37.26 Catheter based invasive electrophysiologic testing
Electrophysiologic studies [EPS]
Code also any concomitant procedure
Excludes: that as part of intraoperative testing - omit code
device interrogation only without arrhythmia induction (bedside check) (89.45-89.49)
His bundle recording (37.29)
noninvasive programmed electrical stimulation (NIPS) (37.20)
37.27 Cardiac mapping
Code also any concomitant procedure
Excludes: electrocardiogram (89.52)
His bundle recording (37.29)
37.28 Intracardiac echocardiography
Echocardiography of heart chambers
ICE
Code also any synchronous Doppler flow mapping (88.72)
Excludes: intravascular imaging of coronary vessels (intravascular ultrasound)(IVUS) (00.24)
37.29 Other diagnostic procedures on heart and pericardium
Excludes: angiocardiography (88.50-88.58)
cardiac function tests (89.41-89.69)
cardiovascular radioisotopic scan and function study (92.05)
coronary arteriography (88.55-88.57)
diagnostic pericardiocentesis (37.0)
diagnostic ultrasound of heart (88.72)
x-ray of heart (87.49)
37.3 Pericardiectomy and excision of lesion of heart
Code also cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61)
37.31 Pericardiectomy
Excision of:
adhesions of pericardium constricting scar of:
epicardium
pericardium
37.32 Excision of aneurysm of heart
Repair of aneurysm of heart
37.33 Excision or destruction of other lesion or tissue of heart, open approach
Ablation of heart tissue (cryoablation) (electrocurrent) (laser) (microwave) (radiofrequency) (resection), open chest approach
Cox-maze procedure
Maze procedure
Modified maze procedure, trans-thoracic approach
Excludes: ablation,excision or destruction of lesion or tissue of heart, endovascular approach (37.34)
excision or destruction of left atrial appendage (LAA) (37.36)
37.34 Excision or destruction of other lesion or tissue of heart,other approach
Ablation of heart tissue (cryoablation) (electrocurrent)(laser) (microwave) (radiofrequency) (resection), via peripherally inserted catheter
Modified maze procedure, endovascular approach
37.35 Partial ventriculectomy
Ventricular reduction surgery
Ventricular remodeling
Code also any synchronous:mitral valve repair (35.02, 35.12)
mitral valve replacement (35.23 - 35.24)
37.36 Excision or destruction of left atrial appendage (LAA)
Includes: Thoracoscopic approach, minithoracotomy approach
Clipping of left atrial appendage
Exclusion of left atrial appendage
Oversewing of left atrial appendage
Stapling of left atrial appendage
Code also any concomitant procedure performed
Excludes: ablation, excision or destruction of lesion or tissue of heart, endovascular approach (37.34)
37.4 Repair of heart and pericardium
37.41 Implantation of prosthetic cardiac support device around the heart
Cardiac support device (CSD)
Epicardial support device
Fabric (textile) (mesh) device
Ventricular support device on surface of heart
Code also any:
cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] if performed (39.61)
mitral valve repair (35.02, 35.12)
mitral valve replacement (35.23 - 35.24)
transesophageal echocardiography (88.72)
Excludes:
circulatory assist systems (37.61 - 37.68)
37.49 Other repair of heart and pericardium
37.5 Heart replacement procedures
37.51 Heart transplantation
Excludes: combined heart-lung transplantation (33.6)
37.52 Implantation of total internal biventricular heart replacement system
Artificial heart
Note: This procedure includes substantial removal of part or all of the biological heart. Both ventricles are resected, and the native heart is no longer intact. Ventriculectomy is included in this procedure; do not code separately.
Excludes: implantation of heart assist system [VAD] (37.62, 37.65, 37.66, 37.68)
37.53 Replacement or repair of thoracic unit of (total) replacement heart system
Excludes: replacement and repair of heart assist system [VAD](37.63)
37.54 Replacement or repair of other implantable component of (total) replacement heart system
Implantable battery
Implantable controller
Transcutaneous energy transfer [TET] device
Excludes: replacement and repair of heart assist system [VAD] (37.63)
replacement or repair of thoracic unit of (total) replacement heart system (37.53)
37.55 Removal of internal biventricular heart replacement system
Explantation of artificial heart
Code also any concomitant procedure, such as:
combined heart-lung transplantation (33.6)
heart transplantation (37.51)
implantation of internal biventricular heart replacement system (37.52)
Excludes: explantation [removal] of external heart assist system (37.64)
explantation [removal] of percutaneous external heart assist device (97.44)
nonoperative removal of heart assist system (97.44)
that with replacement or repair of heart replacement system (37.53, 37.54)
37.6 Implantation of heart and circulatory assist system(s)
Excludes: implantation of prosthetic cardiac support system (37.41)
37.60 Implantation or insertion of biventricular external heart assist system
Temporary cardiac support for both left and right ventricles, inserted in the same operative episode
Includes: open chest (sternotomy) procedure for cannulae attachments
Note: Device (outside the body but connected to heart) with external circulation pump. Ventriculotomy is included; do not code separately.
Excludes: implantation of internal biventricular heart replacement system (artificial heart) (37.52)
implant of pulsation balloon (37.61)
insertion of percutaneous external heart assist device (37.68)
insertion of temporary non-implantable extracorporeal circulatory assist device (37.62)
37.61 Implant of pulsation balloon
37.62 Insertion of temporary non-implantable extracorporeal circulatory assist device
Acute circulatory support device
Insertion of heart assist system, NOS
Insertion of heart pump
Short-term circulatory support (up to six hours)
Excludes: implantation of total internal biventricular heart replacement system [artificial heart] (37.52)
implant of external heart assist system (37.65)
insertion of implantable extracorporeal heart assist system (37.66)
insertion of percutaneous external heart assist device (37.68)
removal of heart assist system (37.64)
Note: Includes: explantation of this device; do not code separately.
37.63 Repair of heart assist system
Replacement of parts of an existing ventricular assist device (VAD)
Excludes: replacement or repair of other implantable component of (total) replacement heart system [artificial heart] (37.54)
replacement or repair of thoracic unit of (total) replacement heart system [artificial heart] (37.53)
37.64 Removal of external heart assist system(s) or device(s)
Explantation of external device(s) providing left and right ventricular support
Explantation of single external device and cannulae
Excludes: explantation [removal] of percutaneous external heart assist device (97.44)
nonoperative removal of heart assist system (97.44)
temporary non-implantable extracorporeal circulatory assist device (37.62)
that with replacement of implant (37.63)
37.65 Implant of single ventricular (extracorporeal) external heart assist system
Insertion of one device into one ventricle
Note: Device (outside the body but connected to heart) with external circulation and pump.
Note: Insertion or implantation of one external VAD for left or right heart support.
Includes: open chest (sternotomy) procedure for cannulae attachments
Excludes: implant of pulsation balloon (37.61)
implantation of total internal biventricular heart replacement system (37.52)
insertion of implantable heart assist system (37.66)
insertion of percutaneous external heart assist device (37.68)
insertion or implantation of two external VADs for simultaneous right and left heart support (37.60)
that without sternotomy (37.62)
37.66 Insertion of implantable heart assist system
Axial flow heart assist system
Diagonal pump heart assist system
Left ventricular assist device (LVAD)
Pulsatile heart assist system
Right ventricular assist device (RVAD)
Rotary pump heart assist system
Transportable, implantable heart assist system.
Ventricular assist device (VAD) not otherwise specified
Note: Device directly connected to the heart and implanted in the upper left quadrant of peritoneal cavity.
Note: This device can be used for either destination therapy (DT) or bridge-to-transplant (BTT)
Excludes: implant of pulsation balloon (37.61)
implantation of total internal biventricular heart replacement system [artificial heart] (37.52)
insertion of percutaneous external heart assist device (37.68)
37.67 Implantation of cardiomyostimulation system
Note: Two-step open procedure consisting of transfer of one end of the latissimus dorsi muscle; wrapping it around the heart; rib resection; implantation of epicardial cardiac pacing leads into the right ventricle; tunneling and pocket creation for the cardiomyostimulator.
37.68 Insertion of percutaneous external heart assist device
Includes: percutaneous [femoral] insertion of cannulae attachments
Circulatory assist device
Extrinsic heart assist device
pVAD
Percutaneous heart assist device
37.7 Insertion, revision, replacement, and removal of leads; insertion of temporary pacemaker system; or revision of cardiac device pocket
Code also any insertion and replacement of pacemaker device (37.80-37.87)
Excludes: implantation or replacement of transvenous lead [electrode] into left ventricular cardiac venous system (00.52)
37.70 Initial insertion of lead [electrode], not otherwise specified
Excludes: insertion of temporary transvenous pacemaker system (37.78)
replacement of atrial and/or ventricular lead(s) (37.76)
37.71 Initial insertion of transvenous lead [electrode] into ventricle
Excludes: insertion of temporary transvenous pacemaker system (37.78)
replacement of atrial and/or ventricular lead(s) (37.76)
37.72 Initial insertion of transvenous leads [electrodes] into atrium and ventricle
Excludes: insertion of temporary transvenous pacemaker system (37.78)
replacement of atrial and/or ventricular lead(s) (37.76)
37.73 Initial insertion of transvenous lead [electrode] into atrium
Excludes: insertion of temporary transvenous pacemaker system (37.78)
replacement of atrial and/or ventricular lead(s) (37.76)
37.74 Insertion or replacement of epicardial lead [electrode] into epicardium
Insertion or replacement of epicardial by:
sternotomy
thoracotomy
Excludes: replacement of atrial and/or ventricular lead(s) (37.76)
37.75 Revision of lead [electrode]
Repair of electrode [removal with re-insertion]
Repositioning of lead(s) (AICD) (cardiac device) (CRT-D) (CRT-P) (defibrillator) (pacemaker) (pacing) (sensing) [electrode]
Revision of lead NOS
Excludes: repositioning of temporary transvenous pacemaker system -- omit code
37.76 Replacement of transvenous atrial and/or ventricular lead(s) [electrode]
Removal or abandonment of existing transvenous or epicardial lead(s) with transvenous lead(s) replacement
Excludes: replacement of epicardial lead [electrode] (37.74)
37.77 Removal of lead(s) [electrode] without replacement
Removal:
epicardial lead (transthoracic approach)
transvenous lead(s)
Excludes: removal of temporary transvenous pacemaker system -- omit code
that with replacement of:
atrial and/or ventricular lead(s) [electrode] (37.76)
epicardial lead [electrode] (37.74)
37.78 Insertion of temporary transvenous pacemaker system
Excludes: intraoperative cardiac pacemaker (39.64)
37.79 Revision or relocation of cardiac device pocket
Debridement and reforming pocket (skin and subcutaneous tissue)
Insertion of loop recorder
Relocation of pocket [creation of new pocket] pacemaker or CRT-P
Removal of cardiac device/pulse generator without replacement
Removal of the implantable hemodynamic pressure sensor (lead) and monitor device
Removal without replacement of cardiac resynchronization defibrillator device
Repositioning of implantable hemodynamic pressure sensor (lead) and monitor device
Repositioning of pulse generator
Revision of cardioverter/defibrillator (automatic) pocket
Revision of pocket for intracardiac hemodynamic monitoring
Revision or relocation of CRT-D pocket
Revision or relocation of pacemaker, defibrillator, or other implanted cardiac device pocket
Excludes: removal of loop recorder (86.05)
37.8 Insertion, replacement, removal, and revision of pacemaker device
Note: Device testing during procedure - omit code
Code also any lead insertion, lead replacement, lead removal and/or lead revision (37.70-37.77)
Excludes: implantation of cardiac resynchronization pacemaker [CRT-P] (00.50)
implantation or replacement of cardiac resynchronization pacemaker pulse generator only [CRT-P] (00.53)
37.80 Insertion of permanent pacemaker, initial or replacement, type of device not specified
37.81 Initial insertion of single-chamber device, not specified as rate responsive
Excludes: replacement of existing pacemaker device (37.85- 37.87)
37.82 Initial insertion of single-chamber device, rate responsive
Rate responsive to physiologic stimuli other than atrial rate
Excludes: replacement of existing pacemaker device (37.85- 37.87)
37.83 Initial insertion of dual-chamber device
Atrial ventricular sequential device
Excludes: replacement of existing pacemaker device (37.85- 37.87)
37.85 Replacement of any type pacemaker device with single-chamber device, not specified as rate responsive
37.86 Replacement of any type of pacemaker device with single-chamber device, rate responsive
Rate responsive to physiologic stimuli other than atrial rate
37.87 Replacement of any type pacemaker device with dual-chamber device
Atrial ventricular sequential device
37.89 Revision or removal of pacemaker device
Removal without replacement of cardiac resynchronization pacemaker device [CRT-P]
Repair of pacemaker device
Excludes: removal of temporary transvenous pacemaker system -- omit code
replacement of existing pacemaker device (37.85-37.87)
replacement of existing pacemaker device with CRT-P pacemaker device (00.53)
37.9 Other operations on heart and pericardium
37.90 Insertion of left atrial appendage device
Left atrial filter
Left atrial occluder
Transseptal catheter technique
37.91 Open chest cardiac massage
Excludes: closed chest cardiac massage (99.63)
37.92 Injection of therapeutic substance into heart
37.93 Injection of therapeutic substance into pericardium
37.94 Implantation or replacement of automatic cardioverter/defibrillator, total system [AICD]
Implantation of defibrillator with leads (epicardial patches), formation of pocket (abdominal fascia) (subcutaneous), any transvenous leads, intraoperative procedures for evaluation of lead signals, and obtaining defibrillator threshold measurements
Techniques:
lateral thoracotomy
medial sternotomy
subxiphoid procedure
Note: Device testing during procedure - omit code
Code also extracorporeal circulation, if performed (39.61)
Code also any concomitant procedure [e.g., coronary bypass (36.10-36.19) or CCM, total system (17.51)]
Excludes:implantation of cardiac resynchronization defibrillator, total system [CRT-D] (00.51)
37.95 Implantation of automatic cardioverter/defibrillator lead(s) only
37.96 Implantation of automatic cardioverter/defibrillator pulse generator only
Note: Device testing during procedure - omit code
Excludes: implantation or replacement of cardiac resynchronization defibrillator, pulse generator
device only [CRT-D] (00.54)
37.97 Replacement of automatic cardioverter/defibrillator lead(s) only
Excludes: replacement of epicardial lead [electrode] into epicardium (37.74)
replacement of transvenous lead [electrode] into left ventricular coronary venous system (00.52)
37.98 Replacement of automatic cardioverter/defibrillator pulse generator only
Note: Device testing during procedure - omit code
Excludes:replacement of cardiac resynchronization defibrillator, pulse generator device only [CRT-D] (00.54)
37.99 Other
Excludes: cardiac retraining (93.36)
conversion of cardiac rhythm (99.60-99.69)
implantation of prosthetic cardiac support device (37.41)
insertion of left atrial appendage device (37.90)
maze procedure (Cox-maze), open (37.33)
maze procedure, endovascular approach (37.34)
repositioning of pulse generator (37.79)
revision of lead(s) (37.75)
revision or relocation of pacemaker, defibrillator or other implanted cardiac device pocket (37.79)
38 Incision, excision, and occlusion of vessels
Code also
any application or administration of an adhesion barrier substance (99.77)
cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61)
Excludes: that of coronary vessels (00.66, 36.03, 36.04, 36.09, 36.10-36.99)
The following fourth-digit subclassification is for use with appropriate categories in section 38.0, 38.1, 38.3, 38.5, 38.6, 38.8, and 38.9 according to site. Valid fourth-digits are in [brackets] at the end of each code/description.
