CPT Data with Global Data with Global.pdf · 2020-05-07 · CPT_Data_with_Global 11424 Excision of benign skin lesion to the scalp hands feet genitalia neck 3.1-4.0cm² benign 300

CPT_Data_with_Global

BCPT DataCode Description Fee GLO Co-SURG

11471 Excision of hidradinitis perianal, umbilical, perineal complex 750 90 011600 Excision of malignant skin lesion; trunk arms legs <0.5cm² 150 10 011601 Excision of malignant skin lesion; trunk arms legs 0.6-1.0cm² 200 10 011602 Excision of malignant skin lesion; trunk arms legs 1.1-2.0cm² 300 10 011603 Excision of malignant skin lesion; malignant trunk arms legs 2.1-3.0cm² 400 10 011604 Excision of malignant skin lesion; malignant trunk arms legs 3.1-4.0cm² 500 10 011606 Excision of malignant skin lesion; malignant trunk arms legs >4.0cm² 600 10 0

11620 Excision of malignant skin lesion; scalp hands feet genitalia neck <0.5cm² malignant 250 10 0

11621Excision of malignant skin lesion; scalp hands feet genitalia neck 0.6-1.0cm² malignant 300 10 0




11626 Excision of malignant skin lesion; scalp hands feet genitalia neck >4.0cm² malignant 800 10 0

11640Excision of malignant skin lesion; face ears eyes nose lips mucosa <0.5cm² malignant 300 10 0

11641Excision of malignant skin lesion; face ears eyes nose lips mucosa 0.6-1.0cm² malignant 400 10 0




11646Excision of malignant skin lesion; face ears eyes nose lips mucosa >4.0cm² malignant 1000 10 0

11740 Evacuation of subungual hematoma 75 0 0

11750 Removal of nail and matrix - partial or complete (eg. ingrown deformed); nail ablation 350 10 0

11752Removal of nail and matrix - partial or complete (eg. ingrown deformed); nail ablation with tip amputation 500 10 0

11755 Biopsy of the nail unit 0 011760 Repair of nail bed 500 10 011762 Reconstruction of nail bed with graft 750 10 011765 Wedge excision of nail fold (ingrown nail) 175 10 011770 Excision of pilonidal cyst 750 10 011771 Excision of pilonidal cyst extensive 1000 90 011772 Excision of pilonidal cyst complicated 1200 90 011920 Tattooing - up to 6.0 cm² 700 0 011921 Tattooing - up to 6.1 - 20.0 cm² 1400 0 011922 Tattooing - each additional 20.0 cm² 700 ZZZ 011950 Subcutaneous injection of collagen; 1cc or less 300 0 011951 Subcutaneous injection of collagen; 1.1 - 5.0 cc 600 0 011952 Subcutaneous injection of collagen; 5.1 - 10.0 cc 1000 0 011954 Subcutaneous injection of collagen; >10.0 cc 1500 0 011960 Insertion of tissue expander for other than breast reconstruction 1500 90 0

11970Replace expander with permanent prothesis (includes exchange for breast reconstruction) 1500 90 0

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11971 Removal tissue expander without insertion 300 90 010040 Acne Surgery (opening of multiple cyst, comedones...) 75 10 0

10060Incision and drainage (I&D) of skin abscess (hidradenitis, cyst, furuncle, paronychia) - simple or single 100 10 0

10061Incision and drainage (I&D) of skin abscess (hidradenitis, cyst, furuncle, paronychia) - complex or multiple 200 10 0

10080 Incision and drainage (I&D) of pilonidal cyst; simple 150 10 010081 Incision and drainage (I&D) of pilonidal cyst; complex 250 10 010120 Incision and removal of foreign body, subcutaneous; simple 75 10 010121 Incision and removal of foreign body, subcutaneous; complex 200 10 010140 Incision and drainage (I&D) of hematoma or seroma 100 10 010160 Puncture aspiration of abscess, hematoma, seroma 50 10 010180 Incision and drainage (I&D) complex post-op infection 250 10 011000 Debridement skin partial thickness for ecaema <10% 100 0 011001 Debridement skin partial thickness for ecaema >10% 50 ZZZ 011004 Debridement Necrotizing Fascitis perineum/genitalia 0 011005 Debridement Necrotizing Fascitis abdominal wall (with or without closure) 0 0

11006Debridement Necrotizing Fascitis abdominal wall (with or without closure) and perineum/genitalia 0 0

11008 Removal of prosthetic mesh associated with necrotizing fascitis of the abdominal wall ZZZ 011010 Debridement Associated with fracture; Skin/subcutaneous tissue 10 011011 Debridement Associated with fracture; Skin/subcutaneous tissue/muscle 0 011012 Debridement Associated with fracture; Skin/subcutaneous tissue/muscle/bone 0 011040 Debridement skin partial thickness 150 0 011041 Debridement skin full thickness 200 0 011042 Debridement skin and subcutaneous tissue 250 0 011043 Debridement skin and subcutaneous tissue and muscle 350 10 011044 Debridement skin and subcutaneous tissue, muscle, & bone 500 10 0

11055 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion 0 0

11056Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); two to four lesions 0 0

11057Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than four lesions 0 0

11100 Biopsy of skin lesion (includes simple closure) 150 0 011101 Biopsy of additional skin lesion 100 ZZZ 011200 Excision of skin tags up to 15 75 10 011201 Excision of additional skin tags for each additional 10 75 ZZZ 0

11400Excision of benign skin lesion to the trunk/arms/legs <0.5cm² (include scar revision - consider complex repair) 75 10 0

11401 Excision of benign skin lesion to the trunk/arms/legs 0.6-1.0cm² 100 10 011402 Excision of benign skin lesion to the trunk/arms/legs 1.1-2.0cm² 150 10 011403 Excision of benign skin lesion to the trunk/arms/legs 2.1-3.0cm² 200 10 011404 Excision of benign skin lesion to the trunk/arms/legs 3.1-4.0cm² 250 10 011406 Excision of benign skin lesion to the trunk/arms/legs >4.0cm² 300 10 0

11420Excision of benign skin lesion to the scalp hands feet genitalia neck <0.5cm² benign (include scar revision - consider complex repair) 125 10 0

11421Excision of benign skin lesion to the scalp hands feet genitalia neck 0.6-1.0cm² benign 150 10 0



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11426 Excision of benign skin lesion to the scalp hands feet genitalia neck >4.0cm² benign 400 10 0

11440Excision of benign skin lesion to the benign face ears eyes nose lips mucosa <0.5cm² benign (include scar revision - consider complex repair) 150 10 0

11441Excision of benign skin lesion to the face ears eyes nose lips mucosa 0.6-1.0cm² benign 200 10 0




11446 Excision of benign skin lesion to the face ears eyes nose lips mucosa >4.0cm² benign 500 10 011450 Excision of hidradenitis axillary simple 600 90 011451 Excision of hidradenitis axillary complex repair 600 90 011462 Excision of hidradenitis inguinal simple 750 90 011463 Excision of hidradenitis inguinal complex repair 750 90 011470 Excision of hidradinitis perianal, umbilical, perineal simple 750 90 012001 Simple repair of wound(s) except face <2.5 cm 100 10 012002 Simple repair of wound(s) except face 2.6 - 7.5 cm 200 10 012004 Simple repair of wound(s) 7.6-12.5cm except face 300 10 012005 Simple repair of wound(s) 12.6-20cm except face 400 10 012006 Simple repair of wound(s) 20.1-30cm except face 500 10 012007 Simple repair of wound(s) >30cm except face 600 10 112011 Simple repair of wound(s) face <2.5 cm 200 10 012013 Simple repair of wound(s) 2.6-5.0cm face 300 10 012014 Simple repair of wound(s) 5.1-7.5cm face 400 10 012015 Simple repair of wound(s) 7.6-12.5cm face 500 10 012016 Simple repair of wound(s) 12.6-20cm face 600 10 012017 Simple repair of wound(s) 20.1-30cm face 800 10 012018 Simple repair of wound(s) >30cm face 1000 10 112020 Treatment of superficial wound dehiscence - simple closure 250 10 012021 Treatment of superficial wound dehiscence - treated with packing 250 10 012031 Layered closure of wound(s) - intermediate - scalp trunk ext. <2.5cm 200 10 012032 Layered closure of wound(s) - intermediate - scalp trunk ext. 2.6-7.5cm 300 10 012034 Layered closure of wound(s) - intermediate - scalp trunk ext. 7.6-12.5cm 400 10 012035 Layered closure of wound(s) - intermediate - scalp trunk ext. 12.6-20cm 500 10 012036 Layered closure of wound(s) - intermediate - scalp trunk ext. 20.1-30cm 600 10 012037 Layered closure of wound(s) - intermediate - scalp trunk ext. >30cm 10 112041 Layered closure of wound(s) - intermediate - <2.5cm neck hands feet genitals 250 10 0

12042 Layered closure of wound(s) - intermediate - 2.6-7.5cm neck hands feet genitals 350 10 0

12044 Layered closure of wound(s) - intermediate - 7.6-12.5cm neck hands feet genitals 450 10 0

12045 Layered closure of wound(s) - intermediate - 12.6-20cm neck hands feet genitals 550 10 0

12046 Layered closure of wound(s) - intermediate - 20.1-30cm neck hands feet genitals 10 012047 Layered closure of wound(s) - intermediate - >30cm neck hands feet genitals 10 112051 Layered closure of wound(s) - intermediate - <2.5cm face ears eyes nose lips 300 10 0

12052 Layered closure of wound(s) - intermediate - 2.6-5.0cm face ears eyes nose lips 400 10 0

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12055 Layered closure of wound(s) - intermediate - 12.6-20cm face ears eyes nose lips 1000 10 0

12056 Layered closure of wound(s) - intermediate - 20.1-30cm face ears eyes nose lips 1200 10 012057 Layered closure of wound(s) - intermediate - >30cm face ears eyes nose lips 10 113100 Repair of wound - complex - trunk 1.1-2.5cm 300 10 013101 Repair of wound - complex - trunk 2.6-7.5cm 500 10 013102 Repair of wound - complex - trunk; each additional 5 cm to 13101 ZZZ 013120 Repair of wound - complex - scalp arms legs 1.1-2.5cm 400 10 013121 Repair of wound - complex - scalp arms legs 2.6-7.5cm 600 10 013122 Repair of wound - complex - scalp arms legs; each additional 5 cm to 13121 ZZZ 0

13131Repair of wound - complex - 1.1-2.5cm; face (forehead/cheeks/chin/mouth), neck, ax., hands, feet, genitals 500 10 0

13132Repair of wound - complex - 2.6-7.5cm; face (forehead/cheeks/chin/mouth), neck, ax., hands, feet, genitals 750 10 0

13133Repair of wound - complex - face (forehead/cheeks/chin/mouth), neck, ax., hands, feet, genitals; each additional 5 cm to 13132 ZZZ 0

13150 Repair of wound - complex - 0-1cm eyes ears nose lips 500 10 013151 Repair of wound - complex - 1.1-2.5cm eyes ears nose lips 750 10 013152 Repair of wound - complex - 2.6-7.5cm eyes ears nose lips 1000 10 0

13153 Repair of wound - complex - eyes ears nose lips; each additional 5 cm to 13153 ZZZ 013160 Secondary closure of surgical wound or dehiscence - complex 750 90 014000 Skin tissue rearrangement - to 10cm² - trunk 500 90 014001 Skin tissue rearrangement - to 10 - 30cm² - trunk 750 90 014020 Skin tissue rearrangement - to 10cm² - scalp arms legs 700 90 014021 Skin tissue rearrangement - to 10 - 30cm² - scalp arms legs 1000 90 014040 Skin tissue rearrangement - to 10cm² - face hands ax genitals feet 750 90 014041 Skin tissue rearrangement - to 10 - 30cm² - face hands ax genitalia feet 1200 90 014060 Skin tissue rearrangement - to 10cm² - eye, nose ear lip 1000 90 0

14061Skin tissue rearrangement - to 10 - 30cm² - eye, nose ear lip (for full thickness eye - see 67961) 1500 90 0

14300Skin tissue rearrangement - unusual or > 30cm² (code includes lesion excision and add flap and defect for size) 2000 90 0

14350 Toe or finger filet flap 90 0

15000!Changed'99! Surg prep or creation of recipient site by excision of wound or eschar (not just for burns - osteomyelitis); 1st 100 cm² (soft tissue debridement) 750 0 0

15001Surg prep or creation of recipient site by excision of wound or eschar; each add. 100 cm² (not just for burns - osteomyelitis)(soft tissue debridement) ZZZ 0

15050 Pinch skin graft up to 2 cm² 500 90 0

15100 Split thickness skin graft (STSG) to 100cm² (or 1% TBSA in kids) trunk arms legs 750 90 015101 Split thickness skin graft (STSG) each additional 100cm² 250 ZZZ 0

15120Split thickness skin graft (STSG) to 100cm² face eyes mouth ears genitals multiple digits 1000 90 0

15121 Split thickness skin graft (STSG) each additional 100cm² 500 ZZZ 115200 Full thickness skin graft (FTSG) to 20cm² trunk: closure included 500 90 015201 Full thickness skin graft (FTSG) each additional 20cm² to 15200 250 ZZZ 015220 Full thickness skin graft (FTSG) to 20cm² scalp arms legs: closure included 750 90 015221 Full thickness skin graft (FTSG) each additional 20cm² to 15220 250 ZZZ 0

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15240Full thickness skin graft (FTSG) to 20cm² face, genitals, axil., hands, feet: closure included 1000 90 0

15241 Full thickness skin graft (FTSG) each additional 20cm² to 15240 500 ZZZ 015260 Full thickness skin graft (FTSG) to 20cm² nose ears eyes: closure included 1200 90 015261 Full thickness skin graft (FTSG) each additional 20cm² to 15260 750 ZZZ 015350 Application of allograft (cadaver skin/allograft/Alloderm); 1st 100 cm² 90 0

15351 Application of allograft (cadaver skin/allograft/Alloderm); each additional 100 cm² ZZZ 0

15400Application of Xenograft (pigskin EZ Derm Mediskin) trunk/arms/legs (not hands/feet; see 420); 1st 100 cm² 90 0

15401Application of Xenograft (pigskin EZ Derm Mediskin) trunk/arms/legs (not hands/feet; see 420); each add 100 cm² additional ZZZ 0

