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INTERNATIONAL CLASSIFICATION OF DISEASES

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vertical line Table of Contents Alphabetical Index of Diseases and Injuries Explanation of Disease Classification

Classification of Procedures



CLASSIFICATION OF PROCEDURES

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

00 Procedures and interventions, Not Elsewhere Classified

00.0 Therapeutic ultrasound

Excludes: diagnostic ultrasound (non-invasive) (88.71-88.79)

intracardiac echocardiography [ICE] (heart chamber(s)) (37.28)

intravascular imaging (adjunctive) (00.21-00.29)

00.01 Therapeutic ultrasound of vessels of head and neck

Anti-restenotic ultrasound

Intravascular non-ablative ultrasound

Excludes: diagnostic ultrasound of:

eye (95.13)

head and neck (88.71)

that of inner ear (20.79)

ultrasonic:

angioplasty of non-coronary vessel (39.50)

embolectomy (38.01, 38.02)

endarterectomy (38.11, 38.12)

thrombectomy (38.01, 38.02)

00.02 Therapeutic ultrasound of heart

Anti-restenotic ultrasound

Intravascular non-ablative ultrasound

Excludes:diagnostic ultrasound of heart (88.72)

ultrasonic ablation of heart lesion (37.34)

ultrasonic angioplasty of coronary vessels (00.66, 36.09)

00.03 Therapeutic ultrasound of peripheral vascular vessels

Anti-restenotic ultrasound

Intravascular non-ablative ultrasound

Excludes:diagnostic ultrasound of peripheral vascular system (88.77)

ultrasonic angioplasty of:

non-coronary vessel (39.50)

00.09 Other therapeutic ultrasound

Excludes:ultrasonic:

fragmentation of urinary stones (59.95)

percutaneous nephrostomy with fragmentation (55.04)

physical therapy (93.35)

transurethral guided laser induced prostatectomy (TULIP) (60.21)

00.1 Pharamaceuticals

00.10 Implantation of chemotherapeutic agent

Brain wafer chemotherapy

Interstitial/ intracavitary

Excludes:injection or infusion of cancer chemotherapeutic substance (99.25)

00.11 Infusion of drotrecogin alfa (activated)

Infusion of recombinant protein

00.12 Administration of inhaled nitric oxide

Nitric oxide therapy

00.13 Injection or infusion of nesiritide

Human B-type natriuretic peptide (hBNP)

00.14 Injection or infusion of oxazolidinone class of antibiotics

Linezolid injection

00.15 High-dose infusion interleukin-2 [IL-2]

Infusion (IV bolus, CIV) interleukin

Injection of aldesleukin

Excludes: low-dose infusion interleukin-2 (99.28)

00.16 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance

Ex-vivo treatment of vessel

Hyperbaric pressurized graft [conduit]

00.17 Infusion of vasopressor agent

00.18 Infusion of immunosuppressive antibody therapy

Includes: during induction phase of solid organ transplantation

monoclonal antibody therapy

polyclonal antibody therapy

00.19 Disruption of blood brain barrier via infusion [BBBD]

Infusion of substance to disrupt blood brain barrier

Code also chemotherapy (99.25)

Excludes: other perfusion (39.97)

00.2 Intravascular imaging of blood vessels

Endovascular ultrasonography

Intravascular ultrasound (IVUS)

Intravascular [ultrasound] imaging of blood vessels

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)

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

Vena cava (superior) (inferior)

Excludes: diagnostic ultrasound (non-invasive) of other sites of thorax (88.73)

00.23 Intravascular imaging of peripheral vessels

Imaging of:

vessels of arm(s)

vessels of leg(s)

Intravascular ultrasound (IVUS), peripheral vessels

Excludes: diagnostic ultrasound (non-invasive) of peripheral vascular system (88.77)

00.24 Intravascular imaging of coronary vessels

Intravascular ultrasound (IVUS), coronary vessels

Excludes: diagnostic ultrasound (non-invasive) of heart (88.72)

intracardiac echocardiography [ICE] (ultrasound of heart chamber(s)) (37.28)

00.25 Intravascular imaging of renal vessels

Intravascular ultrasound (IVUS), renal vessels

Renal artery

Excludes: diagnostic ultrasound (non-invasive) of urinary system (88.75)

00.28 Intravascular imaging, other specified vessel(s)

00.29 Intravascular imaging, unspecified vessel(s)

00.3 Computer assisted surgery [CAS]

CT-free navigation

Image guided navigation (IGN)

Image guided surgery (IGS)

Imageless navigation

Code also diagnostic or therapeutic procedure

Excludes: stereotactic frame application only (93.59)

00.31 Computer assisted surgery with CT/CTA

00.32 Computer assisted surgery with MR/MRA

00.33 Computer assisted surgery with fluoroscopy

00.34 Imageless computer assisted surgery

00.35 Computer assisted surgery with multiple datasets

00.39 Other computer assisted surgery

Computer assisted surgery NOS

00.4 Adjunct Vascular System Procedures

Note: These codes can apply to both coronary and peripheral vessels. These codes are to be used in conjunction with other

therapeutic procedure codes to provide additional information on the number of vessels upon which a procedure

was performed and/or the number of stents inserted. As appropriate, code both the number of vessels operated

on (00.40-00.43), and the number of stents inserted (00.45-00.48).

Code also any:

angioplasty or atherectomy (00.61-00.62, 00.66, 39.50)

endarterectomy (38.10-38.18)

insertion of vascular stent(s) (00.55, 00.63-00.65, 36.06-36.07, 39.90)

other removal of coronary artery obstruction (36.09)

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

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

intravascular imaging of blood vessels (00.21-00.29)

00.44 Procedure on vessel bifurcation

Note: This code is to be used to identify the presence of a vessel bifurcation; it does not describe a specific bifurcation stent. Use this code only once per operative episode, irrespective of the number of bifurcations in vessels.

00.45 Insertion of one vascular stent

Number of stents, unspecified

00.46 Insertion of two vascular stents

00.47 Insertion of three vascular stents

00.48 Insertion of four or more vascular stents

00.5 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

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 peripheral vessel stent(s)

Endograft(s)

Endovascular graft(s)

Stent grafts

Code also any:

angioplasty or atherectomy of other non-coronary vessel(s) (39.50)

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

procedure on vessel bifurcation (00.44)

Excludes: drug-coated peripheral stents, e.g., heparin coated (39.90)

insertion of cerebrovascular stent(s) (00.63-00.65)

insertion of drug-eluting coronary artery stent (36.07)

insertion of non-drug-eluting stent(s):

coronary artery (36.06)

peripheral vessel (39.90)

that for aneurysm repair (39.71 - 39.79)

00.56 Insertion or replacement of implantable pressure sensor (lead) for intracardiac hemodynamic monitoring

Code also any associated implantation or replacement of monitor (00.57)

Excludes: circulatory monitoring (blood gas, arterial or venous pressure, cardiac output and coronary blood flow) (89.60 - 89.69)

00.57 Implantation or replacement of subcutaneous device for intracardiac hemodynamic monitoring

Implantation of monitoring device with formation of subcutaneous pocket and connection to intracardiac pressure sensor (lead)

Code also any associated insertion or replacement of implanted pressure sensor (lead) (00.56)

00.6 Procedures on blood vessels

00.61 Percutaneous angioplasty or atherectomy of precerebral (extracranial) vessel(s)

Basilar

Carotid

Vertebral

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 precerebral artery stent(s) (00.64)

procedure on vessel bifurcation (00.44)

Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)

removal of cerebrovascular obstruction of vessel(s) by open approach (38.01-38.02, 38.11-38.12, 38.31-38.32, 38.41-38.42)

00.62 Percutaneous angioplasty or atherectomy of intracranial vessel(s)

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 stent(s) (00.65)

procedure on vessel bifurcation (00.44)

Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)

removal of cerebrovascular obstruction of vessel(s) by open approach (38.01-38.02, 38.11-38.12, 38.31-38.32, 38.41-38.42)

00.63 Percutaneous insertion of carotid artery stent(s)

Includes the use of any embolic protection device, distal protection device, filter device, or stent delivery system

Non-drug-eluting stent

Code also any:

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

percutaneous angioplasty or atherectomy of precerebral vessel(s) (00.61)

procedure on vessel bifurcation (00.44)

Excludes: angioplasty or atherectomy of other non-coronary vessel(s)(39.50)

insertion of drug-eluting peripheral vessel stent(s) (00.55)

00.64 Percutaneous insertion of other precerebral (extracranial) artery stent(s)

Includes the use of any embolic protection device, distal protection device, filter device, or stent delivery

system

Basilar stent

Vertebral stent

Code also any:

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

percutaneous angioplasty or atherectomy of precerebral vessel(s) (00.61)

procedure on vessel bifurcation (00.44)

Excludes: angioplasty or atherectomy of other non-coronary vessel(s)(39.50)

insertion of drug-eluting peripheral vessel stent(s) (00.55)

00.65 Percutaneous insertion of intracranial vascular stent(s)

Includes the use of any embolic protection device, distal protection device, filter device, or stent delivery

system

Code also any:

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

percutaneous angioplasty or atherectomy of intracranial vessel(s) (00.62)

procedure on vessel bifurcation (00.44)

Excludes: angioplasty or atherectomy of other non-coronary vessel(s)(39.50)

insertion of drug-eluting peripheral vessel stent(s) (00.55)

00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy

Balloon angioplasty of coronary artery

Coronary atherectomy

Percutaneous coronary angioplasty NOS

PTCA NOS

Code also any:

injection or infusion of thrombolytic agent (99.10)

insertion of coronary artery stent(s) (36.06-36.07)

intracoronary artery thrombolytic infusion (36.04)

number of vascular stents inserted (00.45-00.48)

number of vessels treated (00.40-00.43)

procedure on vessel bifurcation (00.44)

00.7 Other hip procedures

00.70 Revision of hip replacement, both acetabular and femoral components

Total hip revision

Code also any:

removal of (cement) (joint) spacer (84.57)

type of bearing surface, if known (00.74-00.77)

Excludes:

revision of hip replacement, acetabular component only (00.71)

revision of hip replacement, femoral component only (00.72)

revision of hip replacement, Not Otherwise Specified (81.53)

revision with replacement of acetabular liner and/or femoral head only (00.73)

00.71 Revision of hip replacement, acetabular component

Partial, acetabular component only

That with:

exchange of acetabular cup and liner

exchange of femoral head

Code also any type of bearing surface, if known (00.74-00.77)

Excludes:

revision of hip replacement, both acetabular and femoral components (00.70)

revision of hip replacement, femoral component (00.72)

revision of hip replacement, Not Otherwise Specified (81.53)

revision with replacement of acetabular liner and/or femoral head only (00.73)

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 Hip bearing surface, metal-on-polyethylene

00.75 Hip bearing surface, metal-on-metal

00.76 Hip bearing surface, ceramic-on-ceramic

00.77 Hip bearing surface, ceramic-on-polyethylene

00.8 Other knee and hip procedures

Note: Report up to two components using 00.81 - 00.83 to describe revision of knee replacements. If all three components are revised, report 00.80.

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)

Excludes:

revision of knee replacement, total (all components) (00.80)

00.82 Revision of knee replacement, femoral component

That with replacement of tibial insert (liner)

Excludes:

revision of knee replacement, total (all components) (00.80)

00.83 Revision of knee replacement, patellar component

Excludes:

revision of knee replacement, total (all components) (00.80)

00.84 Revision of total knee replacement, tibial insert (liner)

Replacement of tibial insert (liner)

Excludes:

that with replacement of tibial component (tibial baseplate and liner) (00.81)

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

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 Incision and excision of skull, brain, and cerebral meninges

01.0 Cranial puncture

01.01 Cisternal puncture

Cisternal tap

Excludes: pneumocisternogram (87.02)

01.02 Ventriculopuncture through previously implanted catheter

Puncture of ventricular shunt tubing

01.09 Other cranial puncture

Aspiration of:

subarachnoid space

subdural space

Cranial aspiration NOS

Puncture of anterior fontanel

Subdural tap (through fontanel)

01.1 Diagnostic procedures on skull, brain, and cerebral meninges

01.10 Intracranial pressure monitoring

Includes: insertion of catheter or probe for monitoring

01.11 Closed [percutaneous] [needle] biopsy of cerebral meninges

Burr hole approach

01.12 Open biopsy of cerebral meninges

01.13 Closed [percutaneous] [needle] biopsy of brain

Burr hole approach

Stereotactic method

01.14 Open biopsy of brain

01.15 Biopsy of skull

01.16 Intracranial oxygen monitoring

Includes: insertion of catheter or probe for monitoring

Partial pressure of brain oxygen (PbtO2)

01.17 Brain temperature monitoring

Includes: insertion of catheter or probe for monitoring

01.18 Other diagnostic procedures on brain and cerebral meninges

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:

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

Excludes: decompression of skull fracture (02.02)

exploration of orbit (16.01-16.09)

that as operative approach -- omit code

01.21 Incision and drainage of cranial sinus

01.22 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 Reopening of craniotomy site

01.24 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 Removal of catheter(s) from cranial cavity or tissue

01.28 Placement of intracerebral catheter(s) via burr hole(s)

Convection enhanced delivery

Stereotactic placement of intracerebral catheter(s)

Code also infusion of medication

Excludes: insertion of catheter(s) into cranial cavity or tissue(s) (01.26)

01.3 Incision of brain and cerebral meninges

01.31 Incision of cerebral meninges

Drainage of:

intracranial hygroma

subarachnoid abscess (cerebral)

subdural empyema

01.32 Lobotomy and tractotomy

Division of:

brain tissue

cerebral tracts

Percutaneous (radiofrequency) cingulotomy

01.39 Other incision of brain

Amygdalohippocampotomy

Drainage of intracerebral hematoma

Incision of brain NOS

Excludes: division of cortical adhesions (02.91)

01.4 Operations on thalamus and globus pallidus

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 Hemispherectomy

01.53 Lobectomy of brain

01.59 Other excision or destruction of lesion or tissue of brain

Curettage of brain

Debridement of brain

Marsupialization of brain cyst

Transtemporal (mastoid) excision of brain tumor

Excludes: biopsy of brain (01.13-01.14)

that by stereotactic radiosurgery (92.30 - 92.39)

01.6 Excision of lesion of skull

Removal of granulation tissue of cranium

Excludes: biopsy of skull (01.15)

sequestrectomy (01.25)

02 Other operations on skull, brain, and cerebral meninges

02.0 Cranioplasty

Excludes: that with synchronous repair of encephalocele (02.12)

02.01 Opening of cranial suture

Linear craniectomy

Strip craniectomy

02.02 Elevation of skull fracture fragments

Debridement of compound fracture of skull

Decompression of skull fracture

Reduction of skull fracture

Code also any synchronous debridement of brain (01.59)

Excludes: debridement of skull NOS (01.25)

removal of granulation tissue of cranium (01.6)

02.03 Formation of cranial bone flap

Repair of skull with flap

02.04 Bone graft to skull

Pericranial graft (autogenous) (heterogenous)

02.05 Insertion of skull plate

Replacement of skull plate

02.06 Other cranial osteoplasty

Repair of skull NOS

Revision of bone flap of skull

02.07 Removal of skull plate

Excludes: removal with synchronous replacement (02.05)

02.1 Repair of cerebral meninges

Excludes: marsupialization of cerebral lesion (01.59)

02.11 Simple suture of dura mater of brain

02.12 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

02.13 Ligation of meningeal vessel

Ligation of:

longitudinal sinus

middle meningeal artery

02.14 Choroid plexectomy

Cauterization of choroid plexus

02.2 Ventriculostomy

Anastomosis of ventricle to:

cervical subarachnoid space

cisterna magna

Insertion of Holter valve

Ventriculocisternal intubation

02.3 Extracranial ventricular shunt

Includes: that with insertion of valve

02.31 Ventricular shunt to structure in head and neck

Ventricle to nasopharynx shunt

Ventriculomastoid anastomosis

02.32 Ventricular shunt to circulatory system

Ventriculoatrial anastomosis

Ventriculocaval shunt

02.33 Ventricular shunt to thoracic cavity

Ventriculopleural anastomosis

02.34 Ventricular shunt to abdominal cavity and organs

Ventriculocholecystostomy

Ventriculoperitoneostomy

02.35 Ventricular shunt to urinary system

Ventricle to ureter shunt

02.39 Other operations to establish drainage of ventricle

Ventricle to bone marrow shunt

Ventricular shunt to extracranial site NEC

02.4 Revision, removal, and irrigation of ventricular shunt

Excludes: revision of distal catheter of ventricular shunt (54.95)

02.41 Irrigation and exploration of ventricular shunt

Exploration of ventriculoperitoneal shunt at ventricular site

Re-programming of ventriculoperitoneal shunt

02.42 Replacement of ventricular shunt

Reinsertion of Holter valve

Replacement of ventricular catheter

Revision of ventriculoperitoneal shunt at ventricular site

02.43 Removal of ventricular shunt

02.9 Other operations on skull, brain, and cerebral meninges

Excludes: operations on:

pineal gland (07.17, 07.51-07.59)

pituitary gland [hypophysis] (07.13-07.15, 07.61-07.79)

02.91 Lysis of cortical adhesions

02.92 Repair of brain

02.93 Implantation or replacement of intracranial neurostimulator lead(s)

Implantation, insertion, placement, or replacement of intracranial:

brain pacemaker [neuropacemaker]

depth electrodes

epidural pegs

electroencephalographic receiver

foramen ovale electrodes

intracranial electrostimulator

subdural grids

subdural strips

Code also any insertion of neurostimulator pulse generator (86.94-86.98)

02.94 Insertion or replacement of skull tongs or halo traction device

02.95 Removal of skull tongs or halo traction device

02.96 Insertion of sphenoidal electrodes

02.99 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 Removal of foreign body from spinal canal

03.02 Reopening of laminectomy site

03.09 Other exploration and decompression of spinal canal

Decompression:

laminectomy

laminotomy

Expansile laminoplasty

Exploration of spinal nerve root

Foraminotomy

Code also any synchronous insertion, replacement and revision of posterior

spinal motion preservation device(s), if performed (84.80 - 84.85)

Excludes: drainage of spinal fluid by anastomosis (03.71-03.79)

laminectomy with excision of intervertebral disc (80.51)

spinal tap (03.31)

that as operative approach -- omit code

03.1 Division of intraspinal nerve root

Rhizotomy

03.2 Chordotomy

03.21 Percutaneous chordotomy

Stereotactic chordotomy

03.29 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 Biopsy of spinal cord or spinal meninges

03.39 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

Excludes: biopsy of spinal cord or meninges (03.32)

03.5 Plastic operations on spinal cord structures

03.51 Repair of spinal meningocele

Repair of meningocele NOS

03.52 Repair of spinal myelomeningocele

03.53 Repair of vertebral fracture

Elevation of spinal bone fragments

Reduction of fracture of vertebrae

Removal of bony spicules from spinal canal

Excludes: kyphoplasty (81.66)

vertebroplasty (81.65)

03.59 Other repair and plastic operations on spinal cord structures

Repair of:

diastematomyelia

spina bifida NOS

spinal cord NOS

spinal meninges NOS

vertebral arch defect

03.6 Lysis of adhesions of spinal cord and nerve roots

03.7 Shunt of spinal theca

Includes: that with valve

03.71 Spinal subarachnoid-peritoneal shunt

03.72 Spinal subarachnoid-ureteral shunt

03.79 Other shunt of spinal theca

Lumbar-subarachnoid shunt NOS

Pleurothecal anastomosis

Salpingothecal anastomosis

03.8 Injection of destructive agent into spinal canal

03.9 Other operations on spinal cord and spinal canal structures

03.90 Insertion of catheter into spinal canal for infusion of therapeutic or palliative substances

Insertion of catheter into epidural, subarachnoid, or subdural space of spine with intermittent or continuous infusion of drug (with creation of any reservoir)

Code also any implantation of infusion pump (86.06)

03.91 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 Spinal blood patch

03.96 Percutaneous denervation of facet

03.97 Revision of spinal thecal shunt

03.98 Removal of spinal thecal shunt

03.99 Other

04 Operations on cranial and peripheral nerves

04.0 Incision, division, and excision of cranial and peripheral nerves

Excludes: opticociliary neurectomy (12.79)

sympathetic ganglionectomy (05.21-05.29)

04.01 Excision of acoustic neuroma

That by craniotomy

Excludes: that by stereotactic radiosurgery (92.30 - 92.39)

04.02 Division of trigeminal nerve

Retrogasserian neurotomy

04.03 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 Other incision of cranial and peripheral nerves

