotomy (delimiting) 11.1 Heaney (vaginal hysterectomy) 68.59 laparoscopically assisted (LAVH)
Gill 68.51
arthrodesis of shoulder 81.23 laminectomy 03.09 heart NEC 37.99
Gill- Stein (carporadial arthrodesis) 81.25 Gilliam (uterine valve NEC 35.99
suspension) 69.22 Girdlestone adjacent structure NEC 35.39 Hegar (perineorrhaphy) 71.79
laminectomy with spinal fusion 81.00 muscle transfer for claw Heine (cyclodialysis) 12.55 Heineke- Mikulicz (pyloroplasty)
toe 77.57 resection of femoral head and neck --see category 44.2
(without insertion of joint prosthesis) 77.85 Heller (esophagomyotomy) 42.7 Hellström (transplantation of aberrant
with replacement prosthesis renal vessel) 39.55
--see Implant, joint, hip resection of hip prosthesis 80.05 hemorrhoids NEC 49.49
with replacement prosthesis Henley (jejunal transposition) 43.81 hepatic NEC 50.99
--see Implant, joint, hip Girdlestone- Taylor (muscle transfer for hernia --see Repair, hernia
claw toe repair) 77.57 glaucoma NEC 12.79 Hey (amputation of foot) 84.12
Glenn (anastomosis of superior vena cava to right pulmonary Hey- Groves (reconstruction of anterior cruciate ligament) 81.45
artery) 39.21 Heyman (soft tissue release for clubfoot) 83.84
globus pallidus NEC 01.42 Goebel- Frangenheim- Stoeckel Heyman- Herndon (- Strong) (correction of metatarsus varus) 80.48
(urethrovesical suspension) 59.4 Goldner (clubfoot release) Hibbs (lumbar spinal fusion)
80.48 Goldthwaite --see Fusion, lumbar
ankle stabilization 81.11 Higgins --see Repair, hernia, femoral Hill- Allison (hiatal hernia repair,
patella stabilization 81.44 tendon transfer for patella transpleural approach) 53.80 Hitchcock (anchoring tendon of biceps)
dislocation 81.44 83.88
Goodall- Power (vagina) 70.4 Gordon- Taylor (hindquarter Hofmeister (gastrectomy) 43.7 Hoke
amputation) 84.19 midtarsal fusion 81.14
Graber- Duvernay (drilling femoral head) 77.15 triple arthrodesis 81.12
Green (scapulopexy) 78.41
Grice (subtalar arthrodesis) 81.13
Gritti- Stokes (knee disarticulation) 84.16
Operation ---Cont. Operation ---Cont.
Holth Kock pouch
iridencleisis 12.63 bowel anastomosis --omit code continent ileostomy 46.22
sclerectomy 12.65 cutaneous uretero- ileostomy 56.51 ESWL (electrocorporeal
Homan (correction of lymphedema) 40.9 Hutch shockwave
(ureteroneocystostomy) 56.74 Hybinette- eden (glenoid bone lithotripsy) 98.51
block) 78.01 hymen NEC 70.91 removal, calculus 57.19
hypopharynx NEC 29.99 revision, cutaneous uretero- ileostomy 56.52
hypophysis NEC 07.79 urinary diversion procedure 56.51 Kondoleon(correction of
ileal loop 56.51 lymphedema)
ileum NEC 46.99 40.9
intestine NEC 46.99 Krause (sympathetic denervation) 05.29 Kroener (partial
iris NEC 12.97 salpingectomy) 66.69 Kroenlein (lateral orbitotomy) 16.01
inclusion 12.63 Kronig (low cervical cesarean section)
Irving (tubal ligation) 66.32 Irwin --see also Osteotomy 77.30 74.1
Jaboulay (gastroduodenostomy) 44.39 Krukenberg (reconstruction of
laparoscopic 44.38 below- elbow amputation) 82.89 Kuhnt- Szymanowski
Janeway (permanent gastrostomy) 43.19 Jatene (arterial (ectropion repair
switch) 35.84 with lid reconstruction) 08.44 Labbe (gastrotomy) 43.0
jejunum NEC 46.99 labia NEC 71.8 lacrimal
Johanson (urethral reconstruction) 58.46 joint (capsule) gland 09.3
(ligament) (structure) NEC system NEC 09.99
81.99 Ladd (mobilization of intestine) 54.95 Lagrange
facial NEC 76.99 Jones (iridosclerectomy) 12.65 Lambrinudi (triple arthrodesis) 81.12
claw toe (transfer of extensor hallucis longus tendon) 77.57 Langenbeck (cleft palate repair) 27.62 Lapidus (bunionectomy
modified (with arthrodesis) 77.57 dacryocystorhinostomy with metatarsal
09.81 osteotomy) 77.51
hammer toe (interphalangeal fusion) 77.56 modified (tendon Larry (shoulder disarticulation) 84.08 larynx NEC 31.98
transfer with Lash
arthrodesis) 77.57 internal cervical os repair 67.59 laparoscopic supracervical
repair of peroneal tendon 83.88 hysterectomy 68.31
Joplin (exostectomy with tendon transfer) 77.53 Latzko
Kader (temporary gastrostomy) 43.19 Kaufman (for urinary cesarean section, extraperitoneal 74.2 colpocleisis 70.8
stress incontinence) Leadbetter (urethral reconstruction) 58.46 Leadbetter-
59.79 Politano
Kazanjiian (buccal vestibular sulcus extension) 24.91 (ureteroneocystostomy) 56.74 Le Fort (colpocleisis) 70.8
Kehr (hepatopexy) 50.69 LeMesurier (cleft lip repair) 27.54 lens NEC 13.90
Keller (bunionectomy) 77.59 Leriche (periarterial sympathectomy) 05.25 levator muscle
Kelly (- Kennedy)(urethrovesical plication) 59.3 Kelly- sling
Stoeckel (urethrovesical plication) 59.3 Kerr (cesarean eyelid ptosis repair 08.33 urethrovesical suspension 59.71
section) 74.1 urinary stress incontinence 59.71
Kessler (arthroplasty, carpometacarpal joint) 81.74 lid suture (blepharoptosis) 08.31 ligament NEC 81.99
Kidner (excision of accessory navicular bone) (with tendon broad NEC 69.98
transfer) 77.98 round NEC 69.98
kidney NEC 55.99 uterine NEC 69.98
Killian (frontal sinusotomy) 22.41 Lindholm(repair of ruptured tendon) 83.88
King- Steelquist (hindquarter amputation) 84.19
Kirk (amputation through thigh) 84.17
Operation ---Cont. Operation ---Cont.
Linton (varicose vein) 38.59 lip NEC 27.99 McCall (enterocele repair) 70.92 with graft or prosthesis 70.93
Lisfranc McCauley (release of clubfoot) 83.84 McDonald (encirclement suture,
foot amputation 84.12 cervix)
shoulder disarticulation 84.08 Littlewood (forequarter 67.59
amputation) 84.09 McIndoe (vaginal construction) 70.61 with graft or prosthesis 70.63
liver NEC 50.99 McKeever (fusion of first metatarsophalangeal joint for hallux valgus
Lloyd- Davies (abdominoperineal resection), NOS 48.50 repair) 77.52
laparoscopic 48.51 McKissock (breast reduction) 85.33 McReynolds (transposition of
open 48.52 pterygium) 11.31 McVay
other 48.59 femoral hernia
Longmire (bile duct anastomosis) 51.39 Lord --see Repair, hernia, femoral inguinal hernia
dilation of anal canal for hemorrhoids 49.49 --see Repair, hernia, inguinal meninges (spinal) NEC 03.99
hemorrhoidectomy 49.49 cerebral NEC 02.99
orchidopexy 62.5 mesentery NEC 54.99
Lucas and Murray (knee arthrodesis with plate) 81.22 Mikulicz (exteriorization of intestine) (first stage) 46.03
lung NEC 33.99 second stage 46.04
Lung volume reduction 32.22 biologic lung volume reduction Miles (complete proctectomy), NOS 48.50
(BLVR) --see category 33.7 lymphatic structure(s) NEC 40.9 laparoscopic 48.51
duct, left (thoracic) NEC 40.69 Madlener (tubal ligation) 66.31 open 48.52
Magnuson (- Stack) (arthroplasty for other 48.59
recurrent shoulder dislocation) 81.82 male genital organs NEC Millard (cheiloplasty) 27.54 Miller
64.99 Manchester (- Donald) (- Fothergill) midtarsal arthrodesis 81.14
(uterine suspension) 69.22 urethrovesical suspension 59.4 Millin- Read (urethrovesical
mandible NEC 76.99 suspension) 59.4
orthognathic 76.64 Mitchell (hallux valgus repair) 77.51 Mohs (chemosurgical excision of
Marckwald (cervical os repair) 67.59 Marshall- Marchetti (- skin)
Krantz) (retropubic 86.24
urethral suspension) 59.5 Moore (arthroplasty) 81.52 Moschowitz
Matas (aneurysmorrhaphy) 39.52 Mayo enterocele repair 70.92
bunionectomy 77.59 herniorrhaphy with graft or prosthesis 70.93 herniorrhaphy --see Repair, hernia,
laparoscopic 53.43 femoral sigmoidopexy 46.63
with graft or prosthesis 53.42 mouth NEC 27.99
other and open with graft or prosthesis 53.41 Muller (banding of pulmonary artery) 38.85
other open 53.49 Mumford (partial claviculectomy) 77.81 muscle NEC 83.99
vaginal hysterectomy 68.59 extraocular --see Operation, extraocular
laparoscopically assisted(LAVH) 68.51 maze procedure (ablation hand NEC 82.99
or destruction papillary heart NEC 35.31 musculoskeletal system NEC 84.99 Mustard
of heart tissue) (interatrial transposition of
by incision (open) 37.33 venous return) 35.91 nail (finger) (toe) NEC 86.99
by peripherally inserted catheter 37.34 endovascular approach
37.34
trans- thoracic approach 37.33 Mazet (knee disarticulation)
84.16 McBride (bunionectomy with soft tissue
correction) 77.53
McBurney --see Repair, hernia, inguinal
Operation ---Cont. Operation ---Cont.
nasal sinus NEC 22.9 nasopharynx NEC 29.99 penis NEC 64.98
nerve (cranial) (peripheral) NEC 04.99 adrenal NEC 07.49 Pereyra (paraurethral suspension) 59.6 pericardium NEC 37.99
sympathetic NEC 05.89 nervous system NEC 05.9 Nicola perineum (female) NEC 71.8 male NEC 86.99
(tenodesis for recurrent perirectal tissue NEC 48.99 perirenal tissue NEC 59.92
dislocation of shoulder) 81.82 nipple NEC 85.99 peritoneum NEC 54.99 periurethral tissue NEC 58.99 perivesical
Nissen (fundoplication of stomach) 44.66 laparoscopic 44.67 tissue NEC 59.92
Noble (plication of small intestine) 46.62 node (lymph) NEC pharyngeal flap (cleft palate repair) 27.62 secondary or
40.9 subsequent 27.63
Norman Miller (vaginopexy) 70.77 with graft or prosthesis pharynx, pharyngeal (pouch) NEC 29.99 pineal gland NEC 07.59
70.78 Pinsker (obliteration of nasoseptal telangiectasia) 21.07
Norton(extraperitoneal cesarean operation) 74.2 Piper (forceps) 72.6
nose, nasal NEC 21.99 sinus NEC 22.9 Pirogoff (ankle amputation through malleoli of tibia and fibula)
Ober(- Yount)(gluteal- iliotibial fasciotomy) 83.14 84.14
obstetric NEC 75.99 pituitary gland NEC 07.79 plastic --see Repair, by site pleural
ocular NEC 16.99 cavity NEC 34.99 Politano- Leadbetter
muscle--see Operation, extraocular muscle O'Donoghue (triad (ureteroneocystostomy) 56.74 pollicization (with nerves and
knee repair) 81.43 Olshausen (uterine suspension) 69.22 blood
omentum NEC 54.99 supply) 82.61
ophthalmologic NEC 16.99 oral cavity NEC 27.99 orbicularis Polya (gastrectomy) 43.7 Pomeroy (ligation and division of
muscle sling 08.36 orbit NEC 16.98 fallopian tubes) 66.32 Poncet
oropharynx NEC 29.99 lengthening of Achilles tendon 83.85 urethrostomy, perineal
orthodontic NEC 24.8 58.0
orthognathic NEC 76.69 Porro (cesarean section) 74.99 posterior chamber (eye) NEC
Oscar Miller (midtarsal arthrodesis) 81.14 Osmond- Clark (soft 14.9 Potts- Smith (descending aorta- left
tissue release with pulmonary artery anastomosis) 39.0 Printen and Mason (high
peroneus brevis tendon transfer) 83.75 ovary NEC 65.99 gastric bypass)
Oxford (for urinary incontinence) 59.4 palate NEC 27.99 44.31
palpebral ligament sling 08.36 Panas (linear proctotomy) 48.0 prostate NEC --see also Prostatectomy 60.69
Pancoast (division of trigeminal nerve at foramen ovale) specified type 60.99
04.02 pterygium 11.39
pancreas NEC 52.99 with corneal graft 11.32
pantaloon(revision of gastric anastomosis) 44.5 Puestow (pancreaticojejunostomy) 52.96 pull- through NEC
papillary muscle (heart) NEC 35.31 Paquin 48.49
(ureteroneocystostomy) 56.74 parathyroid gland(s) NEC 06.99 pulmonary NEC 33.99
parotid gland or duct NEC 26.99 push- back (cleft palate repair) 27.62 Putti- Platt
Partsch (marsupialization of dental cyst)24.4 Pattee (auditory (capsulorrhaphy of shoulder
canal) 18.6 for recurrent dislocation) 81.82 pyloric exclusion 44.39
Peet (splanchnic resection) 05.29 Pemberton laparoscopic 44.38 pyriform sinus NEC 29.99
osteotomy of ilium 77.39 "rabbit ear" (anterior urethropexy) (Tudor) 59.79
rectum (mobilization and fixation for prolapse repair) 48.76 Ramadier (intrapetrosal drainage) 20.22 Ramstedt
(pyloromyotomy) (with wedge
resection) 43.3
Operation ---Cont. Operation ---Cont.
