201
Concept Code 0001 Ther ult head & neck ves 00.01 0002 Ther ultrasound of heart 00.02 0003 Ther ult peripheral ves 00.03 0009 Other therapeutic ultsnd 00.09 0010 Implant chemothera agent 00.10 0011 Infus drotrecogin alfa 00.11 0012 Adm inhal nitric oxide 00.12 0013 Inject/infus nesiritide 00.13 0014 Injection oxazolidinone 00.14 0015 High-dose infusion IL-2 00.15 0016 Pressurized treat graft 00.16 0017 Infusion of vasopressor 00.17 0018 Infus immunosup antibody 00.18 0019 BBBD via infusion 00.19 0021 IVUS extracran cereb ves 00.21 0022 IVUS intrathoracic ves 00.22 0023 IVUS peripheral vessels 00.23 0024 IVUS coronary vessels 00.24 0025 IVUS renal vessels 00.25 0028 Intravascul imaging NEC 00.28 0029 Intravascul imaging NOS 00.29 0031 CAS w CT/CTA 00.31 0032 CAS w MR/MRA 00.32 0033 CAS w fluoroscopy 00.33 0034 Imageless comp asst surg 00.34 0035 CAS w multiple datasets 00.35 0039 Other CAS 00.39 0040 Procedure-one vessel 00.40 0041 Procedure-two vessels 00.41 0042 Procedure-three vessels 00.42 0043 Procedure-four+ vessels 00.43 0044 Proc-vessel bifurcation 00.44 0045 Insert 1 vascular stent 00.45 0046 Insert 2 vascular stents 00.46 0047 Insert 3 vascular stents 00.47 0048 Insert 4+ vasculr stents 00.48 0049 SuperSat O2 therapy 00.49 0050 Impl CRT pacemaker sys 00.50 0051 Impl CRT defibrillat sys 00.51 0052 Imp/rep lead lf ven sys 00.52 0053 Imp/rep CRT pacemakr gen 00.53 0054 Imp/rep CRT defib genat 00.54 0055 Ins d-e stent oth periph 00.55 0056 Ins/rep sens-crd/vsl mtr 00.56 0057 Imp/rep subcue card dev 00.57 0058 Ins intra-ansm pres mntr 00.58 0059 Intravasc msmnt cor art 00.59 0060 Ins d-e stnt sup fem art 00.60 0061 Perc angio extracran ves 00.61 0062 Perc angio intracran ves 00.62 0063 Perc ins carotid stent 00.63 0064 Perc ins extracran stent 00.64 0065 Perc ins intracran stent 00.65 0066 PTCA 00.66 0067 Intravas msmnt thorc art 00.67 Concept Name (Short Description) Alternate Code (ICD-9 Code with Decimal)

ICD9 CM Procedure Vol3 FY2012

Embed Size (px)

DESCRIPTION

ICD 9 CM untuk menentukan prosedur/tindakan medis

Citation preview

Page 1: ICD9 CM Procedure Vol3 FY2012

Concept Code0001 Ther ult head & neck ves 00.010002 Ther ultrasound of heart 00.020003 Ther ult peripheral ves 00.030009 Other therapeutic ultsnd 00.090010 Implant chemothera agent 00.100011 Infus drotrecogin alfa 00.110012 Adm inhal nitric oxide 00.120013 Inject/infus nesiritide 00.130014 Injection oxazolidinone 00.140015 High-dose infusion IL-2 00.150016 Pressurized treat graft 00.160017 Infusion of vasopressor 00.170018 Infus immunosup antibody 00.180019 BBBD via infusion 00.190021 IVUS extracran cereb ves 00.210022 IVUS intrathoracic ves 00.220023 IVUS peripheral vessels 00.230024 IVUS coronary vessels 00.240025 IVUS renal vessels 00.250028 Intravascul imaging NEC 00.280029 Intravascul imaging NOS 00.290031 CAS w CT/CTA 00.310032 CAS w MR/MRA 00.320033 CAS w fluoroscopy 00.330034 Imageless comp asst surg 00.340035 CAS w multiple datasets 00.350039 Other CAS 00.390040 Procedure-one vessel 00.400041 Procedure-two vessels 00.410042 Procedure-three vessels 00.420043 Procedure-four+ vessels 00.430044 Proc-vessel bifurcation 00.440045 Insert 1 vascular stent 00.450046 Insert 2 vascular stents 00.460047 Insert 3 vascular stents 00.470048 Insert 4+ vasculr stents 00.480049 SuperSat O2 therapy 00.490050 Impl CRT pacemaker sys 00.500051 Impl CRT defibrillat sys 00.510052 Imp/rep lead lf ven sys 00.520053 Imp/rep CRT pacemakr gen 00.530054 Imp/rep CRT defib genat 00.540055 Ins d-e stent oth periph 00.550056 Ins/rep sens-crd/vsl mtr 00.560057 Imp/rep subcue card dev 00.570058 Ins intra-ansm pres mntr 00.580059 Intravasc msmnt cor art 00.590060 Ins d-e stnt sup fem art 00.600061 Perc angio extracran ves 00.610062 Perc angio intracran ves 00.620063 Perc ins carotid stent 00.630064 Perc ins extracran stent 00.640065 Perc ins intracran stent 00.650066 PTCA 00.660067 Intravas msmnt thorc art 00.67