0 unspecified site
1 intracranial vessels
Cerebral (anterior) (middle)
Circle of Willis
Posterior communicating artery
2 other vessels of head and neck
Carotid artery (common) (external) (internal)
Jugular vein (external) (internal)
3 upper limb vessels
Axillary
Brachial
Radial
Ulnar
4 aorta
5 other thoracic vessels
Innominate
Pulmonary (artery) (vein)
Subclavian
Vena cava, superior
6 abdominal arteries
Celiac
Gastric
Hepatic
Iliac
Mesenteric
Renal
Splenic
Umbilical
Excludes: abdominal aorta (4)
7 abdominal veins
Iliac
Portal
Renal
Splenic
Vena cava (inferior)
8 lower limb arteries
Femoral (common) (superficial)
Popliteal
Tibial
9 lower limb veins
Femoral
Popliteal
Saphenous
Tibial
38.0 Incision of vessel
[0-9]
Embolectomy
Thrombectomy
Excludes: endovascular removal of obstruction from head and neck vessel(s) (39.74)
puncture or catheterization of any:
artery (38.91, 38.98)
vein (38.92-38.95, 38.99)
38.1 Endarterectomy
[0-6,8]
Endarterectomy with:
embolectomy
patch graft
temporary bypass during procedure
thrombectomy
Code also any:
number of vascular stents inserted (00.45-00.48)
number of vessels treated (00.40-00.43)
procedure on vessel bifurcation (00.44)
38.2 Diagnostic procedures on blood vessels
Excludes: adjunct vascular system procedures (00.40-00.43)
38.21 Biopsy of blood vessel
38.22 Percutaneous angioscopy
Excludes: angioscopy of eye (95.12)
38.23 Intravascular spectroscopy
Includes: spectroscopy of both coronary and peripheral vessels
Intravascular chemography
Near infrared (NIR) spectroscopy
Excludes: intravascular imaging of:
coronary vessels (00.24, 38.24)
peripheral vessels (00.23, 38.25)
38.24 Intravascular imaging of coronary vessel(s) by optical coherence tomography [OCT]
38.25 Intravascular imaging of non-coronary vessel(s) by optical coherence tomography [OCT]
Excludes: intravascular imaging of coronary vessel(s) by OCT (38.24)
38.29 Other diagnostic procedures on blood vessels
Excludes: blood vessel thermography (88.86)
circulatory monitoring (89.61-89.69)
contrast:
angiocardiography (88.50-88.58)
arteriography (88.40-88.49)
phlebography (88.60-88.67)
impedance phlebography (88.68)
peripheral vascular ultrasonography (88.77)
plethysmogram (89.58)
38.3 Resection of vessel with anastomosis
[0-9]
Angiectomy
Excision of:
aneurysm (arteriovenous) with anastomosis
blood vessel (lesion) with anastomosis
38.4 Resection of vessel with replacement
[0-9]
Angiectomy
Excision of:
aneurysm (arteriovenous) or blood vessel (lesion) with replacement
Partial resection with replacement
Excludes: endovascular repair of aneurysm (39.71 - 39.79)
Requires the use of one of the following fourth-digit subclassifications to identify site:
0 unspecified site
1 intracranial vessels
Cerebral (anterior) (middle)
Circle of Willis
Posterior communicating artery
2 other vessels of head and neck
Carotid artery (common) (external) (internal)
Jugular vein (external) (internal)
3 upper limb vessels
Axillary
Brachial
Radial
Ulnar
4 aorta, abdominal
Code also any thoracic vessel involvement (thoracoabdominal procedure) (38.45)
5 thoracic vessels
Aorta (thoracic)
Innominate
Pulmonary (artery) (vein)
Subclavian
Vena cava, superior
Code also any abdominal aorta involvement (thoracoabdominal procedure) (38.44)
6 abdominal arteries
Celiac
Gastric
Hepatic
Iliac
Mesenteric
Renal
Splenic
Umbilical
Excludes: abdominal aorta (4)
7 abdominal veins
Iliac
Portal
Renal
Splenic
Vena cava (inferior)
8 lower limb arteries
Femoral (common) (superficial)
Popliteal
Tibial
9 lower limb veins
Femoral
Popliteal
Saphenous
Tibial
38.5 Ligation and stripping of varicose veins
[0-3,5,7,9]
Excludes: ligation of varices:
esophageal (42.91)
gastric (44.91)
38.6 Other excision of vessel
[0-9]
Excision of blood vessel (lesion) NOS
Excludes: excision of vessel for aortocoronary bypass (36.10-36.14)
excision with:
anastomosis (38.30-38.39)
graft replacement (38.40-38.49)
implant (38.40-38.49)
38.7 Interruption of the vena cava
Insertion of implant or sieve in vena cava
Ligation of vena cava (inferior) (superior)
Plication of vena cava
38.8 Other surgical occlusion of vessels
[0-9]
Clamping of blood vessel
Division of blood vessel
Ligation of blood vessel
Occlusion of blood vessel
Excludes: adrenal vessels (07.43)
esophageal varices (42.91)
gastric or duodenal vessel for ulcer (44.40-44.49)
gastric varices (44.91)
meningeal vessel (02.13)
percutaneous transcatheter infusion embolization (99.29)
spermatic vein for varicocele (63.1)
surgical occlusion of vena cava (38.7)
that for chemoembolization (99.25)
that for control of (postoperative) hemorrhage:
anus (49.95)
bladder (57.93)
following vascular procedure (39.41)
nose (21.00-21.09)
prostate (60.94)
tonsil (28.7)
thyroid vessel (06.92)
transcatheter (infusion) 99.29
38.9 Puncture of vessel
Excludes: that for circulatory monitoring (89.60-89.69)
38.91 Arterial catheterization
38.92 Umbilical vein catheterization
38.93 Venous catheterization, not elsewhere classified
Excludes: that for cardiac catheterization (37.21-37.23)
that for renal dialysis (38.95)
38.94 Venous cutdown
38.95 Venous catheterization for renal dialysis
Excludes: insertion of totally implantable vascular access device [VAD] (86.07)
38.98 Other puncture of artery
Excludes: that for:
arteriography (88.40-88.49)
coronary arteriography (88.55-88.57)
38.99 Other puncture of vein
Phlebotomy
Excludes: that for:
angiography of veins (88.60-88.68)
extracorporeal circulation (39.61, 50.92)
injection or infusion of:
sclerosing solution (39.92)
therapeutic or prophylactic substance (99.11-99.29)
perfusion (39.96-39.97)
phlebography (88.60-88.68)
transfusion (99.01-99.09)
39 Other operations on vessels
Excludes: those on coronary vessels (36.03-36.99)
39.0 Systemic to pulmonary artery shunt
Descending aorta-pulmonary artery anastomosis (graft)
Left to right anastomosis (graft)
Subclavian-pulmonary anastomosis (graft)
Code also cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61)
39.1 Intra-abdominal venous shunt
Anastomosis:
mesocaval
portacaval
portal vein to inferior vena cava
splenic and renal veins
transjugular intrahepatic portosystemic shunt (TIPS)
Excludes: peritoneovenous shunt (54.94)
39.2 Other shunt or vascular bypass
Code also pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance, if performed (00.16)
39.21 Caval-pulmonary artery anastomosis
Code also cardiopulmonary bypass (39.61)
39.22 Aorta-subclavian-carotid bypass
Bypass (arterial):
aorta to carotid and brachial
aorta to subclavian and carotid
carotid to subclavian
39.23 Other intrathoracic vascular shunt or bypass
Intrathoracic (arterial) bypass graft NOS
Excludes: coronary artery bypass (36.10-36.19)
39.24 Aorta-renal bypass
39.25 Aorta-iliac-femoral bypass
Bypass:
aortofemoral
aortoiliac
aortoiliac to popliteal
aortopopliteal
iliofemoral [iliac-femoral]
39.26 Other intra-abdominal vascular shunt or bypass
Bypass:
aortoceliac
aortic-superior mesenteric
common hepatic-common iliac-renal
Intra-abdominal arterial bypass graft NOS
Excludes: peritoneovenous shunt (54.94)
39.27 Arteriovenostomy for renal dialysis
Anastomosis for renal dialysis
Formation of (peripheral) arteriovenous
fistula for renal [kidney] dialysis
Code also any renal dialysis (39.95)
39.28 Extracranial-intracranial (EC-IC) vascular bypass
39.29 Other (peripheral) vascular shunt or bypass
Bypass (graft):
axillary-brachial
axillary-femoral [axillofemoral] (superficial)
brachial
femoral-femoral
femoroperoneal
femoropopliteal (arteries)
femorotibial (anterior) (posterior)
popliteal
vascular NOS
Excludes: peritoneovenous shunt (54.94)
39.3 Suture of vessel
Repair of laceration of blood vessel
Excludes: any other vascular puncture closure device - omit code
suture of aneurysm (39.52)
that for control of hemorrhage (postoperative):
anus (49.95)
bladder (57.93)
following vascular procedure (39.41)
nose (21.00-21.09)
prostate (60.94)
tonsil (28.7)
39.30 Suture of unspecified blood vessel
39.31 Suture of artery
39.32 Suture of vein
39.4 Revision of vascular procedure
39.41 Control of hemorrhage following vascular surgery
Excludes: that for control of hemorrhage (post operative):
anus (49.95)
bladder (57.93)
nose (21.00-21.09)
prostate (60.94)
tonsil (28.7)
39.42 Revision of arteriovenous shunt for renal dialysis
Conversion of renal dialysis:
end-to-end anastomosis to end-to-side
end-to-side anastomosis to end-to-end
vessel-to-vessel cannula to arteriovenous shunt
Removal of old arteriovenous shunt and creation of new shunt
Excludes: replacement of vessel-to-vessel cannula (39.94)
39.43 Removal of arteriovenous shunt for renal dialysis
Excludes: that with replacement [revision] of shunt (39.42)
39.49 Other revision of vascular procedure
Declotting (graft)
Revision of:
anastomosis of blood vessel
vascular procedure (previous)
39.5 Other repair of vessels
39.50 Angioplasty or atherectomy of other non-coronary vessel(s)
Percutaneous transluminal angioplasty (PTA) of non-coronary vessels:
Lower extremity vessels
Mesenteric artery
Renal artery
Upper extremity vessels
Code also any:
injection or infusion of thrombolytic agent (99.10)
insertion of drug-eluting peripheral vessel stent (00.55)
insertion of non-drug-eluting peripheral vessel stent(s) or stent grafts(s) (39.90)
number of vascular stents inserted (00.45-00.48)
number of vessels treated (00.40-00.43)
procedure on vessel bifurcation (00.44)
Excludes: percutaneous angioplasty or atherectomy of precerebral or cerebral vessel(s) (00.61-00.62)
39.51 Clipping of aneurysm
Excludes: clipping of arteriovenous fistula (39.53)
39.52 Other repair of aneurysm
Repair of aneurysm by:
coagulation
electrocoagulation
filipuncture
methyl methacrylate
suture
wiring
wrapping
Excludes: endovascular repair of aneurysm (39.71 - 39.79)
re-entry operation (aorta) (39.54)
that with:
graft replacement (38.40-38.49)
resection (38.30-38.49, 38.60-38.69)
39.53 Repair of arteriovenous fistula
Embolization of carotid cavernous fistula
Repair of arteriovenous fistula by:
clipping
coagulation
ligation and division
Excludes: repair of :
arteriovenous shunt for renal dialysis (39.42)
head and neck vessels, endovascular approach (39.72)
that with:
graft replacement (38.40-38.49)
resection (38.30-38.49, 38.60-38.69)
39.54 Re-entry operation (aorta)
Fenestration of dissecting aneurysm of thoracic aorta
Code also cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61)
39.55 Reimplantation of aberrant renal vessel
39.56 Repair of blood vessel with tissue patch graft
Excludes: that with resection (38.40-38.49)
39.57 Repair of blood vessel with synthetic patch graft
Excludes: that with resection (38.40-38.49)
39.58 Repair of blood vessel with unspecified type of patch graft
Excludes: that with resection (38.40-38.49)
39.59 Other repair of vessel
Aorticopulmonary window operation
Arterioplasty NOS
Construction of venous valves (peripheral)
Plication of vein (peripheral)
Reimplantation of artery
Code also cardiopulmonary bypass [extracorporeal circulation] [heart-lung machine] (39.61)
Excludes: interruption of the vena cava (38.7)
reimplantation of renal artery (39.55)
that with:
graft (39.56-39.58)
resection (38.30-38.49, 38.60-38.69)
39.6 Extracorporeal circulation and procedures auxiliary to heart surgery
39.61 Extracorporeal circulation auxiliary to open heart surgery
Artificial heart and lung
Cardiopulmonary bypass
Pump oxygenator
Excludes: extracorporeal hepatic assistance (50.92)
extracorporeal membrane oxygenation [ECMO] (39.65)
hemodialysis (39.95)
percutaneous cardiopulmonary bypass (39.66)
39.62 Hypothermia (systemic) incidental to open heart surgery
39.63 Cardioplegia
Arrest:
anoxic
circulatory
39.64 Intraoperative cardiac pacemaker
Temporary pacemaker used during and immediately following cardiac surgery
39.65 Extracorporeal membrane oxygenation [ECMO]
Excludes: extracorporeal circulation auxiliary to open heart surgery (39.61)
percutaneous cardiopulmonary bypass (39.66)
39.66 Percutaneous cardiopulmonary bypass
Closed chest
Excludes: extracorporeal circulation auxiliary to open heart surgery (39.61)
extracorporeal hepatic assistance (50.92)
extracorporeal membrane oxygenation [ECMO] (39.65)
hemodialysis (39.95)
39.7 Endovascular procedures on vessel(s)
Embolization
Endoluminal repair
Implantation
Occlusion
Removal
Repair
Excludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)
insertion of non-drug-eluting peripheral vessel stent(s) (39.90)
other repair of aneurysm (39.52)
percutaneous insertion of carotid artery stent(s) (00.63)
percutaneous insertion of intracranial stent(s) (00.65)
percutaneous insertion of other precerebral artery stent(s) (00.64)
resection of abdominal aorta with replacement (38.44)
resection of lower limb arteries with replacement (38.48)
resection of thoracic aorta with replacement (38.45)
resection of upper limb vessels with replacement (38.43)
39.71 Endovascular implantation of graft in abdominal aorta
Endovascular repair of abdominal aortic aneurysm with graft
Stent graft(s)
Code also intra-aneurysm sac pressure monitoring (intraoperative) (00.58)
39.72 Endovascular embolization or occlusion of head and neck vessels
Endograft(s)
Endovascular graft(s)
Liquid tissue adhesive (glue) embolization or occlusion
Other implant or substance for repair, embolization or occlusion
That for repair of aneurysm, arteriovenous malformation[AVM] or fistula
Excludes: embolization of head or neck vessels using bare coils (39.75)
embolization of head or neck vessels using bioactive coils (39.76)
mechanical thrombectomy of pre-cerebral and cerebral vessels (39.74)
39.73 Endovascular implantation of graft in thoracic aorta
Endograft(s)
Endovascular graft(s)
Endovascular repair of defect of thoracic aorta with graft(s) or device(s)
Stent graft(s) or device(s)
That for repair of aneurysm, dissection, or injury
Code also intra-aneurysm sac pressure monitoring (intraoperative) (00.58)
Excludes: fenestration of dissecting aneurysm of thoracic aorta (39.54)
39.74 Endovascular removal of obstruction from head and neck vessel(s)
Endovascular embolectomy
Endovascular thrombectomy of pre-cerebral and cerebral vessels
Mechanical embolectomy or thrombectomy
Code also: any injection or infusion of thrombolytic agent (99.10)
number of vessels treated (00.40-00.43)
procedure on vessel bifurcation (00.44)
Excludes: endarterectomy of intracranial vessels and other vessels of head and neck (38.11 - 38.12)
occlusive endovascular embolization of head or neck vessel(s) using bare coils (39.75)
occlusive endovascular embolization of head or neck vessels(s) using bioactive coils (39.76)
open embolectomy or thrombectomy (38.01-38.02)
39.75 Endovascular embolization or occlusion of vessel(s) of head or neck using bare coils
Bare metal coils
Bare platinum coils [BPC]
That for treatment of aneurysm, arteriovenous malformation [AVM] or fistula
39.76 Endovascular embolization or occlusion of vessel(s) of head or neck using bioactive coils
Biodegradable inner luminal polymer coils
Coil embolization or occlusion utilizing bioactive coils
Coils containing polyglycolic acid [PGA]
That for treatment of aneurysm, arteriovenous malformation [AVM] or fistula
39.79 Other endovascular procedures on other vessels
Endograft(s)
Endovascular graft(s)
Liquid tissue adhesive (glue) embolization or occlusion
Other coil embolization or occlusion
Other implant or substance for repair, embolization or occlusion
Repair of aneurysm
Excludes: abdominal aortic aneurysm resection [AAA] (38.44)
endovascular implantation of graft in abdominal aorta (39.71)
endovascular implantation of graft in thoracic aorta (39.73)
endovascular embolization or occlusion of head and neck vessels, bare metal coils (39.75)
endovascular embolization or occlusion of head and neck vessels, bioactive coils (39.76)
insertion of drug-eluting peripheral vessel stent(s) (00.55)
