Worksheet by lanyuehua

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									Code                             Description                       Procedure Class
        Debridement of skin, subcutaneous tissue, muscle and         Ambulatory
        fascia for necrotizing soft tissue infection; external
        genitalia, perineum, and abdominal wall, with/without
11006   fascial closure
11954   Subcutaneous injection of 'filling' material; over 10 cc     Ambulatory
        Simple repair superficial wounds of face/ears/eyelids        Ambulatory
12011   nose/lips/mucous membranes; 2.5 cm or less
        Simple repair superficial wounds of face/ears/eyelids        Ambulatory
12013   nose/lips/mucous membranes; 2.6 cm to 5.0 cm
        Simple repair superficial wounds of face/ears/eyelids        Ambulatory
12014   nose/lips/mucous membranes; 5.1 cm to 7.5 cm
36561


        #N/A
59412   #N/A
90767
        #N/A
93508
        #N/A
96413
        #N/A
10040 Acne surgery                                                       I.P or Ambulatory
      Removal of prosthetic material or mesh, abdominal wall for         I.P or Ambulatory
11008 infection
      Debridement including removal of foreign material associated       I.P or Ambulatory
      with open fracture(s)/dislocation(s); skin and subcutaneous
11010 tissues
      Debridement including removal of foreign material associated       I.P or Ambulatory
      with open fracture(s)/dislocation(s); skin and subcutaneous
11011 tissue, muscle fascia, and muscle
      Debridement including removal of foreign material associated       I.P or Ambulatory
      with open fracture(s)/dislocation(s); skin and subcutaneous
11012 tissue, muscle fascia, and bone
      Paring or cutting of benign hyperkeratotic lesion; single lesion   I.P or Ambulatory
11055
      Paring or cutting of benign hyperkeratotic lesion; two to four     I.P or Ambulatory
11056 lesions
      Paring or cutting of benign hyperkeratotic lesion; more than       I.P or Ambulatory
11057 four lesions
      Removal of skin tags/multiple fibrocutaneous tags, any area;       I.P or Ambulatory
11200 up to 15 lesions
      Removal of skin tags/multiple fibrocutaneous tags, any area;       I.P or Ambulatory
11201 each additional 10 lesions
      Shaving of epidermal or dermal lesion, single lesion, trunk,       I.P or Ambulatory
11300 arms, or legs; lesion diameter 0.5 cm or less
      Shaving of epidermal or dermal lesion, single lesion, trunk,       I.P or Ambulatory
11301 arms, or legs; lesion diameter 0.6 to 1.0 cm
      Shaving of epidermal or dermal lesion, single lesion, trunk,       I.P or Ambulatory
11302 arms, or legs; lesion diameter 1.1 to 2.0 cm
      Shaving of epidermal or dermal lesion, single lesion, trunk,       I.P or Ambulatory
11303 arms, or legs; lesion diameter over 2.0 cm
      Shaving of epidermal or dermal lesion, single lesion, scalp,       I.P or Ambulatory
11305 neck, hands, feet, genitalia; lesion diameter 0.5 cm or less
      Shaving of epidermal or dermal lesion, single lesion, scalp,       I.P or Ambulatory
11306 neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm
      Shaving of epidermal or dermal lesion, single lesion, scalp,       I.P or Ambulatory
11307 neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm
      Shaving of epidermal or dermal lesion, single lesion, scalp,       I.P or Ambulatory
11308 neck, hands, feet, genitalia; lesion diameter over 2.0 cm
      Shaving of epidermal or dermal lesion, single lesion, face,        I.P or Ambulatory
      eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm
11310 or less
      Shaving of epidermal or dermal lesion, single lesion, face,        I.P or Ambulatory
      eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to
11311 1.0 cm
      Shaving of epidermal or dermal lesion, single lesion, face,        I.P or Ambulatory
      eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to
11312 2.0 cm
      Shaving of epidermal or dermal lesion, single lesion, face,        I.P or Ambulatory
      eyelids, nose, lips, mucous membrane; lesion diameter over 2.0
11313 cm
      Excision, benign lesion including margins, except skin tag,        I.P or Ambulatory
11400 trunk/arms/legs; excised diameter 0.5 cm or less
      Excision, benign lesion including margins, except skin tag,        I.P or Ambulatory
11401 trunk/arms/legs; excised diameter 0.6 to 1.0 cm
      Excision, benign lesion including margins, except skin tag,          I.P or Ambulatory
11402 trunk/arms/legs; excised diameter 1.1 to 2.0 cm
      Excision, benign lesion including margins, except skin tag,          I.P or Ambulatory
11403 trunk/arms/legs; excised diameter 2.1 to 3.0 cm
      Excision, benign lesion including margins, except skin tag,          I.P or Ambulatory
11404 trunk/arms/legs; excised diameter 3.1 to 4.0 cm
      Excision, benign lesion including margins, except skin tag,          I.P or Ambulatory
11406 trunk/arms/legs; excised diameter over 4.0 cm
      Excision benign lesion including margins, except skin tag,           I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter 0.5 cm or
11420 less
      Excision benign lesion including margins, except skin tag,           I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter 0.6 to 1.0
11421 cm
      Excision benign lesion including margins, except skin tag,           I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter 1.1 to 2.0
11422 cm
      Excision benign lesion including margins, except skin tag,           I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter 2.1 to 3.0
11423 cm
      Excision benign lesion including margins, except skin tag,           I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter 3.1 to 4.0
11424 cm
      Excision benign lesion including margins, except skin tag,           I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter over 4.0 cm
11426
      Excision, benign lesion including margins,                           I.P or Ambulatory
      face/ear/eyelid/nose/lip/mucous membrane; excised diameter
11440 0.5 cm or less
      Excision, benign lesion including margins,                           I.P or Ambulatory
      face/ear/eyelid/nose/lip/mucous membrane; excised diameter
11441 0.6 to 1.0 cm
      Excision, benign lesion including margins,                           I.P or Ambulatory
      face/ear/eyelid/nose/lip/mucous membrane; excised diameter
11442 1.1 to 2.0 cm
      Excision, benign lesion including margins,                           I.P or Ambulatory
      face/ear/eyelid/nose/lip/mucous membrane; excised diameter
11443 2.1 to 3.0 cm
      Excision, benign lesion including margins,                           I.P or Ambulatory
      face/ear/eyelid/nose/lip/mucous membrane; excised diameter
11444 3.1 to 4.0 cm
      Excision, benign lesion including margins,                           I.P or Ambulatory
      face/ear/eyelid/nose/lip/mucous membrane; excised diameter
11446 over 4.0 cm
      Excision of skin & subcutaneous tissue for hidradenitis, axillary;   I.P or Ambulatory
11450 with simple or intermediate repair
      Excision of skin & subcutaneous tissue for hidradenitis, axillary;   I.P or Ambulatory
11451 complex repair
      Excision of skin & subcutaneous tissue for hidradenitis,             I.P or Ambulatory
11462 inguinal; with simple or intermediate repair
      Excision of skin & subcutaneous tissue for hidradenitis,             I.P or Ambulatory
11463 inguinal; with complex closure
      Excision of skin & subcutaneous tissue for hidradenitis,             I.P or Ambulatory
      perianal, perineal/umbilical; with simple or intermediate repair
11470
      Excision of skin & subcutaneous tissue for hidradenitis,           I.P or Ambulatory
11471 perianal, perineal/umbilical; with complex closure
      Excision, malignant lesion including margins, trunk/arms/legs;     I.P or Ambulatory
11600 excised diameter 0.5 cm or less
      Excision, malignant lesion including margins, trunk/arms/legs;     I.P or Ambulatory
11601 excised diameter 0.6 to 1.0 cm
      Excision, malignant lesion including margins, trunk/arms/legs;     I.P or Ambulatory
11602 excised diameter 1.1 to 2.0 cm
      Excision, malignant lesion including margins, trunk/arms/legs;     I.P or Ambulatory
11603 excised diameter 2.1 to 3.0 cm
      Excision, malignant lesion including margins, trunk/arms/legs;     I.P or Ambulatory
11604 excised diameter 3.1 to 4.0 cm
      Excision, malignant lesion including margins, trunk/arms/legs;     I.P or Ambulatory
11606 excised diameter over 4.0 cm
      Excision, malignant lesion including margins,                      I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter 0.5 cm or
11620 less
      Excision, malignant lesion including margins,                      I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter 0.6 to 1.0
11621 cm
      Excision, malignant lesion including margins,                      I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter 1.1 to 2.0
11622 cm
      Excision, malignant lesion including margins,                      I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter 2.1 to 3.0
11623 cm
      Excision, malignant lesion including margins,                      I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter 3.1 to 4.0
11624 cm
      Excision, malignant lesion including margins,                      I.P or Ambulatory
      scalp/neck/hands/feet/genitalia; excised diameter over 4.0 cm
11626
      Excision malignant lesion including margins,                       I.P or Ambulatory
11640 face/ear/eyelid/nose/lips; excised diameter 0.5 cm or less
      Excision malignant lesion including margins,                       I.P or Ambulatory
11641 face/ear/eyelid/nose/lips; excised diameter 0.6 to 1.0 cm
      Excision malignant lesion including margins,                       I.P or Ambulatory
11642 face/ear/eyelid/nose/lips; excised diameter 1.1 to 2.0 cm
      Excision malignant lesion including margins,                       I.P or Ambulatory
11643 face/ear/eyelid/nose/lips; excised diameter 2.1 to 3.0 cm
      Excision malignant lesion including margins,                       I.P or Ambulatory
11644 face/ear/eyelid/nose/lips; excised diameter 3.1 to 4.0 cm
      Excision malignant lesion including margins,                       I.P or Ambulatory
11646 face/ear/eyelid/nose/lips; excised diameter over 4.0 cm
11740 Evacuation of subungual hematoma                                   I.P or Ambulatory
      Excision of nail & nail matrix, partial/complete, for permanent    I.P or Ambulatory
      removal; with amputation of tuft of distal phalanx
11752
11760 Repair of nail bed                                                 I.P   or   Ambulatory
11762 Reconstruction of nail bed with graft                              I.P   or   Ambulatory
11770 Excision of pilonidal cyst/sinus; simple                           I.P   or   Ambulatory
11771 Excision of pilonidal cyst/sinus; extensive                        I.P   or   Ambulatory
11772 Excision of pilonidal cyst/sinus; complicated                      I.P   or   Ambulatory
      Insertion of tissue expander(s) for other than breast, including   I.P   or   Ambulatory
11960 subsequent expansion
11970 Replacement of tissue expander with permanent prosthesis             I.P or Ambulatory
11981 Insertion of non-biodegradable drug delivery implant                 I.P or Ambulatory
      Removal with reinsertion of non-biodegradable drug delivery          I.P or Ambulatory
11983 implant
13100 Complex repair, trunk; 1.1 cm to 2.5 cm                              I.P   or   Ambulatory
13101 Complex repair, trunk; 2.6 cm to 7.5 cm                              I.P   or   Ambulatory
13120 Complex repair, scalp/arms/legs; 1.1 cm to 2.5 cm                    I.P   or   Ambulatory
13121 Complex repair, scalp/arms/legs; 2.6 cm to 7.5 cm                    I.P   or   Ambulatory
      Complex repair, forehead/cheek/chin/mouth/neck/axillae               I.P   or   Ambulatory
13131 genitalia/hands/feet; 1.1 cm to 2.5 cm
      Complex repair, forehead/cheek/chin/mouth/neck/axillae               I.P or Ambulatory
13132 genitalia/hands/feet; 2.6 cm to 7.5 cm
13150 Complex repair eyelid/nose/ear/lips; 1.0 cm or less                  I.P   or   Ambulatory
13151 Complex repair eyelid/nose/ear/lips; 1.1 cm to 2.5 cm                I.P   or   Ambulatory
13152 Complex repair eyelid/nose/ear/lips; 2.6 cm to 7.5 cm                I.P   or   Ambulatory
      Repair, complex, eyelids, nose, ears and/or lips; each additional    I.P   or   Ambulatory
13153 5 cm or less
      Secondary closure of surgical wound or dehiscence,                   I.P or Ambulatory
13160 extensive/complicated
      Adjacent tissue transfer/rearrangement, trunk; defect 10 sq cm       I.P or Ambulatory
14000 or less
      Adjacent tissue transfer/rearrangement, trunk; defect 10.1 to        I.P or Ambulatory
14001 30.0 sq cm
      Adjacent tissue transfer/rearrangement, scalp/arm/leg; defect        I.P or Ambulatory
14020 10 sq cm or less
      Adjacent tissue transfer/rearrangement, scalp/arm/leg; defect        I.P or Ambulatory
14021 10.1 to 30.0 sq cm
      Adjacent tissue transfer/rearrangement,                              I.P or Ambulatory
      forehead/cheek/chin/mouth/neck/axilla/genitalia/hand/foot;
14040 defect 10 sq cm or less
      Adjacent tissue transfer/rearrangement,                              I.P or Ambulatory
      forehead/cheek/chin/mouth/neck/axilla/genitalia/hand/foot;
14041 defect 10.1 to 30.0 sq cm
      Adjacent tissue transfer/rearrangement, eyelid/nose/ear/lips;        I.P or Ambulatory
14060 defect 10 sq cm or less
      Adjacent tissue transfer/rearrangement, eyelid/nose/ear/lips;        I.P or Ambulatory
14061 defect 10.1 to 30.0 sq cm
      Adjacent tissue transfer/rearrangement, more than 30 sq cm,          I.P or Ambulatory
14300 unusual/complicated, any area
      Filleted finger/toe flap, including preparation of recipient site    I.P or Ambulatory
14350
      Surgical preparation or creation of recipient site by excision of    I.P or Ambulatory
      open wounds, burn eschar, or scar (including subcutaneous
      tissue), or incisional release of scar contracture, trunk, arms,
      legs; first 100 sq cm or 1% of body area of infants and children
15002
      Surgical preparation/creation of recipient site by excision of       I.P or Ambulatory
      open wounds/burn eschar/scar (including subcutaneous tissue),
      or incisional release of scar contracture, trunk, arms, legs; each
      additional 100 sq cm or each additional 1% percent of body
15003 area of infants and children
      Surgical preparation/creation of recipient site by excision of       I.P or Ambulatory
      open wounds/burn eschar/scar (including subcutaneous tissue),
      or incisional release of scar contracture, face, scalp, eyelids,
      mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple
      digits; first 100 sq cm or 1% of body area of infants and
15004 children
      Surgical preparation/creation of recipient site by excision of       I.P or Ambulatory
      open wounds/burn eschar/scar (including subcutaneous tissue),
      or incisional release of scar contracture, face, scalp, eyelids,
      mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple
      digits; each additional 100 sq cm or each additional 1% percent
      of body area of infants and children
15005
      Harvest of skin for tissue cultured skin autograft, 100 sq cm or     I.P or Ambulatory
15040 less
      Pinch graft, single/multiple to cover small ulcer, tip of digit or   I.P or Ambulatory
      other minimal open area (except face) up to 2 cm diameter
15050
      Split-thickness autograft, trunk/arms/legs; first 100 sq cm or       I.P or Ambulatory
15100 less, or 1% of body area of infants/children
      Split-thickness autograft, trunk/arms/legs; each additional 100      I.P or Ambulatory
      sq cm, or each additional 1% of body area of infants/children or
15101 part thereof
      Epidermal autograft, trunk/arms/legs; first 100 sq cm or less,       I.P or Ambulatory
15110 or 1% of body area of infants/children
      Epidermal autograft,                                                 I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
      /multiple digits; first 100 sq cm or less, or 1% of body area of
15115 infants/children
      Split-thickness autograft,                                           I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
      /multiple digits; first 100 sq cm or less, or 1% of body area of
15120 infants and children
      Split-thickness autograft,                                           I.P or Ambulatory
      face/scalp/eyelid/mouth/neck/ears/orbits/genitalia/hands/feet/
      multiple digits; each additional 100 sq cm or each additional
      1% of body area of infants/children, or part thereof
15121
      Dermal autograft, trunk/arms/legs; first 100 sq cm or less, or       I.P or Ambulatory
15130 1% of body area of infants/children
      Dermal autograft,                                                    I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
      /multiple digits; first 100 sq cm or less, or 1% of body area of
15135 infants/children
      Tissue cultured epidermal autograft, trunk/arm/legs; first 25 sq     I.P or Ambulatory
15150 cm or less
      Tissue cultured epidermal autograft,                                 I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
15155 /multiple digits; first 25 sq cm or less
      Tissue cultured epidermal autograft,                                 I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
      /multiple digits; each additional 100 sq cm or each additional
      1% of body area of infants/children, or part thereof
15157
      Acellular dermal replacement, trunk/arms/legs; first 100 sq cm        I.P or Ambulatory
15170 or less, or 1% of body area of infants/children
      Acellular dermal replacement,                                         I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
      /multiple digits; first 100 sq or less, or 1% of body area of
15175 infants/children
      Acellular dermal replacement,                                         I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
      /multiple digits; each additional 100 sq cm, or each additional
      1% of body area of infants/children, or part thereof
15176
      Full thickness graft, free, including direct closure of donor site,   I.P or Ambulatory
15200 trunk; 20 sq cm or less
      Full thickness graft, free, including direct closure of donor site,   I.P or Ambulatory
15201 trunk; each additional 20 sq cm
      Full thickness graft, free, including direct closure of donor site,   I.P or Ambulatory
15220 scalp/arms/legs; 20 sq cm or less
      Full thickness graft, free, including direct closure of donor site,   I.P or Ambulatory
15221 scalp/arms/legs; each additional 20 sq cm
      Full thickness graft, free, including direct closure of donor site,   I.P or Ambulatory
      forehead/cheek/chin/mouth/neck/axillae/genital/hand/feet; 20
      sq cm or less
15240
      Full thick graft, free, including direct closure of donor site,       I.P or Ambulatory
      forehead/cheek/chin/mouth/neck/axillae/genital/hand/feet;
15241 each additional 20 sq cm
      Full thickness graft, free, including direct closure of donor site,   I.P or Ambulatory
15260 nose/ears/eyelids/lips; 20 sq cm or less
      Full thickness graft, free, including direct closure of donor site,   I.P or Ambulatory
15261 nose/ears/eyelids/lips; each additional 20 sq cm
      Allograft skin for temporary wound closure, trunk, arms, legs;        I.P or Ambulatory
      first 100 sq cm or less, or 1% of body area of infants/children
15300
      Allograft skin for temporary wound closure,                           I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
      /multiple digits; first 100 sq cm or less, or 1% of body area of
15320 infants/children
      Acellular dermal allograft, trunk/arms/legs; first 100 sq cm or       I.P or Ambulatory
15330 less, or 1% body area of infants/children
      Acellular dermal allograft,                                           I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
      /multiple digits; first 100 sq cm or less, or 1% of body area of
15335 infants/children
      Tissue cultured allogeneic skin substitute; first 25 sq cm or less    I.P or Ambulatory
15340
      Tissue cultured allogeneic dermal substitute; trunk/arms/legs;        I.P or Ambulatory
      first 100 sq cm or less, or 1% of body area of infants/children
15360
      Tissue cultured allogeneic dermal substitute;                         I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
      /multiple digits; first 100 sq cm or less, or 1% of body area of
15365 infants/children
      Xenograft, skin, for temporary wound closure, trunk/arms/legs;        I.P or Ambulatory
      first 100 sq cm or less, or 1% of body area of infants and
15400 children
        Xenograft, skin, for temporary wound closure, trunk/arms/legs;   I.P or Ambulatory
        each additional 100 sq cm, or each additional 1% of body area
        of infants and children, or part thereof
15401
      Xenograft skin for temporary wound closure,                        I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
      /multiple digits; first 100 sq cm or less, or 1% of body area of
15420 infants/children
      Xenograft skin for temporary wound closure,                        I.P or Ambulatory
      face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/hands/feet
      /multiple digits; each additional 100 sq cm, or each additional
      1% of body area of infants/children, or part thereof
15421
      Acellular xenograft implant; first 100 sq cm or less, or 1% of     I.P or Ambulatory
15430 body area of infants/children
      Formation of direct/tubed pedicle, with/without transfer; trunk    I.P or Ambulatory
15570
      Formation of direct/tubed pedicle, with/without transfer;          I.P or Ambulatory
15572 scalp/arms/legs
      Formation of direct/tubed pedicle, with/without transfer;          I.P or Ambulatory
      forehead/cheeks/chin/mouth/neck/axillae/genitalia/hands/feet
15574
      Formation of direct/tubed pedicle, with/without transfer;          I.P or Ambulatory
15576 eyelids/nose/ears/lips/intraoral
15600 Delay/sectioning of flap (division/inset); at trunk                I.P or Ambulatory
15610 Delay/sectioning of flap (division/inset); at scalp/arms/legs      I.P or Ambulatory
      Delay/sectioning of flap (division/inset); at                      I.P or Ambulatory
15620 forehead/cheeks/chin/neck/axillae/genitalia/hands/feet
      Delay/sectioning of flap (division/inset); at                      I.P or Ambulatory
15630 eyelids/nose/ears/lips
15650 Transfer, intermediate, any pedicle flap, any location             I.P   or   Ambulatory
15731 Forehead flap with preservation of vascular pedicle                I.P   or   Ambulatory
15732 Muscle, myocutaneous or fasciocutaneous flap; head/neck            I.P   or   Ambulatory
15734 Muscle, myocutaneous or fasciocutaneous flap; trunk                I.P   or   Ambulatory
      Muscle, myocutaneous or fasciocutaneous flap; upper extremity      I.P   or   Ambulatory
15736
      Muscle, myocutaneous or fasciocutaneous flap; lower extremity      I.P or Ambulatory
15738
15740 Flap; island pedicle                                               I.P or Ambulatory
15750 Flap, neurovascular pedicle                                        I.P or Ambulatory
      Free muscle or myocutaneous flap with microvascular                I.P or Ambulatory
15756 anastomosis
15757 Free skin flap with microvascular anastomosis                      I.P   or   Ambulatory
15758 Free fascial flap with microvascular anastomosis                   I.P   or   Ambulatory
15760 Graft; composite, including closure, donor area                    I.P   or   Ambulatory
15770 Graft; derma-fat-fascia                                            I.P   or   Ambulatory
15819 Cervicoplasty                                                      I.P   or   Ambulatory
15824 Rhytidectomy; forehead                                             I.P   or   Ambulatory
15825 Rhytidectomy; neck with platysmal tightening                       I.P   or   Ambulatory
15826 Rhytidectomy; glabellar frown lines                                I.P   or   Ambulatory
15828 Rhytidectomy; cheek, chin & neck                                   I.P   or   Ambulatory
      Rhytidectomy; superficial musculoaponeurotic system (SMAS)         I.P   or   Ambulatory
15829 flap
      Excision, excessive skin/subcutaneous tissue (lipectomy);          I.P or Ambulatory
15830 abdomen, infraumbilical panniculectomy
        Excision, excessive skin/subcutaneous tissue (lipectomy); thigh   I.P or Ambulatory
15832
        Excision, excessive skin/subcutaneous tissue (lipectomy); leg     I.P or Ambulatory
15833
        Excision, excessive skin/subcutaneous tissue (lipectomy); hip     I.P or Ambulatory
15834
      Excision, excessive skin/subcutaneous tissue (lipectomy);           I.P or Ambulatory
15835 buttock
      Excision, excessive skin/subcutaneous tissue (lipectomy); arm       I.P or Ambulatory
15836
      Excision, excessive skin/subcutaneous tissue (lipectomy);           I.P or Ambulatory
15837 forearm/hand
      Excision, excessive skin/subcutaneous tissue (lipectomy);           I.P or Ambulatory
15838 submental fat pad
      Excision, excessive skin/subcutaneous tissue (lipectomy); other     I.P or Ambulatory
15839 area
      Graft for facial nerve paralysis; free fascia graft (including      I.P or Ambulatory
15840 obtaining fascia)
      Graft for facial nerve paralysis; free muscle graft (including      I.P or Ambulatory
15841 obtaining graft)
      Graft for facial nerve paralysis; free muscle flap by               I.P or Ambulatory
15842 microsurgical technique
15845 Graft for facial nerve paralysis; regional muscle transfer          I.P   or   Ambulatory
15876 Suction assisted lipectomy; head and neck                           I.P   or   Ambulatory
15877 Suction assisted lipectomy; trunk                                   I.P   or   Ambulatory
15878 Suction assisted lipectomy; upper extremity                         I.P   or   Ambulatory
15879 Suction assisted lipectomy; lower extremity                         I.P   or   Ambulatory
      Excision, coccygeal pressure ulcer, with coccygectomy; with         I.P   or   Ambulatory
15920 primary suture
      Excision, coccygeal pressure ulcer, with coccygectomy; with         I.P or Ambulatory
15922 flap closure
15931 Excision, sacral pressure ulcer, with primary suture                I.P or Ambulatory
      Excision, sacral pressure ulcer, with primary suture; with          I.P or Ambulatory
15933 ostectomy
15934 Excision, sacral pressure ulcer, with skin flap closure             I.P or Ambulatory
      Excision, sacral pressure ulcer, with skin flap closure; with       I.P or Ambulatory
15935 ostectomy
      Excision, sacral pressure ulcer in preparation for                  I.P or Ambulatory
15936 muscle/myocutaneous flap/skin graft closure
      Excision, sacral pressure ulcer in preparation for                  I.P or Ambulatory
      muscle/myocutaneous flap/skin graft closure; with ostectomy
15937
15940 Excision, ischial pressure ulcer, with primary suture               I.P or Ambulatory
      Excision, ischial pressure ulcer, with primary suture; with         I.P or Ambulatory
15941 ostectomy
15944 Excision, ischial pressure ulcer, with skin flap closure            I.P or Ambulatory
      Excision, ischial pressure ulcer, with skin flap closure; with      I.P or Ambulatory
15945 ostectomy
      Excision, ischial pressure ulcer in preparation for                 I.P or Ambulatory
      muscle/myocutaneous flap/skin graft closure; with ostectomy
15946
15950 Excision, trochanteric pressure ulcer, with primary suture          I.P or Ambulatory
      Excision, trochanteric pressure ulcer, with primary suture; with    I.P or Ambulatory
15951 ostectomy
15952 Excision, trochanteric pressure ulcer, with skin flap closure       I.P or Ambulatory
      Excision, trochanteric pressure ulcer, with skin flap closure;     I.P or Ambulatory
15953 with ostectomy
      Excision, trochanteric pressure ulcer in preparation for           I.P or Ambulatory
15956 muscle/myocutaneous flap/skin graft closure
      Excision, trochanteric pressure ulcer in preparation for           I.P or Ambulatory
      muscle/myocutaneous flap/skin graft closure; with ostectomy
15958
      Unlisted procedure, excision pressure ulcer (requires additional   I.P or Ambulatory
15999 report/information to be submitted)
16036 Escharotomy; each additional incision                              I.P or Ambulatory
17000 Destruction, premalignant lesions; first lesion                    I.P or Ambulatory
      Destruction, premalignant lesions; second through 14 lesions,      I.P or Ambulatory
17003 each
17004 Destruction, premalignant lesions; 15 or more lesions              I.P or Ambulatory
      Destruction of cutaneous vascular proliferative lesions; less      I.P or Ambulatory
17106 than 10 sq cm
      Destruction of cutaneous vascular proliferative lesions; 10.0 to   I.P or Ambulatory
17107 50.0 sq cm
      Destruction of cutaneous vascular proliferative lesions; over      I.P or Ambulatory
17108 50.0 sq cm
      Destruction of benign lesions other than skin tags or cutaneous    I.P or Ambulatory
17110 vascular proliferative lesions; up to 14 lesions
      Destruction, of benign lesions other than skin tags or cutaneous   I.P or Ambulatory
17111 vascular lesions; 15 or more lesions
      Chemical cauterization of granulation tissue (proud flesh, sinus   I.P or Ambulatory
17250 or fistula)
      Destruction, malignant lesion, trunk/arms/legs; diameter 0.5       I.P or Ambulatory
17260 cm or less
      Destruction, malignant lesion, trunk/arms/legs; 0.6 to 1.0 cm      I.P or Ambulatory
17261 in diameter
      Destruction, malignant lesion, trunk/arms/legs; 1.1 to 2.0 cm      I.P or Ambulatory
17262 in diameter
      Destruction, malignant lesion, trunk/arms/legs; 2.1 to 3.0 cm      I.P or Ambulatory
17263 in diameter
      Destruction, malignant lesion, trunk/arms/legs; 3.1 to 4.0 cm      I.P or Ambulatory
17264 in diameter
      Destruction, malignant lesion, trunk/arms/legs; over 4.0 cm in     I.P or Ambulatory
17266 diameter
      Destruction, malignant lesion, scalp/neck/hands/feet/genitalia;    I.P or Ambulatory
17270 diameter 0.5 cm or less
      Destruction, malignant lesion, scalp/neck/hands/feet/genitalia;    I.P or Ambulatory
17271 0.6 to 1.0 cm in diameter
      Destruction, malignant lesion, scalp/neck/hands/feet/genitalia;    I.P or Ambulatory
17272 1.1 to 2.0 cm in diameter
      Destruction, malignant lesion, scalp/neck/hands/feet/genitalia;    I.P or Ambulatory
17273 2.1 to 3.0 cm in diameter
      Destruction, malignant lesion, scalp/neck/hands/feet/genitalia;    I.P or Ambulatory
17274 3.1 to 4.0 cm in diameter
      Destruction, malignant lesion, scalp/neck/hands/feet/genitalia;    I.P or Ambulatory
17276 over 4.0 cm in diameter
      Destruction, malignant lesion,                                     I.P or Ambulatory
      face/ears/eyelids/nose/lips/mucous membrane; diameter 0.5
17280 cm or less
        Destruction, malignant lesion,                                      I.P or Ambulatory
        face/ears/eyelids/nose/lips/mucous membrane; 0.6 to 1.0 cm
17281   in diameter
        Destruction, malignant lesion,                                      I.P or Ambulatory
        face/ears/eyelids/nose/lips/mucous membrane; 1.1 to 2.0 cm
17282   in diameter
        Destruction, malignant lesion,                                      I.P or Ambulatory
        face/ears/eyelids/nose/lips/mucous membrane; 2.1 to 3.0 cm
17283   in diameter
        Destruction, malignant lesion,                                      I.P or Ambulatory
        face/ears/eyelids/nose/lips/mucous membrane; 3.1 to 4.0 cm
17284   in diameter
        Destruction, malignant lesion,                                      I.P or Ambulatory
        face/ears/eyelids/nose/lips/mucous membrane; over 4.0 cm in
17286   diameter
17340   Cryotherapy for acne                                                I.P   or   Ambulatory
19020   Mastotomy with exploration/drainage of abscess, deep                I.P   or   Ambulatory
19101   Biopsy of breast; open, incisional                                  I.P   or   Ambulatory
        Ablation, cryosurgical, of fibroadenoma, including ultrasound       I.P   or   Ambulatory
19105   guidance, each fibroadenoma
        Nipple exploration, with/without excision of a solitary/papilloma   I.P or Ambulatory
19110   lactiferous duct
19112   Excision of lactiferous duct fistula                                I.P or Ambulatory
        Excision of cyst/fibroadenoma/other tumor/aberrant breast           I.P or Ambulatory
        tissue/duct/nipple or areolar lesion, open, male/female, one or
19120   more lesions
        Excision of breast lesion identified by pre-operative placement     I.P or Ambulatory
19125   of radiological marker, open; single lesion
        Excision of breast lesion identified by pre-operative placement     I.P or Ambulatory
        of radiological marker, open; each additional lesion separately
19126   identified by a radiological marker
19260   Excision of chest wall tumor including ribs                         I.P or Ambulatory
        Excision of chest wall tumor involving ribs, w/plastic              I.P or Ambulatory
19271   reconstruction; without mediastinal lymphadenectomy
        Excision of chest wall tumor involving ribs, w/plastic              I.P or Ambulatory
19272   reconstruction; with mediastinal lymphadenectomy
19300   Mastectomy for gynecomastia                                         I.P   or   Ambulatory
19301   Mastectomy, partial                                                 I.P   or   Ambulatory
19302   Mastectomy, partial; with axillary lymphadenectomy                  I.P   or   Ambulatory
19303   Mastectomy, simple, complete                                        I.P   or   Ambulatory
19304   Mastectomy, subcutaneous                                            I.P   or   Ambulatory
        Mastectomy, radical, including pectoral muscles, axillary lymph     I.P   or   Ambulatory
19305   nodes
        Mastectomy, radical, including pectoral muscles, axillary and       I.P or Ambulatory
19306   internal mammary lymph nodes
        Mastectomy, modified radical, including axillary lymph nodes,       I.P or Ambulatory
        with or without pectoralis minor muscle, but excluding
19307   pectoralis major muscle
19316   Mastopexy                                                           I.P   or   Ambulatory
19318   Reduction mammaplasty                                               I.P   or   Ambulatory
19325   Augmentation mammaplasty, with prosthetic implant                   I.P   or   Ambulatory
19328   Removal of intact mammary implant                                   I.P   or   Ambulatory
19330   Removal of implant material                                         I.P   or   Ambulatory
19340   Immediate insertion of breast prosthesis                            I.P   or   Ambulatory
19342   Delayed insertion of breast prosthesis                              I.P   or   Ambulatory
19350 Nipple/areola reconstruction                                      I.P or Ambulatory
19355 Correction of inverted nipples                                    I.P or Ambulatory
      Breast reconstruction, immediate/delayed with tissue expander     I.P or Ambulatory
19357 including subsequent expansion
      Breast reconstruction with latissimus dorsi flap, without         I.P or Ambulatory
19361 prosthetic implant
19364 Breast reconstruction with free flap                              I.P or Ambulatory
19366 Breast reconstruction with other technique                        I.P or Ambulatory
      Breast reconstruction with transverse rectus abdominis            I.P or Ambulatory
      myocutaneous flap (TRAM), single pedicle, including closure of
19367 donor site
      Breast reconstruction with transverse rectus abdominis            I.P or Ambulatory
      myocutaneous flap (TRAM), single pedicle, including closure of
19368 donor site; with microvascular anastomosis
      Breast reconstruction with transverse rectus abdominis            I.P or Ambulatory
      myocutaneous flap (TRAM), double pedicle, including closure of
19369 donor site
19370 Open periprosthetic capsulotomy, breast                           I.P   or   Ambulatory
19371 Periprosthetic capsulectomy, breast                               I.P   or   Ambulatory
19380 Revision of reconstructed breast                                  I.P   or   Ambulatory
19396 Preparation of moulage for custom breast implant                  I.P   or   Ambulatory
      Unlisted breast procedure (requires additional                    I.P   or   Ambulatory
19499 report/information to be submitted)
20000 Incision of soft tissue abscess; superficial                      I.P or Ambulatory
20005 Incision of soft tissue abscess; deep/complicated                 I.P or Ambulatory
      Exploration of penetrating wound (separate procedure); chest      I.P or Ambulatory
20101
      Excision of epiphyseal bar with/without autogenous soft tissue    I.P or Ambulatory
20150 graft obtained through same fascial incision
20220 Biopsy, bone, trocar/needle; superficial                          I.P   or   Ambulatory
20225 Biopsy, bone, trocar/needle; deep                                 I.P   or   Ambulatory
20240 Biopsy, bone, open; superficial                                   I.P   or   Ambulatory
20245 Biopsy, bone, open; deep                                          I.P   or   Ambulatory
20250 Biopsy, vertebral body, open; thoracic                            I.P   or   Ambulatory
20251 Biopsy, vertebral body, open; lumbar/cervical                     I.P   or   Ambulatory
20501 Injection of sinus tract; diagnostic                              I.P   or   Ambulatory
20520 Removal of foreign body in muscle/tendon sheath; simple           I.P   or   Ambulatory
      Removal of foreign body in muscle/tendon sheath;                  I.P   or   Ambulatory
20525 deep/complicated
20615 Aspiration & injection for treatment of bone cyst                 I.P or Ambulatory
      Removal of implant; superficial (separate procedure) (eg, wire,   I.P or Ambulatory
20670 pin or rod)
      Removal of implant; deep (eg, buried wire, pin, screw, metal      I.P or Ambulatory
20680 band, nail, rod or plate)
      Application of a uniplane (pins or wires in one plane),           I.P or Ambulatory
20690 unilateral, external fixation system
      Application of a multiplane (pins or wires in more than one       I.P or Ambulatory
20692 plane), unilateral, external fixation system
      Adjustment or revision of external fixation system requiring      I.P or Ambulatory
      anesthesia, (eg, new pin(s) or wire(s) and/or new ring(s) or
20693 bar(s))
20694 Removal, under anesthesia, of external fixation system            I.P or Ambulatory
      Replantation, digit excluding thumb, metacarpophalangeal joint    I.P or Ambulatory
      to insertion of flexor sublimis tendon, complete amputation
20816
      Replantation, digit excluding thumb, distal tip to sublimis         I.P or Ambulatory
20822 tendon insertion, complete amputation
      Replantation, thumb, carpometacarpal joint to MP joint,             I.P or Ambulatory
20824 complete amputation
      Replantation, thumb, distal tip to MP joint, complete               I.P or Ambulatory
20827 amputation
20900 Bone graft, any donor area; minor/small                             I.P   or   Ambulatory
20902 Bone graft, any donor area; major/large                             I.P   or   Ambulatory
20910 Cartilage graft; costochondral                                      I.P   or   Ambulatory
20912 Cartilage graft; nasal septum                                       I.P   or   Ambulatory
20920 Fascia lata graft; by stripper                                      I.P   or   Ambulatory
      Fascia lata graft; by incision & area exposure, complex/sheet       I.P   or   Ambulatory
20922
      Tendon graft, from a distance (eg, palmaris, toe extensor,          I.P or Ambulatory
20924 plantaris)
20926 Tissue grafts, other (eg, paratenon, fat, dermis)                   I.P   or   Ambulatory
20930 Allograft for spine surgery only; morselized                        I.P   or   Ambulatory
20931 Allograft for spine surgery only; structural                        I.P   or   Ambulatory
      Autograft for spine surgery only (includes harvesting the graft);   I.P   or   Ambulatory
20936 local obtained from same incision
      Autograft for spine surgery only (includes harvesting the graft);   I.P or Ambulatory
20937 morselized
      Autograft for spine surgery only (includes harvesting the graft);   I.P or Ambulatory
20938 structural, bicortical/tricortical
      Monitoring of interstitial fluid pressure in detection of muscle    I.P or Ambulatory
20950 compartment syndrome
20955 Bone graft with microvascular anastomosis; fibula                   I.P   or   Ambulatory
20956 Bone graft with microvascular anastomosis; iliac crest              I.P   or   Ambulatory
20957 Bone graft with microvascular anastomosis; metatarsal               I.P   or   Ambulatory
      Bone graft with microvascular anastomosis; other than fibula,       I.P   or   Ambulatory
20962 iliac crest, or metatarsal
      Free osteocutaneous flap with microvascular anastomosis; other      I.P or Ambulatory
20969 than iliac crest/metatarsal/great toe
      Free osteocutaneous flap with microvascular anastomosis; iliac      I.P or Ambulatory
20970 crest
      Free osteocutaneous flap with microvascular anastomosis;            I.P or Ambulatory
20972 metatarsal
      Free osteocutaneous flap with microvascular anastomosis; great      I.P or Ambulatory
20973 toe with web space
20975 Electrical stimulation to aid bone healing; invasive                I.P or Ambulatory
      Ablation, bone tumor(s) radiofrequency, percutaneous,               I.P or Ambulatory
20982 including computed tomographic guidance
      Unlisted procedure, musculoskeletal system, general (requires       I.P or Ambulatory
20999 additional report/information to be submitted)
21010 Arthrotomy, temporomandibular joint                                 I.P   or   Ambulatory
21015 Radical resection of tumor, soft tissue of face/scalp               I.P   or   Ambulatory
21025 Excision of bone, mandible                                          I.P   or   Ambulatory
21026 Excision of bone, facial bone                                       I.P   or   Ambulatory
21029 Removal by contouring of benign tumor of facial bone                I.P   or   Ambulatory
      Excision of benign tumor/cyst of maxilla/zygoma, by                 I.P   or   Ambulatory
21030 enucleation and curettage
21031 Excision of torus mandibularis                                      I.P or Ambulatory
21032 Excision of maxillary torus palatinus                               I.P or Ambulatory
21034 Excision of malignant tumor of maxilla/zygoma                       I.P or Ambulatory
      Excision of benign cyst/tumor of mandible by                       I.P or Ambulatory
21040 enucleation/curettage
21044 Excision of malignant tumor of mandible                            I.P or Ambulatory
21045 Excision of malignant tumor of mandible; radical resection         I.P or Ambulatory
      Excision of benign tumor/cyst of mandible; requiring intraoral     I.P or Ambulatory
21046 osteotomy
      Excision of benign tumor/cyst of mandible; requiring extraoral     I.P or Ambulatory
21047 osteotomy and partial mandibulectomy
      Excision of benign tumor/cyst of maxilla; requiring intraoral      I.P or Ambulatory
21048 osteotomy
      Excision of benign tumor/cyst of maxilla; requiring extraoral      I.P or Ambulatory
21049 osteotomy and partial maxillectomy
      Condylectomy, temporomandibular joint (separate procedure)         I.P or Ambulatory
21050
      Meniscectomy, partial or complete, temporomandibular joint         I.P or Ambulatory
21060 (separate procedure)
21070 Coronoidectomy (separate procedure)                                I.P or Ambulatory
      Injection procedure for temporomandibular joint arthrography       I.P or Ambulatory
21116
21120 Genioplasty; augmentation                                          I.P   or   Ambulatory
21121 Genioplasty; sliding osteotomy, single piece                       I.P   or   Ambulatory
21122 Genioplasty; sliding osteotomies, two or more osteotomies          I.P   or   Ambulatory
      Genioplasty; sliding, augmentation with interpositional bone       I.P   or   Ambulatory
21123 graft
      Augmentation, mandibular body or angle; prosthetic material        I.P or Ambulatory
21125
      Augmentation, mandibular body or angle; with bone graft,           I.P or Ambulatory
21127 onlay/interpositional (includes obtaining autograft)
      Reconstruction midface, LeFort I; single piece, segment            I.P or Ambulatory
21141 movement in any direction, without bone graft
      Reconstruction midface, LeFort I; two pieces, segment              I.P or Ambulatory
21142 movement in any direction, without bone graft
      Reconstruction midface, LeFort I; three or more pieces,            I.P or Ambulatory
21143 segment movement in any direction, without bone graft
      Reconstruction midface, LeFort I; single piece, segment            I.P or Ambulatory
      movement in any direction, requiring bone grafts (includes
21145 obtaining autografts)
      Reconstruction midface, LeFort I; two pieces, segment              I.P or Ambulatory
      movement in any direction, requiring bone grafts (includes
21146 obtaining autografts)
      Reconstruction midface, LeFort I; three or more pieces,            I.P or Ambulatory
      segment movement in any direction, requiring bone grafts
21147 (includes obtaining autografts)
21150 Reconstruction midface, LeFort II; anterior intrusion              I.P or Ambulatory
      Reconstruction midface, LeFort II; any direction, requiring bone   I.P or Ambulatory
21151 grafts (including obtaining autografts)
      Reconstruction midface, LeFort III (extracranial), any type,       I.P or Ambulatory
      requiring bone grafts (includes obtaining autografts); without
21154 LeFort I
      Reconstruction midface, LeFort III (extracranial), any type,       I.P or Ambulatory
      requiring bone grafts (includes obtaining autografts); with
21155 LeFort I
      Reconstruction midface, LeFort III (extra and intracranial) with   I.P or Ambulatory
      forehead advancement, requiring bone grafts (includes
21159 obtaining autografts); without LeFort I
        Reconstruction midface, LeFort III (extra and intracranial) with    I.P or Ambulatory
        forehead advancement, requiring bone grafts (includes
21160   obtaining autografts); with LeFort I
        Removal by contouring of benign tumor of cranial bones,             I.P or Ambulatory
21181   extracranial
        Reconstruction midface, osteotomies (other than LeFort type)        I.P or Ambulatory
21188   and bone grafts (includes obtaining autografts)
        Reconstruction of mandibular rami, horizontal, vertical, 'C', or    I.P or Ambulatory
21193   'L' osteotomy; without bone graft
        Reconstruction of mandibular rami, horizontal, vertical, 'C', or    I.P or Ambulatory
21194   'L' osteotomy; with bone graft (includes obtaining graft)
        Reconstruction of mandibular rami and/or body, sagittal split;      I.P or Ambulatory
21195   without internal rigid fixation
        Reconstruction of mandibular rami and/or body, sagittal split;      I.P or Ambulatory
21196   with internal rigid fixation
21198   Osteotomy, mandible, segmental                                      I.P or Ambulatory
        Osteotomy, mandible, segmental; with genioglossus                   I.P or Ambulatory
21199   advancement
21206   Osteotomy; maxilla, segmental                                       I.P or Ambulatory
        Osteoplasty, facial bones; augmentation (autograft, allograft, or   I.P or Ambulatory
21208   prosthetic implant)
21209   Osteoplasty, facial bones; reduction                                I.P or Ambulatory
        Bone graft; nasal/maxillary/malar areas (includes obtaining         I.P or Ambulatory
21210   graft)
21215   Bone graft; mandible (includes obtaining graft)                     I.P or Ambulatory
        Graft; rib cartilage, autogenous, to face/chin/nose/ear (includes   I.P or Ambulatory
21230   obtaining graft)
        Graft; ear cartilage, autograft, to nose or ear (includes           I.P or Ambulatory
21235   obtaining graft)
        Temporomandibular joint arthroplasty, with/without autograft        I.P or Ambulatory
21240
21242 Temporomandibular joint arthroplasty, with allograft                  I.P or Ambulatory
      Arthroplasty, temporomandibular joint, with prosthetic joint          I.P or Ambulatory
21243 replacement
      Reconstruction of extraoral mandible, with transosteal bone           I.P or Ambulatory
21244 plate
      Reconstruction of mandible/maxilla, subperiosteal implant;            I.P or Ambulatory
21245 partial
      Reconstruction of mandible/maxilla, subperiosteal implant;            I.P or Ambulatory
21246 complete
      Reconstruction of mandibular condyle with bone and cartilage          I.P or Ambulatory
21247 autografts (includes obtaining grafts)
      Reconstruction of mandible/maxilla, endosteal implant; partial        I.P or Ambulatory
21248
      Reconstruction of mandible/maxilla, endosteal implant;                I.P or Ambulatory
21249 complete
      Reconstruction of zygomatic arch and glenoid fossa with bone          I.P or Ambulatory
21255 and cartilage (includes obtaining autografts)
      Reconstruction of orbit with osteotomies (extracranial) and with      I.P or Ambulatory
21256 bone grafts (includes obtaining autografts)
      Periorbital osteotomies for orbital hypertelorism, with bone          I.P or Ambulatory
21260 grafts; extracranial approach
      Periorbital osteotomies for orbital hypertelorism, with bone          I.P or Ambulatory
21261 grafts; combined intra/extracranial approach
      Periorbital osteotomies for orbital hypertelorism, with bone        I.P or Ambulatory
21263 grafts; forehead advancement
      Orbital repositioning/periorbital osteotomies, unilateral, w/bone   I.P or Ambulatory
21267 graft; extracranial approach
      Orbital repositioning/periorbital osteotomies, unilateral, w/bone   I.P or Ambulatory
21268 graft; intra/extracranial approach
21270 Malar augmentation, prosthetic material                             I.P or Ambulatory
21275 Secondary revision of orbitocraniofacial reconstruction             I.P or Ambulatory
      Reduction of masseter muscle and bone; extraoral approach           I.P or Ambulatory
21295
21296 Reduction of masseter muscle and bone; intraoral approach           I.P   or   Ambulatory
21299 Unlisted craniofacial and maxillofacial procedure                   I.P   or   Ambulatory
21325 Open treatment of nasal fracture; uncomplicated                     I.P   or   Ambulatory
      Open treatment of nasal fracture; complicated,                      I.P   or   Ambulatory
21330 w/internal/external fixation
      Open treatment of nasal fracture; complicated, w/concomitant        I.P or Ambulatory
21335 open rx of fractured septum
      Open treatment of nasal septal fracture, with/without               I.P or Ambulatory
21336 stabilization
      Open treatment of nasoethmoid fracture; without external            I.P or Ambulatory
21338 fixation
      Open treatment of nasoethmoid fracture; with external fixation      I.P or Ambulatory
21339
21343 Open treatment of depressed frontal sinus fracture                  I.P or Ambulatory
      Open treatment of complicated frontal sinus fracture via            I.P or Ambulatory
21344 coronal/multiple approaches
      Open treatment of nasomaxillary complex fracture (LeFort II         I.P or Ambulatory
21346 type); with wiring/local fixation
      Open treatment of nasomaxillary complex fracture (LeFort II         I.P or Ambulatory
21347 type), with multiple open approaches
      Open treatment of nasomaxillary complex fracture (LeFort II         I.P or Ambulatory
21348 type); with bone grafting (includes obtaining graft)
21356 Open treatment of depressed zygomatic arch fracture                 I.P or Ambulatory
      Open treatment of depressed malar fracture, including               I.P or Ambulatory
21360 zygomatic arch and malar tripod
      Open treatment of complicated fracture(s) of malar area, eg,        I.P or Ambulatory
      communited or involving cranial nerve foramina, including
      zygomatic arch and malar tripod; with internal fixation and
21365 multiple surgical approaches
      Open treatment of complicated (eg, comminuted/involving             I.P or Ambulatory
      cranial nerve foramina) fracture(s) of malar area, including
21366 zygomatic arch and malar tripod; with bone graft
      Open treatment of orbital floor 'blowout' fracture; transantral     I.P or Ambulatory
21385 approach
      Open treatment of orbital floor 'blowout' fracture; periorbital     I.P or Ambulatory
21386 approach
      Open treatment of orbital floor 'blowout' fracture; combined        I.P or Ambulatory
21387 approach
      Open treatment of orbital floor 'blowout' fracture; periorbital     I.P or Ambulatory
21390 approach, with alloplastic/other implant
      Open treatment of orbital floor 'blowout' fracture; periorbital     I.P or Ambulatory
21395 approach, with bone graft
      Open treatment of fracture of orbit, except 'blowout'; without      I.P or Ambulatory
21406 implant
      Open treatment of fracture of orbit, except 'blowout'; with        I.P or Ambulatory
21407 implant
      Open treatment of fracture of orbit, except 'blowout'; with bone   I.P or Ambulatory
21408 grafting (includes obtaining graft)
21422 Open treatment of palatal/maxillary fracture (LeFort I)            I.P or Ambulatory
      Open treatment of palatal or maxillary fracture (LeFort I type);   I.P or Ambulatory
      complicated (comminuted/involving cranial nerve foramina),
21423 multiple approaches
      Open treatment of craniofacial separation (LeFort III); with       I.P or Ambulatory
21432 wiring and/or internal fixation
      Open treatment of craniofacial separation (LeFort III);            I.P or Ambulatory
21433 complicated, multiple surgical approaches
      Open treatment of craniofacial separation (LeFort III);            I.P or Ambulatory
      complicated, utilizing internal and/or external fixation
      techniques, eg, head cap/halo device and/or intermaxillary
21435 fixation
      Open treatment of craniofacial separation (LeFort III type);       I.P or Ambulatory
      complicated, multiple surgical approaches, internal fixation,
21436 with bone grafting (includes obtaining graft)
      Open treatment of mandibular/maxillary alveolar ridge fracture     I.P or Ambulatory
21445 (separate procedure)
      Open treatment of mandibular fracture with external fixation       I.P or Ambulatory
21454
      Open treatment of mandibular fracture; without interdental         I.P or Ambulatory
21461 fixation
      Open treatment of mandibular fracture; with interdental            I.P or Ambulatory
21462 fixation
21465 Open treatment of mandibular condylar fracture                     I.P or Ambulatory
      Open treatment of complicated mandibular fracture, mult            I.P or Ambulatory
      surgical approaches/internal fixation/interdental fixation,
21470 and/or wiring of dentures/splints
21490 Open treatment of temporomandibular dislocation                    I.P or Ambulatory
21495 Open treatment of hyoid fracture                                   I.P or Ambulatory
      Incision & drainage, deep abscess/hematoma, soft tissues, of       I.P or Ambulatory
21501 thorax/neck
      Incision & drainage, deep abscess/hematoma, soft tissues, of       I.P or Ambulatory
21502 thorax/neck; with partial rib ostectomy
21510 Incision, deep, with opening of bone cortex, thorax                I.P or Ambulatory
21555 Excision tumor, soft tissue of neck/thorax; subcutaneous           I.P or Ambulatory
      Excision tumor, soft tissue neck/thorax; deep, subfascial,         I.P or Ambulatory
21556 intramuscular
21557 Radical resection of tumor, soft tissue of neck/thorax             I.P   or   Ambulatory
21600 Excision of rib, partial                                           I.P   or   Ambulatory
21610 Costotransversectomy (separate procedure)                          I.P   or   Ambulatory
21615 Excision first and/or cervical rib                                 I.P   or   Ambulatory
21616 Excision first and/or cervical rib; with sympathectomy             I.P   or   Ambulatory
21620 Ostectomy of sternum, partial                                      I.P   or   Ambulatory
21627 Sternal debridement                                                I.P   or   Ambulatory
21630 Radical resection of sternum                                       I.P   or   Ambulatory
      Radical resection of sternum; with mediastinal                     I.P   or   Ambulatory
21632 lymphadenectomy
21685 Hyoid myotomy and suspension                                       I.P or Ambulatory
      Division of scalenus anticus; without resection of cervical rib    I.P or Ambulatory
21700
21705 Division of scalenus anticus; with resection of cervical rib       I.P or Ambulatory
      Division of sternocleidomastoid for torticollis, open; without        I.P or Ambulatory
21720 cast application
      Division of sternocleidomastoid for torticollis, open; with cast      I.P or Ambulatory
21725 application
      Reconstructive repair of pectus excavatum/carinatum; open             I.P or Ambulatory
21740
      Reconstructive repair of pectus excavatum/carinatum;                  I.P or Ambulatory
      minimally invasive approach (Nuss procedure), without
21742 thoracoscopy
      Reconstructive repair of pectus excavatum/carinatum;                  I.P or Ambulatory
      minimally invasive approach (Nuss procedure), with
21743 thoracoscopy
      Closure of median sternotomy separation with/without                  I.P or Ambulatory
21750 debridement (separate procedure)
21805 Open treatment of rib fracture without fixation, each                 I.P or Ambulatory
      Treatment of rib fracture requiring external fixation (flail chest)   I.P or Ambulatory
21810
      Open treatment of sternum fracture with/without skeletal              I.P or Ambulatory
21825 fixation
      Unlisted procedure, neck/thorax (requires additional                  I.P or Ambulatory
21899 report/information to be submitted)
21930 Excision, tumor, soft tissue of back or flank                         I.P or Ambulatory
21935 Radical resection of tumor, soft tissue of back or flank              I.P or Ambulatory
      Partial excision of posterior vertebral component for intrinsic       I.P or Ambulatory
22100 bony lesion, single vertebral segment; cervical
      Partial excision of posterior vertebral component for intrinsic       I.P or Ambulatory
22101 bony lesion, single vertebral segment; thoracic
      Partial excision of posterior vertebral component for intrinsic       I.P or Ambulatory
22102 bony lesion, single vertebral segment; lumbar
      Partial excision of posterior vertebral component for intrinsic       I.P or Ambulatory
      bony lesion, single vertebral segment; each additional segment
22103
      Partial excision of vertebral body for intrinsic bony lesion          I.P or Ambulatory
      without decompression of spinal cord/nerve root(s), single
22110 vertebral segment; cervical
      Partial excision of vertebral body for intrinsic bony lesion          I.P or Ambulatory
      without decompression of spinal cord/nerve root(s), single
22112 vertebral segment; thoracic
      Partial excision of vertebral body for intrinsic bony lesion          I.P or Ambulatory
      without decompression of spinal cord/nerve root(s), single
22114 vertebral segment; lumbar
      Partial excision of vertebral body for intrinsic bony lesion          I.P or Ambulatory
      without decompression of spinal cord/nerve root(s), single
22116 vertebral segment; each additional vertebral segment
      Osteotomy of spine, posterior/posterolateral approach, one            I.P or Ambulatory
22210 vertebral segment; cervical
      Osteotomy of spine, posterior/posterolateral approach, one            I.P or Ambulatory
22212 vertebral segment; thoracic
      Osteotomy of spine, posterior/posterolateral approach, one            I.P or Ambulatory
22214 vertebral segment; lumbar
      Osteotomy of spine, posterior/posterolateral approach, one            I.P or Ambulatory
22216 vertebral segment; each additional vertebral segment
      Osteotomy of spine, including discectomy, anterior approach,          I.P or Ambulatory
22220 single vertebral segment; cervical
      Osteotomy of spine, including discectomy, anterior approach,        I.P or Ambulatory
22222 single vertebral segment; thoracic
      Osteotomy of spine, including discectomy, anterior approach,        I.P or Ambulatory
22224 single vertebral segment; lumbar
      Osteotomy of spine, including discectomy, anterior approach,        I.P or Ambulatory
      single vertebral segment; each additional vertebral segment
22226
22305 Closed treatment of vertebral process fracture(s)                   I.P or Ambulatory
      Closed treatment of vertebral body fracture(s), without             I.P or Ambulatory
22310 manipulation, requiring and including casting/bracing
      Closed treatment of vertebral fracture(s) and/or dislocations(s)    I.P or Ambulatory
      requiring casting/bracing, with and including casting and/or
      bracing, with/without anesthesia, by manipulation/traction
22315
      Open treatment and/or reduction of odontoid fracture(s) and/or      I.P or Ambulatory
      dislocation(s) (including os odontoideum), anterior approach,
      including placement of internal fixation; without grafting
22318
      Open treatment and/or reduction of odontoid fracture(s) and/or      I.P or Ambulatory
      dislocation(s) (including os odontoideum), anterior approach,
      including placement of internal fixation; with grafting
22319
      Open treatment and/or reduction of vertebral fracture(s) and/or     I.P or Ambulatory
      dislocation(s), posterior approach, one fractured
22325 vertebrae/dislocated segment; lumbar
      Open treatment and/or reduction of vertebral fracture(s) and/or     I.P or Ambulatory
      dislocations(s), posterior approach, one fractured
22326 vertebrae/dislocated segment; cervical
      Open treatment and/or reduction of vertebral fracture(s) and/or     I.P or Ambulatory
      dislocation(s), posterior approach, one fractured
22327 vertebrae/dislocated segment; thoracic
      Open treatment and/or reduction of vertebral fracture(s) and/or     I.P or Ambulatory
      dislocation(s), posterior approach, one fractured
      vertebrae/dislocated segment; each additional fractured
22328 vertebrae/dislocated segment
      Percutaneous vertebroplasty, one vertebral body, unilateral or      I.P or Ambulatory
22520 bilateral injection; thoracic
      Percutaneous vertebroplasty, one vertebral body, unilateral or      I.P or Ambulatory
22521 bilateral injection; lumbar
      Percutaneous vertebroplasty, one vertebral body, unilateral or      I.P or Ambulatory
      bilateral injection; each additional thoracic or lumbar vertebral
22522 body
      Percutaneous vertebral augmentation, including cavity creation      I.P or Ambulatory
      using mechanical device, one vertebral body, unilateral or
      bilateral cannulation (e.g., kyphoplasty); thoracic
22523
      Percutaneous vertebral augmentation, including cavity creation      I.P or Ambulatory
      using mechanical device, one vertebral body, unilateral or
      bilateral cannulation (e.g., kyphoplasty); lumbar
22524
      Percutaneous vertebral augmentation, including cavity creation      I.P or Ambulatory