Concept Name (Short Description)

Alternate Code (ICD-9 Code with Decimal)

Page 2: ICD9 CM Procedure Vol3 FY2012

0068 Intravas msmt periph art 00.680069 Intravs msmt ves NEC/NOS 00.690070 Rev hip repl-acetab/fem 00.700071 Rev hip repl-acetab comp 00.710072 Rev hip repl-fem comp 00.720073 Rev hip repl-liner/head 00.730074 Hip surface, metal/poly 00.740075 Hip surface, metal/metal 00.750076 Hip surface, cermc/cermc 00.760077 Hip surface, cermc/poly 00.770080 Rev knee replacemt-total 00.800081 Rev knee repl-tibia comp 00.810082 Rev knee repl-femur comp 00.820083 Rev knee replace-patella 00.830084 Rev knee repl-tibia lin 00.840085 Resrf hip,total-acet/fem 00.850086 Resrf hip,part-fem head 00.860087 Resrf hip,part-acetablum 00.870091 Trnsplnt live rel donor 00.910092 Trnsplnt live nonrel don 00.920093 Transplant cadaver donor 00.930094 Intra-op neurophys montr 00.940101 Cisternal puncture 01.010102 Ventricl shunt tube punc 01.020109 Cranial puncture NEC 01.090110 Intracran pressure montr 01.100111 Clos cereb meninges bx 01.110112 Open cereb meninges bx 01.120113 Closed brain biopsy 01.130114 Open brain biopsy 01.140115 Skull biopsy 01.150116 Intracranial 02 monitor 01.160117 Brain temp monitoring 01.170118 Other brain dx procedure 01.180119 Other skull dx procedure 01.190120 Imp/repl brain pulse gen 01.200121 Cranial sinus i & d 01.210122 Removal brain stim lead 01.220123 Reopen craniotomy site 01.230124 Other craniotomy 01.240125 Other craniectomy 01.250126 Ins cath cranial cav/tis 01.260127 Rem cath cranial cav/tis 01.270128 Intracereb cth-burr hole 01.280129 Rem brain pulse generatr 01.290131 Incise cerebral meninges 01.310132 Lobotomy & tractotomy 01.320139 Other brain incision 01.390141 Thalamus operations 01.410142 Globus pallidus ops 01.420151 Ex cereb meningeal les 01.510152 Hemispherectomy 01.520153 Brain lobectomy 01.530159 Other brain excision 01.59016 Excise skull lesion 01.60201 Linear craniectomy 02.010202 Elevate skull fx fragmnt 02.020203 Skull flap formation 02.03