insertion of non-drug-eluting peripheral vessel (s) (for other than aneurysm repair) (39.90)
non-endovascular repair of arteriovenous fistula (39.53)
other surgical occlusion of vessels -see category 38.8
percutaneous transcatheter infusion (99.29)
thoracic aortic aneurysm resection (38.45)
transcatheter embolization for gastric or duodenal bleeding (44.44)
39.8 Operations on carotid body, carotid sinus and other vascular bodies
Chemodectomy
Denervation of:
aortic body
carotid body
Electronic stimulator
Glomectomy, carotid
Implantation or replacement of carotid sinus baroreflex activation device
Excludes: excision of glomus jugulare (20.51)
replacement of carotid sinus lead(s) only (04.92)
39.9 Other operations on vessels
39.90 Insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s)
Bare stent(s)
Bonded stent(s)
Drug-coated stent(s), i.e., heparin coated
Endograft(s)
Endovascular graft(s)
Endovascular recanalization techniques
Stent graft(s)
Code also any:
non-coronary angioplasty or atherectomy (39.50)
number of vascular stents inserted (00.45-00.48)
number of vessels treated (00.40-00.43)
procedure on vessel bifurcation (00.44)
Excludes: insertion of drug-eluting peripheral vessel stent(s) (00.55)
percutaneous insertion of carotid artery stent(s) (00.63)
percutaneous insertion of intracranial stent(s) (00.65)
percutaneous insertion of other precerebral artery stent(s) (00.64)
that for aneurysm repair (39.71 - 39.79)
39.91 Freeing of vessel
Dissection and freeing of adherent tissue:
artery-vein-nerve bundle
vascular bundle
39.92 Injection of sclerosing agent into vein
Excludes: injection:
esophageal varices (42.33)
hemorrhoids (49.42)
39.93 Insertion of vessel-to-vessel cannula
Formation of:
arteriovenous:
fistula by external cannula
shunt by external cannula
Code also any renal dialysis (39.95)
39.94 Replacement of vessel-to-vessel cannula
Revision of vessel-to-vessel cannula
39.95 Hemodialysis
Artificial kidney
Hemodiafiltration
Hemofiltration
Renal dialysis
Excludes: peritoneal dialysis (54.98)
39.96 Total body perfusion
Code also substance perfused (99.21-99.29)
39.97 Other perfusion
Perfusion NOS
Perfusion, local [regional] of:
carotid artery
coronary artery
head
lower limb
neck
upper limb
Code also substance perfused (99.21-99.29)
Excludes: perfusion of:
kidney (55.95)
large intestine (46.96)
liver (50.93)
small intestine (46.95)
SuperSaturated oxygen therapy (00.49)
39.98 Control of hemorrhage, not otherwise specified
Angiotripsy
Control of postoperative hemorrhage NOS
Venotripsy
Excludes: control of hemorrhage (postoperative):
anus (49.95)
bladder (57.93)
following vascular procedure (39.41)
nose (21.00-21.09)
prostate (60.94)
tonsil (28.7)
that by:
ligation (38.80-38.89)
suture (39.30-39.32)
39.99 Other operations on vessels
Excludes: injection or infusion of therapeutic or prophylactic substance (99.11-99.29)
transfusion of blood and blood components (99.01-99.09)
8. OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM (40-41)
40 Operations on lymphatic system
40.0 Incision of lymphatic structures
40.1 Diagnostic procedures on lymphatic structures
40.11 Biopsy of lymphatic structure
40.19 Other diagnostic procedures on lymphatic structures
Excludes: lymphangiogram:
abdominal (88.04)
cervical (87.08)
intrathoracic (87.34)
lower limb (88.36)
upper limb (88.34)
microscopic examination of specimen (90.71-90.79)
radioisotope scan (92.16)
thermography (88.89)
40.2 Simple excision of lymphatic structure
Excludes: biopsy of lymphatic structure (40.11)
40.21 Excision of deep cervical lymph node
40.22 Excision of internal mammary lymph node
40.23 Excision of axillary lymph node
40.24 Excision of inguinal lymph node
40.29 Simple excision of other lymphatic structure
Excision of:
cystic hygroma
lymphangioma
Simple lymphadenectomy
40.3 Regional lymph node excision
Extended regional lymph node excision
Regional lymph node excision with excision of lymphatic drainage area including skin, subcutaneous tissue, and fat
40.4 Radical excision of cervical lymph nodes
Resection of cervical lymph nodes down to muscle and deep fascia
Excludes: that associated with radical laryngectomy (30.4)
40.40 Radical neck dissection, not otherwise specified
40.41 Radical neck dissection, unilateral
40.42 Radical neck dissection, bilateral
40.5 Radical excision of other lymph nodes
Excludes: that associated with radical mastectomy (85.45-85.48)
40.50 Radical excision of lymph nodes, not otherwise specified
Radical (lymph) node dissection NOS
40.51 Radical excision of axillary lymph nodes
40.52 Radical excision of periaortic lymph nodes
40.53 Radical excision of iliac lymph nodes
40.54 Radical groin dissection
40.59 Radical excision of other lymph nodes
Excludes: radical neck dissection (40.40-40.42)
40.6 Operations on thoracic duct
40.61 Cannulation of thoracic duct
40.62 Fistulization of thoracic duct
40.63 Closure of fistula of thoracic duct
40.64 Ligation of thoracic duct
40.69 Other operations on thoracic duct
40.9 Other operations on lymphatic structures
Anastomosis of peripheral lymphatics
Dilation of peripheral lymphatics
Ligation of peripheral lymphatics
Obliteration of peripheral lymphatics
Reconstruction of peripheral lymphatics
Repair of peripheral lymphatics
Transplantation of peripheral lymphatics
Correction of lymphedema of limb, NOS
Excludes: reduction of elephantiasis of scrotum (61.3)
41 Operations on bone marrow and spleen
41.0 Bone marrow or hematopoietic stem cell transplant
Note: To report donor source - see codes 00.91-00.93
Excludes: aspiration of bone marrow from donor (41.91)
41.00 Bone marrow transplant, not otherwise specified
41.01 Autologous bone marrow transplant without purging
Excludes: that with purging (41.09)
41.02 Allogeneic bone marrow transplant with purging
Allograft of bone marrow with in vitro removal (purging) of T-cells
41.03 Allogeneic bone marrow transplant without purging
Allograft of bone marrow NOS
41.04 Autologous hematopoietic stem cell transplant without purging
Excludes: that with purging (41.07)
41.05 Allogeneic hematopoietic stem cell transplant without purging
Excludes: that with purging (41.08)
41.06 Cord blood stem cell transplant
41.07 Autologous hematopoietic stem cell transplant with purging
Cell depletion
41.08 Allogeneic hematopoietic stem cell transplant
Cell depletion
41.09 Autologous bone marrow transplant with purging
With extracorporeal purging of malignant cells from marrow
Cell depletion
41.1 Puncture of spleen
Excludes: aspiration biopsy of spleen (41.32)
41.2 Splenotomy
41.3 Diagnostic procedures on bone marrow and spleen
41.31 Biopsy of bone marrow
41.32 Closed [aspiration] [percutaneous] biopsy of spleen
41.33 Open biopsy of spleen
41.38 Other diagnostic procedures on bone marrow
Excludes: microscopic examination of specimen from bone marrow (90.61-90.69)
radioisotope scan (92.05)
41.39 Other diagnostic procedures on spleen
Excludes: microscopic examination of specimen from spleen (90.61-90.69)
radioisotope scan (92.05)
41.4 Excision or destruction of lesion or tissue of spleen
Code also any application or administration of an adhesion barrier substance (99.77)
Excludes: excision of accessory spleen (41.93)
41.41 Marsupialization of splenic cyst
41.42 Excision of lesion or tissue of spleen
Excludes: biopsy of spleen (41.32-41.33)
41.43 Partial splenectomy
41.5 Total splenectomy
Splenectomy NOS
Code also any application or administration of an adhesion barrier substance (99.77)
41.9 Other operations on spleen and bone marrow
Code also any application or administration of an adhesion barrier substance (99.77)
41.91 Aspiration of bone marrow from donor for transplant
Excludes: biopsy of bone marrow (41.31)
41.92 Injection into bone marrow
Excludes: bone marrow transplant (41.00-41.03)
41.93 Excision of accessory spleen
41.94 Transplantation of spleen
41.95 Repair and plastic operations on spleen
41.98 Other operations on bone marrow
41.99 Other operations on spleen
9. OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)
42 Operations on esophagus
42.0 Esophagotomy
42.01 Incision of esophageal web
42.09 Other incision of esophagus
Esophagotomy NOS
Excludes: esophagomyotomy (42.7)
esophagostomy (42.10-42.19)
42.1 Esophagostomy
42.10 Esophagostomy, not otherwise specified
42.11 Cervical esophagostomy
42.12 Exteriorization of esophageal pouch
42.19 Other external fistulization of esophagus
Thoracic esophagostomy
Code also any resection (42.40-42.42)
42.2 Diagnostic procedures on esophagus
42.21 Operative esophagoscopy by incision
42.22 Esophagoscopy through artificial stoma
Excludes: that with biopsy (42.24)
42.23 Other esophagoscopy
Excludes: that with biopsy (42.24)
42.24 Closed [endoscopic] biopsy of esophagus
Brushing or washing for specimen collection
Esophagoscopy with biopsy
Suction biopsy of the esophagus
Excludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16)
42.25 Open biopsy of esophagus
42.29 Other diagnostic procedures on esophagus
Excludes: barium swallow (87.61)
esophageal manometry (89.32)
microscopic examination of specimen from esophagus (90.81-90.89)
42.3 Local excision or destruction of lesion or tissue of esophagus
42.31 Local excision of esophageal diverticulum
42.32 Local excision of other lesion or tissue of esophagus
Excludes: biopsy of esophagus (42.24-42.25)
esophageal fistulectomy (42.84)
42.33 Endoscopic excision or destruction of lesion or tissue of esophagus
Ablation of esophageal neoplasm by endoscopic approach
Control of esophageal bleeding by endoscopic approach
Esophageal polypectomy by endoscopic approach
Esophageal varices by endoscopic approach
Injection of esophageal varices by endoscopic approach
Excludes: biopsy of esophagus (42.24-42.25)
fistulectomy (42.84)
open ligation of esophageal varices (42.91)
42.39 Other destruction of lesion or tissue of esophagus
Excludes: that by endoscopic approach (42.33)
42.4 Excision of esophagus
Excludes: esophagogastrectomy NOS (43.99)
42.40 Esophagectomy, not otherwise specified
42.41 Partial esophagectomy
Code also any synchronous:
anastomosis other than end-to-end (42.51-42.69)
esophagostomy (42.10-42.19)
gastrostomy (43.11-43.19)
42.42 Total esophagectomy
Code also any synchronous:
gastrostomy (43.11-43.19)
interposition or anastomosis other than end-to-end (42.51-42.69)
Excludes: esophagogastrectomy (43.99)
42.5 Intrathoracic anastomosis of esophagus
Code also any synchronous:
esophagectomy (42.40-42.42)
gastrostomy (43.1)
42.51 Intrathoracic esophagoesophagostomy
42.52 Intrathoracic esophagogastrostomy
42.53 Intrathoracic esophageal anastomosis with interposition of small bowel
42.54 Other intrathoracic esophagoenterostomy
Anastomosis of esophagus to intestinal segment NOS
42.55 Intrathoracic esophageal anastomosis with interposition of colon
42.56 Other intrathoracic esophagocolostomy
Esophagocolostomy NOS
42.58 Intrathoracic esophageal anastomosis with other interposition
Construction of artificial esophagus
Retrosternal formation of reversed gastric tube
42.59 Other intrathoracic anastomosis of esophagus
42.6 Antesternal anastomosis of esophagus
Code also any synchronous:
esophagectomy (42.40-42.42)
gastrostomy (43.1)
42.61 Antesternal esophagoesophagostomy
42.62 Antesternal esophagogastrostomy
42.63 Antesternal esophageal anastomosis with interposition of small bowel
42.64 Other antesternal esophagoenterostomy
Antethoracic:
esophagoenterostomy
esophagoileostomy
esophagojejunostomy
42.65 Antesternal esophageal anastomosis with interposition of colon
42.66 Other antesternal esophagocolostomy
Antethoracic esophagocolostomy
42.68 Other antesternal esophageal anastomosis with interposition
42.69 Other antesternal anastomosis of esophagus
42.7 Esophagomyotomy
42.8 Other repair of esophagus
42.81 Insertion of permanent tube into esophagus
42.82 Suture of laceration of esophagus
42.83 Closure of esophagostomy
42.84 Repair of esophageal fistula, not elsewhere classified
Excludes: repair of fistula:
bronchoesophageal (33.42)
esophagopleurocutaneous (34.73)
pharyngoesophageal (29.53)
tracheoesophageal (31.73)
42.85 Repair of esophageal stricture
42.86 Production of subcutaneous tunnel without esophageal anastomosis
42.87 Other graft of esophagus
Excludes: antesternal esophageal anastomosis with interposition of:
colon (42.65)
small bowel (42.63)
antesternal esophageal anastomosis with other interposition (42.68)
intrathoracic esophageal anastomosis with interposition of:
colon (42.55)
small bowel (42.53)
intrathoracic esophageal anastomosis with other interposition (42.58)
42.89 Other repair of esophagus
42.9 Other operations on esophagus
42.91 Ligation of esophageal varices
Excludes: that by endoscopic approach (42.33)
42.92 Dilation of esophagus
Dilation of cardiac sphincter
Excludes: intubation of esophagus (96.03, 96.06-96.08)
42.99 Other
Excludes: insertion of Sengstaken tube (96.06)
intubation of esophagus (96.03, 96.06-96.08)
removal of intraluminal foreign body from esophagus without incision (98.02)
tamponade of esophagus (96.06)
43 Incision and excision of stomach
Code also any application or administration of an adhesion barrier substance (99.77)
43.0 Gastrotomy
Excludes: gastrostomy (43.11-43.19)
that for control of hemorrhage (44.49)
43.1 Gastrostomy
43.11 Percutaneous [endoscopic] gastrostomy [PEG]
Percutaneous transabdominal gastrostomy
43.19 Other gastrostomy
Excludes: percutaneous [endoscopic] gastrostomy [PEG] (43.11)
43.3 Pyloromyotomy
43.4 Local excision or destruction of lesion or tissue of stomach
43.41 Endoscopic excision or destruction of lesion or tissue of stomach
Gastric polypectomy by endoscopic approach
Gastric varices by endoscopic approach
Excludes: biopsy of stomach (44.14-44.15)
control of hemorrhage (44.43)
open ligation of gastric varices (44.91)
43.42 Local excision of other lesion or tissue of stomach
Excludes: biopsy of stomach (44.14-44.15)
gastric fistulectomy (44.62-44.63)
partial gastrectomy (43.5-43.89)
43.49 Other destruction of lesion or tissue of stomach
Excludes: that by endoscopic approach (43.41)
43.5 Partial gastrectomy with anastomosis to esophagus
Proximal gastrectomy
43.6 Partial gastrectomy with anastomosis to duodenum
Billroth I operation
Distal gastrectomy
Gastropylorectomy
43.7 Partial gastrectomy with anastomosis to jejunum
Billroth II operation
43.8 Other partial gastrectomy
43.81 Partial gastrectomy with jejunal transposition
Henley jejunal transposition operation
Code also any synchronous intestinal resection (45.51)
43.89 Other
Partial gastrectomy with bypass gastrogastrostomy
Sleeve resection of stomach
43.9 Total gastrectomy
43.91 Total gastrectomy with intestinal interposition
43.99 Other total gastrectomy
Complete gastroduodenectomy
Esophagoduodenostomy with complete gastrectomy
Esophagogastrectomy NOS
Esophagojejunostomy with complete gastrectomy
Radical gastrectomy
44 Other operations on stomach
Code also any application or administration of an adhesion barrier substance (99.77)
44.0 Vagotomy
44.00 Vagotomy, not otherwise specified
Division of vagus nerve NOS
44.01 Truncal vagotomy
44.02 Highly selective vagotomy
Parietal cell vagotomy
Selective proximal vagotomy
44.03 Other selective vagotomy
44.1 Diagnostic procedures on stomach
44.11 Transabdominal gastroscopy
Intraoperative gastroscopy
Excludes: that with biopsy (44.14)
44.12 Gastroscopy through artificial stoma
Excludes: that with biopsy (44.14)
44.13 Other gastroscopy
Excludes: that with biopsy (44.14)
44.14 Closed [endoscopic] biopsy of stomach
Brushing or washing for specimen collection
Excludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16)
44.15 Open biopsy of stomach
44.19 Other diagnostic procedures on stomach
Excludes: gastric lavage (96.33)
microscopic examination of specimen from stomach (90.81-90.89)
upper GI series (87.62)
44.2 Pyloroplasty
44.21 Dilation of pylorus by incision
44.22 Endoscopic dilation of pylorus
