ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.

tk

CLASSIFICATION OF PROCEDURES
0. PROCEDURES AND INTERVENTIONS , NOT ELSEWHERE CLASSIFIED (00)

00 00.0

Procedures and interventions, Not Elsewhere Classified Therapeutic ultrasound diagnostic ultrasound (non-invasive) (88.71-88.79) intracardiac echocardiography [ICE] (heart chamber(s)) (37.28) intravascular imaging (adjunctive) (00.21-00.29) Therapeutic ultrasound of vessels of head and neck Anti-restenotic ultrasound Intravascular non-ablative ultrasound

Excludes:

00.01

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)

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00.11 00.12 00.13 00.14 00.15

Infusion of drotrecogin alfa (activated) Infusion of recombinant protein Administration of inhaled nitric oxide Nitric oxide therapy Injection or infusion of nesiritide Human B-type natriuretic peptide (hBNP) Injection or infusion of oxazolidinone class of antibiotics Linezolid injection 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] Infusion of vasopressor agent Infusion of immunosuppressive antibody therapy Includes:during induction phase of solid organ transplantation monoclonal antibody therapy polyclonal antibody therapy Disruption of blood brain barrier via infusion [BBBD] Infusion of substance to disrupt blood brain barrier

00.17 00.18

00.19

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: 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) intravascular imaging of vessel(s) by OCT (38.24-38.25) magnetic resonance imaging (MRI) (88.91-88.97) therapeutic ultrasound (00.01-00.09) 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

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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 00.29 00.3 Intravascular imaging, other specified vessel(s) Intravascular imaging, unspecified vessel(s)

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: robotic assisted procedures (17.41-17.49) stereotactic frame application only (93.59) 00.31 00.32 00.33 00.34 00.35 00.39 00.4 Computer assisted surgery with CT/CTA Computer assisted surgery with MR/MRA Computer assisted surgery with fluoroscopy Imageless computer assisted surgery Computer assisted surgery with multiple datasets Other computer assisted surgery Computer assisted surgery NOS

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).

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Code also any: angioplasty (00.61-00.62, 00.66, 39.50) atherectomy (17.53-17.56) 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) 00.40 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) 00.41 Procedure on two vessels

Excludes: (aorto) coronary bypass (36.10-36.19) intravascular imaging of blood vessels (00.21-00.29) 00.42 Procedure on three vessels

Excludes: (aorto) coronary bypass (36.10-36.19) intravascular imaging of blood vessels (00.21-00.29) 00.43 Procedure on four or more vessels intravascular imaging of blood vessels (00.21-00.29) 00.44 Procedure on vessel bifurcation

Excludes: (aorto) coronary bypass (36.10-36.19)

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 00.47 00.48 00.49 Insertion of two vascular stents Insertion of three vascular stents Insertion of four or more vascular stents SuperSaturated oxygen therapy Aqueous oxygen (AO) therapy SS02 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) other removal of coronary obstruction (36.09) percutaneous transluminal coronary angioplasty [PTCA] (00.66) procedure on vessel bifurcation (00.44) transluminal coronary atherectomy (17.55) Excludes: other oxygen enrichment (93.96) other perfusion (39.97)

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00.5

Other cardiovascular procedures 00.50 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) 00.51 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) 00.52 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) 00.53 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

ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

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) 00.54 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) 00.55 Insertion of drug-eluting stent(s) of other peripheral vessel(s) Endograft(s) Endovascular graft(s) Stent grafts

Code also any: angioplasty of other non-coronary vessel(s) (39.50) atherectomy of other non-coronary vessel(s) (17.56) 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 drug-eluting stent(s) of superficial femoral artery (00.60) insertion of non-drug-eluting stent(s): coronary artery (36.06) peripheral vessel (39.90) that for other endovascular procedure (39.71-39.79) 00.56 Insertion or replacement of implantable pressure sensor with lead for intracardiac or great vessel hemodynamic monitoring

Note: The sensor is physically connected by a lead to a separately implanted monitor. Code also any associated implantation or replacement of subcutaneous monitor (00.57) Excludes:circulatory monitoring (blood gas, arterial or venous pressure, cardiac output and coronary blood flow) (89.60-89.69) insertion of implantable pressure sensor without lead for intracardiac or great vessel hemodynamic monitoring (38.26) 00.57 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 via lead

Code also any associated insertion or replacement of implanted pressure sensor with lead (00.56) 00.58 Insertion of intra-aneurysm sac pressure monitoring device (intraoperative)

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Insertion of pressure sensor during endovascular repair of abdominal or thoracic aortic aneurysm(s) 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 00.60 Insertion of drug-eluting stent(s) of superficial femoral artery angioplasty of other non-coronary vessel(s) (39.50) atherectomy of other non-coronary vessel(s) (17.56) non-drug-eluting peripheral stents (39.90) 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 stent(s) of other peripheral vessel (00.55) that for other endovascular procedure (39.71-39.79) 00.61 Percutaneous angioplasty of extracranial vessel(s) Carotid Vertebral 00.59

Code also any:

Code also any: injection or infusion of thrombolytic agent (99.10) number of vascular stents inserted (00.45-00.48) number of vessels treated (00.40-00.43) percutaneous atherectomy of extracranial vessel(s) (17.53) percutaneous insertion of carotid artery stent(s) (00.63) percutaneous insertion of other intracranial artery stent(s) (00.64) procedure on vessel bifurcation (00.44) Excludes: angioplasty of other non-coronary vessel(s) (39.50) atherectomy of other non-coronary vessel(s) (17.56) 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) 00.62 Percutaneous angioplasty of intracranial vessel(s) Basilar artery Intracranial portion of vertebral artery

Code also any: injection or infusion of thrombolytic agent (99.10) number of vascular stents inserted (00.45-00.48) number of vessels treated (00.40-00.43) percutaneous atherectomy of intracranial vessel(s) (17.54) percutaneous insertion of intracranial stent(s) (00.65) procedure on vessel bifurcation (00.44) Excludes: angioplasty of other non-coronary vessel(s) (39.50) atherectomy of other non-coronary vessel(s) (17.56) 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) 00.63 Percutaneous insertion of carotid artery stent(s)

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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 of extracranial vessel(s) (00.61) percutaneous atherectomy of extracranial vessel(s) (17.53) procedure on vessel bifurcation (00.44) Excludes: angioplasty of other non-coronary vessel(s) (39.50) atherectomy of other non-coronary vessel(s) (17.56) insertion of coil-retention or embolization stent (39.72) insertion of drug-eluting peripheral vessel stent(s) (00.55) 00.64 Percutaneous insertion of other extracranial artery stent(s) Includes: the use of any embolic protection device, distal protection device, filter device, or stent delivery system Vertebral stent

Code also any: number of vascular stents inserted (00.45-00.48) number of vessels treated (00.40-00.43) percutaneous angioplasty of extracranial vessel(s) (00.61) percutaneous atherectomy of extracranial vessel(s) (17.53) procedure on vessel bifurcation (00.44) Excludes: angioplasty of other non-coronary vessel(s) (39.50) atherectomy of other non-coronary vessel(s) (17.56) insertion of coil-retention or embolization stent (39.72) insertion of drug-eluting peripheral vessel stent(s) (00.55) 00.65 Percutaneous insertion of intracranial vascular stent(s) Basilar stent 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 of intracranial vessel(s) (00.62) percutaneous atherectomy of intracranial vessel(s) (17.54) procedure on vessel bifurcation (00.44) Excludes: angioplasty of other non-coronary vessel(s) (39.50) atherectomy of other non-coronary vessel(s) (17.56) insertion of coil-retention or embolization stent (39.72) insertion of drug-eluting peripheral vessel stent(s) (00.55) 00.66 Percutaneous transluminal coronary angioplasty [PTCA] Balloon angioplasty of coronary artery Percutaneous coronary angioplasty NOS PTCA NOS

Code also any: injection or infusion of thrombolytic agent (99.10)

ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

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) transluminal coronary atherectomy (17.55) Intravascular pressure measurement of intrathoracic arteries Assessment of: Aorta and aortic arch Carotid Code also any synchronous diagnostic or therapeutic procedures 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 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 00.70 Revision of hip replacement, both acetabular and femoral components Total hip revision 00.69 00.68 00.67

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) 00.71 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)

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revision of hip replacement, Not Otherwise Specified (81.53) revision with replacement of acetabular liner and/or femoral head only (00.73) 00.72 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) 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) 00.74 00.75 00.76 00.77 00.8 Hip bearing surface, metal-on-polyethylene Hip bearing surface, metal-on-metal Hip bearing surface, ceramic-on-ceramic Hip bearing surface, ceramic-on-polyethylene Hip bearing surface, oxidized zirconium-on-polyethylene

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. 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) 00.81 Revision of knee replacement, tibial component Replacement of tibial baseplate and tibial insert (liner) revision of knee replacement, total (all components) (00.80) 00.82 Revision of knee replacement, femoral component That with replacement of tibial insert (liner) revision of knee replacement, total (all components) (00.80) 00.83 Revision of knee replacement, patellar component revision of knee replacement, total (all components) (00.80) 00.84 Revision of total knee replacement, tibial insert (liner)

Excludes:

Excludes:

Excludes:

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

Replacement of tibial insert (liner) Excludes: that with replacement of tibial component (tibial baseplate and liner) (00.81) 00.85 Resurfacing hip, total, acetabulum and femoral head Hip resurfacing arthroplasty, total 00.86 Resurfacing hip, partial, femoral head Hip resurfacing arthroplasty, NOS Hip resurfacing arthroplasty, partial, femoral head Excludes: that with resurfacing of acetabulum (00.85) 00.87 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 That by: brainstem auditory evoked potentials [BAEP] electroencephalogram [EEG] electromyogram [EMG] motor evoked potentials [MEP] nerve conduction study somatosensory evoked potentials [SSEP] transcranial Doppler

Excludes: brain temperature monitoring (01.17) intracranial oxygen monitoring (01.16) intracranial pressure monitoring (01.10) plethysmogram (89.58) 1. OPERATIONS ON THE NERVOUS SYSTEM (01-05)

01 01.0

Incision and excision of skull, brain, and cerebral meninges Cranial puncture 01.01 Cisternal puncture

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Cisternal tap Excludes: pneumocisternogram (87.02) 01.02 01.09 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 01.11 01.12 01.13 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 Intracranial oxygen monitoring Includes: insertion of catheter or probe for monitoring Partial pressure of brain oxygen (PbtO2) Brain temperature monitoring Includes: insertion of catheter or probe for monitoring Other diagnostic procedures on brain and cerebral meninges

01.14 01.15 01.16

01.17 01.18

Excludes: brain temperature monitoring (01.17) cerebral: arteriography (88.41) thermography (88.81) contrast radiogram of brain (87.01-87.02) echoencephalogram (88.71) electroencephalogram (89.14) intracranial oxygen monitoring (01.16) intracranial pressure monitoring (01.10) 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) radioisotope scan: cerebral (92.11) head NEC (92.12) tomography of head:

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C.A.T. scan (87.03) other (87.04) 01.19 Other diagnostic procedures on skull

Excludes: transillumination of skull (89.16) x-ray of skull (87.17) 01.2 Craniotomy and craniectomy decompression of skull fracture (02.02) exploration of orbit (16.01-16.09) that as operative approach -- omit code Cranial implantation or replacement of neurostimulator pulse generator

Excludes:

01.20

Code also any associated lead implantation (02.93) Excludes:implantation or replacement of subcutaneous neurostimulator pulse generator (86.94-86.98) 01.21 01.22 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) 01.23 01.24 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) 01.25 Other craniectomy Debridement of skull NOS Sequestrectomy of skull

Excludes: debridement of compound fracture of skull (02.02) strip craniectomy (02.01) 01.26 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) 01.27 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

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Excludes: insertion of catheter(s) into cranial cavity or tissue(s) (01.26) 01.29 01.3 Removal of cranial neurostimulator pulse generator

Incision of brain and cerebral meninges 01.31 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

01.32

01.39

Excludes: division of cortical adhesions (02.91) 01.4 Operations on thalamus and globus pallidus 01.41 Operations on thalamus Chemothalamectomy Thalamotomy

Excludes: that by stereotactic radiosurgery (92.30-92.39) 01.42 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 01.51 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) 01.52 01.53 01.59 Hemispherectomy Lobectomy of brain Other excision or destruction of lesion or tissue of brain Amygdalohippocampectomy Curettage of brain Debridement of brain Marsupialization of brain cyst Transtemporal (mastoid) excision of brain tumor

Excludes: biopsy of brain (01.13-01.14) laser interstitial thermal therapy [LITT] of lesion or tissue of brain under guidance (17.61)

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that by stereotactic radiosurgery (92.30-92.39) 01.6 Excision of lesion of skull Removal of granulation tissue of cranium biopsy of skull (01.15) sequestrectomy (01.25)

Excludes:

02 02.0

Other operations on skull, brain, and cerebral meninges Cranioplasty 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

Excludes:

02.01

02.02

Code also any synchronous debridement of brain (01.59) Excludes: debridement of skull NOS (01.25) removal of granulation tissue of cranium (01.6) 02.03 02.04 02.05 02.06 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

02.07

Excludes: removal with synchronous replacement (02.05) 02.1 Repair of cerebral meninges 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

Excludes:

02.11 02.12

02.13

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02.14 02.2

Choroid plexectomy Cauterization of choroid plexus

Ventriculostomy 02.21 Insertion or replacement of external ventricular drain [EVD] External ventricular drainage [EVD] setup Replacement of external ventricular drain Ventricular catheter placement for: drainage of cerebrospinal fluid [CSF] injection of medication or other substance sampling of cerebrospinal fluid [CSF]

Excludes: extracranial ventricular shunt (02.31-02.35, 02.39) intracranial ventricular shunt (02.22) other cranial puncture (01.09) ventricular shunt replacement (02.41-02.43) 02.22 Intracranial ventricular shunt or anastomosis Anastomosis of ventricle to: cervical subarachnoid space cisterna magna Insertion of Holter valve into intracranial system Shunt between two intracranial ventricles That by endoscopy Third ventriculostomy Ventriculocisternostomy

02.3

Extracranial ventricular shunt 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 Ventricular shunt to extracranial site NEC Ventricle to bone marrow shunt

Includes:

02.31

02.32

02.33 02.34

02.35 02.39 02.4

Revision, removal, and irrigation of ventricular shunt revision of distal catheter of ventricular shunt (54.95) Irrigation and exploration of ventricular shunt Exploration of ventriculoperitoneal shunt at ventricular site Re-programming of ventriculoperitoneal shunt

Excludes:

02.41

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

02.42

Replacement of ventricular shunt Reinsertion of Holter valve Revision of ventriculoperitoneal shunt at ventricular site Removal of ventricular shunt

02.43 02.9

Other operations on skull, brain, and cerebral meninges 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

Excludes:

02.91 02.92 02.93

Code also any: insertion of cranial implantation or replacement of neurostimulator pulse generator (01.20) insertion of subcutaneous neurostimulator pulse generator (86.94-86.98) 02.94 02.95 02.96 02.99 Insertion or replacement of skull tongs or halo traction device Removal of skull tongs or halo traction device Insertion of sphenoidal electrodes Other

Excludes: chemical shock therapy (94.24) electroshock therapy: subconvulsive (94.26) other (94.27) 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 03.01 03.02 03.09 Removal of foreign body from spinal canal Reopening of laminectomy site Other exploration and decompression of spinal canal Decompression: laminectomy laminotomy Expansile laminoplasty

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

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 03.1 03.2 Division of intraspinal nerve root Rhizotomy Chordotomy 03.21 03.29 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 03.31 Spinal tap Lumbar puncture for removal of dye

Excludes: lumbar puncture for injection of dye [myelogram] (87.21) 03.32 03.39 Biopsy of spinal cord or spinal meninges Other diagnostic procedures on spinal cord and spinal canal structures

Excludes: microscopic examination of specimen from nervous system or of spinal fluid (90.01-90.09) x-ray of spine (87.21-87.29) 03.4 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 biopsy of spinal cord or meninges (03.32)

Excludes: 03.5

Plastic operations on spinal cord structures 03.51 03.52 03.53 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 percutaneous vertebral augmentation (81.66) percutaneous vertebroplasty (81.65)

Excludes: 03.59

Other repair and plastic operations on spinal cord structures

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

Repair of: diastematomyelia spina bifida NOS spinal cord NOS spinal meninges NOS vertebral arch defect 03.6 03.7 Lysis of adhesions of spinal cord and nerve roots Shunt of spinal theca that with valve Spinal subarachnoid-peritoneal shunt Spinal subarachnoid-ureteral shunt Other shunt of spinal theca Lumbar-subarachnoid shunt NOS Pleurothecal anastomosis Salpingothecal anastomosis

Includes:

03.71 03.72 03.79

03.8 03.9

Injection of destructive agent into spinal canal 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) 03.91 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) 03.93 Implantation or replacement of spinal neurostimulator lead(s)

Code also any insertion of neurostimulator pulse generator (86.94-86.98) 03.94 Removal of spinal neurostimulator lead(s) Code also any removal of neurostimulator pulse generator (86.05) 03.95 03.96 03.97 03.98 03.99 04 Spinal blood patch Percutaneous denervation of facet Revision of spinal thecal shunt Removal of spinal thecal shunt Other

Operations on cranial and peripheral nerves

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

04.0

Incision, division, and excision of cranial and peripheral nerves opticociliary neurectomy (12.79) sympathetic ganglionectomy (05.21-05.29) Excision of acoustic neuroma That by craniotomy

Excludes:

04.01

Excludes: that by stereotactic radiosurgery (92.30-92.39) 04.02 04.03 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) 04.04 04.05 04.06 Other incision of cranial and peripheral nerves Gasserian ganglionectomy Other cranial or peripheral ganglionectomy

Excludes: sympathetic ganglionectomy (05.21-05.29) 04.07 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) 04.1 Diagnostic procedures on peripheral nervous system 04.11 04.12 04.19 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 Lysis of adhesions and decompression of cranial and peripheral nerves 04.41 04.42 Decompression of trigeminal nerve root Other cranial nerve decompression

04.3 04.4

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

04.43 04.44 04.49 04.5 04.6 04.7

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 Other cranial or peripheral neuroplasty 04.71 04.72 04.73 04.74 04.75 04.76 04.79 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 destruction of nerve (by injection of neurolytic agent) (04.2) Peripheral nerve injection, not otherwise specified Injection of anesthetic into peripheral nerve for analgesia

Excludes:

04.80 04.81

Excludes: that for operative anesthesia -- omit code 04.89 Injection of other agent, except neurolytic

Excludes: injection of neurolytic agent (04.2) 04.9 Other operations on cranial and peripheral nerves 04.91 04.92 Neurectasis Implantation or replacement of peripheral neurostimulator lead(s)

Code also any insertion of neurostimulator pulse generator (86.94-86.98) Excludes: implantation or replacement of carotid sinus stimulation lead(s) (39.82) 04.93 Removal of peripheral neurostimulator lead(s)

Code also any removal of neurostimulator pulse generator (86.05) 04.99 05 Other

Operations on sympathetic nerves or ganglia paracervical uterine denervation (69.3)

Excludes: 05.0

Division of sympathetic nerve or ganglion that of nerves to adrenal glands (07.42)

Excludes:

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

05.1

Diagnostic procedures on sympathetic nerves or ganglia 05.11 05.19 Biopsy of sympathetic nerve or ganglion Other diagnostic procedures on sympathetic nerves or ganglia

05.2

Sympathectomy 05.21 05.22 05.23 05.24 05.25 05.29 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 injection of ciliary sympathetic ganglion (12.79) Injection of anesthetic into sympathetic nerve for analgesia Injection of neurolytic agent into sympathetic nerve Other injection into sympathetic nerve or ganglion

Excludes:

05.31 05.32 05.39 05.8

Other operations on sympathetic nerves or ganglia 05.81 05.89 Repair of sympathetic nerve or ganglion Other

05.9

Other operations on nervous system 2. OPERATIONS ON THE ENDOCRINE SYSTEM (06-07)

06

Operations on thyroid and parathyroid glands

Includes: incidental resection of hyoid bone 06.0 Incision of thyroid field division of isthmus (06.91) Aspiration of thyroid field Percutaneous or needle drainage of thyroid field

Excludes:

06.01

Excludes: aspiration biopsy of thyroid (06.11) drainage by incision (06.09) postoperative aspiration of field (06.02)

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

06.02

Reopening of wound of thyroid field Reopening of wound of thyroid field for: control of (postoperative) hemorrhage examination exploration removal of hematoma Other incision of thyroid field Drainage of hematoma by incision Drainage of thyroglossal tract by incision Exploration: neck by incision thyroid (field) by incision Removal of foreign body by incision Thyroidotomy NOS by incision

06.09

Excludes: postoperative exploration (06.02) removal of hematoma by aspiration (06.01) 06.1 Diagnostic procedures on thyroid and parathyroid glands 06.11 06.12 06.13 06.19 Closed [percutaneous] [needle] biopsy of thyroid gland Aspiration biopsy of thyroid Open biopsy of thyroid gland Biopsy of parathyroid gland Other diagnostic procedures on thyroid and parathyroid glands

Excludes: radioisotope scan of: parathyroid (92.13) thyroid (92.01) soft tissue x-ray of thyroid field (87.09) 06.2 Unilateral thyroid lobectomy Complete removal of one lobe of thyroid (with removal of isthmus or portion of other lobe) Hemithyroidectomy partial substernal thyroidectomy (06.51)

Excludes: 06.3

Other partial thyroidectomy 06.31 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) 06.39 Other Isthmectomy Partial thyroidectomy NOS

Excludes: partial substernal thyroidectomy (06.51) 06.4 Complete thyroidectomy complete substernal thyroidectomy (06.52) that with laryngectomy (30.3-30.4)

Excludes: 06.5

Substernal thyroidectomy

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

06.50 06.51 06.52 06.6

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 Parathyroidectomy 06.81 06.89 Complete parathyroidectomy Other parathyroidectomy Parathyroidectomy NOS Partial parathyroidectomy

06.7 06.8

Excludes: biopsy of parathyroid (06.13) 06.9 Other operations on thyroid (region) and parathyroid 06.91 06.92 06.93 06.94 06.95 06.98 06.99 07 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

Operations on other endocrine glands

Includes: operations on: adrenal glands pineal gland pituitary gland thymus Excludes: operations on: aortic and carotid bodies (39.89) ovaries (65.0-65.99) pancreas (52.01-52.99) testes (62.0-62.99)

07.0

Exploration of adrenal field incision of adrenal (gland) (07.41) Exploration of adrenal field, not otherwise specified

Excludes:

07.00

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

07.01 07.02 07.1

Unilateral exploration of adrenal field Bilateral exploration of adrenal field

Diagnostic procedures on adrenal glands, pituitary gland, pineal gland, and thymus 07.11 07.12 07.13 07.14 07.15 07.16 07.17 07.19 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 07.21 Excision of lesion of adrenal gland

Excludes: biopsy of adrenal gland (07.11-07.12) 07.22 Unilateral adrenalectomy Adrenalectomy NOS

Excludes: excision of remaining adrenal gland (07.3) 07.29 07.3 Other partial adrenalectomy Partial adrenalectomy NOS

Bilateral adrenalectomy Excision of remaining adrenal gland bilateral partial adrenalectomy (07.29)

Excludes: 07.4

Other operations on adrenal glands, nerves, and vessels 07.41 07.42 07.43 07.44 07.45 07.49 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 07.51 Exploration of pineal field

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

Excludes: that with incision of pineal gland (07.52) 07.52 07.53 Incision of pineal gland Partial excision of pineal gland

Excludes: biopsy of pineal gland (07.17) 07.54 07.59 07.6 Total excision of pineal gland Pinealectomy (complete) (total) Other operations on pineal gland

Hypophysectomy 07.61 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) 07.62 Partial excision of pituitary gland, transsphenoidal approach

Excludes: biopsy of pituitary gland, transsphenoidal approach (07.14) 07.63 Partial excision of pituitary gland, unspecified approach

Excludes: biopsy of pituitary gland NOS (07.15) 07.64 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

07.65 07.68 07.69

07.7

Other operations on hypophysis 07.71 Exploration of pituitary fossa

Excludes: exploration with incision of pituitary gland (07.72) 07.72 Incision of pituitary gland Aspiration of: craniobuccal pouch craniopharyngioma hypophysis pituitary gland Rathke's pouch Other Insertion of pack into sella turcica

07.79 07.8

Thymectomy

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

07.80 07.81

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) 07.82 Other total excision of thymus Open total excision of thymus

Excludes: thoracoscopic total excision of thymus (07.84) 07.83Thoracoscopic partial excision of thymus Excludes: other partial excision of thymus (07.81) 07.84Thoracoscopic total excision of thymus Excludes: other total excision of thymus (07.82) 07.9 Other operations on thymus 07.91 Exploration of thymus field

Excludes: exploration with incision of thymus (07.92) 07.92 Other incision of thymus Open incision of thymus

Excludes: thoracoscopic incision of thymus (07.95) 07.93 07.94 07.95 Repair of thymus Transplantation of thymus Thoracoscopic incision of thymus

Excludes: other incision of thymus (07.92) 07.98Other and unspecified thoracoscopic operations on thymus 07.99 Other and unspecified operations on thymus Transcervical thymectomy

Excludes: other thoracoscopic operations on thymus (07.98) 3. OPERATIONS ON THE EYE (08-16)

08

Operations on eyelids

Includes: operations on the eyebrow 08.0 Incision of eyelid 08.01 08.02 08.09 08.1 Incision of lid margin Severing of blepharorrhaphy Other incision of eyelid

Diagnostic procedures on eyelid

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

08.11 08.19 08.2

Biopsy of eyelid Other diagnostic procedures on eyelid

Excision or destruction of lesion or tissue of eyelid 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

Code also any synchronous reconstruction (08.61-08.74) Excludes:

08.20 08.21 08.22

08.23 08.24

08.25 08.3

Repair of blepharoptosis and lid retraction 08.31 08.32 08.33 08.34 08.35 08.36 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

08.37 08.38 08.4

Repair of entropion or ectropion 08.41 08.42 08.43 08.44 08.49 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

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08.51 08.52

Canthotomy Enlargement of palpebral fissure Blepharorrhaphy Canthorrhaphy Tarsorrhaphy Other Canthoplasty NOS Repair of epicanthal fold

08.59

08.6

Reconstruction of eyelid with flaps or grafts 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

Excludes:

08.61 08.62 08.63 08.64 08.69 08.7

Other reconstruction of eyelid 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

Excludes:

08.70 08.71 08.72 08.73 08.74 08.8

Other repair of eyelid 08.81 08.82 08.83 08.84 08.85 08.86 08.87 08.89 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

08.9

Other operations on eyelids 08.91 08.92 Electrosurgical epilation of eyelid Cryosurgical epilation of eyelid

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

08.93 08.99 09 09.0 09.1

Other epilation of eyelid Other

Operations on lacrimal system Incision of lacrimal gland Incision of lacrimal cyst (with drainage) Diagnostic procedures on lacrimal system 09.11 09.12 09.19 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 09.20 09.21 Excision of lacrimal gland, not otherwise specified Excision of lesion of lacrimal gland

Excludes: biopsy of lacrimal gland (09.11) 09.22 Other partial dacryoadenectomy

Excludes: biopsy of lacrimal gland (09.11) 09.23 09.3 09.4 Total dacryoadenectomy

Other operations on lacrimal gland Manipulation of lacrimal passage removal of calculus that with dilation contrast dacryocystogram (87.05) Probing of lacrimal punctum Probing of lacrimal canaliculi Probing of nasolacrimal duct

Includes: Excludes:

09.41 09.42 09.43

Excludes: that with insertion of tube or stent (09.44) 09.44 09.49 09.5 Intubation of nasolacrimal duct Insertion of stent into nasolacrimal duct Other manipulation of lacrimal passage

Incision of lacrimal sac and passages 09.51 09.52 09.53 Incision of lacrimal punctum Incision of lacrimal canaliculi Incision of lacrimal sac

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

09.59 09.6

Other incision of lacrimal passages Incision (and drainage) of nasolacrimal duct NOS

Excision of lacrimal sac and passage biopsy of lacrimal sac (09.12)

Excludes: 09.7

Repair of canaliculus and punctum repair of eyelid (08.81-08.89) Correction of everted punctum Other repair of punctum Repair of canaliculus

Excludes:

09.71 09.72 09.73 09.8

Fistulization of lacrimal tract to nasal cavity 09.81 09.82 Dacryocystorhinostomy [DCR] Conjunctivocystorhinostomy Conjunctivodacryocystorhinostomy [CDCR]

Excludes: that with insertion of tube or stent (09.83) 09.83 09.9 Conjunctivorhinostomy with insertion of tube or stent

Other operations on lacrimal system 09.91 09.99 Obliteration of lacrimal punctum Other

10 10.0

Operations on conjunctiva Removal of embedded foreign body from conjunctiva by incision removal of: embedded foreign body without incision (98.22) superficial foreign body (98.21)

Excludes:

10.1 10.2

Other incision of conjunctiva Diagnostic procedures on conjunctiva 10.21 10.29 Biopsy of conjunctiva Other diagnostic procedures on conjunctiva

10.3

Excision or destruction of lesion or tissue of conjunctiva 10.31 Excision of lesion or tissue of conjunctiva Excision of ring of conjunctiva around cornea

Excludes: biopsy of conjunctiva (10.21) 10.32 Destruction of lesion of conjunctiva

Excludes: excision of lesion (10.31) thermocauterization for entropion (08.41) 10.33 Other destructive procedures on conjunctiva Removal of trachoma follicles

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

10.4

Conjunctivoplasty 10.41 10.42 Repair of symblepharon with free graft Reconstruction of conjunctival cul-de-sac with free graft

Excludes: revision of enucleation socket with graft (16.63) 10.43 Other reconstruction of conjunctival cul-de-sac

Excludes: revision of enucleation socket (16.64) 10.44 10.49 Other free graft to conjunctiva Other conjunctivoplasty

Excludes: repair of cornea with conjunctival flap (11.53) 10.5 10.6 Lysis of adhesions of conjunctiva and eyelid Division of symblepharon (with insertion of conformer) Repair of laceration of conjunctiva that with repair of sclera (12.81)

Excludes: 10.9

Other operations on conjunctiva 10.91 10.99 Subconjunctival injection Other

11 11.0

Operations on cornea Magnetic removal of embedded foreign body from cornea that with incision (11.1)