      using mechanical device, one vertebral body, unilateral or
      bilateral cannulation (e.g., kyphoplasty); each additional
22525 thoracic or lumbar vertebral body
        Kyphectomy, circumferential exposure of spine and resection of   I.P or Ambulatory
        vertebral segment(s) (including body and posterior elements);
22818   single or 2 segments
        Kyphectomy, circumferential exposure of spine and resection of   I.P or Ambulatory
        vertebral segment(s) (including body and posterior elements);
22819   3 or more segments
22830   Exploration of spinal fusion                                     I.P or Ambulatory
22841   Internal spinal fixation by wiring of spinous processes          I.P or Ambulatory
        Posterior segmental instrumentation; 3 to 6 vertebral segments   I.P or Ambulatory
22842
      Posterior segmental instrumentation; 7 to 12 vertebral             I.P or Ambulatory
22843 segments
      Posterior segmental instrumentation; 13 or more vertebral          I.P or Ambulatory
22844 segments
22845 Anterior instrumentation; 2 to 3 vertebral segments                I.P   or   Ambulatory
22846 Anterior instrumentation; 4 to 7 vertebral segments                I.P   or   Ambulatory
22847 Anterior instrumentation; 8 or more vertebral segments             I.P   or   Ambulatory
22848 Pelvic fixation other than sacrum                                  I.P   or   Ambulatory
22849 Reinsertion of spinal fixation device                              I.P   or   Ambulatory
22850 Removal of posterior nonsegmental instrumentation                  I.P   or   Ambulatory
      Application of intervertebral biomechanical device(s) to           I.P   or   Ambulatory
22851 vertebral defect or interspace
22852 Removal of posterior segmental instrumentation                     I.P or Ambulatory
22855 Removal of anterior instrumentation                                I.P or Ambulatory
      Total disc arthroplasty (artifical disc), anterior approach,       I.P or Ambulatory
      including discectomy to prepare interspace, lumbar, single
22857 interspace
      Revision including replacement of total disc arthroplasty          I.P or Ambulatory
22862 (artificial disc) anterior approach, lumbar, single interspace
      Removal of total disc arthroplasty (artifical disc), anterior      I.P or Ambulatory
22865 approach, lumbar, single interspace
      Unlisted procedure, spine (requires additional                     I.P or Ambulatory
22899 report/information to be submitted)
22900 Excision, abdominal wall tumor, subfascial                         I.P   or   Ambulatory
23000 Removal of subdeltoid calcareous deposits, open                    I.P   or   Ambulatory
23020 Capsular contracture release                                       I.P   or   Ambulatory
23030 Shoulder incision & drainage; deep abscess/hematoma                I.P   or   Ambulatory
23031 Shoulder incision & drainage; infected bursa                       I.P   or   Ambulatory
23035 Incision, bone cortex, shoulder area                               I.P   or   Ambulatory
      Arthrotomy, glenohumeral joint, including                          I.P   or   Ambulatory
23040 exploration/drainage/removal of foreign body
      Arthrotomy, acromioclavicular/sternoclavicular joint, including    I.P or Ambulatory
23044 exploration/drainage/removal of foreign body
23075 Excision, soft tissue tumor, shoulder area; subcutaneous           I.P or Ambulatory
      Excision, soft tissue tumor, shoulder area; deep, subfascial or    I.P or Ambulatory
23076 intramuscular
23077 Radical resection of tumor, soft tissue of shoulder area           I.P or Ambulatory
      Arthrotomy, acromioclavicular/sternoclavicular joint, including    I.P or Ambulatory
23101 biopsy and/or excision of torn cartilage
      Arthrotomy, glenohumeral joint, with synovectomy,                  I.P or Ambulatory
23105 with/without biopsy
      Arthrotomy, sternoclavicular joint, with synovectomy,              I.P or Ambulatory
23106 with/without biopsy
      Arthrotomy, glenohumeral joint, with joint exploration,            I.P or Ambulatory
23107 with/without removal of loose/foreign body
23120 Claviculectomy; partial                                         I.P or Ambulatory
23125 Claviculectomy; total                                           I.P or Ambulatory
      Acromioplasty or acromionectomy, partial, with/without          I.P or Ambulatory
23130 coracoacromial ligament release
      Excision/curettage of bone cyst/benign tumor of                 I.P or Ambulatory
23140 clavicle/scapula
      Excision/curettage of bone cyst/benign tumor of                 I.P or Ambulatory
23145 clavicle/scapula; with primary autogenous graft
      Excision/curettage of bone cyst/benign tumor of                 I.P or Ambulatory
23146 clavicle/scapula; with homogenous/nonautogenous graft
      Excision/curettage of bone cyst/benign tumor of proximal        I.P or Ambulatory
23150 humerus
      Excision/curettage of bone cyst/benign tumor of proximal        I.P or Ambulatory
23155 humerus; with primary autogenous graft
      Excision/curettage of bone cyst/benign tumor of proximal        I.P or Ambulatory
23156 humerus; with homogenous/nonautogenous graft
23170 Sequestrectomy, clavicle                                        I.P   or   Ambulatory
23172 Sequestrectomy, scapula                                         I.P   or   Ambulatory
23174 Sequestrectomy, humeral head to surgical neck                   I.P   or   Ambulatory
23180 Partial excision of clavicle                                    I.P   or   Ambulatory
23182 Partial excision of scapula                                     I.P   or   Ambulatory
23184 Partial excision of proximal humerus                            I.P   or   Ambulatory
23190 Ostectomy of scapula, partial                                   I.P   or   Ambulatory
23195 Resection of humeral head                                       I.P   or   Ambulatory
23200 Radical resection for tumor; clavicle                           I.P   or   Ambulatory
23210 Radical resection for tumor; scapula                            I.P   or   Ambulatory
23220 Radical resection of bone tumor, proximal humerus               I.P   or   Ambulatory
      Radical resection of bone tumor, proximal humerus; with         I.P   or   Ambulatory
23221 autograft (includes obtaining graft)
      Radical resection of bone tumor, proximal humerus; with         I.P or Ambulatory
23222 prosthetic replacement
23331 Removal of foreign body, shoulder; deep                         I.P or Ambulatory
23332 Removal of foreign body, shoulder; complicated                  I.P or Ambulatory
      Injection procedure for shoulder arthrography/enhanced CT/MRI   I.P or Ambulatory
23350 shoulder arthrography
23395 Muscle transfer, any type, shoulder/upper arm; single           I.P   or   Ambulatory
23397 Muscle transfer, any type, shoulder/upper arm; multiple         I.P   or   Ambulatory
23400 Scapulopexy                                                     I.P   or   Ambulatory
23405 Tenotomy, shoulder area; single tendon                          I.P   or   Ambulatory
      Tenotomy, shoulder area; multiple tendons through same          I.P   or   Ambulatory
23406 incision
23410 Repair of ruptured musculotendinous cuff open; acute            I.P or Ambulatory
23412 Repair of ruptured musculotendinous cuff; chronic               I.P or Ambulatory
      Coracoacromial ligament release, with/without acromioplasty     I.P or Ambulatory
23415
      Reconstruction of complete shoulder (rotator) cuff avulsion,    I.P or Ambulatory
23420 chronic (includes acromioplasty)
23430 Tenodesis of long tendon of biceps                              I.P or Ambulatory
23440 Resection/transplantation of long tendon of biceps              I.P or Ambulatory
      Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson     I.P or Ambulatory
23450 type operation
23455 Capsulorrhaphy, anterior; with labral repair                    I.P or Ambulatory
23460 Capsulorrhaphy, anterior, any type; with bone block             I.P or Ambulatory
      Capsulorrhaphy, anterior, any type; with coracoid process       I.P or Ambulatory
23462 transfer
      Capsulorrhaphy, glenohumeral joint, posterior, with/without          I.P or Ambulatory
23465 bone block
      Capsulorrhaphy, glenohumeral joint, any type multi-directional       I.P or Ambulatory
23466 instability
23480 Osteotomy, clavicle, with/without internal fixation                  I.P or Ambulatory
      Osteotomy, clavicle; with bone graft for nonunion/malunion           I.P or Ambulatory
23485 (includes obtaining graft and/or necessary fixation)
      Prophylactic treatment, with/without methylmethacrylate;             I.P or Ambulatory
23490 clavicle
      Prophylactic treatment, with/without methylmethacrylate;             I.P or Ambulatory
23491 proximal humerus
      Open treatment of clavicular fracture, includes internal fixation,   I.P or Ambulatory
23515 when performed
      Open treatment of sternoclavicular dislocation, acute/chronic        I.P or Ambulatory
23530
      Open treatment of sternoclavicular dislocation, acute/chronic;       I.P or Ambulatory
23532 with fascial graft
      Open treatment of acromioclavicular dislocation, acute/chronic       I.P or Ambulatory
23550
      Open treatment of acromioclavicular dislocation, acute/chronic;      I.P or Ambulatory
23552 with fascial graft
      Open treatment of scapular fracture (body/glenoid/acromion)          I.P or Ambulatory
23585
      Open treatment of proximal humeral (surgical/anatomical neck)        I.P or Ambulatory
      fracture, includes internal fixation, when performed, includes
23615 repair of tuberosity(s), when performed
      Open treatment of greater humeral tuberosity fracture, includes      I.P or Ambulatory
23630 internal fixation, when performed
23660 Open treatment of acute shoulder dislocation                         I.P or Ambulatory
      Open treatment of shoulder dislocation, with fracture of greater     I.P or Ambulatory
      humeral tuberosity, includes internal fixation, when performed
23670
      Open treatment of shoulder dislocation, with                         I.P or Ambulatory
      surgical/anatomical neck fracture, includes internal fixation,
23680 when performed
23800 Arthrodesis, glenohumeral joint                                      I.P or Ambulatory
      Arthrodesis, glenohumeral joint; with autogenous graft               I.P or Ambulatory
23802 (includes obtaining graft)
23921 Disarticulation of shoulder; secondary closure/scar revision         I.P or Ambulatory
      Unlisted procedure, shoulder (requires additional                    I.P or Ambulatory
23929 report/information to be submitted)
      Incision & drainage of upper arm/elbow area; deep                    I.P or Ambulatory
23930 abscess/hematoma
23931 Incision and drainage, upper arm/elbow area; bursa                   I.P or Ambulatory
23935 Incision, deep with opening of cortex of humerus/elbow               I.P or Ambulatory
      Arthrotomy, elbow, including exploration/drainage/removal of         I.P or Ambulatory
24000 foreign body
      Arthrotomy of the elbow, with capsular excision for capsular         I.P or Ambulatory
24006 release (separate procedure)
      Excision, tumor, soft tissue upper arm or elbow area;                I.P or Ambulatory
24075 subcutaneous
      Excision, tumor, soft tissue of upper arm; deep, subfascial,         I.P or Ambulatory
24076 intramuscular
      Radical resection of tumor, soft tissue of upper arm/elbow area      I.P or Ambulatory
24077
        Arthrotomy, elbow; with joint exploration, with/without biopsy    I.P or Ambulatory
24101   or removal of loose/foreign body
24102   Arthrotomy, elbow; with synovectomy                               I.P   or   Ambulatory
24105   Excision, olecranon bursa                                         I.P   or   Ambulatory
24110   Excision/curettage of bone cyst/benign tumor, humerus             I.P   or   Ambulatory
        Excision/curettage of bone cyst/benign tumor, humerus; with       I.P   or   Ambulatory
24115   primary autogenous graft
        Excision/curettage of bone cyst/benign tumor, humerus; with       I.P or Ambulatory
24116   homogenous/nonautogenous graft
        Excision/curettage of bone cyst/benign tumor, head/neck of        I.P or Ambulatory
24120   radius/olecranon process
        Excision/curettage of bone cyst/benign tumor, head/neck of        I.P or Ambulatory
24125   radius/olecranon process; with primary autogenous graft
        Excision/curettage of bone cyst/benign tumor, head/neck of        I.P or Ambulatory
        radius/olecranon process; with homogenous/nonautogenous
24126   graft
24130   Excision of radial head                                           I.P   or   Ambulatory
24134   Sequestrectomy, shaft/distal humerus                              I.P   or   Ambulatory
24136   Sequestrectomy, radial head/neck                                  I.P   or   Ambulatory
24138   Sequestrectomy, olecranon process                                 I.P   or   Ambulatory
24140   Partial excision of bone, humerus                                 I.P   or   Ambulatory
24145   Partial excision of bone, radial head/neck                        I.P   or   Ambulatory
24147   Partial excision of bone, olecranon process                       I.P   or   Ambulatory
        Radical resection of capsule, soft tissue and heterotopic bone,   I.P   or   Ambulatory
        elbow, with contracture release (separate procedure)
24149
24150 Radical resection for tumor, shaft/distal humerus                   I.P or Ambulatory
      Radical resection for tumor, shaft/distal humerus; with             I.P or Ambulatory
24151 autogenous bone graft
24152 Radical resection for tumor, radial head/neck                       I.P or Ambulatory
      Radical resection for tumor, radial head/neck; with autogenous      I.P or Ambulatory
24153 bone graft
24155 Resection of elbow joint (arthrectomy)                              I.P   or   Ambulatory
24160 Implant removal; elbow joint                                        I.P   or   Ambulatory
24164 Implant removal; radial head                                        I.P   or   Ambulatory
      Removal of foreign body, upper arm/elbow area; deep                 I.P   or   Ambulatory
24201 (subfascial or intramuscular)
24220 Injection procedure for elbow arthrography                          I.P   or   Ambulatory
24301 Muscle/tendon transfer, upper arm/elbow, any type, single           I.P   or   Ambulatory
24305 Tendon lengthening, upper arm/elbow, each tendon                    I.P   or   Ambulatory
24310 Tenotomy, open, elbow to shoulder, each tendon                      I.P   or   Ambulatory
24320 Tenoplasty, with muscle transfer, elbow to shoulder, single         I.P   or   Ambulatory
24330 Flexor-plasty, elbow                                                I.P   or   Ambulatory
24331 Flexor-plasty, elbow; with extensor advancement                     I.P   or   Ambulatory
24332 Tenolysis of triceps                                                I.P   or   Ambulatory
24340 Tenodesis of biceps tendon at elbow (separate procedure)            I.P   or   Ambulatory
      Repair, tendon/muscle, upper arm/elbow, each tendon/muscle,         I.P   or   Ambulatory
24341 primary/secondary (excludes rotator cuff)
      Reinsertion of ruptured biceps/triceps tendon, distal,              I.P or Ambulatory
24342 with/without tendon graft
24343 Repair lateral collateral ligament, elbow, with local tissue        I.P or Ambulatory
      Reconstruction lateral collateral ligament, elbow, with tendon      I.P or Ambulatory
24344 graft (including harvesting of graft)
24345 Repair medial collateral ligament, elbow, with local tissue         I.P or Ambulatory
      Reconstruction medial collateral ligament, elbow, with tendon     I.P or Ambulatory
24346 graft (including harvesting of graft)
      Tenotomy, elbow, lateral or medial; percutaneous (e.g.,           I.P or Ambulatory
24357 epicondylitis, tennis elbow, Golfer's elbow)
      Tenotomy, elbow, lateral or medial; debridement, soft tissue      I.P or Ambulatory
      and/or bone, open (e.g., epicondylitis, tennis elbow, Golfer's
24358 elbow)
      Tenotomy, elbow, lateral or medial; debridement, soft tissue      I.P or Ambulatory
      and/or bone, open with tendon repair or reattachment (e.g.,
      epicondylitis, tennis elbow, Golfer's elbow)
24359
24360 Arthroplasty, elbow; with membrane                                I.P or Ambulatory
      Arthroplasty, elbow; with distal humeral prosthetic replacement   I.P or Ambulatory
24361
      Arthroplasty, elbow; with implant & fascia lata ligament          I.P or Ambulatory
24362 reconstruction
24365 Arthroplasty, radial head                                         I.P   or   Ambulatory
24366 Arthroplasty, radial head; with implant                           I.P   or   Ambulatory
24400 Osteotomy, humerus, with/without internal fixation                I.P   or   Ambulatory
      Multiple osteotomies, humerus with realignment on                 I.P   or   Ambulatory
24410 intramedullary rod
24420 Osteoplasty, humerus                                              I.P or Ambulatory
24430 Repair of nonunion/malunion, humerus; without graft               I.P or Ambulatory
      Repair of nonunion/malunion, humerus; with autogenous bone        I.P or Ambulatory
24435 graft (includes obtaining graft)
24470 Hemiepiphyseal arrest, distal humerus                             I.P or Ambulatory
      Decompression fasciotomy, forearm, with brachial artery           I.P or Ambulatory
24495 exploration
      Prophylactic treatment, with/without methylmethacrylate,          I.P or Ambulatory
24498 humeral shaft
      Open treatment of humeral shaft fracture with plate/screws,       I.P or Ambulatory
24515 with/without cerclage
      Treatment of humeral shaft fracture, with insertion of            I.P or Ambulatory
      intramedullary implant, with/without cerclage and/or locking
24516 screws
      Percutaneous skeletal fixation of supracondylar/transcondylar     I.P or Ambulatory
      humeral fracture, with/without intercondylar extension
24538
      Open treatment of humeral supracondylar/transcondylar             I.P or Ambulatory
      fracture, includes internal fixation, when performed; without
24545 intercondylar extension
      Open treatment of humeral supracondylar/transcondylar             I.P or Ambulatory
      fracture, includes internal fixation, when performed; with
24546 intercondylar extension
      Percutaneous skeletal fixation humeral epicondylar fracture,      I.P or Ambulatory
24566 medial/lateral, with manipulation
      Open treatment of humeral epicondylar fracture, medial/lateral,   I.P or Ambulatory
24575 includes internal fixation, when performed
      Open treatment of humeral condylar fracture, medial/lateral,      I.P or Ambulatory
24579 includes internal fixation, when performed
      Percutaneous skeletal fixation humeral condylar fracture,         I.P or Ambulatory
24582 medial/lateral, with manipulation
      Open treatment of periarticular fracture and/or dislocation of    I.P or Ambulatory
      the elbow (fx distal humerus and proximal ulna and/or proximal
24586 radius)
        Open treatment of periarticular fracture and/or dislocation of     I.P or Ambulatory
        the elbow (fx distal humerus and proximal ulna and/or proximal
24587   radius); with implant arthroplasty
24615   Open treatment of acute/chronic elbow dislocation                  I.P or Ambulatory
        Open treatment of Monteggia type fracture/dislocation at elbow,    I.P or Ambulatory
24635   includes internal fixation, when performed
        Open treatment of radial head/neck fracture, includes internal     I.P or Ambulatory
24665   fixation or radial head excision, when performed
        Open treatment of radial head/neck fracture, includes internal     I.P or Ambulatory
        fixation or radial head excision, when performed; with radial
24666   head prosthetic replacement
        Open treatment of ulnar fracture, proximal end (e.g., olecranon    I.P or Ambulatory
        or coronoid process(es)) includes internal fixation, when
24685   performed
24800   Arthrodesis, elbow joint; local                                    I.P or Ambulatory
        Arthrodesis, elbow joint; with autogenous graft (includes          I.P or Ambulatory
24802   obtaining graft)
        Amputation, arm through humerus; secondary closure/scar            I.P or Ambulatory
24925   revision
24930   Amputation, arm through humerus; reamputation                      I.P or Ambulatory
24935   Stump elongation, humerus                                          I.P or Ambulatory
        Unlisted procedure, humerus/elbow (requires additional             I.P or Ambulatory
24999   report/info to be submitted)
25000   Incision, extensor tendon sheath, wrist                            I.P or Ambulatory
25001   Incision, flexor tendon sheath, wrist                              I.P or Ambulatory
        Decompression fasciotomy, forearm and/or wrist,                    I.P or Ambulatory
        flexor/extensor compartment; without debridement of
25020   nonviable muscle and/or nerve
        Decompression fasciotomy, forearm and/or wrist; with               I.P or Ambulatory
25023   debridement of nonviable muscle/nerve
        Decompression fasciotomy, forearm and/or wrist, flexor AND         I.P or Ambulatory
        extensor compartment; without debridement of nonviable
25024   muscle and/or nerve
        Decompression fasciotomy, forearm and/or wrist, flexor AND         I.P or Ambulatory
        extensor compartment; with debridement of nonviable muscle
25025   and/or nerve
        Incision & drainage of forearm/wrist; deep abscess/hematoma        I.P or Ambulatory
25028
25031 Incision & drainage, forearm/wrist; bursa                            I.P or Ambulatory
25035 Incision, deep, bone cortex, forearm and/or wrist                    I.P or Ambulatory
      Arthrotomy, radiocarpal/midcarpal joint, with exploration,           I.P or Ambulatory
25040 drainage or removal of foreign body
25075 Excision, tumor, soft tissue of forearm/wrist; subcutaneous          I.P or Ambulatory
25076 Excision, tumor, soft tissue of forearm/wrist; deep                  I.P or Ambulatory
      Radical resection of tumor, soft tissue of forearm &/or wrist        I.P or Ambulatory
25077 area
25085 Capsulotomy, wrist                                                   I.P or Ambulatory
      Arthrotomy, wrist joint; with exploration, with/without biopsy       I.P or Ambulatory
25101 or removal of loose or foreign body
25105 Arthrotomy, wrist joint; with synovectomy                            I.P or Ambulatory
      Arthrotomy, distal radioulnar joint including repair of triangular   I.P or Ambulatory
25107 cartilage complex
      Excision of tendon, forearm and/or wrist, flexor or extensor,        I.P or Ambulatory
25109 each
25110 Excision, lesion of tendon sheath, forearm/wrist                     I.P or Ambulatory
25111 Excision of ganglion, wrist; primary                                I.P or Ambulatory
25112 Excision of ganglion, wrist; recurrent                              I.P or Ambulatory
      Radical excision of bursa/synovia/tendon sheath, forearm/wrist;     I.P or Ambulatory
25115 flexors
      Radical excision of bursa/synovia/tendon sheath, forearm/wrist;     I.P or Ambulatory
25116 extensors
      Synovectomy, extensor tendon sheath, wrist, single                  I.P or Ambulatory
25118 compartment
      Synovectomy, extensor tendon sheath, wrist, with resection of       I.P or Ambulatory
25119 distal ulna
      Excision/curettage of bone cyst/benign tumor of radius or ulna      I.P or Ambulatory
25120
      Excision/curettage of bone cyst/benign tumor of radius or ulna      I.P or Ambulatory
25125 with autograft
      Excision/curettage of bone cyst/benign tumor of radius or ulna      I.P or Ambulatory
25126 with allograft
      Excision/curettage of bone cyst/benign tumor of carpal bones        I.P or Ambulatory
25130
      Excision/curettage of bone cyst/benign tumor of carpal bones;       I.P or Ambulatory
25135 with autograft (includes obtaining graft)
      Excision/curettage of bone cyst/benign tumor of carpal bones;       I.P or Ambulatory
25136 with allograft
25145 Sequestrectomy, forearm/wrist                                       I.P   or   Ambulatory
25150 Partial excision of ulna                                            I.P   or   Ambulatory
25151 Partial excision of radius                                          I.P   or   Ambulatory
25170 Radical resection for tumor, radius or ulna                         I.P   or   Ambulatory
25210 Carpectomy; one bone                                                I.P   or   Ambulatory
25215 Carpectomy; all bones of proximal row                               I.P   or   Ambulatory
25230 Radial styloidectomy (separate procedure)                           I.P   or   Ambulatory
25240 Excision distal ulna partial/complete                               I.P   or   Ambulatory
25246 Injection procedure for wrist arthrography                          I.P   or   Ambulatory
      Exploration with removal of deep foreign body, forearm/wrist        I.P   or   Ambulatory
25248
25250 Removal of wrist prosthesis (separate procedure)                    I.P or Ambulatory
      Removal of wrist prosthesis; complicated, including 'total wrist'   I.P or Ambulatory
25251
      Repair, flexor tendon/muscle, forearm/wrist; primary, single,       I.P or Ambulatory
25260 each
      Repair, flexor tendon/muscle, forearm/wrist; secondary, single,     I.P or Ambulatory
25263 each
      Repair, flexor tendon/muscle, forearm/wrist; secondary, with        I.P or Ambulatory
25265 free graft (includes obtaining graft), each
      Repair, extensor tendon/muscle, forearm/wrist; primary, single,     I.P or Ambulatory
25270 each
      Repair, extensor tendon/muscle, forearm/wrist; secondary,           I.P or Ambulatory
25272 single, each
      Repair, extensor tendon/muscle, forearm/wrist; secondary, with      I.P or Ambulatory
25274 free graft (includes obtaining graft), each
      Repair, extensor tendon sheath, forearm/wrist with free graft       I.P or Ambulatory
25275
      Lengthening/shortening of flexor/extensor tendon of                 I.P or Ambulatory
25280 forearm/wrist, single, each tendon
      Open tenotomy of flexor/extensor tendon of forearm/wrist,           I.P or Ambulatory
25290 single, each tendon
      Tenolysis of flexor/extensor tendon of forearm/wrist, single,       I.P or Ambulatory
25295 each tendon
25300 Tenodesis at wrist; flexors of fingers                              I.P or Ambulatory
25301 Tenodesis at wrist; extensors of fingers                            I.P or Ambulatory
      Transplantation/transfer, flexor/extensor tendons of                I.P or Ambulatory
25310 forearm/wrist, single; each tendon
      Transplantation/transfer, flexor/extensor tendons of                I.P or Ambulatory
25312 forearm/wrist, single; with tendon graft, each tendon
25315 Flexor origin slide, forearm and/or wrist                           I.P or Ambulatory
      Flexor origin slide, forearm and/or wrist; with tendon(s)           I.P or Ambulatory
25316 transfer
      Capsulorrhaphy/reconstruction, wrist, open for carpal instability   I.P or Ambulatory
25320
      Arthroplasty, wrist, with/without interposition, with/without       I.P or Ambulatory
25332 external/internal fixation
25335 Centralization of wrist on ulna                                     I.P or Ambulatory
      Reconstruction for stabilization of unstable distal ulna/distal     I.P or Ambulatory
      radioulnar joint, secondary by soft tissue stabilization
25337 with/without open reduction
25350 Osteotomy, radius; distal third                                     I.P   or   Ambulatory
25355 Osteotomy, radius; middle/proximal third                            I.P   or   Ambulatory
25360 Osteotomy; ulna                                                     I.P   or   Ambulatory
25365 Osteotomy; radius AND ulna                                          I.P   or   Ambulatory
      Multiple osteotomies, with realignment on intramedullary rod;       I.P   or   Ambulatory
25370 radius OR ulna
      Multiple osteotomies, with realignment on intramedullary rod;       I.P or Ambulatory
25375 radius AND ulna
25390 Osteoplasty, radius OR ulna; shortening                             I.P   or   Ambulatory
25391 Osteoplasty, radius OR ulna; lengthening with autograft             I.P   or   Ambulatory
25392 Osteoplasty, radius AND ulna; shortening                            I.P   or   Ambulatory
25393 Osteoplasty, radius AND ulna; lengthening with autograft            I.P   or   Ambulatory
25394 Osteoplasty, carpal bone, shortening                                I.P   or   Ambulatory
25400 Repair of nonunion/malunion, radius OR ulna; without graft          I.P   or   Ambulatory
      Repair of nonunion/malunion, radius OR ulna; autograft              I.P   or   Ambulatory
25405 (includes obtaining graft)
25415 Repair of nonunion/malunion, radius AND ulna; without graft         I.P or Ambulatory
      Repair of nonunion/malunion, radius AND ulna; with autograft        I.P or Ambulatory
25420 (includes obtaining graft)
25425 Repair of defect with autograft; radius OR ulna                     I.P   or   Ambulatory
25426 Repair of defect with autograft; radius AND ulna                    I.P   or   Ambulatory
25430 Insertion of vascular pedicle into carpal bone                      I.P   or   Ambulatory
25431 Repair of nonunion of carpal bone, each                             I.P   or   Ambulatory
      Repair of nonunion, scaphoid carpal (navicular) bone,               I.P   or   Ambulatory
      with/without radial styloidectomy (includes obtaining graft and
25440 necessary fixation)
25441 Arthroplasty with prosthetic replacement; distal radius             I.P or Ambulatory
25442 Arthroplasty with prosthetic replacement; distal ulna               I.P or Ambulatory
      Arthroplasty with prosthetic replacement; scaphoid carpal           I.P or Ambulatory
25443 (navicular)
25444 Arthroplasty with prosthetic replacement; lunate                    I.P or Ambulatory
25445 Arthroplasty with prosthetic replacement; trapezium                 I.P or Ambulatory
      Arthroplasty, interposition, intercarpal/carpometacarpal joints     I.P or Ambulatory
25447
25449 Revision of wrist arthroplasty, including removal of implant        I.P or Ambulatory
      Epiphyseal arrest by epiphysiodesis/stapling; distal radius OR     I.P or Ambulatory
25450 ulna
      Epiphyseal arrest by epiphysiodesis/stapling; distal radius AND    I.P or Ambulatory
25455 ulna
      Prophylactic treatment, with/without methyl methacrylate;          I.P or Ambulatory
25490 radius
      Prophylactic treatment, with/without methyl methacrylate; ulna     I.P or Ambulatory
25491
      Prophylactic treatment, with/without methyl methacrylate;          I.P or Ambulatory
25492 radius AND ulna
      Open treatment of radial shaft fracture, includes internal         I.P or Ambulatory
25515 fixation, when performed
      Open treatment of radial shaft fracture, includes internal         I.P or Ambulatory
      fixation, when performed, and closed treatment of distal
      radioulnar joint dislocation, includes percutaneous skeletal
25525 fixation, when performed
      Open treatment of radial shaft fracture, includes internal         I.P or Ambulatory
      fixation, when performed, and open treatment of distal
      radioulnar joint dislocation, includes internal fixation, when
      performed, includes repair of triangular fibrocartilage complex
25526
      Open treatment of ulnar shaft fracture, includes internal          I.P or Ambulatory
25545 fixation, when performed
      Open treatment of radial AND ulnar shaft fractures, with           I.P or Ambulatory
25574 internal fixation, when performed; of radius OR ulna
      Open treatment of radial & ulnar shaft fractures, with internal    I.P or Ambulatory
25575 fixation, when performed; of radius & ulna
      Percutaneous skeletal fixation of distal radial fracture or        I.P or Ambulatory
25606 epiphyseal separation
      Open treatment of distal radial extra-articular fracture or        I.P or Ambulatory
25607 epiphyseal separation, with internal fixation
      Open treatment of distal radius intra-articular fracture or        I.P or Ambulatory
25608 epiphyseal separation; with internal fixation of 2 fragments
      Open treatment of distal radius intra-articular fracture or        I.P or Ambulatory
      epiphyseal separation; with internal fixation of 3 or more
25609 fragments
      Open treatment of carpal scaphoid (navicular) fracture, includes   I.P or Ambulatory
25628 internal fixation, when performed
      Open treatment of carpal bone fracture (other than carpal          I.P or Ambulatory
25645 scaphoid (navicular)), each bone
      Open treatment of radiocarpal/intercarpal dislocation, one/more    I.P or Ambulatory
25670 bones
      Open treatment of distal radioulnar dislocation, acute/chronic     I.P or Ambulatory
25676
      Open treatment of trans-scaphoperilunar type fracture              I.P or Ambulatory
25685 dislocation
25695 Open treatment of lunate dislocation                               I.P   or   Ambulatory
25800 Arthrodesis, wrist; complete, without bone graft                   I.P   or   Ambulatory
25805 Arthrodesis, wrist; with sliding graft                             I.P   or   Ambulatory
      Arthrodesis, wrist; with iliac or other autograft (includes        I.P   or   Ambulatory
25810 obtaining graft)
25820 Arthrodesis, wrist; limited, without bone graft                    I.P or Ambulatory
25825 Arthrodesis, wrist; with autograft (includes obtaining graft)      I.P or Ambulatory
      Arthrodesis, distal radioulnar joint with segmental resection of   I.P or Ambulatory
25830 ulna, with/without bone graft
      Amputation, forearm, through radius/ulna; secondary                I.P or Ambulatory
25907 closure/scar revision
25909 Amputation, forearm, through radius/ulna; reamputation             I.P or Ambulatory
      Disarticulation through wrist; secondary closure/scar revision     I.P or Ambulatory
25922
25924 Disarticulation through wrist; reamputation                        I.P or Ambulatory
      Transmetacarpal amputation; secondary closure/scar revision        I.P or Ambulatory
25929
25931 Transmetacarpal amputation; reamputation                           I.P or Ambulatory
      Unlisted procedure, forearm/wrist (requires additional             I.P or Ambulatory
25999 report/info to be submitted)
26020 Drainage of tendon sheath, digit and/or palm, each                 I.P   or   Ambulatory
26025 Drainage of palmar bursa; single bursa                             I.P   or   Ambulatory
26030 Drainage of palmar bursa; multiple bursa                           I.P   or   Ambulatory
26034 Incision, bone cortex, hand/finger                                 I.P   or   Ambulatory
26035 Decompression fingers/hand for injection injury                    I.P   or   Ambulatory
26037 Decompressive fasciotomy, hand                                     I.P   or   Ambulatory
26040 Fasciotomy, palmar; percutaneous                                   I.P   or   Ambulatory
26045 Fasciotomy, palmar; open, partial                                  I.P   or   Ambulatory
26055 Tendon sheath incision                                             I.P   or   Ambulatory
26060 Tenotomy, percutaneous, single, each digit                         I.P   or   Ambulatory
      Arthrotomy, with exploration/drainage/removal of loose or          I.P   or   Ambulatory
26070 foreign body; carpometacarpal joint
      Arthrotomy, with exploration/drainage/removal of loose or          I.P or Ambulatory
26075 foreign body; metacarpophalangeal joint, each
      Arthrotomy, with exploration/drainage/removal of loose or          I.P or Ambulatory
26080 foreign body; interphalangeal joint, each
      Excision, tumor or vascular malformation, soft tissue of hand or   I.P or Ambulatory
26115 finger; subcutaneous
      Excision, tumor or vascular malformation, soft tissue of hand or   I.P or Ambulatory
26116 finger; deep (subfascial, intramuscular)
26117 Radical resection of tumor, soft tissue of hand/finger             I.P or Ambulatory
      Fasciectomy, palm only, with/without Z-plasty, other local         I.P or Ambulatory
      tissue rearrangement/skin grafting (includes obtaining graft)
26121
      Fasciectomy, partial palmar w/release of single digit including    I.P or Ambulatory
      proximal interphalangeal joint, with/without Z-plasty/other
      local tissue rearrangement/skin grafting (includes obtaining
26123 graft)
      Fasciectomy, partial palmar, w/release of single digit including   I.P or Ambulatory
      proximal interphalangeal joint, with/without Z-plasty/other
      local tissue rearrangement/skin grafting (includes obtaining
26125 graft); each additional digit
26130 Synovectomy carpometacarpal joint                                  I.P or Ambulatory
      Synovectomy metacarpophalangeal joint including intrinsic          I.P or Ambulatory
26135 release/extensor hood reconstruction, each digit
      Synovectomy proximal interphalangeal joint, includes extensor      I.P or Ambulatory
26140 reconstruction, each joint
      Synovectomy, tendon sheath, radical, flexor tendon,                I.P or Ambulatory
26145 palm/finger, each tendon
      Excision of lesion of tendon sheath/joint capsule, hand/finger     I.P or Ambulatory
26160
      Excision of tendon, palm, flexor or extensor, single, each         I.P or Ambulatory
26170 tendon
26180 Excision of tendon, finger, flexor or extensor, each tendon        I.P or Ambulatory
26185 Sesamoidectomy, thumb/finger (separate procedure)                 I.P or Ambulatory
      Excision/curettage of bone cyst/benign tumor of metacarpal        I.P or Ambulatory
26200
      Excision/curettage of bone cyst/benign tumor of metacarpal;       I.P or Ambulatory
26205 with autograft
      Excision/curettage of bone cyst/benign tumor of                   I.P or Ambulatory
26210 proximal/middle/distal phalanx (finger)
      Excision/curettage of bone cyst/benign tumor of                   I.P or Ambulatory
26215 proximal/middle/distal phalanx (finger); with autograft
26230 Partial excision of bone; metacarpal                              I.P   or   Ambulatory
26235 Partial excision of bone; proximal/middle phalanx (finger)        I.P   or   Ambulatory
26236 Partial excision of bone; distal phalanx (finger)                 I.P   or   Ambulatory
26250 Radical resection, metacarpal                                     I.P   or   Ambulatory
      Radical resection, metacarpal; with autograft (includes           I.P   or   Ambulatory
26255 obtaining graft)
26260 Radical resection, proximal/middle phalanx of finger              I.P or Ambulatory
      Radical resction, proximal/middle phalanx of finger; with         I.P or Ambulatory
26261 autograft (includes obtaining graft)
26262 Radical resection, distal phalanx of finger                       I.P or Ambulatory
26320 Removal of implant from finger/hand                               I.P or Ambulatory
      Repair/advancement, flexor tendon, not in zone 2 digital flexor   I.P or Ambulatory
      tendon sheath; primary/secondary without free graft, each
26350 tendon
      Repair/advancement, flexor tendon, not in zone 2 digital flxor    I.P or Ambulatory
      tendon sheath; secondary with free graft (includes obtaining
26352 graft), each tendon
      Repair/advancement, flexor tendon, in zone 2 digital flexor       I.P or Ambulatory
26356 tendon sheath; primary, each tendon
      Repair/advancement, flexor tendon, in zone 2 digital flexor       I.P or Ambulatory
26357 tendon sheath; secondary, without free graft, each tendon
      Repair/advancement, flexor tendon, in zone 2 digital flexor       I.P or Ambulatory
      tendon sheath; secondary with free graft (includes obtaining
26358 graft), each tendon
      Repair/advancement of profundus tendon, with intact               I.P or Ambulatory
26370 superficialis tendon; primary, each tendon
      Repair/advancement of profundus tendon, with intact               I.P or Ambulatory
      superficialis tendon; secondary with free graft (includes
26372 obtaining graft), each tendon
      Repair/advancement of profundus tendon, with intact               I.P or Ambulatory
      superficialis tendon; secondary without free graft, each tendon
26373
      Excision flexor tendon with implantation of prosthetic rod for    I.P or Ambulatory
26390 delayed tendon graft, hand/finger, each rod
      Removal of synthetic rod & insertion of flexor tendon graft,      I.P or Ambulatory
26392 hand/finger (includes obtaining graft), each rod
      Repair extensor tendon, hand, primary/secondary; without free     I.P or Ambulatory
26410 graft, each tendon
      Repair extensor tendon, hand, primary/secondary; with free        I.P or Ambulatory
26412 graft (includes obtaining graft), each tendon
      Excision of extensor tendon with implantation of synthetic rod    I.P or Ambulatory
26415 for delayed tendon graft, hand/finger, each rod
      Removal of synthetic rod and insertion of extensor tendon graft   I.P or Ambulatory
26416 (includes obtaining graft), hand/finger, each rod
      Repair extensor tendon, finger, primary/secondary; without free   I.P or Ambulatory
26418 graft, each tendon
      Repair extensor tendon, finger, primary/secondary; with free         I.P or Ambulatory
26420 graft (includes obtaining graft) each tendon
      Repair extensor tendon, central slip, secondary; using local         I.P or Ambulatory
26426 tissue(s), including lateral band(s), each finger
      Repair extensor tendon, central slip, secondary; with free graft     I.P or Ambulatory
26428 (includes obtaining graft), each finger
      Closed treatment of distal extensor tendon insertion                 I.P or Ambulatory
26432 with/without percutaneous pinning
      Repair extensor tendon, distal insertion, primary/secondary;         I.P or Ambulatory
26433 without graft
      Repair extensor tendon, distal insertion, primary/secondary;         I.P or Ambulatory
26434 with free graft (includes obtaining graft)
26437 Realignment extensor tendon, hand, each tendon                       I.P   or   Ambulatory
26440 Tenolysis, flexor tendon; palm OR finger, each tendon                I.P   or   Ambulatory
26442 Tenolysis, flexor tendon; palm AND finger, each tendon               I.P   or   Ambulatory
26445 Tenolysis, extensor tendon, hand/finger, each tendon                 I.P   or   Ambulatory
      Tenolysis, complex, extensor tendon, finger, including forearm,      I.P   or   Ambulatory
26449 each tendon
26450 Tenotomy, flexor, palm, open, each tendon                            I.P   or   Ambulatory
26455 Tenotomy, flexor, finger, open, each tendon                          I.P   or   Ambulatory
26460 Tenotomy, extensor, hand/finger, open, each tendon                   I.P   or   Ambulatory
26471 Tenodesis of proximal interphalangeal joint, each joint              I.P   or   Ambulatory
26474 Tenodesis of distal interphalangeal joint, each joint                I.P   or   Ambulatory
26476 Lengthening of extensor tendon, hand/finger, each tendon             I.P   or   Ambulatory
26477 Shortening of extensor tendon, hand/finger, each tendon              I.P   or   Ambulatory
26478 Lengthening of flexor tendon, hand/finger, each tendon               I.P   or   Ambulatory
26479 Shortening of flexor tendon, hand/finger, each tendon                I.P   or   Ambulatory
      Tendon transfer or transplant, carpometacarpal area or dorsum        I.P   or   Ambulatory
26480 of hand, single; without free graft, each
      Tendon transfer or transplant, carpometacarpal area or dorsum        I.P or Ambulatory
      of hand, single; with free tendon graft, each tendon (includes
26483 obtaining graft)
      Tendon transfer or transplant, palmar; without free tendon           I.P or Ambulatory
26485 graft, each tendon
      Tendon transfer or transplant, palmar; with free tendon graft        I.P or Ambulatory
26489 (includes obtaining graft), each tendon
      Opponensplasty; superficialis tendon transfer type, each tendon      I.P or Ambulatory
26490
      Opponensplasty; tendon transfer with graft (includes obtaining       I.P or Ambulatory
26492 graft), each tendon
26494 Opponensplasty; hypothenar muscle transfer                           I.P or Ambulatory
26496 Opponensplasty; other methods                                        I.P or Ambulatory
      Tendon transfer to restore intrinsic function; ring & small finger   I.P or Ambulatory
26497
26498 Tendon transfer to restore intrinsic function; all four fingers      I.P or Ambulatory
26499 Correction claw finger, other method                                 I.P or Ambulatory
      Reconstruction of tendon pulley, each tendon; with local tissues     I.P or Ambulatory
26500 (separate procedure)
      Reconstruction of tendon pulley, each tendon; with                   I.P or Ambulatory
      tendon/fascial graft (includes obtaining graft) (separate
26502 procedure)
26508 Release of thenar muscle(s)                                          I.P   or   Ambulatory
26510 Cross intrinsic transfer, each tendon                                I.P   or   Ambulatory
26516 Capsulodesis, metacarpophalangeal joint; single digit                I.P   or   Ambulatory
26517 Capsulodesis, metacarpophalangeal joint; two digits                  I.P   or   Ambulatory
        Capsulodesis, metacarpophalangeal joint; three or four digits    I.P or Ambulatory
26518
      Capsulectomy or capsulotomy; metacarpophalangeal joint, each       I.P or Ambulatory
26520 joint
      Capsulectomy or capsulotomy; interphalangeal joint, each joint     I.P or Ambulatory
26525
26530 Arthroplasty, metacarpophalangeal joint; each joint                I.P or Ambulatory
      Arthroplasty, metacarpophalangeal joint; with prosthetic           I.P or Ambulatory
26531 implant, each joint
26535 Arthroplasty, interphalangeal joint; each joint                    I.P or Ambulatory
      Arthroplasty interphalangeal joint; with prosthetic implant,       I.P or Ambulatory
26536 each joint
      Repair of collateral ligament, metacarpophalangeal or              I.P or Ambulatory
26540 interphalangeal joint
      Reconstruction, collateral ligament, metacarpophalangeal joint,    I.P or Ambulatory
      single, with tendon/fascial graft (includes obtaining graft)
26541
      Reconstruction, collateral ligament, metacarpophalangeal joint,    I.P or Ambulatory
26542 single; with local tissue
      Reconstruction, collateral ligament, interphalangeal joint,        I.P or Ambulatory
26545 single, including graft, each joint
      Repair non-union, metacarpal/phalanx, (includes obtaining          I.P or Ambulatory
26546 bone graft with/without external/internal fixation)
      Repair/reconstruction, finger/volar plate/interphalangeal joint    I.P or Ambulatory
26548
26550 Pollicization of a digit                                           I.P or Ambulatory
      Toe-to-hand transfer with microvascular anastomosis; great toe     I.P or Ambulatory
26551 wrap-around with bone graft
      Toe-to-hand transfer with microvascular anastomosis; other         I.P or Ambulatory
26553 than great toe, single
      Toe-to-hand transfer with microvascular anastomosis; other         I.P or Ambulatory
26554 than great toe, double
      Transfer of finger to another position without microvascular       I.P or Ambulatory
26555 anastomosis
26556 Free toe joint transfer with microvascular anastomosis             I.P or Ambulatory
26560 Repair of syndactyly each web space; with skin flaps               I.P or Ambulatory
      Repair of syndactyly each web space; with skin flaps & grafts      I.P or Ambulatory
26561
      Repair of syndactyly each web space; complex, involving            I.P or Ambulatory
26562 bone/nails, etc
26565 Osteotomy; metacarpal, each                                        I.P   or   Ambulatory
26567 Osteotomy; phalanx of finger, each                                 I.P   or   Ambulatory
26568 Osteoplasty, lengthening, metacarpal/phalanx                       I.P   or   Ambulatory
26580 Repair cleft hand                                                  I.P   or   Ambulatory
      Reconstruction/repair of polydactylous digit, soft tissue and      I.P   or   Ambulatory
26587 bone
26590 Repair macrodactylia, each digit                                   I.P   or   Ambulatory
26591 Repair, intrinsic muscles of hand, each muscle                     I.P   or   Ambulatory
26593 Release, intrinsic muscles of hand, each muscle                    I.P   or   Ambulatory
26596 Excision of constricting ring with multiple Z-plasties             I.P   or   Ambulatory
      Closed treatment of metacarpal fracture, with manipulation,        I.P   or   Ambulatory
26607 with external fixation, each bone
      Percutaneous skeletal fixation of metacarpal fracture, each bone   I.P or Ambulatory
26608
      Open treatment of metacarpal fracture, single, includes internal     I.P or Ambulatory
26615 fixation, when performed; each bone
      Percutaneous skeletal fixation carpometacarpal fracture              I.P or Ambulatory
26650 dislocation, thumb, with manipulation
      Open treatment of carpometacarpal fracture dislocation, thumb,       I.P or Ambulatory
26665 includes internal fixation, when performed
      Open treatment of carpometacarpal dislocation other than             I.P or Ambulatory
      thumb; includes internal fixation, when performed, each joint
26685
      Open treatment of carpometacarpal dislocation, other than            I.P or Ambulatory
26686 thumb; complex, multiple, or delayed reduction
      Open treatment of metacarpophalangeal dislocation, single,           I.P or Ambulatory
26715 includes internal fixation, when performed
      Percutaneous skeletal fixation of unstable phalangeal shaft          I.P or Ambulatory
      fracture, proximal/middle phalanx, finger/thumb,
26727 w/manipulation, each
      Open treatment of phalangeal shaft fracture, proximal/middle         I.P or Ambulatory
      phalanx, finger/thumb, includes internal fixation, when
26735 performed, each
      Open treatment of articular fx, involving                            I.P or Ambulatory
      metacarpophalangeal/interphalangeal joint, includes internal
26746 fixation, when performed, each
      Percutaneous skeletal fixation distal phalangeal fracture,           I.P or Ambulatory
26756 finger/thumb, each
      Open treatment of distal phalangeal fracture, finger/thumb,          I.P or Ambulatory
26765 includes internal fixation, when performed, each
      Open treatment of interphalangeal joint dislocation, includes        I.P or Ambulatory
26785 internal fixation, when performed, single
      Fusion in opposition, thumb, with autogenous graft (includes         I.P or Ambulatory
26820 obtaining graft)
      Arthrodesis, carpometacarpal joint, with/without internal            I.P or Ambulatory
26841 fixation, thumb
      Arthrodesis, carpometacarpal joint, with/without internal            I.P or Ambulatory
26842 fixation, thumb; with autograft (includes obtaining graft)
      Arthrodesis, carpometacarpal joint, digits other than thumb,         I.P or Ambulatory
26843 each
      Arthrodesis, carpometacarpal joint, digits other than thumb,         I.P or Ambulatory
26844 each; with autograft (includes obtaining graft)
      Arthrodesis, metacarpophalangeal joint, with/without internal        I.P or Ambulatory
26850 fixation
      Arthrodesis, metacarpophalangeal joint, with/without internal        I.P or Ambulatory
26852 fixation; with autograft (includes obtaining graft)
      Arthrodesis, interphalangeal joint, with/without internal fixation   I.P or Ambulatory
26860
      Arthrodesis, interphalangeal joint, with/without internal            I.P or Ambulatory
26861 fixation; each additional interphalangeal joint
      Arthrodesis, interphalangeal joint, with/without internal            I.P or Ambulatory
26862 fixation; with autograft (includes obtaining graft)
      Arthrodesis, interphalangeal joint, with/without internal            I.P or Ambulatory
      fixation; with autograft (includes obtaining graft), each
26863 additional joint
      Amputation, metacarpal, with finger/thumb, single,                   I.P or Ambulatory
26910 with/without interosseous transfer
      Amputation, finger/thumb, primary/secondary, single, including       I.P or Ambulatory
26951 neurectomies; with direct closure
      Amputation, finger/thumb, primary/secondary, single, including     I.P or Ambulatory
26952 neurectomies; with local advancement flaps
      Unlisted procedure, hand/finger (requires additional report/info   I.P or Ambulatory
26989 to be submitted)
      Incision & drainage, pelvis/hip joint; deep abscess/hematoma       I.P or Ambulatory
26990
26991 Incision & drainage, pelvis/hip joint; infected bursa              I.P or Ambulatory
26992 Incision, bone cortex, pelvis and/or hip joint                     I.P or Ambulatory
      Tenotomy, adductor of hip, percutaneous (separate procedure)       I.P or Ambulatory
27000
27001 Tenotomy, adductor of hip, open                                    I.P or Ambulatory
      Subcutaneous adductor tenotomy, open, with obturator               I.P or Ambulatory
27003 neurectomy
27005 Tenotomy, hip flexors, open (separate procedure)                   I.P or Ambulatory
      Tenotomy, abductors and/or extensor(s) of hip, open (separate      I.P or Ambulatory
27006 procedure)
27025 Fasciotomy, hip/thigh, any type                                    I.P or Ambulatory
27030 Arthrotomy, hip, with drainage                                     I.P or Ambulatory
      Arthrotomy, hip, including exploration/removal of loose/foreign    I.P or Ambulatory
27033 body
      Denervation, hip joint, intrapelvic/extrapelvic intra-articular    I.P or Ambulatory
27035 branches of the sciatic/femoral/obturator nerves
      Capsulectomy/capsulotomy of hip, with/without excision of          I.P or Ambulatory
27036 heterotopic bone, w/release of hip flexor muscles
27047 Excision tumor pelvis and hip area; subcutaneous tissue            I.P or Ambulatory
      Excision, tumor pelvis and hip area; deep, subfascial,             I.P or Ambulatory
27048 intramuscular
27049 Radical resection of tumor, soft tissue of pelvis/hip area         I.P   or   Ambulatory
27054 Arthrotomy with synovectomy, hip joint                             I.P   or   Ambulatory
27060 Excision; ischial bursa                                            I.P   or   Ambulatory
27062 Excision; trochanteric bursa/calcification                         I.P   or   Ambulatory
      Excision of bone cyst/benign tumor, pelvic bones; superficial,     I.P   or   Ambulatory
27065 with/without autograft
      Excision of bone cyst/benign tumor, pelvic bones; deep,            I.P or Ambulatory
27066 with/without autograft
      Excision of bone cyst/benign tumor, pelvic bones; with             I.P or Ambulatory
27067 autograft requiring separate incision
27070 Partial excision of pelvis/hip joint; superficial                  I.P or Ambulatory
27071 Partial excision of pelvis/hip joint; deep                         I.P or Ambulatory
      Radical resection of tumor/infection; wing of ilium/one pubic or   I.P or Ambulatory
27075 ischial ramus or symphysis pubis
      Radical resection of tumor/infection; ilium including              I.P or Ambulatory
27076 acetabulum, both pubic rami or ischium and acetabulum
27077 Radical resection of tumor/infection; innominate bone, total       I.P or Ambulatory
      Radical resection of tumor/infection; ischial tuberosity and       I.P or Ambulatory
27078 greater trochanter of femur
      Radical resection of tumor/infection; ischial tuberosity and       I.P or Ambulatory
27079 greater trochanter of femur, with skin flaps
27080 Coccygectomy, primary                                              I.P or Ambulatory
      Removal of foreign body, pelvis/hip; deep                          I.P or Ambulatory
27087 (subfascial/intramuscular)
      Injection procedure for hip arthrography; without anesthesia       I.P or Ambulatory
27093
27095 Injection procedure for hip arthrography; with anesthesia          I.P or Ambulatory
27097 Release or recession, hamstring, proximal                          I.P or Ambulatory
27098   Transfer adductor to ischium                                        I.P   or   Ambulatory
27100   Transfer external oblique muscle to greater trochanter              I.P   or   Ambulatory
27105   Transfer paraspinal muscle to hip                                   I.P   or   Ambulatory
27110   Transfer iliopsoas; to greater trochanter of femur                  I.P   or   Ambulatory
27111   Transfer iliopsoas; to femoral neck                                 I.P   or   Ambulatory
27120   Acetabuloplasty                                                     I.P   or   Ambulatory
27122   Acetabuloplasty; resection femoral head                             I.P   or   Ambulatory
        Osteotomy & transfer of greater trochanter of femur (separate       I.P   or   Ambulatory
27140   procedure)
27146   Iliac/acetabular/innominate bone osteotomy                          I.P or Ambulatory
        Iliac/acetabular/innominate bone osteotomy; with open               I.P or Ambulatory
27147   reduction of hip
        Iliac/acetabular/innominate bone osteotomy; with femoral            I.P or Ambulatory
27151   osteotomy
        Iliac/acetabular/innominate bone osteotomy; with femoral            I.P or Ambulatory
27156   osteotomy & open reduction of hip
27158   Pelvic osteotomy, bilateral                                         I.P or Ambulatory
27161   Femoral neck osteotomy (separate procedure)                         I.P or Ambulatory
        Intertrochanteric/subtrochanteric osteotomy including               I.P or Ambulatory
27165   internal/external fixation and/or cast
        Bone graft, femoral head/neck or                                    I.P or Ambulatory
        intertrochanteric/subtrochanteric area (includes obtaining bone
27170   graft)
27176   Treatment of slipped femoral epiphysis; pinning in-situ             I.P or Ambulatory
        Open treatment of slipped femoral epiphysis; pinning/bone           I.P or Ambulatory
27177   graft
        Open treatment of slipped femoral epiphysis; closed                 I.P or Ambulatory
27178   manipulation with pinning
        Open treatment of slipped femoral epiphysis; osteoplasty of         I.P or Ambulatory
27179   femoral neck
        Open treatment of slipped femoral epiphysis; osteotomy &            I.P or Ambulatory
27181   internal fixation
        Epiphyseal arrest by epiphysiodesis/stapling, greater trochanter    I.P or Ambulatory
27185   of femur
        Prophylactic treatment, with/without methyl methacrylate,           I.P or Ambulatory
27187   femoral neck & proximal femur
27202   Open treatment of coccygeal fracture                                I.P or Ambulatory
        Open treatment of iliac spine(s), tuberosity avulsion, or iliac     I.P or Ambulatory
27215   wing fracture(s), with internal fixation
        Percutaneous skeletal fixation of posterior pelvic ring fracture    I.P or Ambulatory
        and/or dislocation (includes ilium, sacroiliac joint and/or
27216   sacrum)
        Open treatment of anterior ring fracture and/or dislocation with    I.P or Ambulatory
27217   internal fixation (includes pubic symphysis and/or rami)
        Open treatment of posterior ring fracture and/or dislocation        I.P or Ambulatory
        with internal fixation (includes ilium, sacroiliac joint and/or
27218   sacrum)
        Open treatment of posterior or anterior acetabular wall fracture,   I.P or Ambulatory
27226   with internal fixation
        Open treatment of acetabular fracture(s) involving                  I.P or Ambulatory
        anterior/posterior (one) column, or a fracture running
27227   transversely across the acetabulum, with internal fixation
        Open treatment of acetabular fracture(s) involving anterior &      I.P or Ambulatory
        posterior (two) columns, includes T-fracture & both column
        fracture w complete articular detachment, or single column or
        transverse fracture w associated acetabular wall fracture with
27228   internal fixation
        Percutaneous skeletal fixation femoral fracture, proximal end,     I.P or Ambulatory
27235   neck
        Open treatment of femoral fracture, proximal end, neck,            I.P or Ambulatory
27236   internal fixation/prosthetic replacement
        Treatment of intertrochanteric, peritrochanteric, or               I.P or Ambulatory
        subtrochanteric femoral fracture, with plate/screw type implant,
27244   with/without cerclage
        Treatment of intertrochanteric, peritrochanteric or                I.P or Ambulatory
        subtrochanteric femoral fracture; with intramedullary implant,
27245   with/without interlocking screws and/or cerclage
        Open treatment of greater trochanteric fracture, includes          I.P or Ambulatory
27248   internal fixation, when performed
        Open treatment of hip dislocation, traumatic, without internal     I.P or Ambulatory
27253   fixation
        Open treatment of traumatic hip dislocation, with acetabular       I.P or Ambulatory
        wall and femoral head fracture, with/without internal/external
27254   fixation
        Open treatment of spontaneous hip dislocation (developmental,      I.P or Ambulatory
        including congenital/pathological), replacement of femoral head
27258   in acetabulum
        Open treatment of spontaneous hip dislocation (developmental,      I.P or Ambulatory
        including congenital/pathological), replacement of femoral head
        in acetabulum; with femoral shaft shortening
27259
      Open treatment of femoral fracture, proximal end, head,              I.P or Ambulatory
27269 includes internal fixation, when performed
27282 Arthrodesis, symphysis pubis (including obtaining graft)             I.P or Ambulatory
27284 Arthrodesis, hip joint (including obtaining graft)                   I.P or Ambulatory
      Arthrodesis, hip joint (including obtaining graft); with             I.P or Ambulatory
27286 subtrochanteric osteotomy
      Unlisted procedure, pelvis or hip joint (requires additional         I.P or Ambulatory
27299 report/information to be submitted)
      Incision and drainage, deep abscess, bursa, or hematoma,             I.P or Ambulatory
27301 thigh/knee region
27303 Incision, deep, with opening of bone cortex, femur/knee              I.P or Ambulatory
27305 Fasciotomy, iliotibial, open                                         I.P or Ambulatory
      Tenotomy, percutaneous, adductor/hamstring; single tendon            I.P or Ambulatory
27306 (separate procedure)
      Tenotomy, percutaneous, adductor/hamstring; multiple tendons         I.P or Ambulatory
27307
      Arthrotomy, knee, with exploration, drainage, or removal of          I.P or Ambulatory
27310 foreign body
27325 Neurectomy, hamstring muscle                                         I.P   or   Ambulatory
27326 Neurectomy, popliteal (gastrocnemius)                                I.P   or   Ambulatory
27327 Excision, tumor, thigh or knee area; subcutaneous                    I.P   or   Ambulatory
      Excision, tumor, thigh or knee area; deep, subfascial,               I.P   or   Ambulatory
27328 intramuscular
27329 Radical resection of tumor, soft tissue of thigh/knee area           I.P or Ambulatory
      Arthrotomy, knee; including joint exploration, biopsy or             I.P or Ambulatory
27331 removal of loose/foreign bodies
      Arthrotomy, knee, with excision of semilunar cartilage             I.P or Ambulatory
27332 (meniscectomy); medial/lateral
      Arthrotomy, knee, with excision of semilunar cartilage             I.P or Ambulatory
27333 (meniscectomy); medial AND lateral