Page 3: ICD9 CM Procedure Vol3 FY2012

0204 Bone graft to skull 02.040205 Skull plate insertion 02.050206 Cranial osteoplasty NEC 02.060207 Skull plate removal 02.070211 Simple suture of dura 02.110212 Brain meninge repair NEC 02.120213 Meninge vessel ligation 02.130214 Choroid plexectomy 02.140221 Insert/replace EVD 02.210222 Intrcran vent shunt/anas 02.220231 Ventricl shunt-head/neck 02.310232 Ventri shunt-circula sys 02.320233 Ventricl shunt-thorax 02.330234 Ventricl shunt-abdomen 02.340235 Ventri shunt-uninary sys 02.350239 Vent shunt extracran NEC 02.390241 Irrigate/expl vent shunt 02.410242 Replace ventricle shunt 02.420243 Remove ventricle shunt 02.430291 Lysis cortical adhesion 02.910292 Brain repair 02.920293 Imp/repl brain stim lead 02.930294 Insert/replac skull tong 02.940295 Remove skull tongs 02.950296 Insert sphenoid electrod 02.960299 Skull & brain op NEC 02.990301 Removal FB spinal canal 03.010302 Reopen laminectomy site 03.020309 Spinal canal explor NEC 03.09031 Intraspin nerve root div 03.10321 Percutaneous chordotomy 03.210329 Other chordotomy 03.290331 Spinal tap 03.310332 Spinal cord/meninges bx 03.320339 Other spinal dx proc 03.39034 Excis spinal cord lesion 03.40351 Spine meningocele repair 03.510352 Myelomeningocel repair 03.520353 Vertebral fx repair 03.530359 Spinal struct repair NEC 03.59036 Spinal cord adhesiolysis 03.60371 Subarach-periton shunt 03.710372 Subarach-ureteral shunt 03.720379 Oth spinal thecal shunt 03.79038 Destr inject-spine canal 03.80390 Insert spinal canal cath 03.900391 Anesth inject-spin canal 03.910392 Spinal canal inject NEC 03.920393 Imp/repl spine stim lead 03.930394 Removal spine stim lead 03.940395 Spinal patch 03.950396 Percutan facet denervat 03.960397 Revise spine theca shunt 03.970398 Remove spine theca shunt 03.980399 Spine canal struc op NEC 03.990401 Excision acoustc neuroma 04.010402 Trigeminal nerv division 04.020403 Periph nerve div NEC 04.03

Page 4: ICD9 CM Procedure Vol3 FY2012

0404 Periph nerve incis NEC 04.040405 Gasserian ganglionectomy 04.050406 Periph ganglionect NEC 04.060407 Periph nerv excision NEC 04.070411 Clos periph nerve biopsy 04.110412 Open periph nerve biopsy 04.120419 Periph nerve dx proc NEC 04.19042 Periph nerve destruction 04.2043 Peripheral nerve suture 04.30441 Decompress trigem root 04.410442 Cran nerv root decom NEC 04.420443 Carpal tunnel release 04.430444 Tarsal tunnel release 04.440449 Per nerve adhesiolys NEC 04.49045 Peripheral nerve graft 04.5046 Periph nerve transposit 04.60471 Hypogloss-facial anastom 04.710472 Accessory-facial anastom 04.720473 Access-hypogloss anastom 04.730474 Periph nerv anastom NEC 04.740475 Postop revis per nerv op 04.750476 Late repair per nerv inj 04.760479 Other neuroplasty 04.790480 Periph nerve inject NOS 04.800481 Anesth injec periph nerv 04.810489 Periph nerve inject NEC 04.890491 Neurectasis 04.910492 Imp/repl peri stim lead 04.920493 Removal peri stim lead 04.930499 Peripheral nerve ops NEC 04.99050 Sympath nerve division 05.00511 Sympathetic nerve biopsy 05.110519 Sympath nrv dx proc NEC 05.190521 Sphenopalatin ganglionec 05.210522 Cervical sympathectomy 05.220523 Lumbar sympathectomy 05.230524 Presacral sympathectomy 05.240525 Periart sympathectomy 05.250529 Other sympathectomy 05.290531 Anesth inject symp nerve 05.310532 Neurolyt injec-symp nrv 05.320539 Sympath nerve inject NEC 05.390581 Sympathetic nerve repair 05.810589 Sympathetic nerve op NEC 05.89059 Other nervous system ops 05.90601 Thyroid field aspiration 06.010602 Reopen thyroid field wnd 06.020609 Incis thyroid field NEC 06.090611 Closed thyroid gland bx 06.110612 Open thyroid gland bx 06.120613 Parathyroid biopsy 06.130619 Thyr/parathy dx proc NEC 06.19062 Unilat thyroid lobectomy 06.20631 Excision thyroid lesion 06.310639 Part thyroidectomy NEC 06.39064 Complete thyroidectomy 06.40650 Substern thyroidect NOS 06.500651 Part substern thyroidect 06.51