Excludes: 11.1 11.2

Incision of cornea Incision of cornea for removal of foreign body Diagnostic procedures on cornea 11.21 11.22 11.29 Scraping of cornea for smear or culture Biopsy of cornea Other diagnostic procedures on cornea

11.3

Excision of pterygium 11.31 11.32 11.39 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 11.41 Mechanical removal of corneal epithelium That by chemocauterization

Excludes: that for smear or culture (11.21) 11.42 Thermocauterization of corneal lesion

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

11.43 11.49

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 11.51 11.52 11.53 11.59 11.6 Suture of corneal laceration Repair of postoperative wound dehiscence of cornea Repair of corneal laceration or wound with conjunctival flap Other repair of cornea

Corneal transplant excision of pterygium with corneal graft (11.32) Corneal transplant, not otherwise specified Keratoplasty NOS

Excludes:

11.60

Note: To report donor source - see codes 00.91-00.93 11.61 11.62 11.63 11.64 11.69 11.7 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

Other reconstructive and refractive surgery on cornea 11.71 11.72 11.73 11.74 11.75 11.76 11.79 Keratomileusis Keratophakia Keratoprosthesis Thermokeratoplasty Radial keratotomy Epikeratophakia Other

11.9

Other operations on cornea 11.91 11.92 11.99 Tattooing of cornea Removal of artificial implant from cornea Other

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

12

Operations on iris, ciliary body, sclera, and anterior chamber operations on cornea (11.0-11.99)

Excludes: 12.0

Removal of intraocular foreign body from anterior segment of eye 12.00 12.01 12.02 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 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 Other iridotomy Corectomy Discission of iris Iridotomy NOS Excision of prolapsed iris Other iridectomy Iridectomy (basal) (peripheral) (total)

Excludes:

12.11 12.12

12.13 12.14 12.2

Diagnostic procedures on iris, ciliary body, sclera, and anterior chamber 12.21 12.22 12.29 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 12.31 12.32 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

12.33 12.34 12.35 12.39 12.4

Excision or destruction of lesion of iris and ciliary body

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

12.40 12.41

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

12.42

Excludes: biopsy of iris (12.22) 12.43 12.44 12.5 Destruction of lesion of ciliary body, nonexcisional Excision of lesion of ciliary body

Facilitation of intraocular circulation 12.51 12.52 12.53 12.54 12.55 12.59 Goniopuncture without goniotomy Goniotomy without goniopuncture Goniotomy with goniopuncture Trabeculotomy ab externo Cyclodialysis Other facilitation of intraocular circulation

12.6

Scleral fistulization 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:

12.61 12.62 12.63 12.64 12.65 12.66

Excludes: repair of fistula (12.82) 12.67 Insertion of aqueous drainage device Anterior chamber drainage device Aqueous drainage shunt or stent Eye valve implant Filtration canal shunt or device Other fistulizing procedure

12.69 12.7

Other procedures for relief of elevated intraocular pressure 12.71 12.72 Cyclodiathermy Cyclocryotherapy

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

12.73 12.74 12.79 12.8

Cyclophotocoagulation Diminution of ciliary body, not otherwise specified Other glaucoma procedures

Operations on sclera 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:

12.81 12.82

Excludes: postoperative revision of scleral fistulization procedure (12.66) 12.83 Revision of operative wound of anterior segment, not elsewhere classified

Excludes: postoperative revision of scleral fistulization procedure (12.66) 12.84 12.85 12.86 12.87 12.88 12.89 12.9 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

Other operations on iris, ciliary body, and anterior chamber 12.91 Therapeutic evacuation of anterior chamber Paracentesis of anterior chamber

Excludes: diagnostic aspiration (12.21) 12.92 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

12.93

Excludes: that with iridectomy (12.41-12.42) 12.97 12.98 12.99 13 13.0 Other operations on iris Other operations on ciliary body Other operations on anterior chamber

Operations on lens Removal of foreign body from lens removal of pseudophakos (13.8)

Excludes:

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

13.00 13.01 13.02 13.1

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

Intracapsular extraction of lens

Code also any synchronous insertion of pseudophakos (13.71) 13.11 13.19 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

13.2

Extracapsular extraction of lens by linear extraction technique

Code also any synchronous insertion of pseudophakos (13.71) 13.3 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) 13.41 13.42 Phacoemulsification and aspiration of cataract Mechanical phacofragmentation and aspiration of cataract by posterior route

Code also any synchronous vitrectomy (14.74) 13.43 13.5 Mechanical phacofragmentation and other aspiration of cataract

Other extracapsular extraction of lens

Code also any synchronous insertion of pseudophakos (13.71) 13.51 13.59 13.6 Extracapsular extraction of lens by temporal inferior route Other extracapsular extraction of lens

Other cataract extraction

Code also any synchronous insertion of pseudophakos (13.71) 13.64 13.65 13.66 13.69 13.7 Discission of secondary membrane [after cataract] Excision of secondary membrane [after cataract] Capsulectomy Mechanical fragmentation of secondary membrane [after cataract] Other cataract extraction

Insertion of prosthetic lens [pseudophakos]

Excludes: implantation of intraocular telescope prosthesis (13.91) 13.70 Insertion of pseudophakos, not otherwise specified

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

13.71

Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage

Code also synchronous extraction of cataract (13.11-13.69) 13.72 13.8 13.9 Secondary insertion of intraocular lens prosthesis

Removal of implanted lens Removal of pseudophakos Other operations on lens 13.90 13.91 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) 14 14.0 Operations on retina, choroid, vitreous, and posterior chamber Removal of foreign body from posterior segment of eye 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

Excludes:

14.00 14.01 14.02 14.1

Diagnostic procedures on retina, choroid, vitreous, and posterior chamber 14.11 14.19 Diagnostic aspiration of vitreous Other diagnostic procedures on retina, choroid, vitreous, and posterior chamber

14.2

Destruction of lesion of retina and choroid destruction of chorioretinopathy or isolated chorioretinal lesion 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

Includes: Excludes:

14.21 14.22 14.23 14.24 14.25 14.26 14.27 14.29 14.3

Repair of retinal tear repair of retinal defect

Includes:

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

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

14.31 14.32 14.33 14.34 14.35 14.39 14.4

Repair of retinal detachment with scleral buckling and implant 14.41 14.49 Scleral buckling with implant Other scleral buckling Scleral buckling with: air tamponade resection of sclera vitrectomy

14.5

Other repair of retinal detachment 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

Includes:

14.51 14.52 14.53 14.54 14.55 14.59 14.6 14.7

Removal of surgically implanted material from posterior segment of eye Operations on vitreous 14.71 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

14.72 14.73 14.74 14.75

Excludes: that associated with removal (14.71-14.72) 14.79 14.9 Other operations on vitreous

Other operations on retina, choroid, and posterior chamber

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

15 15.0

Operations on extraocular muscles Diagnostic procedures on extraocular muscles or tendons 15.01 15.09 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 15.11 15.12 15.13 15.19 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 15.21 15.22 15.29 15.3 15.4 15.5 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 that for correction of ptosis (08.31-08.36)

Excludes: 15.6 15.7

Revision of extraocular muscle surgery 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 Operations on orbit and eyeball reduction of fracture of orbit (76.78-76.79)

15.9 16

Excludes: 16.0

Orbitotomy 16.01 16.02 Orbitotomy with bone flap Orbitotomy with lateral approach Orbitotomy with insertion of orbital implant

Excludes: that with bone flap (16.01) 16.09 16.1 Other orbitotomy

Removal of penetrating foreign body from eye, not otherwise specified

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

Excludes: 16.2

removal of nonpenetrating foreign body (98.21)

Diagnostic procedures on orbit and eyeball 16.21 16.22 16.23 16.29 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 16.31 16.39 16.4 Removal of ocular contents with synchronous implant into scleral shell Other evisceration of eyeball

Enucleation of eyeball 16.41 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

16.42 16.49 16.5

Exenteration of orbital contents 16.51 16.52 16.59 Exenteration of orbit with removal of adjacent structures Radical orbitomaxillectomy 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 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

Excludes:

16.61 16.62 16.63 16.64

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

16.65 16.66 16.69 16.7

Secondary graft to exenteration cavity Other revision of exenteration cavity Other secondary procedures after removal of eyeball

Removal of ocular or orbital implant 16.71 16.72 Removal of ocular implant Removal of orbital implant

16.8

Repair of injury of eyeball and orbit 16.81 Repair of wound of orbit

Excludes: reduction of orbital fracture (76.78-76.79) repair of extraocular muscles (15.7) 16.82 Repair of rupture of eyeball Repair of multiple structures of eye

Excludes: repair of laceration of: cornea (11.51-11.59) sclera (12.81) 16.89 16.9 Other repair of injury of eyeball or orbit

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) 16.92 Excision of lesion of orbit

Excludes: biopsy of orbit (16.23) 16.93 Excision of lesion of eye, unspecified structure

Excludes: biopsy of eye NOS (16.23) 16.98 16.99 Other operations on orbit Other operations on eyeball

3A. OTHER MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (17)

17

Other miscellaneous procedures

17.1 Laparoscopic unilateral repair of inguinal hernia Excludes: other and open unilateral repair of hernia (53.00-53.05) 17.11 Laparoscopic repair of direct inguinal hernia with graft or prosthesis

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

Laparoscopic repair of direct and indirect inguinal hernia with graft or prosthesis 17.12 17.13 Laparoscopic repair of indirect inguinal hernia with graft or prosthesis Laparoscopic repair of inguinal hernia with graft or prosthesis, not otherwise specified

17.2 Laparoscopic bilateral repair of inguinal hernia Excludes: other and open bilateral repair of hernia (53.10-53.17) 17.21 17.22 17.23 17.24 Laparoscopic bilateral repair of direct inguinal hernia with graft or prosthesis Laparoscopic bilateral repair of indirect inguinal hernia with graft or prosthesis Laparoscopic bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis Laparoscopic bilateral repair of inguinal hernia with graft or prosthesis, not otherwise specified

17.3 Laparoscopic partial excision of large intestine Excludes: other and open partial excision of large intestine (45.71-45.79) 17.31 17.32 17.33 17.34 17.35 17.36 17.39 17.4 Laparoscopic multiple segmental resection of large intestine Laparoscopic cecectomy Laparoscopic right hemicolectomy Laparoscopic resection of transverse colon Laparoscopic left hemicolectomy Laparoscopic sigmoidectomy Other laparoscopic partial excision of large intestine

Robotic assisted procedures Computer assisted robotic surgery Computer-enhanced robotic surgery Robotic procedure with computer assistance Surgeon-controlled robotic surgery Code first primary procedure Excludes: computer assisted surgery (00.31-00.35, 00.39) Note: This category includes use of a computer console with (3-D) imaging, software, camera(s), visualization and instrumentation combined with the use of robotic arms, device(s), or system(s) at the time of the procedure. 17.41 17.42 17.43 17.44 17.45 Open robotic assisted procedure Robotic assistance in open procedure Laparoscopic robotic assisted procedure Robotic assistance in laparoscopic procedure Percutaneous robotic assisted procedure Robotic assistance in percutaneous procedure Endoscopic robotic assisted procedure Robotic assistance in endoscopic procedure Thoracoscopic robotic assisted procedure

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

Robotic assistance in thoracoscopic procedure 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 17.51 Implantation of rechargeable cardiac contractility modulation [CCM], total system 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) 17.52 Implantation or replacement of cardiac contractility modulation [CCM] rechargeable pulse generator only 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) 17.53 Percutaneous atherectomy of extracranial vessel(s) Directional atherectomy Excimer laser atherectomy Rotational atherectomy That by laser That by transluminal extraction 17.49

Note: Device testing during procedure - omit code

Note: Device testing during procedure - omit code

Code also any: injection or infusion of thrombolytic agent (99.10) number of vascular stents inserted (00.45-00.48) number of vessels treated (00.40-00.43) percutaneous insertion of carotid artery stent(s) (00.63) percutaneous insertion of other extracranial artery stent(s) (00.64) procedure on vessel bifurcation (00.44) Excludes: angioplasty of other non-coronary vessel(s) (39.50) atherectomy of intracranial vessel(s) (17.54) atherectomy of other non-coronary vessel(s) (17.56) 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)

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

17.54

Percutaneous atherectomy of intracranial vessel(s) Directional atherectomy Excimer laser atherectomy Rotational atherectomy That by laser That by transluminal extraction

Code also any: injection or infusion of thrombolytic agent (99.10) number of vascular stents inserted (00.45-00.48) number of vessels treated (00.40-00.43) percutaneous insertion of intracranial vascular stent(s) (00.65) procedure on vessel bifurcation (00.44) Excludes: angioplasty of other non-coronary vessel(s) (39.50) atherectomy of extracranial vessel(s) (17.53) atherectomy of non-coronary vessel(s) (17.56) 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) 17.55 Transluminal coronary atherectomy Directional atherectomy Excimer laser atherectomy Rotational atherectomy That by laser That by percutaneous approach That by transluminal extraction

Code also any: injection or infusion of thrombolytic agent (99.10) insertion of coronary artery stent (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) transluminal coronary angioplasty (00.66) 17.56 Atherectomy of other non-coronary vessel(s) Percutaneous transluminal atherectomy of: lower extremity vessels mesenteric artery renal artery upper extremity vessels Includes: Directional atherectomy Excimer laser atherectomy Rotational atherectomy That by laser That by transluminal extraction

Code also any: injection or infusion of thrombolytic agent (99.10) insertion of drug-eluting peripheral vessel stent (00.55) insertion of non-drug-eluting peripheral vessel stent(s) or stent graft(s) (39.90) number of vascular stents inserted (00.45-00.48) number of vessels treated (00.40-00.43) procedure on vessel bifurcation (00.44)

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

Excludes: percutaneous angioplasty of extracranial or intracranial vessel(s) (00.61-00.62) percutaneous angioplasty of other non-coronary vessel(s) (39.50) percutaneous atherectomy of extracranial vessel(s) (17.53) percutaneous atherectomy of intracranial vessel(s) (17.54) 17.6 Laser interstitial thermal therapy [LITT] under guidance Focused laser interstitial thermal therapy [f-LITT] under MRI guidance MRI-guided LITT 17.61 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 or tissue of head under guidance (17.62) 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) 17.63 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

17.69

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) 17.71 Non-coronary intra-operative fluorescence vascular angiography [IFVA] Intraoperative laser arteriogram SPY arteriogram SPY arteriography

Excludes: intra-operative coronary fluorescence vascular angiography (88.59) 17.8 Other adjunct procedures Note: These codes are to be used in conjunction with other therapeutic procedure codes to provide additional information on devices used as part of a procedure. 17.81 Insertion of antimicrobial envelope Use of anti-microbial (mesh) (prophylactic antibiotics embedded) envelope with the insertion of cardiovascular implantable electronic device(s) [CIED]

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

Code first primary procedure: Insertion of cardiovascular implantable electronic device(s) [CIED] (00.51, 00.53, 00.54, 37.94, 37.96, 37.98) 4. OPERATIONS ON THE EAR (18-20)

18

Operations on external ear operations on: external auditory canal skin and cartilage of: auricle meatus

Includes:

18.0

Incision of external ear removal of intraluminal foreign body (98.11) Piercing of ear lobe Piercing of pinna Incision of external auditory canal Other incision of external ear

Excludes:

18.01 18.02 18.09 18.1

Diagnostic procedures on external ear 18.11 18.12 18.19 Otoscopy Biopsy of external ear 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 18.21 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

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

Excludes:

biopsy of external ear (18.12) Radical excision of lesion of external ear

18.31

Excludes: radical excision of preauricular sinus (18.21) 18.39 Other Amputation of external ear

Excludes: excision of lesion (18.21-18.29, 18.31) 18.4 18.5 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) Other plastic repair of external ear 18.71 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

18.6

18.7

18.72 18.79

18.9

Other operations on external ear irrigation of ear (96.52) packing of external auditory canal (96.11) removal of: cerumen (96.52) foreign body (without incision) (98.11)

Excludes:

19 19.0

Reconstructive operations on middle ear Stapes mobilization Division, otosclerotic: material process Remobilization of stapes Stapediolysis Transcrural stapes mobilization that with synchronous stapedectomy (19.11-19.19)

Excludes: 19.1

Stapedectomy

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

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

19.11

19.19 19.2

Revision of stapedectomy 19.21 19.29 Revision of stapedectomy with incus replacement Other revision of stapedectomy

19.3

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) Other tympanoplasty 19.52 19.53 19.54 19.55 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

19.4

19.5

19.6 19.9

Revision of tympanoplasty Other repair of middle ear Closure of mastoid fistula Mastoid myoplasty Obliteration of tympanomastoid cavity Other operations on middle and inner ear Myringotomy 20.01 20.09 Myringotomy with insertion of tube Myringostomy Other myringotomy Aspiration of middle ear NOS

20 20.0

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20.1 20.2

Removal of tympanostomy tube Incision of mastoid and middle ear 20.21 20.22 20.23 Incision of mastoid Incision of petrous pyramid air cells Incision of middle ear Atticotomy Division of tympanum Lysis of adhesions of middle ear

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 20.32 20.39 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

20.41 20.42 20.49

20.5

Other excision of middle ear that with synchronous mastoidectomy (20.41-20.49) Excision of lesion of middle ear

Excludes:

20.51

Excludes: biopsy of middle ear (20.32) 20.59 Other Apicectomy of petrous pyramid Tympanectomy

20.6

Fenestration of inner ear 20.61 Fenestration of inner ear (initial) Fenestration of: labyrinth with graft (skin) (vein)

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

semicircular canals with graft (skin) (vein) vestibule with graft (skin) (vein) Excludes: that with tympanoplasty, type V (19.55) 20.62 20.7 Revision of fenestration of inner ear

Incision, excision, and destruction of inner ear 20.71 20.72 Endolymphatic shunt Injection into inner ear Destruction by injection (alcohol): inner ear semicircular canals vestibule 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

20.79

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 Other operations on inner and middle ear 20.91 20.92 20.93 Tympanosympathectomy Revision of mastoidectomy Repair of oval and round windows Closure of fistula: oval window perilymph round window Injection of tympanum Implantation of electromagnetic hearing device Bone conduction hearing device

20.9

20.94 20.95

Excludes: cochlear prosthetic device (20.96-20.98) 20.96 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)

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ICD-9-CM TABULAR LIST OF PROCEDURES oleh www.infokes.tk

20.97

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) 20.98 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) 20.99 Other operations on middle and inner ear Attachment of percutaneous abutment (screw) for prosthetic device Repair or removal of cochlear prosthetic device (receiver) (electrode)

Excludes: adjustment (external components) of cochlear prosthetic device (95.49) fitting of hearing aid (95.48) 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 21.01 21.02 21.03 21.04 21.05 21.06 21.07 21.09 21.1 Control of epistaxis, not otherwise specified Control of epistaxis by anterior nasal packing Control of epistaxis by posterior (and anterior) packing 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

Incision of nose Chondrotomy Incision of skin of nose Nasal septotomy Diagnostic procedures on nose 21.21 21.22 Rhinoscopy Biopsy of nose

21.2

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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 biopsy of nose (21.22) nasal fistulectomy (21.82) Excision or destruction of lesion of nose, not otherwise specified Local excision or destruction of intranasal lesion Nasal polypectomy Local excision or destruction of other lesion of nose

Excludes:

21.30 21.31 21.32 21.4 21.5 21.6

Resection of nose Amputation of nose Submucous resection of nasal septum Turbinectomy 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 21.72 21.8 Closed reduction of nasal fracture Open reduction of nasal fracture

Repair and plastic operations on the nose 21.81 21.82 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

21.83

21.84

21.85

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synthetic implant 21.86 Limited rhinoplasty Plastic repair of nasolabial flaps Tip rhinoplasty Other rhinoplasty Rhinoplasty NOS Other septoplasty Crushing of nasal septum Repair of septal perforation

21.87 21.88

Excludes: septoplasty associated with submucous resection of septum (21.5) 21.89 21.9 Other repair and plastic operations on nose Reattachment of amputated nose

Other operations on nose 21.91 21.99 Lysis of adhesions of nose Posterior nasal scrub 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 22.0 Operations on nasal sinuses Aspiration and lavage of nasal sinus 22.00 22.01 22.02 22.1 Aspiration and lavage of nasal sinus, not otherwise specified Puncture of nasal sinus for aspiration or lavage Aspiration or lavage of nasal sinus through natural ostium

Diagnostic procedures on nasal sinus 22.11 22.12 22.19 Closed [endoscopic] [needle] biopsy of nasal sinus Open biopsy of nasal sinus 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 antrotomy with external approach (22.31-22.39)

Excludes: 22.3

External maxillary antrotomy 22.31 Radical maxillary antrotomy Removal of lining membrane of maxillary sinus using Caldwell-Luc approach

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22.39 22.4

Other external maxillary antrotomy Exploration of maxillary antrum with Caldwell-Luc approach

Frontal sinusotomy and sinusectomy 22.41 22.42 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 22.50 22.51 22.52 22.53 22.6 Sinusotomy, not otherwise specified Ethmoidotomy Sphenoidotomy Incision of multiple nasal sinuses

Other nasal sinusectomy that with incidental turbinectomy 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

Includes: Excludes:

22.60 22.61 22.62 22.63 22.64 22.7

Repair of nasal sinus 22.71 22.79 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

22.9

Other operations on nasal sinuses Exteriorization of maxillary sinus Fistulization of sinus dilation of frontonasal duct (96.21)

Excludes: 23 23.0

Removal and restoration of teeth Forceps extraction of tooth 23.01 23.09 Extraction of deciduous tooth Extraction of other tooth Extraction of tooth NOS

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23.1

Surgical removal of tooth 23.11 23.19 Removal of residual root Other surgical extraction of tooth Odontectomy NOS Removal of impacted tooth Tooth extraction with elevation of mucoperiosteal flap

23.2 23.3 23.4

Restoration of tooth by filling Restoration of tooth by inlay Other dental restoration 23.41 23.42 23.43 23.49 Application of crown Insertion of fixed bridge Insertion of removable bridge Other

23.5 23.6 23.7

Implantation of tooth Prosthetic dental implant Endosseous dental implant Apicoectomy and root canal therapy 23.70 23.71 23.72 23.73 Root canal, not otherwise specified Root canal therapy with irrigation Root canal therapy with apicoectomy Apicoectomy

24 24.0 24.1

Other operations on teeth, gums, and alveoli Incision of gum or alveolar bone Apical alveolotomy Diagnostic procedures on teeth, gums, and alveoli 24.11 24.12 24.19 Biopsy of gum Biopsy of alveolus 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) 24.2 Gingivoplasty Gingivoplasty with bone or soft tissue graft

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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 24.39 24.4 24.5 Suture of laceration of gum 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 24.7 Exposure of tooth Application of orthodontic appliance Application, insertion, or fitting of: arch bars orthodontic obturator orthodontic wiring periodontal splint nonorthodontic dental wiring (93.55)

Excludes: 24.8

Other orthodontic operation Closure of diastema (alveolar) (dental) Occlusal adjustment Removal of arch bars Repair of dental arch removal of nonorthodontic wiring (97.33)

Excludes: 24.9

Other dental operations 24.91 24.99 Extension or deepening of buccolabial or lingual sulcus 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

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25.0

Diagnostic procedures on tongue 25.01 25.02 25.09 Closed [needle] biopsy of tongue Open biopsy of tongue Wedge biopsy Other diagnostic procedures on tongue

25.1

Excision or destruction of lesion or tissue of tongue

Excludes:biopsy of tongue (25.01-25.02) frenumectomy: labial (27.41) lingual (25.92) 25.2 25.3 Partial glossectomy Complete glossectomy Glossectomy NOS

Code also any neck dissection (40.40-40.42) 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 25.59 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 25.94 25.99 26 Lysis of adhesions of tongue Other glossotomy Other

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

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Code also any neck dissection (40.40-40.42) 26.0 26.1 Incision of salivary gland or duct Diagnostic procedures on salivary glands and ducts 26.11 26.12 26.19 Closed [needle] biopsy of salivary gland or duct Open biopsy of salivary gland or duct Other diagnostic procedures on salivary glands and ducts

Excludes: x-ray of salivary gland (87.09) 26.2 Excision of lesion of salivary gland 26.21 26.29 Marsupialization of salivary gland cyst Other excision of salivary gland lesion

Excludes: biopsy of salivary gland (26.11-26.12) salivary fistulectomy (26.42) 26.3 Sialoadenectomy 26.30 26.31 26.32 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 26.41 26.42 26.49 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 26.99 Probing of salivary duct Other

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)

27.0

Drainage of face and floor of mouth

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Drainage of: facial region (abscess) fascial compartment of face Ludwig's angina Excludes: 27.1 27.2 drainage of thyroglossal tract (06.09)

Incision of palate Diagnostic procedures on oral cavity 27.21 27.22 27.23 27.24 27.29 Biopsy of bony palate Biopsy of uvula and soft palate Biopsy of lip Biopsy of mouth, unspecified structure Other diagnostic procedures on oral cavity

Excludes: soft tissue x-ray (87.09) 27.3 Excision of lesion or tissue of bony palate 27.31 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) 27.32 27.4 Wide excision or destruction of lesion or tissue of bony palate En bloc resection of alveolar process and palate

Excision of other parts of mouth 27.41 Labial frenectomy

Excludes: division of labial frenum (27.91) 27.42 27.43 27.49 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 palatoplasty (27.61-27.69) Suture of laceration of lip

Excludes:

27.51

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27.52 27.53

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) 27.54 27.55 27.56 27.57 27.59 27.6 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

Palatoplasty 27.61 27.62 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) 27.63 Revision of cleft palate repair Secondary: attachment of pharyngeal flap lengthening of palate Insertion of palatal implant Other plastic repair of palate

27.64 27.69

Code also any insertion of palatal implant (27.64) Excludes: fistulectomy of mouth (27.53) 27.7 Operations on uvula 27.71 27.72 Incision of uvula Excision of uvula

Excludes: biopsy of uvula (27.22) 27.73 Repair of uvula

Excludes: that with synchronous cleft palate repair (27.62) uranostaphylorrhaphy (27.62) 27.79 27.9 Other operations on uvula

Other operations on mouth and face 27.91 Labial frenotomy Division of labial frenum

Excludes: lingual frenotomy (25.91) 27.92 Incision of mouth, unspecified structure

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Excludes: incision of: gum (24.0) palate (27.1) salivary gland or duct (26.0) tongue (25.94) uvula (27.71) 27.99 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) 28 28.0 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 Diagnostic procedures on tonsils and adenoids 28.11 28.19 Biopsy of tonsils and adenoids Other diagnostic procedures on tonsils and adenoids

28.1

Excludes: soft tissue x-ray (87.09) 28.2 28.3 28.4 28.5 28.6 28.7 28.9 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 Other operations on tonsils and adenoids 28.91 Removal of foreign body from tonsil and adenoid by incision

Excludes: that without incision (98.13) 28.92 Excision of lesion of tonsil and adenoid

Excludes: biopsy of tonsil and adenoid (28.11) 28.99 29 Other

Operations on pharynx

Includes: operations on: hypopharynx nasopharynx oropharynx

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pharyngeal pouch pyriform sinus 29.0 Pharyngotomy Drainage of pharyngeal bursa incision and drainage of retropharyngeal abscess (28.0) removal of foreign body (without incision) (98.13)

Excludes: 29.1

Diagnostic procedures on pharynx 29.11 29.12 29.19 Pharyngoscopy Pharyngeal biopsy Biopsy of supraglottic mass Other diagnostic procedures on pharynx

Excludes: x-ray of nasopharynx: contrast (87.06) other (87.09) 29.2 Excision of branchial cleft cyst or vestige branchial cleft fistulectomy (29.52)

Excludes: 29.3

Excision or destruction of lesion or tissue of pharynx 29.31 Cricopharyngeal myotomy

Excludes: that with pharyngeal diverticulectomy (29.32) 29.32 29.33 Pharyngeal diverticulectomy Pharyngectomy (partial)

Excludes: laryngopharyngectomy (30.3) 29.39 29.4 Other excision or destruction of lesion or tissue of pharynx

Plastic operation on pharynx Correction of nasopharyngeal atresia pharyngoplasty associated with cleft palate repair (27.62-27.63)

Excludes: 29.5

Other repair of pharynx 29.51 29.52 29.53 29.54 29.59 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 29.92 Dilation of pharynx Dilation of nasopharynx Division of glossopharyngeal nerve

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29.99

Other

Excludes: insertion of radium into pharynx and nasopharynx (92.27) removal of intraluminal foreign body (98.13) 6. OPERATIONS ON THE RESPIRATORY SYSTEM (30-34)

30 30.0

Excision of larynx Excision or destruction of lesion or tissue of larynx 30.01 30.09 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) 30.1 30.2 Hemilaryngectomy Other partial laryngectomy 30.21 30.22 30.29 30.3 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 that with radical neck dissection (30.4)

Excludes: 30.4

Radical laryngectomy Complete [total] laryngectomy with radical neck dissection (with thyroidectomy) (with synchronous tracheostomy) Other operations on larynx and trachea Injection of larynx Injection of inert material into larynx or vocal cords

31 31.0 31.1

Temporary tracheostomy Temporary percutaneous dilatational tracheostomy [PDT] Tracheotomy for assistance in breathing Code also any synchronous bronchoscopy, if performed (33.21-33.24, 33.27) 31.2 Permanent tracheostomy 31.21 31.29 Mediastinal tracheostomy

Other permanent tracheostomy Permanent percutaneous dilatational tracheostomy [PDT] Code also any synchronous bronchoscopy, if performed (33.21-33.24, 33.27)

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Excludes: that with laryngectomy (30.3-30.4) 31.3 Other incision of larynx or trachea that for assistance in breathing (31.1-31.29)

Excludes: 31.4

Diagnostic procedures on larynx and trachea 31.41 Tracheoscopy through artificial stoma

Excludes: that with biopsy (31.43-31.44) 31.42 Laryngoscopy and other tracheoscopy

Excludes: that with biopsy (31.43-31.44) 31.43 31.44 31.45 31.48 Closed [endoscopic] biopsy of larynx Closed [endoscopic] biopsy of trachea Open biopsy of larynx or trachea 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) 31.5 Local excision or destruction of lesion or tissue of trachea biopsy of trachea (31.44-31.45) laryngotracheal fistulectomy (31.62) tracheoesophageal fistulectomy (31.73)

Excludes:

31.6

Repair of larynx 31.61 31.62 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