Dilation with balloon endoscope
Endoscopic dilation of gastrojejunostomy site
44.29 Other pyloroplasty
Pyloroplasty NOS
Revision of pylorus
44.3 Gastroenterostomy without gastrectomy
44.31 High gastric bypass
Printen and Mason gastric bypass
44.32 Percutaneous [endoscopic] gastrojejunostomy
Bypass:
gastroduodenostomy
PEGJJ
Excludes: percutaneous (endoscopic) feeding jejunostomy (46.32)
44.38 Laparoscopic gastroenterostomy
Bypass: gastroduodenostomy
gastroenterostomy
gastrogastrostomy
Laparoscopic gastrojejunostomy without gastrectomy NEC
Excludes: gastroenterostomy, open approach (44.39)
44.39 Other gastroenterostomy
Bypass:
gastroduodenostomy
gastroenterostomy
gastrogastrostomy
Gastrojejunostomy without gastrectomy NOS
44.4 Control of hemorrhage and suture of ulcer of stomach or duodenum
44.40 Suture of peptic ulcer, not otherwise specified
44.41 Suture of gastric ulcer site
Excludes: ligation of gastric varices (44.91)
44.42 Suture of duodenal ulcer site
44.43 Endoscopic control of gastric or duodenal bleeding
44.44 Transcatheter embolization for gastric or duodenal bleeding
Excludes: surgical occlusion of abdominal vessels (38.86-38.87)
44.49 Other control of hemorrhage of stomach or duodenum
That with gastrotomy
44.5 Revision of gastric anastomosis
Closure of:
gastric anastomosis
gastroduodenostomy
gastrojejunostomy
Pantaloon operation
44.6 Other repair of stomach
44.61 Suture of laceration of stomach
Excludes: that of ulcer site (44.41)
44.62 Closure of gastrostomy
44.63 Closure of other gastric fistula
Closure of:
gastrocolic fistula
gastrojejunocolic fistula
44.64 Gastropexy
44.65 Esophagogastroplasty
Belsey operation
Esophagus and stomach cardioplasty
44.66 Other procedures for creation of esophagogastric sphincteric competence
Fundoplication
Gastric cardioplasty
Nissen's fundoplication
Restoration of cardio-esophageal angle
Excludes: that by laparoscopy (44.67)
44.67 Laparoscopic procedures for creation of esophagogastric sphincteric competence
Fundoplication
Gastric cardioplasty
Nissen's fundoplication
Restoration of cardio-esophageal angle
44.68 Laparoscopic gastroplasty
Banding
Silastic vertical banding
Vertical banded gastroplasty (VBG)
Code also any synchronous laparoscopic gastroenterostomy (44.38)
Excludes: insertion, laparoscopic adjustable gastric band (restrictive procedure) (44.95)
other repair of stomach, open approach (44.61-44.65, 44.69)
44.69 Other
Inversion of gastric diverticulum
Repair of stomach NOS
44.9 Other operations on stomach
44.91 Ligation of gastric varices
Excludes: that by endoscopic approach (43.41)
44.92 Intraoperative manipulation of stomach
Reduction of gastric volvulus
44.93 Insertion of gastric bubble (balloon)
44.94 Removal of gastric bubble (balloon)
44.95 Laparoscopic gastric restrictive procedure
Adjustable gastric band and port insertion
Excludes: laparoscopic gastroplasty (44.68)
other repair of stomach (44.69)
44.96 Laparoscopic revision of gastric restrictive procedure
Revision or replacement of:
adjustable gastric band
subcutaneous gastric port device
44.97 Laparoscopic removal of gastric restrictive device(s)
Removal of either or both:
adjustable gastric band
subcutaneous port device
Excludes: nonoperative removal of gastric restrictive device(s) (97.86)
open removal of gastric restrictive device(s) (44.99)
44.98 (Laparoscopic) adjustment of size of adjustable gastric restrictive device
Infusion of saline for device tightening
Withdrawal of saline for device loosening
Code also any:
abdominal ultrasound (88.76)
abdominal wall fluoroscopy (88.09)
barium swallow (87.61)
44.99 Other
Excludes: change of gastrostomy tube (97.02)
dilation of cardiac sphincter (42.92)
gastric:
cooling (96.31)
freezing (96.32)
gavage (96.35)
hypothermia (96.31)
lavage (96.33)
insertion of nasogastric tube (96.07)
irrigation of gastrostomy (96.36)
irrigation of nasogastric tube (96.34)
removal of:
gastrostomy tube (97.51)
intraluminal foreign body from stomach without incision (98.03)
replacement of:
gastrostomy tube (97.02)
(naso-)gastric tube (97.01)
45 Incision, excision, and anastomosis of intestine
Code also any application or administration of an adhesion barrier substance (99.77)
45.0 Enterotomy
Excludes: duodenocholedochotomy (51.41-51.42, 51.51)
that for destruction of lesion (45.30-45.34)
that of exteriorized intestine (46.14, 46.24, 46.31)
45.00 Incision of intestine, not otherwise specified
45.01 Incision of duodenum
45.02 Other incision of small intestine
45.03 Incision of large intestine
Excludes: proctotomy (48.0)
45.1 Diagnostic procedures on small intestine
Code also any laparotomy (54.11-54.19)
45.11 Transabdominal endoscopy of small intestine
Intraoperative endoscopy of small intestine
Excludes: that with biopsy (45.14)
45.12 Endoscopy of small intestine through artificial stoma
Excludes: that with biopsy (45.14)
45.13 Other endoscopy of small intestine
Esophagogastroduodenoscopy [EGD]
Excludes: that with biopsy (45.14, 45.16)
45.14 Closed [endoscopic] biopsy of small intestine
Brushing or washing for specimen collection
Excludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16)
45.15 Open biopsy of small intestine
45.16 Esophagogastroduodenoscopy [EGD] with closed biopsy
Biopsy of one or more sites involving esophagus, stomach, and/or duodenum
45.19 Other diagnostic procedures on small intestine
Excludes: microscopic examination of specimen from small intestine (90.91-90.99)
radioisotope scan (92.04)
ultrasonography (88.74)
x-ray (87.61-87.69)
45.2 Diagnostic procedures on large intestine
Code also any laparotomy (54.11-54.19)
45.21 Transabdominal endoscopy of large intestine
Intraoperative endoscopy of large intestine
Excludes: that with biopsy (45.25)
45.22 Endoscopy of large intestine through artificial stoma
Excludes: that with biopsy (45.25)
45.23 Colonoscopy
Flexible fiberoptic colonoscopy
Excludes: endoscopy of large intestine through artificial stoma (45.22)
flexible sigmoidoscopy (45.24)
rigid proctosigmoidoscopy (48.23)
transabdominal endoscopy of large intestine (45.21)
45.24 Flexible sigmoidoscopy
Endoscopy of descending colon
Excludes: rigid proctosigmoidoscopy (48.23)
45.25 Closed [endoscopic] biopsy of large intestine
Biopsy, closed, of unspecified intestinal site
Brushing or washing for specimen collection
Colonoscopy with biopsy
Excludes: proctosigmoidoscopy with biopsy (48.24)
45.26 Open biopsy of large intestine
45.27 Intestinal biopsy, site unspecified
45.28 Other diagnostic procedures on large intestine
45.29 Other diagnostic procedures on intestine, site unspecified
Excludes: microscopic examination of specimen (90.91-90.99)
scan and radioisotope function study (92.04)
ultrasonography (88.74)
x-ray (87.61-87.69)
45.3 Local excision or destruction of lesion or tissue of small intestine
45.30 Endoscopic excision or destruction of lesion of duodenum
Excludes: biopsy of duodenum (45.14-45.15)
control of hemorrhage (44.43)
fistulectomy (46.72)
45.31 Other local excision of lesion of duodenum
Excludes: biopsy of duodenum (45.14-45.15)
fistulectomy (46.72)
multiple segmental resection (45.61)
that by endoscopic approach (45.30)
45.32 Other destruction of lesion of duodenum
Excludes: that by endoscopic approach (45.30)
45.33 Local excision of lesion or tissue of small intestine, except duodenum
Excision of redundant mucosa of ileostomy
Excludes: biopsy of small intestine (45.14-45.15)
fistulectomy (46.74)
multiple segmental resection (45.61)
45.34 Other destruction of lesion of small intestine, except duodenum
45.4 Local excision or destruction of lesion or tissue of large intestine
45.41 Excision of lesion or tissue of large intestine
Excision of redundant mucosa of colostomy
Excludes: biopsy of large intestine (45.25-45.27)
endoscopic polypectomy of large intestine (45.42)
fistulectomy (46.76)
multiple segmental resection (17.31, 45.71)
that by endoscopic approach (45.42-45.43)
45.42 Endoscopic polypectomy of large intestine
Excludes: that by open approach (45.41)
45.43 Endoscopic destruction of other lesion or tissue of large intestine
Endoscopic ablation of tumor of large intestine
Endoscopic control of colonic bleeding
Excludes: endoscopic polypectomy of large intestine (45.42)
45.49 Other destruction of lesion of large intestine
Excludes: that by endoscopic approach (45.43)
45.5 Isolation of intestinal segment
Code also any synchronous:
anastomosis other than end-to-end (45.90-45.94)
enterostomy (46.10-46.39)
45.50 Isolation of intestinal segment, not otherwise specified
Isolation of intestinal pedicle flap
Reversal of intestinal segment
45.51 Isolation of segment of small intestine
Isolation of ileal loop
Resection of small intestine for interposition
45.52 Isolation of segment of large intestine
Resection of colon for interposition
45.6 Other excision of small intestine
Code also any synchronous:
anastomosis other than end-to-end (45.90-45.93, 45.95)
colostomy (46.10-46.13)
enterostomy (46.10-46.39)
Excludes: cecectomy (17.32, 45.72)
enterocolectomy (17.39, 45.79)
gastroduodenectomy (43.6-43.99)
ileocolectomy (17.33, 45.73)
pancreatoduodenectomy (52.51-52.7)
45.61 Multiple segmental resection of small intestine
Segmental resection for multiple traumatic lesions of small intestine
45.62 Other partial resection of small intestine
Duodenectomy
Ileectomy
Jejunectomy
Excludes: duodenectomy with synchronous pancreatectomy (52.51-52.7)
resection of cecum and terminal ileum (17.32, 45.72)
45.63 Total removal of small intestine
45.7 Open and other partial excision of large intestine
Code also any synchronous:
anastomosis other than end-to-end (45.92-45.94)
enterostomy (46.10-46.39)
Excludes: laparoscopic partial excision of large intestine (17.31- 17.39)
45.71 Open and other multiple segmental resection of large intestine
Segmental resection for multiple traumatic lesions of large intestine
45.72 Open and other cecectomy
Resection of cecum and terminal ileum
45.73 Open and other right hemicolectomy
Ileocolectomy
Right radical colectomy
45.74 Open and other resection of transverse colon
45.75 Open and other left hemicolectomy
Excludes: proctosigmoidectomy (48.41-48.69)
second stage Mikulicz operation (46.04)
45.76 Open and other sigmoidectomy
45.79 Other and unspecified partial excision of large intestine
Enterocolectomy NEC
45.8 Total intra-abdominal colectomy
Excision of cecum, colon, and sigmoid
Excludes: coloproctectomy (48.41-48.69)
45.81 Laparoscopic total intra-abdominal colectomy
45.82 Open total intra-abdominal colectomy
45.83 Other and unspecified total intra-abdominal colectomy
45.9 Intestinal anastomosis
Code also any synchronous resection (45.31-45.8, 48.41-48.69)
Excludes: end-to-end anastomosis -- omit code
45.90 Intestinal anastomosis, not otherwise specified
45.91 Small-to-small intestinal anastomosis
45.92 Anastomosis of small intestine to rectal stump
Hampton procedure
45.93 Other small-to-large intestinal anastomosis
45.94 Large-to-large intestinal anastomosis
Excludes: rectorectostomy (48.74)
45.95 Anastomosis to anus
Formation of endorectal ileal pouch (H- pouch) (J-pouch) (S-pouch) with anastomosis of small intestine to anus
46 Other operations on intestine
Code also any application or administration of an adhesion barrier substance (99.77)
46.0 Exteriorization of intestine
Includes: loop enterostomy
multiple stage resection of intestine
46.01 Exteriorization of small intestine
Loop ileostomy
46.02 Resection of exteriorized segment of small intestine
46.03 Exteriorization of large intestine
Exteriorization of intestine NOS
First stage Mikulicz exteriorization of intestine
Loop colostomy
46.04 Resection of exteriorized segment of large intestine
Resection of exteriorized segment of intestine NOS
Second stage Mikulicz operation
46.1 Colostomy
Code also any synchronous resection (45.49, 45.71-45.79, 45.8)
Excludes: loop colostomy (46.03)
that with abdominoperineal resection of rectum (48.5)
that with synchronous anterior rectal resection (48.62)
46.10 Colostomy, not otherwise specified
46.11 Temporary colostomy
46.13 Permanent colostomy
46.14 Delayed opening of colostomy
46.2 Ileostomy
Code also any synchronous resection (45.34, 45.61-45.63)
Excludes: loop ileostomy (46.01)
46.20 Ileostomy, not otherwise specified
46.21 Temporary ileostomy
46.22 Continent ileostomy
46.23 Other permanent ileostomy
46.24 Delayed opening of ileostomy
46.3 Other enterostomy
Code also any synchronous resection (45.61-45.8)
46.31 Delayed opening of other enterostomy
46.32 Percutaneous (endoscopic) jejunostomy [PEJ]
Endoscopic conversion of gastrostomy to jejunostomy
Percutaneous (endoscopic) feeding enterostomy
Excludes: percutaneous [endoscopic] gastrojejunostomy (bypass) (44.32)
46.39 Other
Duodenostomy
Feeding enterostomy
46.4 Revision of intestinal stoma
46.40 Revision of intestinal stoma, not otherwise specified
Plastic enlargement of intestinal stoma
Reconstruction of stoma of intestine
Release of scar tissue of intestinal stoma
Excludes: excision of redundant mucosa (45.41)
46.41 Revision of stoma of small intestine
Excludes: excision of redundant mucosa (45.33)
46.42 Repair of pericolostomy hernia
46.43 Other revision of stoma of large intestine
Excludes: excision of redundant mucosa (45.41)
46.5 Closure of intestinal stoma
Code also any synchronous resection (45.34, 45.49, 45.61-45.8)
46.50 Closure of intestinal stoma, not otherwise specified
46.51 Closure of stoma of small intestine
46.52 Closure of stoma of large intestine
Closure or take-down of:
cecostomy
colostomy
sigmoidostomy
46.6 Fixation of intestine
46.60 Fixation of intestine, not otherwise specified
Fixation of intestine to abdominal wall
46.61 Fixation of small intestine to abdominal wall
Ileopexy
46.62 Other fixation of small intestine
Noble plication of small intestine
Plication of jejunum
46.63 Fixation of large intestine to abdominal wall
Cecocoloplicopexy
Sigmoidopexy (Moschowitz)
46.64 Other fixation of large intestine
Cecofixation
Colofixation
46.7 Other repair of intestine
Excludes: closure of:
ulcer of duodenum (44.42)
vesicoenteric fistula (57.83)
46.71 Suture of laceration of duodenum
46.72 Closure of fistula of duodenum
46.73 Suture of laceration of small intestine, except duodenum
46.74 Closure of fistula of small intestine, except duodenum
Excludes: closure of:
artificial stoma (46.51)
vaginal fistula (70.74)
repair of gastrojejunocolic fistula (44.63)
46.75 Suture of laceration of large intestine
46.76 Closure of fistula of large intestine
Excludes: closure of:
gastrocolic fistula (44.63)
rectal fistula (48.73)
sigmoidovesical fistula (57.83)
stoma (46.52)
vaginal fistula (70.72-70.73)
vesicocolic fistula (57.83)
vesicosigmoidovaginal fistula (57.83)
46.79 Other repair of intestine
Duodenoplasty
46.8 Dilation and manipulation of intestine
46.80 Intra-abdominal manipulation of intestine, not otherwise specified
Correction of intestinal malrotation
Reduction of:
intestinal torsion
intestinal volvulus
intussusception
Excludes: reduction of intussusception with:
fluoroscopy (96.29)
ionizing radiation enema (96.29)
ultrasonography guidance (96.29)
46.81 Intra-abdominal manipulation of small intestine
46.82 Intra-abdominal manipulation of large intestine
46.85 Dilation of intestine
Dilation (balloon) of duodenum
Dilation (balloon) of jejunum
Endoscopic dilation (balloon) of large intestine
That through rectum or colostomy
Excludes: with insertion of colonic stent (46.86-46.87)
46.86 Endoscopic insertion of colonic stent(s)
Colonoscopy (flexible) (through stoma) with transendoscopic stent placement
Combined with fluoroscopic-guided insertion
Stent endoprosthesis of colon
Through the scope [TTS] technique
Excludes: other non-endoscopic insertion of colonic stent (46.87)
46.87 Other insertion of colonic stent(s)
Includes: that by:
fluoroscopic guidance only
rectal guiding tube
Non-endoscopic insertion