27334 Arthrotomy, knee, with synovectomy; anterior/posterior             I.P or Ambulatory
      Arthrotomy, knee, with synovectomy; anterior AND posterior         I.P or Ambulatory
27335 including popliteal area
27340 Excision, prepatellar bursa                                        I.P   or   Ambulatory
27345 Excision of synovial cyst of popliteal space                       I.P   or   Ambulatory
27347 Excision of lesion of meniscus or capsule, knee                    I.P   or   Ambulatory
27350 Patellectomy or hemipatellectomy                                   I.P   or   Ambulatory
27355 Excision/curettage of bone cyst/benign tumor of femur              I.P   or   Ambulatory
      Excision/curettage of bone cyst/benign tumor of femur; with        I.P   or   Ambulatory
27356 allograft
      Excision/curettage of bone cyst/benign tumor of femur; with        I.P or Ambulatory
27357 autograft
      Excision/curettage of bone cyst/benign tumor of femur; with        I.P or Ambulatory
27358 internal fixation
27360 Partial excision of bone, femur, proximal tibia and/or fibula      I.P   or   Ambulatory
27365 Radical resection of tumor, bone, femur/knee                       I.P   or   Ambulatory
27370 Injection procedure for knee arthrography                          I.P   or   Ambulatory
27372 Removal foreign body, deep, thigh region or knee area              I.P   or   Ambulatory
27380 Suture of infrapatellar tendon; primary                            I.P   or   Ambulatory
      Suture of infrapatellar tendon; secondary reconstruction           I.P   or   Ambulatory
27381 including fascial/tendon graft
27385 Suture of quadriceps/hamstring muscle rupture; primary             I.P or Ambulatory
      Suture of quadriceps/hamstring muscle rupture; secondary           I.P or Ambulatory
27386 reconstruction including fascial/tendon graft
27390 Tenotomy, open, hamstring, knee to hip; single tendon              I.P or Ambulatory
      Tenotomy, open, hamstring, knee to hip; multiple tendons, one      I.P or Ambulatory
27391 leg
      Tenotomy, open, hamstring, knee to hip; multiple tendons,          I.P or Ambulatory
27392 bilateral
27393 Lengthening of hamstring tendon; single tendon                     I.P or Ambulatory
27394 Lengthening of hamstring tendon; multiple tendons, one leg         I.P or Ambulatory
      Lengthening of hamstring tendon; multiple tendons, bilateral       I.P or Ambulatory
27395
27396 Transplant, hamstring tendon to patella; single tendon             I.P   or   Ambulatory
27397 Transplant, hamstring tendon to patella; multiple tendons          I.P   or   Ambulatory
27400 Transfer, tendon/muscle, hamstring to femur                        I.P   or   Ambulatory
27403 Arthrotomy with meniscus repair, knee                              I.P   or   Ambulatory
27405 Primary repair, torn ligament/capsule, knee; collateral            I.P   or   Ambulatory
27407 Primary repair, torn ligament/capsule, knee; cruciate              I.P   or   Ambulatory
      Primary repair, torn ligament/capsule, knee; collateral &          I.P   or   Ambulatory
27409 cruciate ligaments
27412 Autologous chondrocyte implantation, knee                          I.P or Ambulatory
27415 Osteochondral allograft, knee, open                                I.P or Ambulatory
      Osteochondral autograft(s), knee, open (e.g., mosaicplasty)        I.P or Ambulatory
27416 (includes harvesting of autograft(s))
27418 Anterior tibial tubercleplasty                                     I.P or Ambulatory
27420 Reconstruction of dislocating patella                              I.P or Ambulatory
      Reconstruction of dislocating patella; with extensor realignment   I.P or Ambulatory
27422 and/or muscle advancement/release
27424 Reconstruction of dislocating patella; with patellectomy           I.P or Ambulatory
27425 Lateral retinacular release open                                   I.P or Ambulatory
      Ligamentous reconstruction (augmentation), knee; extra-            I.P or Ambulatory
27427 articular
      Ligamentous reconstruction (augmentation), knee; intra-            I.P or Ambulatory
27428 articular (open)
      Ligamentous reconstruction (augmentation), knee; intra-            I.P or Ambulatory
27429 articular (open) & extra-articular
27430 Quadricepsplasty                                                   I.P   or   Ambulatory
27435 Knee capsulotomy, posterior capsular release                       I.P   or   Ambulatory
27437 Patella arthroplasty; without prosthesis                           I.P   or   Ambulatory
27438 Patella arthroplasty; with prosthesis                              I.P   or   Ambulatory
27440 Knee arthroplasty, tibial plateau                                  I.P   or   Ambulatory
      Knee arthroplasty, tibial plateau; debridement and partial         I.P   or   Ambulatory
27441 synovectomy
27442 Knee arthroplasty, femoral condyles/tibial plateaus                I.P or Ambulatory
      Knee arthroplasty, femoral condyles/tibial plateaus;               I.P or Ambulatory
27443 debridement and partial synovectomy
27448 Osteotomy, femur, shaft/supracondylar; without fixation            I.P or Ambulatory
27450 Osteotomy, femur shaft/supracondylar; with fixation                I.P or Ambulatory
      Osteotomy, multiple, femoral shaft w/realignment on                I.P or Ambulatory
27454 intramedullary rod
      Osteotomy, proximal tibia, including fibular excision/osteotomy;   I.P or Ambulatory
27455 before epiphyseal closure
      Osteotomy, proximal tibia, including fibular excision/osteotomy;   I.P or Ambulatory
27457 after epiphyseal closure
27465 Osteoplasty, femur; shortening                                     I.P or Ambulatory
27466 Osteoplasty, femur; lengthening                                    I.P or Ambulatory
      Osteoplasty, femur; lengthening & shortening with femoral          I.P or Ambulatory
27468 segment transfer
      Repair non/malunion, femur, distal to head & neck; without         I.P or Ambulatory
27470 graft
      Repair non/malunion, femur, distal to head & neck; with iliac or   I.P or Ambulatory
      other autogenous bone graft (includes obtaining graft)
27472
27475 Arrest, epiphyseal, any method; distal femur                       I.P or Ambulatory
27477 Arrest, epiphyseal, any method; tibia and fibula, proximal         I.P or Ambulatory
      Arrest, epiphyseal, any method; combined distal femur,             I.P or Ambulatory
27479 proximal tibia and fibula
27485 Arrest, hemiepiphyseal, distal femur or proximal tibia/fibula      I.P or Ambulatory
      Removal of prosthesis including 'total knee' prosthesis,           I.P or Ambulatory
27488 methylmethacrylate with/without insertion of spacer, knee
      Prophylactic treatment (nailing, pinning, plating, or wiring)      I.P or Ambulatory
27495 with/without methyl methacrylate, femur
      Decompression fasciotomy, thigh and/or knee, one                   I.P or Ambulatory
27496 compartment (flexor/extensor/adductor)
      Decompression fasciotomy, thigh and/or knee, one                   I.P or Ambulatory
      compartment (flexor/extensor/adductor); with debridement of
27497 nonviable muscle and/or nerve
      Decompression fasciotomy, thigh and/or knee, multiple              I.P or Ambulatory
27498 compartments
      Decompression fasciotomy, thigh and/or knee, multiple              I.P or Ambulatory
      compartments; with debridement of nonviable muscle and/or
27499 nerve
      Open treatment of femoral shaft fracture, with/without external    I.P or Ambulatory
      fixation, with insertion of intramedullary implant, with/without
27506 cerclage and/or locking screws
      Open treatment of femoral shaft fracture with plate/screws,          I.P or Ambulatory
27507 with/without cerclage
      Percutaneous skeletal fixation of femoral fracture, distal end,      I.P or Ambulatory
      medial/lateral condyle or supracondylar/transcondylar,
      with/without intercondylar extension, or distal femoral
27509 epiphyseal separation
      Open treatment of femoral supracondylar/transcondylar                I.P or Ambulatory
      fracture without intercondylar extension, includes internal
27511 fixation, when performed
      Open treatment of femoral supracondylar/transcondylar                I.P or Ambulatory
      fracture with intercondylar extension, includes internal fixation,
27513 when performed
      Open treatment of femoral fracture, distal end, medial/lateral       I.P or Ambulatory
      condyle, includes internal fixation, when performed
27514
      Closed treatment of distal femoral epiphyseal separation; with       I.P or Ambulatory
27517 manipulation, with/without skin/skeletal traction
      Open treatment of distal femoral epiphyseal separation,              I.P or Ambulatory
27519 includes internal fixation, when performed
      Open treatment of patellar fracture, with internal fixation          I.P or Ambulatory
27524 and/or partial/complete patellectomy and soft tissue repair
      Open treatment of tibial fracture, proximal (plateau);               I.P or Ambulatory
27535 unicondylar, includes internal fixation, when performed
      Open treatment of tibial fracture, proximal (plateau);               I.P or Ambulatory
27536 bicondylar, with/without internal fixation
      Open treatment of intercondylar spine(s) and/or tuberosity           I.P or Ambulatory
      fracture(s) of the knee, includes internal fixation, when
27540 performed
      Open treatment of knee dislocation, includes internal fixation,      I.P or Ambulatory
      when performed; without primary ligamentous repair or
27556 augmentation/reconstruction
      Open treatment of knee dislocation, includes internal fixation,      I.P or Ambulatory
      when performed; with primary ligamentous repair or
27557 augmentation/reconstruction
      Open treatment of knee dislocation, includes internal fixation,      I.P or Ambulatory
      when performed; with primary ligamentous repair, with
27558 augmentation/reconstruction
      Open treatment of patellar dislocation with/without partial/total    I.P or Ambulatory
27566 patellectomy
27580 Arthrodesis, knee, any technique                                     I.P or Ambulatory
      Amputation, thigh, through femur, any level; secondary               I.P or Ambulatory
27594 closure/scar revision
27596 Amputation, thigh, through femur, any level; reamputation            I.P or Ambulatory
      Unlisted procedure, femur/knee (requires additional                  I.P or Ambulatory
27599 report/information to be submitted)
      Decompression fasciotomy, leg; anterior and/or lateral               I.P or Ambulatory
27600 compartments only
      Decompression fasciotomy, leg; posterior compartment(s) only         I.P or Ambulatory
27601
      Decompression fasciotomy, leg; anterior and/or lateral, and          I.P or Ambulatory
27602 posterior compartment(s)
      Incision & drainage lower leg/ankle joint; deep                      I.P or Ambulatory
27603 abscess/hematoma
27604 Incision & drainage lower leg/ankle joint; infected bursa            I.P or Ambulatory
      Tenotomy, percutaneous, Achilles tendon; local anesthesia         I.P or Ambulatory
27605 (separate procedure)
      Tenotomy, percutaneous, Achilles tendon; general anesthesia       I.P or Ambulatory
27606 (separate procedure)
27607 Incision, leg or ankle                                            I.P or Ambulatory
      Arthrotomy, ankle, including exploration, drainage, or removal    I.P or Ambulatory
27610 of foreign body
      Arthrotomy, posterior capsular release, ankle, with/without       I.P or Ambulatory
27612 Achilles tendon lengthening
27615 Radical resection, tumor, soft tissue of leg/ankle area           I.P or Ambulatory
27618 Excision, tumor, leg or ankle area; subcutaneous tissue           I.P or Ambulatory
      Excision, tumor, leg or ankle area; deep                          I.P or Ambulatory
27619 (subfascial/intramuscular)
27625 Arthrotomy, with synovectomy, ankle                               I.P or Ambulatory
      Arthrotomy, with synovectomy, ankle; including                    I.P or Ambulatory
27626 tenosynovectomy
      Excision, lesion tendon sheath/capsule, lower leg/ankle joint     I.P or Ambulatory
27630
27635 Excision/curettage bone cyst/benign tumor, tibia/fibula           I.P or Ambulatory
      Excision/curettage bone cyst/benign tumor, tibia/fibula ; with    I.P or Ambulatory
27637 autograft
      Excision/curettage bone cyst/benign tumor, tibia/fibula ; with    I.P or Ambulatory
27638 allograft
27640 Partial excision bone; tibia                                      I.P   or   Ambulatory
27641 Partial excision bone; fibula                                     I.P   or   Ambulatory
27645 Radical resection of tumor, bone; tibia                           I.P   or   Ambulatory
27646 Radical resection of tumor, bone; fibula                          I.P   or   Ambulatory
27647 Radical resection of tumor, bone; talus/calcaneus                 I.P   or   Ambulatory
27648 Injection procedure for ankle arthrography                        I.P   or   Ambulatory
      Primary repair, open/percutaneous, ruptured Achilles tendon       I.P   or   Ambulatory
27650
      Primary repair, open/percutaneous, ruptured Achilles tendon;      I.P or Ambulatory
27652 with graft (includes obtaining graft)
27654 Secondary repair, Achilles tendon, with/without graft             I.P or Ambulatory
27656 Repair fascial defect of lower leg                                I.P or Ambulatory
      Primary repair, flexor tendon, leg; without graft, each tendon    I.P or Ambulatory
27658
      Secondary repair, flexor tendon, leg; with/without graft, each    I.P or Ambulatory
27659 tendon
      Primary repair, extensor tendon, leg; without graft, each         I.P or Ambulatory
27664 tendon
      Secondary repair, extensor tendon, leg; with/without graft,       I.P or Ambulatory
27665 each tendon
      Repair, dislocating peroneal tendons; without fibular osteotomy   I.P or Ambulatory
27675
      Repair, dislocating peroneal tendons; with fibular osteotomy      I.P or Ambulatory
27676
      Tenolysis, flexor/extensor tendon, leg and/or ankle; single,      I.P or Ambulatory
27680 each tendon
      Tenolysis, flexor/extensor tendon, leg and/or ankle; multiple     I.P or Ambulatory
27681 tendons
      Lengthening/shortening tendon, lower leg/ankle joint; single      I.P or Ambulatory
27685 tendon (separate procedure)
      Lengthening/shortening tendon, lower leg/ankle joint; multiple    I.P or Ambulatory
27686 tendons, each
27687 Gastrocnemius recession                                              I.P   or   Ambulatory
27690 Transfer/transplant of single tendon; superficial                    I.P   or   Ambulatory
27691 Transfer/transplant of single tendon; deep                           I.P   or   Ambulatory
      Transfer/transplant of single tendon; each additional tendon         I.P   or   Ambulatory
27692
27695 Primary repair, disrupted ligament, ankle; collateral                I.P or Ambulatory
      Primary repair, disrupted ligament, ankle; both collateral           I.P or Ambulatory
27696 ligaments
27698 Secondary repair, disrupted ligament, ankle; collateral              I.P   or   Ambulatory
27700 Arthroplasty, ankle                                                  I.P   or   Ambulatory
27703 Arthroplasty, ankle; revision, total ankle                           I.P   or   Ambulatory
27704 Removal of ankle implant                                             I.P   or   Ambulatory
27705 Osteotomy; tibia                                                     I.P   or   Ambulatory
27707 Osteotomy; fibula                                                    I.P   or   Ambulatory
27709 Osteotomy; tibia & fibula                                            I.P   or   Ambulatory
27712 Osteotomy; multiple, with realignment on intramedullary rod          I.P   or   Ambulatory
27715 Osteoplasty, tibia & fibula, lengthening/shortening                  I.P   or   Ambulatory
27720 Repair of nonunion/malunion, tibia; without graft                    I.P   or   Ambulatory
27722 Repair of nonunion/malunion, tibia; with sliding graft               I.P   or   Ambulatory
      Repair of nonunion/malunion, tibia; with iliac/autogenous bone       I.P   or   Ambulatory
27724 graft (includes obtaining graft)
      Repair of nonunion/malunion, tibia; by synostosis, with fibula,      I.P or Ambulatory
27725 any method
27727 Repair of congenital pseudoarthrosis, tibia                          I.P   or   Ambulatory
27730 Arrest, epiphyseal, open; distal tibia                               I.P   or   Ambulatory
27732 Arrest, epiphyseal, open; distal fibula                              I.P   or   Ambulatory
27734 Arrest, epiphyseal, open; distal tibia & fibula                      I.P   or   Ambulatory
      Arrest, epiphyseal, any method, combined, proximal & distal          I.P   or   Ambulatory
27740 tibia & fibula
      Arrest, epiphyseal, any method, combined, proximal & distal          I.P or Ambulatory
27742 tibia & fibula; and distal femur
      Prophylactic treatment with/without methylmethacrylate, tibia        I.P or Ambulatory
27745
      Percutaneous skeletal fixation of tibial shaft fracture              I.P or Ambulatory
27756 (with/without fibular fracture) (eg, pins or screws)
      Open treatment of tibial shaft fracture (with/without fibular        I.P or Ambulatory
27758 fracture), with plate/screws, with/without cerclage
      Treatment of tibial shaft fracture (with/without fibular fracture)   I.P or Ambulatory
      by intramedullary implant, with/without interlocking screws
27759 and/or cerclage
      Open treatment of medial malleolus fracture, includes internal       I.P or Ambulatory
27766 fixation, when performed
      Open treatment of posterior malleolus fracture, includes             I.P or Ambulatory
27769 internal fixation, when performed
      Open treatment of proximal fibula/shaft fracture, includes           I.P or Ambulatory
27784 internal fixation, when performed
      Open treatment of distal fibular fracture (lateral malleolus),       I.P or Ambulatory
27792 includes internal fixation, when performed
      Open treatment of bimalleolar ankle fracture (e.g., lateral and      I.P or Ambulatory
      medial, lateral and posterior, or medial and posterior malleoli),
27814 includes internal fixation, when performed
      Open treatment of trimalleolar ankle fx, includes internal           I.P or Ambulatory
      fixation, when performed, medial and/or lateral malleolus;
27822 without fixation of posterior lip
        Open treatment of trimalleolar ankle fx, includes internal        I.P or Ambulatory
        fixation, when performed, medial and/or lateral malleolus; with
27823   fixation of posterior lip
        Open treatment of fracture of weight bearing articular            I.P or Ambulatory
        surface/portion of distal tibia, with internal fixation, when
27826   performed; of fibula only
        Open treatment of fracture of weight bearing articular            I.P or Ambulatory
        surface/portion of distal tibia, with internal fixation, when
27827   performed; of tibia only
        Open treatment of fracture of weight bearing articular            I.P or Ambulatory
        surface/portion of distal tibia, with internal fixation, when
27828   performed; of both tibia & fibula
        Open treatment of distal tibiofibular joint (syndesmosis)         I.P or Ambulatory
27829   disruption, includes internal fixation, when performed
        Open treatment of proximal tibiofibular joint dislocation,        I.P or Ambulatory
        includes internal fixation, when performed, or with excision
27832   proximal fibula
        Open treatment of ankle dislocation, with/without percutaneous    I.P or Ambulatory
        skeletal fixation; without repair/internal fixation
27846
        Open treatment of ankle dislocation, with/without percutaneous    I.P or Ambulatory
        skeletal fixation; with repair/internal/external fixation
27848
27870 Arthrodesis, ankle, open                                            I.P or Ambulatory
27871 Arthrodesis, tibiofibular joint, proximal/distal                    I.P or Ambulatory
      Amputation leg, through tibia/fibula; secondary closure/scar        I.P or Ambulatory
27884 revision
27886 Amputation leg, through tibia/fibula; reamputation                  I.P or Ambulatory
      Decompression fasciotomy, leg; anterior and/or lateral              I.P or Ambulatory
      compartments only, with debridement of nonviable muscle
27892 and/or nerve
      Decompression fasciotomy, leg; posterior compartment(s) only,       I.P or Ambulatory
27893 with debridement of nonviable muscle and/or nerve
      Decompression fasciotomy, leg; anterior and/or lateral, and         I.P or Ambulatory
      posterior compartment(s), with debridement of nonviable
27894 muscle and/or nerve
      Unlisted procedure, leg/ankle (requires additional report/info to   I.P or Ambulatory
27899 be submitted)
28001 Incision and drainage, bursa, foot                                  I.P or Ambulatory
      Incision and drainage below fascia, with/without tendon sheath      I.P or Ambulatory
28002 involvement, foot, single bursal space
      Incision and drainage below fascia, with/without tendon sheath      I.P or Ambulatory
28003 involvement, foot; multiple areas
28005 Incision, bone cortex, foot                                         I.P   or   Ambulatory
28008 Fasciotomy, foot/toe                                                I.P   or   Ambulatory
28010 Tenotomy, percutaneous, toe; single tendon                          I.P   or   Ambulatory
28011 Tenotomy, percutaneous, toe; multiple tendons                       I.P   or   Ambulatory
      Arthrotomy, including exploration, drainage, or removal of          I.P   or   Ambulatory
28020 loose/foreign body; intertarsal/tarsometatarsal joint
      Arthrotomy, including exploration, drainage, or removal of          I.P or Ambulatory
28022 loose/foreign body; metatarsophalangeal joint
      Arthrotomy, including exploration, drainage, or removal of          I.P or Ambulatory
28024 loose/foreign body; interphalangeal joint
28035 Release tarsal tunnel                                               I.P or Ambulatory
28043 Excision, tumor, foot; subcutaneous                                 I.P or Ambulatory
28045   Excision, tumor, foot; deep, subfascial, intramuscular              I.P   or   Ambulatory
28046   Radical resection of tumor, soft tissue of foot                     I.P   or   Ambulatory
28055   Neurectomy, intrinsic musculature of foot                           I.P   or   Ambulatory
28060   Fasciectomy, plantar fascia; partial (separate procedure)           I.P   or   Ambulatory
28062   Fasciectomy, plantar fascia; radical (separate procedure)           I.P   or   Ambulatory
28070   Synovectomy; intertarsal/tarsometatarsal joint, each                I.P   or   Ambulatory
28072   Synovectomy; metatarsophalangeal joint, each                        I.P   or   Ambulatory
28080   Excision of interdigital (Morton) neuroma, single, each             I.P   or   Ambulatory
28086   Synovectomy, tendon sheath of foot; flexor                          I.P   or   Ambulatory
28088   Synovectomy, tendon sheath of foot; extensor                        I.P   or   Ambulatory
        Excision of lesion, tendon/tendon sheath/capsule (including         I.P   or   Ambulatory
28090   synovectomy); foot
        Excision of lesion, tendon/tendon sheath/capsule (including         I.P or Ambulatory
28092   synovectomy); toe(s), each
        Excision/curettage of bone cyst or benign tumor, talus or           I.P or Ambulatory
28100   calcaneus
        Excision/curettage of bone cyst or benign tumor, talus or           I.P or Ambulatory
        calcaneus; with iliac or other autogenous bone graft (includes
28102   obtaining graft)
        Excision/curettage of bone cyst or benign tumor, talus or           I.P or Ambulatory
28103   calcaneus; with allograft
        Excision/curettage of bone cyst or benign tumor, tarsal or          I.P or Ambulatory
28104   metatarsal, except talus or calcaneus
        Excision/curettage of bone cyst or benign tumor, tarsal or          I.P or Ambulatory
        metatarsal, except talus/calcaneus, with iliac or other autograft
28106   (includes obtaining graft)
        Excision/curettage of bone cyst or benign tumor, tarsal or          I.P or Ambulatory
28107   metatarsal, except talus/calcaneus, with allograft
        Excision/curettage of bone cyst or benign tumor, phalanges          I.P or Ambulatory
28108   (toe)
        Ostectomy, partial excision, fifth metatarsal head (bunionette)     I.P or Ambulatory
28110   (separate procedure)
28111   Ostectomy, complete excision; first metatarsal head                 I.P or Ambulatory
        Ostectomy, complete excision; second or third or fourth             I.P or Ambulatory
28112   metatarsal head
28113   Ostectomy, complete excision; fifth metatarsal head                 I.P or Ambulatory
        Ostectomy, complete excision; all metatarsal heads with partial     I.P or Ambulatory
28114   proximal phalangectomy, excluding first metatarsal
28116   Ostectomy, excision of tarsal coalition                             I.P or Ambulatory
28118   Ostectomy, calcaneus                                                I.P or Ambulatory
        Ostectomy, calcaneus; for spur, with/without plantar fascial        I.P or Ambulatory
28119   release
28120   Partial excision of bone, talus or calcaneus                        I.P or Ambulatory
        Partial excision of bone, tarsal or metatarsal bone, except talus   I.P or Ambulatory
28122   or calcaneus
28124   Partial excision of bone, phalanx (toe)                             I.P   or   Ambulatory
28126   Resection, partial/complete, phalangeal base, each toe              I.P   or   Ambulatory
28130   Talectomy                                                           I.P   or   Ambulatory
28140   Metatarsectomy                                                      I.P   or   Ambulatory
28150   Phalangectomy, toe, each toe                                        I.P   or   Ambulatory
28153   Resection, condyle(s), distal end of phalanx, each toe              I.P   or   Ambulatory
        Hemiphalangectomy or interphalangeal joint excision, toe,           I.P   or   Ambulatory
28160   proximal end of phalanx, each
        Radical resection of tumor, bone; tarsal (except                    I.P or Ambulatory
28171   talus/calcaneus)
28173 Radical resection of tumor, bone; metatarsal                      I.P   or   Ambulatory
28175 Radical resection of tumor, bone; phalanx of toe                  I.P   or   Ambulatory
28192 Remove foreign body, foot; deep                                   I.P   or   Ambulatory
28193 Remove foreign body, foot; complicated                            I.P   or   Ambulatory
      Repair flexor tendon, foot; primary/secondary, without free       I.P   or   Ambulatory
28200 graft, each tendon
      Repair flexor tendon, foot; secondary with free graft, each       I.P or Ambulatory
28202 tendon (includes obtaining graft)
      Repair extensor tendon, foot; primary/secondary, each tendon      I.P or Ambulatory
28208
      Repair extensor tendon, foot; secondary with free graft, each     I.P or Ambulatory
28210 tendon (includes obtaining graft)
28220 Tenolysis, flexor, foot; single tendon                            I.P   or   Ambulatory
28222 Tenolysis, flexor, foot; multiple tendons                         I.P   or   Ambulatory
28225 Tenolysis, extensor, foot; single tendon                          I.P   or   Ambulatory
28226 Tenolysis, extensor, foot; multiple tendons                       I.P   or   Ambulatory
      Tenotomy, open, flexor; foot, single or multiple tendon(s)        I.P   or   Ambulatory
28230 (separate procedure)
      Tenotomy, open, flexor; toe, single tendon (separate              I.P or Ambulatory
28232 procedure)
28234 Tenotomy, open, extensor, foot or toe, each tendon                I.P or Ambulatory
      Reconstruction (advancement), posterior tibial tendon with        I.P or Ambulatory
28238 excision of accessory tarsal navicular bone
28240 Tenotomy/lengthening or release, abductor hallucis muscle         I.P or Ambulatory
28250 Division of plantar fascia & muscle (separate procedure)          I.P or Ambulatory
      Capsulotomy, midfoot; medial release only (separate               I.P or Ambulatory
28260 procedure)
28261 Capsulotomy, midfoot; with tendon lengthening                     I.P or Ambulatory
      Capsulotomy, midfoot; extensive, including posterior talotibial   I.P or Ambulatory
28262 capsulotomy and tendon(s) lengthening
28264 Capsulotomy, midtarsal                                            I.P or Ambulatory
      Capsulotomy; metatarsophalangeal joint with/without               I.P or Ambulatory
28270 tenorrhaphy, each joint (separate procedure)
      Capsulotomy; interphalangeal joint, each joint (separate          I.P or Ambulatory
28272 procedure)
28280 Syndactylization, toes                                            I.P   or   Ambulatory
28285 Correction of hammertoe                                           I.P   or   Ambulatory
28286 Correction of cock-up fifth toe with plastic skin closure         I.P   or   Ambulatory
      Ostectomy, partial, exostectomy or condylectomy, metatarsal       I.P   or   Ambulatory
28288 head, each metatarsal head
      Hallux rigidus correction with cheilectomy, debridement and       I.P or Ambulatory
28289 capsular release of first metatarsophalangeal joint
28290 Hallux valgus (bunion) correction; simple exostectomy             I.P or Ambulatory
      Hallux valgus (bunion) correction; Keller/McBride/Mayo type       I.P or Ambulatory
28292 procedure
      Hallux valgus (bunion) correction; resection of joint with        I.P or Ambulatory
28293 implant
28294 Hallux valgus (bunion) correction; with tendon transplants        I.P or Ambulatory
      Hallux valgus (bunion) correction; with metatarsal osteotomy      I.P or Ambulatory
28296
28297 Hallux valgus (bunion) correction; Lapidus-type procedure         I.P   or   Ambulatory
28298 Hallux valgus (bunion) correction; by phalanx osteotomy           I.P   or   Ambulatory
28299 Hallux valgus (bunion) correction; by double osteotomy            I.P   or   Ambulatory
28300 Osteotomy; calcaneus, with/without internal fixation              I.P   or   Ambulatory
28302 Osteotomy; talus                                                  I.P   or   Ambulatory
28304 Osteotomy, tarsal bones, other than calcaneus/talus                 I.P or Ambulatory
      Osteotomy, tarsal bones, other than calcaneus/talus; with           I.P or Ambulatory
28305 autograft (includes obtaining graft)
      Osteotomy, with/without lengthening/shortening/angular              I.P or Ambulatory
28306 correction, metatarsal; first metatarsal
      Osteotomy, with/without lengthening/shortening/angular              I.P or Ambulatory
      correction, metatarsal; first metatarsal with autograft (other
28307 than first toe)
      Osteotomy, with/without lengthening/shortening/angular              I.P or Ambulatory
28308 correction, metatarsal; other than first metatarsal, each
      Osteotomy, with/without lengthening/shortening/angular              I.P or Ambulatory
28309 correction, metatarsal; multiple
      Osteotomy, shortening, angular or rotational correction;            I.P or Ambulatory
28310 proximal phalanx, first toe (separate procedure)
      Osteotomy, shortening, angular or rotational correction; other      I.P or Ambulatory
28312 phalanges, any toe
      Reconstruction, angular deformity of toe, soft tissue procedures    I.P or Ambulatory
28313 only
28315 Sesamoidectomy, first toe (separate procedure)                      I.P or Ambulatory
28320 Repair of nonunion or malunion; tarsal bones                        I.P or Ambulatory
      Repair of nonunion or malunion; metatarsal, with/without bone       I.P or Ambulatory
28322 graft (includes obtaining graft)
28340 Reconstruction, toe, macrodactyly, soft tissue resection            I.P or Ambulatory
      Reconstruction, toe, macrodactyly, requiring bone resection         I.P or Ambulatory
28341
28344 Reconstruction, toe(s), polydactyly                                 I.P or Ambulatory
      Reconstruction, toe, syndactyly, with/without skin graft(s),        I.P or Ambulatory
28345 each web
28360 Reconstruction, cleft foot                                          I.P or Ambulatory
      Percutaneous skeletal fixation of calcaneal fracture; with          I.P or Ambulatory
28406 manipulation
      Open treatment of calcaneal fracture, includes internal fixation,   I.P or Ambulatory
28415 when performed
      Open treatment of calcaneal fx, includes internal fixation, when    I.P or Ambulatory
      performed; with primary iliac/other autogenous bone graft
28420 (includes obtaining graft)
      Percutaneous skeletal fixation of talus fracture, with              I.P or Ambulatory
28436 manipulation
      Open treatment of talus fracture, includes internal fixation,       I.P or Ambulatory
28445 when performed
      Open osteochondral autograft, talus (includes obtaining             I.P or Ambulatory
28446 graft(s))
      Percutaneous skeletal fixation of tarsal bone fracture (except      I.P or Ambulatory
28456 talus & calcaneus), with manipulation, each
      Open treatment of tarsal bone fracture (except talus &              I.P or Ambulatory
      calcaneus); includes internal fixation, when performed, each
28465
      Percutaneous skeletal fixation of metatarsal fracture, with         I.P or Ambulatory
28476 manipulation, each
      Open treatment of metatarsal fracture, includes internal            I.P or Ambulatory
28485 fixation, when performed, each
      Percutaneous skeletal fixation of fracture great toe, phalanx or    I.P or Ambulatory
28496 phalanges, with manipulation
      Open treatment of fracture great toe/phalanx/phalanges,             I.P or Ambulatory
28505 includes internal fixation, when performed
      Open treatment of fracture, phalanx/phalanges, other than           I.P or Ambulatory
28525 great toe, includes internal fixation, when performed, each
      Open treatment of sesamoid fracture, with/without internal          I.P or Ambulatory
28531 fixation
      Open treatment of tarsal bone dislocation, includes internal        I.P or Ambulatory
28555 fixation, when performed
      Open treatment of talotarsal joint dislocation, includes internal   I.P or Ambulatory
28585 fixation, when performed
      Open treatment of tarsometatarsal joint dislocation, includes       I.P or Ambulatory
28615 internal fixation, when performed
      Open treatment of metatarsophalangeal joint dislocation,            I.P or Ambulatory
28645 includes internal fixation, when performed
      Open treatment of interphalangeal joint dislocation, includes       I.P or Ambulatory
28675 internal fixation, when performed
28705 Arthrodesis; pantalar                                               I.P   or   Ambulatory
28715 Arthrodesis; triple                                                 I.P   or   Ambulatory
28725 Arthrodesis; subtalar                                               I.P   or   Ambulatory
28730 Arthrodesis, midtarsal/tarsometatarsal, multiple/transverse         I.P   or   Ambulatory
      Arthrodesis, midtarsal/tarsometatarsal, multiple/transverse;        I.P   or   Ambulatory
28735 with osteotomy
      Arthrodesis, midtarsal, tarsal navicular-cuneiform, with tendon     I.P or Ambulatory
28737 lengthening & advancement
28740 Arthrodesis, midtarsal/tarsometatarsal, single joint                I.P   or   Ambulatory
28750 Arthrodesis, great toe; metatarsophalangeal joint                   I.P   or   Ambulatory
28755 Arthrodesis, great toe; interphalangeal joint                       I.P   or   Ambulatory
      Arthrodesis, with extensor hallucis longus transfer to first        I.P   or   Ambulatory
28760 metatarsal neck, great toe, interphalangeal joint
28810 Amputation, metatarsal, with toe, single                            I.P   or   Ambulatory
28820 Amputation, toe; metatarsophalangeal joint                          I.P   or   Ambulatory
28825 Amputation, toe; interphalangeal joint                              I.P   or   Ambulatory
      Unlisted procedure, foot/toe (requires additional                   I.P   or   Ambulatory
28899 report/information to be submitted)
      Temporomandibular joint arthroscopy, diagnostic, with/without       I.P or Ambulatory
29800 synovial biopsy (separate procedure)
29804 Temporomandibular joint arthroscopy, surgical                       I.P or Ambulatory
      Shoulder arthroscopy, diagnostic, with or without synovial          I.P or Ambulatory
29805 biopsy (separate procedure)
29806 Shoulder arthroscopy, surgical; capsulorrhaphy                      I.P or Ambulatory
29807 Shoulder arthroscopy, surgical; repair SLAP lesion                  I.P or Ambulatory
      Shoulder arthroscopy, surgical; with removal of loose/foreign       I.P or Ambulatory
29819 body
29820 Shoulder arthroscopy, surgical; with partial synovectomy            I.P or Ambulatory
      Shoulder arthroscopy, surgical; with complete synovectomy           I.P or Ambulatory
29821
29822 Shoulder arthroscopy, surgical; with limited debridement            I.P or Ambulatory
29823 Shoulder arthroscopy, surgical; with extensive debridement          I.P or Ambulatory
      Shoulder arthroscopy, surgical; distal claviculectomy including     I.P or Ambulatory
29824 distal articular surface (Mumford procedure)
      Shoulder arthroscopy, surgical; with lysis & resection of           I.P or Ambulatory
29825 adhesions with/without manipulation
      Shoulder arthroscopy, surgical; decompression of subacromial        I.P or Ambulatory
      space partial acromioplasty with/without coracoacromial release
29826
29828 Shoulder arthroscopy, surgical; biceps tenodesis                    I.P or Ambulatory
      Elbow arthroscopy, diagnostic, with/without synovial biopsy         I.P or Ambulatory
29830 (separate procedure)
      Elbow arthroscopy, surgical; with removal of loose/foreign body     I.P or Ambulatory
29834
29835 Elbow arthroscopy, surgical; with partial synovectomy               I.P   or   Ambulatory
29836 Elbow arthroscopy, surgical; with complete synovectomy              I.P   or   Ambulatory
29837 Elbow arthroscopy, surgical; with limited debridement               I.P   or   Ambulatory
29838 Elbow arthroscopy, surgical; with extensive debridement             I.P   or   Ambulatory
      Wrist arthroscopy, diagnostic, with/without synovial biopsy         I.P   or   Ambulatory
29840 (separate procedure)
29843 Wrist arthroscopy, surgical; for infection, lavage & drainage       I.P   or   Ambulatory
29844 Wrist arthroscopy, surgical; synovectomy, partial                   I.P   or   Ambulatory
29845 Wrist arthroscopy, surgical; synovectomy, complete                  I.P   or   Ambulatory
      Wrist arthroscopy, surgical; excision and/or repair of triangular   I.P   or   Ambulatory
29846 fibrocartilage and/or joint debridement
      Wrist arthroscopy, surgical; internal fixation for fracture or      I.P or Ambulatory
29847 instability
      Knee arthroscopy; treatment of intercondylar spines(s) and/or       I.P or Ambulatory
      tuberosity fracture(s) of knee, with/without manipulation; with
29851 internal/external fixation
      Knee arthroscopy; treatment of tibial fracture, proximal            I.P or Ambulatory
      (plateau); unicondylar, includes internal fixation, when
29855 performed
      Knee arthroscopy; treatment of tibial fracture, proximal            I.P or Ambulatory
      (plateau); bicondylar, includes internal fixation, when
29856 performed
      Hip arthroscopy, diagnostic with/without synovial biopsy            I.P or Ambulatory
29860 (separate procedure)
      Hip arthroscopy, surgical; with removal of loose or foreign body    I.P or Ambulatory
29861
      Hip arthroscopy, surgical; with debridement/shaving of articular    I.P or Ambulatory
      cartilage (chondroplasty), abrasion arthroplasty, and/or
29862 resection of labrum
29863 Hip arthroscopy, surgical; with synovectomy                         I.P   or   Ambulatory
29866 Knee arthroscopy, surgical; osteochondral autograft(s)              I.P   or   Ambulatory
29867 Knee arthroscopy, surgical; osteochondral allograft                 I.P   or   Ambulatory
      Knee arthroscopy, surgical; meniscal transplantation, medial or     I.P   or   Ambulatory
29868 lateral
      Knee arthroscopy, diagnostic, with/without synovial biopsy          I.P or Ambulatory
29870 (separate procedure)
29871 Knee arthroscopy, surgical; for infection, lavage & drainage        I.P or Ambulatory
29873 Knee arthroscopy, surgical; with lateral release                    I.P or Ambulatory
      Knee arthroscopy, surgical; for removal of loose/foreign body       I.P or Ambulatory
29874
      Knee arthroscopy, surgical; limited synovectomy (separate           I.P or Ambulatory
29875 procedure)
      Knee arthroscopy, surgical; major synovectomy, two/more             I.P or Ambulatory
29876 compartments
      Knee arthroscopy, surgical; debridement/shaving of articular        I.P or Ambulatory
29877 cartilage (chondroplasty)
      Knee arthroscopy, surgical; abrasion arthroplasty (includes         I.P or Ambulatory
      chondroplasty where necessary) or multiple drilling or
29879 microfracture
      Knee arthroscopy, surgical; w/meniscectomy (medial AND              I.P or Ambulatory
29880 lateral, including meniscal shaving)
      Knee arthroscopy, surgical; with meniscectomy (medial OR             I.P or Ambulatory
29881 lateral, including meniscal shaving)
      Knee arthroscopy, surgical; with meniscus repair - medial OR         I.P or Ambulatory
29882 lateral
      Knee arthroscopy, surgical; with meniscus repair - medial &          I.P or Ambulatory
29883 lateral
      Knee arthroscopy, surgical; with lysis of adhesions (separate        I.P or Ambulatory
29884 procedure)
      Knee arthroscopy, surgical; drilling for osteochondritis             I.P or Ambulatory
29885 dissecans w/bone grafting with/without internal fixation
      Knee arthroscopy, surgical; drilling for intact osteochondritis      I.P or Ambulatory
29886 dissecans lesion
      Knee arthroscopy, surgical; drilling for intact osteochondritis      I.P or Ambulatory
29887 dissecans lesion with internal fixation
      Arthroscopically aided anterior cruciate ligament                    I.P or Ambulatory
29888 repair/augmentation or reconstruction
      Arthroscopically aided posterior cruciate ligament                   I.P or Ambulatory
29889 repair/augmentation or reconstruction
      Ankle arthroscopy, surgical, excision of osteochondral defect of     I.P or Ambulatory
29891 talus and/or tibia, including drilling of defect
      Arthroscopically aided repair of large osteochondritis dissecans     I.P or Ambulatory
      lesion, talar dome fracture, or tibial plafond fracture,
29892 with/without internal fixation
29893 Endoscopic plantar fasciotomy                                        I.P or Ambulatory
      Ankle arthroscopy, surgical; with removal of loose/foreign body      I.P or Ambulatory
29894
29895 Ankle arthroscopy, surgical; with partial synovectomy                I.P   or   Ambulatory
29897 Ankle arthroscopy, surgical; with limited debridement                I.P   or   Ambulatory
29898 Ankle arthroscopy, surgical; with extensive debridement              I.P   or   Ambulatory
29899 Ankle arthroscopy, surgical; with ankle arthrodesis                  I.P   or   Ambulatory
      Metacarpophalangeal joint arthroscopy, diagnostic, includes          I.P   or   Ambulatory
29900 synovial biopsy
      Metacarpophalangeal joint arthroscopy, surgical; with                I.P or Ambulatory
29901 debridement
      Metacarpophalangeal joint arthroscopy, surgical; reduction of        I.P or Ambulatory
29902 displaced ulnar collateral ligament
      Arthroscopy, subtalar joint, surgical; with removal of loose body    I.P or Ambulatory
29904 or foreign body
29905 Arthroscopy, subtalar joint, surgical; with synovectomy              I.P or Ambulatory
29906 Arthroscopy, subtalar joint, surgical; with debridement              I.P or Ambulatory
      Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis     I.P or Ambulatory
29907
      Unlisted arthroscopy procedure (requires additional                  I.P or Ambulatory
29999 report/information to be submitted)
30130 Excision inferior turbinate, partial or complete, any method         I.P or Ambulatory
      Submucous resection inferior turbinate, partial or complete, any     I.P or Ambulatory
30140 method
30150 Rhinectomy; partial                                                  I.P   or   Ambulatory
30160 Rhinectomy; total                                                    I.P   or   Ambulatory
30200 Injection into turbinate(s), therapeutic                             I.P   or   Ambulatory
30210 Displacement therapy (Proetz type)                                   I.P   or   Ambulatory
30220 Insertion, nasal septal prosthesis (button)                          I.P   or   Ambulatory
      Rhinoplasty, primary; lateral & alar cartilages/elevation of nasal   I.P   or   Ambulatory
30400 tip
      Rhinoplasty, primary; complete, external parts including bony       I.P or Ambulatory
30410 pyramid, lateral & alar cartilages/elevation of nasal tip
30420 Rhinoplasty, primary; including major septal repair                 I.P or Ambulatory
      Rhinoplasty, secondary; minor revision (small amount of nasal       I.P or Ambulatory
30430 tip work)
      Rhinoplasty, secondary; intermediate revision (bony work with       I.P or Ambulatory
30435 osteotomies)
      Rhinoplasty, secondary; major revision (nasal tip work and          I.P or Ambulatory
30450 osteotomies)
      Rhinoplasty for nasal deformity secondary to congenital cleft lip   I.P or Ambulatory
      and/or palate, including columellar lengthening; tip only
30460
      Rhinoplasty for nasal deformity secondary to congenital cleft lip   I.P or Ambulatory
      and/or palate, including columellar lengthening; tip, septum,
30462 osteotomies
30465 Repair of nasal vestibular stenosis                                 I.P or Ambulatory
      Septoplasty/submucous resection, with/without cartilage             I.P or Ambulatory
30520 scoring, contouring or replacement with graft
30540 Repair choanal atresia; intranasal                                  I.P   or   Ambulatory
30545 Repair choanal atresia; transpalatine                               I.P   or   Ambulatory
30580 Repair fistula; oromaxillary                                        I.P   or   Ambulatory
30600 Repair fistula; oronasal                                            I.P   or   Ambulatory
30620 Septal/other intranasal dermatoplasty                               I.P   or   Ambulatory
30630 Repair nasal septal perforations                                    I.P   or   Ambulatory
      Cautery and/or ablation, mucosa of inferior turbinates,             I.P   or   Ambulatory
30801 unilateral/bilateral, any method; superficial
      Cautery and/or ablation, mucosa of inferior turbinates,             I.P or Ambulatory
30802 unilateral/bilateral, any method; intramural
30915 Ligation arteries; ethmoidal                                        I.P   or   Ambulatory
30920 Ligation arteries; internal maxillary artery, transantral           I.P   or   Ambulatory
30930 Fracture nasal inferior turbinate(s), therapeutic                   I.P   or   Ambulatory
      Unlisted procedure, nose (requires additional report/information    I.P   or   Ambulatory
30999 to be submitted)
      Sinusotomy, maxillary; radical, with removal of antrochoanal        I.P or Ambulatory
31032 polyps
31040 Pterygomaxillary fossa surgery, any approach                        I.P or Ambulatory
31050 Sinusotomy, sphenoid, with/without biopsy                           I.P or Ambulatory
      Sinusotomy, sphenoid, with/without biopsy; with mucosal             I.P or Ambulatory
31051 stripping or removal of polyp(s)
31070 Sinusotomy frontal; external, simple                                I.P or Ambulatory
31075 Sinusotomy frontal; transorbital, unilateral                        I.P or Ambulatory
      Sinusotomy frontal; obliterative without osteoplastic flap, brow    I.P or Ambulatory
31080 incision (includes ablation)
      Sinusotomy frontal; obliterative without osteoplastic flap,         I.P or Ambulatory
31081 coronal incision (includes ablation)
      Sinusotomy frontal; obliterative with osteoplastic flap, brow       I.P or Ambulatory
31084 incision
      Sinusotomy frontal; obliterative with osteoplastic flap, coronal    I.P or Ambulatory
31085 incision
      Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow   I.P or Ambulatory
31086 incision
      Sinusotomy frontal; nonobliterative, with osteoplastic flap,        I.P or Ambulatory
31087 coronal incision
      Sinusotomy, unilateral, three or more sinuses (frontal,             I.P or Ambulatory
31090 maxillary, ethmoid, sphenoid
31200   Ethmoidectomy; intranasal, anterior                              I.P   or   Ambulatory
31201   Ethmoidectomy; intranasal, total                                 I.P   or   Ambulatory
31205   Ethmoidectomy; extranasal, total                                 I.P   or   Ambulatory
31225   Maxillectomy; without orbital exenteration                       I.P   or   Ambulatory
31230   Maxillectomy; with orbital exenteration                          I.P   or   Ambulatory
        Nasal/sinus endoscopy, surgical; with concha bullosa resection   I.P   or   Ambulatory
31240
      Surgical nasal/sinus endoscopy; with ethmoidectomy, partial        I.P or Ambulatory
31254 (anterior)
      Surgical nasal/sinus endoscopy; with ethmoidectomy, total          I.P or Ambulatory
31255 (anterior and posterior)
31256 Surgical nasal endoscopy, with maxillary antrostomy;               I.P or Ambulatory
      Nasal/sinus endoscopy, surgical, with maxillary antrostomy;        I.P or Ambulatory
31267 with removal of tissue from maxillary sinus
      Surgical nasal/sinus endoscopy, with frontal sinus exploration,    I.P or Ambulatory
      with/without removal of tissue from frontal sinus
31276
31287 Nasal/sinus endoscopy, surgical, with sphenoidotomy                I.P or Ambulatory
      Nasal/sinus endoscopy, surgical, with removal of tissue from       I.P or Ambulatory
31288 sphenoid sinus
      Nasal/sinus endoscopy, surgical; with medial/inferior orbital      I.P or Ambulatory
31292 wall decompression
      Nasal/sinus endoscopy, surgical; with medial orbital wall &        I.P or Ambulatory
31293 inferior orbital wall decompression
      Unlisted procedure, accessory sinuses (requires additional         I.P or Ambulatory
31299 report/information to be submitted)
      Laryngotomy; with removal of tumor/laryngocele, cordectomy         I.P or Ambulatory
31300
31320 Laryngotomy; diagnostic                                            I.P   or   Ambulatory
31360 Laryngectomy; total, without radical neck dissection               I.P   or   Ambulatory
31365 Laryngectomy; total, with radical neck dissection                  I.P   or   Ambulatory
      Laryngectomy; subtotal supraglottic, without radical neck          I.P   or   Ambulatory
31367 dissection
      Laryngectomy; subtotal supraglottic, with radical neck             I.P or Ambulatory
31368 dissection
31370 Partial laryngectomy; horizontal                                   I.P   or   Ambulatory
31375 Partial laryngectomy; laterovertical                               I.P   or   Ambulatory
31380 Partial laryngectomy; anterovertical                               I.P   or   Ambulatory
31382 Partial laryngectomy; antero-latero-vertical                       I.P   or   Ambulatory
      Pharyngolaryngectomy, with radical neck dissection; without        I.P   or   Ambulatory
31390 reconstruction
      Pharyngolaryngectomy, with radical neck dissection; with           I.P or Ambulatory
31395 reconstruction
31400 Arytenoidectomy or arytenoidopexy, external approach               I.P   or   Ambulatory
31420 Epiglottidectomy                                                   I.P   or   Ambulatory
31500 Intubation, endotracheal, emergency procedure                      I.P   or   Ambulatory
31512 Laryngoscopy, indirect; with removal of lesion                     I.P   or   Ambulatory
      Laryngoscopy, direct, with/without tracheoscopy; with dilation,    I.P   or   Ambulatory
31528 initial
      Laryngoscopy, direct, with/without tracheoscopy; with dilation,    I.P or Ambulatory
31529 subsequent
      Laryngoscopy, direct, operative, with excision of                  I.P or Ambulatory
31540 tumor/stripping of vocal cords/epiglottis
        Laryngoscopy, direct, operative, with excision of                  I.P or Ambulatory
        tumor/stripping of vocal cords/epiglottis; with microscope or
31541   telescope
31560   Laryngoscopy, direct, operative, with arytenoidectomy              I.P or Ambulatory
        Laryngoscopy, direct, operative, with arytenoidectomy; with        I.P or Ambulatory
31561   microscope or telescope
31578   Laryngoscopy, flexible fiberoptic; with removal of lesion          I.P or Ambulatory
        Laryngoplasty; for laryngeal web, two stage, with keel insertion   I.P or Ambulatory
31580   and removal
        Laryngoplasty; for laryngeal stenosis, with graft or core mold,    I.P or Ambulatory
31582   including tracheotomy
31584   Laryngoplasty; with open reduction of fracture                     I.P   or   Ambulatory
31587   Laryngoplasty, cricoid split                                       I.P   or   Ambulatory
31588   Laryngoplasty, not otherwise specified                             I.P   or   Ambulatory
31590   Laryngeal reinnervation by neuromuscular pedicle                   I.P   or   Ambulatory
        Section recurrent laryngeal nerve, therapeutic, unilateral         I.P   or   Ambulatory
31595   (separate procedure)
        Unlisted procedure, larynx (requires additional                    I.P or Ambulatory
31599   report/information to be submitted)
31600   Tracheostomy, planned (separate procedure)                         I.P or Ambulatory
        Tracheostomy, planned (separate procedure); under two years        I.P or Ambulatory
31601
31603 Tracheostomy, emergency procedure; transtracheal                     I.P or Ambulatory
      Tracheostomy, emergency procedure; cricothyroid membrane             I.P or Ambulatory
31605
31610 Tracheostomy, fenestration procedure with skin flaps                 I.P or Ambulatory
      Construction of tracheoesophageal fistula & insertion of             I.P or Ambulatory
31611 alaryngeal speech prosthesis
      Tracheal puncture, percutaneous, with transtracheal aspiration       I.P or Ambulatory
31612 and/or injection
31613 Tracheostoma revision; simple, without flap rotation                 I.P or Ambulatory
31614 Tracheostoma revision; complex, with flap rotation                   I.P or Ambulatory
      Bronchoscopy, flexible/rigid, with or without fluoroscopic           I.P or Ambulatory
31631 guidance; with placement of tracheal stent(s)
      Bronchoscopy, rigid/flexible, with or without fluoroscopic           I.P or Ambulatory
      guidance; with placement of bronchial stent(s), initial bronchus
31636
      Bronchoscopy, rigid/flexible, with or without fluoroscopic           I.P or Ambulatory
      guidance; with revision of tracheal/bronchial stent inserted at
31638 previous session
      Bronchoscopy (flexible/rigid); with injection of contrast material   I.P or Ambulatory
31656 for segmental bronchography
31715 Transtracheal injection for bronchography                            I.P or Ambulatory
      Transtracheal (percutaneous) introduction of needle wire             I.P or Ambulatory
31730 dilator/stent or indwelling tube for oxygen therapy
31750 Tracheoplasty; cervical                                              I.P   or   Ambulatory
31755 Tracheoplasty; tracheopharyngeal fistulization, each stage           I.P   or   Ambulatory
31760 Tracheoplasty; intrathoracic                                         I.P   or   Ambulatory
31766 Carinal reconstruction                                               I.P   or   Ambulatory
31770 Bronchoplasty; graft repair                                          I.P   or   Ambulatory
31775 Bronchoplasty; excision stenosis & anastomosis                       I.P   or   Ambulatory
31780 Excision of tracheal stenosis & anastomosis; cervical                I.P   or   Ambulatory
      Excision of tracheal stenosis & anastomosis; cervicothoracic         I.P   or   Ambulatory
31781
31785 Excision of tracheal tumor; cervical                                 I.P or Ambulatory
31786   Excision of tracheal tumor; thoracic                            I.P   or   Ambulatory
31800   Suture of tracheal wound or injury; cervical                    I.P   or   Ambulatory
31805   Suture of tracheal wound or injury; intrathoracic               I.P   or   Ambulatory
31820   Surgical closure tracheostomy/fistula; without plastic repair   I.P   or   Ambulatory
31825   Surgical closure tracheostomy/fistula; with plastic repair      I.P   or   Ambulatory
31830   Revision of tracheostomy scar                                   I.P   or   Ambulatory
        Unlisted procedure, trachea/bronchi (requires additional        I.P   or   Ambulatory
31899   report/info to be submitted)
32095   Thoracotomy limited, for biopsy of lung or pleura               I.P   or   Ambulatory
32100   Thoracotomy, major; with exploration & biopsy                   I.P   or   Ambulatory
32120   Thoracotomy, major; for postoperative complications             I.P   or   Ambulatory
32124   Thoracotomy, major; with open intrapleural pneumonolysis        I.P   or   Ambulatory
        Thoracotomy, major; with cyst(s) removal with/without a         I.P   or   Ambulatory
32140   pleural procedure
32141   Thoracotomy, major; with excision-plication of bullae           I.P or Ambulatory
        Thoracotomy, major; with removal of intrapulmonary foreign      I.P or Ambulatory
32151   body
32200   Pneumonostomy; with open drainage of abscess/cyst               I.P or Ambulatory
        Pneumonostomy; with percutaneous drainage of abscess/cyst       I.P or Ambulatory
32201
32215 Pleural scarification for repeat pneumothorax                     I.P   or   Ambulatory
32310 Pleurectomy, parietal (separate procedure)                        I.P   or   Ambulatory
32420 Pneumocentesis, puncture of lung for aspiration                   I.P   or   Ambulatory
      Removal of lung, other than total pneumonectomy; excision-        I.P   or   Ambulatory
      plication of emphysematous lung(s) for lung volume reduction,
      sternal split/transthoracic approach, with/without pleural
32491 procedure
      Removal of lung, other than total pneumonectomy; wedge            I.P or Ambulatory
32500 resection, single or multiple
      Resection and repair of portion of bronchus (bronchoplasty) at    I.P or Ambulatory
32501 time of lobectomy or segmentectomy
      Thoracoscopy, diagnostic (separate procedure); lungs and          I.P or Ambulatory
32601 pleural space, without biopsy
      Thoracoscopy, diagnostic (separate procedure); pericardial sac    I.P or Ambulatory
32603 without biopsy
      Thoracoscopy, diagnostic (separate procedure); mediastinal        I.P or Ambulatory
32605 space, without biopsy
32650 Thoracoscopy, surgical; with pleurodesis                          I.P or Ambulatory
      Thoracoscopy, surgical; with excision-plication of bullae,        I.P or Ambulatory
32655 including any pleural procedure
32656 Thoracoscopy, surgical; with parietal pleurectomy                 I.P or Ambulatory
      Thoracoscopy, surgical; with wedge resection of lung, single or   I.P or Ambulatory
32657 multiple
      Thoracoscopy, surgical; with excision of mediastinal cyst,        I.P or Ambulatory
32662 tumor, or mass
32665 Thoracoscopy, surgical; with esophagomyotomy                      I.P or Ambulatory
32800 Repair lung hernia through chest wall                             I.P or Ambulatory
      Closure of chest wall following open flap drainage for empyema    I.P or Ambulatory
32810
32815 Open closure of major bronchial fistula                           I.P or Ambulatory
32820 Major reconstruction, chest wall                                  I.P or Ambulatory
32850 Donor pneumonectomy(ies), from cadaver donor                      I.P or Ambulatory
        Backbench standard preparation of cadaver donor lung allograft     I.P or Ambulatory
        prior to transplantation, including dissection of allograft from
        surrounding soft tissue to prepare pulmonary venous/arterial
        cuff, pulmonary artery, and bronchus; unilateral
32855
        Backbench standard preparation of cadaver donor lung allograft     I.P or Ambulatory
        prior to transplantation, including dissection of allograft from
        surrounding soft tissue to prepare pulmonary venous/arterial
        cuff, pulmonary artery, and bronchus; bilateral
32856
32906 Thoracoplasty, with closure of bronchopleural fistula                I.P   or   Ambulatory
32940 Pneumonolysis, extraperiosteal, including filling/packing            I.P   or   Ambulatory
32997 Total lung lavage (unilateral)                                       I.P   or   Ambulatory
      Ablation therapy for reduction or eradication of one or more         I.P   or   Ambulatory
      pulmonary tumor(s) including pleura or chest wall when
      involved by tumor extension, percutaneous, radiofrequency,
32998 unilateral
      Unlisted procedure, lungs & pleura (requires additional              I.P or Ambulatory
32999 report/info to be submitted)
33202 Insertion of epicardial electrode(s); open incision                  I.P or Ambulatory
33203 Insertion of epicardial electrode(s); endoscopic approach            I.P or Ambulatory
      Insertion or replacement of permanent pacemaker                      I.P or Ambulatory
33206 w/transvenous electrode(s); atrial
      Insertion or replacement of permanent pacemaker                      I.P or Ambulatory
33207 w/transvenous electrode(s); ventricular
      Insertion or replacement of permanent pacemaker                      I.P or Ambulatory
33208 w/transvenous electrode(s); atrial & ventricular
      Insertion or replacement of temporary transvenous dual               I.P or Ambulatory
33211 chamber pacing electrodes (separate procedure)
      Insertion or replacement of pacemaker pulse generator only;          I.P or Ambulatory
33212 single chamber, atrial or ventricular
      Insertion or replacement of pacemaker pulse generator only;          I.P or Ambulatory
33213 dual chamber
      Upgrade of implanted pacemaker system, conversion of single          I.P or Ambulatory
      chamber system to dual chamber system (includes removal of
      previous pulse generator, testing, insertion of new lead & pulse
33214 generator)
      Repositioning of previously implanted transvenous                    I.P or Ambulatory
      pacemaker/pacing cardioverter-defibrillator (right atrial/right
33215 ventricular) electrode
      Insertion of a transvenous electrode; single chamber (one            I.P or Ambulatory
      electrode) permanent pacemaker or single chamber pacing
33216 cardioverter-defibrillator
      Insertion of a transvenous electrode; dual chamber (two              I.P or Ambulatory
      electrodes) permanent pacemaker or dual chamber pacing
33217 cardioverter-defibrillator
      Repair of single transvenous electrode for a single chamber,         I.P or Ambulatory
      permanent pacemaker or single chamber pacing cardioverter-
33218 defibrillator
      Repair of two transvenous electrodes for dual chamber                I.P or Ambulatory
      permanent pacemaker or dual chamber pacing cardioverter-
33220 defibrillator
33222 Revision or relocation of skin pocket for pacemaker                  I.P or Ambulatory
        Insertion of pacing electrode, cardiac venous system, for left       I.P or Ambulatory
        ventricular pacing, with attachment to previously placed