31.63 31.64 31.69

Excludes: construction of artificial larynx (31.75) 31.7 Repair and plastic operations on trachea 31.71 31.72 Suture of laceration of trachea Closure of external fistula of trachea Closure of tracheotomy

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31.73

Closure of other fistula of trachea Tracheoesophageal fistulectomy

Excludes: laryngotracheal fistulectomy (31.62) 31.74 31.75 31.79 31.9 Revision of tracheostomy Reconstruction of trachea and construction of artificial larynx Tracheoplasty with artificial larynx Other repair and plastic operations on trachea

Other operations on larynx and trachea 31.91 31.92 31.93 31.94 31.95 31.98 Division of laryngeal nerve Lysis of adhesions of trachea or larynx Replacement of laryngeal or tracheal stent Injection of locally-acting therapeutic substance into trachea 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) 31.99 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) 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 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:

32.01 32.09

Excludes: that by endoscopic approach (32.01) 32.1 Other excision of bronchus Resection (wide sleeve) of bronchus radical dissection [excision] of bronchus (32.6)

Excludes:

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32.2

Local excision or destruction of lesion or tissue of lung 32.20Thoracoscopic excision of lesion or tissue of lung Thoracoscopic wedge resection 32.21 32.22 32.23 32.24 32.25 Plication of emphysematous bleb 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) 32.26 Other and unspecified ablation of lung lesion or tissue

Excludes: bronchoscopic bronchial thermoplasty, ablation of smooth airway muscle (32.27) 32.27 32.28 Bronchoscopic bronchial thermoplasty, ablation of airway smooth muscle 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) 32.29 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) laser interstitial thermal therapy [LITT] of lesion or tissue of lung under guidance (17.69) 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 32.30Thoracoscopic segmental resection of lung 32.39Other 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 that with radical dissection [excision] of thoracic structures (32.6)

Excludes:

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32.41Thoracoscopic lobectomy of lung 32.49Other lobectomy of lung Excludes: thoracoscopic lobectomy of lung (32.41) 32.5 Pneumonectomy Excision of lung NOS Pneumonectomy (with mediastinal dissection) 32.50Thoracoscopic pneumonectomy 32.59Other and unspecified pneumonectomy Excludes: thoracoscopic pneumonectomy (32.50) 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 biopsy of lung and bronchus (33.24-33.27) pulmonary decortication (34.51)

32.9

Excludes:

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 33.0 33.1 Incision of bronchus Incision of lung puncture of lung (33.93)

Excludes: 33.2

Diagnostic procedures on lung and bronchus 33.20 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) 33.21 Bronchoscopy through artificial stoma

Excludes: that with biopsy (33.24, 33.27) 33.22 Fiber-optic bronchoscopy

Excludes: that with biopsy (33.24, 33.27) 33.23 Other bronchoscopy

Excludes: that for: aspiration (96.05) biopsy (33.24, 33.27) 33.24 Closed [endoscopic] biopsy of bronchus Bronchoscopy (fiberoptic) (rigid) with: brush biopsy of "lung" brushing or washing for specimen collection

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excision (bite) biopsy Diagnostic bronchoalveolar lavage (BAL) Mini-bronchoalveolar lavage [mini-BAL] Transbronchoscopic needle aspiration [TBNA] of bronchus Excludes: closed biopsy of lung, other than brush biopsy of "lung" (33.26, 33.27) whole lung lavage (33.99) 33.25 Open biopsy of bronchus

Excludes: open biopsy of lung (33.28) 33.26 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) 33.27 Closed endoscopic biopsy of lung Fiber-optic (flexible) bronchoscopy with fluoroscopic guidance with biopsy Transbronchial lung biopsy Transbronchoscopic needle aspiration [TBNA] of lung

Excludes: brush biopsy of "lung" (33.24) percutaneous biopsy of lung (33.26) thoracoscopic lung biopsy (33.20) 33.28 33.29 Open biopsy of lung Other diagnostic procedures on lung and bronchus

Excludes: bronchoalveolar lavage [BAL] (33.24) contrast bronchogram: endotracheal (87.31) other (87.32) endoscopic pulmonary airway flow measurement (33.72) 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 33.32 33.33 33.34 33.39 33.4 Destruction of phrenic nerve for collapse of lung Artificial pneumothorax for collapse of lung Thoracotomy for collapse of lung Pneumoperitoneum for collapse of lung Thoracoplasty Other surgical collapse of lung Collapse of lung NOS

Repair and plastic operation on lung and bronchus 33.41 Suture of laceration of bronchus

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33.42

Closure of bronchial fistula Closure of bronchostomy Fistulectomy: bronchocutaneous bronchoesophageal bronchovisceral

Excludes: closure of fistula: bronchomediastinal (34.73) bronchopleural (34.73) bronchopleuromediastinal (34.73) 33.43 33.48 33.49 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) 33.5 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) 33.50 33.51 33.52 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 Excludes Other endoscopic procedures in bronchus or lung insertion of tracheobronchial stent (96.05)

33.71 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) Endoscopic pulmonary airway flow measurement Assessment of pulmonary airway flow Code also any diagnostic or therapeutic procedure if performed 33.73 Endoscopic insertion or replacement of bronchial valve(s), multiple lobes Endobronchial airflow redirection valve Intrabronchial airflow redirection valve Excludes: endoscopic insertion or replacement of bronchial valve(s), single lobe (33.71) 33.78 Endoscopic removal of bronchial device(s) or substances 33.72

33.79 Endoscopic insertion of other bronchial device or substances

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Biologic Lung Volume Reduction NOS (BLVR) 33.9 Other operations on lung and bronchus 33.91 33.92 33.93 Bronchial dilation Ligation of bronchus Puncture of lung

Excludes: needle biopsy (33.26) 33.98 Other operations on bronchus

Excludes: bronchial lavage (96.56) removal of intraluminal foreign body from bronchus without incision (98.15) 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 operations on breast (85.0-85.99)

Excludes: 34.0

Incision of chest wall and pleura that as operative approach -- omit code Incision of chest wall Extrapleural drainage

Excludes:

34.01

Excludes: incision of pleura (34.09) 34.02 34.03 34.04 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

34.06Thoracoscopic 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) 34.1 Incision of mediastinum mediastinoscopy (34.22)

Code also any biopsy, if performed Excludes:

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mediastinotomy associated with pneumonectomy (32.5) 34.2 Diagnostic procedures on chest wall, pleura, mediastinum, and diaphragm 34.20Thoracoscopic pleural biopsy 34.21 34.22 Transpleural thoracoscopy Mediastinoscopy

Code also any biopsy, if performed 34.23 34.24 Biopsy of chest wall Other pleural biopsy

Excludes: thoracoscopic pleural biopsy (34.20) 34.25 34.26 34.27 34.28 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) 34.29 Other diagnostic procedures on mediastinum

Excludes: mediastinal: pneumogram (87.33) x-ray NEC (87.49) 34.3 Excision or destruction of lesion or tissue of mediastinum biopsy of mediastinum (34.25-34.26) mediastinal fistulectomy (34.73)

Excludes: 34.4

Excision or destruction of lesion of chest wall Excision of lesion of chest wall NOS (with excision of ribs) biopsy of chest wall (34.23) costectomy not incidental to thoracic procedure (77.91)

Excludes:

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excision of lesion of: breast (85.20-85.25) cartilage (80.89) skin (86.2-86.3) fistulectomy (34.73) 34.5 Pleurectomy 34.51 Decortication of lung

Excludes: thoracoscopic decortication of lung (34.52) 34.52Thoracoscopic decortication of lung 34.59 Other excision of pleura Excision of pleural lesion

Excludes: biopsy of pleura (34.24) pleural fistulectomy (34.73) 34.6 Scarification of pleura Pleurosclerosis injection of sclerosing agent (34.92)

Excludes: 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 34.73 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

34.74

34.79 34.8

Operations on diaphragm 34.81 Excision of lesion or tissue of diaphragm

Excludes: biopsy of diaphragm (34.27) 34.82 34.83 Suture of laceration of diaphragm Closure of fistula of diaphragm Thoracicoabdominal fistulectomy Thoracicogastric fistulectomy Thoracicointestinal fistulectomy Other repair of diaphragm

34.84

Excludes: repair of diaphragmatic hernia (53.7-53.82)

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34.85 34.89 34.9

Implantation of diaphragmatic pacemaker Other operations on diaphragm

Other operations on thorax 34.91 34.92 Thoracentesis 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) 34.93 34.99 Repair of pleura Other

Excludes: removal of: mediastinal drain (97.42) sutures (97.43) thoracotomy tube (97.41) 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 any cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61) 35.0 Closed heart valvotomy or transcatheter replacement of heart valve 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 Endovascular replacement of aortic valve Includes that with any balloon valvuloplasty; do not code separately Implantation of transcatheter aortic valve Replacement of aortic valve with tissue graft (autograft) (bioprosthetic) (heterograft) (homograft): transarterial approach transfemoral approach TAVI (transcatheter aortic valve implantation) TAVR (transcatheter aortic valve replacement) Excludes: open and other replacement of heart valve (35.20-35.28)

Excludes:

35.00 35.01 35.02 35.03 35.04 35.05 Note:

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35.06 Note:

Transapical replacement of aortic valve Includes that with any balloon valvuloplasty; do not code separately Implantation of transcatheter aortic valve Replacement of aortic valve with tissue graft (autograft) (bioprosthetic) (heterograft) (homograft): intercostal approach transventricular approach That via transthoracic exposure, i.e. thoracotomy, sternotomy, or subxiphoid approach

Excludes: open and other replacement of heart valve (35.20-35.28) 35.07 Note: Endovascular replacement of pulmonary valve Includes that with any balloon valvuloplasty; do not code separately Implantation of transcatheter pulmonary valve PPVI (percutaneous pulmonary valve implantation) Replacement of pulmonary valve: transfemoral approach transvenous approach That within previously created right ventricle-to pulmonary artery conduit TPVI (transcatheter pulmonary valve implantation) Excludes: open and other replacement of heart valve (35.20-35.28) 35.08 Note: Transapical replacement of pulmonary valve Includes that with any balloon valvuloplasty; do not code separately Implantation of transcatheter pulmonary valve Replacement of pulmonary valve: intercostal approach transventricular approach That via transthoracic exposure, i.e. thoracotomy, sternotomy, or subxiphoid approach Excludes: open and other replacement of heart valve (35.20-35.28) 35.09 Note: Endovascular replacement of unspecified heart valve Includes that with any balloon valvuloplasty; do not code separately Replacement of valve via: intercostal approach transventricular approach Excludes: open and other replacement of heart valve (35.20-35.28) 35.1 Open heart valvuloplasty without replacement open heart valvotomy 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)

Includes: Excludes:

Code also cardiopulmonary bypass if performed [extracorporeal circulation] [heart-lung machine] (39.61) 35.10 35.11 35.12 35.13 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

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35.14 35.2

Open heart valvuloplasty of tricuspid valve without replacement

Open and other replacement of heart valve excision of heart valve with replacement that associated with repair of: endocardial cushion defect (35.54, 35.63, 35.73) transapical replacement of heart valve (35.06, 35.08) transcatheter replacement of heart valve (35.05, 35.07) valvular defect associated with atrial and ventricular septal defects (35.54, 35.63, 35.73) Open and other replacement of unspecified heart valve That with tissue graft or prosthetic implant

Includes: Excludes:

Code also cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61)

35.20

Excludes: endovascular replacement of unspecified heart valve (35.09) 35.21 Open and other replacement of aortic valve with tissue graft Includes that by: autograft heterograft homograft

Excludes: endovascular replacement of aortic valve (35.05) transapical replacement of aortic valve (35.06) 35.22 Open and other replacement of aortic valve Replacement of aortic valve, NOS That with prosthetic (partial) (synthetic) (total)

Excludes: endovascular replacement of aortic valve (35.05) transapical replacement of aortic valve (35.06) 35.23 Open and other replacement of mitral valve with tissue graft Includes that by: autograft heterograft homograft Open and other replacement of mitral valve Replacement of mitral valve, NOS That with prosthetic (partial) (synthetic) (total)

35.24

Excludes: percutaneous repair with implant or leaflet clip (35.97) 35.25 Open and other replacement of pulmonary valve with tissue graft Includes that by: autograft heterograft homograft

Excludes:endovascular replacement of pulmonary valve (35.07) transapical replacement of pulmonary valve (35.08) 35.26 Open and other replacement of pulmonary valve Replacement of pulmonary valve, NOS That with prosthetic (partial) (synthetic) (total)

Excludes: endovascular replacement of pulmonary valve (35.07) transapical replacement of pulmonary valve (35.08)

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35.27

Open and other replacement of tricuspid valve with tissue graft Includes that by: autograft heterograft homograft Open and other replacement of tricuspid valve Replacement of tricuspid valve, NOS That with prosthetic (partial) (synthetic) (total)

35.28

35.3

Operations on structures adjacent to heart valves

Code also cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61) 35.31 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)

35.32

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

35.42 35.5

Repair of atrial and ventricular septa with prosthesis repair of septa with synthetic implant or patch

Includes:

Code also cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61) 35.50 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) 35.51 Repair of atrial septal defect with prosthesis, open technique Atrioseptoplasty with prosthesis Correction of atrial septal defect with prosthesis

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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) 35.52 35.53 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) 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) 35.55 35.6 Repair of ventricular septal defect with prosthesis, closed technique

Repair of atrial and ventricular septa with tissue graft

Code also cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61) 35.60 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) 35.61 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) 35.62 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)

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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) 35.70 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) 35.71 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) 35.72 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) 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 Note: Total repair of certain congenital cardiac anomalies For partial repair of defect [e.g. repair of atrial septal defect in tetralogy of Fallot] -- code to specific procedure 35.81 Total repair of tetralogy of Fallot One-stage total correction of tetralogy of Fallot with or without: commissurotomy of pulmonary valve infundibulectomy

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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 35.82 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) 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

35.83

35.84

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) 35.91 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

35.92

Excludes: that associated with total repair of truncus arteriosus (35.83) 35.93 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

35.94 35.95

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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) 35.96 Percutaneous balloon valvuloplasty Balloon dilation of valve

Excludes:endovascular replacement of heart valve (35.05, 35.07) mitral valve repair with implant (35.97) transapical replacement of heart valve (35.06, 35.08) 35.97 Percutaneous mitral valve repair with implant Endovascular mitral valve repair Implantation of mitral valve leaflet clip Transcatheter mitral valve repair

Code also any transesophageal echocardiography [TEE] (88.72) Excludes: percutaneous balloon valvuloplasty (35.96) 35.98 35.99 36 Other operations on septa of heart Other operations on valves of heart

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) 36.03 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)

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infusion of thrombolytic agent (99.10) that associated with any procedure in 36.03 36.06 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] (00.66) procedure on vessel bifurcation (00.44) transluminal coronary atherectomy (17.55) Excludes: insertion of drug-eluting coronary artery stent(s) (36.07) 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] (00.66) procedure on vessel bifurcation (00.44) transluminal coronary atherectomy (17.55) Excludes: drug-coated stents, e.g., heparin coated (36.06) insertion of non-drug-eluting coronary artery stent(s) (36.06) 36.09 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] (00.66) transluminal coronary atherectomy (17.55) 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) 36.10 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

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heart muscle with catheter stent, prosthesis, or vein graft myocardial with catheter stent, prosthesis, or vein graft Heart revascularization NOS 36.11 36.12 36.13 36.14 36.15 (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 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

36.16

36.17

36.19 36.2

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 Other heart revascularization 36.31 36.32 36.33 36.34 36.39 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

36.3

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36.9

Other operations on vessels of heart

Code also cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61) 36.91 36.99 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

37

Other operations on heart and pericardium

Code alsoany injection or infusion of platelet inhibitor (99.20) 37.0 37.1 Pericardiocentesis Cardiotomy and pericardiotomy

Code also cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61) 37.10 37.11 Incision of heart, not otherwise specified Cardiolysis NOS Cardiotomy Incision of: atrium endocardium myocardium ventricle Pericardiotomy Pericardial window operation Pericardiolysis Pericardiotomy

37.12

37.2

Diagnostic procedures on heart and pericardium 37.20 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) 37.21 Right heart cardiac catheterization Cardiac catheterization NOS

Excludes: that with catheterization of left heart (37.23) 37.22 Left heart cardiac catheterization

Excludes: that with catheterization of right heart (37.23) 37.23 37.24 37.25 37.26 Combined right and left heart cardiac catheterization Biopsy of pericardium Biopsy of heart Catheter based invasive electrophysiologic testing Electrophysiologic studies [EPS]

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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) 37.27 Cardiac mapping

Code also any concomitant procedure Excludes: electrocardiogram (89.52) His bundle recording (37.29) 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], if performed (39.61) 37.31 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 or incision of heart tissue (cryoablation) (electrocurrent) (laser) (microwave) (radiofrequency) (resection) (ultrasound), open chest approach Cox-maze procedure Maze procedure That by median sternotomy That by thoracotomy without use of thoracoscope

37.32 37.33

Excludes: ablation, excision or destruction of lesion or tissue of heart: endovascular approach (37.34) thoracoscopic approach (37.37) excision or destruction of left atrial appendage (LAA) (37.36) 37.34 Excision or destruction of other lesion or tissue of heart, endovascular approach Ablation of heart tissue (cryoablation) (electrocurrent) (laser) (microwave) (radiofrequency) (ultrasound), via peripherally inserted catheter Modified maze procedure, percutaneous approach

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Excludes: ablation, excision or destruction of lesion or tissue of heart: open approach (37.33) thoracoscopic approach (37.37) 37.35 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) 37.36 Excision, destruction, or exclusion of left atrial appendage (LAA) Includes: Endovascular approach, minithoracotomy approach, percutaneous approach, subxiphoid approach, or thoracoscopic approach Clipping of left atrial appendage Oversewing of left atrial appendage Stapling of left atrial appendage That by fastener or suture Code also any: concomitant (open) procedure performed fluoroscopy (87.49) transesophageal echocardiography (TEE) (88.72) Excludes:ablation, excision or destruction of lesion or tissue of heart, endovascular approach (37.34) excision or destruction of other lesion or tissue of heart, thoracoscopic approach (37.37) insertion of left atrial appendage device (37.90) 37.37 Excision or destruction of other lesion or tissue of heart, thoracoscopic approach Ablation or incision of heart tissue (cryoablation) (electrocautery) (laser) (microwave) (radiofrequency) (resection) (ultrasound), via thoracoscope Modified maze procedure, thoracoscopic approach That via thoracoscopically-assisted approach (without thoracotomy) (with port access) (with sub-xiphoid incision)

Excludes: ablation, excision or destruction of lesion or tissue of heart: endovascular approach (37.34) open approach (37.33) thoracoscopic excision or destruction of left atrial appendage [LAA] (37.36) 37.4 Repair of heart and pericardium 37.41 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) 37.49 37.5 Other repair of heart and pericardium

Heart replacement procedures

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37.51

Heart transplantation

Excludes: combined heart-lung transplantation (33.6) Implantation of total internal biventricular heart replacement system Artificial heart 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. Excludes: implantation of heart assist system [VAD] (37.62, 37.65, 37.66, 37.68) 37.53 Replacement or repair of thoracic unit of (total) replacement heart system 37.52

Excludes: replacement and repair of heart assist system [VAD](37.63) 37.54 Replacement or repair of other implantable component of (total) replacement heart system Implantable battery Implantable controller Transcutaneous energy transfer [TET] device replacement and repair of heart assist system [VAD] (37.63) replacement or repair of thoracic unit of (total) replacement heart system (37.53)

Excludes: 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) 37.61 Implant of pulsation balloon 37.62 Insertion of temporary non-implantable extracorporeal circulatory assist device Insertion of heart assist system, NOS Insertion of heart pump 37.60

Excludes: implantation of total internal biventricular heart replacement system [artificial heart] (37.52) implant of external heart assist system (37.65) insertion of implantable extracorporeal heart assist system (37.66) insertion of percutaneous external heart assist device (37.68)

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removal of heart assist system (37.64) Note: Includes: explantation of this device; do not code separately. 37.63 Repair of heart assist system Replacement of parts of an existing ventricular assist device (VAD) 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)

Excludes:

37.64

Excludes:

Removal of external 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 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) that with replacement of implant (37.63) Implant of single ventricular (extracorporeal) external heart assist system Insertion of one device into one ventricle 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.

37.65 Note: Note:

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 implantable heart assist system (37.66) insertion of percutaneous external heart assist device (37.68) insertion or implantation of two external VADs for simultaneous right and left heart support (37.60) that without sternotomy (37.62) 37.66 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 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)

Note: Note:

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) 37.67 Note: Implantation of cardiomyostimulation system 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.

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37.68

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) 37.70 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) 37.71 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) 37.72 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) 37.73 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) 37.74 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) 37.75 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 37.76 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) 37.77 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)

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epicardial lead [electrode] (37.74) 37.78 Insertion of temporary transvenous pacemaker system

Excludes: intraoperative cardiac pacemaker (39.64) 37.79 Revision or relocation of cardiac device 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 pressure 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

37.80 37.81

Excludes: replacement of existing pacemaker device (37.85-37.87) 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) 37.83 Initial insertion of dual-chamber device Atrial ventricular sequential device

Excludes: replacement of existing pacemaker device (37.85-37.87) 37.85 37.86 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

37.87 37.89

Excludes: removal of temporary transvenous pacemaker system -- omit code

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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 37.90 Insertion of left atrial appendage device Left atrial filter Left atrial occluder Transseptal catheter technique Open chest cardiac massage

37.91

Excludes: closed chest cardiac massage (99.63) 37.92 37.93 37.94 Injection of therapeutic substance into heart 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 (36.10-36.19) or CCM, total system (17.51)] Excludes:implantation of cardiac resynchronization defibrillator, total system [CRT-D] (00.51) 37.95 37.96 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) 37.97 Replacement of automatic cardioverter/defibrillator lead(s) only

37.98

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 Note: Device testing during procedure - omit code Excludes:replacement of cardiac resynchronization defibrillator, pulse generator device only [CRT-D] (00.54) 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)

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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 Incision, excision, and occlusion of vessels

Code also any application or administration of an adhesion barrier substance (99.77) cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61) Excludes: that of coronary vessels (00.66, 36.03, 36.04, 36.09, 36.10-36.99)

The following fourth-digit subclassification is for use with appropriate categories in section 38.0, 38.1, 38.3, 38.5, 38.6, 38.8, and 38.9 according to site. Valid fourth-digits are in [brackets] at the end of each code/description. 0 1 unspecified site intracranial vessels Cerebral (anterior) (middle) Circle of Willis Posterior communicating artery 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 5 other thoracic vessels Innominate Pulmonary (artery) (vein) Subclavian Vena cava, superior 6 abdominal arteries Celiac Gastric Hepatic Iliac Mesenteric Renal Splenic Umbilical Excludes: abdominal aorta (4) 7 abdominal veins Iliac Portal Renal Splenic Vena cava (inferior) 8 lower limb arteries Femoral (common) (superficial) Popliteal Tibial

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lower limb veins Femoral Popliteal Saphenous Tibial

38.0 [0-9]

Incision of vessel Embolectomy Thrombectomy

Excludes:

endovascular removal of obstruction from head and neck vessel(s) (39.74) puncture or catheterization of any: artery (38.91, 38.98) vein (38.92-38.95, 38.99)

38.1 Endarterectomy [0-6,8] Endarterectomy with: embolectomy patch graft temporary bypass during procedure thrombectomy 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) 38.2 Diagnostic procedures on blood vessels

Excludes: adjunct vascular system procedures (00.40-00.43) 38.21 38.22 Biopsy of blood vessel Percutaneous angioscopy angioscopy of eye (95.12)

Excludes: 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 38.25 Intravascular imaging of coronary vessel(s) by optical coherence tomography [OCT] Intravascular imaging of non-coronary vessel(s) by optical coherence tomography [OCT]

Excludes: intravascular imaging of coronary vessel(s) by OCT (38.24) 38.26 Insertion of implantable pressure sensor without lead for intracardiac or great vessel hemodynamic monitoring

Note: The sensor is a standalone device and is not physically connected to a separately implanted monitor. Leadless pressure sensor not physically connected to a separately implanted monitor

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Single device combination leadless pressure sensor with integral monitor for intracardiac or great vessel (or branch thereof) hemodynamic monitoring With or without internal batteries Without leads Excludes: circulatory monitoring (blood gas, arterial or venous pressure, cardiac output and coronary blood flow) (89.60-89.69) hemodynamic monitoring system with sensor and separately implanted monitor (00.56-00.57) insertion or replacement of implantable pressure sensor with lead for intracardiac or great vessel hemodynamic monitoring (00.56) 38.29 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) 38.3 [0-9] Resection of vessel with anastomosis Angiectomy Excision of: aneurysm (arteriovenous) with anastomosis blood vessel (lesion) with anastomosis 38.4 [0-9] Resection of vessel with replacement 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 1 unspecified site intracranial vessels Cerebral (anterior) (middle) Circle of Willis Posterior communicating artery 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)

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Innominate Pulmonary (artery) (vein) Subclavian Vena cava, superior Code also any abdominal aorta involvement (thoracoabdominal procedure) (38.44) 6 abdominal arteries Celiac Gastric Hepatic Iliac Mesenteric Renal Splenic 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 38.5 Ligation and stripping of varicose veins [0-3,5,7,9] Excludes: ligation of varices: esophageal (42.91) gastric (44.91)

38.6 [0-9]

Other excision of vessel Excision of blood vessel (lesion) NOS

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)

38.7

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 Clamping of blood vessel Division of blood vessel Ligation of blood vessel

38.8 [0-9]

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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 that for circulatory monitoring (89.60-89.69) Arterial catheterization Umbilical vein catheterization Venous catheterization, not elsewhere classified

Excludes:

38.91 38.92 38.93

Excludes: that for cardiac catheterization (37.21-37.23) that for renal dialysis (38.95) that with guidance (electrocardiogram) (fluoroscopy) (ultrasound) (38.97) 38.94 38.95 Venous cutdown Venous catheterization for renal dialysis

Excludes: insertion of totally implantable vascular access device [VAD] (86.07) 38.97 Central venous catheter placement with guidance Includes guidance by: electrocardiogram fluoroscopy ultrasound Other puncture of artery

38.98

Excludes: that for: arteriography (88.40-88.49) coronary arteriography (88.55-88.57) 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)

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perfusion (39.96-39.97) phlebography (88.60-88.68) transfusion (99.01-99.09) 39 Other operations on vessels those on coronary vessels (36.03-36.99)

Excludes: 39.0

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) 39.1 Intra-abdominal venous shunt Anastomosis: mesocaval portacaval portal vein to inferior vena cava splenic and renal veins transjugular intrahepatic portosystemic shunt (TIPS) peritoneovenous shunt (54.94)

Excludes: 39.2

Other shunt or vascular bypass

Code also pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance, if performed (00.16) 39.21 Caval-pulmonary artery anastomosis

Code also cardiopulmonary bypass (39.61) 39.22 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

39.23

Excludes: coronary artery bypass (36.10-36.19) 39.24 39.25 Aorta-renal bypass 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

39.26

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Excludes: peritoneovenous shunt (54.94) 39.27 Arteriovenostomy for renal dialysis Anastomosis for renal dialysis Formation of (peripheral) arteriovenous fistula for renal [kidney] dialysis

Code also any renal dialysis (39.95) 39.28 39.29 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 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

Excludes:

39.30 39.31 39.32 39.4

Revision of vascular procedure 39.41 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) 39.42 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

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Removal of old arteriovenous shunt and creation of new shunt Excludes: replacement of vessel-to-vessel cannula (39.94) 39.43 Removal of arteriovenous shunt for renal dialysis

Excludes: that with replacement [revision] of shunt (39.42) 39.49 Other revision of vascular procedure Declotting (graft) Revision of: anastomosis of blood vessel vascular procedure (previous)

39.5

Other repair of vessels 39.50 Angioplasty 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: atherectomy of other non-coronary vessels(s) (17.56) injection or infusion of thrombolytic agent (99.10) insertion of drug-eluting peripheral vessel stent (00.55) insertion of non-drug-eluting peripheral vessel stent(s) or stent grafts(s) (39.90) number of vascular stents inserted (00.45-00.48) number of vessels treated (00.40-00.43) procedure on vessel bifurcation (00.44) Excludes: percutaneous angioplasty of extracranial or intracranial vessel(s) (00.61-00.62) percutaneous atherectomy of extracranial or intracranial vessel(s) (17.53-17.54) 39.51 Clipping of aneurysm

Excludes: clipping of arteriovenous fistula (39.53) 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) 39.53 Repair of arteriovenous fistula Embolization of carotid cavernous fistula Repair of arteriovenous fistula by: clipping coagulation ligation and division

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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) 39.54 Re-entry operation (aorta) Fenestration of dissecting aneurysm of thoracic aorta

Code also cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61) 39.55 39.56 Reimplantation of aberrant renal vessel Repair of blood vessel with tissue patch graft

Excludes: that with resection (38.40-38.49) 39.57 Repair of blood vessel with synthetic patch graft

Excludes: that with resection (38.40-38.49) 39.58 Repair of blood vessel with unspecified type of patch graft

Excludes: that with resection (38.40-38.49) 39.59 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) 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) 39.62 39.63 Hypothermia (systemic) incidental to open heart surgery Cardioplegia Arrest: anoxic circulatory Intraoperative cardiac pacemaker Temporary pacemaker used during and immediately following cardiac surgery

39.64

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39.65

Extracorporeal membrane oxygenation [ECMO]

Excludes: extracorporeal circulation auxiliary to open heart surgery (39.61) percutaneous cardiopulmonary bypass (39.66) 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) Embolization Endoluminal repair Implantation Occlusion Removal Repair angioplasty of other non-coronary vessel(s) (39.50) atherectomy of other non-coronary vessel(s) (17.56) 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) resection of upper limb vessels with replacement (38.43) temporary therapeutic partial occlusion of vessel (39.77)

Excludes:

Endovascular implantation of other 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) Excludes: endovascular implantation of branching or fenestrated graft in aorta (39.78) 39.72 Endovascular (total) embolization or occlusion of head and neck vessels Coil-retention stent Embolization stent 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

39.71

Excludes: embolization of head or neck vessels using bare coils (39.75) embolization of head or neck vessels using bioactive coils (39.76) mechanical thrombectomy of pre-cerebral and cerebral vessels (39.74) 39.73 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

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Code also intra-aneurysm sac pressure monitoring (intraoperative) (00.58) Excludes: fenestration of dissecting aneurysm of thoracic aorta (39.54) 39.74 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 vessels(s) using bioactive coils (39.76) open embolectomy or thrombectomy (38.01-38.02)