Code also any synchronous diagnostic procedure(s)
Excludes: endoscopic insertion of colonic stent (46.86)
46.9 Other operations on intestines
46.91 Myotomy of sigmoid colon
46.92 Myotomy of other parts of colon
46.93 Revision of anastomosis of small intestine
46.94 Revision of anastomosis of large intestine
46.95 Local perfusion of small intestine
Code also substance perfused (99.21-99.29)
46.96 Local perfusion of large intestine
Code also substance perfused (99.21-99.29)
46.97 Transplant of intestine
Note: To report donor source - see codes 00.91-00.93
46.99 Other
Ileoentectropy
Excludes: diagnostic procedures on intestine (45.11-45.29)
dilation of enterostomy stoma (96.24)
intestinal intubation (96.08)
removal of:
intraluminal foreign body from large intestine without incision (98.04)
intraluminal foreign body from small intestine without incision (98.03)
tube from large intestine (97.53)
tube from small intestine (97.52)
replacement of:
large intestine tube or enterostomy device (97.04)
small intestine tube or enterostomy device (97.03)
47 Operations on appendix
Includes: appendiceal stump
Code also any application or administration of an adhesion barrier substance (99.77)
47.0 Appendectomy
Excludes: incidental appendectomy, so described
laparoscopic (47.11)
other (47.19)
47.01 Laparoscopic appendectomy
47.09 Other appendectomy
47.1 Incidental appendectomy
47.11 Laparoscopic incidental appendectomy
47.19 Other incidental appendectomy
47.2 Drainage of appendiceal abscess
Excludes: that with appendectomy (47.0)
47.9 Other operations on appendix
47.91 Appendicostomy
47.92 Closure of appendiceal fistula
47.99 Other
Anastomosis of appendix
Excludes: diagnostic procedures on appendix (45.21-45.29)
48 Operations on rectum, rectosigmoid and perirectal tissue
Code also any application or administration of an adhesion barrier substance (99.77)
48.0 Proctotomy
Decompression of imperforate anus
Panas' operation [linear proctotomy]
Excludes: incision of perirectal tissue (48.81)
48.1 Proctostomy
48.2 Diagnostic procedures on rectum, rectosigmoid and perirectal tissue
48.21 Transabdominal proctosigmoidoscopy
Intraoperative proctosigmoidoscopy
Excludes: that with biopsy (48.24)
48.22 Proctosigmoidoscopy through artificial stoma
Excludes: that with biopsy (48.24)
48.23 Rigid proctosigmoidoscopy
Excludes: flexible sigmoidoscopy (45.24)
48.24 Closed [endoscopic] biopsy of rectum
Brushing or washing for specimen collection
Proctosigmoidoscopy with biopsy
48.25 Open biopsy of rectum
48.26 Biopsy of perirectal tissue
48.29 Other diagnostic procedures on rectum, rectosigmoid and perirectal tissue
Excludes: digital examination of rectum (89.34)
lower GI series (87.64)
microscopic examination of specimen from rectum (90.91-90.99)
48.3 Local excision or destruction of lesion or tissue of rectum
48.31 Radical electrocoagulation of rectal lesion or tissue
48.32 Other electrocoagulation of rectal lesion or tissue
48.33 Destruction of rectal lesion or tissue by laser
48.34 Destruction of rectal lesion or tissue by cryosurgery
48.35 Local excision of rectal lesion or tissue
Excludes: biopsy of rectum (48.24-48.25)
excision of perirectal tissue (48.82)
hemorrhoidectomy (49.46)
[endoscopic] polypectomy of rectum (48.36)
rectal fistulectomy (48.73)
48.36 [Endoscopic] polypectomy of rectum
48.4 Pull-through resection of rectum
Code also any synchronous anastomosis other than end-to-end (45.90, 45.92-45.95)
48.40 Pull-through resection of rectum, not otherwise specified
Pull-through resection NOS
Excludes: abdominoperineal pull-through NOS (48.50)
48.41 Soave submucosal resection of rectum
Endorectal pull-through operation
48.42 Laparoscopic pull-through resection of rectum
48.43 Open pull-through resection of rectum
48.49 Other pull-through resection of rectum
Abdominoperineal pull-through
Altemeier operation
Swenson proctectomy
Excludes: Duhamel abdominoperineal pull through (48.65)
laparoscopic pull-through resection of rectum (48.42)
open pull-through resection of rectum (48.43)
pull-through resection of rectum, not otherwise specified (48.40)
48.5 Abdominoperineal resection of rectum
Includes: with synchronous colostomy
Combined abdominoendorectal resection
Complete proctectomy
Code also any synchronous anastomosis other than end-to-end (45.90, 45.92-45.95)
Excludes: Duhamel abdominoperineal pull-through (48.65)
that as part of pelvic exenteration (68.8)
48.50 Abdominoperineal resection of the rectum, not otherwise specified
48.51 Laparoscopic abdominoperineal resection of the rectum
48.52 Open abdominoperineal resection of the rectum
48.59 Other abdominoperineal resection of the rectum
Excludes: abdominoperineal resection of the rectum, NOS (48.50)
laparoscopic abdominoperineal resection of the rectum (48.51)
open abdominoperineal resection of the rectum (48.52)
48.6 Other resection of rectum
Code also any synchronous anastomosis other than end-to-end (45.90, 45.92-45.95)
48.61 Transsacral rectosigmoidectomy
48.62 Anterior resection of rectum with synchronous colostomy
48.63 Other anterior resection of rectum
Excludes: that with synchronous colostomy (48.62)
48.64 Posterior resection of rectum
48.65 Duhamel resection of rectum
Duhamel abdominoperineal pull-through
48.69 Other
Partial proctectomy
Rectal resection NOS
48.7 Repair of rectum
Excludes: repair of:
current obstetric laceration (75.62)
vaginal rectocele (70.50, 70.52, 70.53, 70.55)
48.71 Suture of laceration of rectum
48.72 Closure of proctostomy
48.73 Closure of other rectal fistula
Excludes: fistulectomy:
perirectal (48.93)
rectourethral (58.43)
rectovaginal (70.73)
rectovesical (57.83)
rectovesicovaginal (57.83)
48.74 Rectorectostomy
Rectal anastomosis NOS
Stapled transanal rectal resection (STARR)
48.75 Abdominal proctopexy
Frickman procedure
Ripstein repair of rectal prolapse
48.76 Other proctopexy
Delorme repair of prolapsed rectum
Proctosigmoidopexy
Puborectalis sling operation
Excludes: manual reduction of rectal prolapse (96.26)
48.79 Other repair of rectum
Repair of old obstetric laceration of rectum
Excludes: anastomosis to:
large intestine (45.94)
small intestine (45.92-45.93)
repair of:
current obstetrica laceration (75.62)
vaginal rectocele (70.50, 70.52)
48.8 Incision or excision of perirectal tissue or lesion
Includes: pelvirectal tissue
rectovaginal septum
48.81 Incision of perirectal tissue
Incision of rectovaginal septum
48.82 Excision of perirectal tissue
Excludes: perirectal biopsy (48.26)
perirectofistulectomy (48.93)
rectal fistulectomy (48.73)
48.9 Other operations on rectum and perirectal tissue
48.91 Incision of rectal stricture
48.92 Anorectal myectomy
48.93 Repair of perirectal fistula
Excludes: that opening into rectum (48.73)
48.99 Other
Excludes: digital examination of rectum (89.34)
dilation of rectum (96.22)
insertion of rectal tube (96.09)
irrigation of rectum (96.38-96.39)
manual reduction of rectal prolapse (96.26)
proctoclysis (96.37)
rectal massage (99.93)
rectal packing (96.19)
removal of:
impacted feces (96.38)
intraluminal foreign body from rectum without incision (98.05)
rectal packing (97.59)
transanal enema (96.39)
49 Operations on anus
Code also any application or administration of an adhesion barrier substance (99.77)
49.0 Incision or excision of perianal tissue
49.01 Incision of perianal abscess
49.02 Other incision of perianal tissue
Undercutting of perianal tissue
Excludes: anal fistulotomy (49.11)
49.03 Excision of perianal skin tags
49.04 Other excision of perianal tissue
Excludes: anal fistulectomy (49.12)
biopsy of perianal tissu (49.22)
49.1 Incision or excision of anal fistula
Excludes: closure of anal fistula (49.73)
49.11 Anal fistulotomy
49.12 Anal fistulectomy
49.2 Diagnostic procedures on anus and perianal tissue
49.21 Anoscopy
49.22 Biopsy of perianal tissue
49.23 Biopsy of anus
49.29 Other diagnostic procedures on anus and perianal tissue
Excludes: microscopic examination of specimen from anus (90.91-90.99)
49.3 Local excision or destruction of other lesion or tissue of anus
Anal cryptotomy
Cauterization of lesion of anus
Excludes: biopsy of anus (49.23)
control of (postoperative) hemorrhage of anus (49.95)
hemorrhoidectomy (49.46)
49.31 Endoscopic excision or destruction of lesion or tissue of anus
49.39 Other local excision or destruction of lesion or tissue of anus
Excludes: that by endoscopic approach (49.31)
49.4 Procedures on hemorrhoids
49.41 Reduction of hemorrhoids
49.42 Injection of hemorrhoids
49.43 Cauterization of hemorrhoids
Clamp and cautery of hemorrhoids
49.44 Destruction of hemorrhoids by cryotherapy
49.45 Ligation of hemorrhoids
49.46 Excision of hemorrhoids
Hemorrhoidectomy NOS
49.47 Evacuation of thrombosed hemorrhoids
49.49 Other procedures on hemorrhoids
Lord procedure
49.5 Division of anal sphincter
49.51 Left lateral anal sphincterotomy
49.52 Posterior anal sphincterotomy
49.59 Other anal sphincterotomy
Division of sphincter NOS
49.6 Excision of anus
49.7 Repair of anus
Excludes: repair of current obstetric laceration (75.62)
49.71 Suture of laceration of anus
49.72 Anal cerclage
49.73 Closure of anal fistula
Excludes: excision of anal fistula (49.12)
49.74 Gracilis muscle transplant for anal incontinence
49.75 Implantation or revision of artificial anal sphincter
Removal with subsequent replacement
Replacement during same or subsequent operative episode
49.76 Removal of artificial anal sphincter
Explantation or removal without replacement
Excludes: revision with implantation during same operative episode (49.75)
49.79 Other repair of anal sphincter
Repair of old obstetric laceration of anus
Excludes: anoplasty with synchronous hemorrhoidectomy (49.46)
repair of current obstetric laceration (75.62)
49.9 Other operations on anus
Excludes: dilation of anus (sphincter) (96.23)
49.91 Incision of anal septum
49.92 Insertion of subcutaneous electrical anal stimulator
49.93 Other incision of anus
Removal of:
foreign body from anus with incision
seton from anus
Excludes: anal fistulotomy (49.11)
removal of intraluminal foreign body without incision (98.05)
49.94 Reduction of anal prolapse
Excludes: manual reduction of rectal prolapse (96.26)
49.95 Control of (postoperative) hemorrhage of anus
49.99 Other
50 Operations on liver
Code also any application or administration of an adhesion barrier substance (99.77)
50.0 Hepatotomy
Incision of abscess of liver
Removal of gallstones from liver
Stromeyer-Little operation
50.1 Diagnostic procedures on liver
50.11 Closed (percutaneous) [needle] biopsy of liver
Diagnostic aspiration of liver
50.12 Open biopsy of liver
Wedge biopsy
50.13 Transjugular liver biopsy
Transvenous liver biopsy
Excludes: closed (percutaneous) [needle] biopsy of liver (50.11)
laparoscopic liver biopsy (50.14)
50.14 Laparoscopic liver biopsy
Excludes: closed (percutaneous) [needle] biopsy of liver (50.11)
open biopsy of liver (50.12)
transjugular liver biopsy (50.13)
50.19 Other diagnostic procedures on liver
Excludes: laparoscopic liver biopsy (50.14)
liver scan and radioisotope function study (92.02)
microscopic examination of specimen from liver (91.01-91.09)
transjugular liver biopsy (50.13)
50.2 Local excision or destruction of liver tissue or lesion
50.21 Marsupialization of lesion of liver
50.22 Partial hepatectomy
Wedge resection of liver
Excludes: biopsy of liver (50.11-50.12)
hepatic lobectomy (50.3)
50.23 Open ablation of liver lesion or tissue
50.24 Percutaneous ablation of liver lesion or tissue
50.25 Laparoscopic ablation of liver lesion or tissue
50.26 Other and unspecified ablation of liver lesion or tissue
50.29 Other destruction of lesion of liver
Cauterization of hepatic lesion
Enucleation of hepatic lesion
Evacuation of hepatic lesion
Excludes: ablation of liver lesion or tissue
laparoscopic (50.25)
open (50.23)
other (50.26)
percutaneous (50.24)
percutaneous aspiration of lesion (50.91)
laser interstitial thermal therapy [LITT] of lesion or tissue of liver under guidance (17.63)
50.3 Lobectomy of liver
Total hepatic lobectomy with partial excision of other lobe
50.4 Total hepatectomy
50.5 Liver transplant
Note: To report donor source - see codes 00.91-00.93
50.51 Auxiliary liver transplant
Auxiliary hepatic transplantation leaving patient's own liver in situ
50.59 Other transplant of liver
50.6 Repair of liver
50.61 Closure of laceration of liver
50.69 Other repair of liver
Hepatopexy
50.9 Other operations on liver
Excludes: lysis of adhesions (54.5)
50.91 Percutaneous aspiration of liver
Excludes: percutaneous biopsy (50.11)
50.92 Extracorporeal hepatic assistance
Liver dialysis
50.93 Localized perfusion of liver
50.94 Other injection of therapeutic substance into liver
50.99 Other
51 Operations on gallbladder and biliary tract
Includes: operations on:
ampulla of Vater
common bile duct
cystic duct
hepatic duct
intrahepatic bile duct
sphincter of Oddi
Code also any application or administration of an adhesion barrier substance (99.77)
51.0 Cholecystotomy and cholecystostomy
51.01 Percutaneous aspiration of gallbladder
Percutaneous cholecystotomy for drainage
That by: needle or catheter
Excludes: needle biopsy (51.12)
51.02 Trocar cholecystostomy
51.03 Other cholecystostomy
51.04 Other cholecystotomy
Cholelithotomy NOS
51.1 Diagnostic procedures on biliary tract
Excludes: that for endoscopic procedures classifiable to 51.64, 51.84-51.88, 52.14, 52.21, 52.93-52.94, 52.97-52.98
51.10 Endoscopic retrograde cholangiopancreatography [ERCP]
Excludes: endoscopic retrograde:
cholangiography [ERC] (51.11)
pancreatography [ERP] (52.13)
51.11 Endoscopic retrograde cholangiography [ERC]
Laparoscopic exploration of common bile duct
Excludes: endoscopic retrograde:
cholangiopancreatography [ERCP] (51.10)
pancreatography [ERP] (52.13)
51.12 Percutaneous biopsy of gallbladder or bile ducts
Needle biopsy of gallbladder
51.13 Open biopsy of gallbladder or bile ducts
51.14 Other closed [endoscopic] biopsy of biliary duct or sphincter of Oddi
Brushing or washing for specimen collection
Closed biopsy of biliary duct or sphincter of Oddi by procedures classifiable to 51.10-51.11, 52.13
51.15 Pressure measurement of sphincter of Oddi
Pressure measurement of sphincter by procedures classifiable to 51.10-51.11, 52.13
51.19 Other diagnostic procedures on biliary tract
Excludes: biliary tract x-ray (87.51-87.59)
microscopic examination of specimen from biliary tract (91.01-91.09)
51.2 Cholecystectomy
51.21 Other partial cholecystectomy
Revision of prior cholecystectomy
Excludes: that by laparoscope (51.24)
51.22 Cholecystectomy
Excludes: laparoscopic cholecystectomy (51.23)
51.23 Laparoscopic cholecystectomy
That by laser
51.24 Laparoscopic partial cholecystectomy
51.3 Anastomosis of gallbladder or bile duct
Excludes: resection with end-to-end anastomosis (51.61-51.69)
51.31 Anastomosis of gallbladder to hepatic ducts
51.32 Anastomosis of gallbladder to intestine
51.33 Anastomosis of gallbladder to pancreas
51.34 Anastomosis of gallbladder to stomach
51.35 Other gallbladder anastomosis
Gallbladder anastomosis NOS
51.36 Choledochoenterostomy
51.37 Anastomosis of hepatic duct to gastrointestinal tract
Kasai portoenterostomy
51.39 Other bile duct anastomosis
Anastomosis of bile duct NOS
Anastomosis of unspecified bile duct to:
intestine
liver
pancreas
stomach
51.4 Incision of bile duct for relief of obstruction
51.41 Common duct exploration for removal of calculus
Excludes: percutaneous extraction (51.96)
51.42 Common duct exploration for relief of other obstruction
51.43 Insertion of choledochohepatic tube for decompression
Hepatocholedochostomy
51.49 Incision of other bile ducts for relief of obstruction
51.5 Other incision of bile duct
Excludes:that for relief of obstruction (51.41-51.49)
51.51 Exploration of common duct
Incision of common bile duct
51.59 Incision of other bile duct
51.6 Local excision or destruction of lesion or tissue of biliary ducts and sphincter of Oddi