15570 Formation of direct or tubed pedicle, with or without transfer; trunk 800 90 0

15572 Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs 1000 90 0

15574Formation of direct or tubed pedicle, with or without transfer; cross finger flap, face, hands, feet, neck, axilla, genitalia (groin flap)(code skin graft sep.) 1200 90 0

15576Formation of direct or tubed pedicle, with or without transfer; eyes, ears, nose, lips, or mucosa 1500 90 0

15600 Delay or sectioning of flap (divisionand inset); trunk 500 90 015610 Delay or sectioning of flap (divisionand inset); scalp, arms, or legs 500 90 0

15620Delay or sectioning of flap (divisionand inset); forehead, cheek, neck, axillae, genitalia, hands (cross finger), or feet 600 90 0

15630 Delay or sectioning of flap (divisionand inset); eyelids, ears, nose, or lips 750 90 015650 Transfer, intermediate, of any pedicle flap (walking tube eg) any location 90 015732 Muscle, myocutaneous, or fasciocutaneous flap; head and neck 2750 90 115734 Muscle, myocutaneous, or fasciocutaneous flap; trunk 2250 90 115736 Muscle, myocutaneous, or fasciocutaneous flap; upper extremity 2500 90 115738 Muscle, myocutaneous, or fasciocutaneous flap; lower extremity 2500 90 115740 Flap: island pedicle (any location) 1500 90 015750 Neurovascular pedicle island flap 1500 90 015756 Free flap; muscle with or without overlying skin (TRAM, myocutaneous...) 90 215757 Free flap; skin (radial forearm or scapular with skin) 90 215758 Free flap; fascial (TPL...) 90 215760 Composite graft; including ala and ear 1000 90 015770 Composite graft; including dermal/fat/fascia 1500 90 115775 Hair transplant punch grafts; 1 to 15 0 015776 Hair transplant punch grafts; more than 15 (for strip grafts, use 15220) 0 015780 Dermabrasion total face 1500 90 015781 Dermabrasion segmantal face 1000 90 015782 Dermabrasion other than face 545 90 015783 Dermabrasion; superficial (tattoo...) 350 90 015786 Dermabrasion; single lesion (eg keratosis or scar) 75 10 015787 Dermabrasion; each addition 4 lesions or less (eg keratosis or scar) 75 ZZZ 015788 Chemical peel of face - epidermal (TCA...) 90 015789 Chemical peel of face - dermal (Phenol) 1400 90 015792 Chemical peel, nonfacial - epidermal (TCA...) 250 90 015793 Chemical peel, nonfacial - dermal (phenol...) 710 90 015810 Salabrasion; 20cm² or less 90 015811 Salabrasion; over 20cm² 90 015819 Cervicoplasty 2500 90 015820 Blepharoplasty of lower eyelid 1425 90 015821 Blepharoplasty of lower eyelid; extensive fat 1355 90 015822 Blepharoplasty of upper eyelid 1350 90 0

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15823 Blepharoplasty of upper eyelid with excessive skin or fat weighting down eyelids 1480 90 015824 Rhytidectomy of forehead; browlift (for brow ptosis use 67900) 2200 0 015825 Rhytidectomy of neck with platysmal tightening 1740 0 015826 Rhytidectomy of glabellar frown lines 1325 0 015828 Rhytidectomy of cheek, chin, and neck 4500 0 015829 Rhytidectomy of SMAS (for bilateral use -50 modifier) 4500 0 015831 Abdominoplasty 3000 90 115832 Thigh plasty 3500 90 115833 Excision of excess fat in the leg 2000 90 015834 Excision of excess fat in the hip 2500 90 015835 Excision of excess fat in the buttock 2500 90 015836 Excision of excess fat in the arm (brachioplasty) 2000 90 015837 Excision of excess fat in the forearm and hand 1500 90 015838 Excision of excess fat in the submental fat pad 1000 90 015839 Excision of excess fat in another area 90 0

15840Graft (fascia or tendon) for facial nerve palsy (CN VII paralysis) eg. TFL (includes obtaining graft) 3000 90 0

15841 Graft (muscle non microvascular) for facial nerve palsy (CN VII paralysis) 90 115842 Graft (muscle free flap) for facial nerve palsy (CN VII paralysis) 7500 90 1

15845 Regional muscle transfer (eg temporalis) for facial nerve palsy (CN VII paralysis) 3500 90 015850 Removal of sutures under anesthesia - same surgeon 250 XXX 915851 Removal of sutures under anesthesia - different surgeon 500 0 015852 Dressing change under anesthesia (other than burns) 500 0 015860 Fluorescein injection to test flap viability 250 0 015876 Suction assisted lipectomy; head and neck 1000 0 015877 Suction assisted lipectomy; trunk 2000 0 015878 Suction assisted lipectomy; upper extremities 1000 0 015879 Suction assisted lipectomy; lower extremities 2000 0 015920 Excision of coccygeal pressure ulcer with 1° closure (decubitus sore) 750 90 015922 Excision of coccygeal pressure ulcer with flap closure (decubitus sore) 1000 90 115931 Excision of sacral pressure ulcer with 1° closure (decubitus sore) 750 90 0

15933 Excision of sacral pressure ulcer with ostectomy and 1° closure (decubitus sore) 1200 90 015934 Excision of sacral pressure ulcer with flap closure (decubitus sore) 1000 90 0

15935 Excision of sacral pressure ulcer with ostectomy and flap closure (decubitus sore) 1500 90 1

15936Excision of sacral pressure ulcer IN PREP FOR myocutaneous flap closure (ID flap with separate code) CHANGED'99 2000 90 1

15937Excision of sacral pressure ulcer with ostectomy and myocutaneous flap closure (ID flap with separate code) 2500 90 1

15940 Excision of ischial pressure ulcer with 1° closure (decubitus sore) 1000 90 0

15941 Excision of ischial pressure ulcer with ostectomy and 1° closure (decubitus sore) 1500 90 015944 Excision of ischial pressure ulcer with flap closure (decubitus sore) 1500 90 0

15945Excision of ischial pressure ulcer with myocutaneous flap closure (ID flap with separate code) 2000 90 0

15946Excision of ischial pressure ulcer IN PREP FOR myocutaneous flap closure (ID flap with separate code) CHANGED'99 2500 90 1

15950 Excision of trochanteric pressure ulcer with 1° closure (decubitus sore) 750 90 0

15951Excision of trochanteric pressure ulcer with ostectomy and 1° closure (decubitus sore) 1000 90 1

15952 Excision of trochanteric pressure ulcer with flap closure (decubitus sore) 1500 90 115953 Excision of trochanteric pressure ulcer with flap closure (decubitus sore) 1800 90 1

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15956Excision of trochanteric pressure ulcer IN PREP FOR myocutaneous flap closure (ID flap with separate code) CHANGED'99 2000 90 1

15958Excision of trochanteric pressure ulcer with ostectomy and myocutaneous flap closure (ID flap with separate code) 2500 90 1

15999 Excision of pressure ulcer (decubitus sore) other YYY 116010 Debridement of small burn under anesthesia 0 016015 Debridement of large burn under anesthesia 0 016020 Debridement of small burn no anesthesia 0 016025 Debridement of medium burn under anesthesia 0 016030 Debridement of large burn under anesthesia 0 016035 Escharotomy 90 017000 Destruction benign/premalignant by any means: first lesion 10 017003 Destruction benign/premalignant by any means: 2 - 14 lesions ZZZ 017004 Destruction benign/premalignant by any means: 15 or more lesions 10 0

17106 Destruction of cutaneous vascular proliferative lesions (laser...) less than 10cm² 90 017107 Destruction of cutaneous vascular proliferative lesions (laser...) 10cm² to 50cm² 90 0

17108 Destruction of cutaneous vascular proliferative lesions (laser...) greater than 50cm² 90 017110 Destruction of warts up to 14 10 017111 Destruction of warts 15 or more 10 017250 Chemical cauterization of granulation tissue (Silver nitrate) 0 017304 Mohs' chemosurgery; 1st stage up to 5 specimens 0 017305 Mohs' chemosurgery; 2nd stage up to 5 specimens 0 017306 Mohs' chemosurgery; 3rd stage up to 5 specimens 0 017307 Mohs' chemosurgery; additional stages beyond 3 up to 5 specimens 0 017310 Mohs' chemosurgery; any stage more than 5 specimens ZZZ 017360 Chemical exfoliation for acne 10 017999 Tissue grafts - other (use for Platelet rich graft, plt - document need in op note) YYY 119000 Puncture aspiration of cyst of breast; first 0 019001 Puncture aspiration of cyst of breast; each additional ZZZ 019020 Mastotomy with exploration or drainage of abscess, deep 90 019030 Injection procedure for ductogram 0 019100 Breast biopsy; Tru-cut needle (for fine needle aspiration, use 88170) 0 019101 Biopsy of breast; incisional 500 10 019110 Nipple exploration with or without excision of duct 90 019112 Excision of lactiferous duct fistula 90 019120 Excision of breast tumor; benign or malignant, ectopic, supernumery, axillary 90 019125 Excision of breast lesion identified by wire (needle localization biopsy); single 90 1

19126Excision of breast lesion identified by wire (needle localization biopsy); each additional ZZZ 1

19140 Mastectomy for gynecomastia 2000 90 019160 Partial mastectomy 90 019162 Partial mastectomy with axillary lymphadenectomy 90 119180 Mastectomy, simple, complete (+/- prophylactic) 90 119182 Mastectomy, subcutaneous (+/- prophylactic) 90 119200 Radical mastectomy 90 119240 Modified radical mastectomy with axillary lymphadenectomy 90 119260 Excision of chest wall tumor including ribs 90 1

19271Excision of chest wall tumor including ribs with plastic reconstruction; without lymphadenectomy 90 1

19272Excision of chest wall tumor including ribs with plastic reconstruction; with lymphadenectomy 90 1

19316 Mastopexy 2500 90 119318 Breast reduction (use -50 modifier for bilateral) 3150 90 1

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19324 Breast augmentation mammaplasty without implant 1500 90 019325 Breast augmentation mammaplasty with implant 2500 90 019328 Removal of intact mammary implant 500 90 019330 Removal of implant material (broken implant) 1000 90 019340 Immediate breast reconstruction with implant 2000 ZZZ 119342 Delayed breast reconstruction with implant 2000 90 119350 Nipple - areola reconstruction (includes flaps and FTSG) 750 90 019355 Correction of inverted nipples 750 90 0

19357Breast reconstruction (immediate or delayed) with tissue expander (including expansion) (see 11970 for exchange) 2000 90 1

19361 Breast reconstruction with latissimus dorsi flap with or without implant 3500 90 1

19364Breast reconstruction with free flap (NOW ALL INCLUSIVE (shaping, flap, vessels...) CHANGED'99 7500 90 1

19366 Breast reconstruction with other technique 5000 90 119367 Unipedical TRAM including donor closure (transverse) 90 119368 Supercharged TRAM (transverse) 90 119369 Bipedical TRAM (transverse) 90 119370 Open periprosthetic capsulotomy 700 90 019371 Periprosthetic capsulectomy 1000 90 019380 Revision of reconstructed breast 18 90 019396 Preparation of moulage for custom implant 0 020000 Incision of soft tissue abscess; superficial (I&D) 150 10 020005 Incision of soft tissue abscess; deep or complicated 300 10 020100 Exploration of penetrating neck trauma 10 020101 Exploration of penetrating chest wound 10 020102 Exploration of penetrating trunk wound 10 020103 Exploration of penetrating extremity wound 10 020200 Biopsy, muscle, superficial 0 020205 Biopsy, muscle, deep 0 020220 Biopsy, bone; superficial with trocar or needle (sacrum, sternum, ribs...) 0 020225 Biopsy, bone; deep with trocar or needle (femur, humerus...) 0 020240 Biopsy, bone; superficial excisional (sacrum, sternum, ribs...) 10 020245 Biopsy, bone; deep excisional (femur, humerus...) 10 020520 Removal of foreign body in muscle or tendon sheath - simple 250 10 020525 Removal of foreign body in muscle or tendon sheath - complex 500 10 0

20550Injection of trigger points, trigger fingers, ligaments (tennis elbow), ganglion cysts, tendon sheath, steroid 0 0

20600Arthrocentesis, aspiration and/or injection small joint, bursa or ganglion cyst (eg. finger or toes), steroid 50 0 0

20650Insertion of wire or pin with application of skeletal traction, in cluding removal (separate procedure) 10 1

20670 Removal pin or wire - buried but superficial 200 10 020680 Removal pin or plate - deep (sternal wire) 550 90 0

20693Adjustment or revision of external fixation system requiring anesthesia (eg. new pins...) 90 0

20694 Removal of external fixation device under anesthesia 90 020802 Replantation of arm at the level of the humerus; complete amputation 9000 90 1

20805Replantation of forearm at the level of the radius/ulna; complete amputation (incomplete report each repair) 9000 90 1

20808Replantation of the hand at wrist; complete (if incomplete, report individual structure repair - tendon, bone...) 8000 90 1

20816Replantation of a digit - except thumb MCP to insertion of sublimus tendon; complete (incomplete report each repair) 2800 90 1

20822Replantation of a digit - except thumb distal to insertion of sublimus tendon; complete (incomplete report each repair) 2000 90 1

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20824 Replantation thumb - CMC to MCP; complete (incomplete report each repair) 3500 90 1

20827Replantation thumb - distal to MCP; complete (incomplete report each repair - tendon, bone...) 3500 90 1

20838Replantation foot; complete (20832-20834 have been deleted - report individual repairs instead of replant) 90 1

20900 Removal of bone graft for any small area 400 90 120902 Removal of bone graft for major or large 800 90 120910 Removal of cartilage graft; rib (microtia reconstruction) 800 90 020912 Removal of cartilage graft; nasal septum 500 90 020920 Removal of fascia lata graft (TFL) with stripper (eg. for CN VII) 250 90 120922 Removal of fascia lata graft (TFL) with incision (eg. for CN VII) 500 90 120924 Removal of tendon graft from a distance 250 90 1

20926Removal of other tissue graft (dermal fat graft, paratenon, dermis) - (use for Platelet rich harvest - plt) 250 90 0