Rankin Schwartze (simple mastoidectomy) 20.41 sclera NEC 12.89
exteriorization of intestine 46.03 proctectomy (complete), NOS Scott
48.50 intestinal bypass for obesity 45.93 jejunocolostomy (bypass) 45.93
laparoscopic 48.51 scrotum NEC 61.99
open 48.52 Seddon- Brooks (transfer of pectoralis major tendon) 83.75
other 48.59 Semb (apicolysis of lung) 33.39 seminal vesicle NEC 60.79
Rashkind (balloon septostomy) 35.41 Rastelli (creation of Senning (correction of transposition of great vessels) 35.91
conduit between right Sever (division of soft tissue of arm) 83.19 Sewell (heart) 36.2
ventricle and pulmonary artery) 35.92 in repair of sex transformation NEC 64.5
pulmonary artery atresia 35.92 transposition of great vessels Sharrard (iliopsoas muscle transfer) 83.77 shelf (hip arthroplasty)
35.92 truncus arteriosus 35.83 81.40
Raz- Pereyra procedure (bladder neck suspension) 59.79 Shirodkar (encirclement suture, cervix) 67.59
rectal NEC 48.99 sigmoid NEC 46.99
rectocele NEC 70.52 re- entry (aorta) 39.54 renal NEC 55.99 Silver (bunionectomy) 77.59 Sistrunk(excision of thyroglossal cyst)
respiratory (tract) NEC 33.99 retina NEC 14.9 06.7 Skene's gland NEC 71.8
Ripstein (repair of rectal prolapse) 48.75 Rodney Smith (radical skin NEC 86.99
subtotal skull NEC 02.99 sling
pancreatectomy) 52.53 Roux- en- Y eyelid
bile duct 51.36 fascia lata, palpebral 08.36 frontalis fascial 08.32
cholecystojejunostomy 51.32 levator muscle 08.33
esophagus (intrathoracic) 42.54 orbicularis muscle 08.36
gastroenterostomy 44.39 palpebrae ligament, fascia lata 08.36 tarsus muscle 08.35
laparoscopic 44.38 fascial (fascia lata) eye 08.32
gastrojejunostomy 44.39 for facial weakness (trigeminal nerve paralysis) 86.81
laparoscopic 44.38 palpebral ligament 08.36
pancreaticojejunostomy 52.96 Roux- Goldthwait (repair of tongue 25.59
patellar tongue (fascial) 25.59
dislocation) 81.44 urethra (suprapubic) 59.4
Roux- Herzen- Judine (jejunal loop interposition) 42.63 retropubic 59.5
Ruiz- Mora (proximal phalangectomy for hammer toe) 77.99 urethrovesical 59.5
Russe (bone graft of scaphoid) 78.04 Saemisch (corneal section) Slocum (pes anserinus transfer) 81.47 Sluder (tonsillectomy) 28.2
11.1 salivary gland or duct NEC 26.99 Salter (innominate Smith (open osteotomy of mandible) 76.62 Smith-
osteotomy) 77.39 Peterson(radiocarpal
Sauer- Bacon (abdominoperineal resection), arthrodesis) 81.25
NOS 48.50 Smithwick (sympathectomy) 05.29 Soave (endorectal pull- through)
laparoscopic 48.51 48.41 soft tissue NEC 83.99
open 48.52 hand 82.99
other 48.59 Sonneberg (inferior maxillary neurectomy) 04.07
Schanz (femoral osteotomy) 77.35 Schauta (- Amreich) (radical Sorondo- Ferré(hindquarter amputation) 84.19
vaginal Soutter (iliac crest fasciotomy) 83.14
hysterectomy) 68.79
Schede (thoracoplasty) 33.34 Scheie
cautery of sclera 12.62 sclerostomy 12.62
Schlatter (total gastrectomy) 43.99 Schroeder (endocervical
excision) 67.39
Schuchardt (nonobstetrical episiotomy) 71.09
Operation ---Cont. Operation ---Cont.
Spalding- Richardson (uterine suspension) 69.22 TAPVC NEC 35.82
spermatic cord NEC 63.99 sphincter of Oddi NEC 51.89 tarsus NEC 08.99
spinal (canal) (cord) (structures) NEC 03.99 muscle sling 08.35
Spinelli (correction of inverted uterus) 75.93 Spivack (permanent tendon NEC 83.99
gastrostomy) 43.19 spleen NEC 41.99 extraocular NEC 15.9
S.P. Rogers (knee disarticulation) 84.16 Ssabanejew- Frank hand NEC 82.99
(permanent gastrostomy) testis NEC 62.99 tetralogy of Fallot
43.19 partial repair --see specific procedure total (one- stage) 35.81
Stacke (simple mastoidectomy) 20.41 Stallard Thal (repair of esophageal stricture) 42.85
(conjunctivocystorhinostomy) 09.82 thalamus 01.41
with insertion of tube or stent 09.83 Stamm (- Kader) (temporary by stereotactic radiosurgery 92.32 cobalt 60 92.32
gastrostomy) linear accelerator (LINAC) 92.31 multi- source 92.32
43.19 particle beam 92.33
Steinberg 44.5 Steindler particulate 92.33
fascia stripping(for cavus deformity)83.14 flexorplasty (elbow) radiosurgery NEC 92.39 single source photon 92.31
83.77 Thiersch
muscle transfer 83.77 sterilization NEC anus 49.79
female --see also specific operation 66.39 male--see also Ligation, skin graft 86.69
vas deferens63.70 hand 86.62 Thompson
Stewart (renal plication with pyeloplasty) 55.87 cleft lip repair 27.54
stomach NEC 44.99 correction of lymphedema 40.9 quadricepsplasty 83.86
Stone (anoplasty) 49.79 thumb apposition with bone graft 82.69
Strassman (metroplasty) 69.49 metroplasty (Jones modification) thoracic duct NEC 40.69 thorax NEC 34.99
69.49 uterus 68.22 Thorek (partial cholecystectomy) 51.21 three- snip, punctum
Strayer (gastrocnemius recession) 83.72 stress incontinence --see 09.51
Repair, stress thymus NEC 07.99
incontinence thoracoscopic, NEC 07.98 thyroid gland NEC 06.98
Stromeyer- Little (hepatotomy) 50.0 TKP (thermokeratoplasty) 11.74
Strong (unbridling of celiac artery axis) 39.91 Sturmdorf Tomkins (metroplasty) 69.49
(conization of cervix) 67.2 subcutaneous tissue NEC 86.99 tongue NEC 25.99
sublingual gland or duct NEC 26.99 submaxillary gland or duct NEC flap, palate 27.62
26.99 Summerskill (dacryocystorhinostomy by tie 25.91
intubation) 09.81 tonsil NEC 28.99
Surmay (jejunostomy) 46.39 Swenson Torek (- Bevan) (orchidopexy) (first stage) (second stage) 62.5
bladder reconstruction 57.87 Torkildsen (ventriculocisternal shunt) 02.2
proctectomy 48.49 Torpin (cul- de- sac resection) 70.92 Toti
Swinney (urethral reconstruction) 58.46 Syme (dacryocystorhinostomy) 09.81
ankle amputation through malleoli of tibia and fibula 84.14 Touchas 86.83
urethrotomy, external 58.0 sympathetic nerve NEC 05.89 Taarnhoj Touroff(ligation of subclavian artery) 38.85 trabeculae corneae
(trigeminal nerve root cordis(heart) NEC35.35 trachea NEC 31.99
decompression) 04.41 Trauner (lingual sulcus extension) 24.91 truncus arteriosus NEC
Tack (sacculotomy) 20.79 35.83
Talma- Morison (omentopexy) 54.74 Tanner (devascularization of Tsuge (macrodactyly repair) 82.83
stomach) 44.99 Tudor "rabbit ear" (anterior urethropexy) 59.79
Operation ---Cont. Operation ---Cont.
Tuffier Wertheim (radical hysterectomy) 68.69 laparoscopic 68.61
apicolysis of lung 33.39 vaginal hysterectomy 68.59 West (dacryocystorhinostomy) 09.81 Wheeler
laparoscopically assisted(LAVH) 68.51 tunica vaginalis NEC entropion repair 08.44
61.99 halving procedure (eyelid) 08.24 Whipple (radical
Turco (release of joint capsules in clubfoot) 80.48 pancreaticoduodenectomy) 52.7 Child modification (radical
Uchida (tubal ligation with or without fimbriectomy) 66.32 subtotal
umbilicus NEC 54.99 pancreatectomy) 52.53 Rodney Smith modification (radical
urachus NEC 57.51 subtotal pancreatectomy) 52.53 White (lengthening of tendo
Urban (mastectomy) (unilateral) 85.47 bilateral 85.48 calcaneus
ureter NEC 56.99 by incomplete tenotomy) 83.11 Whitehead
urethra NEC 58.99 urinary system NEC 59.99 uterus NEC 69.99 glossectomy, radical 25.4
supporting structures NEC 69.98 uvula NEC 27.79 hemorrhoidectomy 49.46 Whitman
vagina NEC 70.91 foot stabilization (talectomy) 77.98 hip reconstruction 81.40
vascular NEC 39.99 repair of serratus anterior muscle 83.87
vas deferens NEC 63.99 ligation NEC 63.71 talectomy 77.98
vein NEC 39.99 vena cava sieve 38.7 vertebra NEC 78.49 trochanter wedge osteotomy 77.25 Wier (entropion repair) 08.44
vesical (bladder) NEC 57.99 vessel NEC 39.99 Williams- Richardson (vaginal
cardiac NEC 36.99 Vicq d'Azyr (larynx) 31.1 construction) 70.61
Vidal (varicocele ligation) 63.1 with graft or prosthesis 70.63 Wilms (thoracoplasty) 33.34
Vineberg (implantation of mammary artery into ventricle) Wilson (angulation osteotomy for hallux valgus) 77.51
36.2 window
vitreous NEC 14.79 vocal cord NEC 31.98 antrum (nasal sinus) --see Antrotomy, maxillary
von Kraske (proctectomy) 48.64 Voss (hanging hip operation) aorticopulmonary 39.59
83.19 Vulpius (- Compere) (lengthening of bone cortex--see also Incision,bone 77.10
gastrocnemius muscle) 83.85 facial 76.09
vulva NEC 71.8 nasoantral --see Antrotomy, maxillary pericardium 37.12
Ward- Mayo (vaginal hysterectomy) 68.59 laparoscopically pleural 34.09
assisted (LAVH) 68.51 Winiwarter (cholecystoenterostomy) 51.32 Witzel (temporary
Wardill (cleft palate) 27.62 gastrostomy) 43.19 Woodward (release of high riding
Waters (extraperitoneal cesarean section) 74.2 Waterston scapula) 81.83 Young
(aorta- right pulmonary artery epispadias repair 58.45
anastomosis) 39.0 tendon transfer (anterior tibialis) (repair of flat foot) 83.75
Watkins (- Wertheim) (uterus interposition) 69.21 Yount (division of iliotibial band) 83.14 Zancolli
Watson- Jones capsuloplasty 81.72
hip arthrodesis 81.21 tendon transfer (biceps) 82.56 Ziegler (iridectomy) 12.14
reconstruction of lateral ligaments, ankle 81.49 Operculectomy 24.6
shoulder arthrodesis(extra- articular) 81.23 tenoplasty 83.88 Ophthalmectomy 16.49
Weir with implant (into Tenon's capsule) 16.42
appendicostomy 47.91 correction of nostrils 21.86 with attachment of muscles 16.41
Ophthalmoscopy 16.21 Osteoarthrotomy
Opponensplasty (hand) 82.56 --see also Osteotomy 77.30
Optical coherence tomography (OCT) Osteoclasis 78.70
(intravascular imaging) coronary vessel(s) 38.24 carpal, metacarpal 78.74
non- coronary vessel(s) 38.25 Orbitomaxillectomy, radical clavicle 78.71
16.51 Orbitotomy (anterior) (frontal) ear 20.79
(temporofrontal) (transfrontal) NEC 16. with femur 78.75
bone flap 16.01 fibula 78.77
insertion of implant 16.02 Kroenlein (lateral) 16.01 humerus 78.72
lateral 16.01 patella 78.76
Orchidectomy (with epididymectomy) (unilateral) 62.3 pelvic 78.79
bilateral (radical) 62.41 remaining or solitary testis 62.42 phalanges (foot) (hand) 78.79 radius 78.73
Orchidopexy 62.5 scapula 78.71
Orchidoplasty 62.69 specified site NEC 78.79 tarsal, metatarsal 78.78 thorax (ribs)
Orchidorrhaphy 62.61 (sternum) 78.71 tibia 78.77
Orchidotomy 62.0 ulna 78.73
Orchiectomy (with epididymectomy) (unilateral) 62.3 vertebrae 78.79
bilateral (radical) 62.41 remaining or solitary testis 62.42 Osteolysis --see category 78.4
Orchiopexy 62.5 Osteopathic manipulation --see also
Orchioplasty 62.69 Orthoroentgenography --see Manipulation, osteopathic 93.67
Radiography Oscar Miller operation (midtarsal arthrode Osteoplasty NEC --see category 78.4 with bone graft --see
81.14 Graft, bone for
Osmond-Clark operation (soft tissue relea with peroneus bone lengthening--see Lengthening,bone bone shortening --see
brevis tendon transfer)83.7 Shortening, bone repair of malunion or nonunion of fracture
Ossiculectomy NEC 19.3 with --see Repair, fracture, malunion or nonunion
stapedectomy --see also Stapedectomy stapes mobilization carpal, metacarpal 78.44
19.0 clavicle 78.41
tympanoplasty 19.53 cranium NEC 02.06 with
revision 19.6 flap (bone) 02.03
Ossiculotomy NEC 19.3 graft (bone) 02.04 facial bone NEC 76.69 femur 78.45
Ostectomy (partial), except facial fibula 78.47
--see also category 77.8 facial NEC 76.39 humerus 78.42
total 76.45 mandible, mandibular NEC 76.64 body 76.63
with reconstruction 76.44 ramus (open) 76.62
first metatarsal head --see Bunionectomy for graft closed 76.61
(autograft) (homograft) maxilla (segmental) 76.65
--see also category 77.7 mandible 76.31 total 76.66
total 76.42 nasal bones 21.89
with reconstruction 76.41 total, except facial patella 78.46
--see also category 77.9 facial NEC 76.45 pelvic 78.49
with reconstruction 76.44 phalanges (foot) (hand) 78.49 radius 78.43
mandible 76.42 scapula 78.41
with reconstruction 76.41 skull NEC 02.06 with
flap (bone) 02.03
graft (bone) 02.04 specified site NEC 78.49 tarsal, metatarsal
78.48
09
sis)
se 5
19.19
Osteoplasty NEC ---Cont. thorax (ribs) (sternum) 78.41 tibia Osteotomy ---Cont.