39.75

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 Endovascular embolization or occlusion of vessel(s) of head or neck using bioactive coils Biodegradable inner luminal polymer coils Coil embolization or occlusion utilizing bioactive coils Coils containing polyglycolic acid [PGA] That for treatment of aneurysm, arteriovenous malformation [AVM] or fistula Temporary (partial) therapeutic endovascular occlusion of vessel Includes that of aorta That by balloon catheter

39.76

39.77

Code also any: diagnostic arteriogram (88.40-88.49) Excludes: any endovascular head or neck vessel procedure (39.72, 39.74-39.76) diagnostic procedures on blood vessels (38.21-38.29) permanent endovascular procedure (39.79) 39.78 39.79 Endovascular implantation of branching or fenestrated graft(s) in aorta Other endovascular procedures on other vessels Endograft(s) Endovascular graft(s) Liquid tissue adhesive (glue) embolization or occlusion Other coil 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 implantation of graft in thoracic aorta (39.73) 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)

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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) uterine artery embolization with coils (68.24) 39.8 Operations on carotid body, carotid sinus and other vascular bodies excision of glomus jugulare (20.51) Implantation or replacement of carotid sinus stimulation device, total system Carotid sinus baroreflex activation device Implantation of carotid sinus stimulator and lead(s) Includes: carotid explorations

Excludes:

39.81

Excludes: implantation or replacement of carotid sinus stimulation lead(s) only (39.82) implantation or replacement of carotid sinus stimulation pulse generator only (39.83) 39.82 Implantation or replacement of carotid sinus stimulation lead(s) only

Excludes: implantation or replacement of carotid sinus stimulation device, total system (39.81) 39.83 Implantation or replacement of carotid sinus stimulation pulse generator only

Excludes: implantation or replacement of carotid sinus stimulation device, total system (39.81) 39.84 Revision of carotid sinus stimulation lead(s) only Repair of electrode [removal with re-insertion] Repositioning of lead(s) [electrode] Revision of carotid sinus stimulation pulse generator Debridement and reforming pocket (skin and subcutaneous tissue) Relocation of pocket [creation of new pocket] Repositioning of pulse generator Revision of carotid sinus stimulation pulse generator pocket Removal of carotid sinus stimulation device, total system Removal of carotid sinus stimulation lead(s) only Removal of carotid sinus stimulation pulse generator only Other operations on carotid body, carotid sinus and other vascular bodies Chemodectomy Denervation of: aortic body carotid body Glomectomy, carotid excision of glomus jugulare (20.51)

39.85

39.86 39.87 39.88 39.89

Excludes: 39.9

Other operations on vessels 39.90 Insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) Bare stent(s) Bonded stent(s) Drug-coated stent(s), i.e., heparin coated Endograft(s) Endovascular graft(s)

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Endovascular recanalization techniques Stent graft(s) 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)

39.91

Freeing of vessel Dissection and freeing of adherent tissue: artery-vein-nerve bundle vascular bundle Injection of sclerosing agent into vein injection: esophageal varices (42.33) hemorrhoids (49.42)

39.92

Excludes:

39.93

Insertion of vessel-to-vessel cannula Formation of: arteriovenous: fistula by external cannula shunt by external cannula

Code also any renal dialysis (39.95) 39.94 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)

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Excludes: perfusion of: kidney (55.95) large intestine (46.96) liver (50.93) small intestine (46.95) SuperSaturated oxygen therapy (00.49) 39.98 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) 39.99 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) 8. OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM (40-41)

40 40.0 40.1

Operations on lymphatic system Incision of lymphatic structures Diagnostic procedures on lymphatic structures 40.11 40.19 Biopsy of lymphatic structure Transbronchoscopic needle aspiration [TBNA] of lymph node 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 biopsy of lymphatic structure (40.11) Excision of deep cervical lymph node Excision of internal mammary lymph node

Excludes:

40.21 40.22

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40.23 40.24 40.29

Excision of axillary lymph node Excision of inguinal lymph node Simple excision of other lymphatic structure Excision of: cystic hygroma lymphangioma Simple lymphadenectomy

40.3

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 Radical excision of cervical lymph nodes Resection of cervical lymph nodes down to muscle and deep fascia that associated with radical laryngectomy (30.4) Radical neck dissection, not otherwise specified Radical neck dissection, unilateral Radical neck dissection, bilateral

40.4

Excludes:

40.40 40.41 40.42 40.5

Radical excision of other lymph nodes 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 Radical excision of iliac lymph nodes Radical groin dissection Radical excision of other lymph nodes

Excludes:

40.50 40.51 40.52 40.53 40.54 40.59

Excludes: radical neck dissection (40.40-40.42) 40.6 Operations on thoracic duct 40.61 40.62 40.63 40.64 40.69 40.9 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

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Reconstruction of peripheral lymphatics Repair of peripheral lymphatics Transplantation of peripheral lymphatics Correction of lymphedema of limb, NOS Excludes: 41 41.0 reduction of elephantiasis of scrotum (61.3)

Operations on bone marrow and spleen 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

41.00 41.01

Excludes: that with purging (41.09) 41.02 41.03 41.04 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) 41.05 Allogeneic hematopoietic stem cell transplant without purging

Excludes: that with purging (41.08) 41.06 41.07 41.08 41.09 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

41.1

Puncture of spleen aspiration biopsy of spleen (41.32)

Excludes: 41.2 41.3

Splenotomy Diagnostic procedures on bone marrow and spleen 41.31 41.32 41.33 41.38 Biopsy of bone marrow Closed [aspiration] [percutaneous] biopsy of spleen Open biopsy of spleen Other diagnostic procedures on bone marrow

Excludes: microscopic examination of specimen from bone marrow (90.61-90.69)

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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 excision of accessory spleen (41.93) Marsupialization of splenic cyst Excision of lesion or tissue of spleen

Code also any application or administration of an adhesion barrier substance (99.77) Excludes:

41.41 41.42

Excludes: biopsy of spleen (41.32-41.33) 41.43 41.5 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) 41.93 41.94 41.95 41.98 41.99 Excision of accessory spleen Transplantation of spleen Repair and plastic operations on spleen Other operations on bone marrow Other operations on spleen 9. OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)

42 42.0

Operations on esophagus Esophagotomy 42.01 42.09 Incision of esophageal web Other incision of esophagus Esophagotomy NOS

Excludes: esophagomyotomy (42.7) esophagostomy (42.10-42.19) 42.1 Esophagostomy

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42.10 42.11 42.12 42.19

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 42.21 42.22 Operative esophagoscopy by incision Esophagoscopy through artificial stoma

Excludes: that with biopsy (42.24) 42.23 Other esophagoscopy

Excludes: that with biopsy (42.24) 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) 42.25 42.29 Open biopsy of esophagus 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 42.31 42.32 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) 42.33 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) 42.39 Other destruction of lesion or tissue of esophagus

Excludes: that by endoscopic approach (42.33) 42.4 Excision of esophagus esophagogastrectomy NOS (43.99)

Excludes:

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42.40 42.41

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) 42.42 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) 42.51 42.52 42.53 42.54 42.55 42.56 42.58 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

42.59 42.6

Antesternal anastomosis of esophagus

Code also any synchronous: esophagectomy (42.40-42.42) gastrostomy (43.1) 42.61 42.62 42.63 42.64 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

42.65

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42.66 42.68 42.69 42.7 42.8

Other antesternal esophagocolostomy Antethoracic esophagocolostomy Other antesternal esophageal anastomosis with interposition Other antesternal anastomosis of esophagus

Esophagomyotomy Other repair of esophagus 42.81 42.82 42.83 42.84 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) 42.85 42.86 42.87 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) 42.89 42.9 Other repair of esophagus

Other operations on esophagus 42.91 Ligation of esophageal varices

Excludes: that by endoscopic approach (42.33) 42.92 Dilation of esophagus Dilation of cardiac sphincter

Excludes: intubation of esophagus (96.03, 96.06-96.08) 42.99 Other

Excludes: insertion of Sengstaken tube (96.06) intubation of esophagus (96.03, 96.06-96.08) removal of intraluminal foreign body from esophagus without incision (98.02) tamponade of esophagus (96.06) 43 Incision and excision of stomach

Code also any application or administration of an adhesion barrier substance (99.77)

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43.0

Gastrotomy gastrostomy (43.11-43.19) that for control of hemorrhage (44.49)

Excludes: 43.1

Gastrostomy 43.11 43.19 Percutaneous [endoscopic] gastrostomy [PEG] Percutaneous transabdominal gastrostomy Other gastrostomy

Excludes: percutaneous [endoscopic] gastrostomy [PEG] (43.11) 43.3 43.4 Pyloromyotomy Local excision or destruction of lesion or tissue of stomach 43.41 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) 43.42 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) 43.49 Other destruction of lesion or tissue of stomach

Excludes: that by endoscopic approach (43.41) 43.5 43.6 Partial gastrectomy with anastomosis to esophagus Proximal gastrectomy Partial gastrectomy with anastomosis to duodenum Billroth I operation Distal gastrectomy Gastropylorectomy Partial gastrectomy with anastomosis to jejunum Billroth II operation Other partial gastrectomy 43.81 Partial gastrectomy with jejunal transposition Henley jejunal transposition operation

43.7 43.8

Code also any synchronous intestinal resection (45.51) 43.82 Laparoscopic vertical (sleeve) gastrectomy

Excludes: laparoscopic banding (44.95) laparoscopic gastric restrictive procedure (44.95) 43.89 Open and other partial gastrectomy Partial gastrectomy with bypass gastrogastrostomy Sleeve resection of stomach

Excludes: laparoscopic sleeve gastrectomy (43.82)

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43.9

Total gastrectomy 43.91 43.99 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 44.00 44.01 44.02 Vagotomy, not otherwise specified Division of vagus nerve NOS Truncal vagotomy Highly selective vagotomy Parietal cell vagotomy Selective proximal vagotomy Other selective vagotomy

44.03 44.1

Diagnostic procedures on stomach 44.11 Transabdominal gastroscopy Intraoperative gastroscopy

Excludes: that with biopsy (44.14) 44.12 Gastroscopy through artificial stoma

Excludes: that with biopsy (44.14) 44.13 Other gastroscopy

Excludes: that with biopsy (44.14) 44.14 Closed [endoscopic] biopsy of stomach Brushing or washing for specimen collection

Excludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16) 44.15 44.19 Open biopsy of stomach 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 44.21 44.22 Dilation of pylorus by incision Endoscopic dilation of pylorus Dilation with balloon endoscope Endoscopic dilation of gastrojejunostomy site

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44.29

Other pyloroplasty Pyloroplasty NOS Revision of pylorus

44.3

Gastroenterostomy without gastrectomy 44.31 44.32 High gastric bypass Printen and Mason gastric bypass Percutaneous [endoscopic] gastrojejunostomy Bypass: gastroduodenostomy PEGJJ

Excludes: percutaneous (endoscopic) feeding jejunostomy (46.32) 44.38 Laparoscopic gastroenterostomy Bypass: gastroduodenostomy gastroenterostomy gastrogastrostomy Laparoscopic gastrojejunostomy without gastrectomy NEC

Excludes: gastroenterostomy, open approach (44.39) 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 44.40 44.41 Suture of peptic ulcer, not otherwise specified Suture of gastric ulcer site

Excludes: ligation of gastric varices (44.91) 44.42 44.43 44.44 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) 44.49 44.5 Other control of hemorrhage of stomach or duodenum That with gastrotomy

Revision of gastric anastomosis Closure of: gastric anastomosis gastroduodenostomy gastrojejunostomy Pantaloon operation Other repair of stomach 44.61 Suture of laceration of stomach

44.6

Excludes: that of ulcer site (44.41)

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44.62 44.63

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

44.64 44.65

44.66

Excludes: that by laparoscopy (44.67) 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)

44.68

Code also any synchronous laparoscopic gastroenterostomy (44.38) Excludes: 44.69 insertion, laparoscopic adjustable gastric band (restrictive procedure) (44.95) other repair of stomach, open approach (44.61-44.65, 44.69)

Other Inversion of gastric diverticulum Repair of stomach NOS

44.9

Other operations on stomach 44.91 Ligation of gastric varices

Excludes: that by endoscopic approach (43.41) 44.92 44.93 44.94 44.95 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) 44.96 Laparoscopic revision of gastric restrictive procedure Revision or replacement of:

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adjustable gastric band subcutaneous gastric port device 44.97 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) 44.98 (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) 44.99 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) 45 Incision, excision, and anastomosis of intestine

Code also any application or administration of an adhesion barrier substance (99.77) 45.0 Enterotomy 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:

45.00 45.01 45.02 45.03

Excludes: proctotomy (48.0) 45.1 Diagnostic procedures on small intestine

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Code also any laparotomy (54.11-54.19) 45.11 Transabdominal endoscopy of small intestine Intraoperative endoscopy of small intestine

Excludes: that with biopsy (45.14) 45.12 Endoscopy of small intestine through artificial stoma

Excludes: that with biopsy (45.14) 45.13 Other endoscopy of small intestine Esophagogastroduodenoscopy [EGD]

Excludes: that with biopsy (45.14, 45.16) 45.14 Closed [endoscopic] biopsy of small intestine Brushing or washing for specimen collection

Excludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16) 45.15 45.16 45.19 Open biopsy of small intestine Esophagogastroduodenoscopy [EGD] with closed biopsy Biopsy of one or more sites involving esophagus, stomach, and/or duodenum 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) 45.21 Transabdominal endoscopy of large intestine Intraoperative endoscopy of large intestine

Excludes: that with biopsy (45.25) 45.22 Endoscopy of large intestine through artificial stoma

Excludes: that with biopsy (45.25) 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) 45.24 Flexible sigmoidoscopy Endoscopy of descending colon

Excludes: rigid proctosigmoidoscopy (48.23) 45.25 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)

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45.26 45.27 45.28 45.29

Open biopsy of large intestine Intestinal biopsy, site unspecified Other diagnostic procedures on large intestine 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 45.30 Endoscopic excision or destruction of lesion of duodenum

Excludes: biopsy of duodenum (45.14-45.15) control of hemorrhage (44.43) fistulectomy (46.72) 45.31 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) 45.32 Other destruction of lesion of duodenum

Excludes: that by endoscopic approach (45.30) 45.33 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) 45.34 45.4 Other destruction of lesion of small intestine, except duodenum

Local excision or destruction of lesion or tissue of large intestine 45.41 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) 45.42 Endoscopic polypectomy of large intestine

Excludes: that by open approach (45.41) 45.43 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) 45.49 Other destruction of lesion of large intestine

Excludes: that by endoscopic approach (45.43)

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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) 45.50 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

45.51

45.52 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

45.61 45.62

Excludes: duodenectomy with synchronous pancreatectomy (52.51-52.7) resection of cecum and terminal ileum (17.32, 45.72) 45.63 45.7 Total removal of small intestine

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) 45.71 45.72 45.73 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

45.74

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45.75

Open and other left hemicolectomy

Excludes: proctosigmoidectomy (48.41-48.69) second stage Mikulicz operation (46.04) 45.76 45.79 45.8 Open and other sigmoidectomy Other and unspecified partial excision of large intestine Enterocolectomy NEC

Total intra-abdominal colectomy Excision of cecum, colon, and sigmoid coloproctectomy (48.41-48.69) Laparoscopic total intra-abdominal colectomy Open total intra-abdominal colectomy Other and unspecified total intra-abdominal colectomy

Excludes:

45.81 45.82 45.83 45.9

Intestinal anastomosis 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

Code also any synchronous resection (45.31-45.8, 48.41-48.69) Excludes:

45.90 45.91 45.92 45.93 45.94

Excludes: rectorectostomy (48.74) 45.95 Anastomosis to anus Formation of endorectal ileal pouch (H- pouch) (J-pouch) (S-pouch) with anastomosis of small intestine to anus

46

Other operations on intestine

Code also any application or administration of an adhesion barrier substance (99.77) 46.0 Exteriorization of intestine 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

Includes:

46.01 46.02 46.03

46.04

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Resection of exteriorized segment of intestine NOS Second stage Mikulicz operation 46.1 Colostomy 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

Code also any synchronous resection (45.49, 45.71-45.79, 45.8) Excludes:

46.10 46.11 46.13 46.14 46.2

Ileostomy loop ileostomy (46.01) Ileostomy, not otherwise specified Temporary ileostomy Continent ileostomy Other permanent ileostomy Delayed opening of ileostomy

Code also any synchronous resection (45.34, 45.61-45.63) Excludes:

46.20 46.21 46.22 46.23 46.24 46.3

Other enterostomy

Code also any synchronous resection (45.61-45.8) 46.31 46.32 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) 46.39 Other Duodenostomy Feeding enterostomy

46.4

Revision of intestinal stoma 46.40 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) 46.41 Revision of stoma of small intestine

Excludes: excision of redundant mucosa (45.33) 46.42 Repair of pericolostomy hernia

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46.43

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) 46.50 46.51 46.52 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 46.60 46.61 46.62 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

46.63

46.64

46.7

Other repair of intestine 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 Closure of fistula of small intestine, except duodenum

Excludes:

46.71 46.72 46.73 46.74

Excludes: closure of: artificial stoma (46.51) vaginal fistula (70.74) repair of gastrojejunocolic fistula (44.63) 46.75 46.76 Suture of laceration of large intestine Closure of fistula of large intestine

Excludes: closure of: gastrocolic fistula (44.63)

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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 46.8 Other repair of intestine Duodenoplasty

Dilation and manipulation of intestine 46.80 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) 46.81 46.82 46.85 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) 46.86 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) 46.87 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 46.91 46.92 46.93 Myotomy of sigmoid colon Myotomy of other parts of colon Revision of anastomosis of small intestine

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46.94 46.95

Revision of anastomosis of large intestine 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) 46.97 Transplant of intestine

Note: To report donor source - see codes 00.91-00.93 46.99 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) 47 Operations on appendix

Includes: appendiceal stump Code also any application or administration of an adhesion barrier substance (99.77) 47.0 Appendectomy incidental appendectomy, so described laparoscopic (47.11) other (47.19) Laparoscopic appendectomy Other appendectomy

Excludes:

47.01 47.09 47.1

Incidental appendectomy 47.11 47.19 Laparoscopic incidental appendectomy Other incidental appendectomy

47.2

Drainage of appendiceal abscess that with appendectomy (47.0)

Excludes: 47.9

Other operations on appendix 47.91 47.92 47.99 Appendicostomy Closure of appendiceal fistula Other Anastomosis of appendix

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Excludes: diagnostic procedures on appendix (45.21-45.29) 48 Operations on rectum, rectosigmoid and perirectal tissue

Code also any application or administration of an adhesion barrier substance (99.77) 48.0 Proctotomy Decompression of imperforate anus Panas' operation [linear proctotomy] incision of perirectal tissue (48.81)

Excludes: 48.1 48.2

Proctostomy Diagnostic procedures on rectum, rectosigmoid and perirectal tissue 48.21 Transabdominal proctosigmoidoscopy Intraoperative proctosigmoidoscopy

Excludes: that with biopsy (48.24) 48.22 Proctosigmoidoscopy through artificial stoma

Excludes: that with biopsy (48.24) 48.23 Rigid proctosigmoidoscopy

Excludes: flexible sigmoidoscopy (45.24) 48.24 Closed [endoscopic] biopsy of rectum Brushing or washing for specimen collection Proctosigmoidoscopy with biopsy Open biopsy of rectum Biopsy of perirectal tissue Other diagnostic procedures on rectum, rectosigmoid and perirectal tissue

48.25 48.26 48.29

Excludes: digital examination of rectum (89.34) lower GI series (87.64) microscopic examination of specimen from rectum (90.91-90.99) 48.3 Local excision or destruction of lesion or tissue of rectum 48.31 48.32 48.33 48.34 48.35 Radical electrocoagulation of rectal lesion or tissue Other electrocoagulation of rectal lesion or tissue Destruction of rectal lesion or tissue by laser 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) 48.36 48.4 [Endoscopic] polypectomy of rectum

Pull-through resection of rectum

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Code also any synchronous anastomosis other than end-to-end (45.90, 45.92-45.95) 48.40 Pull-through resection of rectum, not otherwise specified Pull-through resection NOS

Excludes: abdominoperineal pull-through NOS (48.50) 48.41 48.42 48.43 48.49 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 Other abdominoperineal resection of the rectum

48.50 48.51 48.52 48.59

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) 48.61 48.62 48.63 Transsacral rectosigmoidectomy Anterior resection of rectum with synchronous colostomy Other anterior resection of rectum

Excludes: that with synchronous colostomy (48.62) 48.64 48.65 48.69 Posterior resection of rectum Duhamel resection of rectum Duhamel abdominoperineal pull-through Other

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Partial proctectomy Rectal resection NOS 48.7 Repair of rectum 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:

48.71 48.72 48.73

Excludes: fistulectomy: perirectal (48.93) rectourethral (58.43) rectovaginal (70.73) rectovesical (57.83) rectovesicovaginal (57.83) 48.74 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

48.75

48.76

Excludes: manual reduction of rectal prolapse (96.26) 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 pelvirectal tissue rectovaginal septum Incision of perirectal tissue Incision of rectovaginal septum Excision of perirectal tissue

Includes:

48.81 48.82

Excludes: perirectal biopsy (48.26) perirectofistulectomy (48.93) rectal fistulectomy (48.73) 48.9 Other operations on rectum and perirectal tissue

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48.91 48.92 48.93

Incision of rectal stricture Anorectal myectomy Repair of perirectal fistula

Excludes: that opening into rectum (48.73) 48.99 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 49.01 49.02 Incision of perianal abscess Other incision of perianal tissue Undercutting of perianal tissue

Excludes: anal fistulotomy (49.11) 49.03 49.04 Excision of perianal skin tags Other excision of perianal tissue

Excludes: anal fistulectomy (49.12) biopsy of perianal tissu (49.22) 49.1 Incision or excision of anal fistula closure of anal fistula (49.73) Anal fistulotomy Anal fistulectomy

Excludes:

49.11 49.12 49.2

Diagnostic procedures on anus and perianal tissue 49.21 49.22 49.23 49.29 Anoscopy Biopsy of perianal tissue Biopsy of anus Other diagnostic procedures on anus and perianal tissue

Excludes: microscopic examination of specimen from anus (90.91-90.99)

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49.3

Local excision or destruction of other lesion or tissue of anus Anal cryptotomy Cauterization of lesion of anus 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:

49.31 49.39

Excludes: that by endoscopic approach (49.31) 49.4 Procedures on hemorrhoids 49.41 49.42 49.43 49.44 49.45 49.46 49.47 49.49 49.5 Reduction of hemorrhoids Injection of hemorrhoids Cauterization of hemorrhoids Clamp and cautery of hemorrhoids Destruction of hemorrhoids by cryotherapy Ligation of hemorrhoids Excision of hemorrhoids Hemorrhoidectomy NOS Evacuation of thrombosed hemorrhoids Other procedures on hemorrhoids Lord procedure

Division of anal sphincter 49.51 49.52 49.59 Left lateral anal sphincterotomy Posterior anal sphincterotomy Other anal sphincterotomy Division of sphincter NOS

49.6 49.7

Excision of anus Repair of anus repair of current obstetric laceration (75.62) Suture of laceration of anus Anal cerclage Closure of anal fistula

Excludes:

49.71 49.72 49.73

Excludes: excision of anal fistula (49.12) 49.74 49.75 Gracilis muscle transplant for anal incontinence Implantation or revision of artificial anal sphincter Removal with subsequent replacement Replacement during same or subsequent operative episode

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49.76

Removal of artificial anal sphincter Explantation or removal without replacement

Excludes: revision with implantation during same operative episode (49.75) 49.79 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 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:

49.91 49.92 49.93

Excludes: anal fistulotomy (49.11) removal of intraluminal foreign body without incision (98.05) 49.94 Reduction of anal prolapse

Excludes: manual reduction of rectal prolapse (96.26) 49.95 49.99 50 Control of (postoperative) hemorrhage of anus Other

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 Diagnostic procedures on liver 50.11 50.12 Closed (percutaneous) [needle] biopsy of liver Diagnostic aspiration of liver Open biopsy of liver Wedge biopsy

50.1

50.13Transjugular liver biopsy Transvenous liver biopsy Excludes: closed (percutaneous) [needle] biopsy of liver (50.11) laparoscopic liver biopsy (50.14) 50.14Laparoscopic liver biopsy Excludes: closed (percutaneous) [needle] biopsy of liver (50.11) open biopsy of liver (50.12) transjugular liver biopsy (50.13)

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50.19

Other diagnostic procedures on liver

Excludes: laparoscopic liver biopsy (50.14) liver scan and radioisotope function study (92.02) microscopic examination of specimen from liver (91.01-91.09) transjugular liver biopsy (50.13) 50.2 Local excision or destruction of liver tissue or lesion 50.21 50.22 Marsupialization of lesion of liver Partial hepatectomy Wedge resection of liver

Excludes: biopsy of liver (50.11-50.12) hepatic lobectomy (50.3) 50.23 50.24 50.25 50.26 50.29 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) percutaneous aspiration of lesion (50.91) laser interstitial thermal therapy [LITT] of lesion or tissue of liver under guidance (17.63) 50.3 50.4 Lobectomy of liver Total hepatic lobectomy with partial excision of other lobe Total hepatectomy

50.5 Liver transplant Note: To report donor source - see codes 00.91-00.93 50.51 50.59 50.6 Auxiliary liver transplant Auxiliary hepatic transplantation leaving patient's own liver in situ Other transplant of liver

Repair of liver 50.61 50.69 Closure of laceration of liver Other repair of liver Hepatopexy

50.9

Other operations on liver lysis of adhesions (54.5)

Excludes:

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50.91

Percutaneous aspiration of liver

Excludes: percutaneous biopsy (50.11) 50.92 50.93 50.94 50.99 51 Extracorporeal hepatic assistance Liver dialysis Localized perfusion of liver Other injection of therapeutic substance into liver Other

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) 51.02 51.03 51.04 51.1 Trocar cholecystostomy Other cholecystostomy Other cholecystotomy Cholelithotomy NOS

Diagnostic procedures on biliary tract 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:

51.10

Excludes: endoscopic retrograde: cholangiography [ERC] (51.11) pancreatography [ERP] (52.13) 51.11 Endoscopic retrograde cholangiography [ERC] Laparoscopic exploration of common bile duct

Excludes: endoscopic retrograde: cholangiopancreatography [ERCP] (51.10) pancreatography [ERP] (52.13) 51.12 51.13 Percutaneous biopsy of gallbladder or bile ducts Needle biopsy of gallbladder Open biopsy of gallbladder or bile ducts

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51.14

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

51.15 51.19

Excludes: biliary tract x-ray (87.51-87.59) microscopic examination of specimen from biliary tract (91.01-91.09) 51.2 Cholecystectomy 51.21 Other partial cholecystectomy Revision of prior cholecystectomy

Excludes: that by laparoscope (51.24) 51.22 Cholecystectomy

Excludes: laparoscopic cholecystectomy (51.23) 51.23 51.24 51.3 Laparoscopic cholecystectomy That by laser Laparoscopic partial cholecystectomy

Anastomosis of gallbladder or bile duct resection with end-to-end anastomosis (51.61-51.69) Anastomosis of gallbladder to hepatic ducts Anastomosis of gallbladder to intestine Anastomosis of gallbladder to pancreas Anastomosis of gallbladder to stomach 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

Excludes:

51.31 51.32 51.33 51.34 51.35 51.36 51.37 51.39

51.4

Incision of bile duct for relief of obstruction 51.41 Common duct exploration for removal of calculus

Excludes: percutaneous extraction (51.96)

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51.42 51.43 51.49 51.5

Common duct exploration for relief of other obstruction Insertion of choledochohepatic tube for decompression Hepatocholedochostomy Incision of other bile ducts for relief of obstruction

Other incision of bile duct

Excludes:that for relief of obstruction (51.41-51.49) 51.51 51.59 51.6 Exploration of common duct Incision of common bile duct Incision of other bile duct

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) 51.61 51.62 51.63 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) 51.64 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

51.69

Excludes: fistulectomy (51.79) 51.7 Repair of bile ducts 51.71 51.72 51.79 Simple suture of common bile duct 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 51.81 Dilation of sphincter of Oddi Dilation of ampulla of Vater

Excludes: that by endoscopic approach (51.84) 51.82 Pancreatic sphincterotomy Incision of pancreatic sphincter Transduodenal ampullary sphincterotomy

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Excludes: that by endoscopic approach (51.85) 51.83 51.84 51.85 51.86 51.87 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 tub (51.86) replacement of stent (tube) (97.05) 51.88 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) 51.89 51.9 Other operations on sphincter of Oddi

Other operations on biliary tract 51.91 51.92 51.93 51.94 51.95 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) 51.96 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)

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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 52.01 52.09 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 52.11 52.12 52.13 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 classifiabl to 51.14-51.15, 51.64, 51.84-51.88, 52.14, 52.21, 52.92-52.94, 52.97-52.98 52.14 52.19 Closed [endoscopic] biopsy of pancreatic duct Closed biopsy of pancreatic duct by procedures classifiable to 51.10-51.11, 52.13 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 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

Excludes:

52.21

52.22 52.3

Marsupialization of pancreatic cyst drainage of cyst by catheter (52.01)

Excludes: 52.4

Internal drainage of pancreatic cyst Pancreaticocystoduodenostomy Pancreaticocystogastrostomy Pancreaticocystojejunostomy

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52.5

Partial pancreatectomy 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

Excludes:

52.51

52.52 52.53 52.59 52.6 52.7

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 radical subtotal pancreatectomy (52.53)

Excludes: 52.8

Transplant of pancreas

Note: To report donor source - see codes 00.91-00.93 52.80 52.81 52.82 52.83 52.84 52.85 52.86 52.9 Pancreatic transplant, not otherwise specified Reimplantation of pancreatic tissue Homotransplant of pancreas 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

Other operations on pancreas 52.92 Cannulation of pancreatic duct

Excludes: that by endoscopic approach (52.93) 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) 52.94 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

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52.95

Other repair of pancreas Fistulectomy of pancreas Simple suture of pancreas Anastomosis of pancreas Anastomosis of pancreas (duct) to: intestine jejunum stomach