20950 Insertion and monitoring of compartment pressures 200 0 020955 Free bone flap; fibula (free flap) 8500 90 120956 Bone free flap; iliac crest 90 120957 Bone free flap; metatarsal 90 120962 Bone free flap; other 90 120969 Osteocutaneous free flap; other 90 120970 Osteocutaneous free flap; iliac crest 8500 90 120972 Osteocutaneous free flap; metatarsal 8500 90 020973 Osteocutaneous free flap; Great toe with web space 8500 90 1

21015 Radical resection of tumor (eg. malignant neoplasm), soft tissue of face or scalp 90 021025 Excision/debridement of bone (eg. for osteomyelitis); mandible 1200 90 021026 Excision/debridement of bone (eg. for osteomyelitis); facial bones 1400 90 021029 Removal by contouring of facial bone (eg. fibrous dysplasia) 90 021030 Excision of benign tumor of facial bone other than mandible 1800 90 021031 Excision of torus mandibularis (exostosis) 90 021032 Excision of torus platinus of the maxilla 90 021034 Excision of malignant tumor of facial bone other than the mandible 2250 90 121040 Excision of benign cyst or tumor of the mandible 90 021044 Excision of malignant tumor of the mandible 90 121045 Radical excision of tumor of the mandible 90 121050 Condylectomy, TMJ 90 021060 Meniscectomy, partial or complete TMJ 90 121070 Coronoidectomy 90 021100 Apply halo appliance for maxillofacial fixation 90 021110 IMF for other than trauma 90 021116 TMJ injection for arthrogram 0 021120 Genioplasty with implant; autograft, allograft, prosthetic 1500 90 121121 Genioplasty sliding osteotomy - single piece 2000 90 021122 Genioplasty sliding osteotomy - multiple pieces for asymmetry 2500 90 021123 Genioplasty sliding osteotomy with interpositional bone graft 3000 90 121125 Augmentation of mandible body or angle with prosthesis 2500 90 021127 Augmentation of mandible with bone 3500 90 121137 Reduction of forehead; contuoring only 2370 90 021138 Reduction of forehead; contuoring and graft 3075 90 121139 Reduction of forehead; with set back 3350 90 1

21141 Reconstruction of the midface, LeFort I; single piece without bone (eg. for long face) 90 1

21142 Reconstruction of the midface, LeFort I; two pieces without bone (eg. for long face) 90 1

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21143Reconstruction of the midface, LeFort I; three or more pieces without bone (eg. for long face) 90 1

21145 Reconstruction of the midface, LeFort I; single piece with bone (eg. for long face) 90 021146 Reconstruction of the midface, LeFort I; two pieces with bone (eg. for long face) 90 1

21147Reconstruction of the midface, LeFort I; three or more pieces with bone (eg. for long face) 90 0

21150Reconstruction of the midface, LeFort II; single piece without bone (eg. anterior intrusion Treacher-Collins) 90 0

21151 Reconstruction of the midface, LeFort II; above with bone graft 90 021154 Reconstruction of the midface, LeFort III; with bone and without LeFort I 90 121155 Reconstruction of the midface, LeFort III; with LeFort I 90 0

21159Reconstruction of the midface, LeFort III; frontalorbital advance (mono bloc) without LeFort I 90 1

21160Reconstruction of the midface, LeFort III; frontalorbital advance (mono bloc) with LeFort I 90 0

21172Fronto-orbital advancement with or without bone grafts (includes getting grafts) (for craniotomy 61556) 90 1

21175 Fronto-orbital advancement (as above, but bifrontal) 90 021179 Reconstruct entire or majority of forehead with allograft or implants 90 021180 Reconstruct entire or majority of forehead with autograft (includes getting graft) 90 1

21181 Reconstruction by contouring of benign tumor of cranial bones (eg. fibrous dysplasia) 2000 90 021182 Reconstruct cranial bone after extripation of benign tumor - <40cm² bone graft 3500 90 121183 Reconstruct cranial bone after extripation of benign tumor - 40-80cm² bone graft 4000 90 121184 Reconstruct cranial bone after extripation of benign tumor - >800cm² bone graft 4500 90 021188 Reconstruction of midface with osteotomies other than LeFort's 90 0

21193Reconstruction of mandibular rami, horizontal, vertical, "C", "L", osteotomy; without bone graft 90 1

21194Reconstruction of mandibular rami, horizontal, vertical, "C", "L", osteotomy; with bone graft (includes getting) 90 0

21195 Reconstruction of mandibular rami/body sagittal split; without internal rigid fixation 90 021196 Reconstruction of mandibular rami/body sagittal split; with internal rigid fixation 90 121198 Mandibular osteotomies; segmental 90 121206 Maxillary osteotomies; Wassmund or Schuchard 90 121208 Osteoplasty, facial bones; augmentation (auto, allo, prosth) 2160 90 021209 Reduction of facial bones 3500 90 0

21210Bone graft to the nose, maxilla, and/or malar bone graft (non-cleft) (includes obtainingthe graft)

2800 90 0

21215 Bone graft to the mandible (includes obtaining the graft) 3500 90 121230 Rib cartilage graft to the nose, chin, face, ear (includes obtaining the graft) 2500 90 021235 Ear cartilage graft to nose (includes harvest) 1670 90 021240 Arthroplasty TMJ with or without autograft (includes getting graft) 90 121242 Arthroplasty TMJ with allograft 90 121243 Arthroplasty TMJ with prosthesis 90 121244 Reconstruction of mandible with bone plate 90 121245 Reconstruction of mandible with subperiosteal implant; partial 90 021246 Reconstruction of mandible with subperiosteal implant; complete 90 021247 Reconstruction of mandible - condyle with graft 90 121248 Reconstruction of maxilla with endosteal implant; partial 90 021249 Reconstruction of maxilla with endosteal implant; complete 90 021255 Reconstruction of Zygoma with bone graft (includes getting) 90 121256 Reconstruction of orbit with osteotomies and bone graft (eg. micro-ophthalmia) 90 121260 Periorbital osteotomies for hypertelorism extracranial approach with bone graft 90 1

Page 10


21261Periorbital osteotomies for hypertelorism extracranial and intracranial approach with bone graft 90 1

21263Periorbital osteotomies for hypertelorism extracranial approach with bone graft with forehead advance 90 1

21267 Orbital repositioning with bone graft; unilateral extracranial 90 121268 Orbital repositioning with bone graft; unilateral extracranial and intracranial 90 121270 Malar augmentation with prosthesis (with bone see 21210) 2000 90 121275 Secondary revision of orbitalcranialfacial reconstruction 90 121280 Medial canthopexy (for canthoplasty see 67950) 90 021282 Lateral canthopexy 90 0

21295Revision of masseter muscle and bone (eg. for benign masseteric hypertrophy); extraoral approach 90 0

21296Revision of masseter muscle and bone (eg. for benign masseteric hypertrophy); intraoral approach 90 0

21299 Other unlisted craniofacial procedure YYY 121300 Closed treatment of skull fracture 0 021310 Treatment of nasal fracture without manipulation 150 0 021315 Closed treatment of nasal fracture without splint 250 10 021320 Closed treatment of nasal fracture with splint 500 10 021325 Open treatment of nasal fracture - uncomplicated 750 90 0

21330Open treatment of nasal fracture - complicated with internal/external fixation (ORIF nose) 1500 90 0

21335 Open treatment of nasal fracture - above with septum 2500 90 021336 Open treatment of nasal septal fracture with or without stabilzation 90 021337 Closed treatment of nasal septal fracture with or without stabilzation 250 90 021338 Open treatment of nasoethmoidal (NOE) fracture without external fixation 2000 90 021339 Open treatment of nasoethmoidal (NOE) fracture with external fixation 2500 90 1

21340Percutaneous treatment of NOE including canthal ligament repair and/or nasolacrimalapparatus

3000 90 0

21343 Open treatment of depressed frontal sinus fracture 2000 90 1

21344Open treatment of depressed frontal sinus fracture - complex (posterior wall, comminuted, mult. approach) 90 2

21345 Closed treatment of LeFort II (nasomaxillary fracture) with IMF 2000 90 0

21346Open treatment (ORIF) of LeFort II (nasomaxillary fracture) with IMF and wire or plates 2500 90 1

21347Open treatment of LeFort II (ORIF) (nasomaxillary fracture) with IMF and wire or plates from multiple approaches 3000 90 1

21348 Open treatment of LeFort II (ORIF) (nasomaxillary fracture) with bone graft 90 221355 Percutaneous treatment of Zygomatic arch with manipulation 1000 10 021356 Open treatment of Zygomatic arch (eg Gilles approach) 10 021360 Open treatment of Zygomatic arch or tripod (ZMC complex) 1800 90 021365 Open treatment (ORIF) of Zygomatic arch or tripod (ZMC complex) - complex 2500 90 1

21366Open treatment (ORIF) of Zygomatic arch or tripod (ZMC complex) - complex with bone graft (includes getting bone) 90 2

21385 Open treatment of orbital blowout fracture (floor) transantral approach 90 121386 Open treatment of orbital blowout fracture (floor) periorbital approach 2500 90 021387 Open treatment of orbital blowout fracture (floor) combined approach 2500 90 0

21390Open treatment of orbital blowout fracture (floor) periorbital approach with alloplastic implant 2500 90 1

21395 Open treatment of orbital blowout fracture (floor) periorbital approach with bone graft 3500 90 121400 Closed treatment of orbital fracture (non-blowout) - no manipulation 200 90 021401 Closed treatment of orbital fracture (non-blowout) - with manipulation 1000 90 021406 Open treatment of orbital fracture (non-blowout) 2000 90 121407 Closed treatment of orbital fracture (non-blowout) with implant 2500 90 1

Page 11


21408 Closed treatment of orbital fracture (non-blowout) with bone graft 90 221421 Closed treatment of maxillary fracture - LeFort I with IMF alone 1800 90 021422 Open treatment of maxillary fracture - LeFort I 2500 90 1

21423 Open treatment of maxillary fracture - LeFort I - complex with multiple approaches 90 221431 Closed treatment of Craniofacial dissocation fracture (LeFort III) with IMF alone 2500 90 0

21432Open treatment of Craniofacial dissocation fracture (LeFort III) with IMF or plates (ORIF) 2500 90 0

21433Open treatment of Craniofacial dissocation fracture (LeFort III) with IMF or plates (ORIF) and multiple approaches 3000 90 1

21435Open treatment of Craniofacial dissocation fracture (LeFort III) - above with external fixation as well 4000 90 0

21436Open treatment of Craniofacial dissocation fracture (LeFort III) with IMF or plates (ORIF) with bone graft 90 2

21440 Closed treatment of mandibular or maxillary alveolar ridge fracture 1800 90 021445 Open treatment of mandibular or maxillary alveolar ridge fracture 2200 90 021450 Closed treatment of mandibular fracture without manipulation 90 021451 Closed treatment of mandibular fracture with manipulation 90 021452 Closed treatment of mandibular fracture with manipulation with external fixation 90 021453 Closed treatment of mandibular fracture with manipulation with IMF 90 021454 Open treatment of mandibular fracture with manipulation with external fixation 90 121461 Open treatment of mandibular fracture with manipulation without IMF 90 121462 Open treatment of mandibular fracture with manipulation with IMF 90 121465 Open treatment of mandibular condyle fracture 90 121470 Open treatment of mandibular condyle fracture - complex ORIF... 90 121480 Closed treatment of TMJ dislocation 0 021485 Closed treatment of TMJ dislocation - complicated requiring IMF... 90 021490 Open treatment of TMJ dislocation 90 121493 Closed treatment of Hyoid fracture 90 121494 Closed treatment of Hyoid fracture - with manipulation 90 121495 Open treatment of Hyoid fracture 90 021497 IMF for condition other than fracture 90 021499 Unlisted musculoskeletal procedure of the head - other YYY 121600 Rib resection, partial 90 121620 Sternal debridement - partial (eg for osteomyelitis or dehisence) 90 121627 Sternal debridement (eg for osteomyelitis or dehisence) 90 021630 Radical sternectomy (eg for osteomyelitis or dehisence) 90 121632 Radical sternectomy with lymphadenectomy 90 121700 Division of scalenus anticus; without resection of cervical rib 90 021705 Division of scalenus anticus; with resection of cervical rib 90 021720 Division of sternocleidomastoid for torticollis without cast application 90 021725 Division of sternocleidomastoid for torticollis with cast application 90 121740 Reconstruction of pectus excavatum or carinatum 90 121750 Closure of sternotomy separation with or without debradement 90 1

22100Debridement of vertebral spinous process, single vertebral segment; cervical (osteomyelitis) 90 1

22101Debridement of vertebral spinous process, single vertebral segment; thoracic (osteomyelitis) 90 1

22102Debridement of vertebral spinous process, single vertebral segment; lumbar (osteomyelitis) 90 1

23180 Debridement of clavicle for osteomyelitis 90 123182 Debridement of scapula for osteomyelitis 90 023184 Debridement of humerus, proximal for osteomyelitis 90 124134 Debridement of humerus, shaft or distal for osteomyelitis 90 024136 Debridement of radial head or neck for osteomyelitis 90 0

Page 12


24138 Debridement of olecranon for osteomyelitis 90 024341 Repair of tendon/muscle of the arm or elbow 90 124342 Repair or reinsertion of biceps or triceps tendon 90 124350 Lateral or medial fasciotomy of elbow (tennis elbow) 10 90 0

24351 Lateral or medial fasciotomy of elbow (tennis elbow) plus detachment of ext origin 11 90 0

24352 Lateral or medial fasciotomy of elbow (tennis elbow) plus resection of annular ligment 13 90 124354 Lateral or medial fasciotomy of elbow (tennis elbow) plus stripping 13 90 0

24356Lateral or medial fasciotomy of elbow (tennis elbow) plus partial ostectomy (epicondylectomy) 15 90 0

24495 Decompression fasciotomy, forearm, with brachial arter exploration 90 024665 Open treatment radial head or neck fracture 90 124666 Above with implant 90 124670 Closed treatment of ulnar fracture proximal without manipulation 90 024675 Closed treatment of ulnar fracture proximal with manipulation 90 024685 Open treatment of ulnar fracture proximal with or without ex fix 90 1