78.47 tibia 77.37
ulna 78.43 wedge 77.27
vertebrae 78.49 toe 77.39
Osteorrhaphy --see also Osteoplasty 78.40 for repair of
Osteosynthesis (fracture) --see Reduction, fracture bunion --see Bunionectomy bunionette 77.54
Osteotomy (adduction) (angulation) (block) (derotational) hallux valgus --see Bunionectomy wedge 77.29
(displacement) (partial) (rotational) 77.30 for repair of
carpals, metacarpals 77.34 bunion --see Bunionectomy bunionette 77.54
wedge 77.24 hallux valgus --see Bunionectomy ulna 77.33
clavicle 77.31 wedge 77.23
wedge 77.21 vertebrae 77.39
facial bone NEC 76.69 femur 77.35 wedge 77.29 Otonecrectomy (inner ear) 20.79 Otoplasty (external)
wedge 77.25 18.79
fibula 77.37 auditory canal or meatus 18.6 auricle 18.79
wedge 77.27 cartilage 18.79
humerus 77.32 reconstruction 18.71 prominent or protruding 18.5
wedge 77.22 Otoscopy 18.11
mandible (segmental) (subapical) 76.64 angle (open) 76.62 Outfolding, sclera, for buckling --see also
closed 76.61 Buckling, scleral 14.49
body 76.63 Outfracture, turbinates (nasal) 21.62 Output and clearance,
Gigli saw 76.61 circulatory 92.05 Overdistension, bladder (therapeutic)96.25
ramus (open) 76.62 Overlapping, sclera, for buckling
closed 76.61 --see also Buckling, scleral 14.49
maxilla (segmental) 76.65 Oversewing
total 76.66 left atrial appendage (LAA) 37.36 pleural bleb 32.21
metatarsal 77.38 ulcer crater (peptic) 44.40 duodenum 44.42
wedge 77.28 stomach 44.41
for hallux valgus repair 77.51 patella 77.36 Oxford operation (for urinary incontinence) 59.4
wedge 77.26 Oximetry
pelvic 77.39 fetal pulse 75.38
wedge 77.29 Oxygenation 93.96
phalanges (foot) (hand) 77.39 for repair of extracorporeal membrane (ECMO) 39.65 hyperbaric 93.95
bunion --see Bunionectomy bunionette 77.54 wound 93.59
hallux valgus --see Bunionectomy wedge 77.29 infusion therapy, Super 00.49
for repair of Oxygen therapy (catalytic) (pump) 93.96 hyperbaric 93.95
bunion --see Bunionectomy bunionette 77.54 SuperSaturated 00.49
hallux valgus --see Bunionectomy radius 77.33
wedge 77.23
scapula 77.31
wedge 77.21 specified site NEC 77.39
wedge 77.29
tarsal 77.38
wedge 77.28
thorax (ribs) (sternum) 77.31 wedge 77.21
P
Pacemaker Pancreatoduodenectomy (total) 52.6
cardiac --see also Insertion, pacemaker, cardiac partial NEC 52.59
intraoperative (temporary) 39.64 temporary (during and radical (one- stage) (two- stage) 52.7 subtotal 52.53Pancreatogram
immediately 87.66
following cardiac surgery) 39.64 endoscopic retrograde (ERP) 52.13
Packing --see also Insertion, pack auditory canal 96.11 Pancreatolithotomy 52.09
nose, for epistaxis (anterior) 21.01 posterior (and endoscopic 52.94
anterior) 21.02 Pancreatotomy 52.09
rectal 96.19 Pancreolithotomy 52.09
sella turcica 07.79 endoscopic 52.94
vaginal 96.14 Panendoscopy 57.32
Palatoplasty 27.69 specified site, other than bladder
for cleft palate 27.62 --see Endoscopy, by site through artificial stoma 57.31
secondary or subsequent 27.63 Panhysterectomy (abdominal) 68.49
Palatorrhaphy 27.61 for cleft palate 27.62 laparoscopic 68.41
Pallidectomy 01.42 vaginal 68.59
Pallidoansotomy 01.42 laparoscopically assisted (LAVH) 68.51
Pallidotomy 01.42 Panniculectomy 86.83
by stereotactic radiosurgery 92.32 cobalt 60 92.32 Panniculotomy 86.83
linear accelerator (LINAC) 92.31 multi- source 92.32 Pantaloon operation (revision of gastric anastomosis) 44.5
particle beam 92.33 Papillectomy, anal 49.39
particulate 92.33 endoscopic 49.31
radiosurgery NEC 92.39 single source photon 92.31 Papillotomy (pancreas) 51.82
Panas operation (linear proctotomy) 48.0 endoscopic 51.85
Pancoast operation (division of trigeminal nerve at Paquin operation(ureteroneocystostomy) 56.74
foramen ovale) 04.02 Paracentesis
Pancreatectomy (total) (with synchronous abdominal (percutaneous) 54.91 anterior chamber, eye 12.91
duodenectomy) 52.6 bladder 57.11
partial NEC 52.59 cornea 12.91
distal (tail) (with part of body) 52.52 proximal (head) eye (anterior chamber) 12.91 thoracic, thoracis 34.91
(with part of body) (with tympanum 20.09
synchronous duodenectomy) 52.51 with intubation 20.01
radical 52.53 Parasitology --see Examination, microscopic
subtotal 52.53 Parathyroidectomy(partial)(subtotal)NEC 06.89
radical 52.7 complete 06.81
subtotal 52.53 ectopic 06.89
Pancreaticocystoduodenostomy 52.4 global removal 06.81
Pancreaticocystoenterostomy 52.4 mediastinal 06.89
Pancreaticocystogastrostomy 52.4 total 06.81
Pancreaticocystojejunostomy 52.4 Parenteral nutrition, total 99.15 peripheral 99.15
Pancreaticoduodenectomy (total) 52.6 Parotidectomy 26.30
partial NEC 52.59 complete 26.32
proximal 52.51 partial 26.31
radical subtotal 52.53 radical 26.32
radical (one- stage) (two- stage) 52.7 subtotal 52.53 Partsch operation (marsupialization of dental cyst) 24.4
Pancreaticoduodenostomy 52.96 Passage --see Insertion and Intubation
Pancreaticoenterostomy 52.96 Passage of sounds, urethra 58.6
Pancreaticogastrostomy 52.96
Pancreaticoileostomy 52.96
Pancreaticojejunostomy 52.96
Patch Pericardiectomy 37.31
blood, spinal (epidural) 03.95 graft --see Graft Pericardiocentesis 37.0
spinal, blood (epidural) 03.95 subdural, brain 02.12 Pericardiolysis 37.12
Patellapexy 78.46 Pericardioplasty 37.49
Patellaplasty NEC 78.46 Pericardiorrhaphy 37.49
Patellectomy 77.96 Pericardiostomy (tube) 37.12
partial 77.86 Pericardiotomy 37.12
Pattee operation (auditory canal) 18.6 Peridectomy 10.31
PDT (percutaneous dilatational tracheostomy) see Perilimbal suction 89.11
Tracheostomy Perimetry 95.05
Pectenotomy --see also Sphincterotomy, anal 49.59 Perineoplasty 71.79
Pedicle flap --see Graft, skin, pedicle Perineorrhaphy 71.71
Peet operation (splanchnic resection) 05.29 obstetrical laceration (current) 75.69
PEG (percutaneous endoscopic gastrostomy) 43.11 Perineotomy (nonobstetrical) 71.09 to assist delivery --see Episiotomy
PEJ (percutaneous endoscopic jejunostomy) 46.32 Periosteotomy--see also Incision, bone 77.10 facial bone 76.09
PEGJJ (percutaneous [endoscopic] gastrojejunostomy) Perirectofistulectomy 48.93
44.32 Pelvectomy, kidney (partial) 55.4 Peritectomy 10.31
Pelvimetry 88.25 Peritomy 10.1
gynecological 89.26 Peritoneocentesis 54.91
Pelviolithotomy 55.11 Peritoneoscopy 54.21
Pelvioplasty, kidney 55.87 Peritoneotomy 54.19
Pelviostomy 55.12 Peritoneumectomy 54.4
closure 55.82 Phacoemulsification (ultrasonic) (with aspiration) 13.41
Pelviotomy 77.39 Phacofragmentation (mechanical) (with aspiration) 13.43
to assist delivery 73.94 Pelvi-ureteroplasty 55.87 posterior route 13.42
Pemberton operation ultrasonic 13.41
osteotomy of ilium 77.39 Phalangectomy (partial) 77.89
rectum (mobilization and fixation for prolapse repair) claw toe 77.57
48.76 cockup toe 77.58
Penectomy 64.3 hammer toe 77.56
Pereyra operation(paraurethral suspension) 59.6 overlapping toe 77.58
Perforation total 77.99
stapes footplate 19.0 Phalangization (fifth metacarpal) 82.81
Perfusion NEC 39.97 Pharyngeal flap operation (cleft palate repair) 27.62
carotid artery 39.97 secondary or subsequent 27.63
coronary artery 39.97 for Pharyngectomy (partial) 29.33
chemotherapy NEC 99.25 hormone therapy NEC 99.24 with laryngectomy 30.3
head 39.97 Pharyngogram 87.09
hyperthermic (lymphatic), localized region or site 93.35 contrast 87.06
intestine (large) (local) 46.96 small 46.95 Pharyngolaryngectomy 30.3
kidney, local 55.95 Pharyngoplasty (with silastic implant) 29.4 for cleft palate 27.62
limb (lower) (upper) 39.97 liver, localized 50.93 secondary or subsequent 27.63
neck 39.97 Pharyngorrhaphy 29.51 for cleft palate 27.62
subarachnoid (spinal cord) (refrigerated saline) 03.92 Pharyngoscopy 29.11
total body 39.96 Pharyngotomy 29.0
Phenopeel (skin) 86.24
Phlebectomy 38.60 with
anastomosis 38.30
abdominal 38.37
head and neck NEC 38.32
Phlebectomy -with anastomosis---Cont. intracranial NEC Photocoagulation -retina- --Cont.
38.31 laser (beam) for
lower limb 38.39 destruction of lesion 14.24 reattachment 14.54
thoracic NEC 38.35 repair of tear or defect 14.34 xenon arc
upper limb 38.33 for
graft replacement 38.40 destruction of lesion 14.23 reattachment 14.53
abdominal 38.47 repair of tear or defect 14.33
head and neck NEC 38.42 intracranial NEC 38.41 Photography 89.39
lower limb 38.49 fundus 95.11
thoracic NEC 38.45 Photopheresis, therapeutic 99.88
upper limb 38.43 Phototherapy NEC 99.83
abdominal 38.67 newborn 99.83
head and neck NEC 38.62 intracranial NEC 38.61 ultraviolet 99.82
lower limb 38.69 Phrenemphraxis 04.03
thoracic NEC 38.65 for collapse of lung 33.31
upper limb 38.63 Phrenicectomy 04.03
varicose 38.50 for collapse of lung 33.31
abdominal 38.57 Phrenicoexeresis 04.03
head and neck NEC 38.52 intracranial NEC 38.51 for collapse of lung 33.31
lower limb 38.59 Phrenicotomy 04.03
thoracic NEC 38.55 for collapse of lung 33.31
upper limb 38.53 Phrenicotripsy 04.03
Phlebogoniostomy 12.52 for collapse of lung 33.31
Phlebography (contrast) (retrograde) 88.60 by radioisotope -- Phrenoplasty 34.84
see Scan, radioisotope, Physical medicine --see Therapy, physical Physical therapy --see
by site adrenal 88.65 Therapy, physical Physiotherapy, chest 93.99
femoral 88.66 PICC (peripherally inserted central catheter) 38.93
head 88.61 Piercing ear, external (pinna) 18.01
hepatic 88.64 Pigmenting, skin 86.02
impedance 88.68 Pilojection (aneurysm) (Gallagher) 39.52
intra- abdominal NEC 88.65 intrathoracic NEC 88.63 lower Pinealectomy (complete) (total) 07.54 partial 07.53
extremity NEC 88.66 neck 88.61 Pinealotomy (with drainage) 07.52
portal system 88.64 Pinning
pulmonary 88.62 specified site NEC 88.67 bone --see Fixation, bone, internal ear 18.5
vena cava (inferior) (superior) 88.51 Pinsker operation (obliteration of nasoseptal telangiectasia) 21.07
Phleborrhaphy 39.32 Piper operation (forceps) 72.6
Phlebotomy 38.99 Pirogoff operation (ankle amputation through malleoli of tibia and
Phonocardiogram, with ECG lead 89.55 fibula) 84.14
Photochemotherapy NEC 99.83 Pituitectomy (complete) (total) --see also
extracorporeal 99.88 Hypophysectomy 07.69
Photocoagulation Placentogram, placentography 88.46 with radioisotope (RISA)
ciliary body 12.73 92.17
eye, eyeball 16.99 Planing, skin 86.25
iris 12.41 Plantation, tooth (bud) (germ) 23.5 prosthetic 23.6
macular hole--see Photocoagulation, retina Plasma exchange 99.07
orbital lesion 16.92 retina Plasmapheresis, therapeutic 99.71
for Plastic repair --see Repair, by site
destruction of lesion 14.25 reattachment 14.55
repair of tear or defect 14.35
Plasty --see also Repair, by site bladder neck (V- Y) 57.85 Plication---Cont.