52.96

Excludes: anastomosis to: bile duct (51.39) gallbladder (51.33) 52.97 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) 52.98 52.99 Endoscopic dilation of pancreatic duct Dilation of Wirsung's duct by procedures classifiable to 51.10-51.11, 52.13 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: 53.0 manual reduction of hernia (96.27)

Other unilateral repair of inguinal hernia

Excludes: laparoscopic unilateral repair of inguinal hernia (17.11-17.13) 53.00 53.01 53.02 53.03 53.04 53.05 53.1 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

Other bilateral repair of inguinal hernia

Excludes: laparoscopic bilateral repair of inguinal hernia (17.21-17.24) 53.10 Bilateral repair of inguinal hernia, not otherwise specified

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53.11 53.12 53.13 53.14 53.15 53.16 53.17 53.2

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

Unilateral repair of femoral hernia 53.21 53.29 Unilateral repair of femoral hernia with graft or prosthesis Other unilateral femoral herniorrhaphy

53.3

Bilateral repair of femoral hernia 53.31 53.39 Bilateral repair of femoral hernia with graft or prosthesis Other bilateral femoral herniorrhaphy

53.4

Repair of umbilical hernia 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:

53.41 53.42 53.43 53.49

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) 53.51 53.59 Incisional hernia repair Repair of other hernia of anterior abdominal wall Repair of hernia: epigastric hypogastric spigelian ventral That by laparoscopic approach

53.6

Repair of other hernia of anterior abdominal wall with graft or prosthesis 53.61 Other open incisional hernia repair with graft or prosthesis

Excludes: laparoscopic incisional hernia repair with graft or prosthesis (53.62) 53.62 Laparoscopic incisional hernia repair with graft or prosthesis

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53.63 53.69

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) 53.7 Repair of diaphragmatic hernia, abdominal approach 53.71 53.72 53.75 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 53.80 53.81 53.82 53.83 53.84 Repair of diaphragmatic hernia with thoracic approach, not otherwise specified Thoracoabdominal repair of diaphragmatic hernia Plication of the diaphragm 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) 53.9 Other hernia repair Repair of hernia: ischiatic ischiorectal lumbar obturator omental retroperitoneal sciatic relief of strangulated hernia with exteriorization of intestine (46.01, 46.03) repair of pericolostomy hernia (46.42) repair of vaginal enterocele (70.92)

Excludes:

54

Other operations on abdominal region

Includes: operations on: epigastric region flank groin region hypochondrium inguinal region loin region pelvic cavity mesentery omentum peritoneum

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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 abdominal wall (86.01-86.99)

54.0

Incision of abdominal wall Drainage of: abdominal wall extraperitoneal abscess retroperitoneal abscess incision of peritoneum (54.95) laparotomy (54.11-54.19)

Excludes: 54.1

Laparotomy 54.11 Exploratory laparotomy

Excludes: exploration incidental to intra abdominal surgery -- omit code 54.12 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

54.19

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 54.21 Laparoscopy Peritoneoscopy

Excludes: laparoscopic cholecystectomy (51.23) that incidental to destruction of fallopian tubes (66.21-66.29) 54.22 54.23 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) 54.24 Closed [percutaneous] [needle] biopsy of intra-abdominal mass

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Closed biopsy of: omentum peritoneal implant peritoneum Excludes: that of: fallopian tube (66.11) ovary (65.11) uterine ligaments (68.15) uterus (68.16) 54.25 Peritoneal lavage Diagnostic peritoneal lavage

Excludes: peritoneal dialysis (54.98) 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) 54.3 Excision or destruction of lesion or tissue of abdominal wall or umbilicus Debridement of abdominal wall Omphalectomy 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)

Excludes:

54.4

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 biopsy of peritoneum (54.23) endometrectomy of cul-de-sac (70.32)

Excludes: 54.5

Lysis of peritoneal adhesions Freeing of adhesions of: biliary tract intestines

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liver pelvic peritoneum peritoneum spleen uterus 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

54.51 54.59 54.6

Suture of abdominal wall and peritoneum 54.61 54.62 54.63 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 54.64 Suture of peritoneum Secondary suture of peritoneum

Excludes: closure of operative wound -- omit code 54.7 Other repair of abdominal wall and peritoneum 54.71 54.72 54.73 54.74 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) 54.75 Other repair of mesentery Mesenteric plication Mesenteropexy

54.9

Other operations of abdominal region removal of ectopic pregnancy (74.3) Percutaneous abdominal drainage Paracentesis

Excludes:

54.91

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Excludes: creation of cutaneoperitoneal fistula (54.93) 54.92 54.93 54.94 54.95 Removal of foreign body from peritoneal cavity Creation of cutaneoperitoneal fistula Creation of peritoneovascular shunt Peritoneovenous shunt 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) 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) 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: 55.0 perirenal tissue (59.00-59.09, 59.21-59.29, 59.91-59.92)

Nephrotomy and nephrostomy 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

Excludes:

55.01

55.02

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55.03

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) 55.04 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 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

Excludes:

55.11

55.12 55.2

Diagnostic procedures on kidney 55.21 55.22 55.23 55.24 55.29 Nephroscopy Pyeloscopy 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 55.31 55.32 Marsupialization of kidney lesion Open ablation of renal lesion or tissue

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55.33 55.34 55.35 55.39

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) 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) 55.51 Nephroureterectomy Nephroureterectomy with bladder cuff Total nephrectomy (unilateral)

Excludes: removal of transplanted kidney (55.53) 55.52 Nephrectomy of remaining kidney Removal of solitary kidney

Excludes: removal of transplanted kidney (55.53) 55.53 55.54 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 55.61 55.69 55.7 55.8 Renal autotransplantation Other kidney transplantation

Nephropexy Fixation or suspension of movable [floating] kidney Other repair of kidney 55.81 Suture of laceration of kidney

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55.82 55.83 55.84 55.85 55.86

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 NO (56.73) 55.87 55.89 55.9 Correction of ureteropelvic junction Other

Other operations on kidney lysis of perirenal adhesions (59.02) Decapsulation of kidney Capsulectomy of kidney Decortication of kidney Percutaneous aspiration of kidney (pelvis) Aspiration of renal cyst Renipuncture

Excludes:

55.91

55.92

Excludes: percutaneous biopsy of kidney (55.23) 55.93 55.94 55.95 55.96 55.97 55.98 55.99 Replacement of nephrostomy tube Replacement of pyelostomy tube Local perfusion of kidney Other injection of therapeutic substance into kidney Injection into renal cyst Implantation or replacement of mechanical kidney Removal of mechanical kidney 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) 56.0 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)

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56.1 56.2

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 56.31 56.32 Ureteroscopy Closed percutaneous biopsy of ureter

Excludes: endoscopic biopsy of ureter (56.33) 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) 56.34 56.35 56.39 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) 56.4 Ureterectomy fistulectomy (56.84) nephroureterectomy (55.51-55.54) Ureterectomy, not otherwise specified Partial ureterectomy Excision of lesion of ureter Shortening of ureter with reimplantation

Code also anastomosis other than end-to-end (56.51-56.79) Excludes:

56.40 56.41

Excludes: biopsy of ureter (56.32-56.34) 56.42 56.5 Total ureterectomy

Cutaneous uretero-ileostomy 56.51 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

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Excludes: closed ileal bladder (57.87) replacement of ureteral defect by ileal segment (56.89) 56.52 56.6 Revision of cutaneous uretero-ileostomy

Other external urinary diversion 56.61 Formation of other cutaneous ureterostomy Anastomosis of ureter to skin Ureterostomy NOS Revision of other cutaneous ureterostomy Revision of ureterostomy stoma

56.62

Excludes: nonoperative removal of ureterostomy tube (97.62) 56.7 Other anastomosis or bypass of ureter ureteropyelostomy (55.86) Urinary diversion to intestine Anastomosis of ureter to intestine Internal urinary diversion NOS

Excludes:

56.71

Code also any synchronous colostomy (46.10-46.13) Excludes: external ureteral ileostomy (56.51) 56.72 Revision of ureterointestinal anastomosis

Excludes: revision of external ureteral ileostomy (56.52) 56.73 56.74 Nephrocystanastomosis, not otherwise specified Ureteroneocystostomy Replacement of ureter with bladder flap Ureterovesical anastomosis Transureteroureterostomy

56.75

Excludes: ureteroureterostomy associated with partial resection (56.41) 56.79 56.8 Other

Repair of ureter 56.81 Lysis of intraluminal adhesions of ureter

Excludes: lysis of periureteral adhesions (59.02-59.03) ureterolysis (59.02-59.03) 56.82 56.83 56.84 56.85 56.86 56.89 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

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Ureteroplication 56.9 Other operations on ureter 56.91 56.92 56.93 56.94 Dilation of ureteral meatus Implantation of electronic ureteral stimulator Replacement of electronic ureteral stimulator Removal of electronic ureteral stimulator

Excludes: that with synchronou replacement (56.93) 56.95 56.99 Ligation of ureter Other

Excludes: removal of ureterostomy tube an ureteral catheter (97.62) ureteral catheterization (59.8) 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) 57.0 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 that by incision (57.19)

Excludes: 57.1

Cystotomy and cystostomy cystotomy and cystostomy as operative approach -- omit code Percutaneous aspiration of bladder Lysis of intraluminal adhesions with incision into bladder

Excludes:

57.11 57.12

Excludes: transurethral lysis of intraluminal adhesions (57.41) 57.17 Percutaneous cystostomy Closed cystostomy Percutaneous suprapubic cystostomy

Excludes: removal of cystostomy tub (97.63) replacement of cystostomy tube (59.94) 57.18 Other suprapubic cystostomy

Excludes: percutaneous cystostomy (57.17) removal of cystostomy tub (97.63) replacement of cystostomy tube (59.94) 57.19 Other cystotomy Cystolithotomy

Excludes: percutaneous cystostomy (57.17) suprapubic cystostomy (57.18)

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57.2

Vesicostomy 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:

57.21 57.22

Excludes: closure of cystostomy (57.82) 57.3 Diagnostic procedures on bladder 57.31 57.32 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) 57.33 57.34 57.39 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 57.41 57.49 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) 57.5 Other excision or destruction of bladder tissue that with transurethral approach (57.41-57.49) Excision of urachus Excision of urachal sinus of bladder

Excludes:

57.51

Excludes: excision of urachal cyst of abdominal wall (54.3) 57.59 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) 57.6 Partial cystectomy Excision of bladder dome

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Trigonectomy Wedge resection of bladder 57.7 Total cystectomy 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

Includes:

57.71

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) 57.79 57.8 Other total cystectomy

Other repair of urinary bladder 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:

57.81 57.82 57.83

57.84

Excludes: vesicoureterovagina fistulectomy (56.84) 57.85 Cystourethroplasty and plastic repair of bladder neck Plication of sphincter of urinary bladder V-Y plasty of bladder neck Repair of bladder exstrophy 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]

57.86 57.87

Code also resection of intestine (45.50-45.52) 57.88 Other anastomosis of bladder Anastomosis of bladder to intestine NOS Cystocolic anastomosis

Excludes: formation of closed ilea bladder (57.87)

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57.89

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 57.91 57.92 57.93 57.94 57.95 57.96 57.97 57.98 Sphincterotomy of bladder Division of bladder neck Dilation of bladder neck Control of (postoperative) hemorrhage of bladder Insertion of indwelling urinary catheter 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) 57.99 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 o bladder (96.25) 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 drainage of bulbourethral gland or periurethral tissue (58.91) internal urethral meatotomy (58.5) removal of urethral calculus without incision (58.6)

Excludes:

58.1

Urethral meatotomy internal urethral meatotomy (58.5)

Excludes: 58.2

Diagnostic procedures on urethra

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58.21 58.22 58.23 58.24 58.29

Perineal urethroscopy Other urethroscopy Biopsy of urethra Biopsy of periurethral tissue 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 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 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:

58.31 58.39

Excludes: that by endoscopic approach (58.31) 58.4 Repair of urethra repair of current obstetric laceration (75.61) Suture of laceration of urethra Closure of urethrostomy Closure of other fistula of urethra

Excludes:

58.41 58.42 58.43

Excludes: repair of urethroperineovesical fistula (57.84) 58.44 58.45 58.46 58.47 58.49 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

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Urethral plication Excludes: repair of: current obstetric laceration (75.61) urethrocele (70.50-70.51) 58.5 Release of urethral stricture Cutting of urethral sphincter Internal urethral meatotomy Urethrolysis Dilation of urethra Dilation of urethrovesical junction Passage of sounds through urethra Removal of calculus from urethra without incision urethral calibration (89.29)

58.6

Excludes: 58.9

Other operations on urethra and periurethral tissue 58.91 58.92 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) 58.93 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

58.99

Excludes: removal of: intraluminal foreign bod from urethra without incision (98.19) urethral stent (97.65) 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 59.00 59.02 Retroperitoneal dissection, not otherwise specified Other lysis of perirenal or periureteral adhesions

Excludes: that by laparoscope (59.03) 59.03 59.09 Laparoscopic lysis of perirenal or periureteral adhesions Other incision of perirenal or periureteral tissue Exploration of perinephric area

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Incision of perirenal abscess 59.1 Incision of perivesical tissue 59.11 59.12 59.19 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 59.21 59.29 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) 59.3 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 Other repair of urinary stress incontinence 59.71 Levator muscle operation for urethrovesical suspension Cystourethropexy with levator muscle sling Gracilis muscle transplant for urethrovesical suspension Pubococcygeal sling Injection of implant into urethra and/or bladder neck Collagen implant Endoscopic injection of implant Fat implant Polytef implant Other Anterior urethropexy

59.4

59.5

59.6

59.7

59.72

59.79

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Repair of stress incontinence NOS Tudor "rabbit ear" urethropexy 59.8 Ureteral catheterization Drainage of kidney by catheter Insertion of ureteral stent Ureterovesical orifice dilation that for: retrograde pyelogram (87.74) transurethral removal of calculus or clot from ureter and renal pelvis (56.0)

Code also any ureterotomy (56.2) Excludes:

59.9

Other operations on urinary system nonoperative removal of therapeutic device (97.61-97.69) Excision of perirenal or perivesical tissue

Excludes:

59.91

Excludes: biopsy of perirenal or perivesical tissue (59.21) 59.92 59.93 Other operations on perirenal or perivesical tissue 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) 59.99 Other

Excludes: instillation of medication into urinary tract (96.49) irrigation of urinary tract (96.45-96.48) 11.OPERATIONS ON THE MALE GENITAL ORGANS (60-64)

60

Operations on prostate and seminal vesicles

Includes: operations on periprostatic tissue Code also any application or administration of an adhesion barrier substance (99.77) Excludes: 60.0 that associated with radical cystectomy (57.71)

Incision of prostate Drainage of prostatic abscess Prostatolithotomy drainage of periprostatic tissue only (60.81)

Excludes: 60.1

Diagnostic procedures on prostate and seminal vesicles 60.11 Closed [percutaneous] [needle] biopsy of prostate

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Approach: transrectal transurethral Punch biopsy 60.12 60.13 60.14 60.15 60.18 Open biopsy of prostate Closed [percutaneous] biopsy of seminal vesicles Needle biopsy of seminal vesicles Open biopsy of seminal vesicles Biopsy of periprostatic tissue Other diagnostic procedures on prostate and periprostatic tissue

Excludes: microscopic examination of specimen from prostate (91.31-91.39) x-ray of prostate (87.92) 60.19 Other diagnostic procedures on seminal vesicles

Excludes: microscopic examination of specimen from seminal vesicles (91.31-91.39) x-ray: contrast seminal vesiculogra (87.91) other (87.92) 60.2 Transurethral prostatectomy local excision of lesion of prostate (60.61) Transurethral (ultrasound) guided laser induced prostatectomy (TULIP) Ablation (contact) (noncontact) by laser Other transurethral prostatectomy Excision of median bar by transurethral approach Transurethral electrovaporization of prostrate (TEVAP) Transurethral enucleative procedure Transurethral prostatectomy NOS Transurethral resection of prostate (TURP)

Excludes:

60.21 60.29

60.3

Suprapubic prostatectomy Transvesical prostatectomy local excision of lesion of prostate (60.61) radical prostatectomy (60.5)

Excludes: 60.4

Retropubic prostatectomy local excision of lesion of prostate (60.61) radical prostatectomy (60.5)

Excludes: 60.5

Radical prostatectomy Prostatovesiculectomy Radical prostatectomy by any approach cystoprostatectomy (57.71)

Excludes: 60.6

Other prostatectomy 60.61 Local excision of lesion of prostate

Excludes: biopsy of prostate (60.11-60.12)

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laser interstitial thermal therapy [LITT] of lesion or tissue of prostate under guidance (17.69) 60.62 Perineal prostatectomy Cryoablation of prostate Cryoprostatectomy Cryosurgery of prostate Radical cryosurgical ablation of prostate (RCSA)

Excludes: local excision of lesion of prostate (60.61) 60.69 60.7 Other

Operations on seminal vesicles 60.71 Percutaneous aspiration of seminal vesicle

Excludes: needle biopsy of seminal vesicl (60.13) 60.72 60.73 Incision of seminal vesicle Excision of seminal vesicle Excision of Mllerian duct cyst Spermatocystectomy

Excludes: biopsy of seminal vesicle (60.13-60.14) prostatovesiculectomy (60.5) 60.79 60.8 Other operations on seminal vesicles

Incision or excision of periprostatic tissue 60.81 60.82 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) 60.92 60.93 60.94 Injection into prostate test link Repair of prostate Control of (postoperative) hemorrhage of prostate Coagulation of prostatic bed Cystoscopy for control of prostatic hemorrhage

60.96

60.95 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)

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transurethral (60.21-60.29) 60.97 Other transurethral destruction of prostate tissue by other thermotherapy Radiofrequency thermotherapy Transurethral needle ablation (TUNA) of prostate Prostatectomy: other (60.61-60.69) radical (60.5) retropubic (60.4) suprapubic (60.3) transurethral (60.21-60.29)

Excludes:

60.99

Other

Excludes: prostatic massage (99.94) 61 61.0 Operations on scrotum and tunica vaginalis Incision and drainage of scrotum and tunica vaginalis percutaneous aspiration of hydrocele (61.91)

Excludes: 61.1

Diagnostic procedures on scrotum and tunica vaginalis 61.11 61.19 Biopsy of scrotum or tunica vaginalis Other diagnostic procedures on scrotum and tunica vaginalis

61.2

Excision of hydrocele (of tunica vaginalis) Bottle repair of hydrocele of tunica vaginalis percutaneous aspiration of hydrocele (61.91)

Excludes: 61.3

Excision or destruction of lesion or tissue of scrotum Fulguration of lesion of scrotum Reduction of elephantiasis of scrotum Partial scrotectomy of scrotum biopsy of scrotum (61.11) scrotal fistulectomy (61.42)

Excludes: 61.4

Repair of scrotum and tunica vaginalis 61.41 61.42 61.49 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 61.92 61.99 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)

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62 62.0 62.1

Operations on testes Incision of testis Diagnostic procedures on testes 62.11 62.12 62.19 Closed [percutaneous] [needle] biopsy of testis Open biopsy of testis Other diagnostic procedures on testes

62.2

Excision or destruction of testicular lesion Excision of appendix testis Excision of cyst of Morgagni in the male biopsy of testis (62.11-62.12)

Excludes: 62.3 62.4

Unilateral orchiectomy Orchidectomy (with epididymectomy) NOS Bilateral orchiectomy Male castration Radical bilateral orchiectomy (with epididymectomy)

Code also any synchronous lymph node dissection (40.3, 40.5) 62.41 62.42 62.5 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 Repair of testes reduction of torsion (63.52) Suture of laceration of testis Other repair of testis Testicular graft

62.6

Excludes:

62.61 62.69 62.7 62.9

Insertion of testicular prosthesis Other operations on testes 62.91 Aspiration of testis

Excludes: percutaneous biopsy of testis (62.11) 62.92 62.99 63 Injection of therapeutic substance into testis Other

Operations on spermatic cord, epididymis, and vas deferens

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63.0

Diagnostic procedures on spermatic cord, epididymis, and vas deferens 63.01 63.09 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) 63.1 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 biopsy of spermatic cord or epididymis (63.01)

63.2 63.3

Excludes: 63.4

Epididymectomy that synchronous with orchiectomy (62.3-62.42)

Excludes: 63.5

Repair of spermatic cord and epididymis 63.51 63.52 Suture of laceration of spermatic cord and epididymis Reduction of torsion of testis or spermatic cord

Excludes: that associated with orchiopexy (62.5) 63.53 63.59 63.6 63.7 Transplantation of spermatic cord Other repair of spermatic cord and epididymis

Vasotomy Vasostomy Vasectomy and ligation of vas deferens 63.70 63.71 Male sterilization procedure, not otherwise specified Ligation of vas deferens Crushing of vas deferens Division of vas deferens Ligation of spermatic cord Vasectomy

63.72 63.73 63.8

Repair of vas deferens and epididymis 63.81 63.82 63.83 63.84 Suture of laceration of vas deferens and epididymis Reconstruction of surgically divided vas deferens Epididymovasostomy Removal of ligature from vas deferens

162

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63.85 63.89 63.9

Removal of valve from vas deferens Other repair of vas deferens and epididymis

Other operations on spermatic cord, epididymis, and vas deferens 63.91 63.92 63.93 63.94 63.95 63.99 Aspiration of spermatocele Epididymotomy Incision of spermatic cord Lysis of adhesions of spermatic cord Insertion of valve in vas deferens Other

64

Operations on penis

Includes: operations on: corpora cavernosa glans penis prepuce 64.0 64.1 Circumcision Diagnostic procedures on the penis 64.11 64.19 64.2 Biopsy of penis Other diagnostic procedures on penis

Local excision or destruction of lesion of penis biopsy of penis (64.11)

Excludes: 64.3 64.4

Amputation of penis Repair and plastic operation on penis 64.41 64.42 64.43 64.44 64.45 64.49 Suture of laceration of penis 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) 64.5 64.9 Operations for sex transformation, not elsewhere classified Other operations on male genital organs 64.91 64.92 Dorsal or lateral slit of prepuce Incision of penis

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64.93 64.94 64.95

Division of penile adhesions 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 prosthesi (64.94) inflatable penile prosthesis (64.97) plastic repair, penis (64.43-64.49) that associated with: construction (64.43) reconstruction (64.44) 64.96 64.97 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 prosthesi (64.94) non-inflatable penile prosthesi (64.95) plastic repair, penis (64.43-64.49) 64.98 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) 64.99 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 65.01 65.09 65.1 Laparoscopic oophorotomy Other oophorotomy

Diagnostic procedures on ovaries 65.11 65.12 65.13 Aspiration biopsy of ovary Other biopsy of ovary Laparoscopic biopsy of ovary

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65.14 65.19

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 65.21 Marsupialization of ovarian cyst

Excludes: that by laparoscope (65.23) 65.22 Wedge resection of ovary

Excludes: that by laparoscope (65.24) 65.23 65.24 65.25 65.29 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 65.31 65.39 Laparoscopic unilateral oophorectomy Other unilateral oophorectomy

Excludes: that by laparoscope (65.31) 65.4 Unilateral salpingo-oophorectomy 65.41 65.49 65.5 Laparoscopic unilateral salpingo-oophorectomy Other unilateral salpingo-oophorectomy

Bilateral oophorectomy 65.51 Other removal of both ovaries at same operative episode Female castration

Excludes: that by laparoscope (65.53) 65.52 Other removal of remaining ovary Removal of solitary ovary

Excludes: that by laparoscope (65.54) 65.53 65.54 65.6 Laparoscopic removal of both ovaries at same operative episode Laparoscopic removal of remaining ovary

Bilateral salpingo-oophorectomy 65.61 Other removal of both ovaries and tubes at same operative episode

Excludes: that by laparoscope (65.63)

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65.62

Other removal of remaining ovary and tube Removal of solitary ovary and tube

Excludes: that by laparoscope (65.64) 65.63 65.64 65.7 Laparoscopic removal of both ovaries and tubes at same operative episode Laparoscopic removal of remaining ovary and tube

Repair of ovary salpingo-oophorostomy (66.72) Other simple suture of ovary

Excludes:

65.71

Excludes: that by laparoscope (65.74) 65.72 Other reimplantation of ovary

Excludes: that by laparoscope (65.75) 65.73 Other salpingo-oophoroplasty

Excludes: that by laparoscope (65.76) 65.74 65.75 65.76 65.79 65.8 Laparoscopic simple suture of ovary Laparoscopic reimplantation of ovary Laparoscopic salpingo-oophoroplasty Other repair of ovary Oophoropexy

Lysis of adhesions of ovary and fallopian tube 65.81 65.89 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 65.91 Aspiration of ovary

Excludes: aspiration biopsy of ovary (65.11) 65.92 Transplantation of ovary

Excludes: reimplantation of ovary laparoscopic (65.75)) other (65.72) 65.93 65.94 65.95 65.99 Manual rupture of ovarian cyst Ovarian denervation Release of torsion of ovary Other Ovarian drilling

66

Operations on fallopian tubes

Code also any application or administration of an adhesion barrier substance (99.77)

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66.0

Salpingotomy and salpingostomy 66.01 66.02 Salpingotomy Salpingostomy

66.1

Diagnostic procedures on fallopian tubes 66.11 66.19 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 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

Includes:

66.21 66.22 66.29 66.3

Other bilateral destruction or occlusion of fallopian tubes destruction of solitary fallopian tube 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

Includes: Excludes:

66.31 66.32 66.39 66.4 66.5

Total unilateral salpingectomy Total bilateral salpingectomy 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

Excludes:

66.51 66.52 66.6

Other salpingectomy salpingectomy by: cauterization coagulation electrocoagulation

Includes:

167

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excision Excludes: fistulectomy (66.73) Excision or destruction of lesion of fallopian tube

66.61

Excludes: biopsy of fallopian tube (66.11) 66.62 Salpingectomy with removal of tubal pregnancy

Code also any synchronous oophorectomy (65.31, 65.39) 66.63 66.69 66.7 Bilateral partial salpingectomy, not otherwise specified Other partial salpingectomy

Repair of fallopian tube 66.71 66.72 66.73 66.74 66.79 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 insufflation of therapeutic agent (66.95) that for hysterosalpingography (87.82-87.83)

Excludes: 66.9

Other operations on fallopian tubes 66.91 66.92 Aspiration of fallopian tube Unilateral destruction or occlusion of fallopian tube

Excludes: that of solitary tube (66.21-66.39) 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)

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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 dilation and curettage (69.01-69.09) that for induction of labor (73.1)

Excludes: 67.1

Diagnostic procedures on cervix 67.11 Endocervical biopsy

Excludes: conization of cervix (67.2) 67.12 Other cervical biopsy Punch biopsy of cervix NOS

Excludes: conization of cervix (67.2) 67.19 Other diagnostic procedures on cervix

Excludes: microscopic examination of specimen from cervix (91.41-91.49) 67.2 Conization of cervix that by: cryosurgery (67.33) electrosurgery (67.32)

Excludes:

67.3

Other excision or destruction of lesion or tissue of cervix 67.31 67.32 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

67.33 67.39

Excludes: biopsy of cervix (67.11-67.12) cervical fistulectomy (67.62) conization of cervix (67.2) 67.4 67.5 Amputation of cervix Cervicectomy with synchronous colporrhaphy Repair of internal cervical os 67.51 67.59 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)

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transabdominal cerclage of cervix (67.51) 67.6 Other repair of cervix repair of current obstetric laceration (75.51) Suture of laceration of cervix Repair of fistula of cervix Cervicosigmoidal fistulectomy

Excludes:

67.61 67.62

Excludes: fistulectomy: cervicovesical (57.84) ureterocervical (56.84) vesicocervicovaginal (57.84) 67.69 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) 68.0 Hysterotomy Hysterotomy with removal of hydatidiform mole hysterotomy for termination of pregnancy (74.91)

Excludes: 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 o uterine cavity (75.7) 68.12 Hysteroscopy

Excludes: that with biopsy (68.16) 68.13 Open biopsy of uterus

Excludes: closed biopsy of uterus(68.16) 68.14 Open biopsy of uterine ligaments

Excludes: closed biopsy of uterin ligaments (68.15) 68.15 68.16 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) 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)

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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 68.21 68.22 68.23 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 Uterine artery embolization [UAE] with coils

68.24

Excludes: that without coils (68.25) 68.25 Uterine artery embolization [UAE] without coils Includes that by: gelatin sponge gelfoam microspheres particulate agent NOS polyvinyl alcohol [PVA] spherical embolics

Excludes: that with coils (68.24) 68.29 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 68.31 Laparoscopic supracervical hysterectomy [LSH] Classic infrafascial SEMM hysterectomy [CISH] Laparoscopically assisted supracervical hysterectomy [LASH] Other and unspecified subtotal abdominal hysterectomy Supracervical hysterectomy

68.39

Excludes:classic infrafascial SEMM hysterectomy [CISH] (68.31) laparoscopic supracervical hysterectomy [LSH] (68.31) 68.4 Total abdominal hysterectomy 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

Code also any synchronous removal of tubes and ovaries (65.31-65.64) Excludes:

68.41 68.49

Excludes: laparoscopic total abdominal hysterectomy (68.41) 68.5 Vaginal hysterectomy

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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) 68.51 68.59 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: 68.61 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)

68.69

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) 68.71 68.79 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)

68.8

Code also any synchronous: colostomy (46.12-46.13) lymph gland dissection (40.3, 40.5) urinary diversion (56.51-56.79) 68.9 Other and unspecified hysterectomy Hysterectomy, NOS 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)

Excludes:

69

Other operations on uterus and supporting structures

Code also any application or administration of an adhesion barrier substance (99.77)

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69.0

Dilation and curettage of uterus 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

Excludes:

69.01 69.02 69.09 69.1

Excision or destruction of lesion or tissue of uterus and supporting structures 69.19 Other excision or destruction of uterus and supporting structures

Excludes: biopsy of uterine ligamen (68.14) 69.2 Repair of uterine supporting structures 69.21 69.22 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

69.23 69.29 69.3 69.4

Paracervical uterine denervation Uterine repair repair of current obstetric laceration (75.50-75.52) Suture of laceration of uterus Closure of fistula of uterus

Excludes:

69.41 69.42

Excludes: uterovesical fistulectom (57.84) 69.49 69.5 Other repair of uterus Repair of old obstetric laceration of uterus

Aspiration curettage of uterus 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

Excludes:

69.51 69.52 69.59 69.6 69.7 69.9

Menstrual extraction or regulation Insertion of intrauterine contraceptive device Other operations on uterus, cervix, and supporting structures obstetric dilation or incision of cervix (73.1, 73.93)