04.05 Gasserian ganglionectomy

04.06 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 Closed [percutaneous] [needle] biopsy of cranial or peripheral nerve or ganglion

04.12 Open biopsy of cranial or peripheral nerve or ganglion

04.19 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

04.3 Suture of cranial and peripheral nerves

04.4 Lysis of adhesions and decompression of cranial and peripheral nerves

04.41 Decompression of trigeminal nerve root

04.42 Other cranial nerve decompression

04.43 Release of carpal tunnel

04.44 Release of tarsal tunnel

04.49 Other peripheral nerve or ganglion decompression or lysis of adhesions

Peripheral nerve neurolysis NOS

04.5 Cranial or peripheral nerve graft

04.6 Transposition of cranial and peripheral nerves

Nerve transplantation

04.7 Other cranial or peripheral neuroplasty

04.71 Hypoglossal-facial anastomosis

04.72 Accessory-facial anastomosis

04.73 Accessory-hypoglossal anastomosis

04.74 Other anastomosis of cranial or peripheral nerve

04.75 Revision of previous repair of cranial and peripheral nerves

04.76 Repair of old traumatic injury of cranial and peripheral nerves

04.79 Other neuroplasty

04.8 Injection into peripheral nerve

Excludes: destruction of nerve (by injection of neurolytic agent) (04.2)

04.80 Peripheral nerve injection, not otherwise specified

04.81 Injection of anesthetic into peripheral nerve for analgesia

Excludes: that for operative anesthesia -- omit code

04.89 Injection of other agent, except neurolytic

Excludes: injection of neurolytic agent (04.2)

04.9 Other operations on cranial and peripheral nerves

04.91 Neurectasis

04.92 Implantation or replacement of peripheral neurostimulator lead(s)

Code also any insertion of neurostimulator pulse generator (86.94-86.98)

04.93 Removal of peripheral neurostimulator lead(s)

Code also any removal of neurostimulator pulse generator (86.05)

04.99 Other

05 Operations on sympathetic nerves or ganglia

Excludes: paracervical uterine denervation (69.3)

05.0 Division of sympathetic nerve or ganglion

Excludes: that of nerves to adrenal glands (07.42)

05.1 Diagnostic procedures on sympathetic nerves or ganglia

05.11 Biopsy of sympathetic nerve or ganglion

05.19 Other diagnostic procedures on sympathetic nerves or ganglia

05.2 Sympathectomy

05.21 Sphenopalatine ganglionectomy

05.22 Cervical sympathectomy

05.23 Lumbar sympathectomy

05.24 Presacral sympathectomy

05.25 Periarterial sympathectomy

05.29 Other sympathectomy and ganglionectomy

Excision or avulsion of sympathetic nerve NOS

Sympathetic ganglionectomy NOS

Excludes: biopsy of sympathetic nerve or ganglion (05.11)

opticociliary neurectomy (12.79)

periarterial sympathectomy (05.25)

tympanosympathectomy (20.91)

05.3 Injection into sympathetic nerve or ganglion

Excludes: injection of ciliary sympathetic ganglion (12.79)

05.31 Injection of anesthetic into sympathetic nerve for analgesia

05.32 Injection of neurolytic agent into sympathetic nerve

05.39 Other injection into sympathetic nerve or ganglion

05.8 Other operations on sympathetic nerves or ganglia

05.81 Repair of sympathetic nerve or ganglion

05.89 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

Excludes: division of isthmus (06.91)

06.01 Aspiration of thyroid field

Percutaneous or needle drainage of thyroid field

Excludes: aspiration biopsy of thyroid (06.11)

drainage by incision (06.09)

postoperative aspiration of field (06.02)

06.02 Reopening of wound of thyroid field

Reopening of wound of thyroid field for:

control of (postoperative) hemorrhage

examination

exploration

removal of hematoma

06.09 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

Excludes: postoperative exploration (06.02)

removal of hematoma by aspiration (06.01)

06.1 Diagnostic procedures on thyroid and parathyroid glands

06.11 Closed [percutaneous] [needle] biopsy of thyroid gland

Aspiration biopsy of thyroid

06.12 Open biopsy of thyroid gland

06.13 Biopsy of parathyroid gland

06.19 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

Excludes: partial substernal thyroidectomy (06.51)

06.3 Other partial thyroidectomy

06.31 Excision of lesion of thyroid

Excludes: biopsy of thyroid (06.11-06.12)

06.39 Other

Isthmectomy

Partial thyroidectomy NOS

Excludes: partial substernal thyroidectomy (06.51)

06.4 Complete thyroidectomy

Excludes: complete substernal thyroidectomy (06.52)

that with laryngectomy (30.3-30.4)

06.5 Substernal thyroidectomy

06.50 Substernal thyroidectomy, not otherwise specified

06.51 Partial substernal thyroidectomy

06.52 Complete substernal thyroidectomy

06.6 Excision of lingual thyroid

Excision of thyroid by:

submental route

transoral route

06.7 Excision of thyroglossal duct or tract

06.8 Parathyroidectomy

06.81 Complete parathyroidectomy

06.89 Other parathyroidectomy

Parathyroidectomy NOS

Partial parathyroidectomy

Excludes: biopsy of parathyroid (06.13)

06.9 Other operations on thyroid (region) and parathyroid

06.91 Division of thyroid isthmus

Transection of thyroid isthmus

06.92 Ligation of thyroid vessels

06.93 Suture of thyroid gland

06.94 Thyroid tissue reimplantation

Autotransplantation of thyroid tissue

06.95 Parathyroid tissue reimplantation

Autotransplantation of parathyroid tissue

06.98 Other operations on thyroid glands

06.99 Other operations on parathyroid glands

07 Operations on other endocrine glands

Includes: operations on:

adrenal glands

pineal gland

pituitary gland

thymus

Excludes: operations on:

aortic and carotid bodies (39.8)

ovaries (65.0-65.99)

pancreas (52.01-52.99)

testes (62.0-62.99)

07.0 Exploration of adrenal field

Excludes: incision of adrenal (gland) (07.41)

07.00 Exploration of adrenal field, not otherwise specified

07.01 Unilateral exploration of adrenal field

07.02 Bilateral exploration of adrenal field

07.1 Diagnostic procedures on adrenal glands, pituitary gland, pineal gland, and thymus

07.11 Closed [percutaneous] [needle] biopsy of adrenal gland

07.12 Open biopsy of adrenal gland

07.13 Biopsy of pituitary gland, transfrontal approach

07.14 Biopsy of pituitary gland, transsphenoidal approach

07.15 Biopsy of pituitary gland, unspecified approach

07.16 Biopsy of thymus

07.17 Biopsy of pineal gland

07.19 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 Other partial adrenalectomy

Partial adrenalectomy NOS

07.3 Bilateral adrenalectomy

Excision of remaining adrenal gland

Excludes: bilateral partial adrenalectomy (07.29)

07.4 Other operations on adrenal glands, nerves, and vessels

07.41 Incision of adrenal gland

Adrenalotomy (with drainage)

07.42 Division of nerves to adrenal glands

07.43 Ligation of adrenal vessels

07.44 Repair of adrenal gland

07.45 Reimplantation of adrenal tissue

Autotransplantation of adrenal tissue

07.49 Other

07.5 Operations on pineal gland

07.51 Exploration of pineal field

Excludes: that with incision of pineal gland (07.52)

07.52 Incision of pineal gland

07.53 Partial excision of pineal gland

Excludes: biopsy of pineal gland (07.17)

07.54 Total excision of pineal gland

Pinealectomy (complete) (total)

07.59 Other operations on pineal gland

07.6 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

07.65 Total excision of pituitary gland, transsphenoidal approach

07.68 Total excision of pituitary gland, other specified approach

07.69 Total excision of pituitary gland, unspecified approach

Hypophysectomy NOS

Pituitectomy NOS

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

07.79 Other

Insertion of pack into sella turcica

07.8 Thymectomy

07.80 Thymectomy, not otherwise specified

07.81 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)

07.83 Thoracoscopic partial excision of thymus

Excludes: other partial excision of thymus (07.81)

07.84 Thoracoscopic 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 Repair of thymus

07.94 Transplantation of thymus

07.95 Thoracoscopic incision of thymus

Excludes: other incision of thymus (07.92)

07.98 Other 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 Incision of lid margin

08.02 Severing of blepharorrhaphy

08.09 Other incision of eyelid

08.1 Diagnostic procedures on eyelid

08.11 Biopsy of eyelid

08.19 Other diagnostic procedures on eyelid

08.2 Excision or destruction of lesion or tissue of eyelid

Code also any synchronous reconstruction (08.61-08.74)

Excludes: biopsy of eyelid (08.11)

08.20 Removal of lesion of eyelid, not otherwise specified

Removal of meibomian gland NOS

08.21 Excision of chalazion

08.22 Excision of other minor lesion of eyelid

Excision of:

verucca

wart

08.23 Excision of major lesion of eyelid, partial-thickness

Excision involving one-fourth or more of lid margin, partial-thickness

08.24 Excision of major lesion of eyelid, full-thickness

Excision involving one-fourth or more of lid margin, full-thickness

Wedge resection of eyelid

08.25 Destruction of lesion of eyelid

08.3 Repair of blepharoptosis and lid retraction

08.31 Repair of blepharoptosis by frontalis muscle technique with suture

08.32 Repair of blepharoptosis by frontalis muscle technique with fascial sling

08.33 Repair of blepharoptosis by resection or advancement of levator muscle or aponeurosis

08.34 Repair of blepharoptosis by other levator muscle techniques

08.35 Repair of blepharoptosis by tarsal technique

08.36 Repair of blepharoptosis by other techniques

Correction of eyelid ptosis NOS

Orbicularis oculi muscle sling for correction of blepharoptosis

08.37 Reduction of overcorrection of ptosis

08.38 Correction of lid retraction

08.4 Repair of entropion or ectropion

08.41 Repair of entropion or ectropion by thermocauterization

08.42 Repair of entropion or ectropion by suture technique

08.43 Repair of entropion or ectropion with wedge resection

08.44 Repair of entropion or ectropion with lid reconstruction

08.49 Other repair of entropion or ectropion

08.5 Other adjustment of lid position

08.51 Canthotomy

Enlargement of palpebral fissure

08.52 Blepharorrhaphy

Canthorrhaphy

Tarsorrhaphy

08.59 Other

Canthoplasty NOS

Repair of epicanthal fold

08.6 Reconstruction of eyelid with flaps or grafts

Excludes: that associated with repair of entropion and ectropion (08.44)

08.61 Reconstruction of eyelid with skin flap or graft

08.62 Reconstruction of eyelid with mucous membrane flap or graft

08.63 Reconstruction of eyelid with hair follicle graft

08.64 Reconstruction of eyelid with tarsoconjunctival flap

Transfer of tarsoconjunctival flap from opposing lid

08.69 Other reconstruction of eyelid with flaps or grafts

08.7 Other reconstruction of eyelid

Excludes: that associated with repair of entropion and ectropion (08.44)

08.70 Reconstruction of eyelid, not otherwise specified

08.71 Reconstruction of eyelid involving lid margin, partial-thickness

08.72 Other reconstruction of eyelid, partial-thickness

08.73 Reconstruction of eyelid involving lid margin, full-thickness

08.74 Other reconstruction of eyelid, full-thickness

08.8 Other repair of eyelid

08.81 Linear repair of laceration of eyelid or eyebrow

08.82 Repair of laceration involving lid margin, partial-thickness

08.83 Other repair of laceration of eyelid, partial-thickness

08.84 Repair of laceration involving lid margin, full-thickness

08.85 Other repair of laceration of eyelid, full-thickness

08.86 Lower eyelid rhytidectomy

08.87 Upper eyelid rhytidectomy

08.89 Other eyelid repair

08.9 Other operations on eyelids

08.91 Electrosurgical epilation of eyelid

08.92 Cryosurgical epilation of eyelid

08.93 Other epilation of eyelid

08.99 Other

09 Operations on lacrimal system

09.0 Incision of lacrimal gland

Incision of lacrimal cyst (with drainage)

09.1 Diagnostic procedures on lacrimal system

09.11 Biopsy of lacrimal gland

09.12 Biopsy of lacrimal sac

09.19 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 Excision of lacrimal gland, not otherwise specified

09.21 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 Total dacryoadenectomy

09.3 Other operations on lacrimal gland

09.4 Manipulation of lacrimal passage

Includes: removal of calculus

that with dilation

Excludes: contrast dacryocystogram (87.05)

09.41 Probing of lacrimal punctum

09.42 Probing of lacrimal canaliculi

09.43 Probing of nasolacrimal duct

Excludes: that with insertion of tube or stent (09.44)

09.44 Intubation of nasolacrimal duct

Insertion of stent into nasolacrimal duct

09.49 Other manipulation of lacrimal passage

09.5 Incision of lacrimal sac and passages

09.51 Incision of lacrimal punctum

09.52 Incision of lacrimal canaliculi

09.53 Incision of lacrimal sac

09.59 Other incision of lacrimal passages

Incision (and drainage) of nasolacrimal duct NOS

09.6 Excision of lacrimal sac and passage

Excludes: biopsy of lacrimal sac (09.12)

09.7 Repair of canaliculus and punctum

Excludes: repair of eyelid (08.81-08.89)

09.71 Correction of everted punctum

09.72 Other repair of punctum

09.73 Repair of canaliculus

09.8 Fistulization of lacrimal tract to nasal cavity

09.81 Dacryocystorhinostomy [DCR]

09.82 Conjunctivocystorhinostomy

Conjunctivodacryocystorhinostomy [CDCR]

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

09.83 Conjunctivorhinostomy with insertion of tube or stent

09.9 Other operations on lacrimal system

09.91 Obliteration of lacrimal punctum

09.99 Other

10 Operations on conjunctiva

10.0 Removal of embedded foreign body from conjunctiva by incision

Excludes: removal of:

embedded foreign body without incision (98.22)

superficial foreign body (98.21)

10.1 Other incision of conjunctiva

10.2 Diagnostic procedures on conjunctiva

10.21 Biopsy of conjunctiva

10.29 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

10.4 Conjunctivoplasty

10.41 Repair of symblepharon with free graft

10.42 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 Other free graft to conjunctiva

10.49 Other conjunctivoplasty

Excludes: repair of cornea with conjunctival flap (11.53)

10.5 Lysis of adhesions of conjunctiva and eyelid

Division of symblepharon (with insertion of conformer)

10.6 Repair of laceration of conjunctiva

Excludes: that with repair of sclera (12.81)

10.9 Other operations on conjunctiva

10.91 Subconjunctival injection

10.99 Other

11 Operations on cornea

11.0 Magnetic removal of embedded foreign body from cornea

Excludes: that with incision (11.1)

11.1 Incision of cornea

Incision of cornea for removal of foreign body

11.2 Diagnostic procedures on cornea

11.21 Scraping of cornea for smear or culture

11.22 Biopsy of cornea

11.29 Other diagnostic procedures on cornea

11.3 Excision of pterygium

11.31 Transposition of pterygium

11.32 Excision of pterygium with corneal graft

11.39 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

11.43 Cryotherapy of corneal lesion

11.49 Other removal or destruction of corneal lesion

Excision of cornea NOS

Excludes: biopsy of cornea (11.22)

11.5 Repair of cornea

11.51 Suture of corneal laceration

11.52 Repair of postoperative wound dehiscence of cornea

11.53 Repair of corneal laceration or wound with conjunctival flap

11.59 Other repair of cornea

11.6 Corneal transplant

Excludes: excision of pterygium with corneal graft (11.32)

11.60 Corneal transplant, not otherwise specified

Keratoplasty NOS

Note: To report donor source - see codes 00.91-00.93

11.61 Lamellar keratoplasty with autograft

11.62 Other lamellar keratoplasty

11.63 Penetrating keratoplasty with autograft

Perforating keratoplasty with autograft

11.64 Other penetrating keratoplasty

Perforating keratoplasty (with homograft)

11.69 Other corneal transplant

11.7 Other reconstructive and refractive surgery on cornea

11.71 Keratomileusis

11.72 Keratophakia

11.73 Keratoprosthesis

11.74 Thermokeratoplasty

11.75 Radial keratotomy

11.76 Epikeratophakia

11.79 Other

11.9 Other operations on cornea

11.91 Tattooing of cornea

11.92 Removal of artificial implant from cornea

11.99 Other

12 Operations on iris, ciliary body, sclera, and anterior chamber

Excludes: operations on cornea (11.0-11.99)

12.0 Removal of intraocular foreign body from anterior segment of eye

12.00 Removal of intraocular foreign body from anterior segment of eye, not otherwise specified

12.01 Removal of intraocular foreign body from anterior segment of eye with use of magnet

12.02 Removal of intraocular foreign body from anterior segment of eye without use of magnet

12.1 Iridotomy and simple iridectomy

Excludes: iridectomy associated with:

cataract extraction (13.11-13.69)

removal of lesion (12.41-12.42)

scleral fistulization (12.61-12.69)

12.11 Iridotomy with transfixion

12.12 Other iridotomy

Corectomy

Discission of iris

Iridotomy NOS

12.13 Excision of prolapsed iris

12.14 Other iridectomy

Iridectomy (basal) (peripheral) (total)

12.2 Diagnostic procedures on iris, ciliary body, sclera, and anterior chamber

12.21 Diagnostic aspiration of anterior chamber of eye

12.22 Biopsy of iris

12.29 Other diagnostic procedures on iris, ciliary body, sclera, and anterior chamber

12.3 Iridoplasty and coreoplasty

12.31 Lysis of goniosynechiae

Lysis of goniosynechiae by injection of air or liquid

12.32 Lysis of other anterior synechiae

Lysis of anterior synechiae:

NOS

by injection of air or liquid

12.33 Lysis of posterior synechiae

Lysis of iris adhesions NOS

12.34 Lysis of corneovitreal adhesions

12.35 Coreoplasty

Needling of pupillary membrane

12.39 Other iridoplasty

12.4 Excision or destruction of lesion of iris and ciliary body

12.40 Removal of lesion of anterior segment of eye, not otherwise specified

12.41 Destruction of lesion of iris, nonexcisional

Destruction of lesion of iris by:

cauterization

cryotherapy

photocoagulation

12.42 Excision of lesion of iris

Excludes: biopsy of iris (12.22)

12.43 Destruction of lesion of ciliary body, nonexcisional

12.44 Excision of lesion of ciliary body

12.5 Facilitation of intraocular circulation

12.51 Goniopuncture without goniotomy

12.52 Goniotomy without goniopuncture

12.53 Goniotomy with goniopuncture

12.54 Trabeculotomy ab externo

12.55 Cyclodialysis

12.59 Other facilitation of intraocular circulation

12.6 Scleral fistulization

Excludes: exploratory sclerotomy (12.89)

12.61 Trephination of sclera with iridectomy

12.62 Thermocauterization of sclera with iridectomy

12.63 Iridencleisis and iridotasis

12.64 Trabeculectomy ab externo

12.65 Other scleral fistulization with iridectomy

12.66 Postoperative revision of scleral fistulization procedure

Revision of filtering bleb

Excludes: repair of fistula (12.82)

12.69 Other fistulizing procedure

12.7 Other procedures for relief of elevated intraocular pressure

12.71 Cyclodiathermy

12.72 Cyclocryotherapy

12.73 Cyclophotocoagulation

12.74 Diminution of ciliary body, not otherwise specified

12.79 Other glaucoma procedures

12.8 Operations on sclera

Excludes: those associated with:

retinal reattachment (14.41-14.59)

scleral fistulization (12.61-12.69)

12.81 Suture of laceration of sclera

Suture of sclera with synchronous repair of conjunctiva

12.82 Repair of scleral fistula

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 Excision or destruction of lesion of sclera

12.85 Repair of scleral staphyloma with graft

12.86 Other repair of scleral staphyloma

12.87 Scleral reinforcement with graft

12.88 Other scleral reinforcement

12.89 Other operations on sclera

Exploratory sclerotomy

12.9 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

12.93 Removal or destruction of epithelial downgrowth from anterior chamber

Excludes: that with iridectomy (12.41-12.42)

12.97 Other operations on iris

12.98 Other operations on ciliary body

12.99 Other operations on anterior chamber

13 Operations on lens

13.0 Removal of foreign body from lens

Excludes: removal of pseudophakos (13.8)

13.00 Removal of foreign body from lens, not otherwise specified

13.01 Removal of foreign body from lens with use of magnet

13.02 Removal of foreign body from lens without use of magnet

13.1 Intracapsular extraction of lens

Code also any synchronous insertion of pseudophakos (13.71)