skin (without graft) 86.89 subcutaneous tissue 86.89 diaphragm(for hernia repair)(thoracic approach) (thoracoabdominal
Platelet inhibitor (GP IIB/IIIa inhibitor only), infusion 99.20 approach) 53.81
Plateletpheresis, therapeutic 99.74 eye muscle (oblique) (rectus) 15.22 multiple (two or more muscles)
Play 15.4
psychotherapy 94.36 fascia 83.89
therapy 93.81 hand 82.89
Pleating inferior vena cava 38.7
eye muscle 15.22 intestine (jejunum) (Noble) 46.62
multiple (two or more muscles) 15.4 sclera, for buckling -- Kelly(- Stoeckel) (urethrovesical junction) 59.3 levator, for
see also Buckling, blepharoptosis 08.34
scleral 14.49 ligament --see also Arthroplasty 81.96 broad 69.22
Plethysmogram (carotid) 89.58 air- filled (pneumatic) 89.58 round 69.22
capacitance 89.58 uterosacral 69.22
cerebral 89.58 mesentery 54.75
differential 89.58 round ligament 69.22
oculoplethysmogram 89.58 sphincter, urinary bladder 57.85 stomach 44.69
penile 89.58 laparoscopic 44.68 superior vena cava 38.7 tendon 83.85
photoelectric 89.58 hand 82.55
regional 89.58 tricuspid valve (with repositioning) 35.14 ureter 56.89
respiratory function measurement (body) 89.38 urethra 58.49
segmental 89.58 urethrovesical junction 59.3
strain- gauge 89.58 vein (peripheral) 39.59
thoracic impedance 89.38 vena cava (inferior) (superior) 38.7 ventricle (heart)
venous occlusion 89.58 aneurysm 37.32
water- filled 89.58 Plicotomy, tympanum 20.23
Plethysmography Plombage, lung 33.39
89.58 Pneumocentesis 33.93
penile 89.58 Pneumocisternogram 87.02
Pleurectomy NEC 34.59 Pneumoencephalogram 87.01
Pleurocentesis 34.91 Pneumogram, pneumography
Pleurodesis 34.6 extraperitoneal 88.15
chemical 34.92 mediastinal 87.33
with cancer chemotherapy substance orbit 87.14
34.92 [99.25] pelvic 88.13
tetracycline 34.92 [99.21] Pleurolysis (for collapse of lung) peritoneum NEC 88.13
33.39 Pleuropexy 34.99 presacral 88.15
Pleurosclerosis 34.6 retroperitoneum 88.15
chemical 34.92 Pneumogynecography 87.82
with cancer chemotherapy substance Pneumomediastinography 87.33
34.92 [99.25] Pneumonectomy (complete) (extended) (radical) (standard) (total)
tetracycline 34.92 [99.21] (with mediastinal dissection) 32.59
Pleurotomy 34.09 partial
Plexectomy complete excision, one lobe 32.49 resection (wedge), one lobe 32.39
choroid 02.14 thoracoscopic 32.50
hypogastric 05.24 Pneumonolysis (for collapse of lung) 33.39 Pneumonotomy (with
Plication exploration) 33.1 Pneumoperitoneum(surgically- induced) 54.96
aneurysm heart 37.32 for collapse of lung 33.33
annulus, heart valve 35.33 pelvic 88.12
bleb (emphysematous), lung 32.21 broad ligament 69.22
Pneumothorax (artificial) (surgical) 33.32 intrapleural Procedure --see also specific procedure diagnostic NEC
33.32 abdomen (region) 54.29
Pneumoventriculogram 87.02 adenoid 28.19
Politano-Leadbetter operation adrenal gland 07.19
(ureteroneocystostomy) 56.74 Politzerization, alveolus 24.19
Eustachian tube 20.8 Pollicization (with carry over of amnion 75.35
nerves and anterior chamber, eye 12.29 anus 49.29
blood supply) 82.61 appendix 45.28
Polya operation (gastrectomy) 43.7 biliary tract 51.19
Polypectomy--see also Excision,lesion,by site esophageal bladder 57.39
42.32 blood vessel (any site) 38.29 bone 78.80
endoscopic 42.33 carpal, metacarpal 78.84
gastric (endoscopic) 43.41 large intestine (colon) 45.42 clavicle 78.81
nasal 21.31 facial 76.19
rectum (endoscopic) 48.36 femur 78.85
Polysomnogram 89.17 fibula 78.87
Pomeroy operation (ligation and division of fallopian humerus 78.82
tubes) 66.32 marrow 41.38
Poncet operation patella 78.86
lengthening of Achilles tendon 83.85 urethrostomy, pelvic 78.89
perineal 58.0 phalanges (foot) (hand) 78.89 radius 78.83
Porro operation (cesarean section) 74.99 scapula 78.81
Portoenterostomy (Kasai) 51.37 specified site NEC 78.89 tarsal, metatarsal 78.88 thorax (ribs)
Positrocephalogram 92.11 (sternum) 78.81 tibia 78.87
Positron emission tomography (PET) ulna 78.83
--see Scan, radioisotope vertebrae 78.89
Postmortem examination 89.8 brain 01.18
Potts-Smith operation (descending aorta- left pulmonary breast 85.19
artery anastomosis) 39.0 bronchus 33.29
Poudrage buccal 27.24
intrapericardial 36.39 bursa 83.29
pleural 34.6 canthus 08.19
PPN (peripheral parenteral nutrition) 99.15 cecum 45.28
Preparation (cutting), pedicle (flap) graft 86.71 cerebral meninges 01.18
Preputiotomy 64.91 Prescription for glasses 95.31 cervix 67.19
Pressurized chest wall 34.28
graft treatment 00.16 choroid 14.19
Printen and Mason operation (high gastric bypass) 44.31 ciliary body 12.29
Probing clitoris 71.19
canaliculus, lacrimal (with irrigation) 09.42 lacrimal colon 45.28
canaliculi 09.42 conjunctiva 10.29
punctum (with irrigation) 09.41 nasolacrimal duct (with cornea 11.29
irrigation) 09.43 cul- de- sac 70.29 dental 24.19
with insertion of tube or stent 09.44 salivary duct (for diaphragm 34.28
dilation of duct) (for duodenum 45.19 ear
removal of calculus) 26.91 with incision 26.0 external 18.19
inner and middle 20.39 epididymis 63.09
esophagus 42.29
Eustachian tube 20.39
extraocular muscle or tendon 15.09
Procedure - diagnostic ---Cont. Procedure - diagnostic ---Cont.
eye 16.29 ovary 65.19
anterior chamber 12.29 laparoscopic 65.14
posterior chamber 14.19 palate 27.29
eyeball 16.29 pancreas 52.19
eyelid 08.19 papillary muscle (heart) 37.29 parathyroid gland 06.19
fallopian tube 66.19 fascia (any site) 83.29 fetus 75.35 penis 64.19
gallbladder 51.19 perianal tissue 49.29
ganglion (cranial) (peripheral) 04.19 sympathetic 05.19 pericardium 37.29
gastric 44.19 periprostatic tissue 60.18
globus pallidus 01.18 perirectal tissue 48.29
gum 24.19 perirenal tissue 59.29
heart 37.29 peritoneum 54.29
hepatic 50.19 periurethral tissue 58.29
hypophysis 07.19 perivesical tissue 59.29
ileum 45.19 pharynx 29.19
intestine 45.29 pineal gland 07.19
large 45.28 pituitary gland 07.19
small 45.19 pleura 34.28
iris 12.29 posterior chamber, eye 14.19 prostate 60.18
jejunum 45.19 pulmonary 33.29
joint (capsule) (ligament) (structure) rectosigmoid 48.29
NEC 81.98 rectum 48.29
facial 76.19 renal 55.29
kidney 55.29 respiratory 33.29
labia 71.19 retina 14.19
lacrimal (system) 09.19 retroperitoneum 59.29 salivary gland or duct 26.19 sclera 12.29
large intestine 45.28 scrotum 61.19
larynx 31.48 seminal vesicle 60.19
ligament 81.98 sigmoid 45.28
uterine 68.19 sinus, nasal 22.19
liver 50.19 skin 86.19
lung 33.29 skull 01.19
lymphatic structure (channel) (gland) (node) (vessel) 40.19 soft tissue 83.29
mediastinum 34.29 spermatic cord 63.09 sphincter of Oddi 51.19
meninges (cerebral) 01.18 spine, spinal (canal) (cord) (meninges) (structure) 03.39
spinal 03.39 spleen 41.39
mouth 27.29 stomach 44.19
muscle 83.29 subcutaneous tissue 86.19
extraocular (oblique) (rectus) 15.09 papillary (heart) 37.29 sympathetic nerve 05.19
nail 86.19 tarsus 09.19
nasopharynx 29.19 tendon NEC 83.29
nerve (cranial) (peripheral) NEC 04.19 sympathetic 05.19 extraocular 15.09
nipple 85.19 testicle 62.19
nose, nasal 21.29 thalamus 01.18
sinus 22.19 thoracic duct 40.19
ocular 16.29 thorax 34.28
muscle 15.09 thymus 07.19
omentum 54.29 thyroid gland 06.19
ophthalmologic 16.29 tongue 25.09
oral (cavity) 27.29 tonsils 28.19
orbit 16.29 tooth 24.19
orthodontic 24.19 trachea 31.49
Procedure - diagnostic ---Cont. Prophylaxis, dental(scaling)(polishing) 96.54
tunica vaginalis 61.19 Prostatectomy(complete)(partial) NEC 60.69
ureter 56.39 loop 60.29
urethra 58.29 perineal 60.62
uterus and supporting structures 68.19 uvula 27.29 radical (any approach) 60.5
vagina 70.29 retropubic (punch) (transcapsular) 60.4 suprapubic (punch)
vas deferens 63.09 (transvesical) 60.3 transcapsular NEC 60.69
vesical 57.39 retropubic 60.4
vessel (blood) (any site) 38.29 vitreous 14.19 transperineal 60.62
vulva 71.19 transurethral 60.29 ablation(contact)(noncontact)by laser60.21
fistulizing, sclera NEC 12.69 miscellaneous (nonoperative) NEC electrovaporization 60.29
99.99 respiratory (nonoperative) NEC 93.99 surgical --see enucleative 60.29
Operation resection of prostate (TURP) 60.29 ultrasound guided laser induced
Proctectasis 96.22 (TULIP)
Proctectomy (partial) --see also Resection, rectum 48.69 60.21
Abdominoperineal, NOS 48.59 transvesical punch (suprapubic) 60.3
laparoscopic 48.51 Prostatocystotomy 60.0
open 48.52 Prostatolithotomy 60.0
other 48.59 Prostatotomy (perineal) 60.0
complete (Miles) (Rankin), NOS 48.59 laparoscopic 48.51 Prostatovesiculectomy 60.5
open 48.52 Protection (of)
other 48.59 pull- through individual from his surroundings 99.84 surroundings from individual
laparoscopic 48.42 99.84
not otherwise specified 48.40 open 48.43 Psychoanalysis 94.31
other 48.49 Psychodrama 94.43
Proctoclysis 96.37 Psychotherapy NEC 94.39
Proctolysis 48.99 biofeedback 94.39
Proctopexy (Delorme) 48.76 exploratory verbal 94.37
abdominal (Ripstein) 48.75 group 94.44
Proctoplasty 48.79 for psychosexual dysfunctions 94.41 play 94.36
Proctorrhaphy 48.71 psychosexual dysfunctions 94.34
Proctoscopy 48.23 supportive verbal 94.38
with biopsy 48.24 PTCA (percutaneous transluminal coronary angioplasty) --see
through stoma (artificial) 48.22 transabdominal approach Angioplasty, balloon, coronary
48.21 Ptyalectasis 26.91
Proctosigmoidectomy --see also Resection, rectum 48.69 Ptyalithotomy 26.0
Proctosigmoidopexy 48.76 Ptyalolithotomy 26.0
Proctosigmoidoscopy (rigid) 48.23 Pubiotomy 77.39
with biopsy 48.24 assisting delivery 73.94
flexible 45.24 Pubococcygeoplasty 59.71
through stoma (artificial) 48.22 transabdominal approach Puestow operation (pancreaticojejunostomy) 52.96
48.21 Pull-through
Proctostomy 48.1 abdomino- anal 48.49
Proctotomy (decompression) (linear) 48.0 abdominoperineal 48.49
Production --see also Formation and Creation atrial septal Duhamel type 48.65
defect 35.42 endorectal 48.41
subcutaneous tunnel for esophageal anastomosis 42.86 Pulmowrap 93.99
with anastomosis --see Anastomosis, esophagus, antesternal Pulpectomy--see also Therapy,root canal 23.70 Pulpotomy--see also
Prognathic recession 76.64 Therapy, root canal 23.70 Pump-oxygenator, for extracorporeal
circulation 39.61
percutaneous 39.66
Punch P
operation u
bladder neck, transurethral 57.49 prostate --see p
Prostatectomy i
resection, vocal cords 30.22 l
Puncture l
antrum (nasal) (bilateral) (unilateral) 22.01 artery NEC o
38.98 t
for o
arteriography --see also Arteriography 88.40 m
for y
coronary arteriography --see also
1
Arteriography, coronary 88.57 percutaneous vascular closure
2
--omit
.
code
3
bladder, suprapubic (for drainage) NEC 57.18
5
needle 57.11
P
percutaneous (suprapubic) 57.17
u
bursa 83.94 s
hand 82.92 h
cisternal 01.01 -
with contrast media 87.02 cranial 01.09 b
with contrast media 87.02 craniobuccal pouch 07.72 a
craniopharyngioma 07.72 c
fallopian tube 66.91 k
fontanel, anterior 01.09
heart 37.0 o
for intracardiac injection 37.92 hypophysis 07.72 p
iris 12.12 e
joint 81.91 r
kidney (percutaneous) 55.92 a
larynx 31.98 t
lumbar (diagnostic) (removal of dye) 03.31 lung (for i
aspiration) 33.93 o
nasal sinus 22.01 n
pericardium 37.0
(
pituitary gland 07.72
c
pleural cavity 34.91
l
Rathke's pouch 07.72
e
spinal 03.31
f
spleen 41.1
t
for biopsy 41.32
sternal (for bone marrow biopsy) 41.31 donor for bone
p
marrow transplant 41.91
a
vein NEC 38.99 for
l
phlebography--see also Phlebography 88.60
a
transfusion --see Transfusion ventricular shunt tubing 01.02
t
e
r
e
p
a
i
r
Q
ICD-9-CM INDEX TO PROCEDURES (FY10)
R
Rachicentesis 03.31 Radiography - contrast ---Cont.