Page 5: ICD9 CM Procedure Vol3 FY2012

0652 Tot substern thyroidect 06.52066 Lingual thyroid excision 06.6067 Thyrogloss duct excision 06.70681 Total parathyroidectomy 06.810689 Other parathyroidectomy 06.890691 Thyroid isthmus division 06.910692 Thyroid vessel ligation 06.920693 Thyroid suture 06.930694 Thyroid reimplantation 06.940695 Parathyroid reimplant 06.950698 Other thyroid operations 06.980699 Other parathyroid ops 06.990700 Adrenal exploration NOS 07.000701 Unilat adrenal explorat 07.010702 Bilat adrenal explorat 07.020711 Closed adrenal gland bx 07.110712 Open adrenal gland bx 07.120713 Transfront pituitary bx 07.130714 Transphen pituitary bx 07.140715 Pituitary biopsy NOS 07.150716 Thymus biopsy 07.160717 Pineal biopsy 07.170719 Endocrine dx proc NEC 07.190721 Adrenal lesion excision 07.210722 Unilateral adrenalectomy 07.220729 Part adrenalectomy NEC 07.29073 Bilateral adrenalectomy 07.30741 Adrenal incision 07.410742 Adrenal nerve division 07.420743 Adrenal vessel ligation 07.430744 Adrenal repair 07.440745 Adrenal reimplantation 07.450749 Adrenal operation NEC 07.490751 Pineal field exploration 07.510752 Pineal gland incision 07.520753 Partial pinealectomy 07.530754 Total pinealectomy 07.540759 Pineal operation NEC 07.590761 Exc pituit les-transfron 07.610762 Exc pituit les-transphen 07.620763 Part excis pituitary NOS 07.630764 Tot exc pituit-transfron 07.640765 Tot exc pituit-transphen 07.650768 Total exc pituitary NEC 07.680769 Total exc pituitary NOS 07.690771 Pituitary fossa explorat 07.710772 Pituitary gland incision 07.720779 Pituitary operation NEC 07.790780 Thymectomy NOS 07.800781 Oth part excision thymus 07.810782 Oth totl excision thymus 07.820783 Thorac part exisn thymus 07.830784 Thorac total exc thymus 07.840791 Thymus field exploration 07.910792 Other incision of thymus 07.920793 Repair of thymus 07.930794 Thymus transplantation 07.940795 Thorac incision thymus 07.95

Page 6: ICD9 CM Procedure Vol3 FY2012

0798 Oth thorac op thymus NOS 07.980799 Other thymus ops NOS 07.990801 Incision of lid margin 08.010802 Blepharorrhaphy severing 08.020809 Other eyelid incision 08.090811 Eyelid biopsy 08.110819 Eyelid dx procedure NEC 08.190820 Remove eyelid lesion NOS 08.200821 Chalazion excision 08.210822 Excise minor les lid NEC 08.220823 Exc maj les lid prt-thic 08.230824 Exc maj les lid ful-thic 08.240825 Destruction lid lesion 08.250831 Ptosis rep-front mus sut 08.310832 Ptosis rep-fron mus slng 08.320833 Ptosis rep-levat mus adv 08.330834 Ptosis rep-levat mus NEC 08.340835 Ptos rep-tarsal techniq 08.350836 Blepharoptos repair NEC 08.360837 Reduc overcorrect ptosis 08.370838 Correct lid retraction 08.380841 Thermocaut/entropion rep 08.410842 Suture entropion repair 08.420843 Wedg resec entropion rep 08.430844 Lid recons entropion rep 08.440849 Entropion/ectrop rep NEC 08.490851 Canthotomy 08.510852 Blepharorrhaphy 08.520859 Adjust lid position NEC 08.590861 Lid reconst w skin graft 08.610862 Lid reconst w muc graft 08.620863 Lid reconst w hair graft 08.630864 Lid recon-tarsoconj flap 08.640869 Lid reconstr w graft NEC 08.690870 Lid reconstruction NOS 08.700871 Lid marg recon-part thic 08.710872 Lid recons-part thic NEC 08.720873 Lid marg recons ful thic 08.730874 Lid reconst-ful thic NEC 08.740881 Linear rep lid lacer 08.810882 Lid marg lac rx-part th 08.820883 Lid lacer rx-prt th NEC 08.830884 Lid marg lac rx-ful thic 08.840885 Lid lac rx-ful thic NEC 08.850886 Lower lid rhytidectomy 08.860887 Upper lid rhytidectomy 08.870889 Eyelid repair NEC 08.890891 Electrosurg lid epilat 08.910892 Cryosurg lid epilation 08.920893 Eyelid epilation NEC 08.930899 Eyelid operation NEC 08.99090 Lacrimal gland incision 09.00911 Lacrimal gland biopsy 09.110912 Lacrimal sac biopsy 09.120919 Lacrimal sys dx proc NEC 09.190920 Exc lacrimal gland NOS 09.200921 Excis les lacrimal gland 09.210922 Part dacryoadenect NEC 09.22