13.11 Intracapsular extraction of lens by temporal inferior route

13.19 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

13.3 Extracapsular extraction of lens by simple aspiration (and irrigation) technique

Irrigation of traumatic cataract

13.4 Extracapsular extraction of lens by fragmentation and aspiration technique

13.41 Phacoemulsification and aspiration of cataract

13.42 Mechanical phacofragmentation and aspiration of cataract by posterior route

Code also any synchronous vitrectomy (14.74)

13.43 Mechanical phacofragmentation and other aspiration of cataract

13.5 Other extracapsular extraction of lens

Code also any synchronous insertion of pseudophakos (13.71)

13.51 Extracapsular extraction of lens by temporal inferior route

13.59 Other extracapsular extraction of lens

13.6 Other cataract extraction

Code also any synchronous insertion of pseudophakos (13.71)

13.64 Discission of secondary membrane [after cataract]

13.65 Excision of secondary membrane [after cataract] Capsulectomy

13.66 Mechanical fragmentation of secondary membrane [after cataract]

13.69 Other cataract extraction

13.7 Insertion of prosthetic lens [pseudophakos]

Excludes: implantation of intraocular telescope prosthesis (13.91)

13.70 Insertion of pseudophakos, not otherwise specified

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 Secondary insertion of intraocular lens prosthesis

13.8 Removal of implanted lens

Removal of pseudophakos

13.9 Other operations on lens

13.90 Operation on lens, Not Elsewhere Classified

13.91 Implantation of intraocular telescope prosthesis

Implantable miniature telescope

Includes removal of lens, any method

Excludes: secondary insertion of ocular implant (16.61)

14 Operations on retina, choroid, vitreous, and posterior chamber

14.0 Removal of foreign body from posterior segment of eye

Excludes: removal of surgically implanted material (14.6)

14.00 Removal of foreign body from posterior segment of eye, not otherwise specified

14.01 Removal of foreign body from posterior segment of eye with use of magnet

14.02 Removal of foreign body from posterior segment of eye without use of magnet

14.1 Diagnostic procedures on retina, choroid, vitreous, and posterior chamber

14.11 Diagnostic aspiration of vitreous

14.19 Other diagnostic procedures on retina, choroid, vitreous, and posterior chamber

14.2 Destruction of lesion of retina and choroid

Includes: destruction of chorioretinopathy or isolated chorioretinal lesion

Excludes: that for repair of retina (14.31-14.59)

14.21 Destruction of chorioretinal lesion by diathermy

14.22 Destruction of chorioretinal lesion by cryotherapy

14.23 Destruction of chorioretinal lesion by xenon arc photocoagulation

14.24 Destruction of chorioretinal lesion by laser photocoagulation

14.25 Destruction of chorioretinal lesion by photocoagulation of unspecified type

14.26 Destruction of chorioretinal lesion by radiation therapy

14.27 Destruction of chorioretinal lesion by implantation of radiation source

14.29 Other destruction of chorioretinal lesion

Destruction of lesion of retina and choroid NOS

14.3 Repair of retinal tear

Includes: repair of retinal defect

Excludes: repair of retinal detachment (14.41-14.59)

14.31 Repair of retinal tear by diathermy

14.32 Repair of retinal tear by cryotherapy

14.33 Repair of retinal tear by xenon arc photocoagulation

14.34 Repair of retinal tear by laser photocoagulation

14.35 Repair of retinal tear by photocoagulation of unspecified type

14.39 Other repair of retinal tear

14.4 Repair of retinal detachment with scleral buckling and implant

14.41 Scleral buckling with implant

14.49 Other scleral buckling

Scleral buckling with:

air tamponade

resection of sclera

vitrectomy

14.5 Other repair of retinal detachment

Includes: that with drainage

14.51 Repair of retinal detachment with diathermy

14.52 Repair of retinal detachment with cryotherapy

14.53 Repair of retinal detachment with xenon arc photocoagulation

14.54 Repair of retinal detachment with laser photocoagulation

14.55 Repair of retinal detachment with photocoagulation of unspecified type

14.59 Other

14.6 Removal of surgically implanted material from posterior segment of eye

14.7 Operations on vitreous

14.71 Removal of vitreous, anterior approach

Open sky technique

Removal of vitreous, anterior approach (with replacement)

14.72 Other removal of vitreous

Aspiration of vitreous by posterior sclerotomy

14.73 Mechanical vitrectomy by anterior approach

14.74 Other mechanical vitrectomy

Posterior approach

14.75 Injection of vitreous substitute

Excludes: that associated with removal (14.71-14.72)

14.79 Other operations on vitreous

14.9 Other operations on retina, choroid, and posterior chamber

15 Operations on extraocular muscles

15.0 Diagnostic procedures on extraocular muscles or tendons

15.01 Biopsy of extraocular muscle or tendon

15.09 Other diagnostic procedures on extraocular muscles and tendons

15.1 Operations on one extraocular muscle involving temporary detachment from globe

15.11 Recession of one extraocular muscle

15.12 Advancement of one extraocular muscle

15.13 Resection of one extraocular muscle

15.19 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 Lengthening procedure on one extraocular muscle

15.22 Shortening procedure on one extraocular muscle

15.29 Other

15.3 Operations on two or more extraocular muscles involving temporary detachment from globe, one or both eyes

15.4 Other operations on two or more extraocular muscles, one or both eyes

15.5 Transposition of extraocular muscles

Excludes: that for correction of ptosis (08.31-08.36)

15.6 Revision of extraocular muscle surgery

15.7 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

15.9 Other operations on extraocular muscles and tendons

16 Operations on orbit and eyeball

Excludes: reduction of fracture of orbit (76.78-76.79)

16.0 Orbitotomy

16.01 Orbitotomy with bone flap

Orbitotomy with lateral approach

16.02 Orbitotomy with insertion of orbital implant

Excludes: that with bone flap (16.01)

16.09 Other orbitotomy

16.1 Removal of penetrating foreign body from eye, not otherwise specified

Excludes: removal of nonpenetrating foreign body (98.21)

16.2 Diagnostic procedures on orbit and eyeball

16.21 Ophthalmoscopy

16.22 Diagnostic aspiration of orbit

16.23 Biopsy of eyeball and orbit

16.29 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 Removal of ocular contents with synchronous implant into scleral shell

16.39 Other evisceration of eyeball

16.4 Enucleation of eyeball

16.41 Enucleation of eyeball with synchronous implant into Tenon's capsule with attachment of muscles

Integrated implant of eyeball

16.42 Enucleation of eyeball with other synchronous implant

16.49 Other enucleation of eyeball

Removal of eyeball NOS

16.5 Exenteration of orbital contents

16.51 Exenteration of orbit with removal of adjacent structures

Radical orbitomaxillectomy

16.52 Exenteration of orbit with therapeutic removal of orbital bone

16.59 Other exenteration of orbit

Evisceration of orbit NOS

Exenteration of orbit with temporalis muscle transplant

16.6 Secondary procedures after removal of eyeball

Excludes: that with synchronous:

enucleation of eyeball (16.41-16.42)

evisceration of eyeball (16.31)

16.61 Secondary insertion of ocular implant

16.62 Revision and reinsertion of ocular implant

16.63 Revision of enucleation socket with graft

16.64 Other revision of enucleation socket

16.65 Secondary graft to exenteration cavity

16.66 Other revision of exenteration cavity

16.69 Other secondary procedures after removal of eyeball

16.7 Removal of ocular or orbital implant

16.71 Removal of ocular implant

16.72 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 Other repair of injury of eyeball or orbit

16.9 Other operations on orbit and eyeball

Excludes: irrigation of eye (96.51)

prescription and fitting of low vision aids (95.31-95.33)

removal of:

eye prosthesis NEC (97.31)

nonpenetrating foreign body from eye without incision (98.21)

16.91 Retrobulbar injection of therapeutic agent

Excludes: injection of radiographic contrast material (87.14)

opticociliary injection (12.79)

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 Other operations on orbit

16.99 Other operations on eyeball

4. OPERATIONS ON THE EAR (18-20)

18 Operations on external ear

Includes: operations on:

external auditory canal

skin and cartilage of:

auricle

meatus

18.0 Incision of external ear

Excludes: removal of intraluminal foreign body (98.11)

18.01 Piercing of ear lobe

Piercing of pinna

18.02 Incision of external auditory canal

18.09 Other incision of external ear

18.1 Diagnostic procedures on external ear

18.11 Otoscopy

18.12 Biopsy of external ear

18.19 Other diagnostic procedures on external ear

Excludes: microscopic examination of specimen from ear (90.31-90.39)

18.2 Excision or destruction of lesion of external ear

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

Excludes: biopsy of external ear (18.12)

18.31 Radical excision of lesion of external ear

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 Suture of laceration of external ear

18.5 Surgical correction of prominent ear

Ear:

pinning

setback

18.6 Reconstruction of external auditory canal

Canaloplasty of external auditory meatus

Construction [reconstruction] of external meatus of ear:

osseous portion

skin-lined portion (with skin graft)

18.7 Other plastic repair of external ear

18.71 Construction of auricle of ear

Prosthetic appliance for absent ear

Reconstruction:

auricle

ear

18.72 Reattachment of amputated ear

18.79 Other plastic repair of external ear

Otoplasty NOS

Postauricular skin graft

Repair of lop ear

18.9 Other operations on external ear

Excludes: irrigation of ear (96.52)

packing of external auditory canal (96.11)

removal of:

cerumen (96.52)

foreign body (without incision) (98.11)

19 Reconstructive operations on middle ear

19.0 Stapes mobilization

Division, otosclerotic:

material

process

Remobilization of stapes

Stapediolysis

Transcrural stapes mobilization

Excludes: that with synchronous stapedectomy (19.11-19.19)

19.1 Stapedectomy

Excludes: revision of previous stapedectomy (19.21-19.29)

stapes mobilization only (19.0)

19.11 Stapedectomy with incus replacement

Stapedectomy with incus:

homograft

prosthesis

19.19 Other stapedectomy

19.2 Revision of stapedectomy

19.21 Revision of stapedectomy with incus replacement

19.29 Other revision of stapedectomy

19.3 Other operations on ossicular chain

Incudectomy NOS

Ossiculectomy NOS

Reconstruction of ossicles, second stage

19.4 Myringoplasty

Epitympanic, type I

Myringoplasty by:

cauterization

graft

Tympanoplasty (type I)

19.5 Other tympanoplasty

19.52 Type II tympanoplasty

Closure of perforation with graft against incus or malleus

19.53 Type III tympanoplasty

Graft placed in contact with mobile and intact stapes

19.54 Type IV tympanoplasty

Mobile footplate left exposed with air pocket between round window and graft

19.55 Type V tympanoplasty

Fenestra in horizontal semicircular canal covered by graft

19.6 Revision of tympanoplasty

19.9 Other repair of middle ear

Closure of mastoid fistula

Mastoid myoplasty

Obliteration of tympanomastoid cavity

20 Other operations on middle and inner ear

20.0 Myringotomy

20.01 Myringotomy with insertion of tube

Myringostomy

20.09 Other myringotomy

Aspiration of middle ear NOS

20.1 Removal of tympanostomy tube

20.2 Incision of mastoid and middle ear

20.21 Incision of mastoid

20.22 Incision of petrous pyramid air cells

20.23 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 Electrocochleography

20.32 Biopsy of middle and inner ear

20.39 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)

20.41 Simple mastoidectomy

20.42 Radical mastoidectomy

20.49 Other mastoidectomy

Atticoantrostomy

Mastoidectomy:

NOS

modified radical

20.5 Other excision of middle ear

Excludes: that with synchronous mastoidectomy (20.41-20.49)

20.51 Excision of lesion of middle ear

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)

semicircular canals with graft (skin) (vein)

vestibule with graft (skin) (vein)

Excludes: that with tympanoplasty, type V (19.55)

20.62 Revision of fenestration of inner ear

20.7 Incision, excision, and destruction of inner ear

20.71 Endolymphatic shunt

20.72 Injection into inner ear

Destruction by injection (alcohol):

inner ear

semicircular canals

vestibule

20.79 Other incision, excision, and destruction of inner ear

Decompression of labyrinth

Drainage of inner ear

Fistulization:

endolymphatic sac

labyrinth

Incision of endolymphatic sac

Labyrinthectomy (transtympanic)

Opening of bony labyrinth

Perilymphatic tap

Excludes: biopsy of inner ear (20.32)

20.8 Operations on Eustachian tube

Catheterization of Eustachian tube

Inflation of Eustachian tube

Injection (Teflon paste) of Eustachian tube

Insufflation (boric acid-salicylic acid) Intubation of Eustachian tube

Politzerization of Eustachian tube

20.9 Other operations on inner and middle ear

20.91 Tympanosympathectomy

20.92 Revision of mastoidectomy

20.93 Repair of oval and round windows

Closure of fistula:

oval window

perilymph

round window

20.94 Injection of tympanum

20.95 Implantation of electromagnetic hearing device

Bone conduction hearing device

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)

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 Control of epistaxis, not otherwise specified

21.01 Control of epistaxis by anterior nasal packing

21.02 Control of epistaxis by posterior (and anterior) packing

21.03 Control of epistaxis by cauterization (and packing)

21.04 Control of epistaxis by ligation of ethmoidal arteries

21.05 Control of epistaxis by (transantral) ligation of the maxillary artery

21.06 Control of epistaxis by ligation of the external carotid artery

21.07 Control of epistaxis by excision of nasal mucosa and skin grafting of septum and lateral nasal wall

21.09 Control of epistaxis by other means

21.1 Incision of nose

Chondrotomy

Incision of skin of nose

Nasal septotomy

21.2 Diagnostic procedures on nose

21.21 Rhinoscopy

21.22 Biopsy of nose

21.29 Other diagnostic procedures on nose

Excludes: microscopic examination of specimen from nose (90.31-90.39)

nasal:

function study (89.12)

x-ray (87.16)

rhinomanometry (89.12)

21.3 Local excision or destruction of lesion of nose

Excludes: biopsy of nose (21.22)

nasal fistulectomy (21.82)

21.30 Excision or destruction of lesion of nose, not otherwise specified

21.31 Local excision or destruction of intranasal lesion

Nasal polypectomy

21.32 Local excision or destruction of other lesion of nose

21.4 Resection of nose

Amputation of nose

21.5 Submucous resection of nasal septum

21.6 Turbinectomy

21.61 Turbinectomy by diathermy or cryosurgery

21.62 Fracture of the turbinates

21.69 Other turbinectomy

Excludes: turbinectomy associated with sinusectomy (22.31-22.39, 22.42, 22.60-22.64)

21.7 Reduction of nasal fracture

21.71 Closed reduction of nasal fracture

21.72 Open reduction of nasal fracture

21.8 Repair and plastic operations on the nose

21.81 Suture of laceration of nose

21.82 Closure of nasal fistula

Nasolabial fistulectomy

Nasopharyngeal fistulectomy

Oronasal fistulectomy

21.83 Total nasal reconstruction

Reconstruction of nose with:

arm flap

forehead flap

21.84 Revision rhinoplasty

Rhinoseptoplasty

Twisted nose rhinoplasty

21.85 Augmentation rhinoplasty

Augmentation rhinoplasty with:

graft

synthetic implant

21.86 Limited rhinoplasty

Plastic repair of nasolabial flaps

Tip rhinoplasty

21.87 Other rhinoplasty

Rhinoplasty NOS

21.88 Other septoplasty

Crushing of nasal septum

Repair of septal perforation

Excludes: septoplasty associated with submucous resection of septum (21.5)

21.89 Other repair and plastic operations on nose

Reattachment of amputated nose

21.9 Other operations on nose

21.91 Lysis of adhesions of nose

Posterior nasal scrub

21.99 Other

Excludes: dilation of frontonasal duct (96.21)

irrigation of nasal passages (96.53)

removal of:

intraluminal foreign body without incision (98.12)

nasal packing (97.32)

replacement of nasal packing (97.21)

22 Operations on nasal sinuses

22.0 Aspiration and lavage of nasal sinus

22.00 Aspiration and lavage of nasal sinus, not otherwise specified

22.01 Puncture of nasal sinus for aspiration or lavage

22.02 Aspiration or lavage of nasal sinus through natural ostium

22.1 Diagnostic procedures on nasal sinus

22.11 Closed [endoscopic] [needle] biopsy of nasal sinus

22.12 Open biopsy of nasal sinus

22.19 Other diagnostic procedures on nasal sinuses

Endoscopy without biopsy

Excludes: transillumination of sinus (89.35)

x-ray of sinus (87.15-87.16)

22.2 Intranasal antrotomy

Excludes: antrotomy with external approach (22.31-22.39)

22.3 External maxillary antrotomy

22.31 Radical maxillary antrotomy

Removal of lining membrane of maxillary sinus using Caldwell-Luc approach

22.39 Other external maxillary antrotomy

Exploration of maxillary antrum with Caldwell-Luc approach

22.4 Frontal sinusotomy and sinusectomy

22.41 Frontal sinusotomy

22.42 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 Sinusotomy, not otherwise specified

22.51 Ethmoidotomy

22.52 Sphenoidotomy

22.53 Incision of multiple nasal sinuses

22.6 Other nasal sinusectomy

Includes: that with incidental turbinectomy

Excludes: biopsy of nasal sinus (22.11-22.12)

22.60 Sinusectomy, not otherwise specified

22.61 Excision of lesion of maxillary sinus with Caldwell-Luc approach

22.62 Excision of lesion of maxillary sinus with other approach

22.63 Ethmoidectomy

22.64 Sphenoidectomy

22.7 Repair of nasal sinus

22.71 Closure of nasal sinus fistula

Repair of oro-antral fistula

22.79 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

Excludes: dilation of frontonasal duct (96.21)

23 Removal and restoration of teeth

23.0 Forceps extraction of tooth

23.01 Extraction of deciduous tooth

23.09 Extraction of other tooth

Extraction of tooth NOS

23.1 Surgical removal of tooth

23.11 Removal of residual root

23.19 Other surgical extraction of tooth

Odontectomy NOS

Removal of impacted tooth

Tooth extraction with elevation of mucoperiosteal flap

23.2 Restoration of tooth by filling

23.3 Restoration of tooth by inlay

23.4 Other dental restoration

23.41 Application of crown

23.42 Insertion of fixed bridge

23.43 Insertion of removable bridge

23.49 Other

23.5 Implantation of tooth

23.6 Prosthetic dental implant

Endosseous dental implant

23.7 Apicoectomy and root canal therapy

23.70 Root canal, not otherwise specified

23.71 Root canal therapy with irrigation

23.72 Root canal therapy with apicoectomy

23.73 Apicoectomy

24 Other operations on teeth, gums, and alveoli

24.0 Incision of gum or alveolar bone

Apical alveolotomy

24.1 Diagnostic procedures on teeth, gums, and alveoli

24.11 Biopsy of gum

24.12 Biopsy of alveolus

24.19 Other diagnostic procedures on teeth, gums, and alveoli

Excludes: dental:

examination (89.31)

x-ray:

full-mouth (87.11)

other (87.12)

microscopic examination of dental specimen (90.81-90.89)

24.2 Gingivoplasty

Gingivoplasty with bone or soft tissue graft

24.3 Other operations on gum

24.31 Excision of lesion or tissue of gum

Excludes: biopsy of gum (24.11)

excision of odontogenic lesion (24.4)

24.32 Suture of laceration of gum

24.39 Other

24.4 Excision of dental lesion of jaw

Excision of odontogenic lesion

24.5 Alveoloplasty

Alveolectomy (interradicular) (intraseptal) (radical) (simple) (with graft or implant)

Excludes: biopsy of alveolus (24.12)

en bloc resection of alveolar process and palate (27.32)

24.6 Exposure of tooth

24.7 Application of orthodontic appliance

Application, insertion, or fitting of:

arch bars

orthodontic obturator

orthodontic wiring

periodontal splint

Excludes: nonorthodontic dental wiring (93.55)

24.8 Other orthodontic operation

Closure of diastema (alveolar) (dental)

Occlusal adjustment

Removal of arch bars

Repair of dental arch

Excludes: removal of nonorthodontic wiring (97.33)

24.9 Other dental operations

24.91 Extension or deepening of buccolabial or lingual sulcus

24.99 Other

Excludes: dental:

debridement (96.54)

examination (89.31)

prophylaxis (96.54)

scaling and polishing (96.54)

wiring (93.55)

fitting of dental appliance [denture] (99.97)

microscopic examination of dental specimen (90.81-90.89)

removal of dental:

packing (97.34)

prosthesis (97.35)

wiring (97.33)

replacement of dental packing (97.22)

25 Operations on tongue

25.0 Diagnostic procedures on tongue

25.01 Closed [needle] biopsy of tongue

25.02 Open biopsy of tongue

Wedge biopsy

25.09 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 Partial glossectomy

25.3 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 Suture of laceration of tongue