Rachitomy 03.09 pancreas 87.66 pelvis
Radiation therapy--see also Therapy, radiation gas 88.12
teleradiotherapy --see Teleradiotherapy opaque dye 88.11
Radical neck dissection--see peritoneum NEC 88.13
Dissection,neck retroperitoneum NEC 88.15
Radicotomy 03.1 seminal vesicles 87.91
Radiculectomy 03.1 sinus tract --see also Radiography, contrast, by site
Radiculotomy 03.1 abdominal wall 88.03
Radiography (diagnostic) NEC 88.39 abdomen, abdominal chest wall 87.38
(flat plate) NEC nose 87.15
88.19 skull 87.02
wall (soft tissue) NEC 88.09 adenoid 87.09 spinal disc(s) 87.21
ankle (skeletal) 88.28 trachea 87.32 uterus
soft tissue 88.37 gas 87.82
bone survey 88.31 opaque dye 87.83
bronchus 87.49 vas deferens 87.94
chest (routine) 87.44 veins (by fluoroscopy)--see Phlebography vena cava (inferior) (superior)
wall NEC 87.39 88.51
clavicle 87.43 dental NEC 87.12
computer assisted surgery (CAS) with fluoroscopy 00.33 diaphragm 87.49 digestive tract NEC 87.69
contrast (air) (gas) (radio- opaque substance) NEC barium swallow 87.61 lower GI series 87.64 small bowel series 87.63
abdominal wall 88.03 arteries (by fluoroscopy) upper GI series 87.62
--see Arteriography bile ducts NEC 87.54 bladder NEC 87.77 elbow (skeletal) 88.22
brain 87.02 soft tissue 88.35
breast 87.35 epididymis NEC 87.95
bronchus NEC (transcricoid) 87.32 endotracheal 87.31 esophagus 87.69
epididymis 87.93 barium- swallow 87.61
esophagus 87.61 fallopian tubes eye 95.14
gas 87.82 face, head, and neck 87.09 facial bones 87.16
opaque dye 87.83 fallopian tubes 87.85
fistula (sinus tract) --see also foot 88.28
Radiography, contrast, by site abdominal wall 88.03 forearm (skeletal) 88.22
chest wall 87.38 soft tissue 88.35 frontal area, facial 87.16 genital organs
gallbladder NEC 87.59 female NEC 87.89
intervertebral disc(s) 87.21 male NEC 87.99
joints 88.32 hand (skeletal) 88.23
larynx 87.07 soft tissue 88.35
lymph --see Lymphangiogram mammary ducts 87.35 head NEC 87.09
mediastinum 87.33 heart 87.49
nasal sinuses 87.15 hip (skeletal) 88.26
nasolacrimal ducts 87.05 soft tissue 88.37
nasopharynx 87.06 intestine NEC 87.65
orbit 87.14 kidney- ureter- bladder (KUB) 87.79 knee (skeletal) 88.27
soft tissue 88.37
Radiography ---Cont. Radioimmunotherapy 92.28
KUB (kidney- ureter- bladder) 87.79 larynx 87.09 Radioisotope
lower leg (skeletal) 88.27 soft tissue 88.37 scanning --see Scan, radioisotope therapy --see Therapy, radioisotope
lower limb (skeletal) NEC 88.29 soft tissue NEC 88.37 Radiology
lung 87.49 diagnostic --see Radiography therapeutic --see Therapy, radiation
mandible 87.16 Radiosurgery, stereotactic 92.30
maxilla 87.16 cobalt 60 92.32
mediastinum 87.49 linear accelerator (LINAC) 92.31 multi- source 92.32
nasal sinuses 87.16 particle beam 92.33
nasolacrimal duct 87.09 particulate 92.33
nasopharynx 87.09 radiosurgery NEC 92.39 single source photon 92.31
neck NEC 87.09 Raising, pedicle graft 86.71
nose 87.16 Ramadier operation(intrapetrosal drainage) 20.22
orbit 87.16 Ramisection (sympathetic) 05.0
pelvis (skeletal) 88.26 Ramstedt operation (pyloromyotomy) (with wedge resection) 43.3
pelvimetry 88.25 Range of motion testing 93.05
soft tissue 88.19 Rankin operation
prostate NEC 87.92 exteriorization of intestine 46.03 proctectomy (complete), NOS 48.50
retroperitoneum NEC 88.16 laparoscopic 48.51
ribs 87.43 open 48.52
root canal 87.12 other 48.59
salivary gland 87.09 seminal vesicles NEC 87.92 shoulder Rashkind operation (balloon septostomy) 35.41
(skeletal) 88.21 Rastelli operation (creation of conduit between rightventricle and
soft tissue 88.35 pulmonary artery) 35.92
skeletal NEC 88.33 in repair of
series (whole or complete) 88.31 skull (lateral, sagittal or pulmonary artery atresia 35.92 transposition of great vessels 35.92
tangential truncus arteriosus 35.83
projection) NEC 87.17 Raz-Pereyra procedure (bladder neck suspension) 59.79
spine NEC 87.29 RCSA(radical cryosurgical ablation) of prostate 60.62
cervical 87.22 Readjustment --see Adjustment Reamputation, stump 84.3
lumbosacral 87.24 Reanastomosis --see Anastomosis Reattachment
sacrococcygeal 87.24 amputated ear 18.72
thoracic 87.23 ankle 84.27
sternum 87.43 arm (upper) NEC 84.24 choroid and retina NEC 14.59
supraorbital area 87.16 by
symphysis menti 87.16 cryotherapy 14.52
teeth NEC 87.12 diathermy 14.51
full- mouth 87.11 electrocoagulation 14.51
thigh (skeletal) 88.27 photocoagulation 14.55
soft tissue 88.37 laser 14.54
thyroid region 87.09 tonsils and adenoids 87.09 trachea xenon arc 14.53
87.49 ear (amputated) 18.72
ultrasonic --see Ultrasonography upper arm (skeletal) 88.21 extremity 84.29
soft tissue 88.35 ankle 84.27
upper limb (skeletal) NEC 88.24 soft tissue NEC 88.35
urinary system NEC 87.79 uterus NEC 87.85
gravid 87.81
uvula 87.09
vas deferens NEC 87.95 wrist 88.23
zygomaticomaxillary complex 87.16
Reattachment-extremity ---Cont. arm (upper) NEC 84.24 Reclosure --see also Closure disrupted abdominal wall
fingers, except thumb 84.22 (postoperative) 54.61
thumb 84.21 Reconstruction (plastic) --see also
foot 84.26 Construction and Repair, by site alveolus, alveolar (process) (ridge)
forearm 84.23 (with
hand 84.23 graft or implant) 24.5 artery (graft) --see Graft, artery artificial
leg (lower) NEC 84.27 thigh 84.28 stoma, intestine 46.40 auditory canal (external) 18.6 auricle (ear)
thumb 84.21 18.71
toe 84.25 bladder 57.87 with
wrist 84.23 ileum 57.87 [45.51]
finger 84.22 sigmoid 57.87 [45.52] bone,except facial--see also
thumb 84.21 Osteoplasty78.40 facial NEC 76.46
foot 84.26 with total ostectomy 76.44 mandible 76.43
forearm 84.23 with total mandibulectomy 76.41 breast, total, NOS 85.70
hand 84.23 deep inferior epigastric artery perforator (DIEP) flap, free 85.74
joint capsule --see also Arthroplasty 81.96 gluteal artery perforator (GAP) flap, free 85.76 latissimus dorsi
leg (lower) NEC 84.27 myocutaneous flap 85.71 other 85.79
ligament --see also Arthroplasty uterosacral 69.22 superficial inferior epigastric artery (SIEA) flap, free 85.75
muscle 83.74 transverse rectus abdominis musculo
hand 82.54 - cutaneous (TRAM) flap, free 85.73 transverse rectus abdominis
papillary (heart) 35.31 myocutaneous
nerve (peripheral) 04.79 (TRAM) flap, pedicled 85.72 bronchus 33.48
nose (amputated) 21.89 papillary muscle (heart) 35.31 penis canthus (lateral) 08.59
(amputated) 64.45 retina (and choroid) NEC 14.59 cardiac annulus 35.33
by chest wall (mesh) (silastic) 34.79 cleft lip 27.54
cryotherapy 14.52 conjunctival cul- de- sac 10.43 with graft (buccal mucous
diathermy 14.51 membrane) (free) 10.42
electrocoagulation 14.51 cornea NEC 11.79
photocoagulation 14.55 diaphragm 34.84
laser 14.54 ear (external) (auricle) 18.71 external auditory canal 18.6
xenon arc 14.53 tendon (to tendon) 83.73 meatus (new) (osseous skin- lined) 18.6 ossicles 19.3
hand 82.53 prominent or protruding 18.5 eyebrow 08.70
to skeletal attachment 83.88 hand 82.85 eyelid 08.70
thigh 84.28 with graft or flap 08.69 hair follicle 08.63
thumb 84.21 mucous membrane 08.62
toe 84.25 skin 08.61
tooth 23.5 tarsoconjunctival (one- stage) (two- stage) 08.64
uterosacral ligament(s) 69.22 full- thickness 08.74 involving lid margin 08.73
vessels (peripheral) 39.59 partial- thickness 08.72 involving lid margin 08.71
renal, aberrant 39.55
wrist 84.23
Recession
extraocular muscle 15.11
multiple (two or more muscles) (with advancement or
resection) 15.3
gastrocnemius tendon(Strayer operation) 83.72
levator palpebrae (superioris)muscle 08.38 prognathic jaw
76.64
tendon 83.72
hand 82.52
Reconstruction ---Cont. Rectosigmoidectomy --see also Resection, rectum 48.69
eye socket 16.64 transsacral 48.61
with graft 16.63 Rectosigmoidostomy 45.94
fallopian tube 66.79 Rectostomy 48.1
foot and toes (with fixation device) 81.57 with prosthetic closure 48.72
implant 81.57 Red cell survival studies 92.05
frontonasal duct 22.79 Reduction
hip (total) (with prosthesis) 81.51 intraoral 27.59 adipose tissue 86.83
joint --see Arthroplasty batwing arms 86.83
lymphatic (by transplantation) 40.9 mandible 76.43 breast (bilateral) 85.32
with total mandibulectomy 76.41 mastoid cavity 19.9 unilateral 85.31
mouth 27.59 bulbous tuberosities (mandible) (maxilla) (fibrous) (osseous) 24.31
nipple NEC 85.87 buttocks 86.83
nose (total) (with arm flap) (with forehead flap) 21.83 diastasis, ankle mortise (closed) 79.77 open 79.87
ossicles (graft) (prosthesis) NEC 19.3 with dislocation (of joint) (manipulation) (with cast) (with splint) (with
stapedectomy 19.19 traction device) (closed) 79.70
tympanoplasty 19.53 with fracture --see Reduction,fracture,by site ankle (closed) 79.77
pelvic floor 71.79 open 79.87
penis (rib graft) (skin graft) (myocutaneous flap) 64.44 elbow (closed) 79.72
pharynx 29.4 open 79.82
scrotum (with pedicle flap) (with rotational flap) 61.49 finger (closed) 79.74
skin (plastic) (without graft) NEC 86.89 with graft --see open 79.84
Graft, skin foot (closed) 79.78
subcutaneous tissue (plastic) (without skin graft) NEC 86.89 open 79.88
with graft --see Graft, skin tendon pulley(with graft)(with hand (closed) 79.74
local open 79.84
tissue)83.83 hip (closed) 79.75
for opponensplasty 82.71 open 79.85
hand 82.71 knee (closed) 79.76
thumb (osteoplastic) (with bone graft) (with skin graft) 82.69 open 79.86
trachea (with graft) 31.75 umbilicus open (with external fixation) (with internal fixation) 79.80
laparoscopic 53.43 specified site NEC 79.89 shoulder (closed) 79.71
with graft or prosthesis 53.42 open 79.81
other and open with graft or prosthesis 53.41 specified site (closed) NEC 79.79 open 79.89
other open 53.49 temporomandibular (closed) 76.93
ureteropelvic junction 55.87 open 76.94
urethra 58.46 toe (closed) 79.78
vagina 70.62 open 79.88
with graft or prosthesis 70.64 wrist (closed) 79.73
vas deferens, surgically divided 63.82 open 79.83
Recontour, gingiva 24.2 elephantiasis, scrotum 61.3
Recreational therapy 93.81 epistaxis--see also Control, epistaxis 21.00 fracture (bone) (with
Rectectomy--see also Resection,rectum48.69 cast) (with splint) (with
Rectopexy (Delorme) 48.76 traction device) (closed) 79.00 with internal fixation 79.10
abdominal (Ripstein) 48.75 alveolar process(with stabilization of teeth) mandible (closed) 76.75
Rectoplasty 48.79 open 76.77
Rectorectostomy 48.74 maxilla (closed) 76.73
Rectorrhaphy 48.71 open 76.77
open 76.77
Reduction-fracture --Cont. Reduction-fracture --Cont.