25000 Tendon sheath incision, at radial styloid (deQuervain's disease, tendonitis, FCR) 750 90 0

25020 Decompression fasciotomy, forearm and/or wrist; flexor or extensor compartment 750 90 0

25023 Decompression fasciotomy, forearm and/or wrist; above with muscle debridement 850 90 025028 Incision and drainage I&D forearm and/or wrist deep hematoma or abscess 500 90 025031 Incision and drainage I&D forearm and/or wrist deep infected bursa 250 90 025035 Incision and drainage I&D forearm and/or wrist of bone; osteomyelitis 700 90 025040 Exploration of radiocarpal joint (arthrotomy) with removal of foreign body 750 90 025065 Superficial biopsy of forearm soft tissue 175 10 025066 Deep biopsy of forearm soft tissue 400 90 025075 Subcutaneous excision of forearm/wrist tumor 400 90 025076 Deep excision of forearm/wrist tumor 700 90 025077 Radical excision of forearm/wrist tumor 1600 90 025085 Capsulotomy of wrist for contracture 750 90 025100 Biopsy of wrist joint 700 90 025101 Exploration of wrist joint (arthrotomy) with removal of foreign body 800 90 025105 Exploration of wrist joint (arthrotomy) for synovectomy 1100 90 125107 Exploration of wrist joint (arthrotomy) for TFCC repair (triangular) 950 90 125110 Excision of lesion of tendon sheath, forearm and/or wrist 500 90 025111 Excision of ganglion; wrist 600 90 025112 Excision of recurrent ganglion wrist 800 90 025115 Radical synovectomy of wrist flexors 1400 90 025116 Radical synovectomy of wrist extensors 1400 90 125118 Synovectomy of extensor tendon sheath, wrist, single compartment 1400 90 0

25119Synovectomy of extensor tendon sheath, wrist, single compartment with excision distal ulna 1400 90 1

25120 Removal bone cyst (excision or curettage) of distal radius or ulna 1100 90 1

25125Removal bone cyst (excision or curettage) of distal radius or ulna with AUTOGRAFT reconstruction 1400 90 0

25126Removal bone cyst (excision or curettage) of distal radius or ulna with ALLOGRAFT reconstruction 1400 90 0

25130 Removal bone tumor (excision or curettage) carpal bones 700 90 0

25135Removal bone tumor (excision or curettage) carpal bones with AUTOGRAFT reconstruction 1000 90 1

25136Removal bone tumor (excision or curettage) carpal bones with ALLOGRAFT reconstruction 850 90 1

Page 13


25145 Sequestrectomy forearm or wrist (eg. for osteomyelitis) 1600 90 025150 Partial excision of ulnal for osteomyelitis 900 90 125151 Partial excision of radius for osteomyelitis 1000 90 125170 Radical resection for cancer or tumor of radius or ulna 2000 90 125210 Carpectomy (one bone) (eg. for osteomyelitis) 1000 90 125215 Proximal row carpectomy 1400 90 125230 Radial styloidectomy 750 90 1

25240Partial resection of distal ulna (Darrach) arthroplasty (for implant 25442; for getting fascia 20920, 20922) 750 90 1

25246 Injection for arthrogram 0 025248 Exploration with removal of deep forearm/wrist foreign body 90 025250 Removal of wrist prosthesis 90 025251 Removal of wrist prosthesis; complicated 90 025260 Repair flexor tendon at wrist/forearm 1° 1000 90 025263 Repair flexor tendon at wrist/forearm 2° 1000 90 025265 Repair flexor tendon at wrist/forearm 2° with graft 1400 90 025270 Repair extensor tendon at wrist/forearm 1° 700 90 025272 Repair extensor tendon at wrist/forearm 2° 750 90 025274 Repair extensor tendon at wrist/forearm 2° with graft 1100 90 125280 Shorten or lengthen forearm/wrist flexor/extensor tendon; each tendon 1000 90 125290 Tenotomy forearm/wrist flexor/extensor tendon; each tendon 600 90 025295 Tenolysis forearm/wrist flexor/extensor tendon; each tendon 90 025300 Tenodesis flexors at wrist 1300 90 025301 Tenodesis extensors at wrist 1200 90 025310 Tendon transfer at wrist no graft (flexor or extensor) 1350 90 125312 Tendon transfer at wrist with graft (flexor or extensor) 1650 90 1

25315Flexor tendon slide at origin for cerebral palsy or Volkmann's contracture (forearm/wrist) 90 0

25316Flexor tendon slide at origin for cerebral palsy or Volkmann's contracture (forearm/wrist) with tendon transfer 90 0

25320Repair or revise wrist including synovectomy/capsulodesis, ligament repair, tendon interpo... (capsulorrhaphy) 2000 90 0

25332 Arthroplasty of wrist with/without interposition, with/without int./ext. fixation 1950 90 025335 Centralization of wrist on ulna (eg. radial club hand) 90 0

25337Secondary reconstruction of distal ulna/DRUJ by soft tissue stabilization (code harvest separately) 90 0

25350 Osteotomy, radius; distal third 90 025355 Osteotomy, radius; middle or proximal third 90 025360 Osteotomy, ulna 90 125365 Osteotomy; radius and ulna 90 025370 Multiple osteotomies; radius OR ulna 90 025390 Osteoplasty; radius or ulna; shortening 90 125391 Osteoplasty; radius or ulna; lengthening with autograft 90 125392 Osteoplasty; radius AND ulna; shortening 90 025393 Osteoplasty; radius AND ulna; lengthening with autograft 90 0

25400 Repair of nonunion or malunion of the radius OR ulna without graft (eg. compression) 90 1

25405Repair of nonunion or malunion of the radius OR ulna with bone graft (includes harvest) 90 1

25415Repair of nonunion or malunion of the radius AND ulna without graft (eg. compression) 90 1

25420Repair of nonunion or malunion of the radius AND ulna with bone graft (includes harvest) 90 1

25425 Repair of defect with autograft radius OR ulna (includes harvest) 90 125426 Repair of defect with autograft radius AND ulna (includes harvest) 90 1

Page 14


25440Repair of nonunion of the scaphoid with or without radial styloidectomy (includes harvest and fixation) 90 1

25441 Arthroplasty with prosthetic replacement; distal radius 90 125442 Arthroplasty with prosthetic replacement; distal ulna 90 125443 Arthroplasty with prosthetic replacement; scaphoid 90 125444 Arthroplasty with prosthetic replacement; lunate 90 025445 Arthroplasty with prosthetic replacement; trapezium 90 125446 Total wrist arthroplasty 90 125447 Interposition arthroplasty, IP, MCP, or CMC 90 125449 Revision of arthroplasty, including removal of implant, wrist joint 90 125450 Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna 90 025455 Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna 90 0

25490 Prophylactic treatment (nailing, pinning plating or wiring with/without MMA; radius 90 025491 Prophylactic treatment (nailing, pinning plating or wiring with/without MMA; ulna 90 0

25492Prophylactic treatment (nailing, pinning plating or wiring with/without MMA; radius AND ulna 90 0

25500 Closed treatment of radial shaft fracture without manipulation 90 025505 Closed treatment of radial shaft fracture with manipulation 90 025515 Open treatment of radial shaft fracture with/without inter/ext fixation 90 1

25520Closed treatment of radial shaft fracture sislocation of distal radio-ulnar joint (Galeazzi fx/dislocation) 90 0

25525 Open treatment of Galeazzi fracture 90 225526 Open treatment of Galeazzi fracture with treatment of TFCC 90 225530 Closed treatment of ulnar shaft fracture without manipulation 90 025535 Closed treatment of ulnar shaft fracture with manipulation 90 025545 Open treatment of ulnar shaft fracture with/without int/ext fixation 90 125560 Closed treatment of radial/ulnar shaft fracture without manipulation 90 025565 Closed treatment of radial/ulnar shaft fracture with manipulation 90 0

25574Open treatment of radial and ulnar shaft fracture with/without int/ext fixation on radius OR ulna 90 2

25575Open treatment of radial and ulnar shaft fracture with/without int/ext fixation on radius AND ulna 90 1

25600 Closed treatment of a distal radius and/or ulnar fracture without manipulation 90 0

25605Closed treatment of a distal radius and/or ulnar fracture with manipulation (closed reduction) 90 0

25611 Percutaneous pinning of a distal radius and/or ulnar fracture 90 0

25620Open treatment of distal radius and/or ulnar fracture with or without internal or external fixation 90 0

25622 Closed treatment of a scaphoid fracture without manipulation 90 025624 Closed treatment of a scaphoid fracture with manipulation 90 025628 Open reduction with or without internal or external fixation of a scaphoid fracture 90 0

25630 Closed treatment of a carpal bone fracture except the scaphoid without manipulation 90 0

25635 Closed treatment of a carpal bone fracture except the scaphoid with manipulation 90 0

25645Open reduction with or without internal or external fixation of a carpal bone fracture except the scaphoid fracture 90 0

25650 Closed treatment of ulnar styloid fracture 90 0

25660Closed treatment of radiocarpal or intercarpal dislocation, one or more bones, with manipulation 90 0

25670 Open treatment of radiocarpal or intercarpal dislocation , one or more bones 90 125675 Open treatment of distal radioulnar dislocation with manipulation 90 025680 Close treatment of trans-scaphoperilunar dislocation, with manipulation 90 025685 Open treatment of trans-scaphoperilunar dislocation 90 0

Page 15


25690 Closed treatment of lunate dislocation with manipulation 90 025695 Open treatment of lunate dislocation 90 125800 Arthrodesis of wrist radio/ulnocarpal without bone graft 90 125805 Arthrodesis of wrist radio/ulnocarpal with sliding graft 90 125810 Arthrodesis of wrist radio/ulnocarpal with bone graft 90 125820 Arthrodesis intercarpal without bone graft 90 125825 Arthrodesis intercarpal with bone graft (includes getting the bone) 90 1

25830Distal radioulnar joint arthrodesis and segmental resection of ulna (Sauve-Kapandji) +/- bone 90 1

25900 Amputation of radius and ulna with 1° closure 90 025905 Amputation of radius and ulna - guillotine left open 90 025907 Amputation of radius and ulna with 2° closure 90 025909 Amputation of radius and ulna - re-amputation 90 025915 Krukenberg procedure 90 025920 Disarticulation through the wrist (amputation at the wrist) 90 025922 Disarticulation through the wrist (amputation at the wrist) with secondary closure 90 0

25924 Disarticulation through the wrist (amputation at the wrist) reamputation after above 90 025927 Transmetacarpal amputation of the hand 90 025929 Transmetacarpal amputation of the hand with secondary clousre 90 025931 Transmetacarpal amputation of the hand with reamputation 90 025999 Other unlisted surgery of the forearm or wrist YYY 126010 Drainage of finger abscess: simple 75 10 026011 Drainage of finger abscess: complex (felon) 100 10 0

26020Drainage of tendon sheath abscess one digit or palm (suppurative flexor tenosynovitis) 700 90 0

26025 Drainage of palmar bursa; single, ulnar or radial 750 90 026030 Drainage of palmar bursa; multipleor complicated 1250 90 026034 Incision and deep drainage including bone of hand or finger 800 90 026035 Decompression of the hand/fingers after injection injury 2000 90 026037 Decompressive fasciotomy of the hand 1200 90 026040 Dupuytrens contracture closed (fasciotomy) 400 90 026045 Dupuytrens contracture open, partial (fasciotomy) 700 90 026055 Relaese of trigger finger 500 90 026060 Tenotomy, percutaneous single, each digit 350 90 026070 Arthotomy for removal of foreign body or infection (explore CMC joint) 700 90 026075 Arthotomy for removal of foreign body or infection (explore MCP joint) 700 90 026080 Arthotomy for removal of foreign body or infection (explore IP joint) 600 90 026100 Synovial biopsy of CMC joint 700 90 026105 Synovial biopsy of MCP joint 700 90 026110 Synovial biopsy of IP joint 600 90 026115 Excision of tumor or vascular malformation; subcutaneous; hand or finger 400 90 026116 Excision of tumor or vascular malformation; deep; hand or finger 750 90 026117 Radical resection of soft tissue tumor of the hand or fingers 1500 90 0

26121Fasciectomy, palm only; with/without Z-plasty or skin grafts (includes harvest) (Dupuytren's Contracture) 2250 90 0

26123Fasciectomy, palm and single digit (Dupuytren's Contracture) (includes harvest of skin) 2000 90 0

26125Fasciectomy, palm and each additional digit (Dupuytren's Contracture) (includes harvest of skin) 750 ZZZ 0

26130 CMC synovectomy 1000 90 026135 MCP synovectomy 900 90 026140 IP synovectomy 900 90 0

26145Tendon sheath synovectomy (tenosynovectomy) radical flexor, palm or finger; each digit 1250 90 0

Page 16


26160Excision of lesion of tendon sheath or capsule (eg. cyst, mucous cyst, or ganglion; hand or finger 500 90 0

26170 Excision of flexor tendon in the palm, each 600 90 026180 Excision of flexor tendon in the finger, each 700 90 026185 Sesamoidectomy thumb/finger 90 126200 Excision or curetteage of bone cyst or benign tumor of the metacarpal 800 90 0

26205Excision or curetteage of bone cyst or benign tumor of the metacarpal with autograft replacement (includes harvest) 1000 90 0

26210 Excision or curetteage of bone cyst or benign tumor of the finger 750 90 0

26215Excision or curetteage of bone cyst or benign tumor of the finger with autograft replacement (includes harvest) 900 90 0

26230 Partial excision of metacarpal (eg. for osteomyelitis) 750 90 026235 Partial excision of proximal or middle phalanx bone (eg. for osteomyelitis) 700 90 026236 Partial excision of distal phalanx bone (eg. for osteomyelitis) 700 90 026250 Radical resection of metacarpal tumor 1400 90 026255 Radical resection of metacarpal tumor - autograft reconstruction 1800 90 126260 Radical resection of proximal or middle phalanx tumor 1500 90 026261 Radical resection of proximal or middle tumor - autograft reconstruction 1750 90 026262 Radical resection of distal phalanx tumor 1400 90 026320 Removal implant from hand or finger 400 90 026350 Flexor tendon repair NOT in Zone 2; primary 900 90 026352 Flexor tendon repair NOT in Zone 2; secondary with graft (includes harvest) 1100 90 126356 Flexor tendon repair IN Zone 2 (No man's land); primary 1200 90 026357 Flexor tendon repair IN Zone 2 (No man's land); secondary 1300 90 0

26358Flexor tendon repair IN Zone 2 (No man's land); secondary with graft (includes harvest) 1400 90 0