25.59 Other repair and plastic operations on tongue

Fascial sling of tongue

Fusion of tongue (to lip)

Graft of mucosa or skin to tongue

Excludes: lysis of adhesions of tongue (25.93)

25.9 Other operations on tongue

25.91 Lingual frenotomy

Excludes: labial frenotomy (27.91)

25.92 Lingual frenectomy

Excludes: labial frenectomy (27.41)

25.93 Lysis of adhesions of tongue

25.94 Other glossotomy

25.99 Other

26 Operations on salivary glands and ducts

Includes: operations on:

lesser salivary gland and duct

parotid gland and duct

sublingual gland and duct

submaxillary gland and duct

Code also any neck dissection (40.40-40.42)

26.0 Incision of salivary gland or duct

26.1 Diagnostic procedures on salivary glands and ducts

26.11 Closed [needle] biopsy of salivary gland or duct

26.12 Open biopsy of salivary gland or duct

26.19 Other diagnostic procedures on salivary glands and ducts

Excludes: x-ray of salivary gland (87.09)

26.2 Excision of lesion of salivary gland

26.21 Marsupialization of salivary gland cyst

26.29 Other excision of salivary gland lesion

Excludes: biopsy of salivary gland (26.11-26.12)

salivary fistulectomy (26.42)

26.3 Sialoadenectomy

26.30 Sialoadenectomy, not otherwise specified

26.31 Partial sialoadenectomy

26.32 Complete sialoadenectomy

En bloc excision of salivary gland lesion

Radical sialoadenectomy

26.4 Repair of salivary gland or duct

26.41 Suture of laceration of salivary gland

26.42 Closure of salivary fistula

26.49 Other repair and plastic operations on salivary gland or duct

Fistulization of salivary gland

Plastic repair of salivary gland or duct NOS

Transplantation of salivary duct opening

26.9 Other operations on salivary gland or duct

26.91 Probing of salivary duct

26.99 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

Drainage of:

facial region (abscess)

fascial compartment of face

Ludwig's angina

Excludes: drainage of thyroglossal tract (06.09)

27.1 Incision of palate

27.2 Diagnostic procedures on oral cavity

27.21 Biopsy of bony palate

27.22 Biopsy of uvula and soft palate

27.23 Biopsy of lip

27.24 Biopsy of mouth, unspecified structure

27.29 Other diagnostic procedures on oral cavity

Excludes: soft tissue x-ray (87.09)

27.3 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 Wide excision or destruction of lesion or tissue of bony palate

En bloc resection of alveolar process and palate

27.4 Excision of other parts of mouth

27.41 Labial frenectomy

Excludes: division of labial frenum (27.91)

27.42 Wide excision of lesion of lip

27.43 Other excision of lesion or tissue of lip

27.49 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 mouth

Excludes: palatoplasty (27.61-27.69)

27.51 Suture of laceration of lip

27.52 Suture of laceration of other part of mouth

27.53 Closure of fistula of mouth

Excludes: fistulectomy:

nasolabial (21.82)

oro-antral (22.71)

oronasal (21.82)

27.54 Repair of cleft lip

27.55 Full-thickness skin graft to lip and mouth

27.56 Other skin graft to lip and mouth

27.57 Attachment of pedicle or flap graft to lip and mouth

27.59 Other plastic repair of mouth

27.6 Palatoplasty

27.61 Suture of laceration of palate

27.62 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

27.64 Insertion of palatal implant

27.69 Other plastic repair of palate

Code also any insertion of palatal implant (27.64)

Excludes: fistulectomy of mouth (27.53)

27.7 Operations on uvula

27.71 Incision of uvula

27.72 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 Other operations on uvula

27.9 Other operations on mouth and face

27.91 Labial frenotomy

Division of labial frenum

Excludes: lingual frenotomy (25.91)

27.92 Incision of mouth, unspecified structure

Excludes: incision of:

gum (24.0)

palate (27.1)

salivary gland or duct (26.0)

tongue (25.94)

uvula (27.71)

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 Operations on tonsils and adenoids

28.0 Incision and drainage of tonsil and peritonsillar structures

Drainage (oral) (transcervical) of:

parapharyngeal abscess

peritonsillar abscess

retropharyngeal abscess

tonsillar abscess

28.1 Diagnostic procedures on tonsils and adenoids

28.11 Biopsy of tonsils and adenoids

28.19 Other diagnostic procedures on tonsils and adenoids

Excludes: soft tissue x-ray (87.09)

28.2 Tonsillectomy without adenoidectomy

28.3 Tonsillectomy with adenoidectomy

28.4 Excision of tonsil tag

28.5 Excision of lingual tonsil

28.6 Adenoidectomy without tonsillectomy

Excision of adenoid tag

28.7 Control of hemorrhage after tonsillectomy and adenoidectomy

28.9 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 Other

29 Operations on pharynx

Includes: operations on:

hypopharynx

nasopharynx

oropharynx

pharyngeal pouch

pyriform sinus

29.0 Pharyngotomy

Drainage of pharyngeal bursa

Excludes: incision and drainage of retropharyngeal abscess (28.0)

removal of foreign body (without incision) (98.13)

29.1 Diagnostic procedures on pharynx

29.11 Pharyngoscopy

29.12 Pharyngeal biopsy

Biopsy of supraglottic mass

29.19 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

Excludes: branchial cleft fistulectomy (29.52)

29.3 Excision or destruction of lesion or tissue of pharynx

29.31 Cricopharyngeal myotomy

Excludes: that with pharyngeal diverticulectomy (29.32)

29.32 Pharyngeal diverticulectomy

29.33 Pharyngectomy (partial)

Excludes: laryngopharyngectomy (30.3)

29.39 Other excision or destruction of lesion or tissue of pharynx

29.4 Plastic operation on pharynx

Correction of nasopharyngeal atresia

Excludes: pharyngoplasty associated with cleft palate repair (27.62-27.63)

29.5 Other repair of pharynx

29.51 Suture of laceration of pharynx

29.52 Closure of branchial cleft fistula

29.53 Closure of other fistula of pharynx

Pharyngoesophageal fistulectomy

29.54 Lysis of pharyngeal adhesions

29.59 Other

29.9 Other operations on pharynx

29.91 Dilation of pharynx

Dilation of nasopharynx

29.92 Division of glossopharyngeal nerve

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 Excision of larynx

30.0 Excision or destruction of lesion or tissue of larynx

30.01 Marsupialization of laryngeal cyst

30.09 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 Hemilaryngectomy

30.2 Other partial laryngectomy

30.21 Epiglottidectomy

30.22 Vocal cordectomy

Excision of vocal cords

30.29 Other partial laryngectomy

Excision of laryngeal cartilage

30.3 Complete laryngectomy

Block dissection of larynx (with thyroidectomy) (with synchronous tracheostomy)

Laryngopharyngectomy

Excludes: that with radical neck dissection (30.4)

30.4 Radical laryngectomy

Complete [total] laryngectomy with radical neck dissection (with thyroidectomy) (with synchronous tracheostomy)

31 Other operations on larynx and trachea

31.0 Injection of larynx

Injection of inert material into larynx or vocal cords

31.1 Temporary tracheostomy

Tracheotomy for assistance in breathing

31.2 Permanent tracheostomy

31.21 Mediastinal tracheostomy

31.29 Other permanent tracheostomy

Excludes: that with laryngectomy (30.3-30.4)

31.3 Other incision of larynx or trachea

Excludes: that for assistance in breathing (31.1-31.29)

31.4 Diagnostic procedures on larynx and trachea

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 Closed [endoscopic] biopsy of larynx

31.44 Closed [endoscopic] biopsy of trachea

31.45 Open biopsy of larynx or trachea

31.48 Other diagnostic procedures on larynx

Excludes: contrast laryngogram (87.07)

microscopic examination of specimen from larynx (90.31-90.39)

soft tissue x-ray of larynx NEC (87.09)

31.49 Other diagnostic procedures on trachea

Excludes: microscopic examination of specimen from trachea (90.41-90.49)

x-ray of trachea (87.49)

31.5 Local excision or destruction of lesion or tissue of trachea

Excludes: biopsy of trachea (31.44-31.45)

laryngotracheal fistulectomy (31.62)

tracheoesophageal fistulectomy (31.73)

31.6 Repair of larynx

31.61 Suture of laceration of larynx

31.62 Closure of fistula of larynx

Laryngotracheal fistulectomy

Take-down of laryngostomy

31.63 Revision of laryngostomy

31.64 Repair of laryngeal fracture

31.69 Other repair of larynx

Arytenoidopexy

Graft of larynx

Transposition of vocal cords

Excludes: construction of artificial larynx (31.75)

31.7 Repair and plastic operations on trachea

31.71 Suture of laceration of trachea

31.72 Closure of external fistula of trachea

Closure of tracheotomy

31.73 Closure of other fistula of trachea

Tracheoesophageal fistulectomy

Excludes: laryngotracheal fistulectomy (31.62)

31.74 Revision of tracheostomy

31.75 Reconstruction of trachea and construction of artificial larynx

Tracheoplasty with artificial larynx

31.79 Other repair and plastic operations on trachea

31.9 Other operations on larynx and trachea

31.91 Division of laryngeal nerve

31.92 Lysis of adhesions of trachea or larynx

31.93 Replacement of laryngeal or tracheal stent

31.94 Injection of locally-acting therapeutic substance into trachea

31.95 Tracheoesophageal fistulization

31.98 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

Excludes: biopsy of bronchus (33.24-33.25)

bronchial fistulectomy (33.42)

32.01 Endoscopic excision or destruction of lesion or tissue of bronchus

32.09 Other local excision or destruction of lesion or tissue of bronchus

Excludes: that by endoscopic approach (32.01)

32.1 Other excision of bronchus

Resection (wide sleeve) of bronchus

Excludes: radical dissection [excision] of bronchus (32.6)

32.2 Local excision or destruction of lesion or tissue of lung

32.20 Thoracoscopic excision of lesion or tissue of lung

Thoracoscopic wedge resection

32.21 Plication of emphysematous bleb

32.22 Lung volume reduction surgery

32.23 Open ablation of lung lesion or tissue

32.24 Percutaneous ablation of lung lesion or tissue

32.25 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

32.28 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)

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

32.30 Thoracoscopic segmental resection of lung

32.39 Other and unspecified segmental resection of lung

Excludes: thoracoscopic segmental resection of lung (32.30)

32.4 Lobectomy of lung

Lobectomy with segmental resection of adjacent lobes of lung

Excludes: that with radical dissection [excision] of thoracic structures (32.6)

32.41 Thoracoscopic lobectomy of lung

32.49 Other lobectomy of lung

Excludes: thoracoscopic lobectomy of lung (32.41)

32.5 Pneumonectomy

Excision of lung NOS

Pneumonectomy (with mediastinal dissection)

32.50 Thoracoscopic pneumonectomy

32.59 Other 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

32.9 Other excision of lung

Excludes: biopsy of lung and bronchus (33.24-33.27)

pulmonary decortication (34.51)

33 Other operations on lung and bronchus

Includes: rib resection as operative approach

sternotomy as operative approach

sternum-splitting incision as operative approach

thoracotomy as operative approach

33.0 Incision of bronchus

33.1 Incision of lung

Excludes: puncture of lung (33.93)

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

excision (bite) biopsy

Diagnostic bronchoalveolar lavage (BAL)

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

Excludes: brush biopsy of "lung" (33.24)

percutaneous biopsy of lung (33.26)

thoracoscopic lung biopsy (33.20)

33.28 Open biopsy of lung

33.29 Other diagnostic procedures on lung and bronchus

Excludes: contrast bronchogram:

endotracheal (87.31)

other (87.32)

lung scan (92.15)

magnetic resonance imaging (88.92)

microscopic examination of specimen from bronchus or lung (90.41-90.49)

routine chest x-ray (87.44)

ultrasonography of lung (88.73)

vital capacity determination (89.37)

x-ray of bronchus or lung NOS (87.49)

33.3 Surgical collapse of lung

33.31 Destruction of phrenic nerve for collapse of lung

33.32 Artificial pneumothorax for collapse of lung

Thoracotomy for collapse of lung

33.33 Pneumoperitoneum for collapse of lung

33.34 Thoracoplasty

33.39 Other surgical collapse of lung

Collapse of lung NOS

33.4 Repair and plastic operation on lung and bronchus

33.41 Suture of laceration of bronchus

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 Closure of laceration of lung

33.48 Other repair and plastic operations on bronchus

33.49 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 Lung transplantation, not otherwise specified

33.51 Unilateral lung transplantation

33.52 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 Endoscopic insertion, replacement and removal of therapeutic device or substances in bronchus or lung

Biologic Lung Volume Reduction (BLVR)

Excludes insertion of tracheobronchial stent (96.05)

33.71 Endoscopic insertion or replacement of bronchial valve(s)

Endobronchial airflow redirection valve

Intrabronchial airflow redirection valve

33.78 Endoscopic removal of bronchial device(s) or substances

33.79 Endoscopic insertion of other bronchial device or substances

Biologic Lung Volume Reduction NOS (BLVR)

33.9 Other operations on lung and bronchus

33.91 Bronchial dilation

33.92 Ligation of bronchus

33.93 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

Excludes: operations on breast (85.0-85.99)

34.0 Incision of chest wall and pleura

Excludes: that as operative approach -- omit code

34.01 Incision of chest wall

Extrapleural drainage

Excludes: incision of pleura (34.09)

34.02 Exploratory thoracotomy

34.03 Reopening of recent thoracotomy site

34.04 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

34.06 Thoracoscopic drainage of pleural cavity

Evacuation of empyema

34.09 Other incision of pleura

Creation of pleural window for drainage

Intercostal stab

Open chest drainage

Excludes: thoracoscopy (34.21)

thoracotomy for collapse of lung (33.32)

34.1 Incision of mediastinum

Excludes: mediastinoscopy (34.22)

mediastinotomy associated with pneumonectomy (32.5)

34.2 Diagnostic procedures on chest wall, pleura, mediastinum, and diaphragm

34.20 Thoracoscopic pleural biopsy

34.21 Transpleural thoracoscopy

34.22 Mediastinoscopy

Code also any lymph node biopsy (40.11)

34.23 Biopsy of chest wall

34.24 Other pleural biopsy

Excludes: thoracoscopic pleural biopsy (34.20)

34.25 Closed [percutaneous] [needle] biopsy of mediastinum

34.26 Open mediastinal biopsy

34.27 Biopsy of diaphragm

34.28 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

Excludes: biopsy of mediastinum (34.25-34.26)

mediastinal fistulectomy (34.73)

34.4 Excision or destruction of lesion of chest wall

Excision of lesion of chest wall NOS (with excision of ribs)

Excludes: biopsy of chest wall (34.23)

costectomy not incidental to thoracic procedure (77.91)

excision of lesion of:

breast (85.20-85.25)

cartilage (80.89)

skin (86.2-86.3)

fistulectomy (34.73)

34.5 Pleurectomy

34.51 Decortication of lung

Excludes: thoracoscopic decortication of lung (34.52)

34.52 Thoracoscopic 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

Excludes: injection of sclerosing agent (34.92)

34.7 Repair of chest wall

34.71 Suture of laceration of chest wall

Excludes: suture of skin and subcutaneous tissue alone (86.59)

34.72 Closure of thoracostomy

34.73 Closure of other fistula of thorax

Closure of:

bronchopleural fistula

bronchopleurocutaneous fistula

bronchopleuromediastinal fistula

34.74 Repair of pectus deformity

Repair of:

pectus carinatum (with implant)

pectus excavatum (with implant)

34.79 Other repair of chest wall

Repair of chest wall NOS

34.8 Operations on diaphragm

34.81 Excision of lesion or tissue of diaphragm

Excludes: biopsy of diaphragm (34.27)

34.82 Suture of laceration of diaphragm

34.83 Closure of fistula of diaphragm

Thoracicoabdominal fistulectomy

Thoracicogastric fistulectomy

Thoracicointestinal fistulectomy

34.84 Other repair of diaphragm

Excludes: repair of diaphragmatic hernia (53.7-53.82)

34.85 Implantation of diaphragmatic pacemaker

34.89 Other operations on diaphragm

34.9 Other operations on thorax

34.91 Thoracentesis

34.92 Injection into thoracic cavity

Chemical pleurodesis

Injection of cytotoxic agent or tetracycline

Instillation into thoracic cavity

Requires additional code for any cancer chemotherapeutic substance (99.25)

Excludes: that for collapse of lung (33.32)

34.93 Repair of pleura

34.99 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 cardiopulmonary bypass [extracorporeal

circulation] [heart-lung machine] (39.61)

35.0 Closed heart valvotomy

Excludes: percutaneous (balloon) valvuloplasty (35.96)

35.00 Closed heart valvotomy, unspecified valve

35.01 Closed heart valvotomy, aortic valve

35.02 Closed heart valvotomy, mitral valve

35.03 Closed heart valvotomy, pulmonary valve

35.04 Closed heart valvotomy, tricuspid valve

35.1 Open heart valvuloplasty without replacement

Includes: open heart valvotomy

Excludes: that associated with repair of:

endocardial cushion defect (35.54, 35.63, 35.73)

valvular defect associated with atrial and ventricular septal defects (35.54, 35.63, 35.73)

percutaneous (balloon) valvuloplasty (35.96)

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

35.10 Open heart valvuloplasty without replacement, unspecified valve

35.11 Open heart valvuloplasty of aortic valve without replacement

35.12 Open heart valvuloplasty of mitral valve without replacement

35.13 Open heart valvuloplasty of pulmonary valve without replacement

35.14 Open heart valvuloplasty of tricuspid valve without replacement

35.2 Replacement of heart valve

Includes: excision of heart valve with replacement

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

Excludes: that associated with repair of:

endocardial cushion defect (35.54, 35.63, 35.73)

valvular defect associated with atrial and ventricular septal defects (35.54, 35.63, 35.73)

35.20 Replacement of unspecified heart valve

Repair of unspecified heart valve with tissue graft or prosthetic implant

35.21 Replacement of aortic valve with tissue graft

Repair of aortic valve with tissue graft (autograft) (heterograft) (homograft)

35.22 Other replacement of aortic valve

Repair of aortic valve with replacement:

NOS

prosthetic (partial) (synthetic) (total)

35.23 Replacement of mitral valve with tissue graft

Repair of mitral valve with tissue graft (autograft) (heterograft) (homograft)

35.24 Other replacement of mitral valve

Repair of mitral valve with replacement:

NOS

prosthetic (partial) (synthetic) (total)

35.25 Replacement of pulmonary valve with tissue graft

Repair of pulmonary valve with tissue graft (autograft) (heterograft) (homograft)

35.26 Other replacement of pulmonary valve

Repair of pulmonary valve with replacement:

NOS

prosthetic (partial) (synthetic) (total)

35.27 Replacement of tricuspid valve with tissue graft

Repair of tricuspid valve with tissue graft (autograft) (heterograft) (homograft)

35.28 Other replacement of tricuspid valve

Repair of tricuspid valve with replacement:

NOS

prosthetic (partial) (synthetic) (total)

35.3 Operations on structures adjacent to heart valves

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

35.31 Operations on papillary muscle

Division of papillary muscle

Reattachment of papillary muscle

Repair of papillary muscle

35.32 Operations on chordae tendineae

Division of chordae tendineae

Repair of chordae tendineae

35.33 Annuloplasty

Plication of annulus

35.34 Infundibulectomy

Right ventricular infundibulectomy

35.35 Operations on trabeculae carneae cordis

Division of trabeculae carneae cordis

Excision of trabeculae carneae cordis

Excision of aortic subvalvular ring

35.39 Operations on other structures adjacent to valves of heart

Repair of sinus of Valsalva (aneurysm)

35.4 Production of septal defect in heart

35.41 Enlargement of existing atrial septal defect

Rashkind procedure

Septostomy (atrial) (balloon)

35.42 Creation of septal defect in heart

Blalock-Hanlon operation

35.5 Repair of atrial and ventricular septa with prosthesis

Includes: repair of septa with synthetic implant or patch

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

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

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 Repair of atrial septal defect with prosthesis, closed technique

Insertion of atrial septal umbrella [King-Mills]

35.53 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 Repair of ventricular septal defect with prosthesis, closed technique

35.6 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)

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 Total repair of certain congenital cardiac anomalies

Note: For partial repair of defect [e.g. repair of atrial septal defect in tetralogy of Fallot] -- code to specific procedure