Page 7: ICD9 CM Procedure Vol3 FY2012

0923 Total dacryoadenectomy 09.23093 Other lacrimal gland ops 09.30941 Lacrimal punctum probe 09.410942 Lac canaliculi probe 09.420943 Nasolacrimal duct probe 09.430944 Nasolac duct intubat 09.440949 Lac passage manip NEC 09.490951 Lac punctum incision 09.510952 Lac canaliculi incision 09.520953 Lacrimal sac incision 09.530959 Lacrim passage incis NEC 09.59096 Lacrim sac/passage excis 09.60971 Correct everted punctum 09.710972 Punctum repair NEC 09.720973 Canaliculus repair 09.730981 Dacryocystorhinostomy 09.810982 Conjunctivocystorhinost 09.820983 Conjunctivorhinos w tube 09.830991 Lac punctum obliteration 09.910999 Lacrimal system op NEC 09.99100 Incise/remov conjunct FB 10.0101 Conjunctiva incision NEC 10.11021 Conjunctival biopsy 10.211029 Conjunctiva dx proc NEC 10.291031 Excise conjunctiv lesion 10.311032 Destruct conjunc les NEC 10.321033 Oth conjunc destruc proc 10.331041 Symbleph rep w free grft 10.411042 Graft conjunc cul-de-sac 10.421043 Conjun cul-de-sac rx NEC 10.431044 Conjunc free graft NEC 10.441049 Conjunctivoplasty NEC 10.49105 Conjunc/lid adhesiolysis 10.5106 Repair conjunct lacerat 10.61091 Subconjunctival inject 10.911099 Conjunctival op NEC 10.99110 Magnet removal cornea FB 11.0111 Corneal incision 11.11121 Corneal scrape for smear 11.211122 Corneal biopsy 11.221129 Corneal dx proc NEC 11.291131 Pterygium transposition 11.311132 Pteryg exc w cornea grft 11.321139 Pterygium excision NEC 11.391141 Mech remov cornea epith 11.411142 Thermocaut cornea lesion 11.421143 Cryotherap cornea lesion 11.431149 Destruct cornea les NEC 11.491151 Suture cornea laceration 11.511152 Rep cornea postop dehisc 11.521153 Rx cornea lac w conj flp 11.531159 Corneal repair NEC 11.591160 Corneal transplant NOS 11.601161 Lam keratplast w autgrft 11.611162 Lamellar keratoplast NEC 11.621163 Perf keratopl w autogrft 11.631164 Perforat keratoplast NEC 11.641169 Corneal transplant NEC 11.69