ankle --see Reduction, fracture, leg arm (closed) NEC phalanges
79.02 foot (closed) 79.08
with internal fixation 79.12 open 79.22 with internal fixation 79.18 open 79.28
with internal fixation 79.32 with internal fixation 79.38 hand (closed) 79.04
blow- out --see Reduction, fracture, orbit carpal, with internal fixation 79.14 open 79.24
metacarpal (closed) 79.03 with internal fixation 79.34 radius (closed) 79.02
with internal fixation 79.13 open 79.23 with internal fixation 79.12 open 79.22
with internal fixation 79.33 epiphysis --see Reduction, with internal fixation 79.32 skull 02.02
separation facial (bone) NEC 76.70 specified site (closed) NEC 79.09 with internal fixation 79.19 open
closed 76.78 79.29
open 76.79 with internal fixation 79.39 spine 03.53
femur (closed) 79.05 tarsal, metatarsal (closed) 79.07 with internal fixation 79.17 open
with internal fixation 79.15 open 79.25 79.27
with internal fixation 79.35 fibula (closed) 79.06 with internal fixation 79.37 tibia (closed) 79.06
with internal fixation 79.16 open 79.26 with internal fixation 79.16 open 79.26
with internal fixation 79.36 foot (closed) NEC 79.07 with internal fixation 79.36 ulna (closed) 79.02
with internal fixation 79.17 open 79.27 with internal fixation 79.12 open 79.22
with internal fixation 79.37 hand (closed) NEC 79.03 with internal fixation 79.32 vertebra 03.53
with internal fixation 79.13 open 79.23 zygoma, zygomatic arch (closed) 76.71 open 76.72
with internal fixation 79.33 humerus (closed) 79.01 fracture dislocation--see Reduction,fracture heart volume 37.35
with internal fixation 79.11 open 79.21 hemorrhoids (manual) 49.41 hernia --see also Repair, hernia
with internal fixation 79.31 manual 96.27
jaw (lower) --see also Reduction, fracture, mandible intussusception (open) 46.80 with
upper--see Reduction,fracture,maxilla larynx 31.64 fluoroscopy 96.29
leg (closed) NEC 79.06 ionizing radiation enema 96.29 ultrasonography guidance 96.29
with internal fixation 79.16 open 79.26 hydrostatic 96.29
with internal fixation 79.36 malar (closed) 76.71 large intestine 46.82
open 76.72 endoscopic (balloon) 46.85
mandible(with dental wiring)(closed) 76.75 open 76.76 pneumatic 96.29
maxilla(with dental wiring)(closed) 76.73 open 76.74 small intestine 46.81
nasal (closed) 21.71 lung volume 32.22
open 21.72 biologic lung volume reduction (BLVR)
open 79.20 --see category 33.7
with internal fixation 79.30 specified site NEC 79.29 with malrotation,intestine(manual)(surgical) 46.80
internal fixation 79.39 large 46.82
orbit (rim) (wall) (closed) 76.78 open 76.79 endoscopic (balloon) 46.85
patella(open)(with internal fixation) 79.36 small 46.81
mammoplasty (bilateral) 85.32
unilateral 85.31
Reduction --Cont. Re-establishment, continuity
prolapse --see also Anastomosis bowel 46.50
anus (operative) 49.94 fallopian tube 66.79
colostomy (manual) 96.28 vas deferens 63.82
enterostomy (manual) 96.28 Referral (for)
ileostomy (manual) 96.28 psychiatric aftercare (halfway house) (outpatient clinic) 94.52
rectum (manual) 96.26 uterus psychotherapy 94.51 rehabilitation
by pessary 96.18 alcoholism 94.53
surgical 69.22 drug addiction 94.54
ptosis overcorrection 08.37 retroversion, uterus by pessary psychologic NEC 94.59
96.18 separation, epiphysis (with internal vocational 94.55
fixation) (closed) 79.40 Reformation
femur (closed) 79.45 cardiac pacemaker pocket, new site (skin) (subcutaneous) 37.79
open 79.55 cardioverter/defibrillator (automatic) pocket, new site (skin)
fibula (closed) 79.46 (subcutaneous) 37.79
open 79.56 chamber of eye 12.99
humerus (closed) 79.41 Refracture
open 79.51 bone (for faulty union) --see also Osteoclasis 78.70
open 79.50 nasal bones 21.88
specified site (closed) NEC --see also Refusion
category 79.4 spinal, NOS 81.30
open --see category 79.5 tibia (closed) 79.46 atlas- axis (anterior) (transoral) (posterior) 81.31
open 79.56 cervical (C2 level or below) NEC 81.32 anterior (interbody),
size anterolateral
abdominal wall (adipose) (pendulous) 86.83 arms (adipose) technique 81.32
(batwing) 86.83 C1- C2 level (anterior)(posterior) 81.31 posterior (interbody),
breast (bilateral) 85.32 posterolateral
unilateral 85.31 technique 81.33 craniocervical
buttocks (adipose) 86.83 (anterior)(transoral)(posterior) 81.31 dorsal, dorsolumbar NEC 81.35
finger (macrodactyly repair) 82.83 skin 86.83 anterior (interbody), anterolateral technique 81.34
subcutaneous tissue 86.83 posterior (interbody) posterolateral technique 81.35
thighs (adipose) 86.83 torsion lumbar, lumbosacral NEC 81.38 anterior (interbody), anterolateral
intestine (manual) (surgical) 46.80 large 46.82 technique 81.36
endoscopic (balloon) 46.85 anterior lumbar interbody fusion (ALIF) 81.36
small 46.81 lateral transverse process technique 81.37
kidney pedicle 55.84 posterior (interbody), posterolateral technique 81.38
omentum 54.74 posterior lumbar interbody fusion (PLIF) 81.38
spermatic cord 63.52 transforaminal lumbar interbody fusion (TLIF) 81.38
with orchiopexy 62.5 number of vertebrae
testis 63.52 --see codes 81.62 - 81.64 occiput- C2 (anterior) (transoral)
with orchiopexy 62.5 (posterior) 81.31
uterus NEC 69.98
gravid 75.99
ventricular 37.35 volvulus
intestine 46.80
large 46.82
endoscopic (balloon) 46.85
small 46.81
stomach 44.92
Reefing, joint capsule --see also Arthroplasty 81.96
Re-entry operation (aorta) 39.54
Refusion --Cont Reinsertion --Cont
refusion NEC 81.39 ureteral stent (transurethral) 59.8 with ureterotomy 59.8 [56.2]
Regional blood flow study 92.05 Regulation, menstrual 69.6 ureterostomy tube 59.93 valve
Rehabilitation programs NEC 93.89 heart (prosthetic) 35.95
alcohol 94.61 ventricular (cerebral) 02.42
with detoxification 94.63 combined alcohol and drug 94.67 Relaxation --see also Release training 94.33
with detoxification 94.69 Release
drug 94.64 carpal tunnel (for nerve decompression) 04.43
with detoxification 94.66 combined drug and alcohol 94.67 celiac artery axis 39.91
with detoxification 94.69 central slip, extensor tendon hand (mallet finger repair) 82.84
sheltered employment 93.85 chordee 64.42
vocational 93.85 clubfoot NEC 83.84
Reimplantation de Quervain's tenosynovitis 82.01 Dupuytren's contracture (by palmar
adrenal tissue (heterotopic) (orthotopic) 07.45 fasciectomy) 82.35
artery 39.59 by fasciotomy (subcutaneous) 82.12 with excision 82.35
renal, aberrant 39.55 Fowler (mallet finger repair) 82.84 joint (capsule) (adherent)
bile ducts following excision of ampulla of Vater 51.62 (constrictive)
extremity --see Reattachment, extremity fallopian tube into --see also Division, joint capsule 80.40 laryngeal 31.92
uterus 66.74 ligament --see also Division, ligament 80.40 median arcuate 39.91
kidney 55.61 median arcuate ligament 39.91 muscle (division) 83.19
lung 33.5 hand 82.19
ovary 65.72 nerve (peripheral) NEC 04.49 cranial NEC 04.42
laparoscopic 65.75 trigeminal 04.41
pancreatic tissue 52.81 parathyroid tissue (heterotopic) pressure, intraocular 12.79 scar tissue
(orthotopic) 06.95 skin 86.84
pulmonary artery for hemitruncus repair 35.83 stoma --see Revision, stoma tarsal tunnel 04.44
renal vessel, aberrant 39.55 testis in scrotum 62.5 tendon 83.13
thyroid tissue (heterotopic) (orthotopic) 06.94 hand 82.11
tooth 23.5 extensor, central slip (repair mallet finger) 82.84
ureter into bladder 56.74 sheath 83.01
Reinforcement --see also Repair, by site sclera NEC 12.88 hand 82.01
with graft 12.87 tenosynovitis 83.01
Reinsertion --see also Insertion or Revision cystostomy tube abductor pollicis longus 82.01 de Quervain's 82.01
59.94 external pollicis brevis 82.01 hand 82.01
fixation device (internal) --see also Fixation, bone, internal torsion
78.50 intestine 46.80
heart valve (prosthetic) 35.95 Holter (- Spitz) valve 02.42 large 46.82
implant (expelled) (extruded) endoscopic (balloon) 46.85
eyeball (with conjunctival graft) 16.62 orbital 16.62 small 46.81
nephrostomy tube 55.93 kidney pedicle 55.84
pyelostomy tube 55.94 ovary 65.95
testes 63.52
transverse carpal ligament (for nerve decompression) 04.43
1
d) t
4
Removal neurostimulator electrodes ---Cont. Removal ---Cont.
intracranial 01.22 pectus deformity implant device 34.01 pelvic viscera, en masse
with synchronous replacement 02.93 peripheral nerve (female) 68.8
04.93 male 57.71
with synchronous replacement 04.92 sacral nerve 04.93 pessary, vagina NEC 97.74 pharynx (partial) 29.33
with synchronous replacement 04.92 spinal 03.94 phlebolith --see Removal, embolus placenta (by)
with synchronous replacement 03.93 pulse generator aspiration curettage 69.52 D and C 69.02
(single array, dual array) manual 75.4
86.05 plaque, dental 96.54
with synchronous replacement 86.96 dual array 86.95 plate, skull 02.07
rechargeable 86.98 with synchronous replacement 02.05 polyp --see also Excision,
single array 86.94 lesion, by site
rechargeable 86.97 nonabsorbable surgical material NEC esophageal 42.32
--see Removal, foreign body, by site odontoma (tooth) endoscopic 42.33
24.4 gastric (endoscopic) 43.41
orbital implant 16.72 osteocartilagenous loose body, joint intestine 45.41
structures --see also Arthrotomy 80.10 outer attic wall endoscopic 45.42
(middle ear) 20.59 nasal 21.31 prosthesis
ovo- testis (unilateral) 62.3 bilateral 62.41 bile duct 51.95
pacemaker nonoperative 97.55
brain (intracranial) - - see Removal, neurostimulator cochlear prosthetic device 20.99 dental 97.35
cardiac (device)(initial)(permanent)37.89 with eye 97.31
replacement facial bone 76.99
dual- chamber device 37.87 single- chamber device 37.85 fallopian tube 66.94
rate responsive 37.86 electrodes (atrial) (transvenous) with synchronous replacement 66.93 joint structures
(ventricular) 37.77 with replacement --see Revision, joint replacement, by site
with replacement 37.76 without replacement ankle 80.07
epicardium (myocardium) 37.77 with replacement (by) elbow 80.02
atrial and/or ventricular lead(s) (electrode) 37.76 foot and toe 80.08 hand and finger 80.04 hip 80.05
epicardial lead 37.74 temporary transvenous pacemaker knee 80.06
system --omit code shoulder 80.01 specified site NEC 80.09 spine 80.09
intracranial--see Removal, neurostimulator neural --see unspecified site 80.00
Removal, neurostimulator peripheral nerve --see wrist 80.03
Removal, lens 13.8
neurostimulator penis (internal) without replacement 64.96 Rosen (urethra) 59.99
spinal --see Removal, neurostimulator pack, packing testicular, by incision 62.0 urinary sphincter, artificial 58.99
dental 97.34 with replacement 58.93
intrauterine 97.72 pseudophakos 13.8
nasal 97.32 pterygium 11.39
rectum 97.59 with corneal graft 11.32 pulse generator
trunk NEC 97.85 cardiac pacemaker 37.86
vagina 97.75 cardioverter/defibrillator 37.79 neurostimulator --see Removal,
vulva 97.75 neurostimulator, pulse generator
pantopaque dye, spinal canal 03.31 patella (complete)
77.96
partial 77.86
Removal ---Cont.
pump assist device, heart 37.64 with
replacement 37.63
nonoperative 97.44
radioactive material --see Removal, foreign body,
by site
redundant skin, eyelid 08.86 rejected organ
kidney 55.53
testis 62.42
reservoir, ventricular (Ommaya) (Rickham) 02.43
with synchronous replacement 02.42 retained
placenta (by)
aspiration curettage 69.52 D and C 69.02
manual 75.4
retinal implant 14.6
device 86.05
rhinolith 21.31
rice bodies, tendon sheaths 83.01 hand 82.01
Roger- Anderson minifixator device (bone)
--see category 78.6
root, residual (tooth) (buried) (retained) 23.11
Rosen prosthesis (urethra) 59.99 scleral buckle or
implant 14.6 Scribner shunt 39.43
secondary membranous cataract (with
iridectomy) 13.65
secundines (by)
aspiration curettage 69.52 D and C 69.02
manual 75.4
sequestrum --see Sequestrectomy seton, anus
49.93
Removal ---Cont. Removal ---Cont.
pump assist device, heart 37.64 with spacer (cement) (joint) 84.57 splint 97.88
replacement 37.63 stent
nonoperative 97.44 bile duct 97.55
radioactive material --see Removal, foreign body, larynx 31.98
by site ureteral 97.62
redundant skin, eyelid 08.86 rejected organ urethral 97.65
kidney 55.53 stimoceiver - see Removal,neurostimulator subdural
testis 62.42 grids 01.22
reservoir, ventricular (Ommaya) (Rickham) 02.43 strips 01.22
with synchronous replacement 02.42 retained supernumerary digit(s) 86.26
placenta (by) suture(s) NEC 97.89
aspiration curettage 69.52 D and C 69.02 abdominal wall 97.83
manual 75.4 by incision --see Incision, by site genital tract 97.79
retinal implant 14.6 head and neck 97.38 thorax 97.43
trunk NEC 97.84
device 86.05 symblepharon --see Repair, symblepharon temporary transvenous pacemaker
rhinolith 21.31 system
rice bodies, tendon sheaths 83.01 hand 82.01 --omit code
Roger- Anderson minifixator device (bone) testis (unilateral) 62.3
--see category 78.6 bilateral 62.41
root, residual (tooth) (buried) (retained) 23.11 remaining or solitary 62.42 thrombus 38.00
Rosen prosthesis (urethra) 59.99 scleral buckle or with endarterectomy
implant 14.6 Scribner shunt 39.43 --see Endarterectomy abdominal
secondary membranous cataract (with artery 38.06
iridectomy) 13.65 vein 38.07
secundines (by) aorta (arch) (ascending) (descending) 38.04
aspiration curettage 69.52 D and C 69.02 arteriovenous shunt or cannula 39.49 bovine graft 39.49
manual 75.4 coronary artery 36.09
sequestrum --see Sequestrectomy seton, anus head and neck vessel NEC 38.02 intracranial vessel NEC 38.01 lower limb
49.93 artery 38.08
Shepard's tube (ear) 20.1 Shirodkar suture, cervix vein 38.09
69.96 shunt pulmonary (artery) (vein) 38.05 thoracic vessel NEC 38.05 upper limb
arteriovenous 39.43 (artery) (vein) 38.03
with creation of new shunt 39.42 lumbar- tissue expander (skin) NEC 86.05 breast 85.96
subarachnoid NEC 03.98 pleurothecal 03.98 toes, supernumerary 86.26
salpingothecal 03.98 spinal (thecal) NEC 03.98 tongs, skull 02.95
subarachnoid- peritoneal 03.98 with synchronous replacement 02.94 tonsil tag 28.4
subarachnoid- ureteral 03.98 silastic tubes tooth (by forceps) (multiple) (single) NEC 23.09
ear 20.1 deciduous 23.01
fallopian tubes 66.94 surgical NEC 23.19
with synchronous replacement 66.93 impacted 23.19
skin residual root 23.11
necrosis or slough 86.28 excisional 86.22 root apex 23.73
superficial layer(by dermabrasion)86.25 skull
with root canal therapy 23.72
tongs 02.95
with synchronous replacement 02.94
Removal---Cont. Reopening ---Cont.
trachoma follicles 10.33 T- tube (bile duct) 97.55 tube craniotomy or craniectomy site 01.23 fallopian tube (divided) 66.79
appendix 97.53 iris in anterior chambers 12.97 laminectomy or laminotomy site
bile duct (T- tube) NEC 97.55 cholecystostomy 97.54 03.02 laparotomy site 54.12
cranial cavity 01.27 osteotomy site --see also Incision, bone 77.10 facial bone 76.09
cystostomy 97.63 tarsorrhaphy 08.02
ear (button) 20.1 thoracotomy site (for control of hemorrhage) (for examination) (for
gastrostomy 97.51 exploration) 34.03 thyroid field wound (for control of hemorrhage)
large intestine 97.53 (for examination) (for exploration) (for removal of hematoma) 06.02
liver 97.55 Repacking --see Replacement, pack, by site
mediastinum 97.42 Repair
nephrostomy 97.61 abdominal wall 54.72
pancreas 97.56 adrenal gland 07.44
peritoneum 97.82 alveolus, alveolar (process) (ridge) (with graft) (with implant) 24.5
pleural cavity 97.41 anal sphincter 49.79 artificial sphincter
pyelostomy 97.61 implantation 49.75
retroperitoneum 97.81 revision 49.75
small intestine 97.52 laceration (by suture) 49.71 obstetric (current) 75.62
thoracotomy 97.41 old 49.79
tracheostomy 97.37 aneurysm (false) (true) 39.52 by or with
tympanostomy 20.1 clipping 39.51
tympanum 20.1 coagulation 39.52
ureterostomy 97.62 ureteral splint (stent) 97.62 coil, NEC (endovascular approach) 39.79 head and neck
urethral sphincter, artificial 58.99 with replacement 58.93 bare coils 39.75
urinary sphincter, artificial 58.99 with replacement 58.93 bioactive coils 39.76
utricle 20.79 valve electrocoagulation 39.52 excision or resection of vessel
vas deferens 63.85 --see also Aneurysmectomy, by site with
ventricular (cerebral) 02.43 vascular graft or prosthesis anastomosis
39.49 ventricular shunt or reservoir 02.43 --see Aneurysmectomy, with anastomosis, by site
with synchronous replacement 02.42 Vinke tongs (skull) graft replacement
02.95 --see Aneurysmectomy, with graft replacement, by site
with synchronous replacement 02.94 vitreous (with endovascular graft 39.79
replacement) 14.72 abdominal aorta 39.71 head and neck 39.72
anterior approach (partial) 14.71 open sky technique lower extremity artery(s) 39.79 thoracic aorta 39.73
14.71 upper extremity artery(s) 39.79 filipuncture 39.52
Wagner- Brooker minifixator device (bone) graft replacement --see Aneurysmectomy, with graft replacement,
--see category 78.6 by site
wiring, dental(immobilization device) 97.33 orthodontic ligation 39.52
24.8 liquid tissue adhesive (glue) 39.79 endovascular approach 39.79
Renipuncture (percutaneous) 55.92 head and neck 39.72
Renogram 92.03
Renotransplantation NEC 55.69 Note: To report donor
source:
cadaver 00.93
live non- related donor 00.92 live related donor 00.91
live unrelated donor 00.92
Reopening --see also Incision, by site blepharorrhaphy
08.02
canthorrhaphy 08.02
cilia base 08.71
Repair - aneurysm - by or with ---Cont. Repair---Cont.