35.81 Total repair of tetralogy of Fallot

One-stage total correction of tetralogy of Fallot with or without:

commissurotomy of pulmonary valve

infundibulectomy

outflow tract prosthesis

patch graft of outflow tract

prosthetic tube for pulmonary artery

repair of ventricular septal defect (with prosthesis)

take-down of previous systemic-pulmonary artery anastomosis

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)

35.83 Total repair of truncus arteriosus

One-stage total correction of truncus arteriosus with or without:

construction (with aortic homograft) (with prosthesis) of a pulmonary artery placed from right ventricle to arteries supplying the lung

ligation of connections between aorta and pulmonary artery

repair of ventricular septal defect (with prosthesis)

35.84 Total correction of transposition of great vessels, not elsewhere classified

Arterial switch operation [Jatene]

Total correction of transposition of great arteries at the arterial level by switching the great arteries, including the left or both coronary arteries, implanted in the wall of the pulmonary artery

Excludes: baffle operation [Mustard] [Senning] (35.91)

creation of shunt between right ventricle and pulmonary artery [Rastelli] (35.92)

35.9 Other operations on valves and septa of heart

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

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

35.92 Creation of conduit between right ventricle and pulmonary artery

Creation of shunt between right ventricle and (distal) pulmonary artery

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

35.93 Creation of conduit between left ventricle and aorta

Creation of apicoaortic shunt

Shunt between apex of left ventricle and aorta

35.94 Creation of conduit between atrium and pulmonary artery

Fontan procedure

35.95 Revision of corrective procedure on heart

Replacement of prosthetic heart valve poppet

Resuture of prosthesis of:

septum

valve

Excludes: complete revision -- code to specific procedure

replacement of prosthesis or graft of:

septum (35.50-35.63)

valve (35.20-35.28)

35.96 Percutaneous valvuloplasty

Percutaneous balloon valvuloplasty

35.98 Other operations on septa of heart

35.99 Other operations on valves of heart

36 Operations on vessels of heart

Includes: sternotomy (median) (transverse) as operative approach

thoracotomy as operative approach

Code also any:

cardiopulmonary bypass, if performed [extracorporeal circulation] [heart-lung machine] (39.61)

injection or infusion of platelet inhibitor (99.20)

injection or infusion of thrombolytic agent (99.10)

36.0 Removal of coronary artery obstruction and insertion of stent(s)

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)

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] or coronary atherectomy (00.66)

procedure on vessel bifurcation (00.44)

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] or coronary atherectomy (00.66)

procedure on vessel bifurcation (00.44)

Excludes: drug-coated stents, e.g., heparin coated (36.06)

insertion of non-drug-eluting coronary artery stent(s) (36.06)

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] or coronary atherectomy (00.66)

36.1 Bypass anastomosis for heart revascularization

Note: Do not assign codes from series 00.40-00.43 with codes from series 36.10-36.19

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

pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance, if performed (00.16)

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

heart muscle with catheter stent, prosthesis, or vein graft

myocardial with catheter stent, prosthesis, or vein graft

Heart revascularization NOS

36.11 (Aorto)coronary bypass of one coronary artery

36.12 (Aorto)coronary bypass of two coronary arteries

36.13 (Aorto)coronary bypass of three coronary arteries

36.14 (Aorto)coronary bypass of four or more coronary arteries

36.15 Single internal mammary-coronary artery bypass

Anastomosis (single):

mammary artery to coronary artery

thoracic artery to coronary artery

36.16 Double internal mammary-coronary artery bypass

Anastomosis, double:

mammary artery to coronary artery

thoracic artery to coronary artery

36.17 Abdominal - coronary artery bypass

Anastomosis:

Gastroepiploic - coronary artery

36.19 Other bypass anastomosis for heart revascularization

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

36.3 Other heart revascularization

36.31 Open chest transmyocardial revascularization

36.32 Other transmyocardial revascularization

36.33 Endoscopic transmyocardial revascularization

Robot-assisted transmyocardial revascularization

Thoracoscopic transmyocardial revascularization

36.34 Percutaneous transmyocardial revascularization

Endovascular transmyocardial revascularization

36.39 Other heart revascularization

Abrasion of epicardium

Cardio-omentopexy

Intrapericardial poudrage

Myocardial graft:

mediastinal fat

omentum

pectoral muscles

36.9 Other operations on vessels of heart

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

36.91 Repair of aneurysm of coronary vessel

36.99 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 also any injection or infusion of platelet inhibitor (99.20)

37.0 Pericardiocentesis

37.1 Cardiotomy and pericardiotomy

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

37.10 Incision of heart, not otherwise specified

Cardiolysis NOS

37.11 Cardiotomy

Incision of:

atrium

endocardium

myocardium

ventricle

37.12 Pericardiotomy

Pericardial window operation

Pericardiolysis

Pericardiotomy

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 Combined right and left heart cardiac catheterization

37.24 Biopsy of pericardium

37.25 Biopsy of heart

37.26 Catheter based invasive electrophysiologic testing

Electrophysiologic studies [EPS]

Code also any concomitant procedure

Excludes: that as part of intraoperative testing - omit code

device interrogation only without arrhythmia induction (bedside check) (89.45-89.49)

His bundle recording (37.29)

noninvasive programmed electrical stimulation (NIPS) (37.20)

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] (39.61)

37.31 Pericardiectomy

Excision of:

adhesions of pericardium constricting scar of:

epicardium

pericardium

37.32 Excision of aneurysm of heart

Repair of aneurysm of heart

37.33 Excision or destruction of other lesion or tissue of heart,open approach

Ablation of heart tissue (cryoablation) (electrocurrent) (laser) (microwave) (radiofrequency) (resection), open chest approach

Cox-maze procedure

Maze procedure

Modified maze procedure, trans-thoracic approach

Excludes: ablation,excision or destruction of lesion or tissue of heart, endovascular approach (37.34)

37.34 Excision or destruction of other lesion or tissue of heart,other approach

Ablation of heart tissue (cryoablation) (electrocurrent)(laser) (microwave) (radiofrequency) (resection), via peripherally inserted catheter

Modified maze procedure, endovascular approach

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)

37.4 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 Other repair of heart and pericardium

37.5 Heart replacement procedures

37.51 Heart transplantation

Excludes: combined heart-lung transplantation (33.6)

37.52 Implantation of total replacement heart system

Artificial heart

Implantation of fully implantable total replacement heart system, including ventriculectomy

Excludes: implantation of heart assist system [VAD] (37.62, 37.65, 37.66)

37.53 Replacement or repair of thoracic unit of total replacement heart system

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

Excludes: replacement and repair of heart assist system [VAD] (37.63)

replacement or repair of thoracic unit of total replacement heart system (37.53)

37.6 Implantation of heart and circulatory assist system

Excludes: implantation of prosthetic cardiac support system (37.41)

37.61 Implant of pulsation balloon

37.62 Insertion of non-implantable heart assist system

Insertion of heart assist system, NOS

Insertion of heart pump

Excludes: implantation of total replacement heart system (37.52)

insertion of percutaneous external heart assist device (37.68)

37.63 Repair of heart assist system

Replacement of parts of an existing ventricular assist device (VAD)

Excludes: replacement or repair of other implantable component of total replacement heart system [artificial heart]

(37.54)

replacement or repair of thoracic unit of total replacement heart system [artificial heart] (37.53)

37.64 Removal of heart assist system

Excludes: that with replacement of implant (37.63)

explantation [removal] of percutaneous external heart assist device (97.44)

nonoperative removal of heart assist system (97.44)

37.65 Implant of external heart assist system

Note: Device (outside the body but connected to heart) with external circulation and pump.

Includes open chest (sternotomy) procedure for cannulae attachments

Excludes: implant of pulsation balloon (37.61)

implantation of total replacement heart system (37.52)

insertion of percutaneous external heart assist device (37.68)

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

Note: Device directly connected to the heart and implanted in the upper left quadrant of peritoneal cavity.

Note: This device can be used for either destination therapy (DT) or bridge-to-transplant (BTT)

Excludes: implant of pulsation balloon (37.61)

implantation of total replacement heart system [artificial heart] (37.52)

insertion of percutaneous external heart assist device (37.68)

37.67 Implantation of cardiomyostimulation system

Note: Two-step open procedure consisting of transfer of one end of the latissimus dorsi muscle; wrapping it around the heart; rib resection; implantation of epicardial cardiac pacing leads into the right ventricle; tunneling and pocket creation for the cardiomyostimulator.

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)

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 presssure sensor (lead) and monitor device

Removal without replacement of cardiac resynchronization defibrillator device

Repositioning of implantable hemodynamic pressure sensor (lead) and monitor device

Repositioning of pulse generator

Revision of cardioverter/defibrillator (automatic) pocket

Revision of pocket for intracardiac hemodynamic monitoring

Revision or relocation of CRT-D pocket

Revision or relocation of pacemaker, defibrillator, or other implanted cardiac device pocket

Excludes: removal of loop recorder (86.05)

37.8 Insertion, replacement, removal, and revision of pacemaker device

Note: Device testing during procedure - omit code

Code also any lead insertion, lead replacement, lead removal and/or lead revision (37.70-37.77)

Excludes: implantation of cardiac resynchronization pacemaker [CRT-P] (00.50)

implantation or replacement of cardiac resynchronization pacemaker pulse generator only [CRT-P] (00.53)

37.80 Insertion of permanent pacemaker, initial or replacement, type of device not specified

37.81 Initial insertion of single-chamber device, not specified as rate responsive

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 Replacement of any type pacemaker device with single-chamber device, not specified as rate responsive

37.86 Replacement of any type of pacemaker device with single-chamber device, rate responsive

Rate responsive to physiologic stimuli other than atrial rate

37.87 Replacement of any type pacemaker device with dual-chamber device

Atrial ventricular sequential device

37.89 Revision or removal of pacemaker device

Removal without replacement of cardiac resynchronization pacemaker device [CRT-P]

Repair of pacemaker device

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

replacement of existing pacemaker device (37.85-37.87)

replacement of existing pacemaker device with CRT-P pacemaker device (00.53)

37.9 Other operations on heart and pericardium

37.90 Insertion of left atrial appendage device

Left atrial filter

Left atrial occluder

Transseptal catheter technique

37.91 Open chest cardiac massage

Excludes: closed chest cardiac massage (99.63)

37.92 Injection of therapeutic substance into heart

37.93 Injection of therapeutic substance into pericardium

37.94 Implantation or replacement of automatic cardioverter/defibrillator, total system [AICD]

Implantation of defibrillator with leads (epicardial patches), formation of pocket (abdominal fascia) (subcutaneous), any transvenous leads, intraoperative procedures for evaluation of lead signals, and obtaining defibrillator threshold measurements

Techniques:

lateral thoracotomy

medial sternotomy

subxiphoid procedure

Note: Device testing during procedure - omit code

Code also extracorporeal circulation, if performed (39.61)

Code also any concomitant procedure [e.g., coronary bypass] (36.00-36.19)

Excludes:implantation of cardiac resynchronization defibrillator, total system [CRT-D] (00.51)

37.95 Implantation of automatic cardioverter/defibrillator lead(s) only

37.96 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

Excludes: replacement of epicardial lead [electrode] into epicardium (37.74)

replacement of transvenous lead [electrode] into left ventricular coronary venous system (00.52)

37.98 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)

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 unspecified site

1 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

9 lower limb veins

Femoral

Popliteal

Saphenous

Tibial

38.0 Incision of vessel

[0-9]

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 Biopsy of blood vessel

38.22 Percutaneous angioscopy

Excludes: angioscopy of eye (95.12)

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 Resection of vessel with anastomosis

[0-9]

Angiectomy

Excision of:

aneurysm (arteriovenous) with anastomosis

blood vessel (lesion) with anastomosis

38.4 Resection of vessel with replacement

[0-9]

Angiectomy

Excision of:

aneurysm (arteriovenous) or blood vessel (lesion) with replacement

Partial resection with replacement

Excludes: endovascular repair of aneurysm (39.71 - 39.79)

Requires the use of one of the following fourth-digit subclassifications to identify site:

0 unspecified site

1 intracranial vessels

Cerebral (anterior) (middle)

Circle of Willis

Posterior communicating artery

2 other vessels of head and neck

Carotid artery (common) (external) (internal)

Jugular vein (external) (internal)

3 upper limb vessels

Axillary

Brachial

Radial

Ulnar

4 aorta, abdominal

Code also any thoracic vessel involvement (thoracoabdominal procedure) (38.45)

5 thoracic vessels

Aorta (thoracic)

Innominate

Pulmonary (artery) (vein)

Subclavian

Vena cava, superior

Code also any abdominal aorta involvement (thoracoabdominal procedure) (38.44)

6 abdominal arteries

Celiac

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 Other excision of vessel

[0-9]

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

38.8 Other surgical occlusion of vessels

[0-9]

Clamping of blood vessel

Division of blood vessel

Ligation of blood vessel

Occlusion of blood vessel

Excludes: adrenal vessels (07.43)

esophageal varices (42.91)

gastric or duodenal vessel for ulcer (44.40-44.49)

gastric varices (44.91)

meningeal vessel (02.13)

percutaneous transcatheter infusion embolization (99.29)

spermatic vein for varicocele (63.1)

surgical occlusion of vena cava (38.7)

that for chemoembolization (99.25)

that for control of (postoperative) hemorrhage:

anus (49.95)

bladder (57.93)

following vascular procedure (39.41)

nose (21.00-21.09)

prostate (60.94)

tonsil (28.7)

thyroid vessel (06.92)

transcatheter (infusion) 99.29

38.9 Puncture of vessel

Excludes: that for circulatory monitoring (89.60-89.69)

38.91 Arterial catheterization

38.92 Umbilical vein catheterization

38.93 Venous catheterization, not elsewhere classified

Excludes: that for cardiac catheterization (37.21-37.23)

that for renal dialysis (38.95)

38.94 Venous cutdown

38.95 Venous catheterization for renal dialysis

Excludes: insertion of totally implantable vascular access device [VAD] (86.07)

38.98 Other puncture of artery

Excludes: that for:

arteriography (88.40-88.49)

coronary arteriography (88.55-88.57)

38.99 Other puncture of vein

Phlebotomy

Excludes: that for:

angiography (88.60-88.69)

extracorporeal circulation (39.61, 50.92)

injection or infusion of:

sclerosing solution (39.92)

therapeutic or prophylactic substance (99.11-99.29)

perfusion (39.96-39.97)

phlebography (88.60-88.69)

transfusion (99.01-99.09)

39 Other operations on vessels

Excludes: those on coronary vessels (36.00-36.99)

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)

Excludes: peritoneovenous shunt (54.94)

39.2 Other shunt or vascular bypass

Code also pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance, if performed (00.16)

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

39.23 Other intrathoracic vascular shunt or bypass

Intrathoracic (arterial) bypass graft NOS

Excludes: coronary artery bypass (36.10-36.19)

39.24 Aorta-renal bypass

39.25 Aorta-iliac-femoral bypass

Bypass:

aortofemoral

aortoiliac

aortoiliac to popliteal

aortopopliteal

iliofemoral [iliac-femoral]

39.26 Other intra-abdominal vascular shunt or bypass

Bypass:

aortoceliac

aortic-superior mesenteric

common hepatic-common iliac-renal

Intra-abdominal arterial bypass graft NOS

Excludes: peritoneovenous shunt (54.94)

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 Extracranial-intracranial (EC-IC) vascular bypass

39.29 Other (peripheral) vascular shunt or bypass

Bypass (graft):

axillary-brachial

axillary-femoral [axillofemoral] (superficial)

brachial

femoral-femoral

femoroperoneal

femoropopliteal (arteries)

femorotibial (anterior) (posterior)

popliteal

vascular NOS

Excludes: peritoneovenous shunt (54.94)

39.3 Suture of vessel

Repair of laceration of blood vessel

Excludes: any other vascular puncture closure device - omit code

suture of aneurysm (39.52)

that for control of hemorrhage (postoperative):

anus (49.95)

bladder (57.93)

following vascular procedure (39.41)

nose (21.00-21.09)

prostate (60.94)

tonsil (28.7)

39.30 Suture of unspecified blood vessel

39.31 Suture of artery

39.32 Suture of vein

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

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 or atherectomy of other non-coronary vessel(s)

Percutaneous transluminal angioplasty (PTA) of non-coronary vessels:

Lower extremity vessels

Mesenteric artery

Renal artery

Upper extremity vessels

Code also any:

injection or infusion of thrombolytic agent (99.10)

Insertion of non-coronary 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 or atherectomy of precerebral or cerebral vessel(s) (00.61 -00.62)

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

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 Reimplantation of aberrant renal vessel

39.56 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 Hypothermia (systemic) incidental to open heart surgery

39.63 Cardioplegia

Arrest:

anoxic

circulatory

39.64 Intraoperative cardiac pacemaker

Temporary pacemaker used during and immediately following cardiac surgery

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 repair of vessel

Endoluminal repair

Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)

insertion of non-drug-eluting peripheral vessel stent(s) (39.90)

other repair of aneurysm (39.52)

percutaneous insertion of carotid artery stent(s) (00.63)

percutaneous insertion of intracranial stent(s) (00.65)

percutaneous insertion of other precerebral artery stent(s) (00.64)

resection of abdominal aorta with replacement (38.44)

resection of lower limb arteries with replacement (38.48)

resection of thoracic aorta with replacement (38.45)

resection of upper limb vessels with replacement (38.43)

39.71 Endovascular implantation of graft in abdominal aorta

Endovascular repair of abdominal aortic aneurysm with graft

Stent graft(s)

39.72 Endovascular repair or occlusion of head and neck vessels

Coil embolization or occlusion

Endograft(s)

Endovascular graft(s)

Liquid tissue adhesive (glue) embolization or occlusion

Other implant or substance for repair, embolization or occlusion

That for repair of aneurysm, arteriovenous malformation[AVM] or fistula

Excludes: 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

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 repair of head or neck vessels (39.72)

open embolectomy or thrombectomy (38.01-38.02)

39.79 Other endovascular repair (of aneurysm) of other vessels

Coil embolization or occlusion

Endograft(s)

Endovascular graft(s)

Liquid tissue adhesive (glue) embolization or occlusion

Other implant or substance for repair, embolization or occlusion

Excludes: endovascular implantation of graft in thoracic aorta (39.73)

endovascular repair or occlusion of head and neck vessels (39.72)

insertion of drug-eluting peripheral vessel stent(s) (00.55)

insertion of non-drug-eluting peripheral vessel (s) (for other than aneurysm repair) (39.90)

non-endovascular repair of arteriovenous fistula (39.53)

other surgical occlusion of vessels -see category 38.8

percutaneous transcatheter infusion (99.29)

transcatheter embolization for gastric or duodenal bleeding (44.44)

39.8 Operations on carotid body, carotid sinus and other vascular bodies

Chemodectomy

Denervation of:

aortic body

carotid body

Electronic stimulator

Glomectomy, carotid

Implantation or replacement of carotid sinus baroreflex activation device

Excludes: excision of glomus jugulare (20.51)

replacement of carotid sinus lead(s) only (04.92)

39.9 Other operations on vessels

39.90 Insertion of non-drug-eluting peripheral vessel stent(s)

Bare stent(s)

Bonded stent(s)

Drug-coated stent(s), i.e., heparin coated

Endograft(s)

Endovascular graft(s)

Endovascular recanalization techniques

Stent graft(s)

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

39.92 Injection of sclerosing agent into vein

Excludes: injection:

esophageal varices (42.33)

hemorrhoids (49.42)

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 Replacement of vessel-to-vessel cannula

Revision of vessel-to-vessel cannula

39.95 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)

Excludes: perfusion of:

kidney (55.95)

large intestine (46.96)

liver (50.93)

small intestine (46.95)

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 Operations on lymphatic system

40.0 Incision of lymphatic structures

40.1 Diagnostic procedures on lymphatic structures

40.11 Biopsy of lymphatic structure

40.19 Other diagnostic procedures on lymphatic structures

Excludes: lymphangiogram:

abdominal (88.04)

cervical (87.08)

intrathoracic (87.34)

lower limb (88.36)

upper limb (88.34)

microscopic examination of specimen (90.71-90.79)

radioisotope scan (92.16)

thermography (88.89)

40.2 Simple excision of lymphatic structure

Excludes: biopsy of lymphatic structure (40.11)

40.21 Excision of deep cervical lymph node

40.22 Excision of internal mammary lymph node

40.23 Excision of axillary lymph node

40.24 Excision of inguinal lymph node

40.29 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

40.4 Radical excision of cervical lymph nodes

Resection of cervical lymph nodes down to muscle and deep fascia

Excludes: that associated with radical laryngectomy (30.4)