        pacemaker/pacing cardioverter-defibrillator pulse generator
33224
        Insertion of pacing electrode, cardiac venous system, for left       I.P or Ambulatory
        ventricular pacing, at time of insertion of pacing cardioverter-
33225   defibrillator/pacemaker pulse generator
        Repositioning of previously implanted cardiac venous system          I.P or Ambulatory
33226   (left ventricular) electrode
33233   Removal of permanent pacemaker pulse generator                       I.P or Ambulatory
        Removal of transvenous pacemaker electrode(s); single lead           I.P or Ambulatory
33234   system, atrial or ventricular
        Removal of transvenous pacemaker electrode(s); dual lead             I.P or Ambulatory
33235   system
        Removal of permanent epicardial pacemaker & electrodes by            I.P or Ambulatory
33236   thoracotomy; single lead system, atrial or ventricular
        Removal of permanent epicardial pacemaker & electrodes by            I.P or Ambulatory
33237   thoracotomy; dual lead system
        Removal of permanent transvenous electrode(s) by                     I.P or Ambulatory
33238   thoracotomy
        Insertion of dual or single chamber pacing cardioverter-             I.P or Ambulatory
33240   defibrillator pulse generator
        Insertion or repositioning of electrode lead(s) for single or dual   I.P or Ambulatory
        chamber pacing cardioverter-defibrillator and insertion of pulse
33249   generator
33282   Implantation of patient-activated cardiac event recorder             I.P or Ambulatory
        Removal of an implantable, patient-activated cardiac event           I.P or Ambulatory
33284   recorder
        Suture repair of aorta or great vessels; without shunt or            I.P or Ambulatory
33320   cardiopulmonary bypass
33321   Suture repair of aorta or great vessels; with shunt bypass           I.P or Ambulatory
        Suture repair of aorta/great vessels, with cardiopulmonary           I.P or Ambulatory
33322   bypass
        Insertion of graft, aorta or great vessels; without shunt or         I.P or Ambulatory
33330   cardiopulmonary bypass
        Insertion of graft, aorta or great vessels; with shunt bypass        I.P or Ambulatory
33332
      Insertion of graft, aorta/great vessels, with cardiopulmonary          I.P or Ambulatory
33335 bypass
      Endoscopy, surgical, including video-assisted harvest of vein(s)       I.P or Ambulatory
33508 for coronary artery bypass procedure
      Repair of complex cardiac anomalies by surgical enlargement of         I.P or Ambulatory
33610 ventricular septal defect
33690 Banding of pulmonary artery                                            I.P or Ambulatory
33722 Closure of aortico-left ventricular tunnel                             I.P or Ambulatory
      Repair of isolated partial anomalous pulmonary venous return           I.P or Ambulatory
33724
33726 Repair of pulmonary venous stenosis                                    I.P or Ambulatory
      Obliteration aortopulmonary septal defect; w/out                       I.P or Ambulatory
33813 cardiopulmonary bypass
      Obliteration aortopulmonary septal defect; w/cardiopulmonary           I.P or Ambulatory
33814 bypass
33820 Repair patent ductus arteriosus; ligation                              I.P or Ambulatory
      Repair patent ductus arteriosus; division, younger than 18             I.P or Ambulatory
33822 years
        Repair patent ductus arteriosus; division, 18 years and older     I.P or Ambulatory
33824
      Ascending aorta graft, with cardiopulmonary bypass,                 I.P or Ambulatory
33860 with/without valve suspension
      Ascending aorta graft, with cardiopulmonary bypass,                 I.P or Ambulatory
      with/without valve suspension; with coronary reconstruction
33861
      Ascending aorta graft, with cardiopulmonary bypass,                 I.P or Ambulatory
      with/without valve suspension; with aortic root replacement
      using composite prosthesis & coronary reconstruction
33863
      Ascending aorta graft, with cardiopulmonary bypass with valve       I.P or Ambulatory
      suspension, with coronary reconstruction and valve-sparing
33864 aortic annulus remodeling
33870 Transverse arch graft, with cardiopulmonary bypass                  I.P or Ambulatory
33875 Descending thoracic aorta graft, with/without bypass                I.P or Ambulatory
      Placement of proximal extension prosthesis for endovascular         I.P or Ambulatory
      repair of descending thoracic aorta; initial extension
33883
      Placement of proximal extension prosthesis for endovascular         I.P or Ambulatory
      repair of descending thoracic aorta; each additional proximal
33884 extension
      Bypass graft, with other than vein, transcervical                   I.P or Ambulatory
      retropharyngeal carotid-carotid, performed in conjunction with
      endovascular repair of descending thoracic aorta, by neck
33891 incision
      Pulmonary artery embolectomy, with cardiopulmonary bypass           I.P or Ambulatory
33910
33915 Pulmonary artery embolectomy, without bypass                        I.P or Ambulatory
      Pulmonary endarterectomy with/without embolectomy,                  I.P or Ambulatory
33916 w/cardiopulmonary bypass
      Repair of pulmonary artery stenosis by reconstruction with          I.P or Ambulatory
33917 patch or graft
      Transection of pulmonary artery with cardiopulmonary bypass         I.P or Ambulatory
33922
      Ligation & takedown of systemic-to-pulmonary artery shunt,          I.P or Ambulatory
      performed in conjunction w/congenital heart procedure
33924
33968 Removal of intra-aortic balloon assist device, percutaneous         I.P or Ambulatory
      Removal of intra-aortic balloon assist device including repair of   I.P or Ambulatory
33971 femoral artery, with/without graft
      Removal of intra-aortic balloon assist device from the ascending    I.P or Ambulatory
      aorta, including repair of the ascending aorta, with/without
33974 graft
      Removal of ventricular assist device; extracorporeal, single        I.P or Ambulatory
33977 ventricle
      Removal of ventricular assist device; extracoporeal,                I.P or Ambulatory
33978 biventricular
      Removal of ventricular assist device, implantable intracorporeal,   I.P or Ambulatory
33980 single ventricle
      Embolectomy/thrombectomy with/without cath;                         I.P or Ambulatory
34001 carotid/subclavian/innominate artery, by neck incision
      Embolectomy/thrombectomy with/without cath;                         I.P or Ambulatory
34051 innominate/subclavian artery, by thoracic incision
        Embolectomy/thrombectomy, with/without cath;                      I.P or Ambulatory
        axillary/brachial/innominate/subclavian artery, by arm incision
34101
      Embolectomy/thrombectomy, with/without cath; radial/ulnar           I.P or Ambulatory
34111 artery
      Embolectomy/thrombectomy, with/without cath;                        I.P or Ambulatory
      renal/celiac/mesentery/aortoiliac artery, by abdominal incision
34151
      Embolectomy/thrombectomy, with/without cath;                        I.P or Ambulatory
34201 femoropopliteal/aortoiliac artery, by leg incision
      Embolectomy/thrombectomy, with/without cath; popliteal-tibio-       I.P or Ambulatory
34203 peroneal artery, by leg incision
      Venous thrombectomy, direct/with catheter; vena cava, iliac         I.P or Ambulatory
34401 vein, by abdominal incision
      Venous thrombectomy, direct/with catheter; vena cava, iliac,        I.P or Ambulatory
34421 femoropopliteal vein, by leg incision
      Venous thrombectomy, direct/with catheter; vena cava, iliac,        I.P or Ambulatory
34451 femoropopliteal vein, by abdominal & leg incision
      Venous thrombectomy, direct/with catheter; subclavian vein, by      I.P or Ambulatory
34471 neck incision
      Venous thrombectomy, direct/with catheter; axillary &               I.P or Ambulatory
34490 subclavian vein, by arm incision
34501 Valvuloplasty, femoral vein                                         I.P   or   Ambulatory
34510 Venous valve transposition, any vein donor                          I.P   or   Ambulatory
34520 Cross-over vein graft to venous system                              I.P   or   Ambulatory
34530 Saphenopopliteal vein anastomosis                                   I.P   or   Ambulatory
34808 Endovascular placement of iliac artery occlusion device             I.P   or   Ambulatory
      Open femoral artery exposure for delivery of endovascular           I.P   or   Ambulatory
34812 prosthesis, by groin incision, unilateral
      Placement of femoral-femoral prosthetic graft during                I.P or Ambulatory
34813 endovascular aortic aneurysm repair
      Open iliac artery exposure for delivery of endovascular             I.P or Ambulatory
      prosthesis or iliac occlusion during endovascular therapy, by
34820 abdominal or retroperitoneal incision, unilateral
      Placement of proximal or distal extension prosthesis for            I.P or Ambulatory
      endovascular repair of infrarenal abdominal aortic or iliac
34825 aneurysm, false aneurysm, or dissection; initial vessel
      Placement of proximal or distal extension prosthesis for            I.P or Ambulatory
      endovascular repair of infrarenal abdominal aortic or iliac
      aneurysm, false aneurysm, or dissection; each additional vessel
34826
      Open repair of infrarenal aortic aneurysm or dissection, plus       I.P or Ambulatory
      repair of associated arterial trauma, following unsuccessful
34830 endovascular repair; tube prosthesis
      Open repair of infrarenal aortic aneurysm or dissection, plus       I.P or Ambulatory
      repair of associated arterial trauma, following unsuccessful
34831 endovascular repair; aorto-bi-iliac prosthesis
      Open repair of infrarenal aortic aneurysm or dissection, plus       I.P or Ambulatory
      repair of associated arterial trauma, following unsuccessful
34832 endovascular repair; aorto-bifemoral prosthesis
      Open iliac artery exposure with creation of conduit for delivery    I.P or Ambulatory
      of aortic or iliac endovascular prosthesis, by abdominal or
34833 retroperitoneal incision, unilateral
       Open brachial artery exposure to assist in the deployment of          I.P or Ambulatory
       aortic or iliac endovascular prosthesis by arm incision, unilateral
34834
34900 Endovascular graft placement for repair of iliac artery                I.P or Ambulatory
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for aneurysm and associated
      occlusive disease, carotid/subclavian, neck incision
35001
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for ruptured aneurysm,
35002 carotid/subclavian, neck incision
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for aneurysm/pseudoneurysm
      and associated occlusive disease, vertebral artery
35005
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for aneurysm and associated
35011 occlusive disease, axillary-brachial, arm incision
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for ruptured aneurysm, axillary-
35013 brachial, arm incision
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for aneurysm and associated
      occlusive disease, innominate/subclavian, thoracic incision
35021
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for aneurysm and associated
35045 occlusive disease, radial/ulnar artery
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for aneurysm and associated
35111 occlusive disease, splenic artery
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for ruptured aneurysm, splenic
35112 artery
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for aneurysm and associated
      occlusive disease, hepatic/celiac/renal/mesenteric artery
35121
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft;for ruptured aneurysm,
35122 hepatic/celiac/renal/mesenteric artery
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for aneurysm and associated
      occlusive disease, iliac artery (common, hypogastric, external)
35131
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for ruptured aneurysm, iliac
35132 artery (common, hypogastric, external)
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft;for aneurysm and associated
35141 occlusive disease, common femoral artery
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft         I.P or Ambulatory
      insert, with/without patch graft; for ruptured aneurysm,
35142 common femoral artery
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft    I.P or Ambulatory
      insert, with/without patch graft; for aneurysm and associated
35151 occlusive disease, popliteal artery
      Direct repair of aneurysm, pseudoaneurysm, or excision & graft    I.P or Ambulatory
      insert, with/without patch graft; for ruptured aneurysm,
35152 popliteal artery
35180 Repair, congenital arteriovenous fistula; head and neck           I.P or Ambulatory
      Repair, congenital arteriovenous fistula; thorax and abdomen      I.P or Ambulatory
35182
35184 Repair, congenital arteriovenous fistula; extremities             I.P or Ambulatory
      Repair, acquired/traumatic arteriovenous fistula; head and neck   I.P or Ambulatory
35188
      Repair, acquired/traumatic arteriovenous fistula; thorax and      I.P or Ambulatory
35189 abdomen
      Repair, acquired/traumatic arteriovenous fistula; extremities     I.P or Ambulatory
35190
35201 Repair blood vessel, direct; neck                                 I.P   or   Ambulatory
35206 Repair blood vessel, direct; upper extremity                      I.P   or   Ambulatory
35207 Repair blood vessel, direct; hand/finger                          I.P   or   Ambulatory
35211 Repair blood vessel, direct; intrathoracic, with bypass           I.P   or   Ambulatory
35216 Repair blood vessel, direct; intrathoracic, without bypass        I.P   or   Ambulatory
35221 Repair blood vessel, direct; intra-abdominal                      I.P   or   Ambulatory
35226 Repair blood vessel, direct; lower extremity                      I.P   or   Ambulatory
35231 Repair blood vessel with vein graft; neck                         I.P   or   Ambulatory
35236 Repair blood vessel with vein graft; upper extremity              I.P   or   Ambulatory
      Repair blood vessel with vein graft; intrathoracic, with bypass   I.P   or   Ambulatory
35241
      Repair blood vessel with vein graft; intrathoracic, without       I.P or Ambulatory
35246 bypass
35251 Repair blood vessel with vein graft; intra-abdominal              I.P   or   Ambulatory
35256 Repair blood vessel with vein graft; lower extremity              I.P   or   Ambulatory
35261 Repair blood vessel with graft other than vein; neck              I.P   or   Ambulatory
      Repair blood vessel with graft other than vein; upper extremity   I.P   or   Ambulatory
35266
      Repair blood vessel with graft other than vein; intrathoracic,    I.P or Ambulatory
35271 with bypass
      Repair blood vessel with graft other than vein; intrathoracic,    I.P or Ambulatory
35276 without bypass
      Repair blood vessel with graft other than vein; intra-abdominal   I.P or Ambulatory
35281
      Repair blood vessel with graft other than vein; lower extremity   I.P or Ambulatory
35286
      Thromboendarterectomy including patch graft, if performed;        I.P or Ambulatory
35301 carotid/vertebral/subclavian, by neck incision
      Thromboendarterectomy, including patch graft, if performed;       I.P or Ambulatory
35302 superficial femoral artery
      Thromboendarterectomy, including patch graft, if performed;       I.P or Ambulatory
35303 popliteal artery
      Thromboendarterectomy, including patch graft, if performed;       I.P or Ambulatory
35304 tibioperoneal trunk artery
      Thromboendarterectomy, including patch graft, if performed;       I.P or Ambulatory
35305 tibial or peroneal artery, initial vessel
      Thromboendarterectomy, including patch graft, if performed;       I.P or Ambulatory
35306 each additional tibial or peroneal artery
      Thromboendarterectomy including patch graft, if performed,        I.P or Ambulatory
35311 subclavian/innominate, by thoracic incision
      Thromboendarterectomy including patch graft, if performed,        I.P or Ambulatory
35321 axillary-brachial
      Thromboendarterectomy including patch graft, if performed,        I.P or Ambulatory
35331 abdominal aorta
      Thromboendarterectomy including patch graft, if performed,        I.P or Ambulatory
35341 mesenteric/celiac/renal
      Thromboendarterectomy including patch graft, if performed,        I.P or Ambulatory
35351 iliac
      Thromboendarterectomy including patch graft, if performed,        I.P or Ambulatory
35355 iliofemoral
      Thromboendarterectomy including patch graft, if performed,        I.P or Ambulatory
35361 combined aortoiliac
      Thromboendarterectomy including patch graft, if performed,        I.P or Ambulatory
35363 combined aortoiliofemoral
      Thromboendarterectomy including patch graft, if performed,        I.P or Ambulatory
35371 common femoral
      Thromboendarterectomy including patch graft, if performed,        I.P or Ambulatory
35372 deep (profunda) femoral
      Reoperation, carotid, thromboendarterectomy, more than one        I.P or Ambulatory
35390 month after original operation
      Transluminal balloon angioplasty, open; renal/other visceral      I.P or Ambulatory
35450 artery
35452 Transluminal balloon angioplasty, open; aortic                    I.P   or   Ambulatory
35454 Transluminal balloon angioplasty, open; iliac                     I.P   or   Ambulatory
35456 Transluminal balloon angioplasty, open; femoral-popliteal         I.P   or   Ambulatory
      Transluminal balloon angioplasty, open; brachiocephalic trunk     I.P   or   Ambulatory
35458 or branches, each vessel
      Transluminal angioplasty, open; tibioperoneal trunk & branches    I.P or Ambulatory
35459
35460 Transluminal balloon angioplasty, open; venous                    I.P or Ambulatory
      Transluminal angioplasty, percutaneous, tibioperoneal trunk or    I.P or Ambulatory
35470 branches, each vessel
      Transluminal balloon angioplasty, percutaneous; renal/visceral    I.P or Ambulatory
35471 artery
35472 Transluminal balloon angioplasty, percutaneous; aortic            I.P or Ambulatory
35473 Transluminal balloon angioplasty, percutaneous; iliac             I.P or Ambulatory
      Transluminal balloon angioplasty, percutaneous; femoral-          I.P or Ambulatory
35474 popliteal
      Transluminal balloon angioplasty, percutaneous;                   I.P or Ambulatory
35475 brachiocephalic trunk or branches, each vessel
35476 Transluminal balloon angioplasty, percutaneous; venous            I.P or Ambulatory
      Transluminal peripheral atherectomy, open; renal/other visceral   I.P or Ambulatory
35480 artery
35481 Transluminal peripheral atherectomy, open; aortic                 I.P or Ambulatory
35482 Transluminal peripheral atherectomy, open; iliac                  I.P or Ambulatory
      Transluminal peripheral atherectomy, open; femoral-popliteal      I.P or Ambulatory
35483
      Transluminal peripheral atherectomy, open; brachiocephalic        I.P or Ambulatory
35484 trunk or branches, each vessel
      Transluminal peripheral atherectomy, open; tibioperoneal trunk    I.P or Ambulatory
35485 & branches
      Transluminal peripheral atherectomy, percutaneous;                I.P or Ambulatory
35490 renal/other visceral artery
35491 Transluminal peripheral atherectomy, percutaneous; aortic           I.P or Ambulatory
35492 Transluminal peripheral atherectomy, percutaneous; iliac            I.P or Ambulatory
      Transluminal peripheral atherectomy, percutaneous; femoral-         I.P or Ambulatory
35493 popliteal
      Transluminal peripheral atherectomy, percutaneous;                  I.P or Ambulatory
35494 brachiocephalic trunk or branches, each vessel
      Transluminal peripheral atherectomy, percutaneous;                  I.P or Ambulatory
35495 tibioperoneal trunk & branches
      Harvest of upper extremity vein, for lower extremity bypass or      I.P or Ambulatory
35500 coronary artery bypass procedure
35516 Bypass graft-vein; subclavian-axillary                              I.P   or   Ambulatory
35518 Bypass graft-vein; axillary-axillary                                I.P   or   Ambulatory
35521 Bypass graft, with vein; axillary-femoral                           I.P   or   Ambulatory
35522 Bypasss graft, with vein; axillary-brachial                         I.P   or   Ambulatory
35525 Bypass graft, with vein; brachial-brachial                          I.P   or   Ambulatory
35533 Bypass graft-vein; axillary-femoral-femoral                         I.P   or   Ambulatory
35537 Bypass graft, with vein; aortoiliac                                 I.P   or   Ambulatory
35538 Bypass graft, with vein; aortobi-iliac                              I.P   or   Ambulatory
35539 Bypass graft, with vein; aortofemoral                               I.P   or   Ambulatory
35540 Bypass graft, with vein; aortobifemoral                             I.P   or   Ambulatory
35548 Bypass graft-vein; aortoiliofemoral, unilateral                     I.P   or   Ambulatory
35549 Bypass graft-vein; aortoiliofemoral, bilateral                      I.P   or   Ambulatory
35551 Bypass graft-vein; aortofemoral-popliteal                           I.P   or   Ambulatory
35556 Bypass graft-vein; femoral-popliteal                                I.P   or   Ambulatory
35558 Bypass graft-vein; femoral-femoral                                  I.P   or   Ambulatory
35565 Bypass graft-vein; iliofemoral                                      I.P   or   Ambulatory
      Bypass graft-vein; femoral-anterior tibial/posterior                I.P   or   Ambulatory
35566 tibial/peroneal artery/or other distal vessels
      Bypass graft-vein; popliteal-tibial or -peroneal artery/or other    I.P or Ambulatory
35571 distal vessels
      Harvest of femoropopliteal vein, one segment, for vascular          I.P or Ambulatory
35572 reconstruction procedure
35583 In-situ vein bypass; femoral-popliteal                              I.P or Ambulatory
      In-situ vein bypass; femoral-anterior/posterior tibial/peroneal     I.P or Ambulatory
35585 artery
35587 In-situ vein bypass; popliteal-tibial, peroneal                     I.P or Ambulatory
      Harvest of upper extremity artery, one segment, for coronary        I.P or Ambulatory
35600 artery bypass procedure
35616 Bypass graft, with other than vein; subclavian-axillary             I.P or Ambulatory
35621 Bypass graft, with other than vein; axillary-femoral                I.P or Ambulatory
      Bypass graft, with other than vein; axillary-popliteal or -tibial   I.P or Ambulatory
35623
35637 Bypass graft, with other than vein; aortoiliac                      I.P   or   Ambulatory
35638 Bypass graft, with other than vein; aortobi-iliac                   I.P   or   Ambulatory
35646 Bypass graft, with other than vein; aortobifemoral                  I.P   or   Ambulatory
35647 Bypass graft, with other than vein; aortofemoral                    I.P   or   Ambulatory
35650 Bypass graft, with other than vein; axillary-axillary               I.P   or   Ambulatory
35651 Bypass graft, with other than vein; aortofemoral-popliteal          I.P   or   Ambulatory
35654 Bypass graft, with other than vein; axillary-femoral-femoral        I.P   or   Ambulatory
35656 Bypass graft, with other than vein; femoral-popliteal               I.P   or   Ambulatory
35661 Bypass graft, with other than vein; femoral-femoral                 I.P   or   Ambulatory
35663 Bypass graft, with other than vein; ilioiliac                       I.P   or   Ambulatory
35665 Bypass graft, with other than vein; iliofemoral                     I.P   or   Ambulatory
      Bypass graft, with other than vein; femoral-anterior                I.P   or   Ambulatory
35666 tibial/posterior tibial/peroneal artery
      Bypass graft, with other than vein; popliteal-tibial, or peroneal    I.P or Ambulatory
35671 artery
35681 Bypass graft; composite, prosthetic and vein                         I.P or Ambulatory
      Bypass graft; autogenous composite, two segments of veins            I.P or Ambulatory
35682 from two locations
      Bypass graft; autogenous composite, three or more segments           I.P or Ambulatory
35683 of vein from two or more locations
      Placement of vein patch or cuff at distal anastomosis of bypass      I.P or Ambulatory
35685 graft, synthetic conduit
      Creation of distal arteriovenous fistula during lower extremity      I.P or Ambulatory
35686 bypass surgery (non-hemodialysis)
      Reoperation, femoral-popliteal or femoral (popliteal) -anterior      I.P or Ambulatory
      tibial, posterior tibial, peroneal artery or other distal vessels,
35700 more than one month after original operation
      Exploration (not followed by surgical repair), with/without lysis    I.P or Ambulatory
35701 of artery; carotid artery
      Exploration (not followed by surgical repair), with/without lysis    I.P or Ambulatory
35721 of artery; femoral artery
      Exploration (not followed by surgical repair), with/without lysis    I.P or Ambulatory
35741 of artery; popliteal artery
      Exploration (not followed by surgical repair), with/without lysis    I.P or Ambulatory
35761 of artery; other vessels
      Exploration for postoperative hemorrhage/thrombosis/infection;       I.P or Ambulatory
35800 neck
      Exploration for postoperative hemorrhage/thrombosis/infection;       I.P or Ambulatory
35840 abdomen
      Exploration for postoperative hemorrhage/thrombosis/infection;       I.P or Ambulatory
35860 extremity
35870 Repair of graft-enteric fistula                                      I.P or Ambulatory
      Thrombectomy of arterial or venous graft (other than                 I.P or Ambulatory
35875 hemodialysis graft or fistula)
      Thrombectomy of arterial or venous graft (other than                 I.P or Ambulatory
35876 hemodialysis graft or fistula) with revision of graft
      Revision, lower extremity arterial bypass, w/out thrombectomy,       I.P or Ambulatory
35879 open; with vein patch angioplasty
      Revision, lower extremity arterial bypass, w/out thrombectomy,       I.P or Ambulatory
35881 open; with segmental vein interposition
      Revision, femoral anastomosis of synthetic arterial bypass graft     I.P or Ambulatory
35883 in groin, open; with nonautogenous patch graft
      Revision, femoral anastomosis of synthetic arterial bypass graft     I.P or Ambulatory
35884 in groin, open; with autogenous vein patch graft
35901 Excision of infected graft; neck                                     I.P   or   Ambulatory
35903 Excision of infected graft; extremity                                I.P   or   Ambulatory
35905 Excision of infected graft; thorax                                   I.P   or   Ambulatory
35907 Excision of infected graft; abdomen                                  I.P   or   Ambulatory
      Injection procedure for extremity venography (including              I.P   or   Ambulatory
36005 needle/cath intro)
      Introduction of catheter, right heart or main pulmonary artery       I.P or Ambulatory
36013
      Introduction of needle/intracatheter; arteriovenous shunt            I.P or Ambulatory
36145 created for dialysis
36260 Insertion of implantable intra-arterial infusion pump                I.P or Ambulatory
36261 Revision of implanted intra-arterial infusion pump                   I.P or Ambulatory
36262 Removal of implanted intra-arterial infusion pump                    I.P or Ambulatory
      Single/multiple injections of sclerosing solution, spider veins;   I.P or Ambulatory
36468 limb/trunk
      Single/multiple injections of sclerosing solution, spider veins;   I.P or Ambulatory
36469 face
36470 Injection of sclerosing solution; single vein                      I.P or Ambulatory
36471 Injection of sclerosing solution; multiple veins, same leg         I.P or Ambulatory
      Endovenous ablation therapy of incompetent vein, extremity,        I.P or Ambulatory
      inclusive of all imaging guidance and monitoring, percutaneous,
36475 radiofrequency; first vein treated
      Endovenous ablation therapy of incompetent vein, extremity,        I.P or Ambulatory
      inclusive of all imaging guidance and monitoring, percutaneous,
36478 laser; first vein treated
      Declotting by thrombolytic agent of implanted vascular access      I.P or Ambulatory
36593 device or catheter
36680 Placement of needle for intraosseous infusion                      I.P or Ambulatory
      Insertion of cannula for hemodialysis, other purpose (separate     I.P or Ambulatory
36800 procedure); vein to vein
      Insertion of cannula for hemodialysis, other purpose (separate     I.P or Ambulatory
      procedure); arteriovenous, external (Scribner type)
36810
      Insertion of cannula for hemodialysis, other purpose (separate     I.P or Ambulatory
      procedure); arteriovenous, external revision or closure
36815
      Arteriovenous anastomosis, open; by upper arm cephalic vein        I.P or Ambulatory
36818 transposition
      Arteriovenous anastomosis, open; by upper arm basilic vein         I.P or Ambulatory
36819 transposition
      Arteriovenous anastomosis, open; by forearm vein transposition     I.P or Ambulatory
36820
      Arteriovenous anastomosis, open; direct, any site (separate        I.P or Ambulatory
36821 procedure)
      Creation of arteriovenous fistula by other than direct             I.P or Ambulatory
      arteriovenous anastomosis (separate procedure); autogenous
36825 graft
      Creation of arteriovenous fistula by other than direct             I.P or Ambulatory
      arteriovenous anastomosis (separate procedure);
36830 nonautogenous graft
      Thrombectomy, open, arteriovenous fistula without revision,        I.P or Ambulatory
      autogenous or nonautogenous dialysis graft (separate
36831 procedure)
      Revision, open, arteriovenous fistula; without thrombectomy,       I.P or Ambulatory
      autogenous or nonautogenous dialysis graft (separate
36832 procedure)
      Revision, open, arteriovenous fistula; with thrombectomy,          I.P or Ambulatory
      autogenous/nonautogenous dialysis graft (separate procedure)
36833
      Plastic repair of arteriovenous aneurysm (separate procedure)      I.P or Ambulatory
36834
36835 Insertion of Thomas shunt (separate procedure)                     I.P or Ambulatory
      Distal revascularization and interval ligation (DRIL), upper       I.P or Ambulatory
36838 extremity hemodialysis access (steal syndrome)
      External cannula declotting (separate procedure); without          I.P or Ambulatory
36860 balloon catheter
      External cannula declotting (separate procedure); with balloon     I.P or Ambulatory
36861 catheter
        Thrombectomy, percutaneous, arteriovenous fistula,               I.P or Ambulatory
        autogenous or nonautogenous graft (includes mechanical
36870   thrombus extraction and intra-graft thrombolysis)
        Primary percutaneous transluminal mechanical thrombectomy,       I.P or Ambulatory
        noncoronary, arterial or arterial bypass graft, including
        fluoroscopic guidance and intraprocedural pharmacological
37184   thrombolytic injection(s); initial vessel
        Primary percutaneous transluminal mechanical thrombectomy,       I.P or Ambulatory
        noncoronary, arterial or arterial bypass graft, including
        fluoroscopic guidance and intraprocedural pharmacological
        thrombolytic injection(s); second and all subsequent vessels
37185   within same vascular family
        Secondary percutaneous transluminal mechanical                   I.P or Ambulatory
        thrombectomy, noncoronary, arterial or arterial bypass graft,
        including fluoroscopic guidance and intraprocedural
        pharmacological thrombolytic injection(s), provided in
        conjunction w/another percutaneous intervention other than
37186   primary mechanical thrombectomy
        Percutaneous transluminal mechanical thrombectomy, vein(s),      I.P or Ambulatory
        including intraprocedural pharmacological thrombolytic
37187   injections and fluoroscopic guidance
        Percutaneous transluminal mechanical thrombectomy, vein(s),      I.P or Ambulatory
        including intraprocedural pharmacological thrombolytic
        injections and fluoroscopic guidance, repeat treatment on
        subsequent day during course of thrombolytic therapy
37188
37195 Thrombolysis, cerebral, by intravenous infusion                    I.P or Ambulatory
37200 Transcatheter biopsy                                               I.P or Ambulatory
      Percutaneous transcatheter occlusion/embolization, any             I.P or Ambulatory
37204 method, non-central nervous system, non-head/neck
      Transcatheter placement of intravascular stent(s) (except          I.P or Ambulatory
      coronary, carotid, and vertebral vessel), percutaneous; initial
37205 vessel
      Transcatheter placement of intravascular stent(s) (except          I.P or Ambulatory
      coronary, carotid, and vertebral vessel), percutaneous; each
37206 additional vessel
      Transcatheter placement of intravascular stent(s) (non-            I.P or Ambulatory
37207 coronary vessel), open; initial vessel
      Transcatheter placement of intravascular stent(s) (non-            I.P or Ambulatory
37208 coronary vessel), open; each additional vessel
      Uterine fibroid embolization, percutaneous approach inclusive of   I.P or Ambulatory
      vascular access, vessel selection, embolization, and all
      radiological supervision and interpretation, intraprocedural
      roadmapping, and imaging guidance necessary to complete the
37210 procedure
      Transcatheter placement of intravascular stent(s), cervical        I.P or Ambulatory
37215 carotid artery, percutaneous; with distal embolic protection
      Transcatheter placement of intravascular stent(s), cervical        I.P or Ambulatory
      carotid artery, percutaneous; without distal embolic protection
37216
      Vascular endoscopy, surgical, with ligation of perforator veins,   I.P or Ambulatory
37500 subfascial (SEPS)
37501 Unlisted vascular endoscopy procedure                              I.P or Ambulatory
37565 Ligation, internal jugular vein                                    I.P or Ambulatory
37600 Ligation; external carotid artery                                  I.P or Ambulatory
37605 Ligation; internal/common carotid artery                           I.P or Ambulatory
      Ligation; internal/common carotid artery, with gradual             I.P or Ambulatory
37606 occlusion, as with Selverstone or Crutchfield clamp
37607 Ligation or banding of angioaccess arteriovenous fistula           I.P   or   Ambulatory
37609 Ligation/biopsy, temporal artery                                   I.P   or   Ambulatory
37615 Ligation, major artery; neck                                       I.P   or   Ambulatory
37616 Ligation, major artery; chest                                      I.P   or   Ambulatory
37617 Ligation, major artery; abdomen                                    I.P   or   Ambulatory
37618 Ligation, major artery; extremity                                  I.P   or   Ambulatory
      Interruption of inferior vena cava by                              I.P   or   Ambulatory
      suture/ligation/plication/clip, extravascular/intravascular
37620 (umbrella device)
37650 Ligation of femoral vein                                           I.P or Ambulatory
37660 Ligation of common iliac vein                                      I.P or Ambulatory
      Ligation & division, long saphenous vein at saphenofemoral         I.P or Ambulatory
37700 junction/distal interruptions
37718 Ligation, division and stripping, short saphenous vein             I.P or Ambulatory
      Ligation, division and stripping, long (greater) saphenous veins   I.P or Ambulatory
37722 from saphenofemoral junction to knee or below
      Ligation & division & complete stripping of long or short          I.P or Ambulatory
      saphenous veins, w radical excision ulcer and skin graft and/or
      interruption of communicating veins of lower leg, w excision of
37735 deep fascia
      Ligation of perforators veins, subfascial, radical, with/without   I.P or Ambulatory
37760 skin graft, open
      Stab phlebectomy of varicose veins, one extremity; 10-20 stab      I.P or Ambulatory
37765 incisions
      Stab phlebectomy of varicose veins, one extremity; more than       I.P or Ambulatory
37766 20 incisions
      Ligation & division of short saphenous vein at saphenopopliteal    I.P or Ambulatory
37780 junction (separate procedure)
      Ligation, division and/or excision of varicose vein cluster(s),    I.P or Ambulatory
37785 one leg
37788 Penile revascularization, artery, with/without graft               I.P or Ambulatory
37790 Penile venous occlusive procedure                                  I.P or Ambulatory
      Unlisted procedure, vascular surgery (requires additional          I.P or Ambulatory
37799 report/info to be submitted)
38100 Splenectomy (separate procedure); total                            I.P or Ambulatory
38101 Splenectomy (separate procedure); partial                          I.P or Ambulatory
      Splenectomy; total, en bloc for extensive disease, in              I.P or Ambulatory
38102 conjunction with other procedure
38115 Repair of ruptured spleen with/without partial splenectomy         I.P   or   Ambulatory
38120 Laparoscopy, surgical, splenectomy                                 I.P   or   Ambulatory
38129 Unlisted laparoscopy procedure, spleen                             I.P   or   Ambulatory
      Bone marrow or blood derived peripheral stem cell                  I.P   or   Ambulatory
38240 transplantation; allogenic
      Bone marrow or blood derived peripheral stem cell                  I.P or Ambulatory
38241 transplantation; autologous
38300 Drainage of lymph node abscess/lymphadenitis; simple               I.P   or   Ambulatory
38305 Drainage of lymph node abscess/lymphadenitis; extensive            I.P   or   Ambulatory
38308 Lymphangiotomy/operations on lymphatic channels                    I.P   or   Ambulatory
38380 Suture/ligation of thoracic duct; cervical approach                I.P   or   Ambulatory
38381 Suture/ligation of thoracic duct; thoracic approach                I.P   or   Ambulatory
38382 Suture/ligation of thoracic duct; abdominal approach               I.P   or   Ambulatory
38500 Biopsy or excision of lymph node(s); open, superficial             I.P   or   Ambulatory
38505 Biopsy/excision of lymph node(s); by needle, superficial           I.P or Ambulatory
      Biopsy or excision of lymph node(s); open, deep cervical           I.P or Ambulatory
38510 node(s)
      Biopsy or excision of lymph node(s); open, deep cervical           I.P or Ambulatory
38520 node(s) with excision scalene fat pad
      Biopsy or excision of lymph node(s); open, deep axillary           I.P or Ambulatory
38525 node(s)
      Biopsy or excision of lymph node(s); open, internal mammary        I.P or Ambulatory
38530 node(s)
38542 Dissection, deep jugular node(s)                                   I.P or Ambulatory
      Excision of cystic hygroma, axillary/cervical; without deep        I.P or Ambulatory
38550 neurovascular dissection
      Excision of cystic hygroma, axillary/cervical; with deep           I.P or Ambulatory
38555 neurovascular dissection
      Limited lymphadenectomy for staging(separate procedure);           I.P or Ambulatory
38562 pelvic and para-aortic
      Limited lymphadenectomy for staging (separate procedure);          I.P or Ambulatory
38564 retroperitoneal
      Laparoscopy, surgical; with retroperitoneal lymph node             I.P or Ambulatory
38570 sampling (biopsy), single or multiple
      Laparoscopy, surgical; with bilateral total pelvic                 I.P or Ambulatory
38571 lymphadectomy
      Laparoscopy, surgical; with bilateral total pelvic                 I.P or Ambulatory
      lymphadectomy & peri-aortic lymph node sampling (biopsy),
38572 single or multiple
38589 Unlisted laparoscopy procedure, lymphatic system                   I.P   or   Ambulatory
38700 Suprahyoid lymphadenectomy                                         I.P   or   Ambulatory
38720 Complete cervical lymphadenectomy                                  I.P   or   Ambulatory
      Cervical lymphadenectomy (modified radical neck dissection)        I.P   or   Ambulatory
38724
38740 Axillary lymphadenectomy; superficial                              I.P or Ambulatory
38745 Axillary lymphadenectomy; complete                                 I.P or Ambulatory
      Thoracic lymphadenectomy, regional, including mediastinal and      I.P or Ambulatory
38746 peritracheal nodes
      Abdominal lymphadenectomy, regional, including celiac,             I.P or Ambulatory
      gastric, portal, peripancreatic, with/without para-aortic & vena
38747 caval nodes
      Inguinofemoral lymphadenectomy, superficial, including             I.P or Ambulatory
38760 cloquet's node (separate procedure)
      Inguinofemoral lymphadenectomy, superficial, in continuity         I.P or Ambulatory
38765 with pelvic lymphadenectomy (separate procedure)
      Pelvic lymphadenectomy, including ext                              I.P or Ambulatory
38770 iliac/hypogastric/obturator nodes (separate procedure)
      Retroperitoneal transabdominal lymphadenectomy, extensive,         I.P or Ambulatory
      including pelvic/aortic/renal nodes (separate procedure)
38780
38790 Injection procedure for lymphangiography                           I.P   or   Ambulatory
38792 Injection procedure; for identification of sentinel node           I.P   or   Ambulatory
38794 Cannulation, thoracic duct                                         I.P   or   Ambulatory
      Unlisted procedure, hemic/lymphatic system (requires               I.P   or   Ambulatory
38999 additional report/information to be submitted)
      Mediastinotomy with exploration, drainage, removal foreign         I.P or Ambulatory
39000 body, or biopsy; cervical approach
        Mediastinotomy with exploration, drainage, removal foreign          I.P or Ambulatory
        body or biopsy; transthoracic approach, including
39010   transthoracic/median sternotomy
39200   Excision of mediastinal cyst                                        I.P   or   Ambulatory
39220   Excision of mediastinal tumor                                       I.P   or   Ambulatory
39400   Mediastinoscopy with/without biopsy                                 I.P   or   Ambulatory
        Unlisted procedure, mediastinum (requires additional                I.P   or   Ambulatory
39499   report/information to be submitted)
39501   Repair, laceration of diaphragm, any approach                       I.P or Ambulatory
        Repair, paraesophageal hiatus hernia, transabdominal, except        I.P or Ambulatory
39502   neonatal
        Repair, neonatal diaphragmatic hernia, with/without chest tube      I.P or Ambulatory
39503   & with/without creation of ventral hernia repair
39520   Repair, diaphragmatic hernia; transthoracic                         I.P or Ambulatory
39530   Repair, diaphragmatic hernia; combined, throacoabdominal            I.P or Ambulatory
        Repair, diaphragmatic hernia; combined, thoracoabdominal,           I.P or Ambulatory
39531   with dilation of stricture (with/without gastroplasty)
        Repair, diaphragmatic hernia (other than neonatal), traumatic;      I.P or Ambulatory
39540   acute
        Repair, diaphragmatic hernia (other than neonatal), traumatic;      I.P or Ambulatory
39541   chronic
        Imbrication of diaphragm for eventration,                           I.P or Ambulatory
39545   transthoracic/transabdominal, paralytic/nonparalytic
39560   Resection, diaphragm; with simple repair                            I.P or Ambulatory
39561   Resection, diaphragm; with complex repair                           I.P or Ambulatory
        Unlisted procedure, diaphragm (requires additional                  I.P or Ambulatory
39599   report/information to be submitted)
40500   Vermilionectomy with mucosal advancement                            I.P or Ambulatory
        Excision of lip; transverse wedge excision with primary closure     I.P or Ambulatory
40510
40520 Excision of lip; v-excision with primary direct linear closure        I.P or Ambulatory
40525 Excision of lip; full thickness, reconstruction with local flap       I.P or Ambulatory
      Excision of lip; full thickness, reconstruction with cross lip flap   I.P or Ambulatory
40527
      Resection of lip, more than one-fourth, without reconstruction        I.P or Ambulatory
40530
40700 Plastic repair of cleft lip/nasal deformity; primary, unilateral      I.P or Ambulatory
      Plastic repair of cleft lip/nasal deformity; primary bilateral, one   I.P or Ambulatory
40701 stage procedure
      Plastic repair of cleft lip/nasal deformity; primary bilateral, one   I.P or Ambulatory
40702 of two stages
      Plastic repair of cleft lip/nasal deformity; secondary, by            I.P or Ambulatory
40720 recreation of defect and reclosure
      Plastic repair of cleft lip; with cross lip pedicle flap, including   I.P or Ambulatory
40761 sectioning & inserting of pedicle
      Unlisted procedure, lips (requires additional report/information      I.P or Ambulatory
40799 to be submitted)
      Drainage of abscess/cyst/hematoma/vestibule of mouth; simple          I.P or Ambulatory
40800
      Drainage of abscess/cyst/hematoma/vestibule of mouth;                 I.P or Ambulatory
40801 complicated
      Removal of embedded foreign body, vestibule of mouth; simple          I.P or Ambulatory
40804
40805 Removal of foreign body, vestibule of mouth; complicated              I.P or Ambulatory
      Excision of lesion of mucosa & submucosa, vestibule of mouth;     I.P or Ambulatory
40810 without repair
      Excision of lesion of mucosa & submucosa, vestibule of mouth;     I.P or Ambulatory
40812 with simple repair
      Excision of lesion of mucosa & submucosa, vestibule of mouth;     I.P or Ambulatory
40814 with complex repair
      Excision of lesion of mucosa & submucosa, vestibule of mouth;     I.P or Ambulatory
40816 complex, with excision of underlying muscle
40818 Excision of mucosa of vestibule of mouth as donor graft           I.P or Ambulatory
      Destruction of lesion/scar of vestibule of mouth by physical      I.P or Ambulatory
40820 methods
      Unlisted procedure, vestibule of mouth (requires additional       I.P or Ambulatory
40899 report/information to be submitted)
      Intraoral incision & drainage abscess/cyst/hematoma; lingual      I.P or Ambulatory
41000
      Intraoral incision & drainage abscess/cyst/hematoma;              I.P or Ambulatory
41005 sublingual, superficial
      Intraoral incision & drainage abscess/cyst/hematoma;              I.P or Ambulatory
41006 sublingual, deep, supramylohyoid
      Intraoral incision & drainage abscess/cyst/hematoma;              I.P or Ambulatory
41007 submental space
      Intraoral incision & drainage abscess/cyst/hematoma;              I.P or Ambulatory
41008 submandibular space
      Intraoral incision & drainage abscess/cyst/hematoma;              I.P or Ambulatory
41009 masticator space
      Extraoral incision & drainage abscess/cyst/hematoma;              I.P or Ambulatory
41015 sublingual
      Extraoral incision & drainage abscess/cyst/hematoma;              I.P or Ambulatory
41016 submental
      Extraoral incision & drainage abscess/cyst/hematoma;              I.P or Ambulatory
41017 submandibular
      Extraoral incision & drainage abscess/cyst/hematoma;              I.P or Ambulatory
41018 masticator space
41100 Biopsy of tongue, anterior two-thirds                             I.P   or   Ambulatory
41105 Biopsy of tongue; posterior one-third                             I.P   or   Ambulatory
41110 Excision lesion of tongue; without closure                        I.P   or   Ambulatory
41112 Excision lesion of tongue; with closure, anterior two-thirds      I.P   or   Ambulatory
41113 Excision lesion of tongue; with closure, posterior one-third      I.P   or   Ambulatory
41114 Excision lesion of tongue; with closure, local tongue flap        I.P   or   Ambulatory
41116 Excision lesion of floor of mouth                                 I.P   or   Ambulatory
41120 Glossectomy; less than one-half tongue                            I.P   or   Ambulatory
41130 Glossectomy; hemiglossectomy                                      I.P   or   Ambulatory
41135 Glossectomy; partial, with unilateral radical neck dissection     I.P   or   Ambulatory
41500 Fixation of tongue, mechanical, other than suture                 I.P   or   Ambulatory
41510 Suture of tongue to lip for micrognathia                          I.P   or   Ambulatory
41520 Frenoplasty                                                       I.P   or   Ambulatory
      Unlisted procedure, tongue/floor of mouth (requires additional    I.P   or   Ambulatory
41599 report/information to be submitted)
41822 Excision of fibrous tuberosities, dentoalveolar structures        I.P or Ambulatory
41823 Excision of osseous tuberosities, dentoalveolar structures        I.P or Ambulatory
      Excision of lesion/tumor, dentoalveolar structures; without       I.P or Ambulatory
41825 repair
      Excision of lesion/tumor, dentoalveolar structures; with simple   I.P or Ambulatory
41826 repair
      Excision of lesion/tumor, dentoalveolar structures; with              I.P or Ambulatory
41827 complex repair
      Excision of hyperplastic alveolar mucosa, each quadrant               I.P or Ambulatory
41828 (specify)
      Alveolectomy, including curettage of osteitis/sequestrectomy          I.P or Ambulatory
41830
41870 Periodontal mucosal grafting                                          I.P   or   Ambulatory
41872 Gingivoplasty, each quadrant (specify)                                I.P   or   Ambulatory
41874 Alveoplasty, each quadrant (specify)                                  I.P   or   Ambulatory
42000 Drainage of abscess of palate, uvula                                  I.P   or   Ambulatory
42100 Biopsy of palate, uvula                                               I.P   or   Ambulatory
42104 Excision, lesion of palate, uvula; without closure                    I.P   or   Ambulatory
42106 Excision, lesion of palate, uvula; with simple primary closure        I.P   or   Ambulatory
42107 Excision, lesion of palate, uvula; with local flap closure            I.P   or   Ambulatory
42140 Uvulectomy, excision of uvula                                         I.P   or   Ambulatory
42145 Palatopharyngoplasty                                                  I.P   or   Ambulatory
42160 Destruction of lesion, palate/uvula                                   I.P   or   Ambulatory
42180 Repair, laceration of palate; up to 2 cm                              I.P   or   Ambulatory
42182 Repair, laceration of palate; over 2 cm or complex                    I.P   or   Ambulatory
42200 Palatoplasty for cleft palate, soft and/or hard palate only           I.P   or   Ambulatory
      Palatoplasty for cleft palate, with closure of alveolar ridge; soft   I.P   or   Ambulatory
42205 tissue only
      Palatoplasty for cleft palate, with closure of alveolar ridge; with   I.P or Ambulatory
42210 bone graft to alveolar ridge
42215 Palatoplasty for cleft palate; major revision                         I.P or Ambulatory
      Palatoplasty for cleft palate; secondary lengthening procedure        I.P or Ambulatory
42220
42225 Palatoplasty for cleft palate; attachment pharyngeal flap             I.P   or   Ambulatory
42226 Lengthening of palate & pharyngeal flap                               I.P   or   Ambulatory
42227 Lengthening of palate with island flap                                I.P   or   Ambulatory
42235 Repair of anterior palate, including vomer flap                       I.P   or   Ambulatory
42260 Repair of nasolabial fistula                                          I.P   or   Ambulatory
42280 Maxillary impression for palatal prosthesis                           I.P   or   Ambulatory
42281 Insertion of pin-retained palatal prosthesis                          I.P   or   Ambulatory
      Unlisted procedure, palate/uvula (requires additional report to       I.P   or   Ambulatory
42299 be submitted)
42405 Biopsy of salivary gland; incisional                                  I.P   or   Ambulatory
42408 Excision of sublingual salivary cyst                                  I.P   or   Ambulatory
42409 Marsupialization of sublingual salivary cyst                          I.P   or   Ambulatory
      Excision of parotid tumor/gland; lateral lobe, without nerve          I.P   or   Ambulatory
42410 dissection
      Excision of parotid tumor/gland; lateral lobe, with dissection        I.P or Ambulatory
42415 and preservation of facial nerve
      Excision of parotid tumor/gland; total, with dissection and           I.P or Ambulatory
42420 preservation of facial nerve
      Excision of parotid tumor/gland; total, en bloc removal with          I.P or Ambulatory
42425 sacrifice of facial nerve
      Excision of parotid tumor/gland; total, with unilateral radical       I.P or Ambulatory
42426 neck dissection
42440 Excision of submandibular/submaxillary gland                          I.P or Ambulatory
42450 Excision of sublingual gland                                          I.P or Ambulatory
      Plastic repair of salivary duct, sialodochoplasty; primary/simple     I.P or Ambulatory
42500
      Plastic repair of salivary duct, sialodochoplasty;                    I.P or Ambulatory
42505 secondary/complicated
42507 Parotid duct diversion, bilateral                                   I.P or Ambulatory
      Parotid duct diversion, bilateral; with excision of one             I.P or Ambulatory
42508 submandibular gland
      Parotid duct diversion, bilateral; with excision of both            I.P or Ambulatory
42509 submandibular glands
      Parotid duct diversion, bilateral; with ligation of both            I.P or Ambulatory
42510 submandibular ducts
42600 Closure salivary fistula                                            I.P or Ambulatory
42665 Ligation salivary duct, intraoral                                   I.P or Ambulatory
      Unlisted procedure, salivary glands/ducts (requires additional      I.P or Ambulatory
42699 report/information to be submitted)
42700 Incision and drainage abscess; peritonsillar                        I.P or Ambulatory
      Incision and drainage abscess;                                      I.P or Ambulatory
42720 retropharyngeal/parapharyngeal, intraoral approach
      Incision and drainage abscess;                                      I.P or Ambulatory
42725 retropharyngeal/parapharyngeal, external approach
42808 Excision/destruction of lesion of pharynx, any method               I.P or Ambulatory
42809 Removal of foreign body from pharynx                                I.P or Ambulatory
      Excision branchial cleft cyst/vestige, confined to skin &           I.P or Ambulatory
42810 subcutaneous tissues
      Excision branchial cleft cyst/vestige/fistula; extending beneath    I.P or Ambulatory
42815 subcutaneous tissues and/or into pharynx
42820 Tonsillectomy & adenoidectomy; under age 12                         I.P   or   Ambulatory
42821 Tonsillectomy & adenoidectomy; age 12 or over                       I.P   or   Ambulatory
42825 Tonsillectomy, primary/secondary; under age 12                      I.P   or   Ambulatory
42826 Tonsillectomy, primary/secondary; age 12 or over                    I.P   or   Ambulatory
42830 Adenoidectomy, primary; under age 12                                I.P   or   Ambulatory
42831 Adenoidectomy, primary; age 12 or over                              I.P   or   Ambulatory
42835 Adenoidectomy, secondary; under age 12                              I.P   or   Ambulatory
42836 Adenoidectomy, secondary; age 12 or over                            I.P   or   Ambulatory
      Radical resection of tonsil/tonsillar pillars/retromolar trigone;   I.P   or   Ambulatory
42842 without closure
      Radical resection of tonsil/tonsillar pillars/retromolar trigone;   I.P or Ambulatory
42844 closure with local flap
      Radical resection of tonsil/tonsillar pillars/retromolar trigone;   I.P or Ambulatory
42845 closure with other flap
42860 Excision of tonsil tags                                             I.P or Ambulatory
      Excision or destruction lingual tonsil, any method (separate        I.P or Ambulatory
42870 procedure)
42890 Limited pharyngectomy                                               I.P or Ambulatory
      Resection of lateral pharyngeal wall/pyriform sinus, direct         I.P or Ambulatory
42892 closure
      Resection of pharyngeal wall requiring closure with                 I.P or Ambulatory
42894 myocutaneous flap
42900 Suture pharynx for wound or injury                                  I.P   or   Ambulatory
42950 Pharyngoplasty                                                      I.P   or   Ambulatory
42953 Pharyngoesophageal repair                                           I.P   or   Ambulatory
42955 Pharyngostomy                                                       I.P   or   Ambulatory
42960 Control oropharyngeal hemorrhage; simple                            I.P   or   Ambulatory
      Control oropharyngeal hemorrhage; complicated, requiring            I.P   or   Ambulatory
42961 hospitalization
      Control oropharyngeal hemorrhage; with secondary surgical           I.P or Ambulatory
42962 intervention
      Unlisted procedure, pharynx/adenoids/tonsils (requires              I.P or Ambulatory
42999 additional report/information to be submitted)
      Esophagotomy, cervical approach, with removal of foreign body     I.P or Ambulatory
43020
43030 Cricopharyngeal myotomy                                           I.P or Ambulatory
      Esophagotomy, thoracic approach, with removal of foreign body     I.P or Ambulatory
43045
      Excision of lesion, esophagus, with primary repair; cervical      I.P or Ambulatory
43100 approach
      Excision of lesion, esophagus, with primary repair;               I.P or Ambulatory
43101 thoracic/abdominal approach
      Diverticulectomy of hypopharynx/esophagus with/without            I.P or Ambulatory
43130 myotomy; cervical approach
      Diverticulectomy of hypopharynx/esophagus with/without            I.P or Ambulatory
43135 myotomy; thoracic approach
43280 Laparoscopy, surgical, esophagogastric fundoplasty                I.P or Ambulatory
      Esophagoplasty, cervical approach; without repair of              I.P or Ambulatory
43300 tracheoesophageal fistula
      Esophagoplasty, cervical approach; with repair of                 I.P or Ambulatory
43305 tracheoesophageal fistula
      Esophagoplasty, thoracic approach; without repair of              I.P or Ambulatory
43310 tracheoesophageal fistula
      Esophagoplasty, thoracic approach; with repair of                 I.P or Ambulatory
43312 tracheoesophageal fistula
      Esophagoplasty for congenital defect, (plastic                    I.P or Ambulatory
      repair/reconstruction), thoracic approach; without repair of
43313 congenital tracheoesophageal fistula
      Esophagoplasty for congenital defect, (plastic                    I.P or Ambulatory
      repair/reconstruction), thoracic approach; with repair of
43314 congenital tracheoesophageal fistula
      Esophagogastrostomy (cardioplasty); with/without vagotomy         I.P or Ambulatory
      and pyloroplasty; transabdominal/transthoracic approach
43320
43324 Esophagogastric fundoplasty                                       I.P or Ambulatory
      Esophagogastric fundoplasty with fundic patch (Thal-Nissen        I.P or Ambulatory
43325 procedure)
43326 Esophagogastric fundoplasty; with gastroplasty                    I.P   or   Ambulatory
43330 Esophagomyotomy (Heller type); abdominal approach                 I.P   or   Ambulatory
43331 Esophagomyotomy (Heller type); thoracic approach                  I.P   or   Ambulatory
43350 Esophagostomy, external; abdominal approach                       I.P   or   Ambulatory
43351 Esophagostomy, external; thoracic approach                        I.P   or   Ambulatory
43352 Esophagostomy, external; cervical approach                        I.P   or   Ambulatory
43400 Ligation, direct, esophageal varices                              I.P   or   Ambulatory
      Ligation/stapling at gastroesophageal junction for pre-existing   I.P   or   Ambulatory
43405 esophageal perforation
43410 Suture of esophageal wound or injury; cervical approach           I.P or Ambulatory
      Suture of esophageal wound or injury; transthoracic or            I.P or Ambulatory
43415 transabdominal approach
43420 Closure of esophagostomy/fistula; cervical approach               I.P or Ambulatory
      Closure of esophagostomy/fistula; transthoracic or                I.P or Ambulatory
43425 transabdominal approach
43496 Free jejunum transfer with microvascular anastomosis              I.P   or   Ambulatory
43500 Gastrotomy; with exploration/foreign body removal                 I.P   or   Ambulatory
43520 Pyloromyotomy                                                     I.P   or   Ambulatory
43605 Biopsy of stomach; by laparotomy                                  I.P   or   Ambulatory
43610 Excision, local; ulcer/benign tumor of stomach                    I.P   or   Ambulatory
43611 Excision, local; malignant tumor of stomach                       I.P   or   Ambulatory
43635 Vagotomy when performed with partial distal gastrectomy             I.P or Ambulatory
      Vagotomy including pyloroplasty, with/without gastrostomy;          I.P or Ambulatory
43640 truncal/selective
      Vagotomy including pyloroplasty, with/without gastrostomy;          I.P or Ambulatory
43641 parietal cell/highly selective
      Laparoscopy, surgical, gastric restrictive procedure; placement     I.P or Ambulatory
43770 of adjustable gastric restrictive device
      Laparoscopy, surgical, gastric restrictive procedure; revision of   I.P or Ambulatory
      adjustable gastric restrictive device component only
43771
      Laparoscopy, surgical, gastric restrictive procedure; removal of    I.P or Ambulatory
      adjustable gastric restrictive device component only
43772
      Laparoscopy, surgical, gastric restrictive procedure; removal       I.P or Ambulatory
      and replacement of adjustable gastric restrictive device
43773 component only
      Laparoscopy, surgical, gastric restrictive procedure; removal of    I.P or Ambulatory
      adjustable gastric restrictive device and subcutaneous port
43774 components
43800 Pyloroplasty                                                        I.P   or   Ambulatory
43810 Gastroduodenostomy                                                  I.P   or   Ambulatory
43820 Gastrojejunostomy; without vagotomy                                 I.P   or   Ambulatory
43825 Gastrojejunostomy; with vagotomy                                    I.P   or   Ambulatory
      Gastrostomy, open; without construction of gastric tube             I.P   or   Ambulatory
43830 (separate procedure)
43831 Gastrostomy, open; neonatal, for feeding                            I.P or Ambulatory
43832 Gastrostomy, open; with construction of gastric tube                I.P or Ambulatory
      Gastric restrictive procedure, without gastric bypass, for morbid   I.P or Ambulatory
43842 obesity; vertical-banded gastroplasty
      Gastric restrictive procedure, without gastric bypass, for morbid   I.P or Ambulatory
43843 obesity; other than vertical-banded gastroplasty
      Gastric restrictive procedure with partial gastrectomy, pylorus-    I.P or Ambulatory
      preserving, duodenoileostomy and ileoileostomy to limit
43845 absorption
      Gastric restrictive procedure, with gastric bypass for morbid       I.P or Ambulatory
      obesity; with small intestine reconstruction to limit absorption
43847
43870 Closure of gastrostomy, surgical                                    I.P or Ambulatory
43880 Closure of gastrocolic fistula                                      I.P or Ambulatory