Code also anastomosis other than end-to-end (51.31,51.36-51.39)
Excludes:biopsy of bile duct (51.12-51.13)
51.61 Excision of cystic duct remnant
51.62 Excision of ampulla of Vater (with reimplantation of common duct)
51.63 Other excision of common duct
Choledochectomy
Excludes: fistulectomy (51.72)
51.64 Endoscopic excision or destruction of lesion of biliary ducts or sphincter of Oddi
Excision or destruction of lesion of biliary duct by procedures classifiable to 51.10-51.11, 52.13
51.69 Excision of other bile duct
Excision of lesion of bile duct NOS
Excludes: fistulectomy (51.79)
51.7 Repair of bile ducts
51.71 Simple suture of common bile duct
51.72 Choledochoplasty
Repair of fistula of common bile duct
51.79 Repair of other bile ducts
Closure of artificial opening of bile duct
NOS
Suture of bile duct NOS
Excludes: operative removal of prosthetic device (51.95)
51.8 Other operations on biliary ducts and sphincter of Oddi
51.81 Dilation of sphincter of Oddi
Dilation of ampulla of Vater
Excludes: that by endoscopic approach (51.84)
51.82 Pancreatic sphincterotomy
Incision of pancreatic sphincter
Transduodenal ampullary sphincterotomy
Excludes: that by endoscopic approach (51.85)
51.83 Pancreatic sphincteroplasty
51.84 Endoscopic dilation of ampulla and biliary duct
Dilation of ampulla and biliary duct by procedures classifiable to 51.10-51.11, 52.13
51.85 Endoscopic sphincterotomy and papillotomy
Sphincterotomy and papillotomy by procedures classifiable to 51.10-51.11, 52.13
51.86 Endoscopic insertion of nasobiliary drainage tube
Insertion of nasobiliary tube by procedures classifiable to 51.10-51.11, 52.13
51.87 Endoscopic insertion of stent (tube) into bile duct
Endoprosthesis of bile duct
Insertion of stent into bile duct by procedures classifiable to 51.10-51.11, 52.13
Excludes: nasobiliary drainage tub (51.86)
replacement of stent (tube) (97.05)
51.88 Endoscopic removal of stone(s) from biliary tract
Laparoscopic removal of stone(s) from biliary tract
Removal of biliary tract stone(s) by procedures classifiable to 51.10-51.11, 52.13
Excludes: percutaneous extraction of common duct stones (51.96)
51.89 Other operations on sphincter of Oddi
51.9 Other operations on biliary tract
51.91 Repair of laceration of gallbladder
51.92 Closure of cholecystostomy
51.93 Closure of other biliary fistula
Cholecystogastroenteric fistulectomy
51.94 Revision of anastomosis of biliary tract
51.95 Removal of prosthetic device from bile duct
Excludes: nonoperative removal (97.55)
51.96 Percutaneous extraction of common duct stones
51.98 Other percutaneous procedures on biliary tract
Percutaneous biliary endoscopy via existing T-tube or other tract for:
dilation of biliary duct stricture
removal of stone(s) except common duct stone
exploration (postoperative)
Percutaneous transhepatic biliary drainage
Excludes: percutaneous aspiration of gallbladder (51.01)
percutaneous biopsy and/or collection of specimen by brushing or washing (51.12)
percutaneous removal of common duct stone(s) (51.96)
51.99 Other
Insertion or replacement of biliary tract prosthesis
Excludes: biopsy of gallbladder (51.12-51.13)
irrigation of cholecystostomy and other biliary tube (96.41)
lysis of peritoneal adhesions (54.5)
nonoperative removal of:
cholecystostomy tube (97.54)
tube from biliary tract or liver (97.55)
52 Operations on pancreas
Includes: operations on pancreatic duct
Code also any application or administration of an adhesion barrier substance (99.77)
52.0 Pancreatotomy
52.01 Drainage of pancreatic cyst by catheter
52.09 Other pancreatotomy
Pancreatolithotomy
Excludes: drainage by anastomosis (52.4, 52.96)
incision of pancreatic sphincte (51.82)
marsupialization of cyst (52.3)
52.1 Diagnostic procedures on pancreas
52.11 Closed [aspiration] [needle] [percutaneous] biopsy of pancreas
52.12 Open biopsy of pancreas
52.13 Endoscopic retrograde pancreatography [ERP]
Excludes: endoscopic retrograde:
cholangiography [ERC] (51.11)
cholangiopancreatography [ERCP] (51.10)
that for procedures classifiabl to 51.14-51.15, 51.64, 51.84-51.88, 52.14, 52.21, 52.92-52.94, 52.97-52.98
52.14 Closed [endoscopic] biopsy of pancreatic duct
Closed biopsy of pancreatic duct by procedures classifiable to 51.10-51.11, 52.13
52.19 Other diagnostic procedures on pancreas
Excludes: contrast pancreatogram (87.66)
endoscopic retrograde pancreatography [ERP] (52.13)
microscopic examination of specimen from pancreas (91.01-91.09)
52.2 Local excision or destruction of pancreas and pancreatic duct
Excludes: biopsy of pancreas (52.11-52.12, 52.14)
pancreatic fistulectomy (52.95)
52.21 Endoscopic excision or destruction of lesion or tissue of pancreatic duct
Excision or destruction of lesion or tissue of pancreatic duct by procedures classifiable to 51.10-51.11, 52.13
52.22 Other excision or destruction of lesion or tissue of pancreas or pancreatic duct
52.3 Marsupialization of pancreatic cyst
Excludes: drainage of cyst by catheter (52.01)
52.4 Internal drainage of pancreatic cyst
Pancreaticocystoduodenostomy
Pancreaticocystogastrostomy
Pancreaticocystojejunostomy
52.5 Partial pancreatectomy
Excludes: pancreatic fistulectomy (52.95)
52.51 Proximal pancreatectomy
Excision of head of pancreas (with part of body)
Proximal pancreatectomy with synchronous duodenectomy
52.52 Distal pancreatectomy
Excision of tail of pancreas (with part of body)
52.53 Radical subtotal pancreatectomy
52.59 Other partial pancreatectomy
52.6 Total pancreatectomy
Pancreatectomy with synchronous duodenectomy
52.7 Radical pancreaticoduodenectomy
One-stage pancreaticoduodenal resection with choledochojejunal anastomosis, pancreaticojejunal anastomosis, and gastrojejunostomy
Two-stage pancreaticoduodenal resection (first stage) (second stage)
Radical resection of the pancreas
Whipple procedure
Excludes: radical subtotal pancreatectomy (52.53)
52.8 Transplant of pancreas
Note: To report donor source - see codes 00.91-00.93
52.80 Pancreatic transplant, not otherwise specified
52.81 Reimplantation of pancreatic tissue
52.82 Homotransplant of pancreas
52.83 Heterotransplant of pancreas
52.84 Autotransplantation of cells of Islets of Langerhans
Homotransplantation of islet cells of pancreas
52.85 Allotransplantation of cells of Islets of Langerhans
Heterotransplantation of islet cells of pancreas
52.86 Transplantation of cells of Islets of Langerhans, not otherwise specified
52.9 Other operations on pancreas
52.92 Cannulation of pancreatic duct
Excludes: that by endoscopic approach (52.93)
52.93 Endoscopic insertion of stent (tube) into pancreatic duct
Insertion of cannula or stent into pancreatic duct by procedures classifiable to 51.10-51.11, 52.13
Excludes: endoscopic insertion of nasopancreatic drainage tube (52.97)
replacement of stent (tube) (97.05)
52.94 Endoscopic removal of stone(s) from pancreatic duct
Removal of stone(s) from pancreatic duct by procedures classifiable to 51.10-51.11, 52.13
52.95 Other repair of pancreas
Fistulectomy of pancreas
Simple suture of pancreas
52.96 Anastomosis of pancreas
Anastomosis of pancreas (duct) to:
intestine
jejunum
stomach
Excludes: anastomosis to:
bile duct (51.39)
gallbladder (51.33)
52.97 Endoscopic insertion of nasopancreatic drainage tube
Insertion of nasopancreatic drainage tube by procedures classifiable to 51.10-51.11, 52.13
Excludes: drainage of pancreatic cyst by catheter (52.01)
replacement of stent (tube) (97.05)
52.98 Endoscopic dilation of pancreatic duct
Dilation of Wirsung's duct by procedures classifiable to 51.10-51.11, 52.13
52.99 Other
Dilation of pancreatic [Wirsung's] duct by open approach
Repair of pancreatic [Wirsung's] duct by open approach
Excludes: irrigation of pancreatic tube (96.42)
removal of pancreatic tub (97.56)
53 Repair of hernia
Includes: hernioplasty
herniorrhaphy
Code also any application or administration of an adhesion barrier substance (99.77)
Excludes: manual reduction of hernia (96.27)
53.0 Other unilateral repair of inguinal hernia
Excludes: laparoscopic unilateral repair of inguinal hernia (17.11-17.13)
53.00 Unilateral repair of inguinal hernia, not otherwise specified
Inguinal herniorrhaphy NOS
53.01 Other and open repair of direct inguinal hernia
Direct and indirect inguinal hernia
53.02 Other and open repair of indirect inguinal hernia
53.03 Other and open repair of direct inguinal hernia with graft or prosthesis
53.04 Other and open repair of indirect inguinal hernia with graft or prosthesis
53.05 Repair of inguinal hernia with graft or prosthesis, not otherwise specified
53.1 Other bilateral repair of inguinal hernia
Excludes: laparoscopic bilateral repair of inguinal hernia (17.21-17.24)
53.10 Bilateral repair of inguinal hernia, not otherwise specified
53.11 Other and open bilateral repair of direct inguinal hernia
53.12 Other and open bilateral repair of indirect inguinal hernia
53.13 Other and open bilateral repair of inguinal hernia, one direct and one indirect
53.14 Other and open bilateral repair of direct inguinal hernia with graft or prosthesis
53.15 Other and open bilateral repair of indirect inguinal hernia with graft or prosthesis
53.16 Other and open bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis
53.17 Bilateral inguinal hernia repair with graft or prosthesis, not otherwise specified
53.2 Unilateral repair of femoral hernia
53.21 Unilateral repair of femoral hernia with graft or prosthesis
53.29 Other unilateral femoral herniorrhaphy
53.3 Bilateral repair of femoral hernia
53.31 Bilateral repair of femoral hernia with graft or prosthesis
53.39 Other bilateral femoral herniorrhaphy
53.4 Repair of umbilical hernia
Excludes: repair of gastroschisis (54.71)
53.41 Other and open repair of umbilical hernia with graft or prosthesis
53.42 Laparoscopic repair of umbilical hernia with graft or prosthesis
53.43 Other laparoscopic umbilical herniorrhaphy
53.49 Other open umbilical herniorrhaphy
Excludes: other laparoscopic umbilical herniorrhaphy (53.43)
repair of umbilical hernia with graft or prosthesis (53.41, 53.42)
53.5 Repair of other hernia of anterior abdominal wall (without graft or prosthesis)
53.51 Incisional hernia repair
53.59 Repair of other hernia of anterior abdominal wall
Repair of hernia:
epigastric
hypogastric
spigelian
ventral
53.6 Repair of other hernia of anterior abdominal wall with graft or prosthesis
53.61 Other open incisional hernia repair with graft or prosthesis
Excludes: laparoscopic incisional hernia repair with graft or prosthesis (53.62)
53.62 Laparoscopic incisional hernia repair with graft or prosthesis
53.63 Other laparoscopic repair of other hernia of anterior abdominal wall with graft or prosthesis
53.69 Other and open repair of other hernia of anterior abdominal wall with graft or prosthesis
Excludes: other laparoscopic repair of other hernia of anterior abdominal wall with graft or prosthesis (53.63)
53.7 Repair of diaphragmatic hernia, abdominal approach
53.71 Laparoscopic repair of diaphragmatic hernia, abdominal approach
53.72 Other and open repair of diaphragmatic hernia, abdominal approach
53.75 Repair of diaphragmatic hernia, abdominal approach, not otherwise specified
Excludes: laparoscopic repair of diaphragmatic hernia (53.71)
other and open repair of diaphragmatic hernia (53.72)
53.8 Repair of diaphragmatic hernia, thoracic approach
53.80 Repair of diaphragmatic hernia with thoracic approach, not otherwise specified
Thoracoabdominal repair of diaphragmatic hernia
53.81 Plication of the diaphragm
53.82 Repair of parasternal hernia
53.83 Laparoscopic repair of diaphragmatic hernia, with thoracic approach
53.84 Other and open repair of diaphragmatic hernia, with thoracic approach
Excludes: repair of diaphragmatic hernia with thoracic approach, NOS (53.80)
53.9 Other hernia repair
Repair of hernia:
ischiatic
ischiorectal
lumbar
obturator
omental
retroperitoneal
sciatic
Excludes: relief of strangulated hernia with exteriorization of intestine (46.01, 46.03)
repair of pericolostomy hernia (46.42)
repair of vaginal enterocele (70.92)
54 Other operations on abdominal region
Includes: operations on:
epigastric region
flank
groin region
hypochondrium
inguinal region
loin region
pelvic cavity
mesentery
omentum
peritoneum
retroperitoneal tissue space
Code also any application or administration of an adhesion barrier substance (99.77)
Excludes: hernia repair (53.00-53.9)
obliteration of cul-de-sac (70.92)
retroperitoneal tissue dissection (59.00-59.09)
skin and subcutaneous tissue of abdominal
wall (86.01-86.99)
54.0 Incision of abdominal wall
Drainage of:
abdominal wall
extraperitoneal abscess
retroperitoneal abscess
Excludes: incision of peritoneum (54.95)
laparotomy (54.11-54.19)
54.1 Laparotomy
54.11 Exploratory laparotomy
Excludes: exploration incidental to intra abdominal surgery -- omit code
54.12 Reopening of recent laparotomy site
Reopening of recent laparotomy site for:
control of hemorrhage
exploration
incision of hematoma
54.19 Other laparotomy
Drainage of intraperitoneal abscess or hematoma
Excludes: culdocentesis (70.0)
drainage of appendiceal abscess (47.2)
exploration incidental to intra abdominal surgery -- omit code
Ladd operation (54.95)
percutaneous drainage of abdomen (54.91)
removal of foreign body (54.92)
54.2 Diagnostic procedures of abdominal region
54.21 Laparoscopy
Peritoneoscopy
Excludes: laparoscopic cholecystectomy (51.23)
that incidental to destruction of fallopian tubes (66.21-66.29)
54.22 Biopsy of abdominal wall or umbilicus
54.23 Biopsy of peritoneum
Biopsy of:
mesentery
omentum
peritoneal implant
Excludes:closed biopsy of:
omentum (54.24)
peritoneum (54.24)
54.24 Closed [percutaneous] [needle] biopsy of intra-abdominal mass
Closed biopsy of:
omentum
peritoneal implant
peritoneum
Excludes: that of:
fallopian tube (66.11)
ovary (65.11)
uterine ligaments (68.15)
uterus (68.16)
54.25 Peritoneal lavage
Diagnostic peritoneal lavage
Excludes: peritoneal dialysis (54.98)
54.29 Other diagnostic procedures on abdominal region
Excludes: abdominal lymphangiogram (88.04)
abdominal x-ray NEC (88.19)
angiocardiography of venae cava (88.51)
C.A.T. scan of abdomen (88.01)
contrast x-ray of abdominal cavity (88.11-88.15)
intra-abdominal arteriography NEC (88.47)
microscopic examination of peritoneal and retroperitoneal specimen (91.11-91.19)
phlebography of:
intra-abdominal vessels NEC (88.65)
portal venous system (88.64)
sinogram of abdominal wall (88.03)
soft tissue x-ray of abdominal wall NEC (88.09)
tomography of abdomen NE (88.02)
ultrasonography of abdomen and retroperitoneum (88.76)
54.3 Excision or destruction of lesion or tissue of abdominal wall or umbilicus
Debridement of abdominal wall
Omphalectomy
Excludes: biopsy of abdominal wall or umbilicus (54.22)
size reduction operation (86.83)
that of skin of abdominal wall (86.22, 86.26, 86.3)
54.4 Excision or destruction of peritoneal tissue
Excision of:
appendices epiploicae
falciform ligament
gastrocolic ligament
lesion of:
mesentery
omentum
peritoneum
presacral lesion NOS
retroperitoneal lesion NOS
Excludes: biopsy of peritoneum (54.23)
endometrectomy of cul-de-sac (70.32)
54.5 Lysis of peritoneal adhesions
Freeing of adhesions of:
biliary tract
intestines
liver
pelvic peritoneum
peritoneum
spleen
uterus
Excludes: lysis of adhesions of:
bladder (59.11)
fallopian tube and ovary
laparoscopic (65.81)
other (65.89)
kidney (59.02)
ureter (59.02)
54.51 Laparoscopic lysis of peritoneal adhesions
54.59 Other lysis of peritoneal adhesions
54.6 Suture of abdominal wall and peritoneum
54.61 Reclosure of postoperative disruption of abdominal wall
54.62 Delayed closure of granulating abdominal wound
Tertiary subcutaneous wound closure
54.63 Other suture of abdominal wall
Suture of laceration of abdominal wall
Excludes: closure of operative wound -- omit code
54.64 Suture of peritoneum
Secondary suture of peritoneum