methyl methacrylate 39.52 artery NEC 39.59 by
endovascular approach 39.79 head and neck 39.72 abdominal aorta 39.71 endovascular approach
occlusion 39.52 head and neck (embolization or occlusion) 39.72
endovascular approach 39.79 head and neck 39.72 other repair (of aneurysm) 39.79 percutaneous repair of
suture 39.52 intracranial
trapping 39.52 vessel(s) (for stent insertion) 00.62
wiring 39.52 percutaneous repair of precerebral (extracranial) vessel(s) (for
wrapping (gauze) (methyl methacrylate) (plastic) 39.52 stent insertion) 00.61
coronary artery 36.91 non- coronary percutaneous transluminal angioplasty or
heart 37.32 atherectomy
sinus of Valsalva 35.39 thoracic aorta (dissecting), by basilar 00.61
fenestration 39.54 carotid 00.61
anomalous pulmonary venous connection (total) femoropopliteal 39.50
one- stage 35.82 iliac 39.50
partial --see specific procedure total 35.82 lower extremity NOS 39.50 mesenteric 39.50
anular disc 80.54 renal 39.50
with graft or prosthesis 80.53 anulus fibrosus 80.54 upper extremity NOS 39.50 vertebral 00.61
with graft or prosthesis 80.53 anus 49.79
laceration (by suture) 49.71 obstetric (current) 75.62
old 49.79
aorta 39.31
aorticopulmonary window 39.59
arteriovenous fistula 39.53 by or with
clipping 39.53
coagulation 39.53
coil, NEC (endovascular approach) 39.79
head and neck vessels bare coils 39.75
bioactive coils 39.76
division 39.53
excision or resection --see also
Aneurysmectomy, by site with
anastomosis --see Aneurysmectomy, with anastomosis, by
site
graft replacement
--see Aneurysmectomy, with graft replacement, by site
ligation 39.53
coronary artery 36.99
occlusion 39.53
endovascular approach 39.79 head and neck 39.72
suture 39.53
)
al
70.9
9.81
n ic
(for
or
9.56
Training (for) (in) ---Cont. Transfer, transference ---Cont.
speech NEC 93.75 finger (to replace absent thumb) (same hand) 82.61
esophageal type 93.73 to
for correction of defect 93.74 use of lead dog for the blind finger, except thumb 82.81
93.76 vocational 93.85 opposite hand (with amputation) 82.69 [84.01]
Transactional analysis muscle origin 83.77
group 94.44 hand 82.58
individual 94.39 nerve (cranial) (peripheral) (radial anterior) (ulnar) 04.6
Transection --see also Division pedicle graft 86.74
artery (with ligation) --see also Division, artery 38.80 pes anserinus (tendon) (repair of knee) 81.47 tarsoconjunctival flap,
renal, aberrant (with reimplantation) 39.55 from opposing lid
bone --see also Osteotomy 77.30 fallopian tube (bilateral) 08.64
(remaining) tendon 83.75
(solitary) 66.39 hand 82.56
by endoscopy 66.22 pes anserinus (repair of knee) 81.47 toe- to- thumb (free) (pedicle)
unilateral 66.92 (with
isthmus, thyroid 06.91 amputation) 82.69 [84.11]
muscle 83.19 Transfixion --see also Fixation iris (bombé) 12.11
eye 15.13 Transfusion (of) 99.03
multiple (two or more muscles) 15.3 hand 82.19 antihemophilic factor 99.06
nerve (cranial) (peripheral) NEC 04.03 acoustic 04.01 antivenin 99.16 autologous blood
root (spinal) 03.1 collected prior to surgery 99.02 intraoperative 99.00
sympathetic 05.0 perioperative 99.00
tracts in spinal cord 03.29 trigeminal 04.02 postoperative 99.00
vagus (transabdominal) previously collected 99.02
--see also Vagotomy 44.00 pylorus (with wedge resection) 43.3 salvage 99.00
renal vessel, aberrant (with reimplantation) 39.55 blood (whole) NOS 99.03 expander 99.08
spinal surrogate 99.09
cord tracts 03.29 bone marrow 41.00
nerve root 03.1 allogeneic 41.03
tendon 83.13 with purging 41.02
hand 82.11 allograft 41.03
uvula 27.71 with purging 41.02
vas deferens 63.71 autograft 41.01
vein (with ligation) --see also Division, vein 38.80 with purging 41.09
renal,aberrant(with reimplantation)39.55 varicose (lower limb) autologous 41.01
38.59 with purging 41.09
Transfer, transference coagulation factors 99.06
bone shaft, fibula into tibia 78.47 digital (to replace absent Dextran 99.08
thumb) 82.69 exchange 99.01
finger (to thumb) (same hand) 82.61 to intraperitoneal 75.2
finger, except thumb 82.81 in utero (with hysterotomy) 75.2 exsanguination 99.01
opposite hand (with amputation) 82.69 [84.01] gamma globulin 99.14
toe (to thumb) (with amputation) granulocytes 99.09
82.69 [84.11] hemodilution 99.03
to finger, except thumb 82.81 [84.11] fat pad NEC 86.89 intrauterine 75.2
with skin graft --see Graft, skin, full- thickness packed cells 99.04
plasma 99.07
platelets 99.05
replacement, total 99.01
serum NEC 99.07
Transfusion (of) ---Cont. Transplant, transplantation ---Cont.
substitution 99.01 heart (orthotopic) 37.51 combined with lung 33.6
thrombocytes 99.05 ileal stoma to new site 46.23 intestine 46.97
Transillumination Islets of Langerhans (cells) 52.86 allotransplantation of cells 52.85
nasal sinuses 89.35 autotransplantation of cells 52.84 heterotransplantation 52.85
skull (newborn) 89.16 homotransplantation 52.84
Translumbar aortogram 88.42 kidney NEC 55.69
Transplant, transplantation liver 50.59
Note: To report donor source: cadaver 00.93 auxiliary (permanent) (temporary) (recipient's liver in situ) 50.51 cells
live non- related donor 00.92 live related donor 00.91 into spleen via percutaneous
live unrelated donor 00.92 artery 39.59 catheterization 38.91
renal, aberrant 39.55 autotransplant --see Reimplantation lung 33.50
blood vessel 39.59 bilateral 33.50
renal, aberrant 39.55 combined with heart 33.6 double 33.52
bone --see also Graft, bone 78.00 marrow 41.00 single 33.51
allogeneic 41.03 unilateral 33.51
with purging 41.02 lymphatic structure(s) (peripheral) 40.9 mammary artery to
allograft 41.03 myocardium or
with purging 41.02 ventricular wall 36.2
autograft 41.01 muscle 83.77
with purging 41.09 gracilis (for) 83.77
autologous 41.01 anal incontinence 49.74
with purging 41.09 stem cell urethrovesical suspension 59.71
allogeneic (hematopoietic) 41.05 hand 82.58
with purging 41.08 temporalis 83.77
autologous (hematopoietic) 41.04 with orbital exenteration 16.59 nerve (cranial) (peripheral) 04.6 ovary
with purging 41.07 65.92
cord blood 41.06 stem cell pancreas 52.80
allogeneic (hematopoietic) 41.05 heterotransplant 52.83
with purging 41.08 homotransplant 52.82
autologous (hematopoietic) 41.04 Islets of Langerhans (cells) 52.86 allotransplantation of cells 52.85
with purging 41.07 autotransplantation of cells 52.84 heterotransplantation 52.85
cord blood 41.06 combined heart- lung 33.6 homotransplantation 52.84
conjunctiva, for pterygium 11.39 corneal --see also reimplantation 52.81
Keratoplasty 11.60 dura 02.12 pes anserinus(tendon)(repair of knee) 81.47 renal NEC 55.69
fascia 83.82 vessel, aberrant 39.55 salivary duct opening 26.49 skin --see Graft, skin
hand 82.72 spermatic cord 63.53
finger (replacing absent thumb) (same hand) 82.61 spleen 41.94 stem cells
to allogeneic (hematopoietic) 41.05
finger, except thumb 82.81 opposite hand (with with purging 41.08
amputation) autologous (hematopoietic) 41.04
82.69 [84.01] with purging 41.07
gracilis muscle (for) 83.77 anal incontinence 49.74 cord blood 41.06
urethrovesical suspension 59.71 hair follicles tendon 83.75
eyebrow 08.63 hand 82.56
eyelid 08.63 pes anserinus (repair of knee) 81.47
scalp 86.64
Transplant, transplantation - tendon ---Cont. Trochanterplasty 81.40
superior rectus (blepharoptosis) 08.36 testis to scrotum 62.5 Tsuge operation (macrodactyly repair) 82.83
thymus 07.94 Tuck, tucking --see also Plication eye muscle 15.22
thyroid tissue 06.94 multiple (two or more muscles) 15.4 levator palpebrae, for
toe (replacing absent thumb) (with amputation) 82.69 blepharoptosis 08.34
[84.11] Tudor "rabbit ear" operation (anterior urethropexy) 59.79
to finger, except thumb 82.81 [84.11] Tuffier operation
tooth 23.5 ureter to apicolysis of lung 33.39 vaginal hysterectomy 68.59
bladder 56.74 laparoscopically assisted (LAVH) 68.51
ileum (external diversion) 56.51 internal diversion only 56.71 TULIP (transurethral ultrasound guided laser induced prostectomy)
intestine 56.71 60.21
skin 56.61 TUNA (transurethral needle ablation) of prostate 60.97
vein (peripheral) 39.59 TUMT (transurethral microwave thermotherapy) of prostate 60.96
renal, aberrant 39.55 Tunnel, subcutaneous (antethoracic) 42.86 esophageal 42.68
vitreous 14.72 with anastomosis --see Anastomosis, esophagus,antesternal 42.68
anterior approach 14.71 pulse generator lead wire 86.99 with initial procedure --omit code
Transposition Turbinectomy (complete) (partial) NEC 21.69 by
extraocular muscles 15.5 cryosurgery 21.61
eyelash flaps 08.63 diathermy 21.61
eye muscle (oblique) (rectus) 15.5 finger (replacing absent with sinusectomy --see Sinusectomy
thumb) (same Turco operation (release of joint capsules in clubfoot) 80.48
hand) 82.61 to TURP(transurethral resection of prostate) 60.29 Tylectomy (breast)
finger, except thumb 82.81 opposite hand(with amputation) (partial) 85.21 Tympanectomy 20.59
82.69 [84.01] with tympanoplasty --see Tympanoplasty
interatrial venous return 35.91 jejunal (Henley) 43.81 Tympanogram 95.41
joint capsule --see also Arthroplasty 81.96 Tympanomastoidectomy 20.42
muscle NEC 83.79 Tympanoplasty (type I) (with graft) 19.4 with
extraocular 15.5 air pocket over round window 19.54 fenestra in semicircular canal
hand 82.59 19.55 graft against
nerve (cranial) (peripheral) (radial anterior) (ulnar) 04.6 incus or malleus 19.52
nipple 85.86 mobile and intact stapes 19.53 incudostapediopexy 19.52
pterygium 11.31 epitympanic, type I 19.4 revision 19.6
tendon NEC 83.76 type
hand 82.57 II (graft against incus or malleus) 19.52
vocal cords 31.69 III (graft against mobile and intact stapes) 19.53
Transureteroureterostomy 56.75 IV (air pocket over round window) 19.54
Transversostomy --see also Colostomy 46.10 V (fenestra in semicircular canal) 19.55
Trapping, aneurysm (cerebral) 39.52 Tympanosympathectomy 20.91
Trauner operation (lingual sulcus extension) 24.91 Tympanotomy 20.09
Trephination, trephining accessory sinus --see Sinusotomy with intubation 20.01
corneoscleral 12.89
cranium 01.24
nasal sinus --see Sinusotomy sclera (with iridectomy) 12.61
Trial (failed) forceps 73.3
Trigonectomy 57.6
Trimming, amputation stump 84.3
Triple arthrodesis 81.12
U
Uchida operation (tubal ligation with or without Ultrasound---Cont.