      Implantation or replacement of gastric neurostimulator              I.P or Ambulatory
43881 electrodes, antrum, open
      Revision or removal of gastric neurostimulator electrodes,          I.P or Ambulatory
43882 antrum, open
      Gastric restrictive procedure, open; revision of subcutaneous       I.P or Ambulatory
43886 port component only
      Gastric restrictive procedure, open; removal of subcutaneous        I.P or Ambulatory
43887 port component only
      Gastric restrictive procedure, open; removal and replacement of     I.P or Ambulatory
43888 subcutaneous port component only
      Unlisted procedure, stomach (requires additional                    I.P or Ambulatory
43999 report/information to be submitted)
      Enterolysis (freeing of intestinal adhesion) (separate procedure)   I.P or Ambulatory
44005
      Duodenotomy, for exploration, biopsy(s), or foreign body            I.P or Ambulatory
44010 removal
      Tube or needle catheter jejunostomy for enteral alimentation,       I.P or Ambulatory
44015 intraoperative, any method
      Enterotomy, small intestine, other than duodenum; for               I.P or Ambulatory
44020 exploration/biopsy(s)/foreign body removal
      Enterotomy, small intestine, other than duodenum; for for           I.P or Ambulatory
44021 decompression
      Colotomy, for exploration, biopsy(s), or foreign body removal       I.P or Ambulatory
44025
      Reduction of volvulus, intussusception, internal hernia, by         I.P or Ambulatory
44050 laparotomy
      Correction of malrotation by lysis of duodenal bands/reduction      I.P or Ambulatory
44055 of midgut volvulus
      Excision of one or more lesion of small/large intestine not         I.P or Ambulatory
      requiring anastomosis, exteriorization/fistulization; single
44110 enterotomy
      Excision of one or more lesion of intestine not requiring           I.P or Ambulatory
      anastomosis, exteriorization/fistulization; multiple enterotomies
44111
44180 Laparoscopy, surgical, enterolysis (separate procedure)             I.P   or   Ambulatory
44186 Laparoscopy, surgical; jejunostomy                                  I.P   or   Ambulatory
44187 Laparoscopy, surgical; ileostomy or jejunostomy, non-tube           I.P   or   Ambulatory
44188 Laparoscopy, surgical; colostomy or skin level cecostomy            I.P   or   Ambulatory
44238 Unlisted laparoscopy procedure, intestine (except rectum)           I.P   or   Ambulatory
      Placement, enterostomy or cecostomy, tube open (separate            I.P   or   Ambulatory
44300 procedure)
44310 Ileostomy or jejunostomy, non-tube                                  I.P   or   Ambulatory
44312 Revision of ileostomy; simple (separate procedure)                  I.P   or   Ambulatory
44314 Revision of ileostomy; complicated (separate procedure)             I.P   or   Ambulatory
44316 Continent ileostomy (separate procedure)                            I.P   or   Ambulatory
44320 Colostomy or skin level cecostomy                                   I.P   or   Ambulatory
      Colostomy/skin level cecostomy; with multiple biopsies              I.P   or   Ambulatory
44322 (separate procedure)
44340 Revision of colostomy; simple (separate procedure)                  I.P or Ambulatory
44345 Revision of colostomy; complicated (separate procedure)             I.P or Ambulatory
      Revision of colostomy; with repair of paracolostomy hernia          I.P or Ambulatory
44346 (separate procedure)
      Small intestinal endoscopy, enteroscopy beyond second portion       I.P or Ambulatory
      of duodenum, not including ileum; with removal of
44364 tumor(s)/polyp(s) or other lesion(s) by snare technique
      Small intestinal endoscopy, enteroscopy beyond second portion       I.P or Ambulatory
      of duodenum, not including ileum; with control of bleeding
44366
      Small intestinal endoscopy, enteroscopy beyond second portion       I.P or Ambulatory
      of duodenum, not including ileum; with ablation of
      tumor(s)/polyp(s) or other lesion(s), not amenable to removal
44369 by hot biopsy/bipolar cautery or snare technique
      Small intestinal endoscopy, enteroscopy beyond second portion       I.P or Ambulatory
      of duodenum, including ileum; with control of bleeding
44378
      Intestinal stricturoplasty (enterotomy and enterorrhaphy)           I.P or Ambulatory
44615 with/without dilation, for intestinal obstruction
44620 Closure of enterostomy, large/small intestine                       I.P or Ambulatory
      Closure of enterostomy, large/small intestine; with resection       I.P or Ambulatory
44625 and anastomosis other than colorectal
      Closure of enterostomy, large or small intestine, with resection     I.P or Ambulatory
44626 and colorectal anastomosis
44640 Closure of intestinal cutaneous fistula                              I.P or Ambulatory
44650 Closure of enteroenteric/enterocolic fistula                         I.P or Ambulatory
      Closure of enterovesical fistula; without intestinal/bladder         I.P or Ambulatory
44660 resection
      Closure of enterovesical fistula; with intestine/bladder resection   I.P or Ambulatory
44661
44680 Intestinal plication (separate procedure)                            I.P or Ambulatory
      Exclusion of small intestine from pelvis by mesh or other            I.P or Ambulatory
44700 prosthesis, or native tissue
44701 Intraoperative colonic lavage                                        I.P or Ambulatory
      Backbench standard preparation of cadaver or living donor            I.P or Ambulatory
      intestine allograft prior to transplantation, including
      mobilization and fashioning of the superior mesenteric artery
44715 and vein
      Backbench reconstruction of cadaver or living donor intestine        I.P or Ambulatory
      allograft prior to transplantation; venous anastomosis, each
44720
      Backbench reconstruction of cadaver or living donor intestine        I.P or Ambulatory
      allograft prior to transplantation; arterial anastomosis, each
44721
      Unlisted procedure, intestine (requires additional                   I.P or Ambulatory
44799 report/information to be submitted)
      Excision of Meckel's diverticulum                                    I.P or Ambulatory
44800 (diverticulectomy)/omphalomesenteric duct
44820 Excision of lesion of mesentery (separate procedure)                 I.P   or   Ambulatory
44850 Suture of mesentery (separate procedure)                             I.P   or   Ambulatory
44900 Incision and drainage of appendiceal abscess; open                   I.P   or   Ambulatory
      Incision and drainage of appendiceal abscess; percutaneous           I.P   or   Ambulatory
44901
44950 Appendectomy                                                         I.P or Ambulatory
      Appendectomy; when done for indicated purpose at time of             I.P or Ambulatory
44955 other major procedure (not as separate procedure)
      Appendectomy; for ruptured appendix with abscess or                  I.P or Ambulatory
44960 generalized peritonitis
44970 Laparoscopy, surgical; appendectomy                                  I.P   or   Ambulatory
44979 Unlisted laparoscopy procedure, appendix                             I.P   or   Ambulatory
45005 Incision & drainage of submucosal abscess, rectum                    I.P   or   Ambulatory
      Incision & drainage of deep supralevator/pelvirectal/retrorectal     I.P   or   Ambulatory
45020 abscess
45100 Biopsy of anorectal wall, anal approach                              I.P   or   Ambulatory
45108 Anorectal myomectomy                                                 I.P   or   Ambulatory
45136 Excision of ileoanal reservoir with ileostomy                        I.P   or   Ambulatory
45150 Division of stricture of rectum                                      I.P   or   Ambulatory
      Excision of rectal tumor by proctotomy,                              I.P   or   Ambulatory
45160 transacral/transcoccygeal approach
45170 Excision of rectal tumor, transanal approach                         I.P or Ambulatory
45190 Destruction of rectal tumor transanal approach                       I.P or Ambulatory
      Colonoscopy, rigid or flexible, transabdominal via colotomy,         I.P or Ambulatory
45355 single/multiple
45400 Laparoscopy, surgical; proctopexy                                    I.P   or   Ambulatory
45402 Laparoscopy, surgical; proctopexy with sigmoid resection             I.P   or   Ambulatory
45499 Unlisted laparoscopy procedure, rectum                               I.P   or   Ambulatory
45500 Proctoplasty; for stenosis                                           I.P   or   Ambulatory
45505   Proctoplasty; for prolapse of mucous membrane                    I.P   or   Ambulatory
45520   Perirectal injection of sclerosing solution for prolapse         I.P   or   Ambulatory
45541   Proctopexy; perineal approach                                    I.P   or   Ambulatory
45560   Repair of rectocele (separate procedure)                         I.P   or   Ambulatory
45562   Exploration, repair, and presacral drainage for rectal injury    I.P   or   Ambulatory
        Exploration, repair, and presacral drainage for rectal injury;   I.P   or   Ambulatory
45563   with colostomy
45800   Closure of rectovesical fistula                                  I.P   or   Ambulatory
45805   Closure of rectovesical fistula; with colostomy                  I.P   or   Ambulatory
45820   Closure of rectourethral fistula                                 I.P   or   Ambulatory
45825   Closure of rectourethral fistula; with colostomy                 I.P   or   Ambulatory
        Unlisted procedure, rectum (requires additional                  I.P   or   Ambulatory
45999   report/information to be submitted)
46030   Removal of anal seton/other marker                               I.P or Ambulatory
        Incision & drainage, ischiorectal/perirectal abscess (separate   I.P or Ambulatory
46040   procedure)
        Incision & drainage, intramural, intramuscular/submucosal        I.P or Ambulatory
46045   abscess, transanal, under anesthesia
46050   Incision & drainage, perianal abscess, superficial               I.P or Ambulatory
        Incision & drainage, ischiorectal/intramural abscess, with       I.P or Ambulatory
        fistulectomy/fistulotomy, submuscular, with/without placement
46060   of seton
46070   Incision, anal septum (infant)                                   I.P or Ambulatory
        Sphincterotomy, anal, division of sphincter (separate            I.P or Ambulatory
46080   procedure)
46200   Fissurectomy, with/without sphincterotomy                        I.P   or   Ambulatory
46210   Cryptectomy, single                                              I.P   or   Ambulatory
46211   Cryptectomy, multiple (separate procedure)                       I.P   or   Ambulatory
        Papillectomy/excision of single anal tag (separate procedure)    I.P   or   Ambulatory
46220
46221   Hemorrhoidectomy, by simple ligature                             I.P   or   Ambulatory
46230   Excision of external hemorrhoid tags/multiple papillae           I.P   or   Ambulatory
46250   Hemorrhoidectomy, external, complete                             I.P   or   Ambulatory
46255   Hemorrhoidectomy, internal & external, simple                    I.P   or   Ambulatory
        Hemorrhoidectomy, internal & external, simple; with              I.P   or   Ambulatory
46257   fissurectomy
        Hemorrhoidectomy, internal & external, simple; with              I.P or Ambulatory
46258   fistulectomy, with/without fissurectomy
46260   Hemorrhoidectomy, internal & external, complex/extensive         I.P or Ambulatory
        Hemorrhoidectomy, internal & external, complex/extensive;        I.P or Ambulatory
46261   with fissurectomy
        Hemorrhoidectomy, internal & external, complex/extensive;        I.P or Ambulatory
46262   with fistulectomy, with/without fissurectomy
        Surgical treatment of anal fistula (fistulectomy/fistulotomy);   I.P or Ambulatory
46270   subcutaneous
        Surgical treatment of anal fistula (fistulectomy/fistulotomy);   I.P or Ambulatory
46275   submuscular
        Surgical treatment of anal fistula (fistulectomy/fistulotomy);   I.P or Ambulatory
        complex/multiple with/without placement of seton
46280
46285   Fistulectomy, second stage                                       I.P   or   Ambulatory
46288   Closure of anal fistula with rectal advancement flap             I.P   or   Ambulatory
46505   Chemodenervation of internal anal sphincter                      I.P   or   Ambulatory
46606   Anoscopy; for biopsy, single/multiple                            I.P   or   Ambulatory
46614   Anoscopy; with control of bleeding                               I.P   or   Ambulatory
46700 Anoplasty for stricture; adult                                     I.P   or   Ambulatory
46705 Anoplasty for stricture; infant/child                              I.P   or   Ambulatory
46706 Repair of anal fistula with fibrin glue                            I.P   or   Ambulatory
      Repair of ileoanal pouch fistula/sinus, pouch advancement;         I.P   or   Ambulatory
46710 transperineal approach
      Repair of ileoanal pouch fistula/sinus, pouch advancement;         I.P or Ambulatory
46712 combined transperineal and transabdominal approach
46715 Repair of low imperforate anus; with anoperineal fistula           I.P or Ambulatory
      Repair of low imperforate anus; with transposition of              I.P or Ambulatory
46716 anoperineal/anovestibular fistula
      Repair of high imperforate anus without fistula;                   I.P or Ambulatory
46730 perineal/sacroperineal approach
      Repair of high imperforate anus without fistula; combined          I.P or Ambulatory
46735 transabdominal and sacroperineal approaches
      Repair of high imperforate anus with rectourethral/rectovaginal    I.P or Ambulatory
      fistula; perineal/sacroperineal approach
46740
      Repair of high imperforate anus with rectourethral/rectovaginal    I.P or Ambulatory
      fistula; combined transabdominal and sacroperineal approaches
46742
      Repair of cloacal anomaly by anorectovaginoplasty and              I.P or Ambulatory
46744 urethroplasty, sacroperineal approach
      Repair of cloacal anomaly by anorectovaginoplasty and              I.P or Ambulatory
      urethroplasty, combined abdominal and sacroperineal
46746 approach;
      Repair of cloacal anomaly by anorectovaginoplasty and              I.P or Ambulatory
      urethroplasty, combined abdominal and sacroperineal
      approach; with vaginal lengthening by intestinal graft and
46748 pedicle flaps
46750 Anal sphincteroplasty for incontinence/prolapse, adult             I.P or Ambulatory
      Anal sphincteroplasty for incontinence/prolapse, infant/child      I.P or Ambulatory
46751
46753 Graft for rectal incontinence/prolapse                             I.P or Ambulatory
46754 Removal of Thiersch wire/suture, anal canal                        I.P or Ambulatory
      Anal sphincteroplasty for incontinence, adult, muscle transplant   I.P or Ambulatory
46760
      Sphincteroplasty, anal, for incontinence, adult; levator muscle    I.P or Ambulatory
46761 imbrication
      Sphincteroplasty, anal, for incontinence, adult; implantation      I.P or Ambulatory
46762 artificial sphincter
46900 Destruction of lesion(s), anus, simple; chemical                   I.P   or   Ambulatory
46910 Destruction of lesion(s), anus, simple; electrodesiccation         I.P   or   Ambulatory
46916 Destruction of lesion(s), anus, simple; cryosurgery                I.P   or   Ambulatory
46917 Destruction of lesion(s), anus, simple; laser surgery              I.P   or   Ambulatory
46922 Destruction of lesion(s), anus, simple; surgical excision          I.P   or   Ambulatory
46924 Destruction of lesion(s), anus, extensive                          I.P   or   Ambulatory
46934 Destruction of hemorrhoids, any method; internal                   I.P   or   Ambulatory
46935 Destruction of hemorrhoids, any method; external                   I.P   or   Ambulatory
      Destruction of hemorrhoids, any method; internal and external      I.P   or   Ambulatory
46936
46937 Cryosurgery of rectal tumor, benign                                I.P   or   Ambulatory
46938 Cryosurgery of rectal tumor, malignant                             I.P   or   Ambulatory
46945 Ligation of internal hemorrhoids; single procedure                 I.P   or   Ambulatory
46946 Ligation of internal hemorrhoids; multiple procedures              I.P   or   Ambulatory
46947 Hemorrhoidopexy by stapling                                        I.P   or   Ambulatory
      Unlisted procedure, anus (requires additional report/information   I.P or Ambulatory
46999 to be submitted)
      Hepatotomy; for open drainage of abscess/cyst, one/two stages      I.P or Ambulatory
47010
      Hepatotomy; for percutaneous drainage of abscess or cyst, one      I.P or Ambulatory
47011 or two stages
47100 Biopsy of liver, wedge                                             I.P or Ambulatory
47300 Marsupialization of cyst/abscess of liver                          I.P or Ambulatory
      Management of liver hemorrhage; simple suture of liver wound       I.P or Ambulatory
47350 or injury
      Management of liver hemorrhage; complex suture of liver            I.P or Ambulatory
47360 wound or injury, with/without hepatic artery ligation
      Management of liver hemorrhage; exploration of hepatic             I.P or Ambulatory
      wound, extensive debridement, coagulation and/or suture,
47361 with/without packing of liver
      Management of liver hemorrhage; re-exploration of hepatic          I.P or Ambulatory
47362 wound for removal of packing
      Laparoscopy, surgical, ablation of one or more liver tumor(s);     I.P or Ambulatory
47370 radiofrequency
      Laparoscopy, surgical, ablation of one or more liver tumor(s);     I.P or Ambulatory
47371 cryosurgical
47379 Unlisted laparoscopic procedure, liver                             I.P or Ambulatory
      Ablation, open, of one or more liver tumor(s); radiofrequency      I.P or Ambulatory
47380
47381 Ablation, open, of one or more liver tumor(s); cryosurgical        I.P or Ambulatory
      Ablation, one or more liver tumor(s), percutaneous,                I.P or Ambulatory
47382 radiofrequency
      Hepaticotomy/-ostomy with exploration/drainage/removal of          I.P or Ambulatory
47400 calculus
      Choledochotomy/-ostomy with exploration/drainage/removal of        I.P or Ambulatory
      calculus, with/without cholecystotomy; without transduodenal
      sphincterotomy/sphincteroplasty
47420
      Choledochotomy/-ostomy with exploration/drainage/removal of        I.P or Ambulatory
      calculus, with/without cholecystotomy; with transduodenal
      sphincterotomy/sphincteroplasty
47425
      Transduodenal sphincterotomy/sphincteroplasty, with/without        I.P or Ambulatory
      transduodenal extraction of calculus (separate procedure)
47460
      Cholecystotomy/-ostomy with exploration/drainage/removal of        I.P or Ambulatory
47480 calculus (separate procedure)
      Injection procedure for percutaneous transhepatic                  I.P or Ambulatory
47500 cholangiography
      Injection procedure for cholangiography through an existing        I.P or Ambulatory
47505 catheter
      Laparoscopy, surgical; with guided transhepatic                    I.P or Ambulatory
47560 cholangiography, without biopsy
      Laparoscopy, surgical; with guided transhepatic                    I.P or Ambulatory
47561 cholangiography, with biopsy
47562 Laparoscopy, surgical; cholecystectomy                             I.P or Ambulatory
      Laparoscopy, surgical; cholecystectomy with cholangiography        I.P or Ambulatory
47563
      Laparoscopy, surgical; cholecystectomy with exploration of         I.P or Ambulatory
47564 common duct
47579 Unlisted laparoscopy procedure, biliary tract                         I.P   or   Ambulatory
47600 Cholecystectomy                                                       I.P   or   Ambulatory
47605 Cholecystectomy with cholangiography                                  I.P   or   Ambulatory
47610 Cholecystectomy with exploration of common duct                       I.P   or   Ambulatory
      Cholecystectomy with exploration of common duct; with                 I.P   or   Ambulatory
47612 choledochoenterostomy
      Cholecystectomy with exploration of common duct; with                 I.P or Ambulatory
      transduodenal sphincterotomy/sphincteroplasty, with/without
47620 cholangiography
      Exploration for congenital atresia of bile ducts, without repair,     I.P or Ambulatory
      with/without liver biopsy with/without cholangiography
47700
      Excision of bile duct tumor, with/wthout primary repair of bile       I.P or Ambulatory
47711 duct; extrahepatic
      Excision of bile duct tumor, with/wthout primary repair of bile       I.P or Ambulatory
47712 duct; intrahepatic
47715 Excision of choledochal cyst                                          I.P or Ambulatory
      Reconstruction, plastic, of extrahepatic biliary ducts with end-to-   I.P or Ambulatory
47800 end anastomosis
47801 Placement of choledochal stent                                        I.P or Ambulatory
      Suture of extrahepatic biliary duct for pre-existing injury           I.P or Ambulatory
47900 (separate procedure)
      Unlisted procedure, biliary tract (requires additional                I.P or Ambulatory
47999 report/information to be submitted)
48000 Placement of drains, peripancreatic, for acute pancreatitis;          I.P or Ambulatory
      Placement of drains, peripancreatic, for acute pancreatitis; with     I.P or Ambulatory
48001 cholecystostomy/gastrostomy/jejunostomy
48020 Removal of pancreatic calculus                                        I.P   or   Ambulatory
48100 Biopsy of pancreas, open                                              I.P   or   Ambulatory
48120 Excision of lesion of pancreas                                        I.P   or   Ambulatory
48148 Excision of ampulla of Vater                                          I.P   or   Ambulatory
48400 Injection procedure for intraoperative pancreatography                I.P   or   Ambulatory
48500 Marsupialization of pancreatic cyst                                   I.P   or   Ambulatory
48510 External drainage, pseudocyst of pancreas; open                       I.P   or   Ambulatory
48511 External drainage, pseudocyst of pancreas; percutaneous               I.P   or   Ambulatory
      Internal anastomosis of pancreatic cyst to gastrointestinal tract;    I.P   or   Ambulatory
48520 direct
      Internal anastomosis of pancreatic cyst to gastrointestinal tract;    I.P or Ambulatory
48540 Roux-en-Y
      Duodenal exclusion with gastrojejunostomy for pancreatic              I.P or Ambulatory
48547 injury
      Unlisted procedure, pancreas (requires additional                     I.P or Ambulatory
48999 report/information to be submitted)
      Exploratory laparotomy/celiotomy, with/without biopsy(s)              I.P or Ambulatory
49000 (separate procedure)
49002 Reopening of recent laparotomy                                        I.P or Ambulatory
      Exploration, retroperitoneal area, with/without biopsy(s)             I.P or Ambulatory
49010 (separate procedure)
      Drainage of peritoneal abscess/localized peritonitis, exclusive of    I.P or Ambulatory
49020 appendiceal abscess; open
      Drainage of peritoneal abscess/localized peritonitis, exclusive of    I.P or Ambulatory
49021 appendiceal abscess; percutaneous
49040 Drainage of subdiaphragmatic/subphrenic abscess; open                 I.P or Ambulatory
      Drainage of subdiaphragmatic or subphrenic abscess;                   I.P or Ambulatory
49041 percutaneous
49060 Drainage of retroperitoneal abscess; open                           I.P or Ambulatory
      Drainage of extraperitoneal lymphocele to peritoneal cavity,        I.P or Ambulatory
49062 open
49215 Excision of presacral or sacrococcygeal tumor                       I.P or Ambulatory
      Staging laparotomy for Hodgkin's disease/lymphoma (includes         I.P or Ambulatory
49220 splenectomy/biopsies/removal of nodes)
      Umbilectomy/omphalectomy/excision of umbilicus (separate            I.P or Ambulatory
49250 procedure)
      Omentectomy/epiploectomy/resection of omentum (separate             I.P or Ambulatory
49255 procedure)
      Laparoscopy, abdomen, peritoneum, and omentum; diagnostic,          I.P or Ambulatory
      with or without collection of specimen(s) by brushing or
49320 washing (separate procedure)
      Laparoscopy, surgical, abdomen, peritoneum, and omentum;            I.P or Ambulatory
49321 with biopsy (single or multiple)
      Laparoscopy, surgical, abdomen, peritoneum, and omentum;            I.P or Ambulatory
      with aspiration of cavity or cyst (single or multiple)
49322
      Laparoscopy, surgical, abdomen, peritoneum, and omentum;            I.P or Ambulatory
49323 with drainage of lymphocele to peritoneal cavity
      Laparoscopy, surgical; with insertion of intraperitioneal cannula   I.P or Ambulatory
49324 or catheter, permanent
      Laparoscopy, surgical; with revision of previously placed           I.P or Ambulatory
      intraperitoneal cannula or catheter, with removal of
49325 intraluminal obstructive material if performed
49326 Laparoscopy, surgical; with omentopexy                              I.P or Ambulatory
      Unlisted laparoscopy procedure, abdomen, peritoneum and             I.P or Ambulatory
49329 omentum
49402 Removal of peritoneal foreign body from peritoneal cavity           I.P or Ambulatory
      Insertion of intraperitoneal cannula or catheter, with              I.P or Ambulatory
49419 subcutaneous reservoir, permanent
      Insertion of intraperitoneal cannula/catheter for                   I.P or Ambulatory
49420 drainage/dialysis; temporary
      Insertion of intraperitoneal cannula/catheter for                   I.P or Ambulatory
49421 drainage/dialysis; permanent
49422 Removal of permanent intraperitoneal cannula/catheter               I.P or Ambulatory
      Exchange of previously placed abscess or cyst drainage catheter     I.P or Ambulatory
49423 under radiological guidance (separate procedure)
49425 Insertion of peritoneal-venous shunt                                I.P or Ambulatory
49426 Revision of peritoneal-venous shunt                                 I.P or Ambulatory
      Injection procedure (eg, contrast media) for evaluation of          I.P or Ambulatory
49427 previously placed peritoneal-venous shunt
      Insertion of subcutaneous extension to intraperitoneal              I.P or Ambulatory
49435 cannula/catheter with remote chest exit site
      Delayed creation of exit site from embedded subcutaneous            I.P or Ambulatory
49436 segment of intraperitoneal cannula or catheter
      Insertion of duodenostomy or jejunostomy tube, percutaneous,        I.P or Ambulatory
      under fluoroscopic guidance including contrast injection(s),
49441 image documentation and report
      Insertion of cecostomy or other colonic tube, percutaneous,         I.P or Ambulatory
      under fluoroscopic guidance including contrast injection(s),
49442 image documentation and report
        Repair, initial inguinal hernia, preterm infant (younger than 37   I.P or Ambulatory
        weeks gestation at birth), performed from birth up to 50 weeks
        postconception age, with or without hydrocelectomy; reducible
49491
      Repair, initial inguinal hernia, preterm infant (younger than 37     I.P or Ambulatory
      weeks gestation at birth), performed from birth up to 50 weeks
      post-conceptual age with or without hydrocelectomy;
49492 incarcerated or strangulated
      Repair initial inguinal hernia, full term infant younger than 6      I.P or Ambulatory
      months, or preterm infant older than 50 weeks postconception
      age and younger than 6 months at the time of surgery, with or
49495 without hydrocelectomy; reducible
      Repair initial inguinal hernia, full term infant younger than 6      I.P or Ambulatory
      months, or preterm infant older than 50 weeks postconceptual
      age and younger than age 6 months at time of surgery,
      with/without hydrocelectomy; incarcerated/strangulated
49496
      Repair initial inguinal hernia, age 6 months to younger than 5       I.P or Ambulatory
49500 years, with/without hydrocelectomy; reducible
      Repair initial inguinal hernia, age 6 months to younger than 5       I.P or Ambulatory
      years, with/without hydrocelectomy; incarcerated or
49501 strangulated
49505 Repair initial inguinal hernia, age 5 years or older; reducible      I.P or Ambulatory
      Repair initial inguinal hernia, age 5 years or older; incarcerated   I.P or Ambulatory
49507 or strangulated
49520 Repair recurrent inguinal hernia, any age; reducible                 I.P or Ambulatory
      Repair recurrent inguinal hernia, any age;                           I.P or Ambulatory
49521 incarcerated/strangulated
49525 Repair inguinal hernia, sliding, any age                             I.P   or   Ambulatory
49540 Repair lumbar hernia                                                 I.P   or   Ambulatory
49550 Repair initial femoral hernia, any age; reducible                    I.P   or   Ambulatory
      Repair initial femoral hernia, any age;                              I.P   or   Ambulatory
49553 incarcerated/strangulated
49555 Repair recurrent femoral hernia; reducible                           I.P   or   Ambulatory
49557 Repair recurrent femoral hernia; incarcerated/strangulated           I.P   or   Ambulatory
49560 Repair initial incisional or ventral hernia; reducible               I.P   or   Ambulatory
      Repair initial incisional or ventral hernia; incarcerated or         I.P   or   Ambulatory
49561 strangulated
49565 Repair recurrent incisional or ventral hernia; reducible             I.P or Ambulatory
      Repair recurrent incisional or ventral hernia; incarcerated or       I.P or Ambulatory
49566 strangulated
      Implantation of mesh/other prosthesis for incisional or ventral      I.P or Ambulatory
      hernia repair or mesh for closure of debridement for necrotizing
49568 soft tissue infection
49570 Repair epigastric hernia; reducible (separate procedure)             I.P   or   Ambulatory
49572 Repair epigastric hernia; incarcerated/strangulated                  I.P   or   Ambulatory
49580 Repair umbilical hernia, younger than age 5 years; reducible         I.P   or   Ambulatory
      Repair umbilical hernia, younger than age 5 years; incarcerated      I.P   or   Ambulatory
49582 or strangulated
49585 Repair umbilical hernia, age 5 years or older; reducible             I.P or Ambulatory
      Repair umbilical hernia, age 5 years or older; incarcerated or       I.P or Ambulatory
49587 strangulated
49590 Repair spigelian hernia                                              I.P or Ambulatory
49600 Repair of small omphalocele, with primary closure                    I.P or Ambulatory
      Repair of large omphalocele/gastroschisis; with/without           I.P or Ambulatory
49605 prosthesis
      Repair of large omphalocele/gastroschisis; with removal of        I.P or Ambulatory
49606 prosthesis, final reduction/closure, in operating room
49610 Repair of omphalocele (Gross type operation); first stage         I.P or Ambulatory
      Repair of omphalocele (Gross type operation); second stage        I.P or Ambulatory
49611
49650 Laparoscopy, surgical; repair initial inguinal hernia             I.P or Ambulatory
49651 Laparoscopy, surgical; repair recurrent inguinal hernia           I.P or Ambulatory
      Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy,      I.P or Ambulatory
49659 herniotomy
      Suture, secondary, of abdominal wall for                          I.P or Ambulatory
49900 evisceration/dehiscence
49904 Omental flap, extra-abdominal                                     I.P   or   Ambulatory
49905 Omental flap, intra-abdominal                                     I.P   or   Ambulatory
49906 Free omental flap with microvascular anastomosis                  I.P   or   Ambulatory
      Renal exploration, not necessitating other specific procedures    I.P   or   Ambulatory
50010
50020 Drainage of perirenal/renal abscess; open                         I.P   or   Ambulatory
50021 Drainage of perirenal or renal abscess, percutaneous              I.P   or   Ambulatory
50040 Nephrostomy, nephrotomy with drainage                             I.P   or   Ambulatory
50045 Nephrotomy, with exploration                                      I.P   or   Ambulatory
50060 Nephrolithotomy; removal of calculus                              I.P   or   Ambulatory
50065 Nephrolithotomy; secondary surgical operation for calculus        I.P   or   Ambulatory
      Nephrolithotomy; complicated by congenital kidney abnormality     I.P   or   Ambulatory
50070
      Nephrolithotomy; removal large staghorn calculus filling renal    I.P or Ambulatory
50075 pelvis/calyces (including anatrophic pyelolithotomy)
      Percutaneous nephrostolithotomy/pyelostolithotomy,                I.P or Ambulatory
      with/without dilation/endoscopy/lithotripsy/stenting/basket
50080 extraction; up to 2 cm
      Percutaneous nephrostolithotomy/pyelostolithotomy,                I.P or Ambulatory
      with/without dilation/endoscopy/lithotripsy/stenting/basket
50081 extraction; over 2 cm
      Transection/repositioning of aberrant renal vessels (separate     I.P or Ambulatory
50100 procedure)
50120 Pyelotomy; with exploration                                       I.P or Ambulatory
50125 Pyelotomy; with drainage, pyelostomy                              I.P or Ambulatory
      Pyelotomy; with removal of calculus                               I.P or Ambulatory
      (pyelolithotomy/pelviolithotomy/including coagulum
50130 pyelolithotomy)
50135 Pyelotomy; complicated                                            I.P   or   Ambulatory
50205 Renal biopsy; surgical exposure of kidney                         I.P   or   Ambulatory
50240 Nephrectomy, partial                                              I.P   or   Ambulatory
      Ablation, open, one or more renal mass lesion(s), cryosurgical,   I.P   or   Ambulatory
      including intraoperative ultrasound, if performed
50250
50280 Excision/unroofing of cyst(s) of kidney                           I.P or Ambulatory
50290 Excision of perinephric cyst                                      I.P or Ambulatory
      Introduction of intracath/cath into renal pelvis for              I.P or Ambulatory
50392 drainage/injection, percutaneous
      Introduction of ureteral cath/stent into ureter through renal     I.P or Ambulatory
50393 pelvis for drainage/injection, percutaneous
      Injection for pyelography through nephrostomy/pyelostomy          I.P or Ambulatory
50394 tube/indwelling ureteral catheter
      Introduction of guide into renal pelvis/ureter w/dilation to         I.P or Ambulatory
50395 establish nephrostomy tract, percutaneous
      Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal        I.P or Ambulatory
      pelvis with/without plastic operation on
      ureter/nephropexy/nephrostomy/pyelostomy/ureteral splinting;
50400 simple
      Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal        I.P or Ambulatory
      pelvis with/without plastic operation on
      ureter/nephropexy/nephrostomy/pyelostomy/ureteral splinting;
50405 complicated
50500 Nephrorrhaphy, suture of kidney wound or injury                      I.P or Ambulatory
50520 Closure of nephrocutaneous/pyelocutaneous fistula                    I.P or Ambulatory
      Closure of nephrovisceral fistula, including visceral repair;        I.P or Ambulatory
50525 abdominal approach
      Closure of nephrovisceral fistula, including visceral repair;        I.P or Ambulatory
50526 thoracic approach
      Symphysiotomy for horseshoe kidney with/without pyeloplasty          I.P or Ambulatory
      and/or other plastic procedure, unilateral/bilateral (one
50540 operation)
50541 Laparoscopy, surgical; ablation of renal cysts                       I.P   or   Ambulatory
50542 Laparoscopy, surgical; ablation of renal mass lesion(s)              I.P   or   Ambulatory
50543 Laparoscopy, surgical; partial nephrectomy                           I.P   or   Ambulatory
50544 Laparoscopy, surgical; pyeloplasty                                   I.P   or   Ambulatory
50549 Unlisted laparoscopy procedure, renal                                I.P   or   Ambulatory
      Renal endoscopy through established nephrostomy/pyelostomy,          I.P   or   Ambulatory
      with/without irrigation, instillation, or ureteropyelography; with
      fulguration and/or incision, with/without biopsy
50557
      Renal endoscopy through established stoma, with/without              I.P or Ambulatory
      irrigation, instillation, or ureteropyelography; w/removal of
50561 foreign body/calculus
      Renal endoscopy through established nephrostomy or                   I.P or Ambulatory
      pyelostomy, with/without irrigation, instillation, or
50562 ureteropyelography; with resection of tumor
      Renal endoscopy through nephrotomy/pyelotomy, with/without           I.P or Ambulatory
      irrigation, instillation, or ureteropyelography; with
      endopyelotomy (includes cystoscopy, ureteroscopy, dilation of
      ureter and ureteral pelvic junction, incision of ureteral pelvic
      junction and insertion of endopyelotomy stent)
50575
      Renal endoscopy through nephrotomy/pyelotomy, with/without           I.P or Ambulatory
      irrigation, instillation, or ureteropyelography; with fulguration
50576 and/or incision, with/without biopsy
      Renal endoscopy through nephrotomy/pyelotomy, with/without           I.P or Ambulatory
      irrigation, instillation, or ureteropyelography; w/removal of
50580 foreign body/calculus
50590 Lithotripsy, extracorporeal shock wave                               I.P or Ambulatory
      Ablation, one or more renal tumor(s), percutaneous, unilateral,      I.P or Ambulatory
50592 radiofrequency
      Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy      I.P or Ambulatory
50593
50600 Ureterotomy w/exploration/drainage (separate procedure)              I.P   or   Ambulatory
50605 Ureterotomy for insertion of indwelling stent                        I.P   or   Ambulatory
50610 Ureterolithotomy; upper one-third of ureter                          I.P   or   Ambulatory
50620 Ureterolithotomy; middle one-third of ureter                         I.P   or   Ambulatory
50630 Ureterolithotomy; lower one-third of ureter                          I.P or Ambulatory
      Injection procedure for ureterography/ureteropyelography             I.P or Ambulatory
50684 through ureterostomy/indwelling ureteral catheter
      Injection for visualization of ileal conduit/ureteropyelography,     I.P or Ambulatory
50690 exclusive of radiologic service
50700 Ureteroplasty, plastic operation on ureter                           I.P or Ambulatory
      Ureterolysis, with/without repositioning of ureter for               I.P or Ambulatory
50715 retroperitoneal fibrosis
50722 Ureterolysis for ovarian vein syndrome                               I.P or Ambulatory
      Ureterolysis for retrocaval ureter, with reanastomosis of upper      I.P or Ambulatory
50725 urinary tract/vena cava
50727 Revision of urinary-cutaneous anastomosis                            I.P or Ambulatory
      Revision of urinary-cutaneous anastomosis; with repair of            I.P or Ambulatory
50728 fascial defect and hernia
50740 Ureteropyelostomy, anastomosis of ureter and renal pelvis            I.P   or   Ambulatory
50750 Ureterocalycostomy, anastomosis of ureter to renal calyx             I.P   or   Ambulatory
50760 Ureteroureterostomy                                                  I.P   or   Ambulatory
      Transureteroureterostomy, anastomosis of ureter to                   I.P   or   Ambulatory
50770 contralateral ureter
      Ureteroneocystostomy; anastomosis of single ureter to bladder        I.P or Ambulatory
50780
      Ureteroneocystostomy; anastomosis of duplicated ureter to            I.P or Ambulatory
50782 bladder
50783 Ureteroneocystostomy; with extensive ureteral tailoring              I.P or Ambulatory
      Ureteroneocystostomy; with vesico-psoas hitch or bladder flap        I.P or Ambulatory
50785
      Ureteroenterostomy, direct anastomosis of ureter to intestine        I.P or Ambulatory
50800
      Ureterosigmoidostomy, with creation of sigmoid bladder &             I.P or Ambulatory
      establishment of abd/perineal colostomy, incl intestine
50810 anastomosis
50815 Ureterocolon conduit, including intestine anastomosis                I.P or Ambulatory
50820 Ureteroileal conduit, including intestine anastomosis                I.P or Ambulatory
      Continent diversion, including intestine anastomosis using any       I.P or Ambulatory
50825 segment of small and/or large intestine
50830 Urinary undiversion                                                  I.P or Ambulatory
      Replacement, all/part of ureter by intestine segment, including      I.P or Ambulatory
50840 intestine anastomosis
50845 Cutaneous appendico-vesicostomy                                      I.P   or   Ambulatory
50860 Ureterostomy, transplantation of ureter to skin                      I.P   or   Ambulatory
50900 Ureterorrhaphy, suture of ureter (separate procedure)                I.P   or   Ambulatory
50920 Closure of ureterocutaneous fistula                                  I.P   or   Ambulatory
50930 Closure of ureterovisceral fistula (including visceral repair)       I.P   or   Ambulatory
50940 Deligation of ureter                                                 I.P   or   Ambulatory
50945 Laparoscopy, surgical; ureterolithotomy                              I.P   or   Ambulatory
      Laparoscopy, surgical; ureteroneocystostomy with cystoscopy          I.P   or   Ambulatory
50947 and ureteral stent placement
      Laparoscopy, surgical; ureteroneocystostomy without                  I.P or Ambulatory
50948 cystoscopy and ureteral stent placement
50949 Unlisted laparoscopy procedure, ureter                               I.P or Ambulatory
      Ureteral endoscopy through established ureterostomy,                 I.P or Ambulatory
      with/without irrigation, instillation, or ureteropyelography; with
50961 removal of foreign body/calculus
      Ureteral endoscopy through ureterotomy, with/without                 I.P or Ambulatory
50970 irrigation, instillation, or ureteropyelography
        Ureteral endoscopy through ureterotomy, with/without               I.P or Ambulatory
        irrigation, instillation, or ureteropyelography; with removal of
50980   foreign body/calculus
        Cystotomy/cystostomy; with fulguration/insertion of radioactive    I.P or Ambulatory
51020   material
        Cystotomy/cystostomy; with cryosurgical destruction of             I.P or Ambulatory
51030   intravesical lesion
51040   Cystostomy, cystotomy with drainage                                I.P or Ambulatory
        Cystotomy, with insertion of ureteral cath/stent (separate         I.P or Ambulatory
51045   procedure)
        Cystolithotomy, cystotomy with removal of calculus, without        I.P or Ambulatory
51050   vesical neck resection
51060   Transvesical ureterolithotomy                                      I.P or Ambulatory
        Cystotomy, with calculus basket                                    I.P or Ambulatory
        extraction/ultrasonic/electrohydraulic fragmentation of ureteral
51065   calculus
51080   Drainage of perivesical/prevesical space abscess                   I.P or Ambulatory
51100   Aspiration of bladder; by needle                                   I.P or Ambulatory
        Excision of urachal cyst or sinus, with/without umbilical hernia   I.P or Ambulatory
51500   repair
        Cystotomy; for simple excision of vesical neck (separate           I.P or Ambulatory
51520   procedure)
        Cystotomy; for excision of bladder diverticulum, single/multiple   I.P or Ambulatory
51525   (separate procedure)
51530   Cystotomy; for excision of bladder tumor                           I.P   or   Ambulatory
51550   Cystectomy, partial; simple                                        I.P   or   Ambulatory
51555   Cystectomy, partial; complicated                                   I.P   or   Ambulatory
        Cystectomy, partial, with reimplantation of ureter(s) into         I.P   or   Ambulatory
51565   bladder (ureteroneocystostomy)
51600   Injection for cystography/voiding urethro                          I.P or Ambulatory
        Injection & placement of chain for contrast/chain                  I.P or Ambulatory
51605   urethrocystography
51610   Injection for retrograde urethrocystography                        I.P or Ambulatory
        Endoscopic injection of implant material into the submucosal       I.P or Ambulatory
51715   tissues of the urethra and/or bladder neck
51800   Cystoplasty/cystourethroplasty                                     I.P or Ambulatory
        Cystourethroplasty with unilateral/bilateral                       I.P or Ambulatory
51820   ureteroneocystostomy
51840   Anterior vesicourethropexy/urethropexy; simple                     I.P or Ambulatory
51841   Anterior vesicourethropexy/urethropexy; complicated                I.P or Ambulatory
        Abdomino-vaginal vesical neck suspension with/without              I.P or Ambulatory
51845   endoscopic control
51860   Cystorrhaphy; simple                                               I.P   or   Ambulatory
51865   Cystorrhaphy; complicated                                          I.P   or   Ambulatory
51880   Closure of cystostomy (separate procedure)                         I.P   or   Ambulatory
51900   Closure of vesicovaginal fistula, abdominal approach               I.P   or   Ambulatory
51920   Closure of vesicouterine fistula                                   I.P   or   Ambulatory
51925   Closure of vesicouterine fistula; with hysterectomy                I.P   or   Ambulatory
51940   Closure, exstrophy of bladder                                      I.P   or   Ambulatory
51980   Cutaneous vesicostomy                                              I.P   or   Ambulatory
        Laparoscopy, surgical; urethral suspension for stress              I.P   or   Ambulatory
51990   incontinence
        Laparoscopy, surgical; sling operation for stress incontinence     I.P or Ambulatory
51992
51999 Unlisted laparoscopy procedure, bladder                              I.P or Ambulatory
        Cystourethroscopy, with ejaculatory duct cath, with/without           I.P or Ambulatory
        irrigation, instillation, duct radiography, exclusive of radiologic
52010   service
52204   Cystourethroscopy, with biopsy(s)                                     I.P or Ambulatory
        Cystourethroscopy, with fulguration trigone/bladder                   I.P or Ambulatory
52214   neck/prostatic fossa/urethra/periurethral glands
        Cystourethroscopy, with fulguration/treatment, MINOR                  I.P or Ambulatory
52224   lesion(s), with/without biopsy
        Cystourethroscopy, with fulguration/resection, SMALL bladder          I.P or Ambulatory
52234   tumor(s)
        Cystourethroscopy, with fulguration/resection, MEDIUM bladder         I.P or Ambulatory
52235   tumor(s)
        Cystourethroscopy, with fulguration/resection, LARGE bladder          I.P or Ambulatory
52240   tumor(s)
        Cystourethroscopy with insertion of radioactive substance,            I.P or Ambulatory
52250   with/without biopsy or fulguration
52270   Cystourethroscopy with internal urethrotomy; female                   I.P   or   Ambulatory
52275   Cystourethroscopy with internal urethrotomy; male                     I.P   or   Ambulatory
52276   Cystourethroscopy with direct vision internal urethrotomy             I.P   or   Ambulatory
52277   Cystourethroscopy with resection of external sphincter                I.P   or   Ambulatory
52283   Cystourethroscopy with steroid injection into stricture               I.P   or   Ambulatory
        Cystourethroscopy for treatment of female urethral syndrome           I.P   or   Ambulatory
        with any or all of the following: urethral meatotomy, urethral
        dilation, internal urethrotomy, lysis of urethrovaginal septal
        fibrosis, lateral incisions of the bladder neck, and fulguration of
        polyp(s) or urethra, bladder neck/trigone
52285
        Cystourethroscopy with ureteral meatotomy unilateral/bilateral        I.P or Ambulatory
52290
      Cystourethroscopy; with resection or fulguration of ectopic             I.P or Ambulatory
52301 ureterocele(s), unilateral or bilateral
      Cystourethroscopy; with incision or resection of orifice of             I.P or Ambulatory
52305 bladder diverticulum, single or multiple
      Cystourethroscopy; with removal of foreign body, calculus, or           I.P or Ambulatory
      ureteral stent from urethra or bladder (separate procedure);
52310 simple
      Cystourethroscopy with removal of foreign                               I.P or Ambulatory
      body/calculus/ureteral stent from urethra/bladder (separate
52315 procedure); complicated
      Litholapaxy; crushing or fragmentation of calculus by any               I.P or Ambulatory
      means in bladder and removal of fragments; simple/small (less
52317 than 2.5 cm)
      Litholapaxy; crushing or fragmentation of calculus by any               I.P or Ambulatory
      means in bladder and removal of fragments; complicated/large
52318 (over 2.5 cm)
      Cystourethroscopy (including ureteral catheterization); with            I.P or Ambulatory
52320 removal of ureteral calculus
      Cystourethroscopy (including ureteral catheterization); with            I.P or Ambulatory
52325 fragmentation of ureteral calculus
      Cystourethroscopy (including ureteral catheterization); with            I.P or Ambulatory
52327 subureteric injection of implant material
      Cystourethroscopy (including ureteral catheterization); with            I.P or Ambulatory
52330 manipulation, without removal of ureteral calculus
       Cystourethroscopy with insertion of ureteral guide wire through    I.P or Ambulatory
       kidney to establish a percutaneous nephrostomy, retrograde
52334
52341 Cystourethroscopy; with treatment of ureteral stricture             I.P or Ambulatory
      Cystourethroscopy; with treatment of ureteropelvic junction         I.P or Ambulatory
52342 stricture
52343 Cystourethroscopy; with treatment of intra-renal stricture          I.P or Ambulatory
      Cystourethroscopy with ureteroscopy; with treatment of              I.P or Ambulatory
52344 ureteral stricture
      Cystourethroscopy with ureteroscopy; with treatment of              I.P or Ambulatory
52345 ureteropelvic junction stricture
      Cystourethroscopy with ureteroscopy; with treatment of intra-       I.P or Ambulatory
52346 renal stricture
      Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with        I.P or Ambulatory
      removal or manipulation of calculus (ureteral catheterization is
52352 included)
      Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with        I.P or Ambulatory
52353 lithotripsy (ureteral catheterization is included)
      Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with        I.P or Ambulatory
52355 resection of ureteral or renal pelvic tumor
      Cystourethroscopy with incision, fulguration, or resection of       I.P or Ambulatory
      congenital posterior urethral valves, or congenital obstructive
52400 hypertrophic mucosal folds
      Cystourethroscopy with transurethral resection or incision of       I.P or Ambulatory
52402 ejaculatory ducts
52450 Transurethral incision of prostate                                  I.P or Ambulatory
      Transurethral resection of bladder neck (separate procedure)        I.P or Ambulatory
52500
      Transurethral electrosurgical resection of prostate, including      I.P or Ambulatory
52601 control of postop bleeding, complete
      Transurethral fulguration for postop bleeding occurring after the   I.P or Ambulatory
52606 usual follow-up time
      Transurethral resection of prostate; first stage of two-stage       I.P or Ambulatory
52612 resection
      Transurethral resection of prostate; second stage of two-stage      I.P or Ambulatory
52614 resection
      Transurethral resection of residual obstructive tissue after 90     I.P or Ambulatory
52620 days post op
      Transurethral resection of regrowth of obstructive tissue longer    I.P or Ambulatory
52630 than one year postop
52640 Transurethral resection of postop bladder neck contracture          I.P or Ambulatory
      Laser coagulation of prostate, including control of postoperative   I.P or Ambulatory
52647 bleeding, complete
      Laser vaporization of prostate, including control of                I.P or Ambulatory
      postoperative bleeding, complete (includes TURP when
52648 performed)
      Laser enucleation of the prostate with morcellation, including      I.P or Ambulatory
52649 control of postoperative bleeding, complete
52700 Transurethral drainage of prostatic abscess                         I.P or Ambulatory
      Urethrotomy/urethrostomy, external (separate procedure);            I.P or Ambulatory
53000 pendulous urethra
      Urethrotomy/urethrostomy, external (separate procedure);            I.P or Ambulatory
53010 perineal urethra
      Meatotomy, cutting of meatus (separate procedure); except           I.P or Ambulatory
53020 infant
53025 Meatotomy (separate procedure), infant                              I.P   or   Ambulatory
53040 Drainage of deep periurethral abscess                               I.P   or   Ambulatory
53060 Drainage of Skene's gland abscess/cyst                              I.P   or   Ambulatory
      Drainage of perineal urinary extravasation; uncomplicated           I.P   or   Ambulatory
53080 (separate procedure)
53085 Drainage of perineal urinary extravasation; complicated             I.P   or   Ambulatory
53200 Biopsy of urethra                                                   I.P   or   Ambulatory
53210 Total urethrectomy, including cystostomy; female                    I.P   or   Ambulatory
53215 Total urethrectomy, including cystostomy; male                      I.P   or   Ambulatory
53220 Excision/fulguration of carcinoma of urethra                        I.P   or   Ambulatory
      Excision of urethral diverticulum (separate procedure); female      I.P   or   Ambulatory
53230
53235 Excision of urethral diverticulum (separate procedure); male        I.P   or   Ambulatory
53240 Marsupialization of urethral diverticulum                           I.P   or   Ambulatory
53250 Excision of bulbourethral (Cowper's) gland                          I.P   or   Ambulatory
53260 Excision/fulguration; urethral polyp(s), distal urethra             I.P   or   Ambulatory
53265 Excision/fulguration; urethral caruncle                             I.P   or   Ambulatory
53270 Excision/fulguration; skene's glands                                I.P   or   Ambulatory
53275 Excision/fulguration; urethral prolapse                             I.P   or   Ambulatory
53400 Urethroplasty; first stage, for fistula/diverticulum/stricture      I.P   or   Ambulatory
53405 Urethroplasty; second stage, including urinary diversion            I.P   or   Ambulatory
53410 One-stage urethroplasty, male anterior urethra                      I.P   or   Ambulatory
      Urethroplasty, transpubic or perineal, one stage for                I.P   or   Ambulatory
53415 reconstruction/repair of prostatic/membranous urethra
      Urethroplasty, two-stage reconstruction/repair of                   I.P or Ambulatory
53420 prostatic/membranous urethra; first stage
      Urethroplasty, two-stage reconstruction/repair of                   I.P or Ambulatory
53425 prostatic/membranous urethra; second stage
53430 Urethroplasty, female urethra                                       I.P or Ambulatory
      Urethroplasty with tubularization of posterior urethra/lower        I.P or Ambulatory
53431 bladder for incontinence
53440 Sling operation for correction of male urinary incontinence         I.P   or   Ambulatory
53442 Removal or revision of sling for male urinary incontinence          I.P   or   Ambulatory
53444 Insertion of tandem cuff                                            I.P   or   Ambulatory
      Insertion of inflatable urethral/bladder neck sphincter including   I.P   or   Ambulatory
53445 placement of pump, reservoir, and cuff
      Removal of inflatable urethral/bladder neck sphincter, including    I.P or Ambulatory
53446 pump, reservoir, and cuff
      Removal and replacement of inflatable urethral/bladder neck         I.P or Ambulatory
      sphincter including pump, reservoir, and cuff at same operative
53447 session
      Removal and replacement of inflatable urethral/bladder neck         I.P or Ambulatory
      sphincter including pump/reservoir/cuff through infected field at
      the same operative session including irrigation and debridement
53448 of infected tissue
      Repair of inflatable urethral/bladder neck sphincter, including     I.P or Ambulatory
53449 pump/reservoir/cuff
53450 Urethromeatoplasty, with mucosal advancement                        I.P or Ambulatory
      Urethromeatoplasty, with partial excision of distal urethral        I.P or Ambulatory
53460 segment
      Urethrolysis, transvaginal, secondary, open, including              I.P or Ambulatory
53500 cystourethroscopy
53502 Urethrorrhaphy, suture of urethral wound or injury, female          I.P or Ambulatory
53505 Urethrorrhaphy, suture of urethral wound or injury; penile          I.P or Ambulatory
53510 Urethrorrhaphy, suture of urethral wound or injury; perineal        I.P or Ambulatory
      Urethrorrhaphy, suture of urethral wound or injury;                I.P or Ambulatory
53515 prostatomembranous
      Closure of urethrostomy/urethrocutaneous fistula, male             I.P or Ambulatory
53520 (separate procedure)
      Transurethral destruction of prostate tissue by microwave          I.P or Ambulatory
53850 thermotherapy
      Transurethral destruction of prostate tissue by radiofrequency     I.P or Ambulatory
53852 thermotherapy
      Transurethral destruction of prostate tissue; by water-induced     I.P or Ambulatory
53853 thermotherapy
54015 Incision & drainage of penis, deep                                 I.P   or   Ambulatory
54050 Destruction of lesion(s), penis, simple; chemical                  I.P   or   Ambulatory
54055 Destruction of lesion(s), penis, simple; electrodesiccation        I.P   or   Ambulatory
54056 Destruction of lesion(s), penis, simple; cryosurgery               I.P   or   Ambulatory
54057 Destruction of lesion(s), penis, simple; laser surgery             I.P   or   Ambulatory
54060 Destruction of lesion(s), penis, simple; surgical excision         I.P   or   Ambulatory
54065 Destruction of lesion(s), penis, extensive                         I.P   or   Ambulatory
54100 Biopsy of penis (separate procedure)                               I.P   or   Ambulatory
54105 Biopsy of penis; deep structures                                   I.P   or   Ambulatory
54110 Excision of penile plaque (Peyronie disease)                       I.P   or   Ambulatory
      Excision of penile plaque (Peyronie disease); with graft to 5 cm   I.P   or   Ambulatory
54111 in length
      Excision of penile plaque (Peyronie disease); with graft greater   I.P or Ambulatory
54112 than 5 cm in length
54115 Removal foreign body from deep penile tissue                       I.P   or   Ambulatory
54120 Amputation of penis; partial                                       I.P   or   Ambulatory
54125 Amputation of penis; complete                                      I.P   or   Ambulatory
      Amputation of penis, radical; bilateral inguinofemoral             I.P   or   Ambulatory
54130 lymphadenectomy
      Amputation of penis, radical; bilateral pelvic lymphadenectomy     I.P or Ambulatory
54135
      Circumcision, using clamp or other device with regional dorsal     I.P or Ambulatory
54150 penile or ring block
      Circumcision, surgical excision other than clamp, device or        I.P or Ambulatory
54160 dorsal slit; neonate
      Circumcision, surgical excision other than clamp, device or        I.P or Ambulatory
54161 dorsal slit; older than 28 days of age
54162 Lysis or excision of penile post-circumcision adhesions            I.P   or   Ambulatory
54163 Repair incomplete circumcision                                     I.P   or   Ambulatory
54164 Frenulotomy of penis                                               I.P   or   Ambulatory
54200 Injection procedure for Peyronie disease                           I.P   or   Ambulatory
      Injection procedure for Peyronie disease; surgical exposure of     I.P   or   Ambulatory
54205 plaque
54220 Irrigation of corpora cavernosa for priapism                       I.P   or   Ambulatory
54235 Injection of corpora cavernosa w/pharmacologic agent(s)            I.P   or   Ambulatory
54300 Plastic operation of penis for straightening of chordee            I.P   or   Ambulatory
      Plastic operation on penis for correction of chordee/first stage   I.P   or   Ambulatory
54304 hypospadias repair
      Urethroplasty for second stage hypospadias repair; less than 3     I.P or Ambulatory
54308 cm
      Urethroplasty for second stage hypospadias repair; greater than    I.P or Ambulatory
54312 3 cm
      Urethroplasty for second stage hypospadias repair with free        I.P or Ambulatory
54316 graft obtained from site other than genitalia
      Urethroplasty for third stage hypospadias repair to release        I.P or Ambulatory
54318 penis from scrotum
      One stage distal hypospadias repair; with simple meatal            I.P or Ambulatory
54322 advancement
      One stage distal hypospadias repair; with urethroplasty by local   I.P or Ambulatory
54324 skin flaps
      One stage distal hypospadias repair; with urethroplasty by local   I.P or Ambulatory
54326 skin flaps & mobilization of urethra
      One stage distal hypospadias repair; with extensive dissection     I.P or Ambulatory
      to correct chordee and urethroplasty with local skin flaps, skin
54328 graft patch/island flap
      One stage proximal penile/penoscrotal hypospadias repair           I.P or Ambulatory
      requiring extensive dissection to correct chordee and
54332 urethroplasty by use of skin graft tube and/or island flap
      One stage perineal hypospadias repair requiring extensive          I.P or Ambulatory
54336 dissection to correct chordee and urethroplasty
      Repair of hypospadias complications; by simple                     I.P or Ambulatory
54340 closure/incision/excision
      Repair of hypospadias complications; requiring mobilization of     I.P or Ambulatory
54344 skin flaps & urethroplasty with flap/patch graft
      Repair of hypospadias complications; requiring extensive           I.P or Ambulatory
54348 dissection & urethroplasty with flap/patch/tubed graft
      Repair of hypospadias cripple requiring extensive dissection &     I.P or Ambulatory
54352 excision of previously constructed structures
54360 Plastic operation on penis to correct angulation                   I.P or Ambulatory
      Plastic operation on penis for epispadias distal-external          I.P or Ambulatory
54380 sphincter
      Plastic operation on penis for epispadias distal-external          I.P or Ambulatory
54385 sphincter; with incontinence
      Plastic operation on penis for epispadias distal-external          I.P or Ambulatory
54390 sphincter; with exstrophy of bladder
54400 Insertion of non-inflatable penile prosthesis (semi-rigid)         I.P or Ambulatory
54401 Insertion of inflatable (self-contained) penile prosthesis         I.P or Ambulatory
      Insertion of multi-component, inflatable penile prosthesis,        I.P or Ambulatory
54405 including placement of pump/cylinders/reservoir
      Removal of all components of multi-component, inflatable           I.P or Ambulatory
54406 penile prosthesis without replacement
      Repair of component(s) of a multi-component, inflatable penile     I.P or Ambulatory