Excludes:

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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 69.93 69.94 Artificial insemination Insertion of laminaria Manual replacement of inverted uterus

Excludes: that in immediate postpartal period (75.94) 69.95 Incision of cervix

Excludes: that to assist delivery (73.93) 69.96 69.97 Removal of cerclage material from cervix Removal of other penetrating foreign body from cervix

Excludes: removal of intraluminal foreign body from cervix (98.16) 69.98 Other operations on supporting structures of uterus

Excludes: biopsy of uterine ligamen (68.14) 69.99 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 70.1 Culdocentesis Incision of vagina and cul-de-sac 70.11 70.12 70.13 70.14 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 70.21 70.22 70.23 70.24 Vaginoscopy Culdoscopy Biopsy of cul-de-sac Vaginal biopsy

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70.29 70.3

Other diagnostic procedures on vagina and cul- de-sac

Local excision or destruction of vagina and cul-de-sac 70.31 70.32 Hymenectomy Excision or destruction of lesion of cul-de- sac Endometrectomy of cul-de-sac

Excludes: biopsy of cul-de-sac (70.23) 70.33 Excision or destruction of lesion of vagina

Excludes: biopsy of vagina (70.24) vaginal fistulectomy (70.72-70.75) 70.4 Obliteration and total excision of vagina Vaginectomy obliteration of vaginal vault (70.8)

Excludes: 70.5

Repair of cystocele and rectocele 70.50 Repair of cystocele and rectocele

Excludes: repair of cystocele and rectocele with graft or prosthesis (70.53) 70.51 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) 70.52 Repair of rectocele Posterior colporrhaphy

Excludes: repair of cystocele and rectocele with graft or prosthesis (70.53) repair of rectocele wtih graft or prosthesis (70.55) STARR procedure (48.74) 70.53Repair of cystocele and rectocele with graft or prosthesis Use additional code: for biological substance (70.94) or synthetic substance (70.95), if known 70.54 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 70.55 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 70.61 70.62 70.63 Vaginal construction Vaginal reconstruction 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)

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70.64

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 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:

70.71 70.72 70.73 70.74 70.75

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) 70.76 70.77 70.78 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 70.79 Other repair of vagina Colpoperineoplasty Repair of old obstetric laceration of vagina

70.8 70.9

Obliteration of vaginal vault LeFort operation Other operations on vagina and cul-de-sac 70.91 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)

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replacement of: diaphragm (97.24) pack (97.26) pessary (97.25) vaginal dilation (96.16) vaginal douche (96.44) 70.92 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

70.93

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) 71 Operations on vulva and perineum

Code also any application or administration of an adhesion barrier substance (99.77) 71.0 Incision of vulva and perineum 71.01 71.09 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 71.11 Biopsy of vulva

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71.19 71.2

Other diagnostic procedures on vulva

Operations on Bartholin's gland 71.21 71.22 71.23 71.24 71.29 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

71.3

Other local excision or destruction of vulva and perineum Division of Skene's gland biopsy of vulva (71.11) vulvar fistulectomy (71.72)

Excludes: 71.4

Operations on clitoris Amputation of clitoris Clitoridotomy Female circumcision Radical vulvectomy

71.5

Code also any synchronous lymph gland dissection (40.3, 40.5) 71.6 Other vulvectomy 71.61 71.62 71.7 Unilateral vulvectomy Bilateral vulvectomy Vulvectomy NOS

Repair of vulva and perineum repair of current obstetric laceration (75.69) Suture of laceration of vulva or perineum Repair of fistula of vulva or perineum

Excludes:

71.71 71.72

Excludes: repair of fistula: urethroperineal (58.43) urethroperineovesical (57.84) vaginoperineal (70.75) 71.79 71.8 Other repair of vulva and perineum Repair of old obstetric laceration of vulva or perineum

Other operations on vulva removal of: foreign body without incision (98.23) packing (97.75) replacement of packing (97.26)

Excludes:

71.9

Other operations on female genital organs 13.OBSTETRICAL PROCEDURES (72-75)

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72 72.0 72.1 72.2

Forceps, vacuum, and breech delivery Low forceps operation Outlet forceps operation Low forceps operation with episiotomy Outlet forceps operation with episiotomy Mid forceps operation 72.21 72.29 Mid forceps operation with episiotomy Other mid forceps operation

72.3

High forceps operation 72.31 72.39 High forceps operation with episiotomy Other high forceps operation

72.4

Forceps rotation of fetal head DeLee maneuver Key-in-lock rotation Kielland rotation Scanzoni's maneuver

Code also any associated forceps extraction (72.0-72.39) 72.5 Breech extraction 72.51 72.52 72.53 72.54 72.6 Partial breech extraction with forceps to aftercoming head Other partial breech extraction Total breech extraction with forceps to aftercoming head Other total breech extraction

Forceps application to aftercoming head Piper forceps operation partial breech extraction with forceps to aftercoming head (72.51) total breech extraction with forceps to aftercoming head (72.53)

Excludes: 72.7

Vacuum extraction Malstrm's extraction Vacuum extraction with episiotomy Other vacuum extraction

Includes:

72.71 72.79 72.8 72.9 73 73.0

Other specified instrumental delivery Unspecified instrumental delivery Other procedures inducing or assisting delivery Artificial rupture of membranes 73.01 Induction of labor by artificial rupture of membranes Surgical induction NOS

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Excludes: artificial rupture of membranes after onset of labor (73.09) 73.09 73.1 Other artificial rupture of membranes Artificial rupture of membranes at time of delivery

Other surgical induction of labor Induction by cervical dilation injection for abortion (75.0) insertion of suppository for abortion (96.49)

Excludes: 73.2

Internal and combined version and extraction 73.21 73.22 Internal and combined version without extraction Version NOS Internal and combined version with extraction

73.3

Failed forceps Application of forceps without delivery Trial forceps Medical induction of labor medication to augment active labor -- omit code

73.4

Excludes: 73.5

Manually assisted delivery 73.51 73.59 Manual rotation of fetal head Other manually assisted delivery Assisted spontaneous delivery Crede maneuver

73.6

Episiotomy Episioproctotomy Episiotomy with subsequent episiorrhaphy that with: high forceps (72.31) low forceps (72.1) mid forceps (72.21) outlet forceps (72.1) vacuum extraction (72.71)

Excludes:

73.8

Operations on fetus to facilitate delivery Clavicotomy on fetus Destruction of fetus Needling of hydrocephalic head Other operations assisting delivery 73.91 73.92 73.93 73.94 External version Replacement of prolapsed umbilical cord Incision of cervix to assist delivery Dhrssen's incisions Pubiotomy to assist delivery Obstetrical symphysiotomy

73.9

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73.99

Other

Excludes: dilation of cervix, obstetrical to induce labor (73.1) insertion of bag or bougie to induce labor (73.1) removal of cerclage material (69.96) 74 Cesarean section and removal of fetus

Code also any synchronous: hysterectomy (68.3-68.4, 68.6, 68.8) myomectomy (68.29) sterilization (66.31-66.39, 66.63) 74.0 74.1 74.2 74.3 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 that by salpingostomy (66.02) that by salpingotomy (66.01) that with synchronous salpingectomy (66.62)

Excludes:

74.4

Cesarean section of other specified type Peritoneal exclusion cesarean section Transperitoneal cesarean section NOS Vaginal cesarean section Cesarean section of unspecified type 74.91 74.99 Hysterotomy to terminate pregnancy Therapeutic abortion by hysterotomy Other cesarean section of unspecified type Cesarean section NOS Obstetrical abdominouterotomy Obstetrical hysterotomy

74.9

75 75.0

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 insertion of prostaglandin suppository for abortion (96.49)

Excludes: 75.1 75.2

Diagnostic amniocentesis Intrauterine transfusion Exchange transfusion in utero

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Insertion of catheter into abdomen of fetus for transfusion Code also any hysterotomy approach (68.0) 75.3 Other intrauterine operations on fetus and amnion

Code also any hysterotomy approach (68.0) 75.31 Amnioscopy Fetoscopy Laparoamnioscopy Fetal EKG (scalp) Fetal blood sampling and biopsy Other fetal monitoring Antepartum fetal nonstress test Fetal monitoring, not otherwise specified

75.32 75.33 75.34

Excludes: fetal pulse oximetry (75.38) 75.35 Other diagnostic procedures on fetus and amnion Intrauterine pressure determination

Excludes: amniocentesis (75.1) diagnostic procedures on gravid uterus and placenta (87.81, 88.46, 88.78, 92.17) 75.36 Correction of fetal defect 75.37 Amnioinfusion Code also injection of antibiotic (99.21) 75.38 Fetal pulse oximetry Transcervical fetal oxygen saturation monitoring Transcervical fetal SpO2 monitoring

75.4

Manual removal of retained placenta aspiration curettage (69.52) dilation and curettage (69.02)

Excludes: 75.5

Repair of current obstetric laceration of uterus 75.50 75.51 75.52 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

Code also episiotomy, if performed (73.6) 75.61 75.62 75.69 Repair of current obstetric laceration of bladder and urethra Repair of current obstetric laceration of rectum and sphincter ani Repair of other current obstetric laceration Episioperineorrhaphy Repair of: pelvic floor perineum vagina

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vulva Secondary repair of episiotomy 75.7 75.8 Manual exploration of uterine cavity, postpartum Obstetric tamponade of uterus or vagina antepartum tamponade (73.1)

Excludes: 75.9

Other obstetric operations 75.91 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

75.92 75.93

Excludes: vaginal repair of chronic inversion of uterus (69.23) 75.94 75.99 Manual replacement of inverted uterus Other 14.OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)

76

Operations on facial bones and joints accessory sinuses (22.00-22.9) nasal bones (21.00-21.99) skull (01.01-02.99)

Excludes:

76.0

Incision of facial bone without division 76.01 76.09 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 76.11 76.19 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) 76.2 Local excision or destruction of lesion of facial bone biopsy of facial bone (76.11) excision of odontogenic lesion (24.4)

Excludes: 76.3

Partial ostectomy of facial bone

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76.31

Partial mandibulectomy Hemimandibulectomy

Excludes: that associated with temporomandibular arthroplasty (76.5) 76.39 76.4 Partial ostectomy of other facial bone Hemimaxillectomy (with bone graft or prosthesis)

Excision and reconstruction of facial bones 76.41 76.42 76.43 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) 76.44 76.45 76.46 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) 76.5 76.6 Temporomandibular arthroplasty 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

76.61 76.62 76.63 76.64

76.65 76.66 76.67 76.68

76.69

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76.7

Reduction of facial fracture internal fixation

Includes:

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 Closed reduction of malar and zygomatic fracture Open reduction of malar and zygomatic fracture Closed reduction of maxillary fracture Open reduction of maxillary fracture Closed reduction of mandibular fracture Open reduction of mandibular fracture Open reduction of alveolar fracture Reduction of alveolar fracture with stabilization of teeth Other closed reduction of facial fracture Closed reduction of orbital fracture

76.70 76.71 76.72 76.73 76.74 76.75 76.76 76.77 76.78

Excludes: nasal bone (21.71) 76.79 Other open reduction of facial fracture Open reduction of orbit rim or wall

Excludes: nasal bone (21.72) 76.9 Other operations on facial bones and joints 76.91 Bone graft to facial bone Autogenous graft to facial bone Bone bank graft to facial bone Heterogenous graft to facial bone Insertion of synthetic implant in facial bone Alloplastic implant to facial bone Closed reduction of temporomandibular dislocation Open reduction of temporomandibular dislocation Other manipulation of temporomandibular joint Injection of therapeutic substance into temporomandibular joint Removal of internal fixation device from facial bone

76.92 76.93 76.94 76.95 76.96 76.97

Excludes: removal of: dental wiring (97.33) external mandibular fixation device NEC (97.36) 76.99 Other

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77

Incision, excision, and division of other bones 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)

Excludes:

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 1 2 3 4 5 6 7 8 9 unspecified site scapula, clavicle, and thorax [ribs and sternum] humerus radius and ulna carpals and metacarpals femur patella tibia and fibula tarsals and metatarsals other Pelvic bones Phalanges (of foot) (of hand) Vertebrae

77.0 [0-9] 77.1 [0-9]

Sequestrectomy Other incision of bone without division Reopening of osteotomy site

Excludes:

aspiration of bone marrow (41.31, 41.91) removal of internal fixation device (78.60-78.69)

77.2 Wedge osteotomy [0-9] Excludes: that for hallux valgus (77.51) 77.3 [0-9] Other division of bone Osteoarthrotomy Excludes: clavicotomy of fetus (73.8) laminotomy or incision of vertebra (03.01-03.09) pubiotomy to assist delivery (73.94) sternotomy incidental to thoracic operation -- omit code

77.4 [0-9] 77.5

Biopsy of bone Excision and repair of bunion and other toe deformities 77.51 Bunionectomy with soft tissue correction and osteotomy of the first metatarsal

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77.52 77.53 77.54 77.56

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

77.57

77.58

77.59

77.6 Local excision of lesion or tissue of bone [0-9] Excludes: biopsy of bone (77.40-77.49) debridement of compound fracture (79.60-79.69) 77.7 [0-9] 77.8 [0-9] Excision of bone for graft Other partial ostectomy Condylectomy Excludes: amputation (84.00-84.19, 84.91) arthrectomy (80.90-80.99) excision of bone ends associated with: arthrodesis (81.00-81.39, 81.62-81.66) arthroplasty (81.40-81.59, 81.71-81.85) excision of cartilage (80.5-80.6, 80.80-80.99) excision of head of femur with synchronous replacement (00.70-00.73, 81.51-81.53) hemilaminectomy (03.01-03.09) laminectomy (03.01-03.09) ostectomy for hallux valgus (77.51-77.59) partial amputation: finger (84.01) thumb (84.02) toe (84.11) resection of ribs incidental to thoracic operation -- omit code that incidental to other operation -- omit code

77.9 [0-9]

Total ostectomy amputation of limb (84.00-84.19, 84.91)

Excludes:

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that incidental to other operation -- omit code 78 Other operations on bones, except facial bones 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)

Excludes:

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 1 2 3 4 5 6 7 8 9 unspecified site scapula, clavicle, and thorax [ribs and sternum] humerus radius and ulna carpals and metacarpals femur patella tibia and fibula tarsals and metatarsals other Pelvic bones Phalanges (of foot) (of hand) Vertebrae

78.0 [0-9]

Bone graft Bone: bank graft graft (autogenous) (heterogenous) That with debridement of bone graft site (removal of sclerosed, fibrous or necrotic bone or tissue) Transplantation of bone

Code also any excision of bone for graft (77.70-77.79) Excludes: 78.1 [0-9] that for bone lengthening (78.30-78.39)

Application of external fixator device Fixator with insertion of pins/wires/screws into bone

Code also any type of fixator device, if known (84.71-84.73) Excludes: other immobilization, pressure, and attention to wound (93.51-93.59)

78.2 Limb shortening procedures [0,2-5,7-9] Epiphyseal stapling Open epiphysiodesis Percutaneous epiphysiodesis Resection/osteotomy 78.3 Limb lengthening procedures [0,2-5,7-9] Bone graft with or without internal fixation devices or osteotomy Distraction technique with or without corticotomy/osteotomy

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Code also any application of an external fixation device (78.10-78.19) 78.4 [0-9] Other repair or plastic operations on bone Other operation on bone NEC Repair of malunion or nonunion fracture NEC Excludes: application of external fixation device (78.10-78.19) limb lengthening procedures (78.30-78.39) limb shortening procedures (78.20-78.29) osteotomy (77.3) reconstruction of thumb (82.61-82.69) repair of pectus deformity (34.74) repair with bone graft (78.00-78.09)

78.5 [0-9]

Internal fixation of bone without fracture reduction Internal fixation of bone (prophylactic) Reinsertion of internal fixation device Revision of displaced or broken fixation device

Excludes:

arthroplasty and arthrodesis (81.00-81.85) bone graft (78.00-78.09) insertion of sternal fixation device with rigid plates (84.94) limb shortening procedures (78.20-78.29) that for fracture reduction (79.10-79.19, 79.30-79.59)

78.6 [0-9]

Removal of implanted devices from bone External fixator device (invasive) Internal fixation device Removal of bone growth stimulator (invasive) Removal of internal limb lengthening device Removal of pedicle screw(s) used in spinal fusion

Excludes:

removal of cast, splint, and traction device (Kirschner wire) (Steinmann pin) (97.88) removal of posterior spinal motion preservation (facet replacement, pedicle-based dynamic stabilization, interspinous process) device(s) (80.09) removal of skull tongs or halo traction device (02.95)

78.7 [0-9] 78.8 [0-9]

Osteoclasis Diagnostic procedures on bone, not elsewhere classified

Excludes:

biopsy of bone (77.40-77.49) magnetic resonance imaging (88.94) microscopic examination of specimen from bone (91.51-91.59) radioisotope scan (92.14) skeletal x-ray (87.21-87.29, 87.43, 88.21-88.33) thermography (88.83)

78.9 [0-9]

Insertion of bone growth stimulator Insertion of: bone stimulator (electrical) to aid bone healing osteogenic electrodes for bone growth stimulation totally implanted device (invasive)

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Excludes: 79

non-invasive (transcutaneous) (surface) stimulator (99.86)

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 fixator 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 1 2 3 4 5 6 7 8 9 79.0 [0-9] unspecified site humerus radius and ulna Arm NOS carpals and metacarpals Hand NOS phalanges of hand femur tibia and fibula Leg NOS tarsals and metatarsals Foot NOS phalanges of foot other specified bone

Closed reduction of fracture without internal fixation that for separation of epiphysis (79.40-79.49)

Excludes: 79.1 [0-9]

Closed reduction of fracture with internal fixation that for separation of epiphysis (79.40-79.49)

Excludes: 79.2 [0-9]

Open reduction of fracture without internal fixation that for separation of epiphysis (79.50-79.59)

Excludes: 79.3 [0-9]

Open reduction of fracture with internal fixation that for separation of epiphysis (79.50-79.59)

Excludes:

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79.4 Closed reduction of separated epiphysis [0-2,5,6,9] Reduction with or without internal fixation 79.5 Open reduction of separated epiphysis [0-2,5,6,9] Reduction with or without internal fixation 79.6 [0-9] 79.7 Debridement of open fracture site Debridement of compound fracture Closed reduction of dislocation closed reduction (with external traction device) closed reduction of dislocation of temporomandibular joint (76.93) Closed reduction of dislocation of unspecified site Closed reduction of dislocation of shoulder Closed reduction of dislocation of elbow Closed reduction of dislocation of wrist Closed reduction of dislocation of hand and finger Closed reduction of dislocation of hip Closed reduction of dislocation of knee Closed reduction of dislocation of ankle Closed reduction of dislocation of foot and toe Closed reduction of dislocation of other specified sites

Includes: Excludes:

79.70 79.71 79.72 79.73 79.74 79.75 79.76 79.77 79.78 79.79 79.8

Open reduction of dislocation open reduction (with internal and external fixation devices) 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

Includes: Excludes:

79.80 79.81 79.82 79.83 79.84 79.85 79.86 79.87 79.88 79.89

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79.9 [0-9] 80

Unspecified operation on bone injury

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 1 2 3 4 5 6 7 8 9 80.0 [0-9] unspecified site shoulder elbow wrist hand and finger hip knee ankle foot and toe other specified sites Spine

Arthrotomy for removal of prosthesis without replacement

Includes removal of posterior spinal motion preservation (dynamic stabilization, facet replacement, interspinous process) device(s) Code also any: insertion of (cement)(joint) (methylmethacrylate) spacer (84.56) removal of (cement)(joint) (methylmethacrylate) spacer (84.57) Excludes: removal of pedicle screws used in spinal fusion (78.69) 80.1 [0-9] Other arthrotomy Arthrostomy Excludes: that for: arthrography (88.32) arthroscopy (80.20-80.29) injection of drug (81.92) operative approach -- omit code

80.2 [0-9] 80.3 [0-9]

Arthroscopy Biopsy of joint structure Aspiration biopsy

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80.4 [0-9]

Division of joint capsule, ligament, or cartilage Goldner clubfoot release Heyman-Herndon(-Strong) correction of metatarsus varus Release of: adherent or constrictive joint capsule joint ligament

Excludes:

symphysiotomy to assist delivery (73.94) that for: carpal tunnel syndrome (04.43) tarsal tunnel syndrome (04.44)

80.5

Excision, destruction and other repair of intervertebral disc 80.50 80.51 Excision or destruction of intervertebral disc, unspecified Unspecified as to excision or destruction Excision of intervertebral disc Diskectomy Removal of herniated nucleus pulposus Level: cervical thoracic lumbar (lumbosacral) That by laminotomy or hemilaminectomy That with decompression of spinal nerve root at same level Requires additional code for any concomitant decompression of spinal nerve root at different level from excision site

Code also any: concurrent spinal fusion (81.00-81.09) repair of the anulus fibrousus (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 anestheti substance (03.91) injection of other substances (03.92) 80.53 Repair of the anulus fibrosus with graft or prosthesis Anular disc repair Closure (sealing) of the anulus fibrosus defect Includes: microsurgical suture repair with fascial autograft soft tissue re-approximation repair with tension bands surgical mesh repair

Code also any: application or administration of adhesion barrier substance, if performed (99.77) intervertebral discectomy, if performed (80.51) locally harvested fascia for graft (83.43)

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80.54

Other and unspecified repair of the anulus fibrosus Anular disc repair Closure (sealing) of the anulus fibrosus defect Microsurgical suture repair without fascial autograft Percutaneous repair of the anulus fibrosus

Code also any: application or administration of adhesion barrier substance, if performed (99.77) intervertebral discectomy, if performed (80.51) 80.59 Other destruction of intervertebral disc Destruction NEC That by laser

80.6 80.7 [0-9]

Excision of semilunar cartilage of knee Excision of meniscus of knee Synovectomy Complete or partial resection of synovial membrane

Excludes: 80.8 [0-9] 80.9 [0-9]

excision of Baker's cyst (83.39)

Other local excision or destruction of lesion of joint Other excision of joint cheilectomy of joint (77.80-77.89) excision of bone ends (77.80-77.89)

Excludes:

81 81.0

Repair and plastic operations on joint structures Spinal fusion

Note: Spinal fusion is classified by the anatomic portion (column) fused and the technique (approach) used to perform the fusion. For the anterior column, the body (corpus) of adjacent vertebrae are fused (interbody fusion). The anterior column can be fused using an anterior, lateral, or posterior technique. For the posterior column, posterior structures of adjacent vertebrae are fused (pedicle, lamina, facet, transverse process, or "gutter" fusion). A posterior column fusion can be performed using a posterior, posterolateral, or lateral transverse technique. Includes: arthrodesis of spine with: bone graft internal fixation

Code also any insertion of interbody spinal fusion device (84.51) any insertion of recombinant bone morphogenetic protein (84.52) any synchronous excision of (locally) harvested bone for graft (77.70-77.79) the total number of vertebrae fused (81.62-81.64) Excludes:correction of pseudarthrosis of spine (81.30-81.39) refusion of spine (81.30-81.39) 81.00 81.01 Spinal fusion, not otherwise specified Atlas-axis spinal fusion Craniocervical fusion by anterior, transoral, or posterior technique

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C1-C2 fusion by anterior, transoral, or posterior technique Occiput C2 fusion by anterior, transoral, or posterior technique 81.02 Other cervical fusion of the anterior column, anterior technique Arthrodesis of C2 level or below: anterior interbody fusion anterolateral technique Other cervical fusion of the posterior column, posterior technique Arthrodesis of C2 level or below, posterolateral technique Dorsal and dorsolumbar fusion of the anterior column, anterior technique Arthrodesis of thoracic or thoracolumbar region: anterior interbody fusion anterolateral technique Extracavitary technique Dorsal and dorsolumbar fusion of the posterior column, posterior technique Arthrodesis of thoracic or thoracolumbar region, posterolateral technique Lumbar and lumbosacral fusion of the anterior column, anterior technique Anterior lumbar interbody fusion (ALIF) Arthrodesis of lumbar or lumbosacral region: anterior interbody fusion anterolateral technique retroperitoneal transperitoneal Direct lateral interbody fusion [DLIF] Extreme lateral interbody fusion [XLIF] Lumbar and lumbosacral fusion of the posterior column, posterior technique Facet fusion Posterolateral technique Transverse process technique Lumbar and lumbosacral fusion of the anterior column, posterior technique Arthrodesis of lumbar or lumbosacral region, posterior interbody fusion Axial lumbar interbody fusion [AxiaLIF] Posterior lumbar interbody fusion (PLIF) Transforaminal lumbar interbody fusion (TLIF)

81.03 81.04

81.05 81.06

81.07

81.08

81.1

Arthrodesis and arthroereisis of foot and ankle 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

Includes:

81.11 81.12 81.13

Excludes: arthroereisis (81.18) 81.14 81.15 Midtarsal fusion Tarsometatarsal fusion

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81.16 81.17 81.18 81.2

Metatarsophalangeal fusion Other fusion of foot Subtalar joint arthroereisis

Arthrodesis of other joint 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

Includes:

81.20 81.21 81.22 81.23 81.24 81.25 81.26 81.27 81.28 81.29 81.3

Refusion of spine

Note: Spine fusion is classified by the anatomic portion (column) fused and the technique (approach) used to perform the fusion. For the anterior column, the body (corpus) of adjacent vertebrae are fused (interbody fusion). The anterior column can be fused using an anterior, lateral, or posterior technique. For the posterior column, posterior structures of adjacent vertebrae are fused (pedicle, lamina, facet, transverse process, or "gutter" fusion). A posterior column fusion can be performed using a posterior, posterolateral, or lateral transverse technique. 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) any insertion of recombinant bone morphogenetic protein (84.52) any synchronous excision of (locally) harvested bone for graft (77.70-77.79) the total number of vertebrae fused (81.62-81.64) 81.30 81.31 Refusion of spine, not otherwise specified 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

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81.32

Refusion of other cervical spine, anterior column, anterior technique Arthrodesis of C2 level or below: anterior interbody fusion anterolateral technique Refusion of other cervical spine, posterior column, posterior technique Arthrodesis of C2 level or below, posterolateral technique Refusion of dorsal and dorsolumbar spine, anterior column, anterior technique Arthrodesis of thoracic or thoracolumbar region: anterior interbody fusion anterolateral technique Extracavitary technique Refusion of dorsal and dorsolumbar spine, posterior column, posterior technique Arthrodesis of thoracic or thoracolumbar region, posterolateral technique Refusion of lumbar and lumbosacral spine, anterior column, anterior technique Anterior lumbar interbody fusion (ALIF) Arthrodesis of lumbar or lumbosacral region: anterior interbody fusion anterolateral technique retroperitoneal transperitoneal Direct lateral interbody fusion [DLIF] Extreme lateral interbody fusion [XLIF] Refusion of lumbar and lumbosacral spine, posterior column, posterior technique Facet fusion Posterolateral technique Transverse process technique Refusion of lumbar and lumbosacral spine, anterior column, posterior technique Arthrodesis of lumbar or lumbosacral region, posterior interbody fusion Axial lumbar interbody fusion [AxiaLIF] Posterior lumbar interbody fusion (PLIF) Transforaminal lumbar interbody fusion (TLIF) Refusion of spine, not elsewhere classified

81.33 81.34

81.35 81.36

81.37

81.38

81.39 81.4

Other repair of joint of lower extremity 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 Patellar stabilization

Includes:

81.40 81.42

81.43

81.44

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

arthroplasty of lower extremity with: external traction or fixation graft of bone (chips) or cartilage internal fixation device or prosthesis

Note: removal of prior prosthesis - omit code 81.51 Total hip replacement Replacement of both femoral head and acetabulum by prosthesis Total reconstruction of hip

Code also any type of bearing surface, if known (00.74-0 0.77) 81.52 Partial hip replacement Bipolar endoprosthesis

Code also any type of bearing surface, if known (00.74-00.77) 81.53 Revision of hip replacement, not otherwise specified Revision of hip replacement, not specified as to components(s) replaced, (acetabular, femoral or both)

Code also any: removal of (cement)(joint) spacer (84.57) type of bearing surface, if known (00.74-00.77) Excludes: revision of hip replacement, components specified (00.70-00.73) 81.54 Total knee replacement Bicompartmental Partial knee replacement Tricompartmental Unicompartmental (hemijoint) Revision of knee replacement,not otherwise specified

81.55

Code also any removal of (cement) spacer (84.57) Excludes: arthrodesis of knee (81.22) revision of knee replacement, components specified (00.80-00.84) 81.56 81.57 81.59 81.6 Note: Total ankle replacement Replacement of joint of foot and toe Revision of joint replacement of lower extremity, not elsewhere classified

Other procedures on spine Number of vertebrae

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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 81.63 81.64 81.65 Fusion or refusion of 2-3 vertebrae Fusion or refusion of 4- 8 vertebrae 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: percutaneous vertebral augmentation (81.66) 81.66 Percutaneous vertebral augmentation Insertion of inflatable balloon, bone tamp, or other device displacing (removing) (compacting) bone to create a space (cavity) (void) prior to the 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 arthroplasty of hand and finger with: external traction or fixation graft of bone (chips) or cartilage internal fixation device or prosthesis 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

Includes:

Excludes:

81.71 81.72 81.73 81.74 81.75 81.79 81.8

Arthroplasty and repair of shoulder and elbow arthroplasty of upper limb NEC with: external traction or fixation graft of bone (chips) or cartilage internal fixation device or prosthesis

Includes:

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81.80

Other total shoulder replacement

Excludes: reverse total shoulder replacement (81.88) 81.81 81.82 81.83 81.84 81.85 81.88 Partial shoulder replacement Repair of recurrent dislocation of shoulder Other repair of shoulder Total elbow replacement Partial elbow replacement Other repair of elbow Reverse total shoulder replacement Reverse ball-and-socket of the shoulder

Excludes: conversion of prior (failed) total shoulder replacement (arthroplasty) to reverse total shoulder replacement (81.97) 81.9 Other operations on joint structures 81.91 Arthrocentesis Joint aspiration

Excludes: that for: arthrography (88.32) biopsy of joint structure 80.30-80.39) injection of drug (81.92) 81.92 81.93 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) 81.94 Suture of capsule or ligament of ankle and foot

Excludes: that associated wit arthroplasty (81.56-81.59) 81.95 Suture of capsule or ligament of other lower extremity

