Department of Surgery common ICD and RUV

Disease ICD RUV

Acute appendicitis K35.3 Simple – 44950
Ruptured – 44960
Laparoscopy – 44970
Burn Burn/scald L59.0 Debridement of skin, partial thickness
– 11040
Full thickness – 11041
Skin + subcutaneous tissue – 11042
+ muscle – 11043
+ bone – 11044
Dressing and/or debridement, initial or
subsequent – 16010
Acute calculus cholecystitis K80.0 (without obstruction) Open cholecystectomy – 47600
Laparoscopic cholecystectomy – 47562
Cancer
Breast C50.9 (unspecified) MRM – 19240
Benign (Fibroadenoma) – D24.9 Excision biopsy - 19120
Colon Ascending C18.2 Colostomy – 44320
Transverse C18.4 Ileostomy – 44310
Descending C18.6 Colectomy, partial with anastomosis –
Sigmoid C18.7 44140
Recto sigmoid C19 Colectomy, partial with colostomy –
Rectum C20 44141
Colectomy, partial; w/ colostomy or
ileostomy and mucofistula (double
barrel) – 44144
+ Hartmann’s procedure – 44143
LAR w/ anastomosis – 44145
LAR + colostomy – 44146
TAKEDOWN (Large/Small) – 44620
w/ resesection-anastomosis – 44625
Gastric Fundus C16.1 Gastrectomy, partial,
Body C16.2 gastroduodenostomy – 43631
Gastrectomy, partial, gastrojejunostomy
– 43632
Gastrectomy, partial, roux-en-Y –
43633
Gastrectomy, total, roux-en-Y – 43621
Gastrostomy, permanent – 43832
Thyroid C73 Thyroidectomy, total – 60240
+ limited neck dissection – 60252
+ Radical neck dissection – 60254
Completion thyroidectomy – 60260
Cerebral concussion S06.0
Cerebral contusion S06.33
Chronic calculus cholecystitis K80.1 (without obstruction) Open cholecystectomy – 47600
Laparoscopic cholecystectomy – 47562
Chronic kidney disease N18.0 AVF - 36821
IJ cath/femoral cath insertion – 36800
AV Graft - 36830
Common bile duct stone with K80.51 Open cholecystectomy, CBDE – 47612
obstruction without cholangitis
Common bile duct stone with K80.31 Cholecystostomy – 47480
obstruction with cholangitis
Fistula-in-ano K60.3 Subcutaneous – 46270
Submuscular (inter/transphincteric) –
46275
Complex (+/- placement of seton) –
46280
Hemorrhoids Internal - Fourth degree K64.3 External – 46250
External – K64.4 Mixed – 46255
Complex/extensive – 46261
Inguinal Hernia K40 <6m0 – 49495
<6y/o – 49496
6mo-<5y/o – 49500 (incarcerated
49501)
>5y/o, reducible – 49505
>5y/o, incarcerated – 49507
Strangulated – 49522
Intestinal obstruction secondary to K91.3 Adhesiolysis – 44005
post-operative adhesions
Goiter
Multinodular toxic goiter EO5.2 FNAB - 60001
 Multinodular non-toxic goiter EO4.2 Total thyroid lobectomy, unilateral +
Nodular toxic goiter EO5.1 contralateral subtotal + isthmusectomy
Nodular non-toxic goiter EO4.1 – 60225
Diffuse toxic goiter EO5.0 Total thyroid lobectomy, unilateral +/-
Diffuse non-toxic goiter EO4.0 isthmusectomy – 60220
Intracranial (IC) injuries
Acute epidural hemorrhage Traumatic w/out open IC wound – Craniectomy/craniotomy for evacuation
S04.40 of hematoma, supratentorial-
With open IC wound – S06.41 extradural/subdural – 61312
Infratentorial- extradural/subdural–
61314
Supratentorial, intracerebral – 613113
Traumatic subdural hemorrhage W/out open IC wound – S06.50 As above (for acute)
With open IC wound – S06.51 Burrhole/s (for chronic) w/ evacuation
and/or drainange of hematoma,
extradural/subdural – 61154
Traumatic subarachnoid hemorrhage W/out open IC wound – S06.60
With open IC wound – S06.61
Orchiopexy 54640
Nephrolithiasis N20.0 Nephrolithotomy – 50060
with ureteral stone – N20.2 Nephrolithotomy; removal of large
staghorn calculous filling renal pelvis
and calyces – 50075
Nephrectomy, partial – 50240
Nephrectomy, incl partial ureterectomy
w/ rib resection – 50220
Pleural effusion Malignant J91.0 Thoracentesis – 32000
Infectious J90 CTT – 32020
Chemical pleurosesis - 32005
Soft tissue abscess Breast – N61 (associated w child I&D of abscess (Carbuncle, cutaneous
birth/puerperal – O91.1) or subcutaneous abscess) – 10060
Skin (ex. Carbuncle) – L02.1 I&D (post-operative wound infection) –
Brain – G06.0 10180
5 – K75.0 I&D (deep abscess – soft tissues of
Post-procedural infection, complex neck and thorax) – 21501
(SSI) I&D (thigh/Knee) – 27301
Debridement of infected skin – 11000

Stabwound, abdomen S31.119 (non-penetrating) Exploratory laparotomy - 49000

S31.619 (penetrating)

Stabwound, chest S21.109 Thoracotomy, major with cardiac

massage – 32160
Thoracotomy, major; with control of
traumatic hemorrhage and or/ repair of
lung tear – 32110
Superficial wounds Simple repair of superficial wounds of
face, ears, eyelids, nose nose&/mucous
membranes 2.5cm or less – 12011

Scalp, neck external genetalia, trunk

and or extremities 2.5cm or less –
12001
Ureterolithiasis N20.1 Ureterolithotomy (upper 1/3) – 50610
With hydronephrosis – N13.2 Ureterolithotomy (middle 1/3) – 50620
Ureterolithotomy (lower 1/3) – 50630
CVP /Cutdown 36488
Paracentesis 49080
By: BullyMD