26370 Profundus tendon repair with intact sublimus; primary 1000 90 026372 Profundus tendon repair with intact sublimus; secondary with graft 1300 90 026373 Profundus tendon repair with intact sublimus; secondary without graft 1100 90 026390 Flexor tendon excision with Hunter rod placement 1100 90 126392 Removal of rod and grafting (includes harvest) 1500 90 126410 Repair of extensor tendon primary or secondary without graft (dorsum of hand) 600 90 026412 Repair of extensor tendon primary or secondary with graft (dorsum of hand) 900 90 026415 Excision of extensor tendon with Hunter rod insertion 1100 90 026416 Extensor tendon Hunter rod removal and graft insertion (includes harvest) 1500 90 026418 Repair of extensor tendon primary or secondary without graft (finger) 700 90 026420 Repair of extensor tendon primary or secondary with graft (finger) 900 90 026426 Repair of central slip for Boutonniere deformity with local tissue 1000 90 026428 Repair of central slip for Boutonniere deformity with graft (includes harvest) 1200 90 026432 Mallet finger with or without pin closed 500 90 026433 Mallet finger open repair 750 90 026434 Mallet finger with graft 1000 90 026437 Extensor tendon realignment, hand 800 90 026440 Tenolysis flexor tendon in hand OR fingers 700 90 026442 Tenolysis flexor tendon in hand AND fingers 800 90 026445 Tenolysis extensor tendon hand or finger - simple 700 90 026449 Tenolysis extensor tendon hand or finger including dorsum of arm - complex 1100 90 026450 Tenotomy flexor palm each 500 90 026455 Tenotomy flexor finger each 700 90 026460 Tenotomy extensor hand or finger each 500 90 026471 Tenodesis for PIP joint stabilization 900 90 026474 Tenodesis for DIP joint stabilization 700 90 026476 Extensor tendon lenghtening; hand or finger single 700 90 026477 Extensor tendon shortening; hand or finger single 800 90 126478 Flexor tendon lenghtening; hand or finger single 700 90 0

Page 17


26479 Flexor tendon shortening; hand or finger single 800 90 026480 Tendon transfer dorsum of hand; CMC area without graft 1250 90 026483 Tendon transfer dorsum of hand; CMC area with graft 1600 90 126485 Tendon transfer palm 1400 90 126489 Tendon transfer palm with graft 1700 90 026490 Opponensplasty; sublimus tendon transfer type 1400 90 026492 Opponensplasty; sublimus tendon transfer type with graft 1700 90 126494 Opponensplasty; hypothenar muscle transfer 1600 90 126496 Opponensplasty other method 1400 90 026497 Tendon transfer to restore intrinsic function ring and little (Zancolli...) 90 026498 Tendon transfer to restore intrinsic function to all fingers 90 126499 Correction of claw finger other than tendon transfer 90 126500 Tendon pulley reconstruction with local tissues 800 90 026502 Tendon pulley reconstruction with graft (includes harvest) 1100 90 026504 Tendon pulley reconstruction with tendon prosthesis 1100 90 026508 Thenar muscle release for contracture 1100 90 026510 Cross intrinsic transfer 1100 90 026516 Capsulodesis for MP stabilization; single 1000 90 026517 Capsulodesis for MP stabilization; two 1200 90 026518 Capsulodesis for MP stabilization; 3 - 4 1500 90 126520 MCP capsulotomy or capsulectomy for joint contracture 1000 90 026525 IP capsulotomy or capsulectomy for joint contracture 900 90 126530 MCP arthroplasty no implant; each 1100 90 026531 MCP arthroplasty with implant; each 1400 90 126535 IP arthroplasty no implant 1100 90 026536 IP arthroplasty with implant 1400 90 026540 Primary repair MCP or IP collateral ligament 1000 90 126541 Primary repair MCP or IP collateral ligament with tendon or fascial graft 1200 90 126542 Primary repair MCP collateral ligament with local tissue 1000 90 026545 Repair IP joint collateral ligament 800 90 026546 Repair of nonunion of the metacarpal or phalanx, including bone graft 90 026548 Reconstruct volar plate of IP joint 1000 90 026550 Pollicization 2250 90 026551 Toe-To-Hand transfer; great toe "wrap-around" with bone graft 2800 90 026553 Toe-To-Hand transfer; other than great toe; single 90 126554 Toe-To-Hand transfer; other than great toe; double 90 126555 Positional change of finger other than the thumb (ray transfer) 1500 90 026556 Free toe joint transfer 90 126560 Syndactyly repair with flaps 1400 90 026561 Syndactyly repair with flaps and grafts 1600 90 126562 Syndactyly repair complex (bone, nail...) 2100 90 026565 Osteotomy for correction of deformity; metacarpal 1100 90 026567 Osteotomy for correction of deformity; phalanx 1000 90 026568 Osteoplasty for lenghtening of metacarpal or phalanx 1200 90 026580 Repair of cleft hand 2800 90 0

26587 Reconstruction of supernumerary digit - soft tissue and bone (soft tissue only - 11200) 900 90 026590 Repair macrodactylia 1100 90 026591 Repair of intrinsic muscles of the hand 900 90 026593 Release of intrinsic muscles of the hand 800 90 0

26596 Reconstruction of constriction band (ring) syndrome of finger with multiple Z-plasties 90 026600 Closed treatment of metacarpal fracture without manipulation 90 026605 Closed treatment of metacarpal fracture with manipulation 350 90 0

Page 18


26607Closed treatment of metacarpal fracture with manipulation and internal or external fixation 750 90 0

26608 Percutaneous fixation of metacarpal fracture (K-wire) 1000 90 026615 Open treatment of metacarpal fracture with or without internal or external fixation 1000 90 026641 Closed treatment of CMC dislocation of the thumb 250 90 026645 Closed treatment of a Bennett fracture of the thumb 500 90 0

26650 Percutaneous fixation of a Bennett fracture with or without external fixation (K-wire) 800 90 026665 Open treatment of a Bennett fracture with or without internal or external fixation 1500 90 126670 Closed treatment of CMC dislocation other than the thumb- no anesthesia 250 90 026675 Closed treatment of CMC dislocation other than the thumb- with anesthesia 350 90 026676 Percutaneous pin fixation of other than thumb CMC dislocation 500 90 0

26685Open treatment of other than thumb CMC dislocation - without internal or external fixation 850 90 1

26686Open treatment of other than thumb CMC dislocation; complex, multiple or delayed reduction 1100 90 0

26700 Closed treatment of MCP dislocation; no anesthesia 250 90 026705 Closed treatment of MCP dislocation; with anesthesia 300 90 026706 Closed treatment of MCP dislocation; with percutaneous pin fixation 500 90 026715 Open treatment of MCP dislocation 950 90 0

26720 Closed treatment of phalangeal shaft fracture (proximal or middle) no manipulation 200 90 0

26725 Closed treatment of phalangeal shaft fracture (proximal or middle) with manipulation 300 90 0

26727Closed treatment of phalangeal shaft fracture (proximal or middle) with manipulation and percutaneous pin 400 90 0

26735Open treatment of phalangeal shaft fracture with or without internal or external fixation 800 90 0

26740 Closed treatment of joint articular fracture; closed - no manipulation (including DIP) 350 90 0

26742 Closed treatment of joint articular fracture; closed - with manipulation (including DIP) 500 90 0

26746Open treatment of joint articular fracture with or without int. ext. fixation (including DIP) 800 90 0

26750 Closed treatment of distal phalynx fracture 100 90 026755 Closed treatment of distal phalynx fracture with manipulation 150 90 026756 Closed treatment of distal phalynx fracture with percutaneous pin fixation 225 90 026765 Open treatment of distal phalynx fracture 500 90 026770 Closed treatment of IP dislocation without anesthesia 125 90 026775 Closed treatment of IP dislocation with anesthesia 200 90 026776 Closed treatment of IP dislocation with K-wire percutaneous pin fixation 225 90 026785 Open treatment of IP dislocation 400 90 026820 Fusion of thumb in opposition with graft (includes harvest) 1600 90 126841 CMC arthrodesis of the thumb with/without int/ext fixation 1100 90 126842 CMC arthrodesis of the thumb with/without int/ext fixation; with bone graft 1400 90 126843 CMC arthrodesis of other than thumb with/without int/ext fixation 1100 90 126844 CMC arthrodesis of other than thumb with/without int/ext fixation; with bone graft 1400 90 126850 MCP arthrodesis with/without internal or external fixation 1000 90 0

26852MCP arthrodesis with/without internal or external fixation; with bone graft (includes harvest) 1250 90 1

26860 IP arthrodesis with/without internal or external fixation; first 800 90 026861 IP arthrodesis with/without internal or external fixation; each additional 250 ZZZ 0

26862IP arthrodesis with/without internal or external fixation; with bone graft (includes harvest); first 900 90 1

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26863IP arthrodesis with/without internal or external fixation; with bone graft (includes harvest); each additional 400 ZZZ 0

26910 Ray amputation with or without bone transfer (for repositioning see 26550 or 26555) 1100 90 026951 Amputation of any finger (1° or 2°) with direct closure (includes neurectomies) 750 90 026952 Amputation of any finger (1° or 2°) with local advancement flap (V-Y, hood) 950 90 026989 Other, unlisted procedure of the hand YYY 0

27070Debridement of pelvis or hip; superficial (wind of ilium, symphysis pubis, treter trochanter of femur) for osteomyelitis 90 1

27071 Debridement of pelvis or hip; deep (subfascial or intramuscular) for osteomyelitis 90 1

27122 Reconstruction of acetabulum with femoral head resection (Girdlestone procedure) 90 1

27301 Incision and drainage of deep abscess or hematoma (superficial see 10040-10160) 90 027303 Incision, deep with opening of bone cortex; femur or knee (eg. osteomyelitis) 90 127360 Debridement of femur, proximal tibia or proximal fibula for osteomyelitis 90 127590 Amputation thigh; any level (primary AKA) 90 127591 Amputation thigh; any level; with I-POP, immediate cast 90 127592 Amputation thigh; any level; open (guillotine) 90 127594 Amputation thigh; any level; secondary closure 90 027596 Amputation thigh; any level; re-amputation 90 127598 Disarticulation at knee (amputation) primary BKA 90 127600 Decompression fasciotomy, leg; anterior and or lateral compartments only 90 127601 Decompression fasciotomy, leg; posterior compartment(s) only 90 027602 Decompression fasciotomy, leg; posterior AND anterior compartments 90 127603 Incision and drainage, leg or ankle; deep abscess or hematoma 90 027604 Incision and drainage, leg or ankle; infected bursa 90 027607 Incision and drainage, leg or ankle; opening bony cortex (eg. osteomyelitis) 90 0

27640Partial excision tibia (craterization, saucerization, or diaphysectomy)of bone (eg. osteomyelitis) 90 1

27641Partial excision fibula (craterization, saucerization, or diaphysectomy)of bone (eg. osteomyelitis) 90 1

27880 Amputation leg tibia fibula (primary BKA) 90 127881 Amputation leg tibia fibula (primary BKA) with I-POP (immediate cast) 90 127882 Amputation leg tibia fibula (primary BKA) open 90 127884 Amputation leg tibia fibula secondary closure BKA 90 027886 Amputation leg tibia fibula re-amputation BKA 90 127888 Amputation at ankle (Syme) 90 127889 Ankle disarticulation 90 1

27892Decompression fasciotomy of lower leg anteriolateral compartment with muscle debridement (without see 27600) 90 0

27893Decompression fasciotomy of lower leg posterior compartment with muscle debridement (without see 27601) 90 0

27894Decompression fasciotomy of lower leg post. AND ant. compartment with muscle debridement (without see 27602) 90 0

27899 Unlisted procedure of the leg or ankle YYY 128001 Incision and drainage, infected bursa, foot (superficial see 10040-10160) 10 028002 Deep dissection below fascia for deep infection foot single space 10 028003 Deep dissection below fascia for deep infection foot multiple spaces 90 028005 Deep dissection below fascia for deep infection foot with bone cortex 90 028008 Fasciotomy, foot and or toe 90 028060 Fasciectomy plantal fascia; partial 90 028062 Fasciectomy plantal fascia; complete or radical 90 128120 Debridement of talus or calcaneus for osteomyelitis 90 1

Page 20


28122 Debridement of tarsal or metatarsal for osteomyelitis 90 128124 Debridement of phananx of toe for osteomyelitis 90 028340 Reconstruction, toe, macrodactyly; soft tissue resection 90 028341 Reconstruction, toe, macrodactyly; bony resection 90 028344 Reconstruction of toes; polydactyly 90 128345 Reconstruction of toes; syndactyly with skin grafts eack toe 90 028805 Transmetatarsal (TMA) amputation of the foot 90 028810 Metatarsal ray amputation, single 90 028820 Amputation of toe at the MTJ 90 028825 Amputation of toe at the IP joints (for distal tuft use 11752) 90 028899 Other unlisted procedure on the foot or toes YYY 129065 Long arm cast 0 029075 Short arm cast 0 029085 Hand or wrist cast 0 029105 Long arm splint 0 029125 Short arm splint - static 0 029126 Short arm splint - dynamic 0 029130 Finger splint - static 0 029131 Finger splint - dynamic 0 029280 Straping of hand or finger (Buddy tape...) 0 029345 Long leg cast 0 029355 Walking long leg cast 0 029358 Long leg cast/brace 0 029365 Long leg cylinder cast 0 029405 Short leg cast 0 029425 Walking short leg cast 0 029435 Patellar tendon baring cast 0 029440 Adding a walker to a previously applied cast 0 029450 Rigid total contact leg cast 0 029505 Long leg splint 0 029515 Short leg splint 0 029580 Unna boot 0 029590 Foot strapping - Denis-Browne 0 029700 Removal of body cast (code only if applied by another service) 0 029705 Removal of long leg or arm cast (code only if applied by another service) 0 029710 Removal of shoulder or hip spica (code only if applied by another service) 0 029715 Removal of turnbuckle jacket (code only if applied by another service) 0 029720 Repair of cast done by another doctor 0 029730 Windowing of cast done by another doctor 0 029740 Wedging of cast 0 029750 Wedging of cast for clubfoot 0 029840 Wrist arthroscopy 90 029848 Endoscopy, wrist, surgical, with release of transverse carpal ligament 90 0

30000Drainage of abscess or hematoma, nasal, internal approach (external see 10060, 10140) 175 10 0