Excludes: that associated wit arthroplasty (81.51-81.55, 81.59) 81.96 81.97 Other repair of joint Revision of joint replacement of upper extremity Partial Removal of cement spacer Revision of arthroplasty of shoulder Total Other diagnostic procedures on joint structures

81.98

Excludes: arthroscopy (80.20-80.29) biopsy of joint structure (80.30-80.39) microscopic examination of specimen from joint (91.51-91.59) thermography (88.83) x-ray (87.21-87.29, 88.21-88.33) 81.99 Other

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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 82.01 Exploration of tendon sheath of hand Incision of tendon sheath of hand Removal of rice bodies in tendon sheath of hand

Excludes: division of tendon (82.11) 82.02 Myotomy of hand

Excludes: myotomy for division (82.19) 82.03 82.04 82.09 Bursotomy of hand 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 82.11 82.12 82.19 82.2 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

Excision of lesion of muscle, tendon, and fascia of hand 82.21 82.22 82.29 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 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

Code also any skin graft (86.61-86.62, 86.73) Excludes:

82.31 82.32 82.33

Excludes: excision of lesion of: tendon (82.29)

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sheath (82.21) 82.34 82.35 Excision of muscle or fascia of hand for graft Other fasciectomy of hand Release of Dupuytren's contracture

Excludes: excision of lesion of fascia (82.29) 82.36 Other myectomy of hand

Excludes: excision of lesion of muscle (82.22) 82.39 Other excision of soft tissue of hand

Excludes: excision of skin (86.21-86.3) excision of soft tissue lesion (82.29) 82.4 Suture of muscle, tendon, and fascia of hand 82.41 82.42 82.43 82.44 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) 82.45 Other suture of other tendon of hand

Excludes: delayed suture of other tendon of hand (82.43) 82.46 82.5 Suture of muscle or fascia of hand

Transplantation of muscle and tendon of hand 82.51 82.52 82.53 82.54 82.55 82.56 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) 82.57 82.58 82.59 82.6 Other hand tendon transposition Other hand muscle transfer or transplantation Other hand muscle transposition

Reconstruction of thumb digital transfer to act as thumb

Includes:

Code also any amputation for digital transfer (84.01, 84.11) 82.61 Pollicization operation carrying over nerves and blood supply

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82.69

Other reconstruction of thumb "Cocked-hat" procedure [skin flap and bone] Grafts: bone to thumb skin (pedicle) to thumb

82.7

Plastic operation on hand with graft or implant 82.71 82.72 82.79 Tendon pulley reconstruction Reconstruction for opponensplasty 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 82.81 Transfer of finger, except thumb

Excludes: pollicization of thumb (82.61) 82.82 82.83 82.84 82.85 82.86 82.89 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 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:

82.91

Excludes: decompression of carpal tunnel (04.43) that by stretching o manipulation only (93.26) 82.92 82.93 Aspiration of bursa of hand Aspiration of other soft tissue of hand

Excludes: skin and subcutaneous tissue (86.01) 82.94 82.95 82.96 Injection of therapeutic substance into bursa of hand Injection of therapeutic substance into tendon of hand Other injection of locally-acting therapeutic substance into soft tissue of hand

Excludes: subcutaneous or intramuscular injection (99.11-99.29) 82.99 Other operations on muscle, tendon, and fascia of hand

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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

83.02

Excludes: cricopharyngeal myotomy (29.31) 83.03 Bursotomy Removal of calcareous deposit of bursa

Excludes: aspiration of burs (percutaneous) (83.94) 83.09 Other incision of soft tissue Incision of fascia

Excludes: incision of skin an subcutaneous tissue alone (86.01-86.09) 83.1 Division of muscle, tendon, and fascia 83.11 83.12 83.13 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

83.14

83.19

83.2

Diagnostic procedures on muscle, tendon, fascia, and bursa, including that of hand 83.21 Open biopsy of soft tissue

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Excludes: biopsy of chest wall (34.23) closed biopsy of skin and subcutaneous tissue (86.11) 83.29 Other diagnostic procedures on muscle, tendon, fascia, and bursa, including that of hand

Excludes: microscopic examination of specimen (91.51-91.59) soft tissue x-ray (87.09, 87.38-87.39, 88.09, 88.35, 88.37) thermography of muscle (88.84) 83.3 Excision of lesion of muscle, tendon, fascia, and bursa 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:

83.31 83.32

83.39

Excludes: bursectomy (83.5) excision of lesion of skin and subcutaneous tissue (86.3) synovectomy (80.70-80.79) 83.4 Other excision of muscle, tendon, and fascia 83.41 83.42 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

83.43 83.44 83.45

83.49 83.5 83.6

Bursectomy Suture of muscle, tendon, and fascia 83.61 83.62 83.63 83.64 Suture of tendon sheath Delayed suture of tendon Rotator cuff repair Other suture of tendon Achillorrhaphy Aponeurorrhaphy

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Excludes: delayed suture of tendon (83.62) 83.65 83.7 Other suture of muscle or fascia Repair of diastasis recti

Reconstruction of muscle and tendon reconstruction of muscle and tendon associated with arthroplasty Advancement of tendon Recession of tendon Reattachment of tendon 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

Excludes:

83.71 83.72 83.73 83.74 83.75 83.76 83.77 83.79 83.8

Other plastic operations on muscle, tendon, and fascia 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

Excludes:

83.81 83.82 83.83 83.84 83.85

83.86 83.87

83.88

83.89

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83.9

Other operations on muscle, tendon, fascia, and bursa nonoperative: manipulation (93.25-93.29) stretching (93.27-93.29) Lysis of adhesions of muscle, tendon, fascia, and bursa

Excludes:

83.91

Excludes: that for tarsal tunnel syndrome (04.44) 83.92 Insertion or replacement of skeletal muscle stimulator Implantation, insertion, placement, or replacement of skeletal muscle: electrodes stimulator Removal of skeletal muscle stimulator Aspiration of bursa Aspiration of other soft tissue

83.93 83.94 83.95

Excludes: that of skin and subcutaneous tissue (86.01) 83.96 83.97 83.98 Injection of therapeutic substance into bursa Injection of therapeutic substance into tendon Injection of locally-acting therapeutic substance into other soft tissue

Excludes: subcutaneous or intramuscular injection (99.11-99.29) 83.99 Other operations on muscle, tendon, fascia, and bursa Suture of bursa

84 84.0

Other procedures on musculoskeletal system Amputation of upper limb 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:

84.00

84.01

Excludes: ligation of supernumerary finge (86.26) 84.02 84.03 84.04 84.05 84.06 84.07 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

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Upper arm amputation 84.08 84.09 84.1 Disarticulation of shoulder Interthoracoscapular amputation Forequarter amputation

Amputation of lower limb 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 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:

84.10

84.11

Excludes: ligation of supernumerary toe (86.26) 84.12 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) 84.13 84.14 84.15 84.16 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

84.17

84.18 84.19

84.2

Reattachment of extremity

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84.21 84.22 84.23 84.24 84.25 84.26 84.27 84.28 84.29 84.3

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

Revision of amputation stump Reamputation of stump Secondary closure of stump Trimming of stump revision of current traumatic amputation [revision by further amputation of current injury] (84.00-84.19, 84.91)

Excludes: 84.4

Implantation or fitting of prosthetic limb device 84.40 84.41 84.42 84.43 84.44 84.45 84.46 84.47 84.48 Implantation or fitting of prosthetic limb device, not otherwise specified Fitting of prosthesis of upper arm and shoulder Fitting of prosthesis of lower arm and hand Fitting of prosthesis of arm, not otherwise specified Implantation of prosthetic device of arm Fitting of prosthesis above knee Fitting of prosthesis below knee 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)

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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) 84.55 Insertion of bone void filler Insertion of: acrylic cement (PMMA) bone void cement calcium based bone void filler polymethylmethacrylate (PMMA) that with percutaneous vertebral augmentation (81.66) that with percutaneous vertebroplasty (81.65)

Excludes: 84.56 84.57 84.59

Insertion or replacement of (cement) spacer Insertion or replacement of joint (methylmethacrylate) spacer 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) 84.6 Replacement of spinal disc

Includes: non-fusion arthroplasty of the spine with insertion of artificial disc prosthesis 84.60 Insertion of spinal disc prosthesis, not otherwise specified Replacement of spinal disc, NOS

Includes: diskectomy (discectomy) 84.61 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) 84.62 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

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Includes: diskectomy (discectomy) 84.63 Insertion of spinal disc prosthesis, thoracic Artificial disc prosthesis (flexible), thoracic Replacement of thoracic spinal disc, partial or total

Includes: diskectomy (discectomy) 84.64 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) 84.65 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) 84.66 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

84.67

84.68

84.69

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

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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) 84.8Insertion, 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)

84.80Insertion 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) 84.81Revision 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) 84.82Insertion 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) 84.83Revision 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) 84.84Insertion 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) 84.85Revision 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)

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revision of pedicle-based dynamic stabilization device(s) (84.83) 84.9 Other operations on musculoskeletal system 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 Insertion of sternal fixation device with rigid plates

Excludes:

84.91 84.92 84.93 84.94

Excludes: insertion of sternal fixation device for internal fixation of fracture (79.39) internal fixation of bone without fracture reduction (78.59) 84.99 Other 15.OPERATIONS ON THE INTEGUMENTARY SYSTEM (85-86)

85

Operations on the breast

Includes: operations on the skin and subcutaneous tissue of: breast female or male previous mastectomy site female or male revision of previous mastectomy site 85.0 Mastotomy Incision of breast (skin) Mammotomy aspiration of breast (85.91) removal of implant (85.94)

Excludes: 85.1

Diagnostic procedures on breast 85.11 85.12 85.19 Closed [percutaneous] [needle] biopsy of breast Open biopsy of breast Other diagnostic procedures on breast

Excludes: mammary ductogram (87.35) mammography NEC (87.37) manual examination (89.36) microscopic examination of specimen (91.61-91.69) thermography (88.85) ultrasonography (88.73) xerography (87.36) 85.2 Excision or destruction of breast tissue mastectomy (85.41-85.48) reduction mammoplasty (85.31-85.32) Excision or destruction of breast tissue, not otherwise specified

Excludes:

85.20

Excludes: laser interstitial thermal therapy [LITT] of lesion or tissue of breast under guidance (17.69)

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85.21

Local excision of lesion of breast Lumpectomy Removal of area of fibrosis from breast

Excludes: biopsy of breast (85.11-85.12) 85.22 85.23 Resection of quadrant of breast Subtotal mastectomy

Excludes: quadrant resection (85.22) 85.24 85.25 Excision of ectopic breast tissue Excision of accessory nipple Excision of nipple

Excludes: excision of accessory nipple (85.24) 85.3 Reduction mammoplasty and subcutaneous mammectomy 85.31 Unilateral reduction mammoplasty Unilateral: amputative mammoplasty size reduction mammoplasty Bilateral reduction mammoplasty Amputative mammoplasty Reduction mammoplasty (for gynecomastia) Unilateral subcutaneous mammectomy with synchronous implant

85.32

85.33

Excludes: that without synchronous implan (85.34) 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

85.35

Excludes: that without synchronous implan (85.36) 85.36 85.4 Other bilateral subcutaneous mammectomy

Mastectomy 85.41 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

85.42 85.43

85.44 85.45

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Excision of breast, pectoral muscles, and regional lymph nodes [axillary, clavicular, supraclavicular] Radical mastectomy NOS 85.46 85.47 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

85.48 85.5

Augmentation mammoplasty that associated with subcutaneous mammectomy (85.33, 85.35) Augmentation mammoplasty, not otherwise specified Unilateral injection into breast for augmentation

Excludes:

85.50 85.51

Excludes: injection of fat graft of breast (85.55) 85.52 Bilateral injection into breast for augmentation Injection into breast for augmentation NOS

Excludes: injection of fat graft of breast (85.55) 85.53 85.54 85.55 Unilateral breast implant Bilateral breast implant Breast implant NOS Fat graft to breast Includes: extraction of fat for autologous graft Autologous fat transplantation or transfer Fat graft to breast NOS Fat graft to breast with or without use of enriched graft Micro-fat grafting

Excludes: that with reconstruction of breast (85.70-85.79) 85.6 85.7 Mastopexy Total reconstruction of breast 85.70 85.71 85.72 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) 85.73 Transverse rectus abdominis myocutaneous (TRAM) flap, free

Excludes: transverse rectus abdominis myocutaneous (TRAM) flap, pedicled (85.72) 85.74 85.75 85.76 Deep inferior epigastric artery perforator (DIEP) flap, free Superficial inferior epigastric artery (SIEA) flap, free Gluteal artery perforator (GAP) flap, free

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85.79

Other total reconstruction of breast

Excludes: deep inferior epigastric artery perforator (DIEP) flap, free (85.74) gluteal artery perforator flap, free (85.76) lastissimus 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 that for: augmentation (85.50-85.54) reconstruction (85.70-85.76, 85.79) reduction (85.31-85.32) 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

Excludes:

85.81 85.82 85.83 85.84 85.85 85.86 85.87 85.89 85.9

Other operations on the breast 85.91 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, 85.55) 85.93 85.94 85.95 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

85.96 85.99 86

Operations on skin and subcutaneous tissue

Includes: operations on: hair follicles male perineum nails

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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 Injection or tattooing of skin lesion or defect Injection of filling material Insertion of filling material Pigmenting of skin of filling material Incision of pilonidal sinus or cyst

86.02

86.03

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 spac 82.04) pilonidal sinus or cys 86.03) 86.05 Incision with removal of foreign body or device from skin and subcutaneous tissue Removal of carotid sinus baroreflex activation device 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

Excludes: removal of foreign body without incision (98.20-98.29) 86.06 Insertion of totally implantable infusion pump

Code also any associated catheterization Excludes: insertion of totally implantable vascular access device (86.07) 86.07 Insertion of totally implantable vascular access device [VAD] Totally implanted port

Excludes: insertion of totally implantable infusion pump (86.06) 86.09 Other incision of skin and subcutaneous tissue

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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 for drainage (86.04) that of: cardiac pacemaker pocket, new site (37.79) fascial compartments of face and mouth (27.0) 86.1 Diagnostic procedures on skin and subcutaneous tissue 86.11 86.19 Closed biopsy of skin and subcutaneous tissue Other diagnostic procedures on skin and subcutaneous tissue

Excludes: microscopic examination of specimen from skin and subcutaneous tissue (91.61-91.79) 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) 86.22 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 86.24 86.25 Removal of nail, nail bed, or nail fold 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)

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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 Ultrasonic debridement Water scalpel (jet)

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 adipectomy (86.83) biopsy of skin (86.11) wide or radical excision of skin (86.4) Z-plasty without excision (86.84)

Excludes:

86.4

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 86.59 Replantation of scalp Closure of skin and subcutaneous tissue of other sites Adhesives (surgical) (tissue) Staples Sutures application of adhesive strips (butterfly) - omit code

Excludes: 86.6

Free skin graft excision of skin for autogenous graft 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

Includes: Excludes:

86.60 86.61

Excludes: heterograft (86.65) homograft (86.66)

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86.62

Other skin graft to hand

Excludes: heterograft (86.65) homograft (86.66) 86.63 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) 86.65 Heterograft to skin Pigskin graft Porcine graft

Excludes: application of dressing only (93.57) 86.66 Homograft to skin Graft to skin of: amnionic membrane from donor skin from donor

86.67

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) Pedicle grafts or flaps 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

86.69

86.7

Excludes:

86.70 86.71

Excludes: pollicization or digita transfer (82.61, 82.81) revision of pedicle (86.75) 86.72 86.73 Advancement of pedicle graft Attachment of pedicle or flap graft to hand

Excludes: pollicization or digita transfer (82.61, 82.81) 86.74 Attachment of pedicle or flap graft to other sites

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Attachment by: advanced flap double pedicled flap pedicle graft rotating flap sliding flap tube graft 86.75 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 86.81 86.82 Repair for facial weakness Facial rhytidectomy Face lift

Excludes: rhytidectomy of eyelid (08.86-08.87) 86.83 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) liposuction to harvest fat graft (86.90) 86.84 Relaxation of scar or web contracture of skin Z-plasty of skin

Excludes: Z-plasty with excision of lesio (86.3) 86.85 86.86 86.87 Correction of syndactyly Onychoplasty Fat graft of skin and subcutaneous tissue Includes: extraction of fat for autologous graft Autologous fat transplantation or transfer Fat graft to breast NOS Fat graft to breast with or without use of enriched graft Micro-fat grafting

Excludes: fat graft to breast (85.55) 86.89 Other repair and reconstruction of skin and subcutaneous tissue

Excludes: mentoplasty (76.67-76.68) 86.9 Other operations on skin and subcutaneous tissue 86.90 Extraction of fat for graft or banking Harvest of fat for extraction of cells for future use Liposuction to harvest fat graft

Excludes: that with graft at same operative episode (85.55, 86.87)

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86.91

Excision of skin for graft Excision of skin with closure of donor site

Excludes: that with graft at sam operative episode (86.60-86.69) 86.92 Electrolysis and other epilation of skin

Excludes: epilation of eyelid (08.91-08.93) 86.93 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) 86.94 Insertion or replacement of single array neurostimulator pulse generator, not specified as rechargeable Pulse generator (single array, single channel, single port) for intracranial, spinal, and peripheral neurostimulator

Code also any associated lead implantation (02.93, 03.93, 04.92) Excludes: cranial implantation or replacement of neurostimulator pulse generator (01.20) insertion or replacement of single array rechargeable neurostimulator pulse generator (86.97) 86.95 Insertion or replacement of multiple array neurostimulator pulse generator, not specified as rechargeable Pulse generator (multiple array, multiple channel, multiple port)) for intracranial, spinal, and peripheral neurostimulator

Code also any associated lead implantation (02.93, 03.93, 04.92) Excludes: cranial implantation or replacement of neurostimulator pulse generator (01.20) insertion or replacement of multiple array rechargeable neurostimulator pulse generator (86.98) 86.96 Insertion or replacement of other neurostimulator pulse generator

Code also any associated lead implantation (02.93, 03.93, 04.92) Excludes: cranial implantation or replacement of neurostimulator pulse generator (01.20) insertion of multiple array neurostimulator pulse generator (86.95, 86.98) insertion of single array neurostimulator pulse generator (86.94, 86.97) 86.97 Insertion or replacement of single array rechargeable neurostimulator pulse generator Rechargeable pulse generator (single array, single channel, single port) for intracranial, spinal, and peripheral neurostimulator

Code also any associated lead implantation (02.93, 03.93, 04.92) Excludes: cranial implantation or replacement of neurostimulator pulse generator (01.20) 86.98 Insertion or replacement of multiple array (two or more) rechargeable neurostimulator pulse generator Rechargeable pulse generator (multiple array, multiple channel, multiple port) for intracranial, spinal, and peripheral neurostimulator

Code also any associated lead implantation (02.93, 03.93, 04.92) Excludes: cranial implantation or replacement of neurostimulator pulse generator (01.20)

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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) 16.MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)

87 87.0

Diagnostic Radiology Soft tissue x-ray of face, head, and neck 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 Contrast dacryocystogram Contrast radiogram of nasopharynx Contrast laryngogram Cervical lymphangiogram 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:

87.01 87.02

87.03 87.04 87.05 87.06 87.07 87.08 87.09

Excludes: x-ray study of eye (95.14) 87.1 Other x-ray of face, head, and neck angiography (88.40-88.68) Full-mouth x-ray of teeth Other dental x-ray Orthodontic cephalogram or cephalometrics

Excludes:

87.11 87.12

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Panorex examination of mandible Root canal x-ray 87.13 87.14 87.15 87.16 Temporomandibular contrast arthrogram Contrast radiogram of orbit Contrast radiogram of sinus Other x-ray of facial bones X-ray of: frontal area mandible maxilla nasal sinuses nose orbit supraorbital area symphysis menti zygomaticomaxillary complex Other x-ray of skull Lateral projection of skull Sagittal projection Tangential projection

87.17

87.2

X-ray of spine 87.21 87.22 87.23 87.24 87.29 Contrast myelogram Other x-ray of cervical spine Other x-ray of thoracic spine Other x-ray of lumbosacral spine Sacrococcygeal x-ray Other x-ray of spine Spinal x-ray NOS

87.3

Soft tissue x-ray of thorax angiocardiography (88.50-88.58) angiography (88.40-88.68) Endotracheal bronchogram Other contrast bronchogram Transcricoid bronchogram Mediastinal pneumogram Intrathoracic lymphangiogram Contrast radiogram of mammary ducts Xerography of breast Other mammography Sinogram of chest wall

Excludes:

87.31 87.32 87.33 87.34 87.35 87.36 87.37 87.38

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Fistulogram of chest wall 87.39 87.4 Other soft tissue x-ray of chest wall

Other x-ray of thorax angiocardiography (88.50-88.58) angiography (88.40-88.68) Computerized axial tomography of thorax C.A.T. scan of: heart thorax 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 Other tomography of thorax Cardiac tomogram

Excludes:

87.41

87.42

Excludes: C.A.T. scan of heart (87.41) 87.43 X-ray of ribs, sternum, and clavicle Examination for: cervical rib fracture Routine chest x-ray, so described X-ray of chest NOS Other chest x-ray X-ray of: bronchus NOS diaphragm NOS heart NOS lung NOS mediastinum NOS trachea NOS

87.44 87.49

87.5

Biliary tract x-ray 87.51 87.52 87.53 87.54 87.59 Percutaneous hepatic cholangiogram Intravenous cholangiogram Intraoperative cholangiogram Other cholangiogram Other biliary tract x-ray Cholecystogram

87.6

Other x-ray of digestive system 87.61 87.62 87.63 Barium swallow Upper GI series Small bowel series

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87.64 87.65 87.66 87.69 87.7

Lower GI series Other x-ray of intestine Contrast pancreatogram Other digestive tract x-ray

X-ray of urinary system 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 Ileal conduitogram Other x-ray of the urinary system KUB x-ray

Excludes:

87.71 87.72 87.73 87.74 87.75 87.76 87.77 87.78 87.79 87.8

X-ray of female genital organs 87.81 87.82 87.83 87.84 87.85 87.89 X-ray of gravid uterus Intrauterine cephalometry by x-ray Gas contrast hysterosalpingogram Opaque dye contrast hysterosalpingogram Percutaneous hysterogram Other x-ray of fallopian tubes and uterus Other x-ray of female genital organs

87.9

X-ray of male genital organs 87.91 87.92 87.93 87.94 87.95 87.99 Contrast seminal vesiculogram Other x-ray of prostate and seminal vesicles Contrast epididymogram Contrast vasogram Other x-ray of epididymis and vas deferens Other x-ray of male genital organs

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88 88.0

Other diagnostic radiology and related techniques Soft tissue x-ray of abdomen angiography (88.40-88.68) Computerized axial tomography of abdomen C.A.T. scan of abdomen

Excludes:

88.01

Excludes: C.A.T. scan of kidney (87.71) 88.02 Other abdomen tomography

Excludes: nephrotomogram (87.72) 88.03 88.04 88.09 88.1 Sinogram of abdominal wall Fistulogram of abdominal wall Abdominal lymphangiogram Other soft tissue x-ray of abdominal wall

Other x-ray of abdomen 88.11 88.12 88.13 88.14 88.15 88.16 88.19 Pelvic opaque dye contrast radiography Pelvic gas contrast radiography Pelvic pneumoperitoneum Other peritoneal pneumogram Retroperitoneal fistulogram Retroperitoneal pneumogram Other retroperitoneal x-ray Other x-ray of abdomen Flat plate of abdomen

88.2

Skeletal x-ray of extremities and pelvis contrast radiogram of joint (88.32) Skeletal x-ray of shoulder and upper arm Skeletal x-ray of elbow and forearm Skeletal x-ray of wrist and hand Skeletal x-ray of upper limb, not otherwise specified Pelvimetry Other skeletal x-ray of pelvis and hip Skeletal x-ray of thigh, knee, and lower leg Skeletal x-ray of ankle and foot Skeletal x-ray of lower limb, not otherwise specified

Excludes:

88.21 88.22 88.23 88.24 88.25 88.26 88.27 88.28 88.29 88.3

Other x-ray

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88.31 88.32

Skeletal series X-ray of whole skeleton Contrast arthrogram

Excludes: that of temporomandibular joint (87.13) 88.33 Other skeletal x-ray

Excludes: skeletal x-ray of: extremities and pelvi 88.21-88.29) face, head, and neck (87.11-87.17) spine (87.21-87.29) thorax (87.43) 88.34 88.35 88.36 88.37 Lymphangiogram of upper limb Other soft tissue x-ray of upper limb Lymphangiogram of lower limb Other soft tissue x-ray of lower limb

Excludes: femoral angiography (88.48, 88.66) 88.38 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 88.4 X-ray, other and unspecified

Arteriography using contrast material angiography of arteries arterial puncture for injection of contrast material radiography of arteries (by fluoroscopy) retrograde arteriography

Includes:

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) Arteriography using contrast material, unspecified site Arteriography of cerebral arteries Angiography of: basilar artery carotid (internal) posterior cerebral circulation vertebral artery Aortography Arteriography of aorta and aortic arch

88.40 88.41

88.42

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88.43 88.44

Arteriography of pulmonary arteries Arteriography of other intrathoracic vessels

Excludes: angiocardiography (88.50-88.58) arteriography of coronary arteries (88.55-88.57) 88.45 88.46 88.47 88.48 88.49 88.5 Arteriography of renal arteries Arteriography of placenta Placentogram using contrast material Arteriography of other intra-abdominal arteries Arteriography of femoral and other lower extremity arteries Arteriography of other specified sites

Angiocardiography using contrast material arterial puncture and insertion of arterial catheter for injection of contrast material cineangiocardiography selective angiocardiography angiography of pulmonary vessels (88.43, 88.62) Angiocardiography, not otherwise specified Angiocardiography of venae cavae Inferior vena cavography Phlebography of vena cava (inferior) (superior) Angiocardiography of right heart structures Angiocardiography of: pulmonary valve right atrium right ventricle (outflow tract)

Includes:

Code also synchronous cardiac catheterization (37.21-37.23) Excludes:

88.50 88.51

88.52

Excludes: intra-operative fluorescence vascular angiography (88.59) that combined with left heart angiocardiography (88.54) 88.53 Angiocardiography of left heart structures Angiocardiography of: aortic valve left atrium left ventricle (outflow tract)

Excludes: intra-operative fluorescence vascular angiography (88.59) that combined with right heart angiocardiography (88.54) 88.54 Combined right and left heart angiocardiography

Excludes: intra-operative fluorescence vascular angiography (88.59) 88.55 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) 88.56 Coronary arteriography using two catheters

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Coronary arteriography by: Judkins technique Ricketts and Abrams technique Direct selective coronary arteriography using two catheters Excludes: intra-operative fluorescence vascular angiography (88.59) 88.57 Other and unspecified coronary arteriography Coronary arteriography NOS

Excludes: intra-operative fluorescence vascular angiography (88.59) 88.58 Negative-contrast cardiac roentgenography Cardiac roentgenography with injection of carbon dioxide

88.59Intra-operative coronary fluorescence vascular angiography Intraoperative laser arteriogram (SPY) SPY arteriogram SPY arteriography 88.6 Phlebography angiography of veins radiography of veins (by fluoroscopy) retrograde phlebography venipuncture for injection of contrast material venography using contrast material

Includes:

Note:

The fourth-digit subclassification (88.60-88.67) identifies the site to be viewed, not the site of injection. angiography using: radioisotopes or radionuclides (92.01-92.19) ultrasound (88.71-88.79) fluorescein angiography of eye (95.12) Phlebography using contrast material, unspecified site Phlebography of veins of head and neck using contrast material Phlebography of pulmonary veins using contrast material 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 Phlebography of femoral and other lower extremity veins using contrast material Phlebography of other specified sites using contrast material Impedance phlebography

Excludes:

88.60 88.61 88.62 88.63 88.64 88.65 88.66 88.67 88.68 88.7

Diagnostic ultrasound Echography Non-invasive ultrasound Ultrasonic angiography Ultrasonography intravascular imaging (adjunctive) (IVUS) (00.21-00.29)

Includes:

Excludes:

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therapeutic ultrasound (00.01-00.09) that for intraoperative monitoring (00.94) 88.71 Diagnostic ultrasound of head and neck Determination of midline shift of brain Echoencephalography

Excludes: eye (95.13) 88.72 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) 88.73 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 Diagnostic ultrasound of peripheral vascular system Deep vein thrombosis ultrasonic scanning

88.74 88.75 88.76 88.77

Excludes:adjunct vascular system procedures (00.40-00.43) 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

88.79

88.8

Thermography 88.81 88.82 88.83 88.84 88.85 88.86 Cerebral thermography Ocular thermography Bone thermography Osteoarticular thermography Muscle thermography Breast thermography Blood vessel thermography Deep vein thermography

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88.89

Thermography of other sites Lymph gland thermography Thermography NOS

88.9

Other diagnostic imaging 88.90 88.91 Diagnostic imaging, not elsewhere classified Magnetic resonance imaging of brain and brain stem

Excludes: intraoperative magnetic resonance imaging (88.96) laser interstitial thermal therapy [LITT] of lesion or tissue of brain under guidance (17.61) real-time magnetic resonance imaging (88.96) 88.92 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) 88.93 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) Magnetic resonance imaging of pelvis, prostate, and bladder

88.94

88.95

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

88.97

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

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89 89.0

Interview, evaluation, consultation, and examination Diagnostic interview, consultation, and evaluation psychiatric diagnostic interview (94.11-94.19) Interview and evaluation, described as brief Abbreviated history and evaluation Interview and evaluation, described as limited Interval history and evaluation Interview and evaluation, described as comprehensive History and evaluation of new problem Other interview and evaluation Diagnostic interview and evaluation, not otherwise specified Consultation, described as limited Consultation on a single organ system Consultation, described as comprehensive Other consultation Consultation, not otherwise specified

Excludes:

89.01 89.02 89.03 89.04 89.05 89.06 89.07 89.08 89.09 89.1

Anatomic and physiologic measurements and manual examinations -- nervous system and sense organs 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) Intracarotid amobarbital test Wada test Tonometry Nasal function study Rhinomanometry Neurologic examination Electroencephalogram

Excludes:

89.10 89.11 89.12 89.13 89.14

Excludes: that with polysomnogram (89.17) 89.15 89.16 89.17 89.18 89.19 Other nonoperative neurologic function tests Transillumination of newborn skull Polysomnogram Sleep recording Other sleep disorder function tests Multiple sleep latency test [MSLT] Video and radio-telemetered electroencephalographic monitoring Radiographic EEG monitoring Video EEG monitoring