Page 8: ICD9 CM Procedure Vol3 FY2012

1171 Keratomileusis 11.711172 Keratophakia 11.721173 Keratoprosthesis 11.731174 Thermokeratoplasty 11.741175 Radial keratotomy 11.751176 Epikeratophakia 11.761179 Cornea reconstruct NEC 11.791191 Corneal tattooing 11.911192 Remove corneal implant 11.921199 Corneal operation NEC 11.991200 Remov ant segmnt FB NOS 12.001201 Magnet remov ant seg FB 12.011202 Nonmag remov ant seg FB 12.021211 Iridotomy w transfixion 12.111212 Iridotomy NEC 12.121213 Prolapsed iris excision 12.131214 Iridectomy NEC 12.141221 Dx aspirat-ant chamber 12.211222 Iris biopsy 12.221229 Ant segment dx proc NEC 12.291231 Goniosynechiae lysis 12.311232 Ant synechia lysis NEC 12.321233 Post synechiae lysis 12.331234 Corneovitreal adhesiolys 12.341235 Coreoplasty 12.351239 Iridoplasty NEC 12.391240 Remov ant segmnt les NOS 12.401241 Nonexc destruc iris les 12.411242 Excision of iris lesion 12.421243 Nonexc destr cil bod les 12.431244 Excise ciliary body les 12.441251 Goniopuncture 12.511252 Goniotomy 12.521253 Goniotomy w goniopunctur 12.531254 Trabeculotomy ab externo 12.541255 Cyclodialysis 12.551259 Facilit intraoc circ NEC 12.591261 Trephin sclera w iridect 12.611262 Thermcaut scler w iridec 12.621263 Iridencleisis/iridotasis 12.631264 Trabeculectom ab externo 12.641265 Scler fistuliz w iridect 12.651266 Postop revis scl fistul 12.661267 Insert aqueous drain dev 12.671269 Scler fistulizing op NEC 12.691271 Cyclodiathermy 12.711272 Cyclocryotherapy 12.721273 Cyclophotocoagulation 12.731274 Cil body diminution NOS 12.741279 Glaucoma procedure NEC 12.791281 Suture scleral lacer 12.811282 Scleral fistula repair 12.821283 Revis ant seg op wnd NEC 12.831284 Destruct scleral lesion 12.841285 Repair staphylom w graft 12.851286 Rep scler staphyloma NEC 12.861287 Graft reinforce sclera 12.871288 Sclera reinforcement NEC 12.88

Page 9: ICD9 CM Procedure Vol3 FY2012

1289 Scleral operation NEC 12.891291 Therapeut evac ant chamb 12.911292 Anterior chamber inject 12.921293 Remov epithel downgrowth 12.931297 Iris operation NEC 12.971298 Ciliary body op NEC 12.981299 Anterior chamber op NEC 12.991300 Remove FB lens NOS 13.001301 Magnet remove FB lens 13.011302 Nonmagnet remove FB lens 13.021311 Temp-inf intrcap lens ex 13.111319 Intracapsul lens ext NEC 13.19132 Linear extracap lens ext 13.2133 Simpl aspir lens extract 13.31341 Catarac phacoemuls/aspir 13.411342 Post catarac frag/aspir 13.421343 Cataract frag/aspir NEC 13.431351 Temp-inf xtracap lens ex 13.511359 Extracap lens extrac NEC 13.591364 After-catar discission 13.641365 After-cataract excision 13.651366 After catar fragmntation 13.661369 Cataract extraction NEC 13.691370 Insert pseudophakos NOS 13.701371 Insert lens at catar ext 13.711372 Secondary insert lens 13.72138 Implanted lens removal 13.81390 Operation on lens NEC 13.901391 Impl intraoc telesc pros 13.911400 Remov post segmnt FB NOS 14.001401 Magnet remov post seg FB 14.011402 Nonmag remov post seg FB 14.021411 Diagnost vitreous aspir 14.111419 Dx proc post seg NEC 14.191421 Chorioret les diathermy 14.211422 Chorioretin les cryother 14.221423 Chorioret les xenon coag 14.231424 Chorioret les laser coag 14.241425 Chorioret les p/coag NOS 14.251426 Chorioret les radiother 14.261427 Chorioret les rad implan 14.271429 Chorioret les destr NEC 14.291431 Retinal tear diathermy 14.311432 Retinal tear cryotherapy 14.321433 Retinal tear xenon coag 14.331434 Retinal tear laser coag 14.341435 Retina tear photocoa NOS 14.351439 Retinal tear repair NEC 14.391441 Scleral buckle w implant 14.411449 Scleral buckling NEC 14.491451 Detach retina-diathermy 14.511452 Detach retina-cryotherap 14.521453 Detach retina xenon coag 14.531454 Detach retina laser coag 14.541455 Detach ret photocoag NOS 14.551459 Repair retina detach NEC 14.59146 Remov pros mat post seg 14.61471 Anterior remov vitreous 14.71