Excludes: closure of operative wound -- omit code
54.7 Other repair of abdominal wall and peritoneum
54.71 Repair of gastroschisis
54.72 Other repair of abdominal wall
54.73 Other repair of peritoneum
Suture of gastrocolic ligament
54.74 Other repair of omentum
Epiplorrhaphy
Graft of omentum
Omentopexy
Reduction of torsion of omentum
Excludes: cardio-omentopexy (36.39)
54.75 Other repair of mesentery
Mesenteric plication
Mesenteropexy
54.9 Other operations of abdominal region
Excludes: removal of ectopic pregnancy (74.3)
54.91 Percutaneous abdominal drainage
Paracentesis
Excludes: creation of cutaneoperitoneal fistula (54.93)
54.92 Removal of foreign body from peritoneal cavity
54.93 Creation of cutaneoperitoneal fistula
54.94 Creation of peritoneovascular shunt
Peritoneovenous shunt
54.95 Incision of peritoneum
Exploration of ventriculoperitoneal shunt at peritoneal site
Ladd operation
Revision of distal catheter of ventricular shunt
Revision of ventriculoperitoneal shunt at peritoneal site
Excludes: that incidental to laparotomy (54.11-54.19)
54.96 Injection of air into peritoneal cavity
Pneumoperitoneum
Excludes: that for:
collapse of lung (33.33)
radiography (88.12-88.13, 88.15)
54.97 Injection of locally-acting therapeutic substance into peritoneal cavity
Excludes: peritoneal dialysis (54.98)
54.98 Peritoneal dialysis
Excludes: peritoneal lavage (diagnostic) (54.25)
54.99 Other
Excludes: removal of:
abdominal wall suture (97.83)
peritoneal drainage device (97.82)
retroperitoneal drainage device (97.81)
10. OPERATIONS ON THE URINARY SYSTEM (55-59)
55 Operations on kidney
Includes: operations on renal pelvis
Code also any application or administration of an adhesion barrier substance (99.77)
Excludes: perirenal tissue (59.00-59.09, 59.21-59.29,59.91-59.92)
55.0 Nephrotomy and nephrostomy
Excludes: drainage by:
anastomosis (55.86)
aspiration (55.92)
incision of kidney pelvis (55.11-55.12)
55.01 Nephrotomy
Evacuation of renal cyst
Exploration of kidney
Nephrolithotomy
55.02 Nephrostomy
55.03 Percutaneous nephrostomy without fragmentation
Nephrostolithotomy, percutaneous (nephroscopic)
Percutaneous removal of kidney stone(s) by:
basket extraction
forceps extraction (nephroscopic)
Pyelostolithotomy, percutaneous (nephroscopic)
With placement of catheter down ureter
Excludes: percutaneous removal by fragmentation (55.04)
repeat nephroscopic removal during current episode (55.92)
55.04 Percutaneous nephrostomy with fragmentation
Percutaneous nephrostomy with disruption of kidney stone by ultrasonic energy and extraction (suction) through endoscope
With placement of catheter down ureter
With fluoroscopic guidance
Excludes: repeat fragmentation during current episode (59.95)
55.1 Pyelotomy and pyelostomy
Excludes: drainage by anastomosis (55.86)
percutaneous pyelostolithotomy (55.03)
removal of calculus without incision (56.0)
55.11 Pyelotomy
Exploration of renal pelvis
Pyelolithotomy
55.12 Pyelostomy
Insertion of drainage tube into renal pelvis
55.2 Diagnostic procedures on kidney
55.21 Nephroscopy
55.22 Pyeloscopy
55.23 Closed [percutaneous] [needle] biopsy of kidney
Endoscopic biopsy via existing nephrostomy, nephrotomy, pyelostomy, or pyelotomy
55.24 Open biopsy of kidney
55.29 Other diagnostic procedures on kidney
Excludes: microscopic examination of specimen from kidney (91.21-91.29)
pyelogram:
intravenous (87.73)
percutaneous (87.75)
retrograde (87.74)
radioisotope scan (92.03)
renal arteriography (88.45)
tomography:
C.A.T. scan (87.71)
other (87.72)
55.3 Local excision or destruction of lesion or tissue of kidney
55.31 Marsupialization of kidney lesion
55.32 Open ablation of renal lesion or tissue
55.33 Percutaneous ablation of renal lesion or tissue
55.34 Laparoscopic ablation of renal lesion or tissue
55.35 Other and unspecified ablation of renal lesion or tissue
55.39 Other local destruction or excision of renal lesion or tissue
Obliteration of calyceal diverticulum
Excludes: ablation of renal lesion or tissue:
laparoscopic (55.34)
open (55.32)
other (55.35)
percutaneous (55.33)
biopsy of kidney (55.23-55.24)
partial nephrectomy (55.4)
percutaneous aspiration of kidney (55.92)
wedge resection of kidney (55.4)
55.4 Partial nephrectomy
Calycectomy
Wedge resection of kidney
Code also any synchronous resection of ureter (56.40-56.42)
55.5 Complete nephrectomy
Code also any synchronous excision of:
adrenal gland (07.21-07.3)
bladder segment (57.6)
lymph nodes (40.3, 40.52-40.59)
55.51 Nephroureterectomy
Nephroureterectomy with bladder cuff
Total nephrectomy (unilateral)
Excludes: removal of transplanted kidney (55.53)
55.52 Nephrectomy of remaining kidney
Removal of solitary kidney
Excludes: removal of transplanted kidney (55.53)
55.53 Removal of transplanted or rejected kidney
55.54 Bilateral nephrectomy
Excludes: complete nephrectomy NOS (55.51)
55.6 Transplant of kidney
Note: To report donor source - see codes 00.91-00.93
55.61 Renal autotransplantation
55.69 Other kidney transplantation
55.7 Nephropexy
Fixation or suspension of movable [floating] kidney
55.8 Other repair of kidney
55.81 Suture of laceration of kidney
55.82 Closure of nephrostomy and pyelostomy
55.83 Closure of other fistula of kidney
55.84 Reduction of torsion of renal pedicle
55.85 Symphysiotomy for horseshoe kidney
55.86 Anastomosis of kidney
Nephropyeloureterostomy
Pyeloureterovesical anastomosis
Ureterocalyceal anastomosis
Excludes: nephrocystanastomosis NO (56.73)
55.87 Correction of ureteropelvic junction
55.89 Other
55.9 Other operations on kidney
Excludes: lysis of perirenal adhesions (59.02)
55.91 Decapsulation of kidney
Capsulectomy of kidney
Decortication of kidney
55.92 Percutaneous aspiration of kidney (pelvis)
Aspiration of renal cyst
Renipuncture
Excludes: percutaneous biopsy of kidney (55.23)
55.93 Replacement of nephrostomy tube
55.94 Replacement of pyelostomy tube
55.95 Local perfusion of kidney
55.96 Other injection of therapeutic substance into kidney
Injection into renal cyst
55.97 Implantation or replacement of mechanical kidney
55.98 Removal of mechanical kidney
55.99 Other
Excludes: removal of pyelostomy or nephrostomy tube (97.61)
56 Operations on ureter
Code also any application or administration of an adhesion barrier substance (99.77)
56.0 Transurethral removal of obstruction from ureter and renal pelvis
Removal of:
blood clot from ureter or renal pelvis without incision
calculus from ureter or renal pelvis without incision
foreign body from ureter or renal pelvis without incision
Excludes:manipulation without removal of obstruction (59.8)
that by incision (55.11, 56.2)
transurethral insertion of ureteral stent for passage of calculus (59.8)
56.1 Ureteral meatotomy
56.2 Ureterotomy
Incision of ureter for:
drainage
exploration
removal of calculus
Excludes:cutting of ureterovesical orifice (56.1)
removal of calculus without incision (56.0)
transurethral insertion of ureteral stent for passage of calculus (59.8)
urinary diversion (56.51-56.79)
56.3 Diagnostic procedures on ureter
56.31 Ureteroscopy
56.32 Closed percutaneous biopsy of ureter
Excludes: endoscopic biopsy of ureter (56.33)
56.33 Closed endoscopic biopsy of ureter
Cystourethroscopy with ureteral biopsy
Transurethral biopsy of ureter
Ureteral endoscopy with biopsy through ureterotomy
Ureteroscopy with biopsy
Excludes: percutaneous biopsy of ureter (56.32)
56.34 Open biopsy of ureter
56.35 Endoscopy (cystoscopy) (looposcopy)of ileal conduit
56.39 Other diagnostic procedures on ureter
Excludes: microscopic examination of specimen from ureter (91.21-91.29)
56.4 Ureterectomy
Code also anastomosis other than end-to-end (56.51-56.79)
Excludes: fistulectomy (56.84)
nephroureterectomy (55.51-55.54)
56.40 Ureterectomy, not otherwise specified
56.41 Partial ureterectomy
Excision of lesion of ureter
Shortening of ureter with reimplantation
Excludes: biopsy of ureter (56.32-56.34)
56.42 Total ureterectomy
56.5 Cutaneous uretero-ileostomy
56.51 Formation of cutaneous uretero-ileostomy
Construction of ileal conduit
External ureteral ileostomy
Formation of open ileal bladder
Ileal loop operation
Ileoureterostomy (Bricker's) (ileal bladder)
Transplantation of ureter into ileum with external diversion
Excludes: closed ileal bladder (57.87)
replacement of ureteral defect by ileal segment (56.89)
56.52 Revision of cutaneous uretero-ileostomy
56.6 Other external urinary diversion
56.61 Formation of other cutaneous ureterostomy
Anastomosis of ureter to skin
Ureterostomy NOS
56.62 Revision of other cutaneous ureterostomy
Revision of ureterostomy stoma
Excludes: nonoperative removal of ureterostomy tube (97.62)
56.7 Other anastomosis or bypass of ureter
Excludes: ureteropyelostomy (55.86)
56.71 Urinary diversion to intestine
Anastomosis of ureter to intestine
Internal urinary diversion NOS
Code also any synchronous colostomy (46.10-46.13)
Excludes: external ureteral ileostomy (56.51)
56.72 Revision of ureterointestinal anastomosis
Excludes: revision of external ureteral ileostomy (56.52)
56.73 Nephrocystanastomosis, not otherwise specified
56.74 Ureteroneocystostomy
Replacement of ureter with bladder flap
Ureterovesical anastomosis
56.75 Transureteroureterostomy
Excludes: ureteroureterostomy associated with partial resection (56.41)
56.79 Other
56.8 Repair of ureter
56.81 Lysis of intraluminal adhesions of ureter
Excludes: lysis of periureteral adhesions (59.02-59.03)
ureterolysis (59.02-59.03)
56.82 Suture of laceration of ureter
56.83 Closure of ureterostomy
56.84 Closure of other fistula of ureter
56.85 Ureteropexy
56.86 Removal of ligature from ureter
56.89 Other repair of ureter
Graft of ureter
Replacement of ureter with ileal segment implanted into bladder
Ureteroplication
56.9 Other operations on ureter
56.91 Dilation of ureteral meatus
56.92 Implantation of electronic ureteral stimulator
56.93 Replacement of electronic ureteral stimulator
56.94 Removal of electronic ureteral stimulator
Excludes: that with synchronou replacement (56.93)
56.95 Ligation of ureter
56.99 Other
Excludes: removal of ureterostomy tube an ureteral catheter (97.62)
ureteral catheterization (59.8)
57 Operations on urinary bladder
Code also any application or administration of an adhesion barrier substance (99.77)
Excludes:perivesical tissue (59.11-59.29, 59.91-59.92)
ureterovesical orifice (56.0-56.99)
57.0 Transurethral clearance of bladder
Drainage of bladder without incision
Removal of:
blood clots from bladder without incision
calculus from bladder without incision
foreign body from bladder without incision
Excludes: that by incision (57.19)
57.1 Cystotomy and cystostomy
Excludes: cystotomy and cystostomy as operative approach -- omit code
57.11 Percutaneous aspiration of bladder
57.12 Lysis of intraluminal adhesions with incision into bladder
Excludes: transurethral lysis of intraluminal adhesions (57.41)
57.17 Percutaneous cystostomy
Closed cystostomy
Percutaneous suprapubic cystostomy
Excludes: removal of cystostomy tub (97.63)
replacement of cystostomy tube (59.94)
57.18 Other suprapubic cystostomy
Excludes: percutaneous cystostomy (57.17)
removal of cystostomy tub (97.63)
replacement of cystostomy tube (59.94)
57.19 Other cystotomy
Cystolithotomy
Excludes: percutaneous cystostomy (57.17)
suprapubic cystostomy (57.18)
57.2 Vesicostomy
Excludes: percutaneous cystostomy (57.17)
suprapubic cystostomy (57.18)
57.21 Vesicostomy
Creation of permanent opening from bladder to skin using a bladder flap
57.22 Revision or closure of vesicostomy
Excludes: closure of cystostomy (57.82)
57.3 Diagnostic procedures on bladder
57.31 Cystoscopy through artificial stoma
57.32 Other cystoscopy
Transurethral cystoscopy
Excludes: cystourethroscopy with ureteral biopsy (56.33)
retrograde pyelogram (87.74)
that for control of hemorrhage (postoperative):
bladder (57.93)
prostate (60.94)
57.33 Closed [transurethral] biopsy of bladder
57.34 Open biopsy of bladder
57.39 Other diagnostic procedures on bladder
Excludes: cystogram NEC (87.77)
microscopic examination of specimen from bladder (91.31-91.39)
retrograde cystourethrogram (87.76)
therapeutic distention of bladder (96.25)
57.4 Transurethral excision or destruction of bladder tissue
57.41 Transurethral lysis of intraluminal adhesions
57.49 Other transurethral excision or destruction of lesion or tissue of bladder
Endoscopic resection of bladder lesion
Excludes: transurethral biopsy of bladder (57.33)
transurethral fistulectomy (57.83-57.84)
57.5 Other excision or destruction of bladder tissue
Excludes: that with transurethral approach (57.41-57.49)
57.51 Excision of urachus
Excision of urachal sinus of bladder
Excludes: excision of urachal cyst of abdominal wall (54.3)
57.59 Open excision or destruction of other lesion or tissue of bladder
Endometrectomy of bladder
Suprapubic excision of bladder lesion
Excludes: biopsy of bladder (57.33-57.34)
fistulectomy of bladder (57.83-57.84)
57.6 Partial cystectomy
Excision of bladder dome
Trigonectomy
Wedge resection of bladder
57.7 Total cystectomy
Includes: total cystectomy with urethrectomy
57.71 Radical cystectomy
Pelvic exenteration in male
Removal of bladder, prostate, seminal vesicles, and fat
Removal of bladder, urethra, and fat in a female
Code also any:
lymph node dissection (40.3, 40.5)
urinary diversion (56.51-56.79)
Excludes: that as part of pelvic exenteration in female (68.8)
57.79 Other total cystectomy
57.8 Other repair of urinary bladder
Excludes: repair of:
current obstetric laceration (75.61)
cystocele (70.50-70.51)
that for stress incontinence (59.3-59.79)
57.81 Suture of laceration of bladder
57.82 Closure of cystostomy
57.83 Repair of fistula involving bladder and intestine
Rectovesicovaginal fistulectomy
Vesicosigmoidovaginal fistulectomy
57.84 Repair of other fistula of bladder
Cervicovesical fistulectomy
Urethroperineovesical fistulectomy
Uterovesical fistulectomy
Vaginovesical fistulectomy
Excludes: vesicoureterovagina fistulectomy (56.84)
57.85 Cystourethroplasty and plastic repair of bladder neck
Plication of sphincter of urinary bladder
V-Y plasty of bladder neck
57.86 Repair of bladder exstrophy
57.87 Reconstruction of urinary bladder
Anastomosis of bladder with isolated segment of ileum
Augmentation of bladder
Replacement of bladder with ileum or sigmoid [closed ileal bladder]
Code also resection of intestine (45.50-45.52)
57.88 Other anastomosis of bladder
Anastomosis of bladder to intestine NOS
Cystocolic anastomosis
Excludes: formation of closed ilea bladder (57.87)
57.89 Other repair of bladder
Bladder suspension, not elsewhere classified
Cystopexy NOS
Repair of old obstetric laceration of bladder
Excludes: repair of current obstetric laceration (75.61)
57.9 Other operations on bladder
57.91 Sphincterotomy of bladder
Division of bladder neck
57.92 Dilation of bladder neck
57.93 Control of (postoperative) hemorrhage of bladder
57.94 Insertion of indwelling urinary catheter
57.95 Replacement of indwelling urinary catheter
57.96 Implantation of electronic bladder stimulator
57.97 Replacement of electronic bladder stimulator
57.98 Removal of electronic bladder stimulator
Excludes: that with synchronou replacement (57.97)
57.99 Other
Excludes: irrigation of:
cystostomy (96.47)
other indwelling urinary catheter (96.48)
lysis of external adhesions (59.11)
removal of:
cystostomy tube (97.63)
other urinary drainage devic (97.64)
therapeutic distention o bladder (96.25)
58 Operations on urethra
Includes: operations on:
bulbourethral gland [Cowper's gland]
periurethral tissue
Code also any application or administration of an adhesion barrier substance (99.77)
58.0 Urethrotomy
Excision of urethral septum
Formation of urethrovaginal fistula
Perineal urethrostomy
Removal of calculus from urethra by incision
Excludes: drainage of bulbourethral gland or periurethral tissue (58.91)
internal urethral meatotomy (58.5)
removal of urethral calculus without incision (58.6)