40.40 Radical neck dissection, not otherwise specified

40.41 Radical neck dissection, unilateral

40.42 Radical neck dissection, bilateral

40.5 Radical excision of other lymph nodes

Excludes: that associated with radical mastectomy (85.45-85.48)

40.50 Radical excision of lymph nodes, not otherwise specified

Radical (lymph) node dissection NOS

40.51 Radical excision of axillary lymph nodes

40.52 Radical excision of periaortic lymph nodes

40.53 Radical excision of iliac lymph nodes

40.54 Radical groin dissection

40.59 Radical excision of other lymph nodes

Excludes: radical neck dissection (40.40-40.42)

40.6 Operations on thoracic duct

40.61 Cannulation of thoracic duct

40.62 Fistulization of thoracic duct

40.63 Closure of fistula of thoracic duct

40.64 Ligation of thoracic duct

40.69 Other operations on thoracic duct

40.9 Other operations on lymphatic structures

Anastomosis of peripheral lymphatics

Dilation of peripheral lymphatics

Ligation of peripheral lymphatics

Obliteration of peripheral lymphatics

Reconstruction of peripheral lymphatics

Repair of peripheral lymphatics

Transplantation of peripheral lymphatics

Correction of lymphedema of limb, NOS

Excludes: reduction of elephantiasis of scrotum (61.3)

41 Operations on bone marrow and spleen

41.0 Bone marrow or hematopoietic stem cell transplant

Note: To report donor source - see codes 00.91-00.93

Excludes: aspiration of bone marrow from donor (41.91)

41.00 Bone marrow transplant, not otherwise specified

41.01 Autologous bone marrow transplant without purging

Excludes: that with purging (41.09)

41.02 Allogeneic bone marrow transplant with purging

Allograft of bone marrow with in vitro removal (purging) of T-cells

41.03 Allogeneic bone marrow transplant without purging

Allograft of bone marrow NOS

41.04 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 Cord blood stem cell transplant

41.07 Autologous hematopoietic stem cell transplant with purging

Cell depletion

41.08 Allogeneic hematopoietic stem cell transplant

Cell depletion

41.09 Autologous bone marrow transplant with purging

With extracorporeal purging of malignant cells from marrow

Cell depletion

41.1 Puncture of spleen

Excludes: aspiration biopsy of spleen (41.32)

41.2 Splenotomy

41.3 Diagnostic procedures on bone marrow and spleen

41.31 Biopsy of bone marrow

41.32 Closed [aspiration] [percutaneous] biopsy of spleen

41.33 Open biopsy of spleen

41.38 Other diagnostic procedures on bone marrow

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

radioisotope scan (92.05)

41.39 Other diagnostic procedures on spleen

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

radioisotope scan (92.05)

41.4 Excision or destruction of lesion or tissue of spleen

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

Excludes: excision of accessory spleen (41.93)

41.41 Marsupialization of splenic cyst

41.42 Excision of lesion or tissue of spleen

Excludes: biopsy of spleen (41.32-41.33)

41.43 Partial splenectomy

41.5 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 Excision of accessory spleen

41.94 Transplantation of spleen

41.95 Repair and plastic operations on spleen

41.98 Other operations on bone marrow

41.99 Other operations on spleen

9. OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)

42 Operations on esophagus

42.0 Esophagotomy

42.01 Incision of esophageal web

42.09 Other incision of esophagus

Esophagotomy NOS

Excludes: esophagomyotomy (42.7)

esophagostomy (42.10-42.19)

42.1 Esophagostomy

42.10 Esophagostomy, not otherwise specified

42.11 Cervical esophagostomy

42.12 Exteriorization of esophageal pouch

42.19 Other external fistulization of esophagus

Thoracic esophagostomy

Code also any resection (42.40-42.42)

42.2 Diagnostic procedures on esophagus

42.21 Operative esophagoscopy by incision

42.22 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 Open biopsy of esophagus

42.29 Other diagnostic procedures on esophagus

Excludes: barium swallow (87.61)

esophageal manometry (89.32)

microscopic examination of specimen from esophagus (90.81-90.89)

42.3 Local excision or destruction of lesion or tissue of esophagus

42.31 Local excision of esophageal diverticulum

42.32 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

Excludes: esophagogastrectomy NOS (43.99)

42.40 Esophagectomy, not otherwise specified

42.41 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 Intrathoracic esophagoesophagostomy

42.52 Intrathoracic esophagogastrostomy

42.53 Intrathoracic esophageal anastomosis with interposition of small bowel

42.54 Other intrathoracic esophagoenterostomy

Anastomosis of esophagus to intestinal segment NOS

42.55 Intrathoracic esophageal anastomosis with interposition of colon

42.56 Other intrathoracic esophagocolostomy

Esophagocolostomy NOS

42.58 Intrathoracic esophageal anastomosis with other interposition

Construction of artificial esophagus

Retrosternal formation of reversed gastric tube

42.59 Other intrathoracic anastomosis of esophagus

42.6 Antesternal anastomosis of esophagus

Code also any synchronous:

esophagectomy (42.40-42.42)

gastrostomy (43.1)

42.61 Antesternal esophagoesophagostomy

42.62 Antesternal esophagogastrostomy

42.63 Antesternal esophageal anastomosis with interposition of small bowel

42.64 Other antesternal esophagoenterostomy

Antethoracic:

esophagoenterostomy

esophagoileostomy

esophagojejunostomy

42.65 Antesternal esophageal anastomosis with interposition of colon

42.66 Other antesternal esophagocolostomy

Antethoracic esophagocolostomy

42.68 Other antesternal esophageal anastomosis with interposition

42.69 Other antesternal anastomosis of esophagus

42.7 Esophagomyotomy

42.8 Other repair of esophagus

42.81 Insertion of permanent tube into esophagus

42.82 Suture of laceration of esophagus

42.83 Closure of esophagostomy

42.84 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 Repair of esophageal stricture

42.86 Production of subcutaneous tunnel without esophageal anastomosis

42.87 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 Other repair of esophagus

42.9 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)

43.0 Gastrotomy

Excludes: gastrostomy (43.11-43.19)

that for control of hemorrhage (44.49)

43.1 Gastrostomy

43.11 Percutaneous [endoscopic] gastrostomy [PEG]

Percutaneous transabdominal gastrostomy

43.19 Other gastrostomy

Excludes: percutaneous [endoscopic] gastrostomy [PEG] (43.11)

43.3 Pyloromyotomy

43.4 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 Partial gastrectomy with anastomosis to esophagus

Proximal gastrectomy

43.6 Partial gastrectomy with anastomosis to duodenum

Billroth I operation

Distal gastrectomy

Gastropylorectomy

43.7 Partial gastrectomy with anastomosis to jejunum

Billroth II operation

43.8 Other partial gastrectomy

43.81 Partial gastrectomy with jejunal transposition

Henley jejunal transposition operation

Code also any synchronous intestinal resection (45.51)

43.89 Other

Partial gastrectomy with bypass gastrogastrostomy

Sleeve resection of stomach

43.9 Total gastrectomy

43.91 Total gastrectomy with intestinal interposition

43.99 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 Vagotomy, not otherwise specified

Division of vagus nerve NOS

44.01 Truncal vagotomy

44.02 Highly selective vagotomy

Parietal cell vagotomy

Selective proximal vagotomy

44.03 Other selective vagotomy

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 Open biopsy of stomach

44.19 Other diagnostic procedures on stomach

Excludes: gastric lavage (96.33)

microscopic examination of specimen from stomach (90.81-90.89)

upper GI series (87.62)

44.2 Pyloroplasty

44.21 Dilation of pylorus by incision

44.22 Endoscopic dilation of pylorus

Dilation with balloon endoscope

Endoscopic dilation of gastrojejunostomy site

44.29 Other pyloroplasty

Pyloroplasty NOS

Revision of pylorus

44.3 Gastroenterostomy without gastrectomy

44.31 High gastric bypass

Printen and Mason gastric bypass

44.32 Percutaneous [endoscopic] gastrojejunostomy

Endoscopic conversion of gastrostomy to jejunostomy

PEG

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 Suture of peptic ulcer, not otherwise specified

44.41 Suture of gastric ulcer site

Excludes: ligation of gastric varices (44.91)

44.42 Suture of duodenal ulcer site

44.43 Endoscopic control of gastric or duodenal bleeding

44.44 Transcatheter embolization for gastric or duodenal bleeding

Excludes: surgical occlusion of abdominal vessels (38.86-38.87)

44.49 Other control of hemorrhage of stomach or duodenum

That with gastrotomy

44.5 Revision of gastric anastomosis

Closure of:

gastric anastomosis

gastroduodenostomy

gastrojejunostomy

Pantaloon operation

44.6 Other repair of stomach

44.61 Suture of laceration of stomach

Excludes: that of ulcer site (44.41)

44.62 Closure of gastrostomy

44.63 Closure of other gastric fistula

Closure of:

gastrocolic fistula

gastrojejunocolic fistula

44.64 Gastropexy

44.65 Esophagogastroplasty

Belsey operation

Esophagus and stomach cardioplasty

44.66 Other procedures for creation of esophagogastric sphincteric competence

Fundoplication

Gastric cardioplasty

Nissen's fundoplication

Restoration of cardio-esophageal angle

Excludes: that by laparoscopy (44.67)

44.67 Laparoscopic procedures for creation of esophagogastric sphincteric competence

Fundoplication

Gastric cardioplasty

Nissen's fundoplication

Restoration of cardio-esophageal angle

44.68 Laparoscopic gastroplasty

Banding

Silastic vertical banding

Vertical banded gastroplasty (VBG)

Code also any synchronous laparoscopic gastroenterostomy (44.38)

Excludes: insertion, laparoscopic adjustable gastric band (restrictive procedure) (44.95)

other repair of stomach, open approach (44.61-44.65, 44.69)

44.69 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 Intraoperative manipulation of stomach

Reduction of gastric volvulus

44.93 Insertion of gastric bubble (balloon)

44.94 Removal of gastric bubble (balloon)

44.95 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:

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

Excludes: duodenocholedochotomy (51.41-51.42, 51.51)

that for destruction of lesion (45.30-45.34)

that of exteriorized intestine (46.14, 46.24, 46.31)

45.00 Incision of intestine, not otherwise specified

45.01 Incision of duodenum

45.02 Other incision of small intestine

45.03 Incision of large intestine

Excludes: proctotomy (48.0)

45.1 Diagnostic procedures on small intestine

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 Open biopsy of small intestine

45.16 Esophagogastroduodenoscopy [EGD] with closed biopsy

Biopsy of one or more sites involving esophagus, stomach, and/or duodenum

45.19 Other diagnostic procedures on small intestine

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

radioisotope scan (92.04)

ultrasonography (88.74)

x-ray (87.61-87.69)

45.2 Diagnostic procedures on large intestine

Code also any laparotomy (54.11-54.19)

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)

45.26 Open biopsy of large intestine

45.27 Intestinal biopsy, site unspecified

45.28 Other diagnostic procedures on large intestine

45.29 Other diagnostic procedures on intestine, site unspecified

Excludes: microscopic examination of specimen (90.91-90.99)

scan and radioisotope function study (92.04)

ultrasonography (88.74)

x-ray (87.61-87.69)

45.3 Local excision or destruction of lesion or tissue of small intestine

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 Other destruction of lesion of small intestine, except duodenum

45.4 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 (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)

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

45.51 Isolation of segment of small intestine

Isolation of ileal loop

Resection of small intestine for interposition

45.52 Isolation of segment of large intestine

Resection of colon for interposition

45.6 Other excision of small intestine

Code also any synchronous:

anastomosis other than end-to-end (45.90-45.93, 45.95)

colostomy (46.10-46.13)

enterostomy (46.10-46.39)

Excludes: cecectomy (45.72)

enterocolectomy (45.79)

gastroduodenectomy (43.6-43.99)

ileocolectomy (45.73)

pancreatoduodenectomy (52.51-52.7)

45.61 Multiple segmental resection of small intestine

Segmental resection for multiple traumatic lesions of small intestine

45.62 Other partial resection of small intestine

Duodenectomy

Ileectomy

Jejunectomy

Excludes: duodenectomy with synchronous pancreatectomy (52.51-52.7)

resection of cecum and terminal ileum (45.72)

45.63 Total removal of small intestine

45.7 Partial excision of large intestine

Code also any synchronous:

anastomosis other than end-to-end (45.92-45.94)

enterostomy (46.10-46.39)

45.71 Multiple segmental resection of large intestine

Segmental resection for multiple traumatic lesions of large intestine

45.72 Cecectomy

Resection of cecum and terminal ileum

45.73 Right hemicolectomy

Ileocolectomy

Right radical colectomy

45.74 Resection of transverse colon

45.75 Left hemicolectomy

Excludes: proctosigmoidectomy (48.41-48.69)

second stage Mikulicz operation (46.04)

45.76 Sigmoidectomy

45.79 Other partial excision of large intestine

Enterocolectomy NEC

45.8 Total intra-abdominal colectomy

Excision of cecum, colon, and sigmoid

Excludes: coloproctectomy (48.41-48.69)

45.9 Intestinal anastomosis

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

Excludes: end-to-end anastomosis -- omit code

45.90 Intestinal anastomosis, not otherwise specified

45.91 Small-to-small intestinal anastomosis

45.92 Anastomosis of small intestine to rectal stump

Hampton procedure

45.93 Other small-to-large intestinal anastomosis

45.94 Large-to-large intestinal anastomosis

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

Includes: loop enterostomy

multiple stage resection of intestine

46.01 Exteriorization of small intestine

Loop ileostomy

46.02 Resection of exteriorized segment of small intestine

46.03 Exteriorization of large intestine

Exteriorization of intestine NOS

First stage Mikulicz exteriorization of intestine

Loop colostomy

46.04 Resection of exteriorized segment of large intestine

Resection of exteriorized segment of intestine NOS

Second stage Mikulicz operation

46.1 Colostomy

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

Excludes: loop colostomy (46.03)

that with abdominoperineal resection of rectum (48.5)

that with synchronous anterior rectal resection (48.62)

46.10 Colostomy, not otherwise specified

46.11 Temporary colostomy

46.13 Permanent colostomy

46.14 Delayed opening of colostomy

46.2 Ileostomy

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

Excludes: loop ileostomy (46.01)

46.20 Ileostomy, not otherwise specified

46.21 Temporary ileostomy

46.22 Continent ileostomy

46.23 Other permanent ileostomy

46.24 Delayed opening of ileostomy

46.3 Other enterostomy

Code also any synchronous resection (45.61-45.8)

46.31 Delayed opening of other enterostomy

46.32 Percutaneous (endoscopic) jejunostomy [PEJ]

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

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 Closure of intestinal stoma, not otherwise specified

46.51 Closure of stoma of small intestine

46.52 Closure of stoma of large intestine

Closure or take-down of:

cecostomy

colostomy

sigmoidostomy

46.6 Fixation of intestine

46.60 Fixation of intestine, not otherwise specified

Fixation of intestine to abdominal wall

46.61 Fixation of small intestine to abdominal wall

Ileopexy

46.62 Other fixation of small intestine

Noble plication of small intestine

Plication of jejunum

46.63 Fixation of large intestine to abdominal wall

Cecocoloplicopexy

Sigmoidopexy (Moschowitz)

46.64 Other fixation of large intestine

Cecofixation

Colofixation

46.7 Other repair of intestine

Excludes: closure of:

ulcer of duodenum (44.42)

vesicoenteric fistula (57.83)

46.71 Suture of laceration of duodenum

46.72 Closure of fistula of duodenum

46.73 Suture of laceration of small intestine, except duodenum

46.74 Closure of fistula of small intestine, except duodenum

Excludes: closure of:

artificial stoma (46.51)

vaginal fistula (70.74)

repair of gastrojejunocolic fistula (44.63)

46.75 Suture of laceration of large intestine

46.76 Closure of fistula of large intestine

Excludes: closure of:

gastrocolic fistula (44.63)

rectal fistula (48.73)

sigmoidovesical fistula (57.83)

stoma (46.52)

vaginal fistula (70.72-70.73)

vesicocolic fistula (57.83)

vesicosigmoidovaginal fistula (57.83)

46.79 Other repair of intestine

Duodenoplasty

46.8 Dilation and manipulation of intestine

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 Intra-abdominal manipulation of small intestine

46.82 Intra-abdominal manipulation of large intestine

46.85 Dilation of intestine

Dilation (balloon) of duodenum

Dilation (balloon) of jejunum

Endoscopic dilation (balloon) of large intestine

That through rectum or colostomy

46.9 Other operations on intestines

46.91 Myotomy of sigmoid colon

46.92 Myotomy of other parts of colon

46.93 Revision of anastomosis of small intestine

46.94 Revision of anastomosis of large intestine

46.95 Local perfusion of small intestine

Code also substance perfused (99.21-99.29)

46.96 Local perfusion of large intestine

Code also substance perfused (99.21-99.29)

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

Excludes: incidental appendectomy, so described

laparoscopic (47.11)

other (47.19)

47.01 Laparoscopic appendectomy

47.09 Other appendectomy

47.1 Incidental appendectomy

47.11 Laparoscopic incidental appendectomy

47.19 Other incidental appendectomy

47.2 Drainage of appendiceal abscess

Excludes: that with appendectomy (47.0)

47.9 Other operations on appendix

47.91 Appendicostomy

47.92 Closure of appendiceal fistula

47.99 Other

Anastomosis of appendix

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]

Excludes: incision of perirectal tissue (48.81)

48.1 Proctostomy

48.2 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

48.25 Open biopsy of rectum

48.26 Biopsy of perirectal tissue

48.29 Other diagnostic procedures on rectum, rectosigmoid and perirectal tissue

Excludes: digital examination of rectum (89.34)

lower GI series (87.64)

microscopic examination of specimen from rectum (90.91-90.99)

48.3 Local excision or destruction of lesion or tissue of rectum

48.31 Radical electrocoagulation of rectal lesion or tissue

48.32 Other electrocoagulation of rectal lesion or tissue

48.33 Destruction of rectal lesion or tissue by laser

48.34 Destruction of rectal lesion or tissue by cryosurgery

48.35 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 [Endoscopic] polypectomy of rectum

48.4 Pull-through resection of rectum

Code also any synchronous anastomosis other than end-to-end (45.90, 45.92-45.95)

48.41 Soave submucosal resection of rectum

Endorectal pull-through operation

48.49 Other pull-through resection of rectum

Abdominoperineal pull-through

Altemeier operation

Swenson proctectomy

Excludes: Duhamel abdominoperineal pull through (48.65)

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)

48.6 Other resection of rectum

Code also any synchronous anastomosis other than end-to-end (45.90, 45.92-45.95)

48.61 Transsacral rectosigmoidectomy

48.62 Anterior resection of rectum with synchronous colostomy

48.63 Other anterior resection of rectum

Excludes: that with synchronous colostomy (48.62)

48.64 Posterior resection of rectum

48.65 Duhamel resection of rectum

Duhamel abdominoperineal pull-through

48.69 Other

Partial proctectomy

Rectal resection NOS

48.7 Repair of rectum

Excludes: repair of:

current obstetric laceration (75.62)

vaginal rectocele (70.50, 70.52)

48.71 Suture of laceration of rectum

48.72 Closure of proctostomy

48.73 Closure of other rectal fistula

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)

48.75 Abdominal proctopexy

Frickman procedure

Ripstein repair of rectal prolapse

48.76 Other proctopexy

Delorme repair of prolapsed rectum

Proctosigmoidopexy

Puborectalis sling operation

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

Includes: pelvirectal tissue

rectovaginal septum

48.81 Incision of perirectal tissue

Incision of rectovaginal septum

48.82 Excision of perirectal tissue

Excludes: perirectal biopsy (48.26)

perirectofistulectomy (48.93)

rectal fistulectomy (48.73)

48.9 Other operations on rectum and perirectal tissue

48.91 Incision of rectal stricture

48.92 Anorectal myectomy

48.93 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 Incision of perianal abscess

49.02 Other incision of perianal tissue

Undercutting of perianal tissue

Excludes: anal fistulotomy (49.11)

49.03 Excision of perianal skin tags

49.04 Other excision of perianal tissue

Excludes: anal fistulectomy (49.12)

biopsy of perianal tissu (49.22)

49.1 Incision or excision of anal fistula

Excludes: closure of anal fistula (49.73)

49.11 Anal fistulotomy

49.12 Anal fistulectomy

49.2 Diagnostic procedures on anus and perianal tissue

49.21 Anoscopy

49.22 Biopsy of perianal tissue

49.23 Biopsy of anus

49.29 Other diagnostic procedures on anus and perianal tissue

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

49.3 Local excision or destruction of other lesion or tissue of anus

Anal cryptotomy

Cauterization of lesion of anus

Excludes: biopsy of anus (49.23)

control of (postoperative) hemorrhage of anus (49.95)

hemorrhoidectomy (49.46)