54408 prosthesis
      Removal and replacement of all component(s) of a multi-            I.P or Ambulatory
      component, inflatable penile prosthesis at the same operative
54410 session
      Removal and replacement of all components of a multi-              I.P or Ambulatory
      component inflatable penile prosthesis through an infected field
      at the same operative session, including irrigation and
54411 debridement of infected tissue
      Removal of non-inflatable or inflatable penile prosthesis,         I.P or Ambulatory
54415 without replacement of prosthesis
      Removal and replacement of non-inflatable/inflatable penile        I.P or Ambulatory
54416 prosthesis at the same operative session
      Removal and replacement of non-inflatable/inflatable penile        I.P or Ambulatory
      prosthesis through an infected field at the same operative
      session, including irrigation and debridement of infected tissue
54417
      Corpora cavernosa-saphenous vein shunt (priapism operation),        I.P or Ambulatory
54420 unilateral/bilateral
      Corpora cavernosa-corpus spongiosum shunt unilateral/bilateral      I.P or Ambulatory
54430
54435 Corpora cavernosa-glans penis fistulization for priapism            I.P or Ambulatory
54440 Plastic operation of penis for injury                               I.P or Ambulatory
      Foreskin manipulation including lysis of preputial adhesions &      I.P or Ambulatory
54450 stretching
54505 Biopsy of testis, incisional (separate procedure)                   I.P or Ambulatory
54512 Excision of extraparenchymal lesion of testis                       I.P or Ambulatory
      Orchiectomy, simple (including subcapsular), with/without           I.P or Ambulatory
54520 testicular prosthesis, scrotal or inguinal approach
54522 Orchiectomy, partial                                                I.P   or   Ambulatory
54530 Orchiectomy, radical, for tumor; inguinal approach                  I.P   or   Ambulatory
54535 Orchiectomy, radical, for tumor; with abdominal exploration         I.P   or   Ambulatory
54550 Exploration for undescended testis                                  I.P   or   Ambulatory
      Exploration for undescended testis with abdominal exploration       I.P   or   Ambulatory
54560
      Reduction of torsion of testis, surgical with/without fixation of   I.P or Ambulatory
54600 contralateral testis
54620 Fixation of contralateral testis (separate procedure)               I.P   or   Ambulatory
54640 Orchiopexy, inguinal approach, with/without hernia repair           I.P   or   Ambulatory
54650 Orchiopexy, abdominal approach, for intra-abdominal testis          I.P   or   Ambulatory
54660 Insertion of testicular prosthesis (separate procedure)             I.P   or   Ambulatory
54670 Suture or repair of testicular injury                               I.P   or   Ambulatory
      Transplantation of testis(es) to thigh (because of scrotal          I.P   or   Ambulatory
54680 destruction)
54690 Laparoscopy, surgical; orchiectomy                                  I.P   or   Ambulatory
54692 Laparoscopy, surgical; orchiopexy for intra-abdominal testis        I.P   or   Ambulatory
54699 Unlisted laparoscopy procedure, testis                              I.P   or   Ambulatory
54700 Incision & drainage of epididymis/testis/scrotal space              I.P   or   Ambulatory
54830 Excision of local lesion of epididymis                              I.P   or   Ambulatory
54840 Excision of spermatocele with/without epididymectomy                I.P   or   Ambulatory
54860 Epididymectomy; unilateral                                          I.P   or   Ambulatory
54861 Epididymectomy; bilateral                                           I.P   or   Ambulatory
54865 Exploration of epididymis, with or without biopsy                   I.P   or   Ambulatory
      Epididymovasostomy, anastomosis of epididymis to vas                I.P   or   Ambulatory
54900 deferens; unilateral
      Epididymovasostomy, anastomosis of epididymis to vas                I.P or Ambulatory
54901 deferens; bilateral
55040 Excision of hydrocele; unilateral                                   I.P   or   Ambulatory
55041 Excision of hydrocele; bilateral                                    I.P   or   Ambulatory
55060 Repair of tunica vaginalis hydrocele (Bottle type)                  I.P   or   Ambulatory
55100 Drainage of scrotal wall abscess                                    I.P   or   Ambulatory
55110 Scrotal exploration                                                 I.P   or   Ambulatory
55120 Removal of foreign body in scrotum                                  I.P   or   Ambulatory
55150 Resection of scrotum                                                I.P   or   Ambulatory
55175 Scrotoplasty; simple                                                I.P   or   Ambulatory
55180 Scrotoplasty; complicated                                           I.P   or   Ambulatory
      Vasotomy, cannulization with/without incision of vas,               I.P   or   Ambulatory
55200 unilateral/bilateral (separate procedure)
      Vasotomy for vasograms/seminal                                      I.P or Ambulatory
55300 vesiculograms/epididymograms, unilateral/bilateral
55400 Vasovasostomy, vasovasorrhaphy                                      I.P or Ambulatory
      Excision of hydrocele of spermatic cord, unilateral (separate        I.P or Ambulatory
55500 procedure)
55520 Excision of lesion of spermatic cord (separate procedure)            I.P or Ambulatory
      Excision of varicocele/ligation of spermatic veins for varicocele    I.P or Ambulatory
55530 (separate procedure)
      Excision of varicocele/ligation of spermatic veins for varicocele;   I.P or Ambulatory
55535 abdominal approach
      Excision of varicocele/ligation of spermatic veins for varicocele;   I.P or Ambulatory
55540 with hernia repair
      Laparoscopy, surgical; with ligation of spermatic veins for          I.P or Ambulatory
55550 varicocele
55559 Unlisted laparoscopy procedure, spermatic cord                       I.P   or   Ambulatory
55600 Vesiculotomy                                                         I.P   or   Ambulatory
55605 Vesiculotomy; complicated                                            I.P   or   Ambulatory
55650 Vesiculectomy                                                        I.P   or   Ambulatory
55680 Excision of Mullerian duct cyst                                      I.P   or   Ambulatory
55705 Biopsy, prostate; incisional, any approach                           I.P   or   Ambulatory
      Prostatotomy, external drainage of prostatic abscess, any            I.P   or   Ambulatory
55720 approach; simple
      Prostatotomy, external drainage of prostatic abscess, any            I.P or Ambulatory
55725 approach; complicated
      Subtotal prostatectomy, perineal (including control of               I.P or Ambulatory
      postoperative bleeding/vasectomy/meatotomy/urethral
55801 calibration/dilation/internal urethrotomy
55810 Radical prostatectomy, perineal                                      I.P or Ambulatory
      Radical prostatectomy, perineal; with lymph node biopsy              I.P or Ambulatory
55812 (limited pelvic lymphadenectomy)
      Radical prostatectomy, perineal; with bilateral pelvic               I.P or Ambulatory
      lymphadenectomy, including external
55815 iliac/hypogastric/obturator nodes
55821 Subtotal prostatectomy; suprapubic, one/two stages                   I.P or Ambulatory
55831 Subtotal prostatectomy; retropubic                                   I.P or Ambulatory
      Radical prostatectomy, retropubic, with/without nerve sparing        I.P or Ambulatory
55840
      Radical prostatectomy, retropubic; with lymph node biopsy            I.P or Ambulatory
55842 (limited pelvic lymphadenectomy)
      Radical prostatectomy, retropubic; with bilateral pelvic             I.P or Ambulatory
      lymphadenectomy, including external
55845 iliac/hypogastric/obturator nodes
55860 Exposure of prostate, for insertion of radioactive substance         I.P or Ambulatory
      Exposure of prostate, for insertion of radioactive substance;        I.P or Ambulatory
      with lymph node biopsy (limited pelvic lymphadenectomy)
55862
      Exposure of prostate, for insertion of radioactive substance;        I.P or Ambulatory
      with bilateral pelvic lymphadenectomy, including external
55865 iliac/hypogastric/obturator nodes
      Laparoscopy, surgical prostatectomy, retropubic radical,             I.P or Ambulatory
55866 including nerve sparing
55870 Electroejaculation                                                   I.P or Ambulatory
      Cryosurgical ablation of the prostate (includes ultrasonic           I.P or Ambulatory
55873 guidance for interstitial cryosurgical probe placement)
      Transperineal placement of needles or catheters into prostate        I.P or Ambulatory
      for interstitial radioelement application, with or without
55875 cystoscopy
        Placement of interstitial device(s) for radiation therapy         I.P or Ambulatory
        guidance, prostate, (via needle, any approach), single or
55876   multiple
        Unlisted procedure, male genital system (requires additional      I.P or Ambulatory
55899   report/info to be submitted)
55970   Intersex surgery; male to female                                  I.P   or   Ambulatory
55980   Intersex surgery; female to male                                  I.P   or   Ambulatory
56405   Incision and drainage of vulva or perineal abscess                I.P   or   Ambulatory
56420   Incision & drainage of Bartholin's gland abscess                  I.P   or   Ambulatory
56440   Marsupialization of Bartholin's gland cyst                        I.P   or   Ambulatory
56441   Lysis of labial adhesions                                         I.P   or   Ambulatory
56501   Destruction of lesion(s), vulva; simple                           I.P   or   Ambulatory
56515   Destruction of lesion(s), vulva; extensive                        I.P   or   Ambulatory
        Biopsy of vulva or perineum (separate procedure); one lesion      I.P   or   Ambulatory
56605
        Biopsy of vulva or perineum (separate procedure); each            I.P or Ambulatory
56606   separate additional lesion
56620   Vulvectomy simple; partial                                        I.P   or   Ambulatory
56625   Vulvectomy simple; complete                                       I.P   or   Ambulatory
56700   Partial hymenectomy or revision of hymenal ring                   I.P   or   Ambulatory
56740   Excision of Bartholin's gland or cyst                             I.P   or   Ambulatory
56800   Plastic repair of introitus                                       I.P   or   Ambulatory
56805   Clitoroplasty for intersex state                                  I.P   or   Ambulatory
        Perineoplasty, repair of perineum, non-obstetrical (separate      I.P   or   Ambulatory
56810   procedure)
56821   Colposcopy of the vulva; with biopsy                              I.P   or   Ambulatory
57000   Colpotomy; with exploration                                       I.P   or   Ambulatory
57010   Colpotomy; with drainage of pelvic abscess                        I.P   or   Ambulatory
        Incision and drainage of vaginal hematoma;                        I.P   or   Ambulatory
57022   obstetrical/postpartum
57023   Incision and drainage of vaginal hematoma; non-obstetrical        I.P   or   Ambulatory
57061   Destruction of vaginal lesion(s); simple                          I.P   or   Ambulatory
57065   Destruction of vaginal lesion(s); extensive                       I.P   or   Ambulatory
57100   Biopsy of vaginal mucosa; simple (separate procedure)             I.P   or   Ambulatory
        Biopsy of vaginal mucosa; extensive, requiring suture             I.P   or   Ambulatory
57105   (including cysts)
57106   Vaginectomy, partial removal of vaginal wall                      I.P or Ambulatory
        Vaginectomy, partial removal of vaginal wall; with removal of     I.P or Ambulatory
57107   paravaginal tissue
        Vaginectomy, partial removal of vaginal wall; with removal of     I.P or Ambulatory
        paravaginal tissue w bilateral total pelvic lymphadenectomy and
        para-aortic lymph node sampling (biopsy)
57109
57110 Vaginectomy, complete removal of vaginal wall                       I.P or Ambulatory
      Vaginectomy, complete removal of vaginal wall; with removal         I.P or Ambulatory
57111 of paravaginal tissue
      Vaginectomy, complete removal of vaginal wall; with removal         I.P or Ambulatory
      of paravaginal tissue with bilateral total pelvic
      lymphadenectomy and para-aortic lymph node sampling
57112 (biopsy)
57120 Colpocleisis (LeFort type)                                          I.P   or   Ambulatory
57130 Excision of vaginal septum                                          I.P   or   Ambulatory
57135 Excision of vaginal cyst/tumor                                      I.P   or   Ambulatory
      Insertion of uterine tandems and/or vaginal ovoids for clinical     I.P   or   Ambulatory
57155 brachytherapy
57200 Colporrhaphy, suture of injury of vagina (nonobstetrical)           I.P or Ambulatory
      Colpoperineorrhaphy, suture of injury of vagina/perineum            I.P or Ambulatory
57210 (nonobstetrical)
57220 Plastic operation on urethral sphincter, vaginal approach           I.P or Ambulatory
57230 Plastic repair of urethrocele                                       I.P or Ambulatory
      Anterior colporrhaphy, repair of cystocele with/without repair of   I.P or Ambulatory
57240 urethrocele
      Posterior colporrhaphy, repair of rectocele with or without         I.P or Ambulatory
57250 perineorrhaphy
57260 Combined anteroposterior colporrhaphy                               I.P or Ambulatory
      Combined anteroposterior colporrhaphy; with enterocele repair       I.P or Ambulatory
57265
      Insertion of mesh or other prosthesis for repair of pelvic floor    I.P or Ambulatory
      defect, each site (anterior, posterior compartment), vaginal
57267 approach
      Repair of enterocele, vaginal approach (separate procedure)         I.P or Ambulatory
57268
      Repair of enterocele, abdominal approach (separate procedure)       I.P or Ambulatory
57270
57280 Colpopexy, abdominal approach                                       I.P or Ambulatory
      Colpopexy, vaginal; extra-peritoneal approach (sacrospinous,        I.P or Ambulatory
57282 iliococcygeus)
      Colpopexy, vaginal; intra-peritoneal approach (uterosacral,         I.P or Ambulatory
57283 levator myorrhaphy)
      Paravaginal defect repair (including repair of cystocele, if        I.P or Ambulatory
57284 performed); open abdominal approach
      Paravaginal defect repair (including repair of cystocele, if        I.P or Ambulatory
57285 performed); vaginal approach
57287 Removal or revision of sling for stress incontinence                I.P   or   Ambulatory
57288 Sling operation for stress incontinence                             I.P   or   Ambulatory
57289 Pereyra procedure, including anterior colporrhaphy                  I.P   or   Ambulatory
57291 Construction of artificial vagina; without graft                    I.P   or   Ambulatory
57292 Construction of artificial vagina; with graft                       I.P   or   Ambulatory
      Revision (including removal) of prosthetic vaginal graft; vaginal   I.P   or   Ambulatory
57295 approach
      Revision (including removal) of prosthetic vaginal graft; open      I.P or Ambulatory
57296 abdominal approach
      Closure of rectovaginal fistula; vaginal approach or transanal      I.P or Ambulatory
57300
57305 Closure of rectovaginal fistula; abdominal approach                 I.P or Ambulatory
      Closure of rectovaginal fistula; abdominal approach, with           I.P or Ambulatory
57307 concomitant colostomy
      Closure of rectovaginal fistula; transperineal approach, with       I.P or Ambulatory
57308 perineal body reconstruction, with/without levator plication
57310 Closure of urethrovaginal fistula                                   I.P or Ambulatory
      Closure of urethrovaginal fistula; with bulbocavernosus             I.P or Ambulatory
57311 transplant
57320 Closure of vesicovaginal fistula; vaginal approach                  I.P or Ambulatory
      Closure of vesicovaginal fistula; transvesical and vaginal          I.P or Ambulatory
57330 approach
57335 Vaginoplasty for intersex state                                     I.P or Ambulatory
      Colposcopy of the entire vagina, with cervix if present; with       I.P or Ambulatory
57421 biopsy(s) of vagina/cervix
      Paravaginal defect repair (including repair of cystocele if         I.P or Ambulatory
57423 performed); laparoscopic approach
        Laparoscopy, surgical, colpopexy (suspension of vaginal apex)    I.P or Ambulatory
57425
      Colposcopy of the cervix including upper/adjacent vagina; with     I.P or Ambulatory
57454 biopsy(s) of the cervix and endocervical curettage
      Colposcopy of the cervix including upper/adjacent vagina; with     I.P or Ambulatory
57455 biopsy(s) of the cervix
      Colposcopy of the cervix including upper/adjacent vagina; with     I.P or Ambulatory
57456 endocervical curettage
      Colposcopy of the cervix including upper/adjacent vagina; with     I.P or Ambulatory
57460 loop electrode biopsy(s) of the cervix
      Colposcopy of the cervix including upper/adjacent vagina; with     I.P or Ambulatory
57461 loop electrode conization of the cervix
      Biopsy of cervix, single/multiple, or local excision of lesion,    I.P or Ambulatory
57500 with/without fulguration (separate procedure)
57505 Endocervical curettage                                             I.P   or   Ambulatory
57510 Cautery of cervix; electro or thermal                              I.P   or   Ambulatory
57511 Cautery of cervix; cryocautery, initial or repeat                  I.P   or   Ambulatory
57513 Cautery of cervix; laser ablation                                  I.P   or   Ambulatory
      Conization of cervix, with/without fulguration, with/without       I.P   or   Ambulatory
      dilation and curettage, with/without repair; cold knife or laser
57520
      Conization of cervix, with/without fulguration, with/without       I.P or Ambulatory
      dilation and curettage, with/without repair; loop electrode
57522 excision
      Trachelectomy (cervicectomy), amputation of cervix (separate       I.P or Ambulatory
57530 procedure)
      Radical trachelectomy, with bilateral total pelvic                 I.P or Ambulatory
      lymphadenectomy and para-aortic lymph node sampling biopsy,
      with/without removal of tube(s), with/without removal of
57531 ovary(s)
57540 Excision of cervical stump, abdominal approach                     I.P or Ambulatory
      Excision of cervical stump, abdominal approach; with pelvic        I.P or Ambulatory
57545 floor repair
57550 Excision of cervical stump, vaginal approach                       I.P or Ambulatory
      Excision of cervical stump, vaginal approach; with                 I.P or Ambulatory
57555 anterior/posterior repair
      Excision of cervical stump, vaginal approach; with repair of       I.P or Ambulatory
57556 enterocele
57558 Dilation and curettage of cervical stump                           I.P or Ambulatory
57700 Cerclage of uterine cervix, nonobstetrical                         I.P or Ambulatory
      Trachelorrhaphy, plastic repair of uterine cervix, vaginal         I.P or Ambulatory
57720 approach
      Endometrial sampling (biopsy) with/without endocervical            I.P or Ambulatory
      sampling (biopsy) without cervical dilation, any method
58100 (separate procedure)
      Endometrial sampling (biopsy) performed in conjunction with        I.P or Ambulatory
58110 colposcopy
      Dilation & curettage, diagnostic/therapeutic (nonobstetrical)      I.P or Ambulatory
58120
      Myomectomy, excision of fibroid tumor(s) of uterus, 1-4            I.P or Ambulatory
      intramural myoma(s) with total weight of 250 g or less/removal
58140 of surface myomas; abdominal approach
      Myomectomy, excision of fibroid tumor(s) of uterus 1-4             I.P or Ambulatory
      intramural myoma(s) with total weight of 250 g or less/removal
58145 of surface myomas; vaginal approach
        Myomectomy, excision of fibroid tumors(s) of uterus, 5 or more   I.P or Ambulatory
        intramural myomas/intramural myomas with total weight
58146   greater than 250 g abdominal approach
        Total abdominal hysterectomy, with/without removal of tube(s)    I.P or Ambulatory
58150   and/or ovary(s)
        Total abdominal hysterectomy with/without removal of tube(s)     I.P or Ambulatory
        and/or ovary(s), with colpo-urethrocystopexy (Marshall-
58152   Marchetti-Krantz)
        Supracervical (subtotal) abdominal hysterectomy with/without     I.P or Ambulatory
58180   removal of tube(s) and/or ovary(s)
        Total abdominal hysterectomy, including partial vaginectomy,     I.P or Ambulatory
        with para-aortic and pelvic lymph node sampling, with/without
        removal of tube(s), with/without removal of ovary(s)
58200
58260 Vaginal hysterectomy; for uterus 250 g or less                     I.P or Ambulatory
      Vaginal hysterectomy for uterus weighing 250 g or less; with       I.P or Ambulatory
58262 removal of tube(s), and/or ovary(s)
      Vaginal hysterectomy for uterus weighing 250 grams or less;        I.P or Ambulatory
      with removal of tube(s), and/or ovary(s), with repair of
58263 enterocele
      Vaginal hysterectomy, for uterus 250 g or less; with colpo-        I.P or Ambulatory
58267 urethrocystopexy with or without endoscopic control
      Vaginal hysterectomy, for uterus weighing 250 g or less; with      I.P or Ambulatory
58270 repair of enterocele
58275 Vaginal hysterectomy, with total or partial vaginectomy            I.P or Ambulatory
      Vaginal hysterectomy, with total or partial vaginectomy; with      I.P or Ambulatory
58280 repair of enterocele
      Catheterization and introduction of saline or contrast material    I.P or Ambulatory
      for saline infusion sonohysterography (SIS) or
58340 hysterosalpingography
58346 Insertion of Heyman capsules for clinical brachytherapy            I.P or Ambulatory
      Endometrial ablation, thermal, without hysteroscopic guidance      I.P or Ambulatory
58353
      Endometrial cryoablation with ultrasonic guidance, including       I.P or Ambulatory
58356 endometrial curettage, when performed
58400 Uterine suspension (separate procedure)                            I.P   or   Ambulatory
58410 Uterine suspension; with presacral sympathectomy                   I.P   or   Ambulatory
58520 Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)         I.P   or   Ambulatory
58540 Hysteroplasty, repair of uterine anomaly                           I.P   or   Ambulatory
      Laparoscopy, surgical, supracervical hysterectomy for uterus       I.P   or   Ambulatory
58541 250 g or less
      Laparoscopy, surgical, supracervical hysterectomy for uterus       I.P or Ambulatory
      250 g or less; with removal of tube(s) and/or ovary(s)
58542
      Laparoscopy, surgical, supracervical hysterectomy for uterus       I.P or Ambulatory
58543 greater than 250 g
      Laparoscopy, surgical, supracervical hysterectomy for uterus       I.P or Ambulatory
      greater than 250 g; with removal of tube(s) and/or ovary(s)
58544
      Laparoscopy, surgical, myomectomy, excision; 1-4 intramural        I.P or Ambulatory
      myomas with total weight of 250 g or less/removal of surface
58545 myomas
      Laparoscopy, surgical, myomectomy, excision; 5 or more             I.P or Ambulatory
      intramural myomas/intramural myomas with total weight
58546 greater than 250 g
        Laparoscopy, surgical, with radical hysterectomy, with bilateral   I.P or Ambulatory
        total pelvic lymphadenectomy and para-aortic lymph node
        sampling (biopsy), with removal of tube(s) and ovary(s), if
58548   performed
        Laparoscopy surgical, with vaginal hysterectomy, for uterus 250    I.P or Ambulatory
58550   g or less
        Laparoscopy, surgical, with vaginal hysterectomy for uterus 250    I.P or Ambulatory
58552   g or less; with removal of tube(s)/ovary(s)
        Laparoscopy, surgical, with vaginal hysterectomy for uterus        I.P or Ambulatory
58553   greater than 250 g
        Laparoscopy, surgical, with vaginal hysterectomy for uterus        I.P or Ambulatory
        greater than 250 g; with removal of tube(s)/ovary(s)
58554
      Hysteroscopy, surgical; with sampling (biopsy) of endometrium        I.P or Ambulatory
58558 and/or polypectomy, with or without D & C
      Hysteroscopy, surgical; with lysis of intrauterine adhesions (any    I.P or Ambulatory
58559 method)
      Hysteroscopy, surgical; with division or resection of intrauterine   I.P or Ambulatory
58560 septum (any method)
58561 Hysteroscopy, surgical; with removal of leiomyomata                  I.P or Ambulatory
58563 Hysteroscopy, surgical; with endometrial ablation                    I.P or Ambulatory
      Hysteroscopy, surgical; with bilateral fallopian tube cannulation    I.P or Ambulatory
      to induce occlusion by placement of permanent implants
58565
      Laparoscopy, surgical, with total hysterectomy, for uterus 250 g     I.P or Ambulatory
58570 or less
      Laparoscopy, surgical, with total hysterectomy, for uterus 250 g     I.P or Ambulatory
58571 or less; with removal of tube(s) and/or ovary(s)
      Laparoscopy, surgical, with total hysterectomy, for uterus           I.P or Ambulatory
58572 greater than 250 g
      Laparoscopy, surgical, with total hysterectomy, for uterus           I.P or Ambulatory
      greater than 250 g; with removal of tube(s) and/or ovary(s)
58573
58578 Unlisted laparoscopy procedure, uterus                               I.P or Ambulatory
      Ligation/transection of fallopian tube(s), abdominal/vaginal         I.P or Ambulatory
58600 approach, unilateral/bilateral
      Ligation/transection of fallopian tube(s), abdominal/vaginal         I.P or Ambulatory
      approach, postpartum, unilateral/bilateral, during same
58605 hospitalization (separate procedure)
      Ligation/transection of fallopian tube(s) when done at the time      I.P or Ambulatory
58611 of cesarean delivery/intra-abdominal surgery
      Occlusion of fallopian tube(s) by device, vaginal/suprapubic         I.P or Ambulatory
58615 approach
      Laparoscopy, surgical; with lysis of adhesions (salpingolysis,       I.P or Ambulatory
58660 ovariolysis) (separate procedure)
      Laparoscopy, surgical; with removal of adnexal structures            I.P or Ambulatory
58661 (partial or total oophorectomy and/or salpingectomy)
      Laparoscopy, surgical; with fulguration or excision of lesions of    I.P or Ambulatory
      the ovary, pelvic viscera, or peritoneal surface by any method
58662
      Laparoscopy, surgical; with fulguration of oviducts (with or         I.P or Ambulatory
58670 without transection)
58671 Laparoscopy, surgical; with occlusion of oviducts by device          I.P or Ambulatory
58672 Laparoscopy, surgical; with fimbrioplasty                            I.P or Ambulatory
      Laparoscopy, surgical; with salpingostomy (salpingoneostomy)       I.P or Ambulatory
58673
58679 Unlisted laparoscopy procedure, oviduct, ovary                     I.P or Ambulatory
      Salpingectomy, complete or partial, unilateral/bilateral           I.P or Ambulatory
58700 (separate procedure)
      Salpingo-oophorectomy, complete or partial, unilateral/bilateral   I.P or Ambulatory
58720 (separate procedure)
58740 Lysis of adhesions of ovary/fallopian tube                         I.P   or   Ambulatory
58750 Tubotubal anastomosis                                              I.P   or   Ambulatory
58752 Tubouterine implantation                                           I.P   or   Ambulatory
58760 Fimbrioplasty                                                      I.P   or   Ambulatory
58770 Salpingostomy                                                      I.P   or   Ambulatory
      Drainage of ovarian cyst(s), unilateral/bilateral, (separate       I.P   or   Ambulatory
58800 procedure); vaginal approach
      Drainage of ovarian cyst(s), unilateral/bilateral, (separate       I.P or Ambulatory
58805 procedure); abdominal approach
58820 Drainage of ovarian abscess, vaginal approach, open                I.P or Ambulatory
58822 Drainage of ovarian abscess; abdominal approach                    I.P or Ambulatory
      Drainage of pelvic abscess, transvaginal or transrectal            I.P or Ambulatory
58823 approach, percutaneous
58825 Transposition, ovary(s)                                            I.P   or   Ambulatory
58900 Biopsy of ovary, unilateral/bilateral (separate procedure)         I.P   or   Ambulatory
58920 Wedge resection/bisection of ovary, unilateral/bilateral           I.P   or   Ambulatory
58925 Ovarian cystectomy, unilateral/bilateral                           I.P   or   Ambulatory
58940 Oophorectomy, partial or total, unilateral/bilateral               I.P   or   Ambulatory
      Oophorectomy, partial or total, unilateral or bilateral; for       I.P   or   Ambulatory
      ovarian, tubal or primary peritoneal malignancy, with para-
      aortic and pelvic lymph node biopsies, peritoneal washings,
      peritoneal biopsies, diaphragmatic assessments, with or without
58943 salpingectomy(s), with or without omentectomy
      Resection (initial) of ovarian, tubal or primary peritoneal        I.P or Ambulatory
      malignancy with bilateral salpingo-oophorectomy and
58950 omentectomy
      Resection (initial) of ovarian, tubal or primary peritoneal        I.P or Ambulatory
      malignancy with bilateral salpingo-oophorectomy and
      omentectomy; with total abdominal hysterectomy, pelvic and
58951 limited para-aortic lymphadenectomy
      Resection (initial) of ovarian, tubal or primary peritoneal        I.P or Ambulatory
      malignancy with bilateral salpingo-oophorectomy and
58952 omentectomy; with radical dissection for debulking
      Bilateral salpingo-oophorectomy with omentectomy, total            I.P or Ambulatory
      abdominal hysterectomy and radical dissection for debulking
58953
      Bilateral salpingo-oophorectomy with omentectomy, total            I.P or Ambulatory
      abdominal hysterectomy and radical dissection for debulking;
      with pelvic lymphadenectomy and limited para-aortic
58954 lymphadenectomy
      Bilateral salpingo-oophorectomy with total omentectomy, total      I.P or Ambulatory
58956 abdominal hysterectomy for malignancy
      Resection (tumor debulking) of recurrent ovarian, tubal,           I.P or Ambulatory
      primary peritoneal, uterine malignancy (intra-abdominal,
58957 retroperitoneal tumors), with omentectomy, if performed
      Resection (tumor debulking) of recurrent ovarian, tubal,          I.P or Ambulatory
      primary peritoneal, uterine malignancy (intra-abdominal,
      retroperitoneal tumors), with omentectomy, if performed; with
      pelvic lymphadenectomy and limited para-aortic
58958 lymphadenectomy
      Laparotomy, for staging or restaging of ovarian, tubal, or        I.P or Ambulatory
      primary peritoneal malignancy (second look), with or without
      omentectomy, peritoneal washing, biopsy of abdominal and
      pelvic peritoneum, diaphragmatic assessment with pelvic and
      limited para-aortic lymphadenectomy
58960
58970 Follicle puncture for oocyte retrieval, any method                I.P or Ambulatory
58974 Embryo transfer, intrauterine                                     I.P or Ambulatory
      Gamete, zygote, or embryo intrafallopian transfer, any method     I.P or Ambulatory
58976
      Unlisted procedure, female genital system non ob (requires        I.P or Ambulatory
58999 additional report/information to be submitted)
59000 Amniocentesis; diagnostic                                         I.P or Ambulatory
      Amniocentesis; therapeutic amniotic fluid reduction (includes     I.P or Ambulatory
59001 ultrasound)
59012 Cordocentesis (intrauterine), any method                          I.P   or   Ambulatory
59015 Chorionic villus sampling                                         I.P   or   Ambulatory
59020 Fetal contraction stress test                                     I.P   or   Ambulatory
59025 Fetal non-stress test                                             I.P   or   Ambulatory
59030 Fetal scalp blood sampling                                        I.P   or   Ambulatory
      Fetal umbilical cord occlusion, including ultrasound guidance     I.P   or   Ambulatory
59072
59074 Fetal fluid drainage, including ultrasound guidance               I.P   or   Ambulatory
59076 Fetal shunt placement, including ultrasound guidance              I.P   or   Ambulatory
59100 Abdominal hysterotomy                                             I.P   or   Ambulatory
      Surgical treatment of ectopic pregnancy; tubal or ovarian, with   I.P   or   Ambulatory
      salpingectomy &/or oophorectomy, abdominal or vaginal
59120 approach
      Surgical treatment of ectopic pregnancy; interstitial, uterine    I.P or Ambulatory
59135 pregnancy requiring total hysterectomy
      Laparoscopic treatment of ectopic pregnancy; with                 I.P or Ambulatory
59151 salpingectomy and/or oophorectomy
59160 Curettage, postpartum                                             I.P   or   Ambulatory
59320 Cerclage of cervix, during pregnancy; vaginal                     I.P   or   Ambulatory
59325 Cerclage of cervix, during pregnancy; abdominal                   I.P   or   Ambulatory
59350 Hysterorrhaphy of ruptured uterus                                 I.P   or   Ambulatory
      Routine obstetric care with antepartum care/c-                    I.P   or   Ambulatory
59510 section/postpartum care
59514 Cesarean delivery only                                            I.P   or   Ambulatory
59515 Cesarean delivery only with postpartum care                       I.P   or   Ambulatory
59525 Subtotal/total hysterectomy after c-section delivery              I.P   or   Ambulatory
      Routine obstetric care including antepartum care, cesarean        I.P   or   Ambulatory
      delivery, and postpartum care, following attempted vaginal
59618 delivery after previous cesarean delivery
      Cesarean delivery only, following attempted vaginal delivery      I.P or Ambulatory
59620 after previous cesarean delivery;
      Cesarean delivery only, following attempted vaginal delivery      I.P or Ambulatory
59622 after previous cesarean delivery; including postpartum care
      Treatment of incomplete abortion, any trimester, completed        I.P or Ambulatory
59812 surgically
      Treatment of missed abortion, completed surgically; first           I.P or Ambulatory
59820 trimester
      Treatment of missed abortion, completed surgically, second          I.P or Ambulatory
59821 trimester
59830 Treatment of septic abortion, completed surgically                  I.P   or   Ambulatory
59840 Induced abortion, by dilation & curettage                           I.P   or   Ambulatory
59841 Induced abortion, by dilation & evacuation                          I.P   or   Ambulatory
      Induced abortion by one or more vaginal suppositories               I.P   or   Ambulatory
      with/without cervical dilation including hospital admission and
      visits, delivery of fetus and secundines; with hysterotomy
59857
59866 Multifetal pregnancy reduction(s) (MPR)                             I.P or Ambulatory
59870 Uterine evacuation & curettage for hydatidiform mole                I.P or Ambulatory
      Unlisted fetal invasive procedure, including ultrasound guidance    I.P or Ambulatory
59897
      Unlisted laparoscopy procedure, maternity care and delivery         I.P or Ambulatory
59898
      Unlisted procedure, maternity care & delivery (requires             I.P or Ambulatory
59899 additional report/info to be submitted)
60000 Incision and drainage of thyroglossal duct cyst, infected           I.P or Ambulatory
60200 Excision of cyst/adenoma of thyroid/transection of isthmus          I.P or Ambulatory
      Partial thyroid lobectomy unilateral; with/without                  I.P or Ambulatory
60210 isthmusectomy
      Partial thyroid lobectomy unilateral; with contralateral subtotal   I.P or Ambulatory
60212 lobectomy, including isthmusectomy
      Total thyroid lobectomy, unilateral, with/without isthmusectomy     I.P or Ambulatory
60220
      Total thyroid lobectomy, unilateral; with contralateral subtotal    I.P or Ambulatory
60225 lobectomy, including isthmusectomy
60240 Thyroidectomy, total/complete                                       I.P or Ambulatory
60252 Thyroidectomy, for malignancy; with limited neck dissection         I.P or Ambulatory
      Thyroidectomy, for malignancy; with radical neck dissection         I.P or Ambulatory
60254
      Thyroidectomy, removal of all remaining thyroid tissue              I.P or Ambulatory
60260 following previous removal of a portion of thyroid
      Thyroidectomy, including substernal thyroid; sternal                I.P or Ambulatory
60270 split/transthoracic approach
      Thyroidectomy, including substernal thyroid; cervical approach      I.P or Ambulatory
60271
60280 Excision of thyroglossal duct cyst/sinus                            I.P   or   Ambulatory
60281 Excision of thyroglossal duct cyst/sinus; recurrent                 I.P   or   Ambulatory
60500 Parathyroidectomy/exploration of parathyroid(s)                     I.P   or   Ambulatory
      Parathyroidectomy/exploration of parathyroid; re-exploration        I.P   or   Ambulatory
60502
      Parathyroidectomy/exploration of parathyroid; with mediastinal      I.P or Ambulatory
60505 exploration, sternal split/transthoracic approach
60512 Parathyroid autotransplantation                                     I.P or Ambulatory
      Thymectomy, partial or total; transcervical approach (separate      I.P or Ambulatory
60520 procedure)
      Thymectomy, partial or total; sternal split or transthoracic        I.P or Ambulatory
      approach, without radical mediastinal dissection (separate
60521 procedure)
      Thymectomy, partial or total; sternal split or transthoracic        I.P or Ambulatory
      approach, with radical mediastinal dissection (separate
60522 procedure)
      Excision of carotid body tumor; without excision of carotid          I.P or Ambulatory
60600 artery
      Excision of carotid body tumor; with excision of carotid artery      I.P or Ambulatory
60605
60659 Unlisted laparoscopy procedure, endocrine system                     I.P or Ambulatory
      Unlisted procedure, endocrine system (requires additional            I.P or Ambulatory
60699 report/information to be submitted)
      Ventricular puncture through previous burr hole, fontanelle,         I.P or Ambulatory
61026 reservoir; with injection, medication/substance
      Cisternal or lateral cervical (C1-C2) puncture; with injection of    I.P or Ambulatory
      medication or other substance for diagnosis or treatment
61055
      Twist drill hole(s) for subdural, intracerebral, or ventricular      I.P or Ambulatory
      puncture; for implanting ventricular catheter, pressure
61107 recording device, or other intracerebral monitoring device
61120 Burr hole(s) for ventricular puncture                                I.P or Ambulatory
      Burr hole(s) or trephine; with biopsy of brain/intracranial lesion   I.P or Ambulatory
61140
61150 Burr hole(s) or trephine; with drainage of abscess/cyst              I.P or Ambulatory
      Burr hole(s) or trephine; with subsequent tapping of                 I.P or Ambulatory
61151 intracranial abscess/cyst
      Burr hole(s) with evacuation/drainage of hematoma,                   I.P or Ambulatory
61154 extradural/subdural
61156 Burr hole; with aspiration of hematoma/cyst, intracerebral           I.P or Ambulatory
      Burr hole(s); for implanting ventricular catheter, reservoir, EEG    I.P or Ambulatory
      electrode(s), pressure recording device, or other cerebral
61210 monitoring device (separate procedure)
      Insertion or subcutaneous reservoir/pump/continuous infusion         I.P or Ambulatory
61215 system for connection to ventricular catheter
      Burr hole(s) trephine, supratentorial, exploratory, not followed     I.P or Ambulatory
61250 by other surgery
61253 Burr hole(s) trephine, infratentorial unilateral/bilateral           I.P or Ambulatory
61304 Craniectomy/craniotomy, exploratory; supratentorial                  I.P or Ambulatory
      Craniectomy/craniotomy, exploratory; infratentorial (posterior       I.P or Ambulatory
61305 fossa)
      Craniectomy/craniotomy for evacuation of hematoma,                   I.P or Ambulatory
61313 supratentorial; intracerebral
      Craniectomy/craniotomy for evacuation of hematoma,                   I.P or Ambulatory
61314 infratentorial; extradural or subdural
      Craniectomy/craniotomy for evacuation of hematoma,                   I.P or Ambulatory
61315 infratentorial; intracerebellar
61316 Incision and subcutaneous placement of cranial bone graft            I.P or Ambulatory
      Craniectomy or craniotomy, drainage of intracranial abscess;         I.P or Ambulatory
61320 supratentorial
      Craniectomy or craniotomy, drainage of intracranial abscess;         I.P or Ambulatory
61321 infratentorial
      Craniectomy or craniotomy, decompressive, with/without               I.P or Ambulatory
      duraplasty, for treatment of intracranial hypertension, without
      evacuation of associated intraparenchymal hematoma; without
61322 lobectomy
      Craniectomy or craniotomy, decompressive, with/without               I.P or Ambulatory
      duraplasty, for treatment of intracranial hypertension, without
      evacuation of associated intraparenchymal hematoma; with
61323 lobectomy
61330 Decompression of orbit only, transcranial approach                   I.P or Ambulatory
61332 Exploration of orbit, transcranial approach; with biopsy            I.P or Ambulatory
      Exploration of orbit, transcranial approach; with removal of        I.P or Ambulatory
61333 lesion
      Exploration of orbit, transcranial approach; with removal of        I.P or Ambulatory
61334 foreign body
      Subtemporal cranial decompression (pseudotumor cerebri, slit        I.P or Ambulatory
61340 ventricle syndrome)
61345 Other cranial decompression, posterior fossa                        I.P or Ambulatory
      Craniectomy, subtemporal, for section, compression, or              I.P or Ambulatory
61450 decompression of sensory root of gasserian ganglion
      Craniectomy, suboccipital; exploration/decompression, cranial       I.P or Ambulatory
61458 nerves
      Craniectomy, suboccipital; section of one/more cranial nerves       I.P or Ambulatory
61460
61500 Craniectomy; w/excision of tumor or bone lesion of skull            I.P   or   Ambulatory
61501 Craniectomy; for osteomyelitis                                      I.P   or   Ambulatory
61517 Implantation of brain intracavitary chemotherapy agent              I.P   or   Ambulatory
      Subdural implantation of strip electrodes through one/more          I.P   or   Ambulatory
61531 burr/trephine hole(s) for long-term seizure monitoring
      Craniotomy with elevation of bone flap; for subdural                I.P or Ambulatory
      implantation of an electrode array for long-term seizure
61533 monitoring
      Craniotomy with elevation of bone flap; for removal of epidural     I.P or Ambulatory
      or subdural array, without excision of cerebral tissue (separate
61535 procedure)
61550 Craniectomy for craniosynostosis; single cranial suture             I.P or Ambulatory
61552 Craniectomy for craniosynostosis; multiple cranial sutures          I.P or Ambulatory
      Extensive craniectomy for multiple cranial suture                   I.P or Ambulatory
61558 craniosynostosis; not requiring bone grafts
      Extensive craniectomy for multiple cranial suture                   I.P or Ambulatory
      craniosynostosis; recontouring with multiple osteotomies and
61559 bone autografts (includes obtaining grafts)
      Excision, intra- and extracranial, benign tumor of cranial bone;    I.P or Ambulatory
61563 without optic nerve decompression
      Excision, intra- and extracranial, benign tumor of cranial bone;    I.P or Ambulatory
61564 with optic nerve decompression
      Craniotomy with elevation of bone flap; for multiple subpial        I.P or Ambulatory
61567 transections, with electrocorticography during surgery
      Craniectomy or craniotomy; with excision of foreign body from       I.P or Ambulatory
61570 brain
      Craniectomy or craniotomy; w/treatment of penetrating wound         I.P or Ambulatory
61571 of brain
      Craniofacial approach to anterior cranial fossa; extradural,        I.P or Ambulatory
      including lateral rhinotomy, ethmoidectomy, sphenoidectomy,
61580 w/o maxillectomy/orbital exenteration
      Craniofacial approach to anterior cranial fossa; extradural,        I.P or Ambulatory
      including lateral rhinotomy, orbital exenteration,
61581 ethmoidectomy, sphenoidectomy and/or maxillectomy
      Craniofacial approach to anterior cranial fossa; extradural,        I.P or Ambulatory
      including unilateral/bifrontal craniotomy, elevation of frontal
61582 lobe(s), osteotomy anterior cranial fossa base
      Craniofacial approach to anterior cranial fossa; intradural,        I.P or Ambulatory
      including unilateral/bifrontal craniotomy, elevation/resection of
61583 frontal lobe, osteotomy anterior cranial fossa base
        Orbitocranial approach to anterior cranial fossa, extradural,       I.P or Ambulatory
        including supraorbital ridge osteotomy & elevation frontal &/or
61584   temporal lobe(s); without orbital exenteration
        Orbitocranial approach to anterior cranial fossa, extradural,       I.P or Ambulatory
        including supraorbital ridge osteotomy & elevation frontal &/or
61585   temporal lobe(s); with orbital exenteration
        Bicoronal, transzygomatic and/or LeFort I osteotomy approach        I.P or Ambulatory
        to anterior cranial fossa with/without internal fixation, without
61586   bone graft
        Infratemporal pre-auricular approach to middle cranial fossa,       I.P or Ambulatory
        with/without disarticulation of mandible include parotidectomy,
        craniotomy, decompression and/or mobilization facial nerve
61590   and/or petrous carotid artery
        Infratemporal post-auricular approach to middle cranial fossa       I.P or Ambulatory
        include mastoidectomy, resection sigmoid sinus, with/without
        decompression and/or mobilization auditory canal contents or
61591   petrous carotid artery
        Orbitocranial zygomatic approach to middle cranial fossa            I.P or Ambulatory
        include zygoma osteotomy, craniotomy, extra/intradural
61592   elevation of temporal lobe
        Transtemporal approach to posterior cranial fossa, jugular          I.P or Ambulatory
        foramen or midline skull base, include mastoidectomy,
        decompression sigmoid sinus and/or facial nerve, with/without
61595   mobilization
        Transcochlear approach to posterior cranial fossa, jugular          I.P or Ambulatory
        foramen or midline skull base, include labyrinthectomy,
        decompression, with/without mobilization of facial nerve and/or
61596   petrous carotid artery
        Transcondylar approach to posterior cranial fossa, jugular          I.P or Ambulatory
        foramen or midline skull base, include occipital condylectomy,
        mastoidectomy, resection of C1-C3 vertebral body(s),
        decompression vertebral artery, with/without mobilization
61597
        Transpetrosal approach to posterior cranial fossa, clivus or        I.P or Ambulatory
        foramen magnum, include ligation of superior petrosal sinus
61598   and/or sigmoid sinus
        Secondary repair of dura for cerebrospinal fluid (csf) leak,        I.P or Ambulatory
        anterior, middle or posterior cranial fossa following surgery of
61618   skull base; by free tissue graft
        Transcatheter permanent occlusion or embolization,                  I.P or Ambulatory
        percutaneous, any method; non-central nervous system, head
61626   or neck (extracranial, brachiocephalic branch)
61630   Balloon angioplasty, intracranial, percutaneous                     I.P or Ambulatory
        Transcatheter placement of intravascular stent(s), intracranial,    I.P or Ambulatory
61635   including balloon angioplasty, if performed
        Balloon dilatation of intracranial vasospasm, percutaneous;         I.P or Ambulatory
61640   initial vessel
        Balloon dilatation of intracranial vasospasm, percutaneous;         I.P or Ambulatory
61641   each additional vessel in same vascular family
        Balloon dilatation of intracranial vasospasm, percutaneous;         I.P or Ambulatory
61642   each additional vessel in different vascular family
        Surgery of complex intracranial aneurysm, intracranial              I.P or Ambulatory
61697   approach; carotid circulation
        Surgery of complex intracranial aneurysm, intracranial              I.P or Ambulatory
61698   approach; vertebrobasilar circulation
      Surgery of simple intracranial aneurysm, intracranial approach;    I.P or Ambulatory
61700 carotid circulation
      Surgery of intracranial aneurysm, cervical approach by             I.P or Ambulatory
61703 application of occluding clamp to cervical carotid artery
      Surgery of intracranial aneurysm/vascular malformation/carotid-    I.P or Ambulatory
      cavernous fistula; by occlusion of carotid artery
61705
      Surgery of intracranial aneurysm/vascular malformation/carotid-    I.P or Ambulatory
      cavernous fistula; by intracranial electrothrombosis
61708
      Surgery of aneurysm/vascular malformation/carotid-cavernous        I.P or Ambulatory
      fistula; by intra-arterial embolization/injection/balloon cath
61710
      Twist drill/burr hole(s) for implantation of neurostimulator       I.P or Ambulatory
61850 electrodes, cortical
      Craniectomy/craniotomy for implantation of neurostimulator         I.P or Ambulatory
61860 electrodes, cerebral, cortical
      Twist drill/burr hole/craniotomy/craniectomy with stereotactic     I.P or Ambulatory
      implantation of neurostimulator electrode array in subcortical
      site, without use of intraoperative microelectrode recording;
61863 first array
      Twist drill/burr hole/craniotomy/craniectomy with stereotactic     I.P or Ambulatory
      implantation of neurostimulator electrode array in subcortical
      site, without use of intraoperative microelectrode recording;
61864 each additional array
      Twist drill/burr hole/craniotomy/craniectomy with stereotactic     I.P or Ambulatory
      implantation of neurostimulator electrode array in subcortical
      site, with use of intraoperative microelectrode recording; first
61867 array
      Twist drill/burr hole/craniotomy/craniectomy with stereotactic     I.P or Ambulatory
      implantation of neurostimulator electrode array in subcortical
      site, with use of intraoperative microelectrode recording; each
61868 additional array
      Craniectomy for implantation of neurostimulator electrode,         I.P or Ambulatory
61870 cerebellar; cortical
      Craniectomy for implantation of neurostimulator electrode,         I.P or Ambulatory
61875 cerebellar; subcortical
61880 Revision/removal of intracranial neurostimulator electrodes        I.P or Ambulatory
      Insertion or replacement of cranial neurostimulator pulse          I.P or Ambulatory
      generator or receiver, direct or inductive coupling; with
61885 connection to a single electrode array
      Insertion or replacement of cranial neurostimulator pulse          I.P or Ambulatory
      generator or receiver, direct or inductive coupling; with
61886 connection to two or more electrode arrays
      Revision or removal of cranial neurostimulator pulse generator     I.P or Ambulatory
61888 or receiver
62000 Elevation of depressed skull fracture; simple, extradural          I.P or Ambulatory
      Elevation of depressed skull fracture; compound/comminuted,        I.P or Ambulatory
62005 extradural
62142 Removal of bone flap/prosthetic skull plate                        I.P or Ambulatory
      Cranioplasty with autograft (includes obtaining bone grafts); up   I.P or Ambulatory
62146 to 5 cm diameter
      Cranioplasty with autograft (includes obtaining bone grafts);      I.P or Ambulatory
62147 larger than 5 cm diameter
      Incision and retrieval of subcutaneous cranial bone graft for       I.P or Ambulatory
62148 cranioplasty
      Neuroendoscopy, intracranial, for placement/replacement of          I.P or Ambulatory
      ventricular catheter and attachment to shunt system/external
62160 drainage
      Neuroendoscopy, intracranial; with dissection of adhesions,         I.P or Ambulatory
      fenestration of septum pellucidum/intraventricular cysts,
      including placement/replacement or removal of ventricular cath
62161
62180 Ventriculocisternostomy (Torkildsen type)                           I.P or Ambulatory
      Creation of shunt; subarachnoid/subdural-atrial, -jugular, -        I.P or Ambulatory
62190 auricular
      Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, -    I.P or Ambulatory
62192 other terminus
62194 Replacement/irrigation, subarachnoid/subdural catheter              I.P or Ambulatory
62200 Ventriculocisternostomy, third ventricle;                           I.P or Ambulatory
      Ventriculocisternostomy, third ventricle; stereotactic,             I.P or Ambulatory
62201 neuroendoscopic method
62220 Creation of CSF shunt; ventriculo-atrial, -jugular, -auricular      I.P or Ambulatory
      Creation of CSF shunt; ventriculo-peritoneal, -pleural, -other      I.P or Ambulatory
62223 terminus
62225 Replacement/irrigation, ventricular CSF cath                        I.P or Ambulatory
      Replacement/revision of cerebrospinal fluid (CSF)                   I.P or Ambulatory
62230 shunt/obstructed valve/distal catheter in shunt system
      Reprogramming of programmable cerebrospinal fluid (CSF)             I.P or Ambulatory
62252 shunt
      Removal of complete cerebrospinal fluid (CSF) shunt system;         I.P or Ambulatory
62256 without replacement
      Removal of complete cerebrospinal fluid (CSF) shunt system;         I.P or Ambulatory
62258 with replacement
      Percutaneous lysis of epidural adhesions using solution injection   I.P or Ambulatory
      or mechanical means, multiple adhesiolysis sessions; 2 or more
62263 days
      Percutaneous lysis of epidural adhesions using solution injection   I.P or Ambulatory
      or mechanical means, multiple adhesiolysis sessions; 1 day
62264
62269 Biopsy of spinal cord, percutaneous needle                          I.P or Ambulatory
      Spinal puncture, therapeutic, for drainage of cerebrospinal fluid   I.P or Ambulatory
62272
      Injection procedure for myelography and/or computed                 I.P or Ambulatory
62284 tomography, spinal (other than C1-C2 and posterior fossa)
      Aspiration or decompression procedure, percutaneous, of             I.P or Ambulatory
      nucleus pulposus of intervertebral disk, any method, single or
62287 multiple levels, lumbar
62290 Injection procedure for diskography, each level; lumbar             I.P or Ambulatory
      Injection procedure for diskography, each level; cervical or        I.P or Ambulatory
62291 thoracic
      Injection, arterial, for occlusion of arteriovenous malformation,   I.P or Ambulatory
62294 spinal
      Implantation/replacement of device for intrathecal/epidural         I.P or Ambulatory
62360 drug infusion; subcutaneous reservoir
      Implantation/replacement of device for intrathecal/epidural         I.P or Ambulatory
62361 drug infusion; nonprogrammable pump
      Implantation/replacement of device for intrathecal/epidural         I.P or Ambulatory
      drug infusion; programmable pump, including preparation of
62362 pump, with/without programming
      Removal of subcutaneous reservoir/pump, previously implanted        I.P or Ambulatory
62365 for intrathecal/epidural infusion
      Laminotomy (hemilaminectomy), with decompression of nerve           I.P or Ambulatory
      root(s), including partial facetectomy, foraminotomy and/or
      excision of herniated intervertebral disk; one interspace,
63020 cervical
      Laminotomy (hemilaminectomy), with decompression of nerve           I.P or Ambulatory
      root(s), including partial facetectomy, foraminotomy and/or
      excision of herniated intervertebral disk; one interspace, lumbar
      (including open/endoscopically-assisted approach)
63030
      Laminotomy (hemilaminectomy), with decompression of nerve           I.P or Ambulatory
      root(s), including partial facetectomy, foraminotomy and/or
      excision of herniated intervertebral disk; each additional
63035 interspace, cervical or lumbar
      Laminotomy (hemilaminectomy), with decompression of nerve           I.P or Ambulatory
      root(s), including partial facetectomy, foraminotomy and/or
      excision of herniated intervertebral disk, re-exploration, single
63040 interspace; cervical
      Laminotomy (hemilaminectomy), with decompression of nerve           I.P or Ambulatory
      root(s), including partial facetectomy, foraminotomy and/or
      excision of herniated intervertebral disk, re-exploration, single
63042 interspace; lumbar
      Diskectomy, anterior, with decompression of spinal cord and/or      I.P or Ambulatory
      nerve root(s), including osteophytectomy; cervical, single
63075 interspace
      Diskectomy, anterior, with decompression of spinal cord and/or      I.P or Ambulatory
      nerve root(s), including osteophytectomy; cervical, each
63076 additional interspace
      Diskectomy, anterior, with decompression of spinal cord and/or      I.P or Ambulatory
      nerve root(s), including osteophytectomy; thoracic, single
63077 interspace
      Diskectomy, anterior, with decompression of spinal cord and/or      I.P or Ambulatory
      nerve root(s), including osteophytectomy; thoracic, each
63078 additional interspace
      Vertebral corpectomy, partial or complete, anterior approach        I.P or Ambulatory
      with decompression of spinal cord and/or nerve root(s);
63081 cervical, single segment
      Vertebral corpectomy, partial or complete, anterior approach        I.P or Ambulatory
      with decompression of spinal cord and/or nerve root(s);
63082 cervical, each additional segment
      Vertebral corpectomy, partial or complete, transthoracic            I.P or Ambulatory
      approach with decompression of spinal cord and/or nerve
63085 root(s); thoracic, single segment
      Vertebral corpectomy, partial or complete, transthoracic            I.P or Ambulatory
      approach with decompression of spinal cord and/or nerve
63086 root(s); thoracic, each additional segment
      Vertebral corpectomy, partial or complete, combined                 I.P or Ambulatory
      thoracolumbar approach with decompression of spinal cord,
      cauda equina or nerve root(s), lower thoracic or lumbar; single
63087 segment
      Vertebral corpectomy, partial or complete, combined                I.P or Ambulatory
      thoracolumbar approach with decompression of spinal cord,
      cauda equina or nerve root(s), lower thoracic or lumbar; each
63088 additional segment
      Vertebral corpectomy, partial or complete, transperitoneal or      I.P or Ambulatory
      retroperitoneal approach with decompression of spinal cord,
      cauda equina or nerve root(s), lower thoracic, lumbar, or
63090 sacral; single segment
      Vertebral corpectomy, partial or complete, transperitoneal or      I.P or Ambulatory
      retroperitoneal approach with decompression of spinal cord,
      cauda equina or nerve root(s), lower thoracic, lumbar, or
63091 sacral; each additional segment
      Vertebral corpectomy (vertebral body resection), partial or        I.P or Ambulatory
      complete, lateral extracavitary approach with decompression of
      spinal cord and/or nerve root(s); thoracic, single segment
63101
      Vertebral corpectomy (vertebral body resection), partial or        I.P or Ambulatory
      complete, lateral extracavitary approach with decompression of
      spinal cord and/or nerve root(s); lumbar, single segment
63102
      Vertebral corpectomy (vertebral body resection), partial or        I.P or Ambulatory
      complete, lateral extracavitary approach with decompression of
      spinal cord and/or nerve root(s); thoracic or lumbar, each
63103 additional segment
      Laminectomy with myelotomy (eg, Bischof or DREZ type),             I.P or Ambulatory
63170 cervical, thoracic or thoracolumbar
63191 Laminectomy with section of spinal accessory nerve                 I.P or Ambulatory
      Laminectomy with cordotomy, with section of one spinothalamic      I.P or Ambulatory
63194 tract, one stage; cervical
      Laminectomy with cordotomy, with section of one spinothalamic      I.P or Ambulatory
63195 tract, one stage; thoracic
      Laminectomy with cordotomy, with section of both                   I.P or Ambulatory
63196 spinothalamic tracts, one stage; cervical
      Laminectomy with cordotomy, with section of both                   I.P or Ambulatory
63197 spinothalamic tracts, one stage; thoracic
      Laminectomy with cordotomy, with section of both                   I.P or Ambulatory
63198 spinothalamic tracts, two stages within 14 days; cervical
      Laminectomy with cordotomy, with section of both                   I.P or Ambulatory
63199 spinothalamic tracts, two stages within 14 days; thoracic
63200 Laminectomy with release of tethered spinal cord, lumbar           I.P or Ambulatory
      Osteoplastic reconstruction of dorsal spinal elements, following   I.P or Ambulatory
63295 primary intraspinal procedure
      Creation of lesion of spinal cord by stereotactic method,          I.P or Ambulatory
63600 percutaneous
      Stereotactic stimulation of spinal cord, percutaneous, separate    I.P or Ambulatory
63610 procedure not followed by other surgery
      Percutaneous implantation of neurostimulator electrode array,      I.P or Ambulatory
63650 epidural
      Laminectomy for implantation of neurostimulator electrodes,        I.P or Ambulatory
63655 plate/paddle, epidural
      Revision/removal of spinal neurostimulator electrode               I.P or Ambulatory
63660 percutaneous array(s) or plate/paddle(s)
      Insertion or replacement of spinal neurostimulator pulse           I.P or Ambulatory
63685 generator or receiver, direct or inductive coupling
      Revision or removal of implanted spinal neurostimulator pulse      I.P or Ambulatory
63688 generator or receiver
      Repair of dural/cerebrospinal fluid leak, not requiring            I.P or Ambulatory
63707 laminectomy
      Repair of dural/cerebrospinal fluid leak or pseudomeningocele,     I.P or Ambulatory
63709 with laminectomy
63710 Dural graft, spinal                                                I.P or Ambulatory
      Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or   I.P or Ambulatory
63740 other; including laminectomy
      Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or   I.P or Ambulatory
63741 other; percutaneous, not requiring laminectomy
63744 Replacement/irrigation/revision of lumbosubarachnoid shunt         I.P or Ambulatory
      Removal entire lumbosubarachnoid shunt system without              I.P or Ambulatory
63746 replacement
      Injection, anesthetic agent; carotid sinus (separate procedure)    I.P or Ambulatory
64508
      Percutaneous implantation of neurostimulator electrodes;           I.P or Ambulatory
64553 cranial nerve
      Percutaneous implantation of neurostimulator electrodes;           I.P or Ambulatory
64555 peripheral nerve (excludes sacral nerve)
      Percutaneous implantation of neurostimulator electrodes;           I.P or Ambulatory
64560 autonomic nerve
      Percutaneous implantation of neurostimulator electrodes; sacral    I.P or Ambulatory
64561 nerve (transforaminal placement)