fimbriectomy) 66.32 therapeutic head 00.01
UFR (uroflowmetry) 89.24 heart 00.02
Ultrafiltration 99.78 neck 00.01
hemodiafiltration 39.95 other therapeutic ultrasound 00.09 peripheral vascular vessels 00.03
hemodialysis (kidney) 39.95 removal, plasma water 99.78 vessels of head and neck 00.01
therapeutic plasmapheresis 99.71 therapy 93.35
Ultrasonography - IVUS --see Ultrasound, intravascular, by site
abdomen 88.76 virtual histology intravascular ultrasound
aortic arch 88.73 --see Ultrasound, intravascular, by site
biliary tract 88.74 Umbilectomy 54.3
breast 88.73 Unbridling
deep vein thrombosis 88.77 digestive system 88.74 blood vessel, peripheral 39.91 celiac artery axis 39.91
eye 95.13 Uncovering --see Incision, by site
head and neck 88.71 heart 88.72 Undercutting
intestine 88.74 hair follicle 86.09
intravascular --see Ultrasound, intra- vascular (IVUS) perianal tissue 49.02
lung 88.73 Unroofing --see also Incision, by site external
midline shift, brain 88.71 multiple sites 88.79 auditory canal 18.02
peripheral vascular system 88.77 retroperitoneum 88.76 ear NEC 18.09
thorax NEC 88.73 therapeutic --see Ultrasound total body kidney cyst 55.39
88.79 UPP (urethral pressure profile) 89.25
urinary system 88.75 Upper GI series (x- ray) 87.62
uterus 88.79 UPPP (uvulopalatopharyngoplasty)
gravid 88.78 27.69 [29.4]
Ultrasound Uranoplasty (for cleft palate repair) 27.62 Uranorrhaphy (for cleft
diagnostic --see Ultrasonography fragmentation (of) palate repair) 27.62 Uranostaphylorrhaphy 27.62
cataract (with aspiration) 13.41 urinary calculus, stones Urban operation(mastectomy)(unilateral) 85.47
(Kock pouch) bilateral 85.48
59.95 Ureterectomy 56.40
heart with nephrectomy 55.51
intracardiac (heart chambers)(ICE)37.28 intravascular partial 56.41
(coronary vessels)(IVUS) total 56.42
00.24 Ureterocecostomy 56.71
non- invasive 88.72 Ureterocelectomy 56.41
inner ear 20.79 Ureterocolostomy 56.71
intravascular (IVUS) - IVUS) 00.29 aorta 00.22 Ureterocystostomy 56.74
aortic arch 00.22 Ureteroenterostomy 56.71
cerebral vessel, extracranial 00.21 coronary vessel 00.24 Ureteroileostomy (internal diversion) 56.71 external diversion 56.51
intrathoracic vessel 00.22 other specified vessel 00.28 Ureterolithotomy 56.2
peripheral vessel 00.23 Ureterolysis 59.02
renal vessel 00.25 with freeing or repositioning of ureter 59.02
vena cava (inferior) (superior) 00.22 laparoscopic 59.03
Ureteroneocystostomy 56.74
Ureteropexy 56.85
Ureteroplasty 56.89
Ureteroplication 56.89
Ureteroproctostomy 56.71 Urethrolithotomy 58.0
Ureteropyelography (intravenous) (diuretic infusion) Urethrolysis 58.5
87.73 Urethropexy 58.49
percutaneous 87.75 anterior 59.79
retrograde 87.74 Urethroplasty 58.49
Ureteropyeloplasty 55.87 augmentation 59.79
Ureteropyelostomy 55.86 collagen implant 59.72
Ureterorrhaphy 56.82 fat implant 59.72
Ureteroscopy 56.31 injection (endoscopic) of implant into urethra 59.72
with biopsy 56.33 polytef implant 59.72
Ureterosigmoidostomy 56.71 Urethrorrhaphy 58.41
Ureterostomy (cutaneous) (external) (tube) 56.61 Urethroscopy 58.22
closure 56.83 for control of hemorrhage of prostate 60.94
ileal 56.51 perineal 58.21
Ureterotomy 56.2 Urethrostomy (perineal) 58.0
Ureteroureterostomy (crossed) 56.75 Urethrotomy (external) 58.0
lumbar 56.41 internal (endoscopic) 58.5
resection with end- to- end anastomosis 56.41 Uroflowmetry (UFR) 89.24
spatulated 56.41 Urography (antegrade) (excretory) (intravenous) 87.73
Urethral catheterization, indwelling 57.94 Urethral retrograde 87.74
pressure profile (UPP) 89.25 Urethrectomy (complete) Uteropexy (abdominal approach) (vaginal approach) 69.22
(partial) (radical) UVP (uvulopalatopharyngoplasty)
58.39 27.69 [29.4]
with Uvulectomy 27.72
complete cystectomy 57.79 Uvulopalatopharyngoplasty (UPPP)
pelvic exenteration 68.8 27.69 [29.4]
radical cystectomy 57.71 Uvulotomy 27.71
Urethrocystography(retrograde)(voiding) 87.76
Urethrocystopexy (by) 59.79 levator muscle sling 59.71
retropubic suspension 59.5
suprapubic suspension 59.4
V
Vaccination (prophylactic) (against) 99.59 anthrax 99.55 Vagotomy (gastric) 44.00
brucellosis 99.55 parietal cell 44.02
cholera 99.31 selective NEC 44.03
common cold 99.51 highly 44.02
disease NEC 99.55 Holle's 44.02
arthropod- borne viral NEC 99.54 encephalitis, arthropod- proximal 44.02
borne viral 99.53 German measles 99.47 truncal 44.01
hydrophobia 99.44 Valvotomy --see Valvulotomy
infectious parotitis 99.46 Valvulectomy, heart --see Valvuloplasty, heart
influenza 99.52 Valvuloplasty
measles 99.45 heart (open heart technique) (without valve replacement) 35.10
mumps 99.46 with prosthesis or tissue graft
paratyphoid fever 99.32 --see Replacement, heart, valve, by site aortic valve 35.11
pertussis 99.37 percutaneous (balloon) 35.96 combined with repair of atrial and
plague 99.34 ventricular septal defects --see
poliomyelitis 99.41 Repair, endocardial cushion defect mitral valve 35.12
rabies 99.44 percutaneous (balloon) 35.96
Rocky Mountain spotted fever 99.55 rubella 99.47 pulmonary valve 35.13
rubeola 99.45 in total repair of tetralogy of Fallot 35.81
smallpox 99.42 percutaneous (balloon) 35.96
Staphylococcus 99.55 tricuspid valve 35.14
Streptococcus 99.55 Valvulotomy
tuberculosis 99.33 heart (closed heart technique) (transatrial) (transventricular)
tularemia 99.35 35.00
tumor 99.28 aortic valve 35.01
typhoid 99.32 mitral valve 35.02
typhus 99.55 open heart technique --see Valvuloplasty, heart
undulant fever 99.55 pulmonary valve 35.03
yellow fever 99.43 in total repair of tetralogy of Fallot 35.81
Vacuum extraction, fetal head 72.79 with episiotomy tricuspid valve 35.04
72.71 Varicocelectomy, spermatic cord 63.1
VAD Varicotomy, peripheral vessels(lower limb) 38.59
vascular access device --see Vascular access upper limb 38.53
device,totally implantable Vascular access device, totally implantable
ventricular assist device --see Implant, heart assist system 86.07
Vagectomy (subdiaphragmatic) --see also Vascular closure, percutaneous puncture
Vagotomy 44.00 --omit code
Vaginal douche 96.44 Vascularization --see Revascularization Vasectomy (complete)
Vaginectomy 70.4 (partial) 63.73 Vasogram 87.94
Vaginofixation 70.77 Vasoligation 63.71
with graft or prosthesis 70.78 gastric 38.86
Vaginoperineotomy 70.14 Vasorrhaphy 63.81
Vaginoplasty 70.79 Vasostomy 63.6
Vaginorrhaphy 70.71 Vasotomy 63.6
obstetrical 75.69 Vasotripsy 63.71
Vaginoscopy 70.21 Vasovasostomy 63.82
Vaginotomy 70.14 for Vectorcardiogram (VCG) (with ECG) 89.53
culdocentesis 70.0
pelvic abscess 70.12
Vectra® vascular access graft 86.07 Venectomy --see Ventriculogram, ventriculography (cerebral) 87.02
Phlebectomy Venipuncture NEC 38.99 cardiac
for injection of contrast material left ventricle (outflow tract) 88.53 combined with right heart 88.54
--see Phlebography Venography --see Phlebography right ventricle (outflow tract) 88.52 combined with left heart 88.54
Venorrhaphy 39.32 radionuclide cardiac 92.05
Venotomy 38.00 Ventriculomyocardiotomy 37.11
abdominal 38.07 Ventriculoperitoneostomy 02.34
head and neck NEC 38.02 intracranial NEC 38.01 Ventriculopuncture 01.09
lower limb 38.09 through previously implanted catheter or reservoir (Ommaya) (Rickham)
thoracic NEC 38.05 01.02
upper limb 38.03 Ventriculoseptopexy --see also Repair, ventricular septal defect 35.72
Venotripsy 39.98 Ventriculoseptoplasty --see also Repair, ventricular septal defect 35.72
Venovenostomy 39.29 Ventriculostomy 02.2
Ventilation Ventriculotomy
bi- level positive airway pressure [BiPAP] 93.90 cerebral 02.2
delivered by heart 37.11
endotracheal tube --see category 96.7 tracheostomy --see Ventriculoureterostomy 02.35
category 96.7 Ventriculovenostomy 02.32
continuous positive airway pressure [CPAP] 93.90 Ventrofixation, uterus 69.22
delivered by Ventrohysteropexy 69.22
endotracheal tube --see category 96.7 tracheostomy --see Ventrosuspension, uterus 69.22
category 96.7 VEP (visual evoked potential) 95.23
endotracheal respiratory assistance Version, obstetrical (bimanual) (cephalic) (combined) (internal)
--see category 96.7 (podalic) 73.21
intermittent positive pressure breathing [IPPB] 93.91 with extraction 73.22
mechanical, NOS 93.90 Braxton Hicks 73.21
by endotracheal tube --see category 96.7 by tracheostomy with extraction 73.22
--see category 96.7 endotracheal respiratory assistance external (bipolar) 73.91
--see category 96.7 invasive --see category 96.7 non- Potter's (podalic) 73.21
invasive [NIPPV] 93.90 with extraction 73.22
other continuous (unspecified duration) 96.70 Wigand's (external) 73.91
for less than 96 consecutive hours 96.71 Wright's (cephalic) 73.21
for 96 consecutive hours or more 96.72 with extraction 73.22
positive and expiratory pressure [PEEP] invasive --see Vertebroplasty, percutaneous 81.65
category 96.7 Vesicolithotomy (suprapubic) 57.19
non- invasive 93.90 Vesicostomy 57.21
negative pressure (continuous) [CNP] 93.99 non- invasive Vesicourethroplasty 57.85
positive pressure(NIPPV)93.90 Vesiculectomy 60.73
Ventriculectomy, heart with radical prostatectomy 60.5
partial 37.35 Vesiculogram, seminal 87.92
Ventriculocholecystostomy 02.34 contrast 87.91
Ventriculocisternostomy 02.2 Vesiculotomy 60.72
Ventriculocordectomy 30.29 Vestibuloplasty (buccolabial) (lingual) 24.91
Vestibulotomy 20.79
-IVUS --see Ultrasound, intravascular, by site
Vicq D'azyr operation (larynx) 31.1 Vidal operation (varicocele ligation)
63.1 Vidianectomy 05.21
Villusectomy --see also Synovectomy 80.70
Vision check 95.09
Visual evoked potential (VEP) 95.23
Vitrectomy (mechanical) (posterior approach) 14.74 Vulvectomy (bilateral) (simple) 71.62 partial (unilateral) 71.61
with scleral buckling 14.49 anterior approach 14.73 radical (complete) 71.5
Vocational unilateral 71.61
assessment 93.85 V-Y operation (repair) bladder 57.89
retraining 93.85 neck 57.85
schooling 93.82 ectropion 08.44
Voice training (postlaryngectomy) 93.73 lip 27.59
von Kraske operation (proctectomy) 48.64 Voss skin (without graft) 86.89
operation(hanging hip operation) 83.19 Vulpius (- subcutaneous tissue (without skin graft) 86.89
Compere) operation (lengthening tongue 25.59
of gastrocnemius muscle) 83.85
W
Wada test (hemispheric function) 89.10 Whitman operation
Wang needle aspiration biopsy foot stabilization (talectomy) 77.98 hip reconstruction 81.40
bronchus 33.24 repair of serratus anterior muscle 83.87 talectomy 77.98
Ward-Mayo operation (vaginal hysterectomy) 68.59 trochanter wedge osteotomy 77.25 Wier operation (entropion
laparoscopically assisted (LAVH) 68.51 Washing --see repair) 08.44 Williams-Richardson operation (vaginal
Lavage and Irrigation Waterston operation (aorta- right construction) 70.61
pulmonary artery anastomosis) 39.0 with graft or prosthesis 70.63
Watkins (-Wertheim) operation (uterus interposition) Wilms operation (thoracoplasty) 33.34
69.21 Wilson operation (angulation osteotomy for hallux valgus) 77.51
Watson-Jones operation Window operation
hip arthrodesis 81.21 reconstruction of lateral ligaments, antrum (nasal sinus)--see Antrotomy, maxillary
ankle 81.49 aorticopulmonary 39.59
shoulder arthrodesis (extra- articular) 81.23 tenoplasty bone cortex --see also Incision, bone 77.10 facial 76.09
83.88 nasoantral --see Antrotomy, maxillary pericardium 37.12
Webbing (syndactylization) 86.89 pleura 34.09
Weir operation appendicostomy 47.91 correction of Winiwarter operation
nostrils 21.86 (cholecystoenterostomy) 51.32
Wertheim operation (radical hysterectomy) 68.69 Wiring
laparoscopic 68.61 aneurysm 39.52
West operation (dacryocystorhinostomy) 09.81 dental (for immobilization) 93.55
Wheeler operation with fracture- reduction --see Reduction, fracture
entropion repair 08.44 orthodontic 24.7
halving procedure (eyelid) 08.24 Wirsungojejunostomy 52.96
Whipple operation (radical pancreatico- duodenectomy) Witzel operation (temporary gastrostomy) 43.19
52.7 Woodward operation (release of high riding scapula) 81.83
Child modification (radical subtotal pancreatectomy) Wrapping, aneurysm (gauze) (methyl methacrylate) (plastic)
52.53 39.52
Rodney Smith modification (radical subtotal
pancreatectomy) 52.53
White operation (lengthening of tendo calcaneus by
incomplete tenotomy) 83.11
Whitehead operation
glossectomy, radical 25.4
hemorrhoidectomy 49.46
X
Xenograft 86.65 X-ray
Xerography, breast 87.36 chest (routine) 87.44
Xeromammography 87.36 wall NEC 87.39
Xiphoidectomy 77.81 contrast --see Radiography, contrast diagnostic --see Radiography
injection of radio- opaque substance --see
Radiography, contrast
skeletal series, whole or complete 88.31
therapeutic --see Therapy, radiation
Y
Young operation Yount operation (division of iliotibial band) 83.14
epispadias repair 58.45
tendon transfer (anterior tibialis) (repair of flat foot)
83.75
Z
Zancolli operation Z-plasty
capsuloplasty 81.72 epicanthus 08.59
tendon transfer (biceps) 82.56 eyelid --see also Reconstruction, eyelid 08.70
Zeus® Robotic Surgical System hypopharynx 29.4
--see category 17.4 skin (scar) (web contracture) 86.84 with excision of lesion 86.3
Ziegler operation (iridectomy) 12.14
Zonulolysis (with lens extraction) --see also
Extraction,cataract, intracapsular 13.19