49.31 Endoscopic excision or destruction of lesion or tissue of anus

49.39 Other local excision or destruction of lesion or tissue of anus

Excludes: that by endoscopic approach (49.31)

49.4 Procedures on hemorrhoids

49.41 Reduction of hemorrhoids

49.42 Injection of hemorrhoids

49.43 Cauterization of hemorrhoids

Clamp and cautery of hemorrhoids

49.44 Destruction of hemorrhoids by cryotherapy

49.45 Ligation of hemorrhoids

49.46 Excision of hemorrhoids

Hemorrhoidectomy NOS

49.47 Evacuation of thrombosed hemorrhoids

49.49 Other procedures on hemorrhoids

Lord procedure

49.5 Division of anal sphincter

49.51 Left lateral anal sphincterotomy

49.52 Posterior anal sphincterotomy

49.59 Other anal sphincterotomy

Division of sphincter NOS

49.6 Excision of anus

49.7 Repair of anus

Excludes: repair of current obstetric laceration (75.62)

49.71 Suture of laceration of anus

49.72 Anal cerclage

49.73 Closure of anal fistula

Excludes: excision of anal fistula (49.12)

49.74 Gracilis muscle transplant for anal incontinence

49.75 Implantation or revision of artificial anal sphincter

Removal with subsequent replacement

Replacement during same or subsequent operative episode

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

Excludes: dilation of anus (sphincter) (96.23)

49.91 Incision of anal septum

49.92 Insertion of subcutaneous electrical anal stimulator

49.93 Other incision of anus

Removal of:

foreign body from anus with incision

seton from anus

Excludes: anal fistulotomy (49.11)

removal of intraluminal foreign body without incision (98.05)

49.94 Reduction of anal prolapse

Excludes: manual reduction of rectal prolapse (96.26)

49.95 Control of (postoperative) hemorrhage of anus

49.99 Other

50 Operations on liver

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

50.0 Hepatotomy

Incision of abscess of liver

Removal of gallstones from liver

Stromeyer-Little operation

50.1 Diagnostic procedures on liver

50.11 Closed (percutaneous) [needle] biopsy of liver

Diagnostic aspiration of liver

50.12 Open biopsy of liver

Wedge biopsy

50.13 Transjugular liver biopsy

Transvenous liver biopsy

Excludes: closed (percutaneous) [needle] biopsy of liver (50.11)

laparoscopic liver biopsy (50.14)

50.14 Laparoscopic liver biopsy

Excludes: closed (percutaneous) [needle] biopsy of liver (50.11)

open biopsy of liver (50.12)

transjugular liver biopsy (50.13)

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 Marsupialization of lesion of liver

50.22 Partial hepatectomy

Wedge resection of liver

Excludes: biopsy of liver (50.11-50.12)

hepatic lobectomy (50.3)

50.23 Open ablation of liver lesion or tissue

50.24 Percutaneous ablation of liver lesion or tissue

50.25 Laparoscopic ablation of liver lesion or tissue

50.26 Other and unspecified ablation of liver lesion or tissue

50.29 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)

50.3 Lobectomy of liver

Total hepatic lobectomy with partial excision of other lobe

50.4 Total hepatectomy

50.5 Liver transplant

Note: To report donor source - see codes 00.91-00.93

50.51 Auxiliary liver transplant

Auxiliary hepatic transplantation leaving patient's own liver in situ

50.59 Other transplant of liver

50.6 Repair of liver

50.61 Closure of laceration of liver

50.69 Other repair of liver

Hepatopexy

50.9 Other operations on liver

Excludes: lysis of adhesions (54.5)

50.91 Percutaneous aspiration of liver

Excludes: percutaneous biopsy (50.11)

50.92 Extracorporeal hepatic assistance

Liver dialysis

50.93 Localized perfusion of liver

50.94 Other injection of therapeutic substance into liver

50.99 Other

51 Operations on gallbladder and biliary tract

Includes: operations on:

ampulla of Vater

common bile duct

cystic duct

hepatic duct

intrahepatic bile duct

sphincter of Oddi

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

51.0 Cholecystotomy and cholecystostomy

51.01 Percutaneous aspiration of gallbladder

Percutaneous cholecystotomy for drainage

That by: needle or catheter

Excludes: needle biopsy (51.12)

51.02 Trocar cholecystostomy

51.03 Other cholecystostomy

51.04 Other cholecystotomy

Cholelithotomy NOS

51.1 Diagnostic procedures on biliary tract

Excludes: that for endoscopic procedures classifiable to 51.64, 51.84-51.88, 52.14, 52.21, 52.93-52.94, 52.97-52.98

51.10 Endoscopic retrograde cholangiopancreatography [ERCP]

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 Percutaneous biopsy of gallbladder or bile ducts

Needle biopsy of gallbladder

51.13 Open biopsy of gallbladder or bile ducts

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

51.15 Pressure measurement of sphincter of Oddi

Pressure measurement of sphincter by procedures classifiable to 51.10-51.11, 52.13

51.19 Other diagnostic procedures on biliary tract

Excludes: biliary tract x-ray (87.51-87.59)

microscopic examination of specimen from biliary tract (91.01-91.09)

51.2 Cholecystectomy

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 Laparoscopic cholecystectomy

That by laser

51.24 Laparoscopic partial cholecystectomy

51.3 Anastomosis of gallbladder or bile duct

Excludes: resection with end-to-end anastomosis (51.61-51.69)

51.31 Anastomosis of gallbladder to hepatic ducts

51.32 Anastomosis of gallbladder to intestine

51.33 Anastomosis of gallbladder to pancreas

51.34 Anastomosis of gallbladder to stomach

51.35 Other gallbladder anastomosis

Gallbladder anastomosis NOS

51.36 Choledochoenterostomy

51.37 Anastomosis of hepatic duct to gastrointestinal tract

Kasai portoenterostomy

51.39 Other bile duct anastomosis

Anastomosis of bile duct NOS

Anastomosis of unspecified bile duct to:

intestine

liver

pancreas

stomach

51.4 Incision of bile duct for relief of obstruction

51.41 Common duct exploration for removal of calculus

Excludes: percutaneous extraction (51.96)

51.42 Common duct exploration for relief of other obstruction

51.43 Insertion of choledochohepatic tube for decompression

Hepatocholedochostomy

51.49 Incision of other bile ducts for relief of obstruction

51.5 Other incision of bile duct

Excludes:that for relief of obstruction (51.41-51.49)

51.51 Exploration of common duct

Incision of common bile duct

51.59 Incision of other bile duct

51.6 Local excision or destruction of lesion or tissue of biliary ducts and sphincter of Oddi

Code also anastomosis other than end-to-end (51.31,51.36-51.39)

Excludes:biopsy of bile duct (51.12-51.13)

51.61 Excision of cystic duct remnant

51.62 Excision of ampulla of Vater (with reimplantation of common duct)

51.63 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

51.69 Excision of other bile duct

Excision of lesion of bile duct NOS

Excludes: fistulectomy (51.79)

51.7 Repair of bile ducts

51.71 Simple suture of common bile duct

51.72 Choledochoplasty

Repair of fistula of common bile duct

51.79 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

Excludes: that by endoscopic approach (51.85)

51.83 Pancreatic sphincteroplasty

51.84 Endoscopic dilation of ampulla and biliary duct

Dilation of ampulla and biliary duct by procedures classifiable to 51.10-51.11, 52.13

51.85 Endoscopic sphincterotomy and papillotomy

Sphincterotomy and papillotomy by procedures classifiable to 51.10-51.11, 52.13

51.86 Endoscopic insertion of nasobiliary drainage tube

Insertion of nasobiliary tube by procedures classifiable to 51.10-51.11, 52.13

51.87 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 Other operations on sphincter of Oddi

51.9 Other operations on biliary tract

51.91 Repair of laceration of gallbladder

51.92 Closure of cholecystostomy

51.93 Closure of other biliary fistula

Cholecystogastroenteric fistulectomy

51.94 Revision of anastomosis of biliary tract

51.95 Removal of prosthetic device from bile duct

Excludes: nonoperative removal (97.55)

51.96 Percutaneous extraction of common duct stones

51.98 Other percutaneous procedures on biliary tract

Percutaneous biliary endoscopy via existing T-tube or other tract for:

dilation of biliary duct stricture

removal of stone(s) except common duct stone

exploration (postoperative)

Percutaneous transhepatic biliary drainage

Excludes: percutaneous aspiration of gallbladder (51.01)

percutaneous biopsy and/or collection of specimen by brushing or washing (51.12)

percutaneous removal of common duct stone(s) (51.96)

51.99 Other

Insertion or replacement of biliary tract prosthesis

Excludes: biopsy of gallbladder (51.12-51.13)

irrigation of cholecystostomy and other biliary tube (96.41)

lysis of peritoneal adhesions (54.5)

nonoperative removal of:

cholecystostomy tube (97.54)

tube from biliary tract or liver (97.55)

52 Operations on pancreas

Includes: operations on pancreatic duct

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

52.0 Pancreatotomy

52.01 Drainage of pancreatic cyst by catheter

52.09 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 Closed [aspiration] [needle] [percutaneous] biopsy of pancreas

52.12 Open biopsy of pancreas

52.13 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 Closed [endoscopic] biopsy of pancreatic duct

Closed biopsy of pancreatic duct by procedures classifiable to 51.10-51.11, 52.13

52.19 Other diagnostic procedures on pancreas

Excludes: contrast pancreatogram (87.66)

endoscopic retrograde pancreatography [ERP] (52.13)

microscopic examination of specimen from pancreas (91.01-91.09)

52.2 Local excision or destruction of pancreas and pancreatic duct

Excludes: biopsy of pancreas (52.11-52.12, 52.14)

pancreatic fistulectomy (52.95)

52.21 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

52.22 Other excision or destruction of lesion or tissue of pancreas or pancreatic duct

52.3 Marsupialization of pancreatic cyst

Excludes: drainage of cyst by catheter (52.01)

52.4 Internal drainage of pancreatic cyst

Pancreaticocystoduodenostomy

Pancreaticocystogastrostomy

Pancreaticocystojejunostomy

52.5 Partial pancreatectomy

Excludes: pancreatic fistulectomy (52.95)

52.51 Proximal pancreatectomy

Excision of head of pancreas (with part of body)

Proximal pancreatectomy with synchronous duodenectomy

52.52 Distal pancreatectomy

Excision of tail of pancreas (with part of body)

52.53 Radical subtotal pancreatectomy

52.59 Other partial pancreatectomy

52.6 Total pancreatectomy

Pancreatectomy with synchronous duodenectomy

52.7 Radical pancreaticoduodenectomy

One-stage pancreaticoduodenal resection with choledochojejunal anastomosis, pancreaticojejunal anastomosis, and gastrojejunostomy

Two-stage pancreaticoduodenal resection (first stage) (second stage)

Radical resection of the pancreas

Whipple procedure

Excludes: radical subtotal pancreatectomy (52.53)

52.8 Transplant of pancreas

Note: To report donor source - see codes 00.91-00.93

52.80 Pancreatic transplant, not otherwise specified

52.81 Reimplantation of pancreatic tissue

52.82 Homotransplant of pancreas

52.83 Heterotransplant of pancreas

52.84 Autotransplantation of cells of Islets of Langerhans

Homotransplantation of islet cells of pancreas

52.85 Allotransplantation of cells of Islets of Langerhans

Heterotransplantation of islet cells of pancreas

52.86 Transplantation of cells of Islets of Langerhans, not otherwise specified

52.9 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

52.95 Other repair of pancreas

Fistulectomy of pancreas

Simple suture of pancreas

52.96 Anastomosis of pancreas

Anastomosis of pancreas (duct) to:

intestine

jejunum

stomach

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 Endoscopic dilation of pancreatic duct

Dilation of Wirsung's duct by procedures classifiable to 51.10-51.11, 52.13

52.99 Other

Dilation of pancreatic [Wirsung's] duct by open approach

Repair of pancreatic [Wirsung's] duct by open approach

Excludes: irrigation of pancreatic tube (96.42)

removal of pancreatic tub (97.56)

53 Repair of hernia

Includes: hernioplasty

herniorrhaphy

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

Excludes: manual reduction of hernia (96.27)

53.0 Unilateral repair of inguinal hernia

53.00 Unilateral repair of inguinal hernia, not otherwise specified

Inguinal herniorrhaphy NOS

53.01 Repair of direct inguinal hernia

53.02 Repair of indirect inguinal hernia

53.03 Repair of direct inguinal hernia with graft or prosthesis

53.04 Repair of indirect inguinal hernia with graft or prosthesis

53.05 Repair of inguinal hernia with graft or prosthesis, not otherwise specified

53.1 Bilateral repair of inguinal hernia

53.10 Bilateral repair of inguinal hernia, not otherwise specified

53.11 Bilateral repair of direct inguinal hernia

53.12 Bilateral repair of indirect inguinal hernia

53.13 Bilateral repair of inguinal hernia, one direct and one indirect

53.14 Bilateral repair of direct inguinal hernia with graft or prosthesis

53.15 Bilateral repair of indirect inguinal hernia with graft or prosthesis

53.16 Bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis

53.17 Bilateral inguinal hernia repair with graft or prosthesis, not otherwise specified

53.2 Unilateral repair of femoral hernia

53.21 Unilateral repair of femoral hernia with graft or prosthesis

53.29 Other unilateral femoral herniorrhaphy

53.3 Bilateral repair of femoral hernia

53.31 Bilateral repair of femoral hernia with graft or prosthesis

53.39 Other bilateral femoral herniorrhaphy

53.4 Repair of umbilical hernia

Excludes: repair of gastroschisis (54.71)

53.41 Repair of umbilical hernia with graft or prosthesis

53.49 Other umbilical herniorrhaphy

53.5 Repair of other hernia of anterior abdominal wall (without graft or prosthesis)

53.51 Incisional hernia repair

53.59 Repair of other hernia of anterior abdominal wall

Repair of hernia:

epigastric

hypogastric

spigelian

ventral

53.6 Repair of other hernia of anterior abdominal wall with graft or prosthesis

53.61 Incisional hernia repair with graft or prosthesis

53.69 Repair of other hernia of anterior abdominal wall with graft or prosthesis

53.7 Repair of diaphragmatic hernia, abdominal approach

53.8 Repair of diaphragmatic hernia, thoracic approach

53.80 Repair of diaphragmatic hernia with thoracic approach, not otherwise specified

Thoracoabdominal repair of diaphragmatic hernia

53.81 Plication of the diaphragm

53.82 Repair of parasternal hernia

53.9 Other hernia repair

Repair of hernia:

ischiatic

ischiorectal

lumbar

obturator

omental

retroperitoneal

sciatic

Excludes: relief of strangulated hernia with exteriorization of intestine (46.01, 46.03)

repair of pericolostomy hernia (46.42)

repair of vaginal enterocele (70.92)

54 Other operations on abdominal region

Includes: operations on:

epigastric region

flank

groin region

hypochondrium

inguinal region

loin region

pelvic cavity

mesentery

omentum

peritoneum

retroperitoneal tissue space

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

Excludes: hernia repair (53.00-53.9)

obliteration of cul-de-sac (70.92)

retroperitoneal tissue dissection (59.00-59.09)

skin and subcutaneous tissue of abdominal

wall (86.01-86.99)

54.0 Incision of abdominal wall

Drainage of:

abdominal wall

extraperitoneal abscess

retroperitoneal abscess

Excludes: incision of peritoneum (54.95)

laparotomy (54.11-54.19)

54.1 Laparotomy

54.11 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

54.19 Other laparotomy

Drainage of intraperitoneal abscess or hematoma

Excludes: culdocentesis (70.0)

drainage of appendiceal abscess (47.2)

exploration incidental to intra abdominal surgery -- omit code

Ladd operation (54.95)

percutaneous drainage of abdomen (54.91)

removal of foreign body (54.92)

54.2 Diagnostic procedures of abdominal region

54.21 Laparoscopy

Peritoneoscopy

Excludes: laparoscopic cholecystectomy (51.23)

that incidental to destruction of fallopian tubes (66.21-66.29)

54.22 Biopsy of abdominal wall or umbilicus

54.23 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

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

Excludes: biopsy of abdominal wall or umbilicus (54.22)

size reduction operation (86.83)

that of skin of abdominal wall (86.22, 86.26, 86.3)

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

Excludes: biopsy of peritoneum (54.23)

endometrectomy of cul-de-sac (70.32)

54.5 Lysis of peritoneal adhesions

Freeing of adhesions of:

biliary tract

intestines

liver

pelvic peritoneum

peritoneum

spleen

uterus

Excludes: lysis of adhesions of:

bladder (59.11)

fallopian tube and ovary

laparoscopic (65.81)

other (65.89)

kidney (59.02)

ureter (59.02)

54.51 Laparoscopic lysis of peritoneal adhesions

54.59 Other lysis of peritoneal adhesions

54.6 Suture of abdominal wall and peritoneum

54.61 Reclosure of postoperative disruption of abdominal wall

54.62 Delayed closure of granulating abdominal wound

Tertiary subcutaneous wound closure

54.63 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 Repair of gastroschisis

54.72 Other repair of abdominal wall

54.73 Other repair of peritoneum

Suture of gastrocolic ligament

54.74 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

Excludes: removal of ectopic pregnancy (74.3)

54.91 Percutaneous abdominal drainage

Paracentesis

Excludes: creation of cutaneoperitoneal fistula (54.93)

54.92 Removal of foreign body from peritoneal cavity

54.93 Creation of cutaneoperitoneal fistula

54.94 Creation of peritoneovascular shunt

Peritoneovenous shunt

54.95 Incision of peritoneum

Exploration of ventriculoperitoneal shunt at peritoneal site

Ladd operation

Revision of distal catheter of ventricular shunt

Revision of ventriculoperitoneal shunt at peritoneal site

Excludes: that incidental to laparotomy (54.11-54.19)

54.96 Injection of air into peritoneal cavity

Pneumoperitoneum

Excludes: that for:

collapse of lung (33.33)

radiography (88.12-88.13, 88.15)

54.97 Injection of locally-acting therapeutic substance into peritoneal cavity

Excludes: peritoneal dialysis (54.98)

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: perirenal tissue (59.00-59.09, 59.21-59.29,59.91-59.92)

55.0 Nephrotomy and nephrostomy

Excludes: drainage by:

anastomosis (55.86)

aspiration (55.92)

incision of kidney pelvis (55.11-55.12)

55.01 Nephrotomy

Evacuation of renal cyst

Exploration of kidney

Nephrolithotomy

55.02 Nephrostomy

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

Excludes: drainage by anastomosis (55.86)

percutaneous pyelostolithotomy (55.03)

removal of calculus without incision (56.0)

55.11 Pyelotomy

Exploration of renal pelvis

Pyelolithotomy

55.12 Pyelostomy

Insertion of drainage tube into renal pelvis

55.2 Diagnostic procedures on kidney

55.21 Nephroscopy

55.22 Pyeloscopy

55.23 Closed [percutaneous] [needle] biopsy of kidney

Endoscopic biopsy via existing nephrostomy, nephrotomy, pyelostomy, or pyelotomy

55.24 Open biopsy of kidney

55.29 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 Marsupialization of kidney lesion

55.32 Open ablation of renal lesion or tissue

55.33 Percutaneous ablation of renal lesion or tissue

55.34 Laparoscopic ablation of renal lesion or tissue

55.35 Other and unspecified ablation of renal lesion or tissue

55.39 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 Removal of transplanted or rejected kidney

55.54 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 Renal autotransplantation

55.69 Other kidney transplantation

55.7 Nephropexy

Fixation or suspension of movable [floating] kidney

55.8 Other repair of kidney

55.81 Suture of laceration of kidney

55.82 Closure of nephrostomy and pyelostomy

55.83 Closure of other fistula of kidney

55.84 Reduction of torsion of renal pedicle

55.85 Symphysiotomy for horseshoe kidney

55.86 Anastomosis of kidney

Nephropyeloureterostomy

Pyeloureterovesical anastomosis

Ureterocalyceal anastomosis

Excludes: nephrocystanastomosis NO (56.73)

55.87 Correction of ureteropelvic junction

55.89 Other

55.9 Other operations on kidney

Excludes: lysis of perirenal adhesions (59.02)

55.91 Decapsulation of kidney

Capsulectomy of kidney

Decortication of kidney

55.92 Percutaneous aspiration of kidney (pelvis)

Aspiration of renal cyst

Renipuncture

Excludes: percutaneous biopsy of kidney (55.23)