58.1 Urethral meatotomy
Excludes: internal urethral meatotomy (58.5)
58.2 Diagnostic procedures on urethra
58.21 Perineal urethroscopy
58.22 Other urethroscopy
58.23 Biopsy of urethra
58.24 Biopsy of periurethral tissue
58.29 Other diagnostic procedures on urethra and periurethral tissue
Excludes: microscopic examination of specimen from urethra (91.31-91.39)
retrograde cystourethrogram (87.76)
urethral pressure profil (89.25)
urethral sphincter electromyogram (89.23)
58.3 Excision or destruction of lesion or tissue of urethra
Excludes: biopsy of urethra (58.23)
excision of bulbourethral gland (58.92)
fistulectomy (58.43)
urethrectomy as part of:
complete cystectomy (57.79)
pelvic evisceration (68.8)
radical cystectomy (57.71)
58.31 Endoscopic excision or destruction of lesion or tissue of urethra
Fulguration of urethral lesion
58.39 Other local excision or destruction of lesion or tissue of urethra
Excision of:
congenital valve of urethra
lesion of urethra
stricture of urethra
Urethrectomy
Excludes: that by endoscopic approach (58.31)
58.4 Repair of urethra
Excludes: repair of current obstetric laceration (75.61)
58.41 Suture of laceration of urethra
58.42 Closure of urethrostomy
58.43 Closure of other fistula of urethra
Excludes: repair of urethroperineovesical fistula (57.84)
58.44 Reanastomosis of urethra
Anastomosis of urethra
58.45 Repair of hypospadias or epispadias
58.46 Other reconstruction of urethra
Urethral construction
58.47 Urethral meatoplasty
58.49 Other repair of urethra
Benenenti rotation of bulbous urethra
Repair of old obstetric laceration of urethra
Urethral plication
Excludes: repair of:
current obstetric laceration (75.61)
urethrocele (70.50-70.51)
58.5 Release of urethral stricture
Cutting of urethral sphincter
Internal urethral meatotomy
Urethrolysis
58.6 Dilation of urethra
Dilation of urethrovesical junction
Passage of sounds through urethra
Removal of calculus from urethra without incision
Excludes: urethral calibration (89.29)
58.9 Other operations on urethra and periurethral tissue
58.91 Incision of periurethral tissue
Drainage of bulbourethral gland
58.92 Excision of periurethral tissue
Excludes: biopsy of periurethral tissue (58.24)
lysis of periurethral adhesions
laparoscopic (59.12)
other (59.11)
58.93 Implantation of artificial urinary sphincter [AUS]
Placement of inflatable:
bladder sphincter
urethral sphincter
Removal with replacement of sphincter device [AUS]
With pump and/or reservoir
58.99 Other
Removal of inflatable urinary sphincter without replacement
Repair of inflatable sphincter pump and/or reservoir
Surgical correction of hydraulic pressure of inflatable sphincter device
Excludes: removal of:
intraluminal foreign bod from urethra without incision (98.19)
urethral stent (97.65)
59 Other operations on urinary tract
Code also any application or administration of an adhesion barrier substance (99.77)
59.0 Dissection of retroperitoneal tissue
59.00 Retroperitoneal dissection, not otherwise specified
59.02 Other lysis of perirenal or periureteral adhesions
Excludes: that by laparoscope (59.03)
59.03 Laparoscopic lysis of perirenal or periureteral adhesions
59.09 Other incision of perirenal or periureteral tissue
Exploration of perinephric area
Incision of perirenal abscess
59.1 Incision of perivesical tissue
59.11 Other lysis of perivesical adhesions
59.12 Laparoscopic lysis of perivesical adhesions
59.19 Other incision of perivesical tissue
Exploration of perivesical tissue
Incision of hematoma of space of Retzius
Retropubic exploration
59.2 Diagnostic procedures on perirenal and perivesical tissue
59.21 Biopsy of perirenal or perivesical tissue
59.29 Other diagnostic procedures on perirenal tissue, perivesical tissue, and retroperitoneum
Excludes: microscopic examination of specimen from:
perirenal tissue (91.21-91.29)
perivesical tissue (91.31-91.39)
retroperitoneum NEC (91.11-91.19)
retroperitoneal x-ray (88.14-88.16)
59.3 Plication of urethrovesical junction
Kelly-Kennedy operation on urethra
Kelly-Stoeckel urethral plication
59.4 Suprapubic sling operation
Goebel-Frangenheim-Stoeckel urethrovesical suspension
Millin-Read urethrovesical suspension
Oxford operation for urinary incontinence
Urethrocystopexy by suprapubic suspension
59.5 Retropubic urethral suspension
Burch procedure
Marshall-Marchetti-Krantz operation
Suture of periurethral tissue to symphysis pubis
Urethral suspension NOS
59.6 Paraurethral suspension
Pereyra paraurethral suspension
Periurethral suspension
59.7 Other repair of urinary stress incontinence
59.71 Levator muscle operation for urethrovesical suspension
Cystourethropexy with levator muscle sling
Gracilis muscle transplant for urethrovesical suspension
Pubococcygeal sling
59.72 Injection of implant into urethra and/or bladder neck
Collagen implant
Endoscopic injection of implant
Fat implant
Polytef implant
59.79 Other
Anterior urethropexy
Repair of stress incontinence NOS
Tudor "rabbit ear" urethropexy
59.8 Ureteral catheterization
Drainage of kidney by catheter
Insertion of ureteral stent
Ureterovesical orifice dilation
Code also any ureterotomy (56.2)
Excludes: that for:
retrograde pyelogram (87.74)
transurethral removal of calculus or clot from ureter and renal pelvis (56.0)
59.9 Other operations on urinary system
Excludes: nonoperative removal of therapeutic device (97.61-97.69)
59.91 Excision of perirenal or perivesical tissue
Excludes: biopsy of perirenal or perivesical tissue (59.21)
59.92 Other operations on perirenal or perivesical tissue
59.93 Replacement of ureterostomy tube
Change of ureterostomy tube
Reinsertion of ureterostomy tube
Excludes: nonoperative removal of ureterostomy tube (97.62)
59.94 Replacement of cystostomy tube
Excludes: nonoperative removal of cystostomy tube (97.63)
59.95 Ultrasonic fragmentation of urinary stones
Shattered urinary stones
Excludes: percutaneous nephrostomy with fragmentation (55.04)
shock-wave disintegratio (98.51)
59.99 Other
Excludes: instillation of medication into urinary tract (96.49)
irrigation of urinary tract (96.45-96.48)
11.  OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)
65 Operations on ovary
Code also any application or administration of an adhesion barrier substance (99.77)
65.0 Oophorotomy
Salpingo-oophorotomy
65.01 Laparoscopic oophorotomy
65.09 Other oophorotomy
65.1 Diagnostic procedures on ovaries
65.11 Aspiration biopsy of ovary
65.12 Other biopsy of ovary
65.13 Laparoscopic biopsy of ovary
65.14 Other laparoscopic diagnostic procedures on ovaries
65.19 Other diagnostic procedures on ovaries
Excludes: microscopic examination of specimen from ovary (91.41-91.49)
65.2 Local excision or destruction of ovarian lesion or tissue
65.21 Marsupialization of ovarian cyst
Excludes: that by laparoscope (65.23)
65.22 Wedge resection of ovary
Excludes: that by laparoscope (65.24)
65.23 Laparoscopic marsupialization of ovarian cyst
65.24 Laparoscopic wedge resection of ovary
65.25 Other laparoscopic local excision or destruction of ovary
65.29 Other local excision or destruction of ovary
Bisection of ovary
Cauterization of ovary
Partial excision of ovary
Excludes: biopsy of ovary (65.11-65.13)
that by laparoscope (65.25)
65.3 Unilateral oophorectomy
65.31 Laparoscopic unilateral oophorectomy
65.39 Other unilateral oophorectomy
Excludes: that by laparoscope (65.31)
65.4 Unilateral salpingo-oophorectomy
65.41 Laparoscopic unilateral salpingo-oophorectomy
65.49 Other unilateral salpingo-oophorectomy
65.5 Bilateral oophorectomy
65.51 Other removal of both ovaries at same operative episode
Female castration
Excludes: that by laparoscope (65.53)
65.52 Other removal of remaining ovary
Removal of solitary ovary
Excludes: that by laparoscope (65.54)
65.53 Laparoscopic removal of both ovaries at same operative episode
65.54 Laparoscopic removal of remaining ovary
65.6 Bilateral salpingo-oophorectomy
65.61 Other removal of both ovaries and tubes at same operative episode
Excludes: that by laparoscope (65.63)
65.62 Other removal of remaining ovary and tube
Removal of solitary ovary and tube
Excludes: that by laparoscope (65.64)
65.63 Laparoscopic removal of both ovaries and tubes at same operative episode
65.64 Laparoscopic removal of remaining ovary and tube
65.7 Repair of ovary
Excludes: salpingo-oophorostomy (66.72)
65.71 Other simple suture of ovary
Excludes: that by laparoscope (65.74)
65.72 Other reimplantation of ovary
Excludes: that by laparoscope (65.75)
65.73 Other salpingo-oophoroplasty
Excludes: that by laparoscope (65.76)
65.74 Laparoscopic simple suture of ovary
65.75 Laparoscopic reimplantation of ovary
65.76 Laparoscopic salpingo-oophoroplasty
65.79 Other repair of ovary
Oophoropexy
65.8 Lysis of adhesions of ovary and fallopian tube
65.81 Laparoscopic lysis of adhesions of ovary and fallopian tube
65.89 Other lysis of adhesions of ovary and fallopian tube
Excludes: that by laparoscope (65.81)
65.9 Other operations on ovary
65.91 Aspiration of ovary
Excludes: aspiration biopsy of ovary (65.11)
65.92 Transplantation of ovary
Excludes: reimplantation of ovary
laparoscopic (65.75))
other (65.72)
65.93 Manual rupture of ovarian cyst
65.94 Ovarian denervation
65.95 Release of torsion of ovary
65.99 Other
Ovarian drilling
66 Operations on fallopian tubes
Code also any application or administration of an adhesion barrier substance (99.77)
66.0 Salpingotomy and salpingostomy
66.01 Salpingotomy
66.02 Salpingostomy
66.1 Diagnostic procedures on fallopian tubes
66.11 Biopsy of fallopian tube
66.19 Other diagnostic procedures on fallopian tubes
Excludes: microscopic examination of specimen from fallopian tubes (91.41-91.49)
radiography of fallopian tubes (87.82-87.83, 87.85)
Rubin's test (66.8)
66.2 Bilateral endoscopic destruction or occlusion of fallopian tubes
Includes: bilateral endoscopic destruction or occlusion of fallopian tubes by:
culdoscopy
endoscopy
hysteroscopy
laparoscopy
peritoneoscopy
endoscopic destruction of solitary fallopian tube
66.21 Bilateral endoscopic ligation and crushing of fallopian tubes
66.22 Bilateral endoscopic ligation and division of fallopian tubes
66.29 Other bilateral endoscopic destruction or occlusion of fallopian tubes
66.3 Other bilateral destruction or occlusion of fallopian tubes
Includes: destruction of solitary fallopian tube
Excludes: endoscopic destruction or occlusion of fallopian tubes (66.21-66.29)
66.31 Other bilateral ligation and crushing of fallopian tubes
66.32 Other bilateral ligation and division of fallopian tubes
Pomeroy operation
66.39 Other bilateral destruction or occlusion of fallopian tubes
Female sterilization operation NOS
66.4 Total unilateral salpingectomy
66.5 Total bilateral salpingectomy
Excludes: bilateral partial salpingectomy for sterilization (66.39)
that with oophorectomy (65.61-65.64)
66.51 Removal of both fallopian tubes at same operative episode
66.52 Removal of remaining fallopian tube
Removal of solitary fallopian tube
66.6 Other salpingectomy
Includes: salpingectomy by:
cauterization
coagulation
electrocoagulation
excision
Excludes: fistulectomy (66.73)
66.61 Excision or destruction of lesion of fallopian tube
Excludes: biopsy of fallopian tube (66.11)
66.62 Salpingectomy with removal of tubal pregnancy
Code also any synchronous oophorectomy (65.31, 65.39)
66.63 Bilateral partial salpingectomy, not otherwise specified
66.69 Other partial salpingectomy
66.7 Repair of fallopian tube
66.71 Simple suture of fallopian tube
66.72 Salpingo-oophorostomy
66.73 Salpingo-salpingostomy
66.74 Salpingo-uterostomy
66.79 Other repair of fallopian tube
Graft of fallopian tube
Reopening of divided fallopian tube
Salpingoplasty
66.8 Insufflation of fallopian tube
Insufflation of fallopian tube with:
air
dye
gas
saline
Rubin's test
Excludes: insufflation of therapeutic agent (66.95)
that for hysterosalpingography (87.82-87.83)
66.9 Other operations on fallopian tubes
66.91 Aspiration of fallopian tube
66.92 Unilateral destruction or occlusion of fallopian tube
Excludes: that of solitary tube (66.21-66.39)
66.93 Implantation or replacement of prosthesis of fallopian tube
66.94 Removal of prosthesis of fallopian tube
66.95 Insufflation of therapeutic agent into fallopian tubes
66.96 Dilation of fallopian tube
66.97 Burying of fimbriae in uterine wall
66.99 Other
Excludes: lysis of adhesions of ovary and tube
laparoscopic (65.81)
other (65.89)
67 Operations on cervix
Code also any application or administration of an adhesion barrier substance (99.77)
67.0 Dilation of cervical canal
Excludes: dilation and curettage (69.01-69.09)
that for induction of labor (73.1)
67.1 Diagnostic procedures on cervix
67.11 Endocervical biopsy
Excludes: conization of cervix (67.2)
67.12 Other cervical biopsy
Punch biopsy of cervix NOS
Excludes: conization of cervix (67.2)
67.19 Other diagnostic procedures on cervix
Excludes: microscopic examination of specimen from cervix (91.41-91.49)
67.2 Conization of cervix
Excludes: that by:
cryosurgery (67.33)
electrosurgery (67.32)
67.3 Other excision or destruction of lesion or tissue of cervix
67.31 Marsupialization of cervical cyst
67.32 Destruction of lesion of cervix by cauterization
Electroconization of cervix
LEEP (loop electrosurgical excision procedure)
LLETZ (large loop excision of the transformation zone)
67.33 Destruction of lesion of cervix by cryosurgery
Cryoconization of cervix
67.39 Other excision or destruction of lesion or tissue of cervix
Excludes: biopsy of cervix (67.11-67.12)
cervical fistulectomy (67.62)
conization of cervix (67.2)
67.4 Amputation of cervix
Cervicectomy with synchronous colporrhaphy
67.5 Repair of internal cervical os
67.51 Transabdominal cerclage of cervix
67.59 Other repair of internal cervical os
Cerclage of isthmus uteri
McDonald operation
Shirodkar operation
Transvaginal cerclage
Excludes:laparoscopically assisted supracervical hysterectomy [LASH] (68.31)
transabdominal cerclage of cervix (67.51)
67.6 Other repair of cervix
Excludes: repair of current obstetric laceration (75.51)
67.61 Suture of laceration of cervix
67.62 Repair of fistula of cervix
Cervicosigmoidal fistulectomy
Excludes: fistulectomy:
cervicovesical (57.84)
ureterocervical (56.84)
vesicocervicovaginal (57.84)
67.69 Other repair of cervix
Repair of old obstetric laceration of cervix
68 Other incision and excision of uterus
Code also any application or administration of an adhesion barrier substance (99.77)
68.0 Hysterotomy
Hysterotomy with removal of hydatidiform mole
Excludes: hysterotomy for termination of pregnancy (74.91)
68.1 Diagnostic procedures on uterus and supporting structures
68.11 Digital examination of uterus
Excludes: pelvic examination, so describe (89.26)
postpartal manual exploration o uterine cavity (75.7)
68.12 Hysteroscopy
Excludes: that with biopsy (68.16)
68.13 Open biopsy of uterus
Excludes: closed biopsy of uterus(68.16)
68.14 Open biopsy of uterine ligaments
Excludes: closed biopsy of uterin ligaments (68.15)
68.15 Closed biopsy of uterine ligaments
Endoscopic (laparoscopy) biopsy of uterine adnexa, except ovary and fallopian tube
68.16 Closed biopsy of uterus
Endoscopic (laparoscopy) hysteroscopy) biopsy of uterus
Excludes: open biopsy of uterus (68.13)
68.19 Other diagnostic procedures on uterus and supporting structures
Excludes: diagnostic:
aspiration curettage (69.59)
dilation and curettage (69.09)
microscopic examination of specimen from uterus (91.41-91.49)
pelvic examination (89.26)
radioisotope scan of:
placenta (92.17)
uterus (92.19)
ultrasonography of uterus (88.78-88.79)
x-ray of uterus (87.81-87.89)
68.2 Excision or destruction of lesion or tissue of uterus
68.21 Division of endometrial synechiae
Lysis of intraluminal uterine adhesions
68.22 Incision or excision of congenital septum of uterus
68.23 Endometrial ablation
Dilation and curettage
Hysteroscopic endometrial ablation