30020 Drainage of abscess or hematoma, nasal septum 200 10 030100 Biopsy, intranasal 0 030110 Removal of nasal polyps; simple 10 030115 Removal of nasal polyps; extensive 90 030117 Excision or destruction of intranasal lesion; internal approach 90 0

30118 Excision or destruction of intranasal lesion; external approach (lateral rhinotomy) 90 130120 Excision or surgical planing of skin of nose for rhinophyma 1600 90 030124 Excision of dermoid cyst, nose; simple, skin, subcutaneous tissue 250 90 030125 Excision of dermoid cyst, nose; complex under bone or cartilage 1200 90 0

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30130 Excision of turbinate; partial or complete 850 90 030140 Excision of turbinate; submucosal 798 90 0

30150Partial rhinectomy; partial (for reconstruction see 13150-2, 14060-300, 15120-1, 15260-1, 15760, 20900-12) 850 90 1

30160Partial rhinectomy; complete (for reconstruction see 13150-2, 14060-300, 15120-1, 15260-1, 15760, 20900-12) 1950 90 1

30400 Closed primary rhinoplasty, lateral and alar cart. and/or elevation of nasal tip 2000 90 030410 Open rhinoplasty 2500 90 030420 Open rhinoplasty including septoplasty 3500 90 030430 Secondary rhinoplasty; minor revision 1500 90 030435 Secondary rhinoplasty; intermediate with bony work, osteotomies 2500 90 030450 Secondary rhinoplasty; with bony & tip work 3500 90 0

30460 Secondary repair (rhinoplasty) for cleft lip nose - collumella lengthening; tip only 90 2

30462Secondary repair (rhinoplasty) for cleft lip nose - collumella lengthening; tip, osteotomies and septum 90 2

30520 Submucosal resection (SMR) with or without replacement... 800 90 030560 Lysis of intranasal synechia 125 10 030580 Repair of oromaxillary (combine with 31030 if antrotomy in included) 1400 90 030600 Repair of oronasal fistula (combine with 31030 if antrotomy in included) 1400 90 030620 Septal or other intranasal dermatoplasty (does not include obtaining graft) 90 030630 Repair of nasal septal perforations 1400 90 0

30801Cauterization and/or ablation, mucosa of turginates, unilateral or bilateral any method; superficial 10 0

30802Cauterization and/or ablation, mucosa of turginates, unilateral or bilateral any method; intramural 10 0

30901 Control nasal hemorrahage, anterior packing or cautery; simple 0 030903 Control of nasal hemorrhage, anterior; complex 0 030905 Control of nasal hemorrhage, posterior; initial 0 030906 Control of nasal hemorrhage, posterior; subsequent 0 030915 Ligation of arteries; ethmoidal 90 030920 Ligation of arteries; internal maxillary, transantral 90 030930 Fracture nasal trubinates (therapeutic) 10 030999 Unlisted procedure, nose YYY 131070 Sinusotomy frontal; external simple (trephine operation) 90 031075 Sinusotomy frontal; transorbital unilateral for mucocele or osteoma 90 131080 Obliterate frontal sinus without bony flap brow incision 90 031081 Obliterate frontal sinus without bony flap coronal incision 90 131084 Obliterate frontal sinus with bony flap brow incision 90 131085 Obliterate frontal sinus with bony flap coronal incision 90 131086 Sinusotomy nonobliterate frontal with osteoplastic flap, brow incision 90 031087 Sinusotomy nonobliterate frontal with osteoplastic flap, coronal incision 90 131090 Sinusotomy combined 3 or more sinuses 90 031200 Ethmoidectomy; intranasal anterior 90 031201 Ethmoidectomy; intranasal total 90 031205 Ethmoidectomy; extranasal total 90 131225 Maxillectomy without orbital exoneration 3000 90 131230 Maxillectomy with orbital exoneration (for orbital exenteration only see 65110) 4000 90 131254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) 0 031255 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total 0 031256 Nasal/sinus endoscopy, surgical; with maxillary antrostomy 0 0

31267 Nasal/sinus endoscopy, surgical; with maxillary antrostomy and removal of tissue 0 0

31276Nasal/sinus endoscopy, surgical; with frontal sinus exploration; with or without tissue removal 0 0

Page 22


31299 Unlisted procedure of accessory sinuses YYY 1

31300Laryngotomy (thyrotomy, laryngofissure; with removal of tumor or laryngocele, cordectomy 90 1

31320 Laryngotomy - diagnostic 90 031360 Laryngectomy; total, without radical neck dissection 90 131367 Laryngectomy; subtotal supraglottic, without radical neck dissection 90 1

31368Laryngectomy; subtotal supraglottic, with radical neck dissection (for partial; refer to CPT book) 90 1

31500 Endotracheal intubation; emergency procedure 0 031502 Tracheotomy tue change prior to extablishment of fistula tract 0 031505 Laryngoscopy, indirect (separate procedure) diagnostic 0 031510 Laryngoscopy, indirect; with biopsy 0 031511 Laryngoscopy, indirect; with removal of foreign body 0 031512 Laryngoscopy, indirect; with removal of lesion 0 031513 Laryngoscopy, indirect; with vocal cord injection 0 031515 LARYNGOSCOPY FOR ASPIRATION 0 031520 Laryngoscopy, direct newborn 0 031525 Laryngoscopy, direct except newborn 0 031526 Laryngoscopy, direct microscope 0 031527 Laryngoscopy, direct insertion obterator 0 031528 Laryngoscopy, direct first dilatiaion 0 031529 Laryngoscopy, direct subsequent dilatiaion 0 031530 Laryngoscopy, direct with foreign body removal 0 031531 Laryngoscopy, direct with with microscope 0 031535 Laryngoscopy, direct with biopsy 0 031536 Laryngoscopy, direct with with scope 0 031540 Laryngoscopy, direct with tumor - vocal cords 0 031541 Laryngoscopy, direct with tumor - scope 0 031560 Laryngoscopy, direct with arytenoidectomy 0 031561 Laryngoscopy, direct with arytenoidectomy with scope 0 031570 Laryngoscopy, direct with vocal cords 0 031571 Laryngoscopy, direct with vocal cords with scope 0 031575 Laryngoscopy, flexible 0 031576 Laryngoscopy, flexible with biopsy 0 031577 Laryngoscopy, flexible with foreign body removal 0 031578 Laryngoscopy, flexible with lesion removal 0 031595 Division of recurrent laryngeal nerve, therapeutic; unilateral 90 131599 Unlistied laryngeal surgery YYY 131600 Tracheostomy; planned 0 031601 Tracheostomy under 2 years 0 131603 Tracheostomy emergency 0 031605 Cricothyroidotomy 0 031610 Tracheostomy; fenestration with flaps 90 034501 Valvuloplasty of femoral vein 90 134510 Venous valve transposition of any vein donor 90 134520 Cross over vein graft to venous system 90 134530 Saphenopopliteal vein anastomosos 90 135011 Direct repair of aneurysm (false or true); brachial 90 135045 Direct repair of aneurysm (false or true); radial or ulnar artery 90 135184 Repair of congenital arterior venous fistula; extremities 90 135190 Repair of traumatic/aquired arterior venous fistula; extremities 3000 90 135206 Repair of blood vessel; direct upper extremity 1200 90 135207 Repair of blood vessel; direct finger 1000 90 135226 Repair of blood vessel; direct leg 2000 90 135236 Repair of blood vessel; arm with vein graft 90 1

Page 23


35256 Repair of blood vessel; leg with vein graft 90 135266 Repair of blood vessel; arm with gortex 90 135286 Repair of blood vessel; leg with gortex 90 135556 Arterial bypass graft; femoral to popliteal 90 135566 Arterial bypass graft; femoral to distal 90 135571 Popliteal distal bypass with vein graft 90 135583 In-Situ vein arterial bypass graft; fem-pop 90 135585 In-Situ vein arterial bypass graft; fem-distal 90 135587 In-Situ vein arterial bypass graft; pop-distal 90 135650 Axillary-axillary bypass graft with gortex 90 135666 Fem-distal bypass graft with gortex 90 135671 Pop-distal bypass graft with gortex 90 1

35761Exploratin of other vessels (use if dissected but unable to use for free flap or for check for injury) 90 1

35800 Exploration for postoperative hemorrhage, thrombisis or infection; neck 90 135860 Exploration for postoperative hemorrhage, thrombisis or infection; extremity 90 135875 Thrombectomy or arterial or venous graft 90 135876 Thrombectomy of vascular graft with revision of graft 90 136140 Introduction of needle in extermity artery for angiogram; arteriogram XXX 036468 Injection of spider veins; sclerotherapy telangiectasia; limb or trunk 133 0 036469 Injection of spider veins; sclerotherapy telangiectasia; face 150 0 036470 Injection of sclerosing agent single vericose vein 10 036471 Injection of sclerosing agent multiple vericose veins; same leg 10 037700 High ligation of saphenous vein 90 037720 High ligation of saphenous vein or short saphenous vein with stripping 90 137730 High ligation of saphenous vein AND short saphenous vein with stripping 90 137735 Vein stripping and VSD ulcer excision and skin grafting 90 137760 Ligation of perforating veins (Linton procedure) 90 137780 Ligation of short saphenous vein at pop junction 90 137785 Revision of recurrent varicose veins 90 037788 Revascularization of penis 90 137799 Unlisted vascular procedure YYY 138500 Biopsy or excision of lymph node(s); superficial 10 038505 Biopsy or excision of lymph node(s); by needle 0 038510 Biopsy or excision of lymph node(s); deep cervical 10 038520 Biopsy or excision of lymph node(s); cervical and scalene 90 038525 Biopsy or excision of lymph node(s); deep axillary 90 038530 Biopsy or excision of lymph node(s); internal mammary 90 138542 Biopsy or excision of lymph node(s); deep jugular 90 1

38550 Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection 90 0

38555 Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection 90 138562 Excision of pelvic and periarotic lymphnodes for staging 90 138564 Excision of retroperitoneal lymphnodes 90 138700 Radical lymphadenectomy; suprahyoid 90 138720 Radical lymphadenectomy; complete 90 138724 Radical lymphadenectomy; modified radical neck dissection 90 138740 Radical lymphadenectomy; axillary superficial 90 138745 Radical lymphadenectomy; axillary complete 90 138760 Radical lymphadenectomy; groin dissection including Cloquet's 90 138765 Radical lymphadenectomy; groin dissection including pelvic dissection 90 138770 Radical lymphadenectomy; pelvic lymphnodes 90 138780 Radical lymphadenectomy; retroperitoneal 90 138999 Unlistied lymphnode procedure YYY 1

Page 24


40490 Biopsy of lip 75 0 040500 Vermilionectomy with mucosal advance (lip shave) 1000 90 040510 Wedge excision of lip; transverse 800 90 040520 Wedge excision of lip; V-excision 1000 90 040525 Excision of lip; reconstruction with local flap (eg Estlander or fan) 1750 90 040527 Excision of lip; reconstruction with cross lip flap (Abbe) 1500 90 040530 Resection of > 25% of the lip without reconstruction 750 90 040650 Repair of lip, full thickness; vermilion only 400 90 040652 Repair of lip, full thickness; less than half of vertical height 500 90 040654 Repair of lip, full thickness; over half of vertical height 90 040700 Repair of cleft lip/nasal deformity; primary, unilateral, partial or complete 2000 90 040701 Repair of cleft lip/nasal deformity; primary, bilateral first one of two stages 2500 90 040702 Repair of cleft lip/nasal deformity; primary, bilateral second procedure 1800 90 0

40720Repair of cleft lip/nasal deformity; secondary lip repair by recreation of defect and reclosure 2000 90 0

40761 Repair of cleft lip/nasal deformity; secondary lip repair with abbe flap 1500 90 040799 Unlisted procedure of the lips YYY 140800 Drainage of abscess, cyst, hematoma, vestibule of mouth; simple 10 040801 Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated 10 040804 Removal of embedded foreign body, vestibule of mouth; simple 10 040805 Removal of embedded foreign body, vestibule of mouth; complicated 10 040806 Incision of labial frenum (frenotomy) 0 040808 Biopsy, vestibule of mouth 10 0

40810 Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair 10 0

40812 Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair 10 0

40814 Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair 90 0

40816Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle 90 0

40818 Excision of mucosa of vestibule of mouth as donor graft 90 040819 Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) 90 0

40820Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) 10 0

40830 Closure of laceration, vestibule of mouth; 2.5 cm or less 10 040831 Closure of laceration, vestibule of mouth; over 2.5 cm or complex 10 040840 Vestibuloplasty; anterior 90 040842 Vestibuloplasty; posterior, unilateral 90 040843 Vestibuloplasty; posterior, bilateral 90 040844 Vestibuloplasty; entire arch 90 040845 Vestibuloplasty; complex (including ridge extension, muscle repositioning) 90 040899 Unlisted procedure, vestibule of mouth YYY 1

41000Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual 10 0

41005Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial 10 0

41006Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohy 90 0

41007Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space 90 0

41008Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space 90 0

41009Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space 90 0

Page 25


41010 Incision of lingual frenum (frenotomy) 10 0

41015Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual 90 0

41016Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental 90 0

41017Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular 90 0

41018Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space 90 0

41100 Biopsy of tongue; anterior two-thirds 200 10 041105 Biopsy of tongue; posterior one-third 200 10 041108 Biopsy of floor of mouth 200 10 041110 Excision of lesion of tongue without closure 200 10 041112 Excision of lesion of tongue with closure; anterior two-thirds 250 90 041113 Excision of lesion of tongue with closure; posterior one-third 90 041114 Excision of lesion of tongue with closure; with local tongue flap 900 90 041115 Excision of lingual frenum (frenectomy) 10 041116 Excision, lesion of floor of mouth 200 90 041120 Glossectomy; less than one-half tongue 1200 90 141130 Glossectomy; hemiglossectomy 1500 90 141135 Glossectomy; partial, with unilateral radical neck dissection 3000 90 1

41140Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection 3000 90 1

41145Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection 90 1

41150Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection 3000 90 1

41153Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection 4000 90 1

41155Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection 4500 90 1

41250 Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue 150 10 041251 Repair of laceration 2.5 cm or less; posterior one-third of tongue 200 10 041252 Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex 400 10 041500 Fixation of tongue, mechanical, other than suture (eg, K-wire) 500 90 041510 Suture of tongue to lip for micrognathia (Douglas type procedure) 1200 90 041520 Frenoplasty (surgical revision of frenum, eg, with Z-plasty) 90 041599 Unlisted procedure, tongue, floor of mouth YYY 141800 Drainage of abscess, cyst, hematoma from dentoalveolar structures 10 0