55.93 Replacement of nephrostomy tube

55.94 Replacement of pyelostomy tube

55.95 Local perfusion of kidney

55.96 Other injection of therapeutic substance into kidney

Injection into renal cyst

55.97 Implantation or replacement of mechanical kidney

55.98 Removal of mechanical kidney

55.99 Other

Excludes: removal of pyelostomy or nephrostomy tube (97.61)

56 Operations on ureter

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

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)

56.1 Ureteral meatotomy

56.2 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 Ureteroscopy

56.32 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 Open biopsy of ureter

56.35 Endoscopy (cystoscopy) (looposcopy)of ileal conduit

56.39 Other diagnostic procedures on ureter

Excludes: microscopic examination of specimen from ureter (91.21-91.29)

56.4 Ureterectomy

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

Excludes: fistulectomy (56.84)

nephroureterectomy (55.51-55.54)

56.40 Ureterectomy, not otherwise specified

56.41 Partial ureterectomy

Excision of lesion of ureter

Shortening of ureter with reimplantation

Excludes: biopsy of ureter (56.32-56.34)

56.42 Total ureterectomy

56.5 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

Excludes: closed ileal bladder (57.87)

replacement of ureteral defect by ileal segment (56.89)

56.52 Revision of cutaneous uretero-ileostomy

56.6 Other external urinary diversion

56.61 Formation of other cutaneous ureterostomy

Anastomosis of ureter to skin

Ureterostomy NOS

56.62 Revision of other cutaneous ureterostomy

Revision of ureterostomy stoma

Excludes: nonoperative removal of ureterostomy tube (97.62)

56.7 Other anastomosis or bypass of ureter

Excludes: ureteropyelostomy (55.86)

56.71 Urinary diversion to intestine

Anastomosis of ureter to intestine

Internal urinary diversion NOS

Code also any synchronous colostomy (46.10-46.13)

Excludes: external ureteral ileostomy (56.51)

56.72 Revision of ureterointestinal anastomosis

Excludes: revision of external ureteral ileostomy (56.52)

56.73 Nephrocystanastomosis, not otherwise specified

56.74 Ureteroneocystostomy

Replacement of ureter with bladder flap

Ureterovesical anastomosis

56.75 Transureteroureterostomy

Excludes: ureteroureterostomy associated with partial resection (56.41)

56.79 Other

56.8 Repair of ureter

56.81 Lysis of intraluminal adhesions of ureter

Excludes: lysis of periureteral adhesions (59.01-59.02)

ureterolysis (59.01-59.02)

56.82 Suture of laceration of ureter

56.83 Closure of ureterostomy

56.84 Closure of other fistula of ureter

56.85 Ureteropexy

56.86 Removal of ligature from ureter

56.89 Other repair of ureter

Graft of ureter

Replacement of ureter with ileal segment implanted into bladder

Ureteroplication

56.9 Other operations on ureter

56.91 Dilation of ureteral meatus

56.92 Implantation of electronic ureteral stimulator

56.93 Replacement of electronic ureteral stimulator

56.94 Removal of electronic ureteral stimulator

Excludes: that with synchronou replacement (56.93)

56.95 Ligation of ureter

56.99 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

Excludes: that by incision (57.19)

57.1 Cystotomy and cystostomy

Excludes: cystotomy and cystostomy as operative approach -- omit code

57.11 Percutaneous aspiration of bladder

57.12 Lysis of intraluminal adhesions with incision into bladder

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)

57.2 Vesicostomy

Excludes: percutaneous cystostomy (57.17)

suprapubic cystostomy (57.18)

57.21 Vesicostomy

Creation of permanent opening from bladder to skin using a bladder flap

57.22 Revision or closure of vesicostomy

Excludes: closure of cystostomy (57.82)

57.3 Diagnostic procedures on bladder

57.31 Cystoscopy through artificial stoma

57.32 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 Closed [transurethral] biopsy of bladder

57.34 Open biopsy of bladder

57.39 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 Transurethral lysis of intraluminal adhesions

57.49 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

Excludes: that with transurethral approach (57.41-57.49)

57.51 Excision of urachus

Excision of urachal sinus of bladder

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

Trigonectomy

Wedge resection of bladder

57.7 Total cystectomy

Includes: total cystectomy with urethrectomy

57.71 Radical cystectomy

Pelvic exenteration in male

Removal of bladder, prostate, seminal vesicles, and fat

Removal of bladder, urethra, and fat in a female

Code also any:

lymph node dissection (40.3, 40.5)

urinary diversion (56.51-56.79)

Excludes: that as part of pelvic exenteration in female (68.8)

57.79 Other total cystectomy

57.8 Other repair of urinary bladder

Excludes: repair of:

current obstetric laceration (75.61)

cystocele (70.50-70.51)

that for stress incontinence (59.3-59.79)

57.81 Suture of laceration of bladder

57.82 Closure of cystostomy

57.83 Repair of fistula involving bladder and intestine

Rectovesicovaginal fistulectomy

Vesicosigmoidovaginal fistulectomy

57.84 Repair of other fistula of bladder

Cervicovesical fistulectomy

Urethroperineovesical fistulectomy

Uterovesical fistulectomy

Vaginovesical fistulectomy

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

57.86 Repair of bladder exstrophy

57.87 Reconstruction of urinary bladder

Anastomosis of bladder with isolated segment of ileum

Augmentation of bladder

Replacement of bladder with ileum or sigmoid [closed ileal bladder]

Code also resection of intestine (45.50-45.52)

57.88 Other anastomosis of bladder

Anastomosis of bladder to intestine NOS

Cystocolic anastomosis

Excludes: formation of closed ilea bladder (57.87)

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 Sphincterotomy of bladder

Division of bladder neck

57.92 Dilation of bladder neck

57.93 Control of (postoperative) hemorrhage of bladder

57.94 Insertion of indwelling urinary catheter

57.95 Replacement of indwelling urinary catheter

57.96 Implantation of electronic bladder stimulator

57.97 Replacement of electronic bladder stimulator

57.98 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

Excludes: drainage of bulbourethral gland or periurethral tissue (58.91)

internal urethral meatotomy (58.5)

removal of urethral calculus without incision (58.6)

58.1 Urethral meatotomy

Excludes: internal urethral meatotomy (58.5)

58.2 Diagnostic procedures on urethra

58.21 Perineal urethroscopy

58.22 Other urethroscopy

58.23 Biopsy of urethra

58.24 Biopsy of periurethral tissue

58.29 Other diagnostic procedures on urethra and periurethral tissue

Excludes: microscopic examination of specimen from urethra (91.31-91.39)

retrograde cystourethrogram (87.76)

urethral pressure profil (89.25)

urethral sphincter electromyogram (89.23)

58.3 Excision or destruction of lesion or tissue of urethra

Excludes: biopsy of urethra (58.23)

excision of bulbourethral gland (58.92)

fistulectomy (58.43)

urethrectomy as part of:

complete cystectomy (57.79)

pelvic evisceration (68.8)

radical cystectomy (57.71)

58.31 Endoscopic excision or destruction of lesion or tissue of urethra

Fulguration of urethral lesion

58.39 Other local excision or destruction of lesion or tissue of urethra

Excision of:

congenital valve of urethra

lesion of urethra

stricture of urethra

Urethrectomy

Excludes: that by endoscopic approach (58.31)

58.4 Repair of urethra

Excludes: repair of current obstetric laceration (75.61)

58.41 Suture of laceration of urethra

58.42 Closure of urethrostomy

58.43 Closure of other fistula of urethra

Excludes: repair of urethroperineovesical fistula (57.84)

58.44 Reanastomosis of urethra

Anastomosis of urethra

58.45 Repair of hypospadias or epispadias

58.46 Other reconstruction of urethra

Urethral construction

58.47 Urethral meatoplasty

58.49 Other repair of urethra

Benenenti rotation of bulbous urethra

Repair of old obstetric laceration of urethra

Urethral plication

Excludes: repair of:

current obstetric laceration (75.61)

urethrocele (70.50-70.51)

58.5 Release of urethral stricture

Cutting of urethral sphincter

Internal urethral meatotomy

Urethrolysis

58.6 Dilation of urethra

Dilation of urethrovesical junction

Passage of sounds through urethra

Removal of calculus from urethra without incision

Excludes: urethral calibration (89.29)

58.9 Other operations on urethra and periurethral tissue

58.91 Incision of periurethral tissue

Drainage of bulbourethral gland

58.92 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

58.99 Other

Removal of inflatable urinary sphincter without replacement

Repair of inflatable sphincter pump and/or reservoir

Surgical correction of hydraulic pressure of inflatable sphincter device

Excludes: removal of:

intraluminal foreign 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 Retroperitoneal dissection, not otherwise specified

59.02 Other lysis of perirenal or periureteral adhesions

Excludes: that by laparoscope (59.03)

59.03 Laparoscopic lysis of perirenal or periureteral adhesions

59.09 Other incision of perirenal or periureteral tissue

Exploration of perinephric area

Incision of perirenal abscess

59.1 Incision of perivesical tissue

59.11 Other lysis of perivesical adhesions

59.12 Laparoscopic lysis of perivesical adhesions

59.19 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 Biopsy of perirenal or perivesical tissue

59.29 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

59.4 Suprapubic sling operation

Goebel-Frangenheim-Stoeckel urethrovesical suspension

Millin-Read urethrovesical suspension

Oxford operation for urinary incontinence

Urethrocystopexy by suprapubic suspension

59.5 Retropubic urethral suspension

Burch procedure

Marshall-Marchetti-Krantz operation

Suture of periurethral tissue to symphysis pubis

Urethral suspension NOS

59.6 Paraurethral suspension

Pereyra paraurethral suspension

Periurethral suspension

59.7 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

59.72 Injection of implant into urethra and/or bladder neck

Collagen implant

Endoscopic injection of implant

Fat implant

Polytef implant

59.79 Other

Anterior urethropexy

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

Code also any ureterotomy (56.2)

Excludes: that for:

retrograde pyelogram (87.74)

transurethral removal of calculus or clot from ureter and renal pelvis (56.0)

59.9 Other operations on urinary system

Excludes: nonoperative removal of therapeutic device (97.61-97.69)

59.91 Excision of perirenal or perivesical tissue

Excludes: biopsy of perirenal or perivesical tissue (59.21)

59.92 Other operations on perirenal or perivesical tissue

59.93 Replacement of ureterostomy tube

Change of ureterostomy tube

Reinsertion of ureterostomy tube

Excludes: nonoperative removal of ureterostomy tube (97.62)

59.94 Replacement of cystostomy tube

Excludes: nonoperative removal of cystostomy tube (97.63)

59.95 Ultrasonic fragmentation of urinary stones

Shattered urinary stones

Excludes: percutaneous nephrostomy with fragmentation (55.04)

shock-wave disintegratio (98.51)

59.99 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: that associated with radical cystectomy (57.71)

60.0 Incision of prostate

Drainage of prostatic abscess

Prostatolithotomy

Excludes: drainage of periprostatic tissue only (60.81)

60.1 Diagnostic procedures on prostate and seminal vesicles

60.11 Closed [percutaneous] [needle] biopsy of prostate

Approach:

transrectal

transurethral

Punch biopsy

60.12 Open biopsy of prostate

60.13 Closed [percutaneous] biopsy of seminal vesicles

Needle biopsy of seminal vesicles

60.14 Open biopsy of seminal vesicles

60.15 Biopsy of periprostatic tissue

60.18 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

Excludes: local excision of lesion of prostate (60.61)

60.21 Transurethral (ultrasound) guided laser induced prostatectomy (TULIP)

Ablation (contact) (noncontact) by laser

60.29 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)

60.3 Suprapubic prostatectomy

Transvesical prostatectomy

Excludes: local excision of lesion of prostate (60.61)

radical prostatectomy (60.5)

60.4 Retropubic prostatectomy

Excludes: local excision of lesion of prostate (60.61)

radical prostatectomy (60.5)

60.5 Radical prostatectomy

Prostatovesiculectomy

Radical prostatectomy by any approach

Excludes: cystoprostatectomy (57.71)

60.6 Other prostatectomy

60.61 Local excision of lesion of prostate

Excision of prostatic lesion by any approach

Excludes: biopsy of prostate (60.11-60.12)

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 Other

60.7 Operations on seminal vesicles

60.71 Percutaneous aspiration of seminal vesicle

Excludes: needle biopsy of seminal vesicl (60.13)

60.72 Incision of seminal vesicle

60.73 Excision of seminal vesicle

Excision of Mllerian duct cyst

Spermatocystectomy

Excludes: biopsy of seminal vesicle (60.13-60.14)

prostatovesiculectomy (60.5)

60.79 Other operations on seminal vesicles

60.8 Incision or excision of periprostatic tissue

60.81 Incision of periprostatic tissue

Drainage of periprostatic abscess

60.82 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 Injection into prostate test link

60.93 Repair of prostate

60.94 Control of (postoperative) hemorrhage of prostate

Coagulation of prostatic bed

Cystoscopy for control of prostatic hemorrhage

60.95 Transurethral balloon dilation of the prostatic urethra

60.96 Transurethral destruction of prostate tissue by microwave thermotherapy

Transurethral microwave thermotherapy (TUMT) of prostate

Excludes: Prostatectomy:

other (60.61 - 60.69)

radical (60.5)

retropubic (60.4)

suprapubic (60.3)

transurethral (60.21 - 60.29)

60.97 Other transurethral destruction of prostate tissue by other thermotherapy

Radiofrequency thermotherapy

Transurethral needle ablation (TUNA) of prostate

Excludes: Prostatectomy:

other (60.61 - 60.69)

radical (60.5)

retropubic (60.4)

suprapubic (60.3)

transurethral (60.21 - 60.29)

60.99 Other

Excludes: prostatic massage (99.94)

61 Operations on scrotum and tunica vaginalis

61.0 Incision and drainage of scrotum and tunica vaginalis

Excludes: percutaneous aspiration of hydrocele (61.91)

61.1 Diagnostic procedures on scrotum and tunica vaginalis

61.11 Biopsy of scrotum or tunica vaginalis

61.19 Other diagnostic procedures on scrotum and tunica vaginalis

61.2 Excision of hydrocele (of tunica vaginalis)

Bottle repair of hydrocele of tunica vaginalis

Excludes: percutaneous aspiration of hydrocele (61.91)

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

Excludes: biopsy of scrotum (61.11)

scrotal fistulectomy (61.42)

61.4 Repair of scrotum and tunica vaginalis

61.41 Suture of laceration of scrotum and tunica vaginalis

61.42 Repair of scrotal fistula

61.49 Other repair of scrotum and tunica vaginalis

Reconstruction with rotational or pedicle flaps

61.9 Other operations on scrotum and tunica vaginalis

61.91 Percutaneous aspiration of tunica vaginalis

Aspiration of hydrocele of tunica vaginalis

61.92 Excision of lesion of tunica vaginalis other than hydrocele

Excision of hematocele of tunica vaginalis

61.99 Other

Excludes: removal of foreign body from scrotum without incision (98.24)

62 Operations on testes

62.0 Incision of testis

62.1 Diagnostic procedures on testes

62.11 Closed [percutaneous] [needle] biopsy of testis

62.12 Open biopsy of testis

62.19 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

Excludes: biopsy of testis (62.11-62.12)

62.3 Unilateral orchiectomy

Orchidectomy (with epididymectomy) NOS

62.4 Bilateral orchiectomy

Male castration

Radical bilateral orchiectomy (with epididymectomy)

Code also any synchronous lymph node dissection (40.3, 40.5)

62.41 Removal of both testes at same operative episode

Bilateral orchidectomy NOS

62.42 Removal of remaining testis

Removal of solitary testis

62.5 Orchiopexy

Mobilization and replacement of testis in scrotum

Orchiopexy with detorsion of testis

Torek (-Bevan) operation (orchidopexy) (first stage) (second stage)

Transplantation to and fixation of testis in scrotum

62.6 Repair of testes

Excludes: reduction of torsion (63.52)

62.61 Suture of laceration of testis

62.69 Other repair of testis

Testicular graft

62.7 Insertion of testicular prosthesis

62.9 Other operations on testes

62.91 Aspiration of testis

Excludes: percutaneous biopsy of testis (62.11)

62.92 Injection of therapeutic substance into testis

62.99 Other

63 Operations on spermatic cord, epididymis, and vas deferens

63.0 Diagnostic procedures on spermatic cord, epididymis, and vas deferens

63.01 Biopsy of spermatic cord, epididymis, or vas deferens

63.09 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

63.2 Excision of cyst of epididymis

Spermatocelectomy

63.3 Excision of other lesion or tissue of spermatic cord and epididymis

Excision of appendix epididymis

Excludes: biopsy of spermatic cord or epididymis (63.01)

63.4 Epididymectomy

Excludes: that synchronous with orchiectomy (62.3-62.42)

63.5 Repair of spermatic cord and epididymis

63.51 Suture of laceration of spermatic cord and epididymis

63.52 Reduction of torsion of testis or spermatic cord

Excludes: that associated with orchiopexy (62.5)

63.53 Transplantation of spermatic cord

63.59 Other repair of spermatic cord and epididymis

63.6 Vasotomy

Vasostomy

63.7 Vasectomy and ligation of vas deferens

63.70 Male sterilization procedure, not otherwise specified

63.71 Ligation of vas deferens

Crushing of vas deferens

Division of vas deferens

63.72 Ligation of spermatic cord

63.73 Vasectomy

63.8 Repair of vas deferens and epididymis

63.81 Suture of laceration of vas deferens and epididymis

63.82 Reconstruction of surgically divided vas deferens

63.83 Epididymovasostomy

63.84 Removal of ligature from vas deferens

63.85 Removal of valve from vas deferens

63.89 Other repair of vas deferens and epididymis

63.9 Other operations on spermatic cord, epididymis, and vas deferens

63.91 Aspiration of spermatocele

63.92 Epididymotomy

63.93 Incision of spermatic cord

63.94 Lysis of adhesions of spermatic cord

63.95 Insertion of valve in vas deferens

63.99 Other

64 Operations on penis

Includes: operations on:

corpora cavernosa

glans penis

prepuce

64.0 Circumcision

64.1 Diagnostic procedures on the penis

64.11 Biopsy of penis

64.19 Other diagnostic procedures on penis

64.2 Local excision or destruction of lesion of penis

Excludes: biopsy of penis (64.11)

64.3 Amputation of penis

64.4 Repair and plastic operation on penis

64.41 Suture of laceration of penis

64.42 Release of chordee

64.43 Construction of penis

64.44 Reconstruction of penis

64.45 Replantation of penis

Reattachment of amputated penis

64.49 Other repair of penis

Excludes: repair of epispadias and hypospadias (58.45)

64.5 Operations for sex transformation, not elsewhere classified

64.9 Other operations on male genital organs

64.91 Dorsal or lateral slit of prepuce

64.92 Incision of penis

64.93 Division of penile adhesions

64.94 Fitting of external prosthesis of penis

Penile prosthesis NOS

64.95 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 Removal of internal prosthesis of penis

Removal without replacement of non- inflatable or inflatable penile prosthesis

64.97 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 Laparoscopic oophorotomy

65.09 Other oophorotomy

65.1 Diagnostic procedures on ovaries

65.11 Aspiration biopsy of ovary

65.12 Other biopsy of ovary

65.13 Laparoscopic biopsy of ovary

65.14 Other laparoscopic diagnostic procedures on ovaries

65.19 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 Laparoscopic marsupialization of ovarian cyst

65.24 Laparoscopic wedge resection of ovary

65.25 Other laparoscopic local excision or destruction of ovary

65.29 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 Laparoscopic unilateral oophorectomy

65.39 Other unilateral oophorectomy

Excludes: that by laparoscope (65.31)

65.4 Unilateral salpingo-oophorectomy

65.41 Laparoscopic unilateral salpingo-oophorectomy

65.49 Other unilateral salpingo-oophorectomy

65.5 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 Laparoscopic removal of both ovaries at same operative episode

65.54 Laparoscopic removal of remaining ovary

65.6 Bilateral salpingo-oophorectomy

65.61 Other removal of both ovaries and tubes at same operative episode

Excludes: that by laparoscope (65.63)

65.62 Other removal of remaining ovary and tube

Removal of solitary ovary and tube

Excludes: that by laparoscope (65.64)

65.63 Laparoscopic removal of both ovaries and tubes at same operative episode

65.64 Laparoscopic removal of remaining ovary and tube

65.7 Repair of ovary

Excludes: salpingo-oophorostomy (66.72)

65.71 Other simple suture of ovary

Excludes: <