      Percutaneous implantation of neurostimulator electrodes;           I.P or Ambulatory
64565 neuromuscular
      Incision for implantation of neurostimulator electrodes; cranial   I.P or Ambulatory
64573 nerve
      Incision for implantation of neurostimulator electrodes;           I.P or Ambulatory
64575 peripheral nerve (excludes sacral nerve)
      Incision for implantation of neurostimulator electrodes;           I.P or Ambulatory
64577 autonomic nerve
      Incision for implantation of neurostimulator electrodes;           I.P or Ambulatory
64580 neuromuscular
      Incision for implantation of neurostimulator electrodes; sacral    I.P or Ambulatory
64581 nerve (transforaminal placement)
64585 Revision or removal of peripheral neurostimulator electrodes       I.P or Ambulatory
      Insertion or replacement of peripheral or gastric                  I.P or Ambulatory
      neurostimulator pulse generator or receiver, direct or inductive
64590 coupling
      Revision or removal of peripheral or gastric neurostimulator       I.P or Ambulatory
64595 pulse generator or receiver
64702 Neuroplasty; digital, one/both, same digit                         I.P or Ambulatory
64704 Neuroplasty; nerve of hand/foot                                    I.P or Ambulatory
      Neuroplasty, major peripheral nerve, arm/leg; other than           I.P or Ambulatory
64708 specified
64712 Neuroplasty, major peripheral nerve, arm/leg; sciatic nerve        I.P or Ambulatory
      Neuroplasty, major peripheral nerve, arm/leg; brachial plexus      I.P or Ambulatory
64713
64714 Neuroplasty, major peripheral nerve, arm/leg; lumbar plexus        I.P   or   Ambulatory
64716 Neuroplasty/transposition; cranial nerve (specify)                 I.P   or   Ambulatory
64718 Neuroplasty/transposition; ulnar nerve at elbow                    I.P   or   Ambulatory
64719 Neuroplasty/transposition; ulnar nerve at wrist                    I.P   or   Ambulatory
64721 Neuroplasty/transposition; median nerve at carpal tunnel           I.P   or   Ambulatory
64722 Decompression; unspecified nerve(s) (specify)                      I.P   or   Ambulatory
64726   Decompression; plantar digital nerve                                 I.P   or   Ambulatory
64727   Internal neurolysis, requiring operating microscope                  I.P   or   Ambulatory
64732   Transection/avulsion of; supraorbital nerve                          I.P   or   Ambulatory
64734   Transection/avulsion of; infraorbital nerve                          I.P   or   Ambulatory
64736   Transection/avulsion of; mental nerve                                I.P   or   Ambulatory
        Transection/avulsion of; inferior alveolar nerve by osteotomy        I.P   or   Ambulatory
64738
64740   Transection/avulsion   of;   lingual nerve                           I.P   or   Ambulatory
64742   Transection/avulsion   of;   facial nerve, differential/complete     I.P   or   Ambulatory
64744   Transection/avulsion   of;   greater occipital nerve                 I.P   or   Ambulatory
64746   Transection/avulsion   of;   phrenic nerve                           I.P   or   Ambulatory
        Transection/avulsion   of;   vagus nerve (vagotomy), transthoracic   I.P   or   Ambulatory
64752
        Transection/avulsion of; vagus nerve (vagotomy), abdominal           I.P or Ambulatory
64760
64761   Transection/avulsion of; pudendal nerve                              I.P   or   Ambulatory
64763   Transection/avulsion of obturator nerve, extrapelvic                 I.P   or   Ambulatory
64766   Transection/avulsion of obturator nerve, intrapelvic                 I.P   or   Ambulatory
64771   Transection/avulsion of other cranial nerve, extradural              I.P   or   Ambulatory
64772   Transection/avulsion of other spinal nerve, extradural               I.P   or   Ambulatory
64774   Excision of neuroma; cutaneous nerve                                 I.P   or   Ambulatory
64776   Excision of neuroma; digital nerve, one/both, same digit             I.P   or   Ambulatory
64778   Excision of neuroma; digital nerve, each additional digit            I.P   or   Ambulatory
64782   Excision of neuroma; hand/foot, except digital                       I.P   or   Ambulatory
        Excision of neuroma; hand/foot, each additional nerve, except        I.P   or   Ambulatory
64783   same digit
64784   Excision of neuroma; major peripheral nerve, except sciatic          I.P   or   Ambulatory
64786   Excision of neuroma; sciatic nerve                                   I.P   or   Ambulatory
64787   Implantation of nerve end into bone or muscle                        I.P   or   Ambulatory
64788   Excision of neurofibroma/neurolemmoma; cutaneous nerve               I.P   or   Ambulatory
        Excision of neurofibroma/neurolemmoma; major peripheral              I.P   or   Ambulatory
64790   nerve
64792   Excision of neurofibroma/neurolemmoma; extensive                     I.P   or   Ambulatory
64795   Biopsy of nerve                                                      I.P   or   Ambulatory
64802   Sympathectomy, cervical                                              I.P   or   Ambulatory
64804   Sympathectomy, cervicothoracic                                       I.P   or   Ambulatory
64809   Sympathectomy, thoracolumbar                                         I.P   or   Ambulatory
64818   Sympathectomy, lumbar                                                I.P   or   Ambulatory
64820   Sympathectomy, digital arteries, each digit                          I.P   or   Ambulatory
64821   Sympathectomy; radial artery                                         I.P   or   Ambulatory
64822   Sympathectomy; ulnar artery                                          I.P   or   Ambulatory
64823   Sympathectomy; superficial palmar arch                               I.P   or   Ambulatory
64831   Suture of digital nerve, hand/foot; one nerve                        I.P   or   Ambulatory
        Suture of digital nerve, hand/foot; each additional digital nerve    I.P   or   Ambulatory
64832
64834 Suture of one nerve; hand or foot, common sensory nerve                I.P   or   Ambulatory
64835 Suture of one nerve; median motor thenar                               I.P   or   Ambulatory
64836 Suture of one nerve; ulnar motor                                       I.P   or   Ambulatory
64837 Suture of each additional nerve, hand/foot                             I.P   or   Ambulatory
64840 Suture of posterior tibial nerve                                       I.P   or   Ambulatory
      Suture of major peripheral nerve, arm/leg, except sciatic; with        I.P   or   Ambulatory
64856 transposition
      Suture of major peripheral nerve, arm/leg, except sciatic;             I.P or Ambulatory
64857 without transposition
64858 Suture of sciatic nerve                                                I.P or Ambulatory
64859   Suture of each additional major peripheral nerve                    I.P   or   Ambulatory
64861   Suture of; brachial plexus                                          I.P   or   Ambulatory
64862   Suture of; lumbar plexus                                            I.P   or   Ambulatory
64864   Suture of facial nerve; extracranial                                I.P   or   Ambulatory
64865   Suture of facial nerve; intratemporal                               I.P   or   Ambulatory
64866   Anastomosis; facial-spinal accessory nerve                          I.P   or   Ambulatory
64868   Anastomosis; facial-hypoglossal nerve                               I.P   or   Ambulatory
64870   Anastomosis; facial-phrenic nerve                                   I.P   or   Ambulatory
64872   Suture of nerve; requiring secondary/delayed suture                 I.P   or   Ambulatory
        Suture of nerve; requiring extensive mobilization/transposition     I.P   or   Ambulatory
64874   of nerve
64876   Suture of nerve; requiring shortening of bone of extremity          I.P or Ambulatory
        Nerve graft (includes obtaining graft), head or neck; up to 4 cm    I.P or Ambulatory
64885   in length
        Nerve graft (includes obtaining graft), head or neck; more than     I.P or Ambulatory
64886   4 cm in length
        Nerve graft (includes obtaining graft), single strand, hand/foot;   I.P or Ambulatory
64890   up to 4 cm length
        Nerve graft (includes obtaining graft), single strand, hand/foot;   I.P or Ambulatory
64891   more than 4 cm length
        Nerve graft (includes obtaining graft), single strand, arm/leg;     I.P or Ambulatory
64892   up to 4 cm length
        Nerve graft (includes obtaining graft), single strand, arm/leg;     I.P or Ambulatory
64893   more than 4 cm length
        Nerve graft (includes obtaining graft), multiple strands,           I.P or Ambulatory
64895   hand/foot; up to 4 cm length
        Nerve graft (includes obtaining graft), multiple strands,           I.P or Ambulatory
64896   hand/foot; more than 4 cm length
        Nerve graft (includes obtaining graft), multiple strands,           I.P or Ambulatory
64897   arm/leg; up to 4 cm length
        Nerve graft (includes obtaining graft), multiple strands,           I.P or Ambulatory
64898   arm/leg; more than 4 cm length
64901   Nerve graft, each additional nerve; single strand                   I.P   or   Ambulatory
64902   Nerve graft, each additional nerve; multiple strands                I.P   or   Ambulatory
64905   Nerve pedicle transfer; first stage                                 I.P   or   Ambulatory
64907   Nerve pedicle transfer; second stage                                I.P   or   Ambulatory
        Nerve repair; with synthetic conduit or vein allograft, each        I.P   or   Ambulatory
64910   nerve
64911   Nerve repair; with autogenous vein graft, each nerve                I.P or Ambulatory
        Unlisted procedure, nervous system (requires additional             I.P or Ambulatory
64999   report/information to be submitted)
65091   Evisceration ocular contents; without implant                       I.P   or   Ambulatory
65093   Evisceration ocular contents; with implant                          I.P   or   Ambulatory
65101   Enucleation eye; without implant                                    I.P   or   Ambulatory
        Enucleation eye; with implant, muscles not attached to implant      I.P   or   Ambulatory
65103
65105 Enucleation eye; with implant, muscles attached to implant            I.P or Ambulatory
65110 Exenteration orbit, removal orbital contents; only                    I.P or Ambulatory
      Exenteration orbit, removal orbital contents; with removal of         I.P or Ambulatory
65112 bone
      Exenteration orbit, removal orbital contents; with                    I.P or Ambulatory
65114 muscle/myocutaneous flap
      Modification of ocular implant with placement or replacement of       I.P or Ambulatory
65125 pegs (separate procedure)
      Insertion ocular implant secondary; after evisceration, in scleral   I.P or Ambulatory
65130 shell
      Insertion ocular implant secondary; after enucleation, muscles       I.P or Ambulatory
65135 not attached to implant
      Insertion ocular implant secondary; after enucleation, muscles       I.P or Ambulatory
65140 attached to implant
65150 Reinsertion ocular implant; with/without conjunctival graft          I.P or Ambulatory
      Reinsertion ocular implant; with use of foreign material for         I.P or Ambulatory
65155 reinforcement/attachment of muscles
65175 Removal ocular implant                                               I.P or Ambulatory
      Removal foreign body, external eye; conjunctival embedded,           I.P or Ambulatory
65210 subconjunctival/scleral, nonperforating
65222 Removal foreign body, external eye; corneal, with slit lamp          I.P or Ambulatory
      Removal of foreign body, intraocular; from anterior chamber of       I.P or Ambulatory
65235 eye or lens
      Removal foreign body intraocular; from posterior segment,            I.P or Ambulatory
65260 magnetic extraction, anterior/posterior route
      Removal foreign body intraocular; from posterior segment,            I.P or Ambulatory
65265 nonmagnetic extraction
      Repair laceration; conjunctiva, with/without nonperforating          I.P or Ambulatory
65270 laceration sclera, direct closure
      Repair laceration; conjunctiva, by mobilization/rearrangement,       I.P or Ambulatory
65272 without hospitalization
      Repair laceration; conjunctiva, by mobilization/rearrangement,       I.P or Ambulatory
65273 with hospitalization
      Repair laceration; cornea, nonperforating, with/without removal      I.P or Ambulatory
65275 foreign body
      Repair laceration; cornea/sclera, perforating, not involving         I.P or Ambulatory
65280 uveal tissue
      Repair laceration; cornea/sclera, perforating, with                  I.P or Ambulatory
65285 reposition/resection of uveal tissue
      Repair of laceration, application of tissue glue, wounds of          I.P or Ambulatory
65286 cornea and/or sclera
65290 Repair wound extraocular muscle, tendon/Tenon's capsule              I.P   or   Ambulatory
65400 Excision lesion of cornea, except pterygium                          I.P   or   Ambulatory
65410 Biopsy of cornea                                                     I.P   or   Ambulatory
65420 Excision/transposition pterygium; without graft                      I.P   or   Ambulatory
65426 Excision/transposition pterygium; with graft                         I.P   or   Ambulatory
65430 Scraping cornea, diagnostic for smear/culture                        I.P   or   Ambulatory
      Removal corneal epithelium; with/without chemocauterization          I.P   or   Ambulatory
65435
      Removal corneal epithelium; with application of chelating agent      I.P or Ambulatory
65436
      Destruction of lesion of cornea by                                   I.P or Ambulatory
65450 cryotherapy/photocoagulation/thermocauterization
65600 Multiple punctures of anterior cornea                                I.P or Ambulatory
65710 Keratoplasty (corneal transplant); lamellar                          I.P or Ambulatory
      Keratoplasty (corneal transplant); penetrating (except in            I.P or Ambulatory
65730 aphakia)
65750 Keratoplasty (corneal transplant); penetrating (in aphakia)          I.P or Ambulatory
      Keratoplasty (corneal transplant); penetrating (in                   I.P or Ambulatory
65755 pseudophakia)
65760 Keratomileusis                                                       I.P or Ambulatory
65765 Keratophakia                                                         I.P or Ambulatory
65767 Epikeratoplasty                                                      I.P or Ambulatory
65770 Keratoprosthesis                                                  I.P or Ambulatory
65771 Radial keratotomy                                                 I.P or Ambulatory
      Corneal relaxing incision for correction of surgically induced    I.P or Ambulatory
65772 astigmatism
      Corneal wedge resection for correction of surgically induced      I.P or Ambulatory
65775 astigmatism
      Ocular surface reconstruction; amniotic membrane                  I.P or Ambulatory
65780 transplantation
65781 Ocular surface reconstruction; limbal stem cell allograft         I.P or Ambulatory
65782 Ocular surface reconstruction; limbal conjunctival autograft      I.P or Ambulatory
      Paracentesis anterior chamber of eye (separate procedure);        I.P or Ambulatory
65800 with diagnostic aspiration of aqueous
      Paracentesis anterior chamber of eye (separate procedure);        I.P or Ambulatory
65805 with therapeutic release of aqueous
      Paracentesis anterior chamber of eye (separate procedure);        I.P or Ambulatory
      with removal of vitreous/discission of anterior hyaloid
65810 membrane, with/without air injection
      Paracentesis anterior chamber of eye (separate procedure);        I.P or Ambulatory
      with removal of blood, with/without irrigation and/or air
65815 injection
65820 Goniotomy                                                         I.P   or   Ambulatory
65850 Trabeculotomy ab externo                                          I.P   or   Ambulatory
65855 Trabeculoplasty by laser surgery, one/more sessions               I.P   or   Ambulatory
      Severing adhesions of anterior segment, laser technique           I.P   or   Ambulatory
65860 (separate procedure)
      Severing adhesions of anterior segment of eye, incisional         I.P or Ambulatory
      technique (with/without injection of air/liquid) (separate
65865 procedure); goniosynechiae
      Severing adhesions of anterior segment of eye, incisional         I.P or Ambulatory
      technique (with/without injection of air/liquid) (separate
65870 procedure); anterior synechiae
      Severing adhesions of anterior segment of eye, incisional         I.P or Ambulatory
      technique (with/without injection of air/liquid) (separate
65875 procedure); posterior synechiae
      Severing adhesions of anterior segment of eye, incisional         I.P or Ambulatory
      technique (with/without injection of air/liquid) (separate
65880 procedure); corneovitreal adhesions
65900 Removal of epithelial downgrowth, anterior chamber of eye         I.P   or   Ambulatory
65920 Removal of implanted material, anterior segment of eye            I.P   or   Ambulatory
65930 Removal of blood clot, anterior segment of eye                    I.P   or   Ambulatory
      Injection, anterior chamber of eye; air or liquid (separate       I.P   or   Ambulatory
66020 procedure)
      Injection, anterior chamber of eye; medication (separate          I.P or Ambulatory
66030 procedure)
66130 Excision lesion sclera                                            I.P or Ambulatory
      Fistulization sclera for glaucoma; trephination with iridectomy   I.P or Ambulatory
66150
      Fistulization sclera for glaucoma; thermocauterization with       I.P or Ambulatory
66155 iridectomy
      Fistulization sclera for glaucoma; sclerectomy with               I.P or Ambulatory
66160 punch/scissors, with iridectomy
66165 Fistulization sclera for glaucoma; iridencleisis/iridotasis       I.P or Ambulatory
      Fistulization of sclera for glaucoma; trabeculectomy ab externo   I.P or Ambulatory
66170 in absence of previous surgery
        Fistulization of sclera for glaucoma; trabeculectomy ab externo     I.P or Ambulatory
66172   with scarring from previous ocular surgery/trauma
66180   Aqueous shunt to extraocular reservoir                              I.P   or   Ambulatory
66185   Revision of aqueous shunt to extraocular reservoir                  I.P   or   Ambulatory
66220   Repair scleral staphyloma; without graft                            I.P   or   Ambulatory
66225   Repair scleral staphyloma; with graft                               I.P   or   Ambulatory
        Revision/repair operative wound anterior segment, any type,         I.P   or   Ambulatory
66250   early/late, major/minor procedure
        Iridotomy by stab incision (separate procedure); except             I.P or Ambulatory
66500   transfixion
        Iridotomy by stab incision (separate procedure); with               I.P or Ambulatory
66505   transfixion as for iris bombe
        Iridectomy, with corneoscleral/corneal section; for removal of      I.P or Ambulatory
66600   lesion
        Iridectomy, with corneoscleral/corneal section; with cyclectomy     I.P or Ambulatory
66605
      Iridectomy, with corneoscleral/corneal section; peripheral for        I.P or Ambulatory
66625 glaucoma (separate procedure)
      Iridectomy, with corneoscleral/corneal section; sector for            I.P or Ambulatory
66630 glaucoma (separate procedure)
      Iridectomy, with corneoscleral/corneal section; 'optical'             I.P or Ambulatory
66635 (separate procedure)
66680 Repair of iris, ciliary body                                          I.P or Ambulatory
      Suture of iris, ciliary body (separate procedure) with retrieval of   I.P or Ambulatory
66682 suture through small incision
66700 Ciliary body destruction; diathermy                                   I.P or Ambulatory
      Ciliary body destruction; cyclophotocoagulation, transscleral         I.P or Ambulatory
66710
      Ciliary body destruction; cyclophotocoagulation, endoscopic           I.P or Ambulatory
66711
66720 Ciliary body destruction; cryotherapy                                 I.P or Ambulatory
66740 Ciliary body destruction; cyclodialysis                               I.P or Ambulatory
      Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (one         I.P or Ambulatory
66761 or more sessions)
66762 Iridoplasty by photocoagulation (one or more sessions)                I.P or Ambulatory
      Destruction of cyst/lesion iris/ciliary body (nonexcisional           I.P or Ambulatory
66770 procedure)
      Discission of secondary membranous cataract; stab incision            I.P or Ambulatory
66820 technique
      Discission of secondary membranous cataract; laser surgery            I.P or Ambulatory
66821 (one or more stages)
      Repositioning of intraocular lens prosthesis, requiring an            I.P or Ambulatory
66825 incision (separate procedure)
      Removal of secondary membranous cataract, with corneo-                I.P or Ambulatory
66830 scleral section, with/without iridectomy
      Removal of lens material; aspiration technique, one/more              I.P or Ambulatory
66840 stages
      Removal of lens material; phacofragmentation technique                I.P or Ambulatory
66850 (mechanical/ultrasonic), with aspiration
      Removal of lens material; pars plana approach, with/without           I.P or Ambulatory
66852 vitrectomy
66920 Removal of lens material; intracapsular                               I.P or Ambulatory
66930 Removal of lens material; intracapsular, for dislocated lens          I.P or Ambulatory
66940 Removal of lens; extracapsular                                        I.P or Ambulatory
        Extracapsular cataract removal with insertion of intraocular lens   I.P or Ambulatory
        prosthesis, manual or mechanical technique, complex, requiring
        devices or techniques not generally used in routine cataract
        surgery or performed on patients in the amblyogenic
66982   developmental stage
        Intracapsular cataract extraction, insertion of intraocular lens    I.P or Ambulatory
66983   prosthesis (one stage procedure)
        Extracapsular cataract extraction, insertion of intraocular lens    I.P or Ambulatory
        prosthesis (one stage procedure), manual or mechanical
66984   technique
        Insertion of intraocular lens prosthesis (secondary implant), not   I.P or Ambulatory
66985   associated with concurrent cataract removal
66986   Exchange of intraocular lens                                        I.P or Ambulatory
66990   Use of ophthalmic endoscope                                         I.P or Ambulatory
        Unlisted procedure, anterior segment of eye (requires additional    I.P or Ambulatory
66999   report/information to be submitted)
        Removal of vitreous, anterior approach (open sky                    I.P or Ambulatory
67005   technique/limbal incision); partial removal
        Removal of vitreous, anterior approach (open sky                    I.P or Ambulatory
        technique/limbal incision); subtotal removal with mechanical
67010   vitrectomy
        Aspiration/release, vitreous/subretinal/choroidal fluid, pars       I.P or Ambulatory
67015   plana approach
        Injection of vitreous substitute, pars plana/limbal approach,       I.P or Ambulatory
        (fluid-gas exchange), with/without aspiration (separate
67025   procedure)
67027   Implantation of intravitreal drug delivery system                   I.P or Ambulatory
        Intravitreal injection of a pharmacologic agent (separate           I.P or Ambulatory
67028   procedure)
        Discission of vitreous strands (without removal), pars plana        I.P or Ambulatory
67030   approach
        Severing of vitreous strands/sheets/vitreous face                   I.P or Ambulatory
        adhesions/membranes/opacities, laser surgery (one/more
67031   stages)
67036   Vitrectomy, mechanical, pars plana approach                         I.P or Ambulatory
        Vitrectomy, mechanical, pars plana approach; with focal             I.P or Ambulatory
67039   endolaser photocoagulation
        Vitrectomy, mechanical, pars plana approach; with endolaser         I.P or Ambulatory
67040   panretinal photocoagulation
        Repair of retinal detachment, one/more sessions;                    I.P or Ambulatory
        cryotherapy/diathermy, with/without drainage of subretinal
67101   fluid
        Repair of retinal detachment, one/more sessions;                    I.P or Ambulatory
67105   photocoagulation with/without drainage of subretinal fluid
        Repair of retinal detachment; scleral buckling, with/without        I.P or Ambulatory
        implant with/without cryotherapy, photocoagulation, and
67107   drainage of subretinal fluid
        Repair of retinal detachment; with vitrectomy, any method,          I.P or Ambulatory
        with/without air or gas tamponade, focal endolaser
        photocoagulation, cryotherapy, drainage of subretinal fluid,
        scleral buckling, and/or removal of lens by the same technique
67108
67110 Repair of retinal detachment, by injection of air/other gas           I.P or Ambulatory
        Repair of retinal detachment; by scleral buckling or vitrectomy,   I.P or Ambulatory
        on patient having previous ipsilateral retinal detachment
        repair(s) using scleral buckling or vitrectomy techniques.
67112
        Repair of complex retinal detachment, with vitrectomy and          I.P or Ambulatory
        membrane peeling, may include air, gas, or silicone oil
        tamponade, cryotherapy, endolaser photocoagulation, drainage
        of subretinal fluid, scleral buckling, and/or removal of lens.
67113
67115 Release of encircling material (posterior segment)                   I.P or Ambulatory
      Removal of implanted material, posterior segment; extraocular        I.P or Ambulatory
67120
      Removal of implanted material, posterior segment; intraocular        I.P or Ambulatory
67121
      Prophylaxis of retinal detachment without drainage, one/more         I.P or Ambulatory
67141 sessions; cryotherapy/diathermy
      Prophylaxis of retinal detachment without drainage, one/more         I.P or Ambulatory
67145 sessions; photocoagulation
      Destruction of localized lesion of retina, one/more sessions;        I.P or Ambulatory
67208 cryotherapy/diathermy
      Destruction of localized lesion of retina, one/more sessions;        I.P or Ambulatory
67218 radiation
      Destruction of extensive/progressive retinopathy, one/more           I.P or Ambulatory
67227 sessions, cryotherapy/diathermy
      Treatment of extensive or progressive retinopathy, one or more       I.P or Ambulatory
      sessions; preterm infant, performed from birth up to 1 year of
67229 age, photocoagulation or cryotherapy
67250 Scleral reinforcement (separate procedure); without graft            I.P or Ambulatory
67255 Scleral reinforcement (separate procedure); with graft               I.P or Ambulatory
      Unlisted procedure, posterior segment (requires additional           I.P or Ambulatory
67299 report/information to be submitted)
      Strabismus surgery, recession/resection procedure; one               I.P or Ambulatory
67311 horizontal muscle
      Strabismus surgery, recession/resection procedure; two               I.P or Ambulatory
67312 horizontal muscles
      Strabismus surgery, recession/resection procedure; one vertical      I.P or Ambulatory
67314 muscle (excluding superior oblique)
      Strabismus surgery, recession/resection procedure; two/more          I.P or Ambulatory
67316 vertical muscles (excluding superior oblique)
67318 Strabismus surgery, any procedure; superior oblique muscle           I.P or Ambulatory
67320 Transposition procedure, any extraocular muscle (specify)            I.P or Ambulatory
      Strabismus surgery on patient with previous eye surgery or           I.P or Ambulatory
67331 injury that did not involve the extraocular muscles
      Strabismus surgery on patient with scarring of extraocular           I.P or Ambulatory
67332 muscles or restrictive myopathy
      Strabismus surgery by posterior fixation suture technique,           I.P or Ambulatory
67334 with/without muscle recession
      Placement of adjustable suture(s) during strabismus surgery,         I.P or Ambulatory
67335 including postoperative adjustment(s) of suture(s)
      Strabismus surgery involving exploration and/or repair of            I.P or Ambulatory
67340 detached extraocular muscle(s)
      Release of extensive scar tissue without detaching extraocular       I.P or Ambulatory
67343 muscle (separate procedure)
67345 Chemodenervation of extraocular muscle                               I.P or Ambulatory
67346 Biopsy of extraocular muscle                                         I.P or Ambulatory
      Unlisted procedure, ocular muscle (requires additional               I.P or Ambulatory
67399 report/info to be submitted)
      Orbitotomy without bone flap (frontal/transconjunctival              I.P or Ambulatory
67400 approach); for exploration, with/without biopsy
      Orbitotomy without bone flap (frontal/transconjunctival              I.P or Ambulatory
67405 approach); with drainage only
      Orbitotomy without bone flap (frontal/transconjunctival              I.P or Ambulatory
67412 approach); with lesion removal
      Orbitotomy without bone flap (frontal/transconjunctival              I.P or Ambulatory
67413 approach); with foreign body removal
      Orbitotomy without bone flap (frontal/transconjunctival              I.P or Ambulatory
67414 approach); with removal of bone for decompression
      Orbitotomy with bone flap/window lateral approach; with lesion       I.P or Ambulatory
67420 removal
      Orbitotomy with bone flap/window lateral approach; with              I.P or Ambulatory
67430 foreign body removal
      Orbitotomy with bone flap/window lateral approach; with              I.P or Ambulatory
67440 drainage
      Orbitotomy with bone flap/window lateral approach; with              I.P or Ambulatory
67445 removal of bone for decompression
      Orbitotomy with bone flap lateral approach; for exploration,         I.P or Ambulatory
67450 with/without biopsy
      Injection of medication or other substance into Tenon's capsule      I.P or Ambulatory
67515
67550 Orbital implant (outside muscle cone); insertion                     I.P or Ambulatory
67560 Orbital implant (outside muscle cone); removal/revision              I.P or Ambulatory
      Optic nerve decompression (eg, incision/fenestration optic           I.P or Ambulatory
67570 nerve sheath)
      Unlisted procedure, orbit (requires additional report/information    I.P or Ambulatory
67599 to be submitted)
67715 Canthotomy (separate procedure)                                      I.P   or   Ambulatory
67800 Excision of chalazion; single                                        I.P   or   Ambulatory
67801 Excision of chalazion; multiple, same lid                            I.P   or   Ambulatory
67805 Excision of chalazion; multiple, different lids                      I.P   or   Ambulatory
      Excision of chalazion; under general anesthesia &/or requiring       I.P   or   Ambulatory
67808 hospitalization, single/multiple
67820 Correction of trichiasis; epilation, by forceps only                 I.P or Ambulatory
67825 Correction of trichiasis; epilation by other than forceps            I.P or Ambulatory
      Excision of lesion of eyelid (except chalazion) without closure or   I.P or Ambulatory
67840 with simple direct closure
67850 Destruction of lesion of lid margin (up to 1 cm)                     I.P or Ambulatory
67875 Temporary closure of eyelids by suture                               I.P or Ambulatory
      Construction intermarginal adhesion, median                          I.P or Ambulatory
67880 tarsorrhaphy/canthorrhaphy
      Construction intermarginal adhesion, median                          I.P or Ambulatory
      tarsorrhaphy/canthorrhaphy; with transposition of tarsal plate
67882
      Repair brow ptosis, supraciliary/mid-forehead/coronal approach       I.P or Ambulatory
67900
      Repair blepharoptosis; frontalis muscle technique with suture or     I.P or Ambulatory
67901 other material
      Repair blepharoptosis; frontalis muscle technique with               I.P or Ambulatory
67902 autologous fascial sling
      Repair blepharoptosis; (tarso)levator resection or advancement,      I.P or Ambulatory
67903 internal approach
      Repair blepharoptosis; (tarso)levator resection or advancement,     I.P or Ambulatory
67904 external approach
      Repair blepharoptosis; superior rectus technique with fascial       I.P or Ambulatory
67906 sling
67908 Repair blepharoptosis; conjunctivo-tarso-levator resection          I.P   or   Ambulatory
67909 Reduction of overcorrection of ptosis                               I.P   or   Ambulatory
67911 Correction of lid retraction                                        I.P   or   Ambulatory
      Correction of lagophthalmos, with implantation of upper eyelid      I.P   or   Ambulatory
67912 lid load
67914 Repair ectropion; suture                                            I.P   or   Ambulatory
67915 Repair ectropion; thermocauterization                               I.P   or   Ambulatory
67916 Repair ectropion; excision tarsal wedge                             I.P   or   Ambulatory
67917 Repair ectropion; extensive                                         I.P   or   Ambulatory
67921 Repair entropion; suture                                            I.P   or   Ambulatory
67922 Repair entropion; thermocauterization                               I.P   or   Ambulatory
67923 Repair entropion; excision tarsal wedge                             I.P   or   Ambulatory
67924 Repair entropion; extensive                                         I.P   or   Ambulatory
      Suture recent wound, eyelid, involving lid margin, tarsus, direct   I.P   or   Ambulatory
67930 closure; partial thickness
      Suture recent wound, eyelid, involving lid margin, tarsus, direct   I.P or Ambulatory
67935 closure; full thickness
67950 Canthoplasty                                                        I.P or Ambulatory
      Excision and repair eyelid, involving lid                           I.P or Ambulatory
      margin/tarsus/conjunctiva/canthus/or full thickness, may
      include preparation for skin graft/pedicle flap with adjacent
67961 tissue transfer/rearrangement; up to one-fourth lid margin
      Excision and repair eyelid, involving lid                           I.P or Ambulatory
      margin/tarsus/conjunctiva/canthus/or full thickness, may
      include preparation for skin graft/pedicle flap with adjacent
67966 tissue transfer/rearrangement; over one-fourth lid margin
      Reconstruction of eyelid, full thickness by transfer of             I.P or Ambulatory
      tarsoconjunctival flap from opposing eyelid; up to two-thirds of
67971 eyelid, one/first stage
      Reconstruction of eyelid, full thickness by transfer of             I.P or Ambulatory
      tarsoconjunctival flap from opposing eyelid; total eyelid, lower,
67973 one/first stage
      Reconstruction of eyelid, full thickness by transfer of             I.P or Ambulatory
      tarsoconjunctival flap from opposing eyelid; total eyelid, upper,
67974 one/first stage
      Reconstruction of eyelid, full thickness by transfer of             I.P or Ambulatory
67975 tarsoconjunctival flap from opposing eyelid; second stage
      Unlisted procedure, eyelids (requires additional                    I.P or Ambulatory
67999 report/information to be submitted)
68020 Incision conjunctiva, drainage of cyst                              I.P   or   Ambulatory
68040 Expression conjunctival follicles                                   I.P   or   Ambulatory
68110 Excision lesion of conjunctiva; up to 1 cm                          I.P   or   Ambulatory
68115 Excision lesion of conjunctiva; over 1 cm                           I.P   or   Ambulatory
68130 Excision lesion of conjunctiva; with adjacent sclera                I.P   or   Ambulatory
68135 Destruction lesion of conjunctiva                                   I.P   or   Ambulatory
68320 Conjunctivoplasty; with graft/extensive rearrangement               I.P   or   Ambulatory
68325 Conjunctivoplasty; with buccal mucous membrane graft                I.P   or   Ambulatory
      Conjunctivoplasty, reconstruction cul-de-sac; with                  I.P   or   Ambulatory
68326 graft/extensive rearrangement
      Conjunctivoplasty, reconstruction cul-de-sac; with buccal           I.P or Ambulatory
68328 mucous membrane graft
68330 Repair symblepharon; conjunctivoplasty without graft                I.P or Ambulatory
      Repair symblepharon; with free graft conjunctiva/buccal             I.P or Ambulatory
68335 mucous membrane
      Repair symblepharon; division symblepharon with/without             I.P or Ambulatory
68340 insertion of conformer/contact lens
68360 Conjunctival flap; bridge/partial (separate procedure)              I.P   or   Ambulatory
68362 Conjunctival flap; total                                            I.P   or   Ambulatory
68371 Harvesting conjunctival allograft, living donor                     I.P   or   Ambulatory
      Unlisted procedure, conjunctiva (requires additional report/info    I.P   or   Ambulatory
68399 to be submitted)
68400 Incision, drainage lacrimal gland                                   I.P   or   Ambulatory
68420 Incision, drainage lacrimal sac                                     I.P   or   Ambulatory
68440 Snip incision lacrimal punctum                                      I.P   or   Ambulatory
68500 Excision of lacrimal gland, except for tumor; total                 I.P   or   Ambulatory
68505 Excision of lacrimal gland, except for tumor; partial               I.P   or   Ambulatory
68510 Biopsy lacrimal gland                                               I.P   or   Ambulatory
68520 Excision of lacrimal sac                                            I.P   or   Ambulatory
68525 Biopsy of lacrimal sac                                              I.P   or   Ambulatory
68530 Removal of foreign body/dacryolith, lacrimal passages               I.P   or   Ambulatory
68540 Excision of lacrimal gland tumor; frontal approach                  I.P   or   Ambulatory
68550 Excision of lacrimal gland tumor; involving osteotomy               I.P   or   Ambulatory
68700 Plastic repair canaliculi                                           I.P   or   Ambulatory
68705 Correction everted punctum, cautery                                 I.P   or   Ambulatory
68720 Dacryocystorhinostomy                                               I.P   or   Ambulatory
68745 Conjunctivorhinostomy; without tube                                 I.P   or   Ambulatory
68750 Conjunctivorhinostomy; with insertion of tube/stent                 I.P   or   Ambulatory
      Closure of the lacrimal punctum; by thermocauterization,            I.P   or   Ambulatory
68760 ligation or laser surgery
68761 Closure of the lacrimal punctum; by plug, each                      I.P   or   Ambulatory
68770 Closure lacrimal fistula (separate procedure)                       I.P   or   Ambulatory
68801 Dilation of lacrimal punctum, with/without irrigation               I.P   or   Ambulatory
68810 Probing of nasolacrimal duct, with/without irrigation               I.P   or   Ambulatory
      Probing of nasolacrimal duct, with/without irrigation; requiring    I.P   or   Ambulatory
68811 general anesthesia
      Probing of nasolacrimal duct, with/without irrigation; with         I.P or Ambulatory
68815 insertion of tube or stent
      Probing of nasolacrimal duct, with or without irrigation; with      I.P or Ambulatory
68816 transluminal balloon catheter dilation
68840 Probing lacrimal canaliculi, with/without irrigation                I.P or Ambulatory
68850 Injection contrast medium for dacryocystography                     I.P or Ambulatory
      Unlisted procedure, lacrimal system (requires additional            I.P or Ambulatory
68899 report/info to be submitted)
69120 Excision external ear; complete amputation                          I.P or Ambulatory
      Radical excision external auditory canal lesion; without neck       I.P or Ambulatory
69150 dissection
      Radical excision external auditory canal lesion; with neck          I.P or Ambulatory
69155 dissection
69220 Debridement, mastoidectomy cavity, simple                           I.P   or   Ambulatory
69222 Debridement, mastoidectomy cavity, complex                          I.P   or   Ambulatory
69300 Otoplasty protruding ear, with/without size reduction               I.P   or   Ambulatory
      Reconstruction of external auditory canal (separate procedure)      I.P   or   Ambulatory
69310
      Reconstruction of external auditory canal for congenital atresia,   I.P or Ambulatory
69320 single stage
      Unlisted procedure, external ear (requires additional              I.P or Ambulatory
69399 report/information to be submitted)
      Middle ear exploration through postauricular/ear canal incision    I.P or Ambulatory
69440
69450 Tympanolysis, transcanal                                           I.P   or   Ambulatory
69501 Transmastoid antrotomy/'simple' mastoidectomy                      I.P   or   Ambulatory
69502 Mastoidectomy; complete                                            I.P   or   Ambulatory
69505 Mastoidectomy; modified radical                                    I.P   or   Ambulatory
69511 Mastoidectomy; radical                                             I.P   or   Ambulatory
69530 Petrous apicectomy including radical mastoidectomy                 I.P   or   Ambulatory
69540 Excision aural polyp                                               I.P   or   Ambulatory
69550 Excision aural glomus tumor; transcanal                            I.P   or   Ambulatory
69552 Excision aural glomus tumor; transmastoid                          I.P   or   Ambulatory
69554 Excision aural glomus tumor; extended                              I.P   or   Ambulatory
      Revision mastoidectomy; resulting in complete mastoidectomy        I.P   or   Ambulatory
69601
      Revision mastoidectomy; resulting in modified radical              I.P or Ambulatory
69602 mastoidectomy
69603 Revision mastoidectomy; resulting in radical mastoidectomy         I.P   or   Ambulatory
69604 Revision mastoidectomy; resulting in tympanoplasty                 I.P   or   Ambulatory
69605 Revision mastoidectomy; with apicectomy                            I.P   or   Ambulatory
      Tympanic membrane repair, with/without site preparation or         I.P   or   Ambulatory
69610 perforation for closure with/without patch
69620 Myringoplasty (surgery confined to drumhead & donor area)          I.P or Ambulatory
      Tympanoplasty without mastoidectomy, initial/revision; without     I.P or Ambulatory
69631 ossicular chain reconstruction
      Tympanoplasty without mastoidectomy, initial/revision; with        I.P or Ambulatory
69632 ossicular chain reconstruction
      Tympanoplasty without mastoidectomy, initial/revision; with        I.P or Ambulatory
      ossicular chain reconstruction & synthetic prosthesis (TORP-
69633 total or PORP-partial)
      Tympanoplasty with antrotomy/mastoidotomy; without                 I.P or Ambulatory
69635 ossicular chain reconstruction
      Tympanoplasty with antrotomy/mastoidotomy; with ossicular          I.P or Ambulatory
69636 chain reconstruction
      Tympanoplasty with antrotomy/mastoidotomy; with ossicular          I.P or Ambulatory
      chain reconstruction & synthetic prosthesis (TORP-total or PORP-
69637 partial)
      Tympanoplasty with mastoidectomy; without ossicular chain          I.P or Ambulatory
69641 reconstruction
      Tympanoplasty with mastoidectomy; with ossicular chain             I.P or Ambulatory
69642 reconstruction
      Tympanoplasty with mastoidectomy; with intact/reconstructed        I.P or Ambulatory
      wall, without ossicular chain reconstruction
69643
      Tympanoplasty with mastoidectomy; with intact/reconstructed        I.P or Ambulatory
      wall, with ossicular chain reconstruction
69644
      Tympanoplasty with mastoidectomy; radical/complete, without        I.P or Ambulatory
69645 ossicular chain reconstruction
      Tympanoplasty with mastoidectomy; radical/complete, with           I.P or Ambulatory
69646 ossicular chain reconstruction
69650 Stapes mobilization                                                I.P or Ambulatory
      Stapedectomy/stapedotomy with reestablishment of ossicular         I.P or Ambulatory
69660 continuity, with/without use of foreign material
        Stapedectomy/stapedotomy with reestablishment of ossicular         I.P or Ambulatory
        continuity, with/without use of foreign material; with footplate
69661   drill out
69662   Revision of stapedectomy or stapedotomy                            I.P   or   Ambulatory
69666   Repair oval window fistula                                         I.P   or   Ambulatory
69667   Repair round window fistula                                        I.P   or   Ambulatory
69670   Mastoid obliteration (separate procedure)                          I.P   or   Ambulatory
69676   Tympanic neurectomy                                                I.P   or   Ambulatory
69700   Closure postauricular fistula, mastoid (separate procedure)        I.P   or   Ambulatory
        Implantation/replacement of electromagnetic bone conduction        I.P   or   Ambulatory
69710   hearing device in temporal bone
        Removal/repair of electromagnetic bone conduction hearing          I.P or Ambulatory
69711   device in temporal bone
        Implantation, osseointegrated implant, temporal bone,              I.P or Ambulatory
        w/percutaneous attachment to external speech
69714   processor/cochlear stimulator; w/o mastoidectomy
        Implantation, osseointegrated implant, temporal bone,              I.P or Ambulatory
        w/percutaneous attachment to external speech
69715   processor/cochlear stimulator; w/mastoidectomy
        Replacement, osseointegrated implant, temporal bone,               I.P or Ambulatory
        w/percutaneous attachment to external speech
69717   processor/cochlear stimulator; w/o mastoidectomy
        Replacement, osseointegrated implant, temporal bone,               I.P or Ambulatory
        w/percutaneous attachment to external speech
69718   processor/cochlear stimulator; w/mastoidectomy
        Decompression facial nerve, intratemporal; lateral to geniculate   I.P or Ambulatory
69720   ganglion
        Decompression facial nerve, intratemporal; including medial to     I.P or Ambulatory
69725   geniculate ganglion
        Suture facial nerve, intratemporal, with/without                   I.P or Ambulatory
69740   graft/decompression; lateral to geniculate ganglion
        Suture facial nerve, intratemporal, with/without                   I.P or Ambulatory
        graft/decompression; including medial to geniculate ganglion
69745
      Unlisted procedure, middle ear (requires additional                  I.P or Ambulatory
69799 report/information to be submitted)
      Labyrinthotomy with/without cryosurgery/other nonexcisional          I.P or Ambulatory
      destructive procedures/tack procedure; transcanal
69801
      Labyrinthotomy with/without cryosurgery/other nonexcisional          I.P or Ambulatory
      destructive procdures/tack procedure; with mastoidectomy
69802
69805 Endolymphatic sac operation; without shunt                           I.P   or   Ambulatory
69806 Endolymphatic sac operation; with shunt                              I.P   or   Ambulatory
69820 Fenestration semicircular canal                                      I.P   or   Ambulatory
69840 Revision fenestration operation                                      I.P   or   Ambulatory
69905 Labyrinthectomy; transcanal                                          I.P   or   Ambulatory
69910 Labyrinthectomy; with mastoidectomy                                  I.P   or   Ambulatory
69930 Cochlear device implantation, with/without mastoidectomy             I.P   or   Ambulatory
      Unlisted procedure, inner ear (requires additional report/info to    I.P   or   Ambulatory
69949 be submitted)
69960 Decompression internal auditory canal                                I.P or Ambulatory
69970 Removal of temporal bone tumor                                       I.P or Ambulatory
      Unlisted procedure, temporal bone (requires additional               I.P or Ambulatory
69979 report/info to be submitted)
        Microsurgical techniques, requiring use of operating microscope     I.P or Ambulatory
69990
      Cholangiography and/or pancreatography; intraoperative,               I.P or Ambulatory
74300 radiological supervision and interpretation
      Cholangiography/pancreatography; additional set                       I.P or Ambulatory
74301 intraoperative, radiological supervision and interpretation
      Internal mammary angiography, radiological supervision and            I.P or Ambulatory
75756 interpretation
      Endovascular repair of infrarenal abdominal aortic aneurysm or        I.P or Ambulatory
75952 dissection, radiological supervision and interpretation
      Placement of proximal or distal extension prosthesis for              I.P or Ambulatory
      endovascular repair of infrarenal aortic/iliac artery aneurysm,
      pseudoaneurysm/dissection, radiological supervision and
75953 interpretation
      Endovascular repair of iliac artery aneurysm, pseudoaneurysm,         I.P or Ambulatory
      arteriovenous malformation, or trauma, radiological supervision
75954 and interpretation
      Endovascular repair of descending thoracic aorta; involving           I.P or Ambulatory
      coverage of left subclavian artery origin, initial endoprosthesis
      plus descending thoracic aortic extension(s), if required, to
      level of celiac artery origin, radiological supervision and
75956 interpretation
      Endovascular repair of descending thoracic aorta; not involving       I.P or Ambulatory
      coverage of left subclavian artery origin, initial endoprosthesis
      plus descending thoracic aortic extension(s), if required, to
      level of celiac artery origin, radiological supervision and
75957 interpretation
      Placement of proximal extension prosthesis for endovascular           I.P or Ambulatory
      repair of descending thoracic aorta, radiological supervision and
75958 interpretation
      Placement of distal extension prosthesis(s) (delayed) after           I.P or Ambulatory
      endovascular repair of descending thoracic aorta, as needed, to
      level of celiac origin, radiological supervision and interpretation
75959
76819 Fetal biophysical profile; without non-stress testing                 I.P or Ambulatory
92020 Gonioscopy (separate procedure)                                       I.P or Ambulatory
      Computerized corneal topography, unilateral or bilateral, with        I.P or Ambulatory
92025 interpretation and report
      Diagnostic analysis with programming of auditory brainstem            I.P or Ambulatory
92640 implant, per hour
92973 Percutaneous transluminal coronary thrombectomy                       I.P or Ambulatory
      Coronary thrombolysis; by intracoronary infusion, including           I.P or Ambulatory
92975 selective coronary angiography
      Transcatheter placement of an intracoronary stent(s),                 I.P or Ambulatory
      percutaneous, with/without other therapeutic intervention, any
92980 method; single vessel
      Transcatheter placement of an intracoronary stent(s),                 I.P or Ambulatory
      percutaneous, with/without other therapeutic intervention, any
92981 method; each additional vessel
      Percutaneous transluminal coronary balloon angioplasty; single        I.P or Ambulatory
92982 vessel
      Percutaneous transluminal coronary balloon angioplasty; each          I.P or Ambulatory
92984 additional vessel
92986 Percutaneous balloon valvuloplasty; aortic valve                      I.P or Ambulatory
92987 Percutaneous balloon valvuloplasty; mitral valve                      I.P or Ambulatory
92990 Percutaneous balloon valvuloplasty; pulmonary valve               I.P or Ambulatory
92992 Atrial septectomy or septostomy; transvenous balloon              I.P or Ambulatory
      Percutaneous transluminal coronary atherectomy, by                I.P or Ambulatory
      mechanical or other method, with/without balloon angioplasty;
92995 single vessel
      Percutaneous transluminal coronary atherectomy, by                I.P or Ambulatory
      mechanical or other method, with/without balloon angioplasty;
92996 each additional vessel
      Percutaneous transluminal pulmonary artery balloon                I.P or Ambulatory
92997 angioplasty; single vessel
      Percutaneous transluminal pulmonary artery balloon                I.P or Ambulatory
92998 angioplasty; each additional vessel
      Transthoracic echocardiography for congenital cardiac             I.P or Ambulatory
93303 anomalies; complete
      Transthoracic echocardiography for congenital cardiac             I.P or Ambulatory
93304 anomalies; limited study
93501 Right heart catheterization                                       I.P or Ambulatory
      Insertion and placement of flow directed catheter (e.g., Swan     I.P or Ambulatory
93503 Ganz) for monitoring purposes
93505 Endomyocardial biopsy                                             I.P or Ambulatory
      Left heart catheterization, retrograde, from                      I.P or Ambulatory
93510 brachial/axillary/femoral artery; percutaneous
      Left heart catheterization, retrograde, from                      I.P or Ambulatory
93511 brachial/axillary/femoral artery; by cutdown
93514 Left heart catheterization by left ventricular puncture           I.P or Ambulatory
      Combined transseptal & retrograde left heart catheterization      I.P or Ambulatory
93524
      Combined right heart catheterization & retrograde left heart      I.P or Ambulatory
93526 catheterization
      Combined right heart catheterization & transseptal left heart     I.P or Ambulatory
      catheterization through intact septum (with/without retrograde
93527 left heart catheterization)
      Combined right heart catheterization with left ventricular        I.P or Ambulatory
      puncture (with/without retrograde left heart catheterization)
93528
      Combined right heart catheterization and left heart               I.P or Ambulatory
      catheterization through existing septal opening (with/without
93529 retrograde left heart catheterization)
      Right heart catheterization, for congenital cardiac anomalies     I.P or Ambulatory
93530
      Combined right heart catheterization and retrograde left heart    I.P or Ambulatory
93531 catheterization, for congenital cardiac anomalies
      Combined right heart catheterization and transseptal left heart   I.P or Ambulatory
      cath through intact septum with/wihout retrograde left ht cath,
93532 for congenital cardiac anomalies
      Combined right heart catheterization and transseptal left heart   I.P or Ambulatory
      cath through existing septal opening, with/without retrograde
93533 left ht cath, for congenital cardiac anomalies
      Indicator dilution studies such as dye or thermal dilution,       I.P or Ambulatory
      including arterial and/or venous catheterization; with cardiac
93561 output measurement (separate procedure)
      Indicator dilution studies, such as dye or thermal dilution,      I.P or Ambulatory
      including arterial and/or venous catheterization; with
93562 subsequent cardiac output measurement
93602 Intra-atrial recording                                            I.P or Ambulatory
93603 Right ventricular recording                                           I.P or Ambulatory
      Intraventricular and/or intra-atrial mapping of tachycardia           I.P or Ambulatory
      site(s) w/catheter manipulation to record from multiple sites to
93609 identify origin of tachycardia
93610 Intra-atrial pacing                                                   I.P   or   Ambulatory
93612 Intraventricular pacing                                               I.P   or   Ambulatory
93613 Intracardiac electrophysiologic 3-dimensional mapping                 I.P   or   Ambulatory
      Esophageal recording of atrial electrogram with/without               I.P   or   Ambulatory
93616 ventricular electrogram(s); with pacing
93618 Induction of arrhythmia by electrical pacing                          I.P or Ambulatory
      Comprehensive electrophysiologic evaluation with right atrial         I.P or Ambulatory
      and right ventricular pacing and recording, his bundle
      recording, incl. insertion/repositioning of multiple electrode
      catheters, without induction or attempted induction of
93619 arrhythmia
      Comprehensive EPS including insertion/repositioning of multiple       I.P or Ambulatory
      electrode catheters w/induction or attempted induction of
      arrhythmia; with right atrial pacing and recording, right
      ventricular pacing and recording, his bundle recording
93620
      Comprehensive electrophysiologic evaluation w/right atrial &          I.P or Ambulatory
      ventricular pacing/recording, his bundle, w/insert &
      repositioning of electrode caths w/induction or attempted
      induction of arrhythmia; left atrial pacing/recording from
93621 coronary sinus or left atrium
      Comprehensive electrophysiologic evaluation w/right atrial &          I.P or Ambulatory
      ventricular pacing/recording, his bundle, w/insert &
      repositioning of electrode caths, with induction/attempted
      induction of arrhythmia; with left ventricular pacing and
93622 recording
      Programmed stimulation & pacing after intravenous drug                I.P or Ambulatory
93623 infusion
      Electrophysiologic follow-up study with pacing/recording to test      I.P or Ambulatory
      effectiveness of therapy, including induction or attempted
93624 induction of arrhythmia
      Intra-operative epicardial and endocardial pacing and mapping         I.P or Ambulatory
      to localize the site of tachycardia or zone of slow conduction for
93631 surgical correction
      Electrophysiologic evaluation of single or dual chamber pacing        I.P or Ambulatory
      cardioverter-defibrillator leads including defibrillation threshold
      evaluation (induction of arrhythmia, evaluation of sensing &
      pacing for arrhythmia termination) at time of initial
93640 implantation or replacement
      Electrophysiologic evaluation of single or dual chamber pacing        I.P or Ambulatory
      cardioverter-defibrillator leads including defibrillation threshold
      evaluation (induction of arrhythmia, evaluation of sensing &
      pacing for arrhythmia termination) at time of initial
      implantation or replacement; with testing of single or dual
      chamber pacing cardioverter-defibrillator pulse generator
93641
        Electrophysiologic evaluation of single or dual chamber pacing         I.P or Ambulatory
        cardioverter-defibrillator leads (including defibrillation threshold
        evaluation, induction of arrhythmia, evaluation of sensing &
        pacing for arrhythmia termination, and programming or
        reprogramming of sensing or therapeutic parameters)
93642
        Intracardiac catheter ablation of atrioventricular node function,      I.P or Ambulatory
        atrioventricular conduction for creation of complete heart block,
        with/without temporary pacemaker placement
93650
        Intracardiac catheter ablation of arrhythmogenic focus; for            I.P or Ambulatory
        treatment of supraventricular tachycardia by ablation of fast or
        slow atrioventricular pathways, accessory atrioventricular
        connections or other atrial foci, singly or in combination
93651
      Intracardiac catheter ablation of arrhythmogenic focus; for              I.P or Ambulatory
93652 treatment of ventricular tachycardia
      Intracardiac echocardiography during therapeutic/diagnostic              I.P or Ambulatory
      intervention, including imaging supervision & interpretation
93662
      Ventilation assist and management, initiation of pressure or             I.P or Ambulatory
      volume preset ventilators for assisted or controlled breathing;
94002 hospital inpatient/observation, initial day
      Ventilation assist and management, initiation of pressure or             I.P or Ambulatory
      volume preset ventilators for assisted or controlled breathing;
      hospital inpatient/observation, each subsequent day
94003
      Ventilation assist and management, initiation of pressure or             I.P or Ambulatory
      volume present ventilators for assisted or controlled breathing;
94004 nursing facility, per day
      Home ventilator management care plan oversight of a patient in           I.P or Ambulatory
      home, domiciliary or rest home requiring review of status,
      review of laboratories and other studies and revision of orders
      and respiratory care plan, within a calendar month, 30 minutes
94005 or more
95920 Intraoperative neurophysiology testing, per hour                         I.P or Ambulatory
      Electronic analysis of implanted neurostimulator pulse                   I.P or Ambulatory
      generator system; simple/complex brain/spinal cord/peripheral
      neurostimulator pulse generator/transmitter, without
95970 reprogramming
      Electronic analysis of implanted neurostimulator pulse                   I.P or Ambulatory
      generator system; simple spinal cord or peripheral
      neurostimulator pulse generator/transmitter, with
95971 intraoperative or subsequent programming
      Electronic analysis of implanted neurostimulator pulse                   I.P or Ambulatory
      generator system; complex spinal cord, peripheral (except
      cranial nerve) neurostimulator pulse generator/transmitter,
95972 with intraoperative or subsequent programming, first hour
      Electronic analysis of implanted neurostimulator pulse                   I.P or Ambulatory
      generator system; complex spinal cord, peripheral (except
      cranial nerve) nerurostimulator pulse generator/transmitter,
      with intraoperative or subsequent programming, each
95973 additional 30 minutes after first hour
        Electronic analysis of implanted neurostimulator pulse          I.P or Ambulatory
        generator system; complex cranial nerve neurostimulator pulse
        generator/transmitter with intraoperative/subsequent
        programming with/without nerve interface testing, first hour
95974
      Electronic analysis of implanted neurostimulator pulse            I.P or Ambulatory
      generator system; complex cranial nerve neurostimulator pulse
      generator/transmitter with intraoperative/subsequent
95975 programming, each additional 30 minutes after first hour
      Electronic analysis of implanted neurostimulator pulse            I.P or Ambulatory
      generator system; complex deep brain neurostimulator pulse
      generator/transmitter w/intraoperative subsequent
95978 programming, first hour
      Electronic analysis of implanted neurostimulator pulse            I.P or Ambulatory
      generator system; complex deep brain nerurostimulator pulse
      generator/transmitter, with intraoperative or subsequent
      programming, each additional 30 minutes after first hour
95979
      Laser treatment for inflammatory skin disease; total area less    I.P or Ambulatory
96920 than 250 sq cm
      Laser treatment for inflammatory skin disease; 250 sq cm to       I.P or Ambulatory
96921 500 sq cm
      Laser treatment for inflammatory skin disease; over 500 sq cm     I.P or Ambulatory
96922
11012   Debridement including removal of foreign material           11200
        associated with open fracture(s)/dislocation(s); skin and
        subcutaneous tissue, muscle fascia, and bone
11055   Paring or cutting of benign hyperkeratotic lesion; single   11400
        lesion