41805 Removal of embedded foreign body from dentoalveolar structures; soft tissues 10 041806 Removal of embedded foreign body from dentoalveolar structures; bone 10 041820 Gingivectomy, excision gingiva, each quadrant 0 041821 Operculectomy, excision pericoronal tissues 0 041822 Excision of fibrous tuberosities, dentoalveolar structures 10 041823 Excision of osseous tuberosities, dentoalveolar structures 90 0

41825Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair 10 0

41826Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair 10 0

41827Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair 90 0

41828 Excision of hyperplastic alveolar mucosa, each quadrant (specify) 10 041830 Alveolectomy, including curettage of osteitis or sequestrectomy 10 0

Page 26


41850 Destruction of lesion (except excision), dentoalveolar structures 0 041870 Periodontal mucosal grafting 0 041872 Gingivoplasty, each quadrant (specify) 90 041874 Alveoloplasty, each quadrant (specify) 90 041899 Unlisted procedure, dentoalveolar structures YYY 142000 Drainage of abscess of palate, uvula 10 042100 Biopsy of palate, uvula 100 10 042104 Excision, lesion of palate, uvula; without closure 125 10 042106 Excision, lesion of palate, uvula; with simple primary closure 200 10 042107 Excision, lesion of palate, uvula; with local flap closure 1500 90 042120 Resection of palate or extensive resection of lesion 90 142140 Uvulectomy, excision of uvula 90 042145 Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty 90 042160 Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty 10 042180 Repair, laceration of palate; up to 2 cm 10 042182 Repair, laceration of palate; over 2 cm or complex 10 042200 Palatoplasty for cleft palate, soft and/or hard palate only 2000 90 042205 Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only 2800 90 0

42210Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft (includes obtaining graft) 3000 90 0

42215 Palatoplasty for cleft palate; major revision 2000 90 042220 Palatoplasty for cleft palate; secondary lengthening procedure 2000 90 042225 Palatoplasty for cleft palate; attachment pharyngeal flap 2000 90 042226 Lengthening of palate, and pharyngeal flap 2200 90 042227 Lengthening of palate, with island flap 2200 90 042235 Repair of anterior palate, including vomer flap 800 90 042260 Repair of nasolabial fistula 800 90 042280 Maxillary impression for palatal prosthesis 100 10 042281 Insertion of pin-retained palatal prosthesis 10 042299 Unlisted procedure, palate, uvula YYY 142300 Drainage of abscess; parotid, simple 250 10 042305 Drainage of abscess; parotid, complicated 400 90 042310 Drainage of abscess; submaxillary or sublingual, intraoral 200 10 042320 Drainage of abscess; submaxillary, external 425 10 042325 Fistulization of sublingual salivary cyst (ranula); 125 90 042326 Fistulization of sublingual salivary cyst (ranula); with prosthesis 175 90 0

42330Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral 10 0

42335 Sialolithotomy; submandibular (submaxillary), complicated, intraoral 90 042340 Sialolithotomy; parotid, extraoral or complicated intraoral 90 042400 Biopsy of salivary gland; needle 140 0 042405 Biopsy of salivary gland; incisional 300 10 042408 Excision of sublingual salivary cyst (ranula) 400 90 042409 Marsupialization of sublingual salivary cyst (ranula) 400 90 042410 Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection 900 90 1

42415Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve 2000 90 1

42420Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve 2700 90 1

42425Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve 1800 90 1

42426 Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection 4000 90 142440 Excision of submandibular (submaxillary) gland 1500 90 142450 Excision of sublingual gland 1000 90 0

Page 27


42500 Plastic repair of salivary duct, sialodochoplasty; primary or simple 1000 90 042550 Injection procedure for sialography 0 042600 Closure salivary fistula 90 042700 Incision and drainage abscess; peritonsillar 10 0

42720 Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach 10 0

42725 Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach 90 142800 Biopsy; oropharynx 10 042802 Biopsy; hypopharynx 10 042804 Biopsy; nasopharynx, visible lesion, simple 10 042806 Biopsy; nasopharynx, survey for unknown primary lesion 10 042808 Excision or destruction of lesion of pharynx, any method 10 042809 Removal of foreign body from pharynx 10 0

42810 Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues 90 0

42815Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx 90 1

42842 Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure 90 0

42844Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) 90 1

42845Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap 90 1

42870 Excision or destruction lingual tonsil, any method (separate procedure) 90 042890 Limited pharyngectomy 90 1

42892Resection of lateral pharyngeal wall/pyriform sinus, direct closure by advancement of lat/post pharyngeal walls 90 1

42894 Resection of pharyngeal wall requiring closure with myocutaneous flap 90 142900 Suture pharynx for wound or injury 10 042950 Pharyngoplasty (plastic or reconstructive operation on pharynx) 90 142953 Pharyngoesophageal repair 90 0

42960Control oropharyngeal hemorrhage, primary or secondary (eg, posttonsillectomy); simple 10 0

42961Control oropharyngeal hemorrhage, primary or secondary (eg, posttonsillectomy); complicated, requiring hospitalization 90 0

42962Control oropharyngeal hemorrhage, primary or secondary (eg, posttonsillectomy); with secondary surgical intervention 90 0

42970

Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cauterization 90 0

42971Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization 90 0

42972Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention 90 0

42999 Unlisted procedure, pharynx, adenoids, or tonsils YYY 1

43107Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) 90 1

43108

Total or near total esophagectomy, without thoracotomy; with colon interposition or small bowel reconstruction, including bowel mobilization, preparation and anastomosis(es) 90 1

43112Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty 90 2

Page 28


43113Total or near total esophagectomy, with thoracotomy; with colon interposition or small bowel reconstruction, including bowel mobilization, preparation, and anastomosis(es) 90 2

43116Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction 90 1

43496 Free jejunum transfer with microvascular anastomosis 90 143760 Change of gastrostomy tube 0 044005 Enterolysis (freeing of intestinal adhesion) (separate procedure) 90 1

46040 Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) 90 0

46045Incision and drainage of intramural, intramuscular or submucosal abscess, transanal, under anesthesia 90 0

46050 Incision and drainage, perianal abscess, superficial 10 0

46060Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton 90 0

46750 Sphincteroplasty, anal, for incontinence or prolapse; adult 90 146751 Sphincteroplasty, anal, for incontinence or prolapse; child 90 146753 Graft (Thiersch operation) for rectal incontinence and/or prolapse 90 046760 Sphincteroplasty, anal, for incontinence, adult; muscle transplant 90 1

46761Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) 90 1

46762 Sphincteroplasty, anal, for incontinence, adult; implantation artificial sphincter 90 1

46900Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical 10 0

46910Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation 10 0

46916Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery 10 0

46917Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery 10 0

46922Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision 10 0

46924Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive, any method 10 0

49215 Excision of presacral or sacrococcygeal tumor 90 149560 Repair initial incisional hernia; reducible 90 149561 Repair initial incisional hernia; incarcerated or strangulated 90 149565 Repair recurrent incisional hernia; reducible 90 149566 Repair recurrent incisional hernia; incarcerated or strangulated 90 1

49568Implantation of mesh or other prosthesis for incisional hernia repair (list separately in addition to code for the incisional hernia repair) ZZZ 1

49570 Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) 90 149572 Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated 90 149585 Repair umbilical hernia, age 5 years or over; reducible 90 149587 Repair umbilical hernia, age 5 years or over; incarcerated or strangulated 90 149900 Suture, secondary, of abdominal wall for evisceration or dehiscence 90 1

49904Omental flap, extra-abdominal, for chest wall and sternal reconstruction (omentum, sternum) 90 1

49905Omental flap (for use intra-abdominally (see 49904 for sternum)) (list separately in addition to code for primary procedure) ZZZ 2

49906 Free omental flap with microvascular anastomosis 90 154115 Removal foreign body from deep penile tissue (eg, plastic implant) 90 054120 Amputation of penis; partial 90 154125 Amputation of penis; complete 90 1

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54152 Circumcision, using clamp or other device; except newborn 10 054160 Circumcision, surgical excision other than clamp, device or dorsal slit; newborn 10 0

54161Circumcision, surgical excision other than clamp, device or dorsal slit; except newborn 10 0

54300Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra 90 1

54304Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps 90 0

54308Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm 90 1

54312Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm 90 1

54316Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia 90 1

54318Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) 90 1

54322One stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) 90 0

54324One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) 90 1

54326One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra 90 1

54328

One stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap 90 1

54332

One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap 90 1

54336One stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap 90 1

54340Repair of hypospadias complications (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple 90 1

54344Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft 90 1

54348

Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring extensive dissection and urethroplasty with flap, patch or tubed graft (includes urinary diversion) 90 1

54352

Repair of hypospadias cripple requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of local skin as grafts and island flaps and skin 90 1

54360 Plastic operation on penis to correct angulation 90 154380 Plastic operation on penis for epispadias distal to external sphincter; 90 1

54385Plastic operation on penis for epispadias distal to external sphincter; with incontinence 90 1

54390Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder 90 1

54400 Insertion of penile prosthesis; non-inflatable (semi-rigid) 90 154401 Insertion of penile prosthesis; inflatable (self-contained) 90 1

54405Insertion of inflatable (multi-component) penile prosthesis, including placement of pump, cylinders, and/or reservoir 90 1

54440 Plastic operation of penis for injury 90 154450 Foreskin manipulation including lysis of preputial adhesions and stretching 0 055175 Scrotoplasty; simple 90 055180 Scrotoplasty; complicated 90 0

Page 30


55970 Sex change male to female XXX 955980 Sex female to male XXX 956800 Plastic repair of introitus 10 156805 Clitoroplasty for intersex state 90 157291 Construction of artificial vagina; without graft 90 057292 Construction of artificial vagina; with graft 90 157335 Vaginoplasty for intersex state 90 157400 Dilation of vagina under anesthesia 0 057410 Pelvic examination under anesthesia 0 060000 Incision and drainage of thyroglossal cyst, infected 10 061330 Decompression of orbit only, transcranial approach 90 161332 Exploration of orbit (transcranial approach); with biopsy 90 161333 Exploration of orbit (transcranial approach); with removal of lesion 90 161334 Exploration of orbit (transcranial approach); with removal of foreign body 90 161501 Debridement of skull for osteomyelitis 90 161550 Craniectomy for craniosynostosis; single cranial suture 90 161552 Craniectomy for craniosynostosis; multiple cranial sutures 90 161556 Craniotomy for craniosynostosis; frontal or parietal bone flap 90 061557 Craniotomy for craniosynostosis; bifrontal bone flap 90 0

61558Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts 90 0

61559

Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining grafts) 90 1

61571 Craniectomy or craniotomy; with treatment of penetrating wound of brain 90 1

61586Skull base surgery approach to anterior cranial fossa, bicoronal, transzygomatic, and/or LeFort I osteotomy 90 1

61619 Secondary repair of the dura for CSF leak using a local or regional flap 90 1

62115Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty 90 1

62116 Reduction of craniomegalic skull (eg, treated hydrocephalus); with simple cranioplasty 90 0

62117Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) 90 1

62120 Repair of encephalocele, skull vault, including cranioplasty 90 162140 Cranioplasty for skull defect; up to 5 cm diameter 90 162141 Cranioplasty for skull defect; larger than 5 cm diameter 90 162142 Removal of bone flap or prosthetic plate of skull 90 062143 Replacement of bone flap or prosthetic plate of skull 90 1

62146 Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter 90 1

62147Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter 90 1

63700 Repair of meningocele; less than 5 cm diameter 90 163702 Repair of meningocele; larger than 5 cm diameter 90 163704 Repair of myelomeningocele; less than 5 cm diameter 90 163706 Repair of myelomeningocele; larger than 5 cm diameter 90 164400 Injection, anesthetic agent; trigeminal nerve, any division or branch 0 064402 Injection, anesthetic agent; facial nerve 0 064412 Injection, anesthetic agent; spinal accessory nerve 0 064413 Injection, anesthetic agent; cervical plexus 0 064415 Injection, anesthetic agent; brachial plexus 0 064417 Injection, anesthetic agent; axillary nerve 0 064421 Injection, anesthetic agent; intercostal nerves, multiple, regional block 0 0

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64425 Injection, anesthetic agent; ilioinguinal, iliohypogastric nerves 0 064450 Injection, anesthetic agent; other peripheral nerve or branch 0 0

64600Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch 10 0

64605Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale 10 0

64610Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring 10 0

64612Destruction by neurolytic agent (chemodenervation of muscle endplate); muscles enervated by facial nerve (eg, for blepharospasm, hemifacial spasm) 10 0

64613Destruction by neurolytic agent (chemodenervation of muscle endplate); cervical spinal muscles (eg, for spasmodic torticollis) 10 0

64640 Destruction by neurolytic agent; other peripheral nerve or branch 10 064702 Neuroplasty; digital, one or both, same digit (digital neurolysis) 700 90 064704 Neuroplasty; nerve of hand or foot (neurolysis, nerve exploration) 900 90 1

64708 Neuroplasty, major peripheral nerve, arm or leg; other than specified (neurolysis) 2000 90 164713 Neuroplasty, major peripheral nerve, arm or leg; brachial plexus (neurolysis) 90 164716 Neuroplasty and/or transposition; cranial nerve (specify) (neurolysis) 90 1

64718Neuroplasty, decompression, and/or transposition; ulnar nerve at elbow (cubital tunnel) 1800 90 0

64719Neuroplasty, decompression, and/or transposition; ulnar nerve at wrist (Guyon's canal) 750 90 0

64721 Neuroplasty and/or transposition; median nerve at carpal tunnel release (CTR, CTS) 750 90 064722 Decompression; unspecified nerve(s) (specify) 90 164726 Decompression; plantar digital nerve 90 0

64727Internal neurolysis, requiring use of operating microscope (list separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ZZZ 0