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Excludes: intraoperative monitoring (00.94) 89.2 Anatomic and physiologic measurements and manual examinations -- genitourinary system the listed procedures when done as part of a general physical examination (89.7) Urinary manometry Manometry through: indwelling ureteral catheter nephrostomy pyelostomy ureterostomy Cystometrogram Urethral sphincter electromyogram Uroflowmetry [UFR] Urethral pressure profile [UPP] Gynecological examination Pelvic examination Other nonoperative genitourinary system measurements Bioassay of urine Renal clearance Urine chemistry

Excludes:

89.21

89.22 89.23 89.24 89.25 89.26 89.29

89.3

Other anatomic and physiologic measurements and manual examinations the listed procedures when done as part of a general physical examination (89.7) Dental examination Oral mucosal survey Periodontal survey Esophageal manometry Digital examination of enterostomy stoma Digital examination of colostomy stoma Digital examination of rectum Transillumination of nasal sinuses Manual examination of breast Vital capacity determination

Excludes:

89.31

89.32 89.33 89.34 89.35 89.36 89.37

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:

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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 89.42 89.43 89.44 89.45 Cardiovascular stress test using treadmill Masters' two-step stress test Cardiovascular stress test using bicycle ergometer Other cardiovascular stress test Thallium stress test with or without transesophageal pacing 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) noninvasive programmed electrical stimulation [NIPS] (arrhythmia induction) (37.20) 89.46 89.47 89.48 89.49 Artificial pacemaker artifact wave form check Artificial pacemaker electrode impedance check Artificial pacemaker voltage or amperage threshold check 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) noninvasive programmed electrical stimulation [NIPS] (arrhythmia induction) (37.20) 89.5 Other nonoperative cardiac and vascular diagnostic procedures fetal EKG (75.32) Ambulatory cardiac monitoring Analog devices [Holter-type] Rhythm electrocardiogram Rhythm EKG (with one to three leads) Electrocardiogram ECG NOS EKG (with 12 or more leads) Vectorcardiogram (with ECG) Electrographic monitoring Telemetry

Excludes:

89.50 89.51 89.52

89.53 89.54

Excludes: ambulatory cardiac monitoring (89.50) electrographic monitoring durin surgery -- omit code

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89.55 89.56

Phonocardiogram with ECG lead Carotid pulse tracing with ECG lead

Excludes: oculoplethysmography (89.58) 89.57 89.58 Apexcardiogram (with ECG lead) Plethysmogram Penile plethysmography with nerve stimulation

Excludes: plethysmography (for): measurement of respiratory function (89.38) thoracic impedance (89.38) 89.59 89.6 Other nonoperative cardiac and vascular measurements

Circulatory monitoring 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) Continuous intra-arterial blood gas monitoring Insertion of blood gas monitoring system and continuous monitoring of blood gases through an intra-arterial sensor Systemic arterial pressure monitoring

Excludes:

89.60

89.61

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) 89.64 Pulmonary artery wedge monitoring Pulmonary capillary wedge [PCW] monitoring Swan-Ganz catheterization Measurement of systemic arterial blood gases

89.65

Excludes: continuous intra-arterial blood gas monitoring (89.60) 89.66 89.67 89.68 89.69 Measurement of mixed venous blood gases Monitoring of cardiac output by oxygen consumption technique Fick method Monitoring of cardiac output by other technique Cardiac output monitor by thermodilution indicator Monitoring of coronary blood flow Coronary blood flow monitoring by coincidence counting technique

Excludes: intravascular pressure measurement of coronary arteries (00.59)

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89.7 89.8 90

General physical examination Autopsy Microscopic examination-I

The following fourth-digit subclassification is for use with categories in section 90 to identify type of examination: 1 2 3 4 5 6 9 90.0 90.1 90.2 90.3 90.4 90.5 90.6 90.7 90.8 90.9 91 bacterial smear culture culture and sensitivity parasitology toxicology cell block and Papanicolaou smear other microscopic examination

Microscopic examination of specimen from nervous system and of spinal fluid Microscopic examination of specimen from endocrine gland, not elsewhere classified Microscopic examination of specimen from eye Microscopic examination of specimen from ear, nose, throat, and larynx Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum Microscopic examination of blood Microscopic examination of specimen from spleen and of bone marrow Microscopic examination of specimen from lymph node and of lymph Microscopic examination of specimen from upper gastrointestinal tract and of vomitus Microscopic examination of specimen from lower gastrointestinal tract and of stool Microscopic examination-II

The following fourth-digit subclassification is for use with categories in section 91 to identify type of examination 1 2 3 4 5 6 9 91.0 91.1 91.2 91.3 bacterial smear culture culture and sensitivity parasitology toxicology cell block and Papanicolaou smear other microscopic examination

Microscopic examination of specimen from liver, biliary tract, and pancreas Microscopic examination of peritoneal and retroperitoneal specimen Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen

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91.4

Microscopic examination of specimen from female genital tract Amnionic sac Fetus Microscopic examination of specimen from musculoskeletal system and of joint fluid Microscopic examination of: bone bursa cartilage fascia ligament muscle synovial membrane tendon Microscopic examination of specimen from skin and other integument Microscopic examination of: hair nails skin mucous membrane -- code to organ site that of operative wound (91.71-91.79)

91.5

91.6

Excludes: 91.7 91.8 91.9 92 92.0

Microscopic examination of specimen from operative wound Microscopic examination of specimen from other site Microscopic examination of specimen from unspecified site Nuclear medicine Radioisotope scan and function study 92.01 Thyroid scan and radioisotope function studies Iodine-131 uptake Protein-bound iodine Radio-iodine uptake Liver scan and radioisotope function study Renal scan and radioisotope function study Renal clearance study Gastrointestinal scan and radioisotope function study Radio-cobalt B12 Schilling test Radio-iodinated triolein study Cardiovascular and hematopoietic scan and radioisotope function study Bone marrow scan or function study Cardiac output scan or function study Circulation time scan or function study Radionuclide cardiac ventriculogram scan or function study Spleen scan or function study Other radioisotope function studies

92.02 92.03 92.04

92.05

92.09 92.1

Other radioisotope scan

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92.11 92.12

Cerebral scan Pituitary Scan of other sites of head

Excludes: eye (95.16) 92.13 92.14 92.15 92.16 92.17 92.18 92.19 92.2 Parathyroid scan Bone scan Pulmonary scan Scan of lymphatic system Placental scan Total body scan Scan of other sites

Therapeutic radiology and nuclear medicine that for: ablation of pituitary gland (07.64-07.69) destruction of chorioretinal lesion (14.26-14.27) Infusion of liquid brachytherapy radioisotope I-125 radioisotope Intracavitary brachytherapy Includes: removal of radioisotope Superficial radiation Contact radiation [up to 150 KVP] Orthovoltage radiation Deep radiation [200-300 KVP] Radioisotopic teleradiotherapy Teleradiotherapy using: cobalt-60 iodine-125 radioactive cesium Teleradiotherapy using photons Megavoltage NOS Supervoltage NOS Use of: Betatron linear accelerator Teleradiotherapy using electrons Beta particles

Excludes:

92.20

92.21 92.22 92.23

92.24

92.25

Excludes: intra-operative electron radiation therapy (92.41) 92.26 Teleradiotherapy of other particulate radiation Neutrons Protons NOS Implantation or insertion of radioactive elements

92.27

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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 92.3 Other radiotherapeutic procedure

Stereotactic radiosurgery

Code also stereotactic head frame application (93.59) Excludes: stereotactic biopsy 92.30 92.31 Stereotactic radiosurgery, not otherwise specified 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

92.32

92.33

92.39

92.4Intra-operative radiation procedures 92.41Intra-operative electron radiation therapy IOERT That using a mobile linear accelerator 93 93.0 Physical therapy, respiratory therapy, rehabilitation, and related procedures Diagnostic physical therapy 93.01 93.02 93.03 93.04 93.05 93.06 Functional evaluation Orthotic evaluation Prosthetic evaluation Manual testing of muscle function Range of motion testing Measurement of limb length

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93.07

Body measurement Girth measurement Measurement of skull circumference Electromyography

93.08

Excludes: eye EMG (95.25) that for intraoperative monitoring (00.94) that with polysomnogram (89.17) urethral sphincter EMG (89.23) 93.09 93.1 Other diagnostic physical therapy procedure

Physical therapy exercises 93.11 Assisting exercise

Excludes: assisted exercise in pool (93.31) 93.12 93.13 93.14 93.15 93.16 Other active musculoskeletal exercise Resistive exercise Training in joint movements Mobilization of spine Mobilization of other joints

Excludes: manipulation o temporomandibular joint (76.95) 93.17 93.18 93.19 93.2 Other passive musculoskeletal exercise Breathing exercise Exercise, not elsewhere classified

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 93.23 93.24 93.25 93.26 93.27 93.28 93.29 93.3 Ambulation and gait training Fitting of orthotic device Training in use of prosthetic or orthotic device Training in crutch walking Forced extension of limb Manual rupture of joint adhesions Stretching of muscle or tendon Stretching of fascia Other forcible correction of deformity

Other physical therapy therapeutic procedures

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93.31 93.32 93.33 93.34 93.35

Assisted exercise in pool Whirlpool treatment Other hydrotherapy Diathermy 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 93.37 93.38 93.39 93.4 Cardiac retraining Prenatal training Training for natural childbirth Combined physical therapy without mention of the components Other physical therapy

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 93.44 Intermittent skeletal traction Other skeletal traction Bryant's traction Dunlop's traction Lyman Smith traction Russell's traction Thomas' splint traction Other skin traction of limbs Adhesive tape traction Boot traction Buck's traction Gallows traction

93.45 93.46

93.5

Other immobilization, pressure, and attention to wound external fixator device (84.71-84.73)

Excludes:

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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 Application of other cast Application of splint Plaster splint Tray splint

93.53 93.54

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 Application of other wound dressing Porcine wound dressing Application of pressure trousers Application of: anti-shock trousers MAST trousers vasopneumatic device Other immobilization, pressure, and attention to wound Elastic stockings Electronic gaiter Intermittent pressure device Oxygenation of wound (hyperbaric) Stereotactic head frame application Strapping (non-traction) Velpeau dressing

93.57 93.58

93.59

93.6

Osteopathic manipulative treatment 93.61 93.62 93.63 93.64 Osteopathic manipulative treatment for general mobilization General articulatory treatment Osteopathic manipulative treatment using high- velocity, low-amplitude forces Thrusting forces Osteopathic manipulative treatment using low- velocity, high-amplitude forces Springing forces Osteopathic manipulative treatment using isotonic, isometric forces

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93.65 93.66 93.67 93.7

Osteopathic manipulative treatment using indirect forces Osteopathic manipulative treatment to move tissue fluids Lymphatic pump Other specified osteopathic manipulative treatment

Speech and reading rehabilitation and rehabilitation of the blind 93.71 93.72 93.73 93.74 93.75 93.76 93.77 93.78 Dyslexia training Dysphasia training Esophageal speech training Speech defect training Other speech training and therapy Training in use of lead dog for the blind Training in braille or Moon 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 Occupational therapy Daily living activities therapy

93.83

Excludes: training in activities of daily living for the blind (93.78) 93.84 93.85 Music therapy Vocational rehabilitation Sheltered employment Vocational: assessment retraining training Rehabilitation, not elsewhere classified

93.89 93.9

Respiratory therapy 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

Excludes:

93.90

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CPAP without (delivery through) endotracheal tube or tracheostomy Mechanical ventilation NOS Non-invasive positive pressure (NIPPV) Non-invasive PPV 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. 93.91 93.93 Intermittent positive pressure breathing [IPPB] Nonmechanical methods of resuscitation Artificial respiration Manual resuscitation Mouth-to-mouth resuscitation Respiratory medication administered by nebulizer Mist therapy Hyperbaric oxygenation

93.94 93.95

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 93.98 Decompression chamber 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 94.0

Procedures related to the psyche Psychologic evaluation and testing 94.01 Administration of intelligence test Administration of: Stanford-Binet Wechsler Adult Intelligence Scale

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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 Character analysis Other psychologic evaluation and testing Psychologic mental status determination, not otherwise specified

94.03 94.08 94.09 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 Routine psychiatric visit, not otherwise specified Psychiatric commitment evaluation Pre-commitment interview Other psychiatric interview and evaluation Follow-up psychiatric interview NOS

94.12 94.13 94.19 94.2

Psychiatric somatotherapy 94.21 94.22 94.23 94.24 94.25 94.26 94.27 Narcoanalysis Narcosynthesis Lithium therapy Neuroleptic therapy Chemical shock therapy Other psychiatric drug therapy Subconvulsive electroshock therapy Other electroshock therapy Electroconvulsive therapy (ECT) EST Other psychiatric somatotherapy

94.29 94.3

Individual psychotherapy 94.31 94.32 Psychoanalysis Hypnotherapy Hypnodrome Hypnosis

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94.33

Behavior therapy Aversion therapy Behavior modification Desensitization therapy Extinction therapy Relaxation training Token economy Individual therapy for psychosexual dysfunction

94.34

Excludes: that performed in group setting (94.41) 94.35 94.36 94.37 94.38 94.39 94.4 Crisis intervention Play psychotherapy Exploratory verbal psychotherapy Supportive verbal psychotherapy Other individual psychotherapy Biofeedback

Other psychotherapy and counselling 94.41 94.42 94.43 94.44 94.45 94.46 94.49 Group therapy for psychosexual dysfunction Family therapy Psychodrama Other group therapy Drug addiction counselling Alcoholism counselling Other counselling

94.5

Referral for psychologic rehabilitation 94.51 94.52 Referral for psychotherapy Referral for psychiatric aftercare: That in: halfway house outpatient (clinic) facility Referral for alcoholism rehabilitation Referral for drug addiction rehabilitation Referral for vocational rehabilitation Referral for other psychologic rehabilitation

94.53 94.54 94.55 94.59 94.6

Alcohol and drug rehabilitation and detoxification 94.61 94.62 Alcohol rehabilitation Alcohol detoxification

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94.63 94.64 94.65 94.66 94.67 94.68 94.69 95 95.0

Alcohol rehabilitation and detoxification Drug rehabilitation Drug detoxification Drug rehabilitation and detoxification Combined alcohol and drug rehabilitation Combined alcohol and drug detoxification Combined alcohol and drug rehabilitation and detoxification

Ophthalmologic and otologic diagnosis and treatment General and subjective eye examination 95.01 95.02 95.03 Limited eye examination Eye examination with prescription of spectacles Comprehensive eye examination Eye examination covering all aspects of the visual system Extended ophthalmologic work-up Examination (for): glaucoma neuro-ophthalmology retinal disease Eye examination under anesthesia

95.04

Code also type of examination 95.05 95.06 95.07 95.09 95.1 Visual field study Color vision study Dark adaptation study Eye examination, not otherwise specified Vision check NOS

Examinations of form and structure of eye 95.11 95.12 95.13 95.14 95.15 95.16 Fundus photography Fluorescein angiography or angioscopy of eye Ultrasound study of eye X-ray study of eye Ocular motility study P32 and other tracer studies of eye

95.2

Objective functional tests of eye that with polysomnogram (89.17) Electroretinogram [ERG]

Excludes:

95.21

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95.22 95.23 95.24 95.25 95.26 95.3

Electro-oculogram [EOG] Visual evoked potential [VEP] Electronystagmogram [ENG] Electromyogram of eye [EMG] Tonography, provocative tests, and other glaucoma testing

Special vision services 95.31 95.32 95.33 95.34 95.35 95.36 Fitting and dispensing of spectacles Prescription, fitting, and dispensing of contact lens Dispensing of other low vision aids Ocular prosthetics Orthoptic training Ophthalmologic counselling and instruction Counselling in: adaptation to visual loss use of low vision aids

95.4

Nonoperative procedures related to hearing 95.41 Audiometry Bksy 5-tone audiometry Impedance audiometry Stapedial reflex response Subjective audiometry Tympanogram Clinical test of hearing Tuning fork test Whispered speech test Audiological evaluation Audiological evaluation by: Brny noise machine blindfold test delayed feedback masking Weber lateralization Clinical vestibular function tests Thermal test of vestibular function Rotation tests Brny chair Other auditory and vestibular function tests Hearing examination, not otherwise specified Fitting of hearing aid

95.42

95.43

95.44 95.45 95.46 95.47 95.48

Excludes: implantation of electromagnetic hearing device (20.95)

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95.49

Other nonoperative procedures related to hearing Adjustment (external components) of cochlear prosthetic device

96 96.0

Nonoperative intubation and irrigation Nonoperative intubation of gastrointestinal and respiratory tracts 96.01 96.02 96.03 96.04 96.05 Insertion of nasopharyngeal airway Insertion of oropharyngeal airway Insertion of esophageal obturator airway Insertion of endotracheal tube Other intubation of respiratory tract

Excludes: endoscopic insertion or replacement of bronchial device or substance (33.71, 33.79) 96.06 96.07 Insertion of Sengstaken tube Esophageal tamponade Insertion of other (naso-)gastric tube Intubation for decompression

Excludes: that for enteral infusion of nutritional substance (96.6) 96.08 96.09 96.1 Insertion of (naso-)intestinal tube Miller-Abbott tube (for decompression) Insertion of rectal tube Replacement of rectal tube

Other nonoperative insertion nasolacrimal intubation (09.44) Packing of external auditory canal Vaginal packing Insertion of vaginal mold Other vaginal dilation Insertion of vaginal diaphragm Insertion of other vaginal pessary Rectal packing

Excludes:

96.11 96.14 96.15 96.16 96.17 96.18 96.19 96.2

Nonoperative dilation and manipulation 96.21 96.22 96.23 96.24 96.25 Dilation of frontonasal duct Dilation of rectum Dilation of anal sphincter Dilation and manipulation of enterostomy stoma Therapeutic distention of bladder Intermittent distention of bladder

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96.26 96.27 96.28 96.29

Manual reduction of rectal prolapse Manual reduction of hernia Manual reduction of enterostomy prolapse

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 96.32 96.33 96.34 96.35 96.36 96.37 96.38 Gastric cooling Gastric hypothermia Gastric freezing Gastric lavage Other irrigation of (naso-)gastric tube Gastric gavage Irrigation of gastrostomy or enterostomy Proctoclysis 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 96.42 96.43 96.44 96.45 96.46 96.47 96.48 96.49 Irrigation of cholecystostomy and other biliary tube Irrigation of pancreatic tube Digestive tract instillation, except gastric gavage Vaginal douche Irrigation of nephrostomy and pyelostomy Irrigation of ureterostomy and ureteral catheter Irrigation of cystostomy Irrigation of other indwelling urinary catheter Other genitourinary instillation Insertion of prostaglandin suppository

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96.5

Other nonoperative irrigation and cleaning 96.51 Irrigation of eye Irrigation of cornea

Excludes: irrigation with removal of foreign body (98.21) 96.52 96.53 96.54 Irrigation of ear Irrigation with removal of cerumen Irrigation of nasal passages Dental scaling, polishing, and debridement Dental prophylaxis Plaque removal Tracheostomy toilette Other lavage of bronchus and trachea

96.55 96.56

Excludes: diagnostic bronchoalveolar lavage (BAL)(33.24) whole lung lavage (33.99) 96.57 96.58 96.59 Irrigation of vascular catheter Irrigation of wound catheter Other irrigation of wound Wound cleaning NOS

Excludes: debridement (86.22, 86.27-86.28) 96.6 96.7 Enteral infusion of concentrated nutritional substances Other continuous invasive mechanical ventilation BiPAP delivered through endotracheal tube or tracheostomy (invasive interface) CPAP delivered through endotracheal tube or tracheostomy (invasive interface) Endotracheal respiratory assistance Invasive positive pressure ventilation [IPPV] Mechanical ventilation through invasive interface That by tracheostomy Weaning of an intubated (endotracheal tube) patient

Includes:

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.

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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). 96.70 96.71 96.72 97 97.0 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

Replacement and removal of therapeutic appliances Nonoperative replacement of gastrointestinal appliance 97.01 97.02 97.03 97.04 97.05 Replacement of (naso-)gastric or esophagostomy tube Replacement of gastrostomy tube Replacement of tube or enterostomy device of small intestine Replacement of tube or enterostomy device of large intestine Replacement of stent (tube) in biliary or pancreatic duct

97.1

Nonoperative replacement of musculoskeletal and integumentary system appliance 97.11 97.12 97.13 97.14 Replacement of cast on upper limb Replacement of cast on lower limb Replacement of other cast Replacement of other device for musculoskeletal immobilization Splinting Strapping Replacement of wound catheter Replacement of wound packing or drain

97.15 97.16

Excludes: repacking of: dental wound (97.22) vulvar wound (97.26) 97.2 Other nonoperative replacement

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97.21 97.22 97.23 97.24 97.25 97.26 97.29 97.3

Replacement of nasal packing Replacement of dental packing Replacement of tracheostomy tube Replacement and refitting of vaginal diaphragm Replacement of other vaginal pessary Replacement of vaginal or vulvar packing or drain Other nonoperative replacements

Nonoperative removal of therapeutic device from head and neck 97.31 Removal of eye prosthesis

Excludes: removal of ocular implan (16.71) removal of orbital implan (16.72) 97.32 97.33 97.34 97.35 97.36 97.37 97.38 97.39 Removal of nasal packing Removal of dental wiring Removal of dental packing Removal of dental prosthesis Removal of other external mandibular fixation device Removal of tracheostomy tube Removal of sutures from head and neck 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 97.42 97.43 97.44 Removal of thoracotomy tube or pleural cavity drain Removal of mediastinal drain Removal of sutures from thorax 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 Removal of other device from thorax

97.49

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

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97.52 97.53 97.54 97.55 97.56 97.59 97.6

Removal of tube from small intestine Removal of tube from large intestine or appendix Removal of cholecystostomy tube Removal of T-tube, other bile duct tube, or liver tube Removal of bile duct stent Removal of pancreatic tube or drain Removal of other device from digestive system Removal of rectal packing

Nonoperative removal of therapeutic device from urinary system 97.61 97.62 97.63 97.64 97.65 97.69 Removal of pyelostomy and nephrostomy tube Removal of ureterostomy tube and ureteral catheter Removal of cystostomy tube Removal of other urinary drainage device Removal of indwelling urinary catheter Removal of urethral stent Removal of other device from urinary system

97.7

Nonoperative removal of therapeutic device from genital system 97.71 97.72 97.73 97.74 97.75 97.79 Removal of intrauterine contraceptive device Removal of intrauterine pack Removal of vaginal diaphragm Removal of other vaginal pessary Removal of vaginal or vulvar packing Removal of other device from genital tract Removal of sutures

97.8

Other nonoperative removal of therapeutic device 97.81 97.82 97.83 97.84 97.85 97.86 97.87 97.88 Removal of retroperitoneal drainage device Removal of peritoneal drainage device Removal of abdominal wall sutures Removal of sutures from trunk, not elsewhere classified Removal of packing from trunk, not elsewhere classified Removal of other device from abdomen Removal of other device from trunk Removal of external immobilization device Removal of:

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brace cast splint 97.89 98 98.0 Removal of other therapeutic device

Nonoperative removal of foreign body or calculus Removal of intraluminal foreign body from digestive system without incision removal of therapeutic device (97.51-97.59) Removal of intraluminal foreign body from mouth without incision 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 Removal of intraluminal foreign body from rectum and anus without incision

Excludes:

98.01 98.02 98.03 98.04 98.05 98.1

Removal of intraluminal foreign body from other sites without incision removal of therapeutic device (97.31-97.49, 97.61-97.89) Removal of intraluminal foreign body from ear without incision Removal of intraluminal foreign body from nose without incision Removal of intraluminal foreign body from pharynx without incision Removal of intraluminal foreign body from larynx without incision Removal of intraluminal foreign body from trachea and bronchus without incision

Excludes:

98.11 98.12 98.13 98.14 98.15

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 98.18 98.19 98.2 Removal of intraluminal foreign body from vagina without incision Removal of intraluminal foreign body from artificial stoma without incision Removal of intraluminal foreign body from urethra without incision

Removal of other foreign body without incision removal of intraluminal foreign body (98.01-98.19) Removal of foreign body, not otherwise specified Removal of superficial foreign body from eye without incision Removal of other foreign body without incision from head and neck Removal of embedded foreign body from eyelid or conjunctiva without incision Removal of foreign body from vulva without incision Removal of foreign body from scrotum or penis without incision Removal of other foreign body without incision from trunk except scrotum, penis, or vulva

Excludes:

98.20 98.21 98.22 98.23 98.24 98.25

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98.26 98.27 98.28 98.29 98.5

Removal of foreign body from hand without incision Removal of foreign body without incision from upper limb, except hand Removal of foreign body from foot without incision Removal of foreign body without incision from lower limb, except foot

Extracorporeal shockwave lithotripsy [ESWL] Lithotriptor tank procedure Disintegration of stones by extracorporeal induced shockwaves That with insertion of stent 98.51 98.52 98.59 Extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureter and/or bladder Extracorporeal shockwave lithotripsy [ESWL] of the gallbladder and/or bile duct Extracorporeal shockwave lithotripsy of other sites

99 99.0

Other nonoperative procedures Transfusion of blood and blood components

Code also 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

99.01

99.02 99.03

99.04 99.05 99.06 99.07

Excludes: injection [transfusion] of: antivenin (99.16) gamma globulin (99.14) 99.08 Transfusion of blood expander

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Transfusion of Dextran 99.09 Transfusion of other substance Transfusion of: blood surrogate granulocytes

Excludes: transplantation [transfusion] of bone marrow (41.00-41.09) 99.1 Injection or infusion of therapeutic or prophylactic substance 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 aspirin - omit code GP IIB/IIIa plalet inhibitor (99.20) heparin (99.19) SuperSaturated oxygen therapy (00.49) warfarin - omit code

Includes:

99.10

Excludes:

99.11

Injection of Rh immune globulin Injection of: Anti-D (Rhesus) globulin RhoGAM Immunization for allergy Desensitization Immunization for autoimmune disease Injection or infusion of immunoglobulin Injection of immune sera Injection or infusion of gamma globulin Parenteral infusion of concentrated nutritional substances Hyperalimentation Total parenteral nutrition [TPN] Peripheral parenteral nutrition [PPN] Injection of antidote Injection of: antivenin heavy metal antagonist Injection of insulin Injection or infusion of electrolytes Injection of anticoagulant

99.12 99.13 99.14

99.15

99.16

99.17 99.18 99.19

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Excludes: infusion of drotrecogin alfa (activated)(00.11) 99.2 Injection or infusion of other therapeutic or prophylactic substance injection or infusion given: hypodermically acting locally or systemically intramuscularly acting locally or systemically intravenously acting locally or systemically

Includes:

Code also 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) 99.20 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 Injection of other hormone Injection or infusion of cancer chemotherapeutic substance Chemoembolization Injection or infusion of antineoplastic agent

99.24 99.25

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)

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intravenous infusion of clofarabine (17.70) 99.26 99.27 99.28 Injection of tranquilizer Iontophoresis

Injection or infusion of biological response modifier [BRM] as an antineoplastic agent Immunotherapy, antineoplastic Infusion of cintredekin besudotox Interleukin therapy Low-dose interleukin-2 (IL-2) 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) infusion of blood brain barrier disruption substance (00.19) 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) uterine artery embolization without coils (68.25) 99.3 Prophylactic vaccination and inoculation against certain bacterial diseases 99.31 99.32 99.33 99.34 99.35 99.36 Vaccination against cholera Vaccination against typhoid and paratyphoid fever Administration of TAB vaccine Vaccination against tuberculosis Administration of BCG vaccine Vaccination against plague Vaccination against tularemia 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 99.4 Administration of diphtheria-tetanus- pertussis, combined Prophylactic vaccination and inoculation against certain viral diseases

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99.41 99.42 99.43 99.44 99.45

Administration of poliomyelitis vaccine Vaccination against smallpox Vaccination against yellow fever Vaccination against rabies 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 99.5 Administration of measles-mumps-rubella vaccine

Other vaccination and inoculation 99.51 99.52 99.53 99.54 99.55 Prophylactic vaccination against the common cold Prophylactic vaccination against influenza Prophylactic vaccination against arthropod- borne viral encephalitis Prophylactic vaccination against other arthropod-borne viral diseases Prophylactic administration of vaccine against other diseases Vaccination against: anthrax brucellosis Rocky Mountain spotted fever Staphylococcus Streptococcus typhus Administration of tetanus antitoxin Administration of botulism antitoxin Administration of other antitoxins Administration of: diphtheria antitoxin gas gangrene antitoxin scarlet fever antitoxin Other vaccination and inoculation Vaccination NOS

99.56 99.57 99.58

99.59

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

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Excludes:

open chest cardiac: electric stimulation (37.91) massage (37.91) Cardiopulmonary resuscitation, not otherwise specified Atrial cardioversion Other electric countershock of heart Cardioversion: NOS external Conversion to sinus rhythm Defibrillation External electrode stimulation Closed chest cardiac massage Cardiac massage NOS Manual external cardiac massage Carotid sinus stimulation Other conversion of cardiac rhythm

99.60 99.61 99.62

99.63

99.64 99.69 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 99.73 99.74 99.75 99.76 99.77 99.78 Therapeutic leukopheresis Therapeutic leukocytapheresis Therapeutic erythrocytapheresis Therapeutic erythropheresis Therapeutic plateletpheresis Administration of neuroprotective agent Extracorporeal immunoadsorption Removal of antibodies from plasma with protein A columns Application or administration of adhesion barrier substance Aquapheresis Plasma water removal Ultrafiltration [for water removal]

Excludes:hemodiafiltration (39.95) hemodialysis (39.95) therapeutic plasmapheresis (99.71) 99.79 99.8 Other Apheresis (harvest) of stem cells

Miscellaneous physical procedures 99.81 Hypothermia (central) (local)

Excludes: gastric cooling (96.31)

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gastric freezing (96.32) that incidental to open heart surgery (39.62) 99.82 99.83 Ultraviolet light therapy Actinotherapy 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 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

99.85

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 99.92 Acupuncture for anesthesia Other acupuncture

Excludes: that with smouldering mox (93.35) 99.93 99.94 99.95 99.96 99.97 99.98 99.99 Rectal massage (for levator spasm) Prostatic massage Stretching of foreskin Collection of sperm for artificial insemination Fitting of denture Extraction of milk from lactating breast Other Leech therapy

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