11056   Paring or cutting of benign hyperkeratotic lesion; two to   11401
        four lesions

11057   Paring or cutting of benign hyperkeratotic lesion; more     11402
        than four lesions

11200   Removal of skin tags/multiple fibrocutaneous tags, any      11403
        area; up to 15 lesions

11201   Removal of skin tags/multiple fibrocutaneous tags, any      11404
        area; each additional 10 lesions

11300   Shaving of epidermal or dermal lesion, single lesion,       11406
        trunk, arms, or legs; lesion diameter 0.5 cm or less
11301   Shaving of epidermal or dermal lesion, single lesion,       11420
        trunk, arms, or legs; lesion diameter 0.6 to 1.0 cm

11302   Shaving of epidermal or dermal lesion, single lesion,       11421
        trunk, arms, or legs; lesion diameter 1.1 to 2.0 cm

11303   Shaving of epidermal or dermal lesion, single lesion,       11422
        trunk, arms, or legs; lesion diameter over 2.0 cm

11305   Shaving of epidermal or dermal lesion, single lesion,       11423
        scalp, neck, hands, feet, genitalia; lesion diameter 0.5
        cm or less
11306   Shaving of epidermal or dermal lesion, single lesion,       11424
        scalp, neck, hands, feet, genitalia; lesion diameter 0.6
        to 1.0 cm
11307   Shaving of epidermal or dermal lesion, single lesion,       11426
        scalp, neck, hands, feet, genitalia; lesion diameter 1.1
        to 2.0 cm
11308   Shaving of epidermal or dermal lesion, single lesion,       11440
        scalp, neck, hands, feet, genitalia; lesion diameter over
        2.0 cm
11310   Shaving of epidermal or dermal lesion, single lesion,       11441
        face, eyelids, nose, lips, mucous membrane; lesion
        diameter 0.5 cm or less
11311   Shaving of epidermal or dermal lesion, single lesion,       11442
        face, eyelids, nose, lips, mucous membrane; lesion
        diameter 0.6 to 1.0 cm
11312   Shaving of epidermal or dermal lesion, single lesion,       11443
        face, eyelids, nose, lips, mucous membrane; lesion
        diameter 1.1 to 2.0 cm
11402   Excision, benign lesion including margins, except skin      19101
        tag, trunk/arms/legs; excised diameter 1.1 to 2.0 cm
11403   Excision, benign lesion including margins, except skin      19112
        tag, trunk/arms/legs; excised diameter 2.1 to 3.0 cm
11404   Excision, benign lesion including margins, except skin      19125
        tag, trunk/arms/legs; excised diameter 3.1 to 4.0 cm
11406   Excision, benign lesion including margins, except skin      20520
        tag, trunk/arms/legs; excised diameter over 4.0 cm
11420   Excision benign lesion including margins, except skin       20525
        tag, scalp/neck/hands/feet/genitalia; excised diameter
        0.5 cm or less
11423   Excision benign lesion including margins, except skin       20670
        tag, scalp/neck/hands/feet/genitalia; excised diameter
        2.1 to 3.0 cm
11424   Excision benign lesion including margins, except skin       21555
        tag, scalp/neck/hands/feet/genitalia; excised diameter
        3.1 to 4.0 cm
11426   Excision benign lesion including margins, except skin       21930
        tag, scalp/neck/hands/feet/genitalia; excised diameter
        over 4.0 cm
11441   Excision, benign lesion including margins,                  23075
        face/ear/eyelid/nose/lip/mucous membrane; excised
        diameter 0.6 to 1.0 cm
11444   Excision, benign lesion including margins,                  25000
        face/ear/eyelid/nose/lip/mucous membrane; excised
        diameter 3.1 to 4.0 cm
11446   Excision, benign lesion including margins,                  25075
        face/ear/eyelid/nose/lip/mucous membrane; excised
        diameter over 4.0 cm
11450   Excision of skin & subcutaneous tissue for hidradenitis,    25076
        axillary; with simple or intermediate repair

11451   Excision of skin & subcutaneous tissue for hidradenitis,    25111
        axillary; complex repair
11462   Excision of skin & subcutaneous tissue for hidradenitis,    26055
        inguinal; with simple or intermediate repair

11463   Excision of skin & subcutaneous tissue for hidradenitis,    26115
        inguinal; with complex closure
11470   Excision of skin & subcutaneous tissue for hidradenitis,    26160
        perianal, perineal/umbilical; with simple or intermediate
        repair
11471   Excision of skin & subcutaneous tissue for hidradenitis,    26200
        perianal, perineal/umbilical; with complex closure

11600   Excision, malignant lesion including margins,               27047
        trunk/arms/legs; excised diameter 0.5 cm or less
11601   Excision, malignant lesion including margins,               27630
        trunk/arms/legs; excised diameter 0.6 to 1.0 cm
11602   Excision, malignant lesion including margins,               28090
        trunk/arms/legs; excised diameter 1.1 to 2.0 cm
11603   Excision, malignant lesion including margins,               28192
        trunk/arms/legs; excised diameter 2.1 to 3.0 cm
11606   Excision, malignant lesion including margins,               30130
        trunk/arms/legs; excised diameter over 4.0 cm
11620   Excision, malignant lesion including margins,                  30802
        scalp/neck/hands/feet/genitalia; excised diameter 0.5
        cm or less
11622   Excision, malignant lesion including margins,                  31256
        scalp/neck/hands/feet/genitalia; excised diameter 1.1 to
        2.0 cm
11981   Insertion of non-biodegradable drug delivery implant           46221
13101   Complex repair, trunk; 2.6 cm to 7.5 cm                        50590
13131   Complex repair,                                                52204
        forehead/cheek/chin/mouth/neck/axillae
        genitalia/hands/feet; 1.1 cm to 2.5 cm
13132   Complex repair,                                                52317
        forehead/cheek/chin/mouth/neck/axillae
        genitalia/hands/feet; 2.6 cm to 7.5 cm
13151   Complex repair eyelid/nose/ear/lips; 1.1 cm to 2.5 cm          52341

13152   Complex repair eyelid/nose/ear/lips; 2.6 cm to 7.5 cm          52344

13160   Secondary closure of surgical wound or dehiscence,             52352
        extensive/complicated

14000   Adjacent tissue transfer/rearrangement, trunk; defect          52353
        10 sq cm or less
14001   Adjacent tissue transfer/rearrangement, trunk; defect          54160
        10.1 to 30.0 sq cm
14020   Adjacent tissue transfer/rearrangement, scalp/arm/leg;         54161
        defect 10 sq cm or less
14021   Adjacent tissue transfer/rearrangement, scalp/arm/leg;         54450
        defect 10.1 to 30.0 sq cm
14041   Adjacent tissue transfer/rearrangement,                        56420
        forehead/cheek/chin/mouth/neck/axilla/genitalia/hand/f
        oot; defect 10.1 to 30.0 sq cm
14060   Adjacent tissue transfer/rearrangement,                        56440
        eyelid/nose/ear/lips; defect 10 sq cm or less
14061   Adjacent tissue transfer/rearrangement,                        56740
        eyelid/nose/ear/lips; defect 10.1 to 30.0 sq cm
14300   Adjacent tissue transfer/rearrangement, more than 30           57460
        sq cm, unusual/complicated, any area
14350   Filleted finger/toe flap, including preparation of recipient   57500
        site
15002   Surgical preparation or creation of recipient site by          57558
        excision of open wounds, burn eschar, or scar (including
        subcutaneous tissue), or incisional release of scar
        contracture, trunk, arms, legs; first 100 sq cm or 1% of
        body area of infants and children
15003   Surgical preparation/creation of recipient site by             58120
        excision of open wounds/burn eschar/scar (including
        subcutaneous tissue), or incisional release of scar
        contracture, trunk, arms, legs; each additional 100 sq
        cm or each additional 1% percent of body area of
        infants and children
15004   Surgical preparation/creation of recipient site by             58558
        excision of open wounds/burn eschar/scar (including
        subcutaneous tissue), or incisional release of scar
        contracture, face, scalp, eyelids, mouth, neck, ears,
        orbits, genitalia, hands, feet and/or multiple digits; first
        100 sq cm or 1% of body area of infants and children

15005   Surgical preparation/creation of recipient site by             58563
        excision of open wounds/burn eschar/scar (including
        subcutaneous tissue), or incisional release of scar
        contracture, face, scalp, eyelids, mouth, neck, ears,
        orbits, genitalia, hands, feet and/or multiple digits; each
        additional 100 sq cm or each additional 1% percent of
        body area of infants and children
15050   Pinch graft, single/multiple to cover small ulcer, tip of      59812
        digit or other minimal open area (except face) up to 2
        cm diameter
15100   Split-thickness autograft, trunk/arms/legs; first 100 sq       59820
        cm or less, or 1% of body area of infants/children
15101   Split-thickness autograft, trunk/arms/legs; each               59840
        additional 100 sq cm, or each additional 1% of body
        area of infants/children or part thereof
15121   Split-thickness autograft,                                     64721
        face/scalp/eyelid/mouth/neck/ears/orbits/genitalia/hand
        s/feet/multiple digits; each additional 100 sq cm or each
        additional 1% of body area of infants/children, or part
        thereof
15130   Dermal autograft, trunk/arms/legs; first 100 sq cm or          65420
        less, or 1% of body area of infants/children
15135   Dermal autograft,                                              65426
        face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/han
        ds/feet/multiple digits; first 100 sq cm or less, or 1% of
        body area of infants/children
15150   Tissue cultured epidermal autograft, trunk/arm/legs;           65855
        first 25 sq cm or less
15155   Tissue cultured epidermal autograft,                           66170
        face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/han
        ds/feet/multiple digits; first 25 sq cm or less
15157   Tissue cultured epidermal autograft,                           66825
        face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/han
        ds/feet/multiple digits; each additional 100 sq cm or
        each additional 1% of body area of infants/children, or
        part thereof
15170   Acellular dermal replacement, trunk/arms/legs; first 100       66982
        sq cm or less, or 1% of body area of infants/children


15175   Acellular dermal replacement,                                  66984
        face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/han
        ds/feet/multiple digits; first 100 sq or less, or 1% of
        body area of infants/children
15176   Acellular dermal replacement,                                66985
        face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/han
        ds/feet/multiple digits; each additional 100 sq cm, or
        each additional 1% of body area of infants/children, or
        part thereof
15200   Full thickness graft, free, including direct closure of      67005
        donor site, trunk; 20 sq cm or less
15201   Full thickness graft, free, including direct closure of      67028
        donor site, trunk; each additional 20 sq cm
15220   Full thickness graft, free, including direct closure of      67040
        donor site, scalp/arms/legs; 20 sq cm or less
15241   Full thick graft, free, including direct closure of donor    67805
        site,
        forehead/cheek/chin/mouth/neck/axillae/genital/hand/f
        eet; each additional 20 sq cm
15260   Full thickness graft, free, including direct closure of      67808
        donor site, nose/ears/eyelids/lips; 20 sq cm or less
15261   Full thickness graft, free, including direct closure of      67840
        donor site, nose/ears/eyelids/lips; each additional 20 sq
        cm
15300   Allograft skin for temporary wound closure, trunk, arms,     67966
        legs; first 100 sq cm or less, or 1% of body area of
        infants/children

15320   Allograft skin for temporary wound closure,                  68110
        face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/han
        ds/feet/multiple digits; first 100 sq cm or less, or 1% of
        body area of infants/children
15330   Acellular dermal allograft, trunk/arms/legs; first 100 sq    68115
        cm or less, or 1% body area of infants/children
15335   Acellular dermal allograft,                                  68810
        face/scalp/eyelids/mouth/neck/ears/orbits/genitalia/han
        ds/feet/multiple digits; first 100 sq cm or less, or 1% of
        body area of infants/children
15340   Tissue cultured allogeneic skin substitute; first 25 sq cm   68811
        or less
                                                                               123
 Removal of skin tags, multiple fibrocutaneous tags, any area; up to and
including 15 lesions
                                                                             11200
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less
                                                                             11400
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm
                                                                             11401
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm
                                                                             11402
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm
                                                                             11403
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm
                                                                             11404
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), trunk, arms or legs; excised diameter over 4.0 cm                11406
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm
or less                                                                      11420
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to
1.0 cm                                                                       11421
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to
2.0 cm                                                                       11422
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to
3.0 cm                                                                       11423
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to
4.0 cm                                                                       11424
 Excision, benign lesion including margins, except skin tag (unless listed
elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0
cm                                                                           11426
 Excision, other benign lesion including margins, except skin tag (unless
listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane;
excised diameter 0.5 cm or less                                              11440
 Excision, other benign lesion including margins, except skin tag (unless
listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane;
excised diameter 0.6 to 1.0 cm                                               11441
 Excision, other benign lesion including margins, except skin tag (unless
listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane;
excised diameter 1.1 to 2.0 cm                                               11442
 Excision, other benign lesion including margins, except skin tag (unless
listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane;
excised diameter 2.1 to 3.0 cm                                               11443
 Biopsy of breast; open, incisional
                                                                             19101
Excision of lactiferous duct fistula
                                                                              19112
 Excision of breast lesion identified by preoperative placement of
radiological marker, open; single lesion                                      19125
 Removal of foreign body in muscle or tendon sheath; simple
                                                                              20520
 Removal of foreign body in muscle or tendon sheath; deep or
complicated
                                                                              20525
 Removal of implant; superficial (eg, buried wire, pin or rod) (separate
procedure)
                                                                              20670
Excision tumor, soft tissue of neck or thorax; subcutaneous

                                                                              21555
Excision, tumor, soft tissue of back or flank

                                                                              21930
Excision, soft tissue tumor, shoulder area; subcutaneous

                                                                              23075
Incision, extensor tendon sheath, wrist (eg, deQuervains disease)

                                                                              25000
Excision, tumor, soft tissue of forearm and/or wrist area; subcutaneous

                                                                              25075
 Excision, tumor, soft tissue of forearm and/or wrist area; deep
(subfascial or intramuscular)
                                                                              25076
Excision of ganglion, wrist (dorsal or volar); primary
                                                                              25111
Tendon sheath incision (eg, for trigger finger)

                                                                              26055
 Excision, tumor or vascular malformation, soft tissue of hand or finger;
subcutaneous                                                                  26115
 Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous
cyst, or ganglion), hand or finger
                                                                              26160
Excision or curettage of bone cyst or benign tumor of metacarpal;

                                                                              26200
Excision, tumor, pelvis and hip area; subcutaneous tissue
                                                                              27047
 Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg
and/or ankle                                                                  27630
 Excision of lesion, tendon, tendon sheath, or capsule (including
synovectomy) (eg, cyst or ganglion); foot                                     28090
 Removal of foreign body, foot; deep
                                                                              28192
Excision inferior turbinate, partial or complete, any method
                                                                              30130
 Cautery and/or ablation, mucosa of inferior turbinates, unilateral or
bilateral, any method; intramural
                                                                              30802
Nasal/sinus endoscopy, surgical, with maxillary antrostomy;

                                                                              31256
Hemorrhoidectomy, by simple ligature (eg, rubber band)                        46221
 Lithotripsy, extracorporeal shock wave                                       50590
Cystourethroscopy, with biopsy(s)

                                                                              52204
Litholapaxy: crushing or fragmentation of calculus by any means in
bladder and removal of fragments; simple or small (less than 2.5 cm)
                                                                              52317
Cystourethroscopy; with treatment of ureteral stricture (eg, balloon
dilation, laser, electrocautery, and incision)                                52341
Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture
(eg, balloon dilation, laser, electrocautery, and incision)                   52344
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or
manipulation of calculus (ureteral catheterization is included)
                                                                              52352
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy
(ureteral catheterization is included)                                        52353
 Circumcision, surgical excision other than clamp, device, or dorsal slit;
neonate (28 days of age or less)                                              54160
 Circumcision, surgical excision other than clamp, device, or dorsal slit;
older than 28 days of age                                                     54161
 Foreskin manipulation including lysis of preputial adhesions and
stretching                                                                    54450
 Incision and drainage of Bartholin's gland abscess

                                                                              56420
Marsupialization of Bartholin's gland cyst
                                                                              56440
Excision of Bartholin's gland or cyst
                                                                              56740
 Colposcopy of the cervix including upper/adjacent vagina; with loop
electrode biopsy(s) of the cervix                                             57460
 Biopsy of cervix, single or multiple, or local excision of lesion, with or
without fulguration (separate procedure)                                      57500
 Dilation and curettage of cervical stump



                                                                              57558
Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)




                                                                              58120
 Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or
polypectomy, with or without D & C




                                                                           58558
 Hysteroscopy, surgical; with endometrial ablation (eg, endometrial
resection, electrosurgical ablation, thermoablation)




                                                                           58563
Treatment of incomplete abortion, any trimester, completed surgically

                                                                           59812
Treatment of missed abortion, completed surgically; first trimester
                                                                           59820
Induced abortion, by dilation and curettage

                                                                           59840
Neuroplasty and/or transposition; median nerve at carpal tunnel



                                                                           64721
Excision or transposition of pterygium; without graft
                                                                           65420
Excision or transposition of pterygium; with graft


                                                                           65426
Trabeculoplasty by laser surgery, one or more sessions (defined
treatment series)                                                          65855
Fistulization of sclera for glaucoma; trabeculectomyabexterno in absence
of previous surgery
                                                                           66170
 Repositioning of intraocular lens prosthesis, requiring an incision
(separate procedure)


                                                                           66825
Extracapsular cataract removal with insertion of intraocular lens
prosthesis (one stage procedure), manual or mechanical technique (eg,
irrigation and aspiration or phacoemulsification), complex, requiring
devices or techniques not generally used in routi                          66982
Extracapsular cataract removal with insertion of intraocular lens
prosthesis (one stage procedure), manual or mechanical technique (eg,
irrigation and aspiration or phacoemulsification)
                                                                           66984
 Insertion of intraocular lens prosthesis (secondary implant), not
associated with concurrent cataract removal


                                                                               66985
 Removal of vitreous, anterior approach (open sky technique or limbal
incision); partial removal                                                     67005
Intravitreal injection of a pharmacologic agent (separate procedure)
                                                                               67028
Vitrectomy, mechanical, pars plana approach; with endolaserpanretinal
photocoagulation                                                               67040
 Excision of chalazion; multiple, different lids


                                                                               67805
 Excision of chalazion; under general anesthesia and/or requiring
hospitalization, single or multiple                                            67808
 Excision of lesion of eyelid (except chalazion) without closure or with
simple direct closure
                                                                               67840
 Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva,
canthus, or full thickness, may include preparation for skin graft or
pedicle flap with adjacent tissue transfer or rearrangement; over one
fourth of lid margin                                                           67966
 Excision of lesion, conjunctiva; up to 1 cm


                                                                               68110
Excision of lesion, conjunctiva; over 1 cm
                                                                               68115
Probing of nasolacrimal duct, with or without irrigation;


                                                                               68810
 Probing of nasolacrimal duct, with or without irrigation; requiring general
anesthesia                                                                     68811

								
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