64732 Transection or avulsion of; supraorbital nerve 90 064734 Transection or avulsion of; infraorbital nerve 90 064736 Transection or avulsion of; mental nerve 90 064738 Transection or avulsion of; inferior alveolar nerve by osteotomy 90 064740 Transection or avulsion of; lingual nerve 90 064742 Transection or avulsion of; lingual nerve 90 064771 Transection or avulsion of other cranial nerve, extradural 90 064772 Transection or avulsion of other spinal nerve, extradural 90 164774 Excision of neuroma; cutaneous nerve, surgically identifiable 550 90 064776 Excision of neuroma; digital nerve, one or both, same digit 550 90 0

64778Excision of neuroma; digital nerve, each additional digit (list separately by this number) 250 ZZZ 0

64782 Excision of neuroma; hand or foot, except digital nerve 800 90 1

64783Excision of neuroma; hand or foot, each additional nerve, except same digit (list separately by this number) 400 ZZZ 0

64784 Excision of neuroma; major peripheral nerve, except sciatic 1200 90 0

64787Implantation of nerve end into bone or muscle (list separately in addition to neuroma excision) 800 ZZZ 0

64788 Excision of neurofibroma or neurolemmoma; cutaneous nerve 90 064790 Excision of neurofibroma or neurolemmoma; major peripheral nerve 90 1

64792 Excision of neurofibroma or neurolemmoma; extensive (including malignant type) 90 164795 Nerve Biopsy 0 064820 Digital sympathectomy - each digit - with magnification 90 064831 Repair of digital nerve, hand or foot; one nerve 600 90 064832 Repair of digital nerve, hand or foot; each additional digital nerve 300 ZZZ 0

Page 32


64834 Repair of one nerve, hand or foot; common sensory nerve 1000 90 064835 Repair of one nerve, hand or foot; median motor thenar 1200 90 064836 Repair of one nerve, hand or foot; ulnar motor 1200 90 064837 Repair of each additional nerve, hand or foot 800 ZZZ 064840 Repair of posterior tibial nerve 90 0

64856 Repair of major peripheral nerve, arm or leg, except sciatic; including transposition 1500 90 1

64857 Repair of major peripheral nerve, arm or leg, except sciatic; without transposition 1500 90 164859 Suture of each additional major peripheral nerve 600 ZZZ 164861 Repair of; brachial plexus 90 164864 Repair of facial nerve; extracranial (35 is for tumor only) 1800 90 164865 Repair of facial nerve; infratemporal, with or without grafting 90 164866 Anastomosis; facial-spinal accessory (facial nerve jump or cross nerve graft) 90 164868 Anastomosis; facial-hypoglossal (facial nerve jump or cross nerve graft) 4000 90 164870 Anastomosis; facial-phrenic (facial nerve jump or cross nerve graft) 90 1

64872Repair of nerve; requiring secondary or delayed Repair (list separately in addition to code for primary neurorrhaphy) 800 ZZZ 1

64874Repair of nerve; requiring extensive mobilization, or transposition of nerve (list separately in addition to code for nerve Repair) 800 ZZZ 1

64876Repair of nerve; requiring shortening of bone of extremity (list separately in addition to code for nerve Repair) ZZZ 1

64885 Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length 2500 90 164886 Nerve graft (includes obtaining graft), head or neck; more than 4 cm in length 3000 90 1

64890 Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length 2000 90 0

64891Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length 2250 90 0

64892 Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length 2000 90 1

64893Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length 2250 90 0

64895Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length 2500 90 1

64896Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length 2800 90 1

64897Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length 2500 90 0

64898Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length 2800 90 1

64901 Nerve graft, each additional nerve; single strand 250 ZZZ 164902 Nerve graft, each additional nerve; multiple strands (cable) 500 ZZZ 064905 Nerve pedicle transfer; first stage 90 164907 Nerve pedicle transfer; second stage 90 164999 Unlisted procedure, nervous system YYY 165205 Removal of foreign body, external eye; conjunctival superficial 0 0

67445Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression 90 1

67450Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy 90 1

67550 Orbital implant (implant outside muscle cone); insertion 90 167560 Orbital implant (implant outside muscle cone); removal or revision 90 067700 Blepharotomy, drainage of abscess, eyelid 10 067710 Severing of tarsorrhaphy 10 067715 Canthotomy (separate procedure) 10 0

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67800 Excision of chalazion; single 10 067801 Excision of chalazion; multiple, same lid 10 067805 Excision of chalazion; multiple, different lids 10 0

67808Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple 90 0

67810 Biopsy of eyelid 0 067820 Correction of trichiasis; epilation, by forceps only 0 0

67825Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) 10 0

67830 Correction of trichiasis; incision of lid margin 10 067835 Correction of trichiasis; incision of lid margin, with free mucous membrane graft 90 0

67840Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure 10 0

67850 Destruction of lesion of lid margin (up to 1 cm) 10 067875 Temporary closure of eyelids by suture (eg, Frost suture) 0 0

67880 Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; 90 0

67882Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate 90 0

67900 Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) 90 0

67901 Repair of blepharoptosis; frontalis muscle technique with suture or other material 90 0

67902Repair of blepharoptosis; frontalis muscle technique with fascial sling (includes obtaining fascia) 90 1

67903 Repair of blepharoptosis; (tarso)levator resection or advancement, internal approach 90 1

67904 Repair of blepharoptosis; (tarso)levator resection or advancement, external approach 90 1

67906Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) 90 0

67908Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) 90 0

67909 Reduction of overcorrection of ptosis 90 067911 Correction of lid retraction 90 067912 Correction of lagophthalmos, with implantation of upper eyelid load (gold wt) 90 067914 Repair of ectropion; suture 90 067915 Repair of ectropion; thermocauterization 90 067916 Repair of ectropion; excision tarsal wedge 90 0

67917 Repair of ectropion; extensive (eg, Kuhnt-Szymanowski or tarsal strip operations) 90 067921 Repair of entropion; suture 90 067922 Repair of entropion; thermocauterization 90 067923 Repair of entropion; excision tarsal wedge 90 067924 Repair of entropion; extensive (eg, Wheeler operation) 90 0

67930Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness 10 0

67935Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness 90 0

67938 Removal of embedded foreign body, eyelid 10 067950 Canthoplasty (reconstruction of canthus) 90 1

67961

Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin 90 0

Page 34


67966

Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin 90 0

67971Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, one stage or first stage 90 1

67973Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, one stage or first stage 90 1

67974Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, one stage or first stage 90 1

67975Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage 90 0

67999 Unlisted procedure, eyelids YYY 168020 Incision of conjunctiva, drainage of cyst 10 068040 Expression of conjunctival follicles, eg, for trachoma 0 068100 Biopsy of conjunctiva 0 068110 Excision of lesion, conjunctiva; up to 1 cm 10 068115 Excision of lesion, conjunctiva; over 1 cm 10 068130 Excision of lesion, conjunctiva; with adjacent sclera 90 068135 Destruction of lesion, conjunctiva 10 068200 Subconjunctival injection 0 068320 Conjunctivoplasty; with conjunctival graft or extensive rearrangement 90 1

68325 Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) 90 1

68326Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement 90 0

68328Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) 90 0

68330 Repair of symblepharon; conjunctivoplasty, without graft 90 0

68335Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) 90 1

68340Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens 90 0

68360 Conjunctival flap; bridge or partial (separate procedure) 90 068362 Conjunctival flap; total (such as Gunderson thin flap or purse string flap) 90 168399 Unlisted procedure, conjunctiva YYY 168400 Incision, drainage of lacrimal gland 10 068420 Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) 10 068440 Snip incision of lacrimal punctum 10 068500 Excision of lacrimal gland (dacryoadenectomy), except for tumor; total 90 068700 Plastic repair of canaliculi 90 068720 Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) DCR 90 168810 Probing of nasolacrimal duct, with or without irrigation; 10 0

68811 Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia 10 0

68815 Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent 10 068840 Probing of lacrimal canaliculi, with or without irrigation 10 068850 Injection of contrast medium for dacryocystography 0 068899 Unlisted procedure, lacrimal system YYY 169000 Drainage external ear, abscess or hematoma; simple 10 069005 Drainage external ear, abscess or hematoma; complicated 10 069090 Ear piercing XXX 969100 Biopsy external ear 0 069105 Biopsy external auditory canal 0 069110 Excision external ear; partial, simple repair 90 0

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69120 Excision external ear; complete amputation 90 069300 Otoplasty, protruding ear, with or without size reduction 2000 YYY 069720 Decompression facial nerve, intratemporal; lateral to geniculate ganglion 90 1

69725 Decompression facial nerve, intratemporal; including medial to geniculate ganglion 90 0

69740Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion 90 0

69745Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion 90 0

69955 Total facial nerve decompression and/or repair (may include graft) 90 169990 Use of operating microscope (in addition to primary code) ZZZ 075710 Angiography, extremity, unilateral, radiological supervision and interpretation XXX 075710 Angiography, extremity, unilateral, radiological supervision and interpretation XXX 075710 Angiography, extremity, unilateral, radiological supervision and interpretation XXX 075716 Angiography, extremity, bilateral, radiological supervision and interpretation XXX 075716 Angiography, extremity, bilateral, radiological supervision and interpretation XXX 075716 Angiography, extremity, bilateral, radiological supervision and interpretation XXX 0

90782Therapeutic or diagnositic injection (subcutaneous or intramuscular): specify material (trigger, steroid, kenalog) XXX 0

97605 NPWT Negative pressure wound treatment (VAC dressing) </=50cm² XXX 997606 NPWT Negative pressure wound treatment (VAC dressing) >50cm² XXX 9

99201New Patient: Office and Outpatient Services: problem focused H&P : straightforward decision: 10min XXX 0

99202New Patient: Office and Outpatient Services: expanded focused H&P : straightforward decision: 20min XXX 0

99203New Patient: Office and Outpatient Services: detailed H&P : low complexity decision: 30min XXX 0

99204New Patient: Office and Outpatient Services: comprehensive H&P : moderate complexity decision: 45min XXX 0

99205New Patient: Office and Outpatient Services: comprehensive H&P : high complexity decision: 60min XXX 0

99211Established Patient: Office and Outpatient Services: supervision only : straightforward decision: 5min XXX 0

99212Established Patient: Office and Outpatient Services: problem focused H&P : straightforward decision: 10min XXX 0

99213Established Patient: Office and Outpatient Services: expanded focused H&P : low complexity decision: 15min XXX 0

99214Established Patient: Office and Outpatient Services: detailed H&P : moderate complexity decision: 25min XXX 0

99215Established Patient: Office and Outpatient Services: comprehensive H&P : high complexity decision: 40min XXX 0

99217 Hospital Observation Services: discharge planning XXX 099218 Hospital Observation Services: low severity problem XXX 099219 Hospital Observation Services: moderate severity problem XXX 099220 Hospital Observation Services: high severity problem XXX 099221 Initial hospital care per day: low severity problem: 30min (H&P...) XXX 099222 Initial hospital care per day: moderate severity problem: 50min (H&P...) XXX 099223 Initial hospital care per day: high severity problem: 70min (H&P...) XXX 099231 Subsequent Hospital Care: Improving: 15min XXX 099232 Subsequent Hospital Care: Inadequate response: 25min XXX 099233 Subsequent Hospital Care: unstable: 25min XXX 099234 Inpatient care for 23 obs (with no procedure) Level 1 XXX 099235 Inpatient care for 23 obs (with no procedure) Level 2 XXX 099236 Inpatient care for 23 obs (with no procedure) Level 3 XXX 099238 Discharge services, discussion of outpatient treatment plans... XXX 0

Page 36


99241Office/Outpatient/ER/Observation Consultations: Problem focused: Straight forward decision: 15min XXX 0

99242Office/Outpatient/ER/Observation Consultations: expanded focused H&P : straightforward decision: 30min XXX 0

99243Office/Outpatient/ER/Observation Consultations: detailed H&P : low complexity decision: 40min XXX 0

99244Office/Outpatient/ER/Observation Consultations: comprehensive H&P : moderate complexity decision: 60min XXX 0

99245Office/Outpatient/ER/Observation Consultations: comprehensive H&P : high complexity decision: 80min XXX 0

99251Initial Inpatient Consult: problem focused H&P : straightforward decision (also decision to do surg): 20min XXX 0

99252Initial Inpatient Consult: expanded focused H&P : straightforward decision (also decision to do surg): 40min XXX 0

99253Initial Inpatient Consult: detailed H&P : low complexity decision (also decision to do surg): 55min XXX 0

99254Initial Inpatient Consult: comprehensive H&P : moderate complexity decision (also decision to do surg): 80min XXX 0

99255Initial Inpatient Consult: comprehensive H&P : high complexity decision (also decision to do surg): 110min XXX 0

99261**NOTE: DELETED FOR 2006 use 99231 - Follow-up Inpatient Consult: Stable/recovering/improving: 10min XXX 0

99262**NOTE: DELETED FOR 2006 use 99232 - Follow-up Inpatient Consult: inadequate response/minor complication: 20min XXX 0

99263**NOTE: DELETED FOR 2006 use 99233 - Follow-up Inpatient Consult: unstable/significant complication/new problem: 30min XXX 0

99281 Emergency Department Services: Problem focused: Straight forward decision XXX 0

99282 Emergency Department Services: expanded focused H&P : low complexity decision XXX 0

99283Emergency Department Services: expanded focused H&P : moderate complexity decision XXX 0

99284 Emergency Department Services: detailed H&P: moderate complexity decision XXX 0

99285 Emergency Department Services: comprehensive H&P : high complexity decision XXX 099291 Critical Care Services Per Day: First hour XXX 099292 Critical Care Services Per Day: each additional 30min ZZZ 099311 Skilled nursing home visit - Focused 36 XXX 099312 Skilled nursing home visit - Expanded 59 XXX 099313 Skilled nursing home visit - Detailed 69 XXX 099354 Outpatient Prolonged Services Per Day: beyond usual care First Hour ZZZ 0

99355 Outpatient Prolonged Services Per Day: beyond usual care each additional 30min ZZZ 099356 Inpatient Prolonged Services Per Day: beyond usual care First Hour ZZZ 0

99357 Inpatient Prolonged Services Per Day: beyond usual care each additional 30min ZZZ 0

99358Nonpatient Contact Prolonged Services Per Day: beyond usual care First Hour (phone...) ZZZ 9

99359Nonpatient Contact Prolonged Services Per Day: beyond usual care each additional 30min (phone) ZZZ 9

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CPT Data with Global Data with Global.pdf · 2020-05-07 · CPT_Data_with_Global 11424 Excision of benign skin lesion to the scalp hands feet genitalia neck 3.1-4.0cm² benign 300