Page 10: ICD9 CM Procedure Vol3 FY2012

1472 Vitreous removal NEC 14.721473 Anterior mechan vitrect 14.731474 Mech vitrectomy NEC 14.741475 Vitreous substitut injec 14.751479 Vitreous operation NEC 14.79149 Other post segment ops 14.91501 Extraoc musc-tend biopsy 15.011509 Extraoc musc dx proc NEC 15.091511 One extraoc mus recess 15.111512 1 extraoc muscl advance 15.121513 1 extraoc muscl resect 15.131519 Xtraoc mus op/detach NEC 15.191521 Lengthen 1 extraoc musc 15.211522 Shorten 1 extraoc musc 15.221529 Op on 1 extraoc musc NEC 15.29153 Temp detach >1 xtroc mus 15.3154 Oth op on >l extraoc mus 15.4155 Extraocul mus transposit 15.5156 Revis extraoc musc surg 15.6157 Extraoc musc inj repair 15.7159 Oth extraoc mus-tend op 15.91601 Orbitotomy w bone flap 16.011602 Orbitotomy w implant 16.021609 Orbitotomy NEC 16.09161 Remove penetrat FB eye 16.11621 Ophthalmoscopy 16.211622 Diagnostic asp of orbit 16.221623 Eyeball & orbit biopsy 16.231629 Eyebal/orbit dx proc NEC 16.291631 Eye evisc w synch implan 16.311639 Eyeball evisceration NEC 16.391641 Eye enuc/implan/musc att 16.411642 Eye enuc w implant NEC 16.421649 Eyeball enucleation NEC 16.491651 Radical orbitomaxillect 16.511652 Orbit exent w bone remov 16.521659 Orbital exenteration NEC 16.591661 2ndry ocular imp insert 16.611662 Revis/reinsert ocul imp 16.621663 Revis enuc socket w grft 16.631664 Enuc socket revis NEC 16.641665 2ndry exent cavity graft 16.651666 Revis exenter cavity NEC 16.661669 2nd op post eye rem NEC 16.691671 Remove ocular implant 16.711672 Remove orbital implant 16.721681 Repair of orbital wound 16.811682 Repair eyeball rupture 16.821689 Eye/orbit inj repair NEC 16.891691 Retrobulbar injection 16.911692 Excision orbital lesion 16.921693 Excision eye lesion NOS 16.931698 Operation on orbit NEC 16.981699 Operation on eyeball NEC 16.991711 Lap dir ing hern-graft 17.111712 Lap indir ing hern-graft 17.121713 Lap ing hern-graft NOS 17.131721 Lap bil dir ing hrn-grft 17.21

Page 11: ICD9 CM Procedure Vol3 FY2012

1722 Lap bi indir ing hrn-grf 17.221723 Lap bi dr/ind ing hrn-gr 17.231724 Lap bil ing hern-grf NOS 17.241731 Lap mul seg res lg intes 17.311732 Laparoscopic cecectomy 17.321733 Lap right hemicolectomy 17.331734 Lap res transverse colon 17.341735 Lap left hemicolectomy 17.351736 Lap sigmoidectomy 17.361739 Lap pt ex lrg intest NEC 17.391741 Open robotic assist proc 17.411742 Lap robotic assist proc 17.421743 Perc robotic assist proc 17.431744 Endo robotic assist proc 17.441745 Thoraco robotic ast proc 17.451749 Robotic ast proc NEC/NOS 17.491751 Implant CCM,total system 17.511752 Implant CCM pulse genrtr 17.521753 Perc ather extracran vsl 17.531754 Perc ather intracran vsl 17.541755 Translum cor atherectomy 17.551756 Ather oth non-cor vessel 17.561761 LITT lesn brain,guidance 17.611762 LITT les hd/nck,guidance 17.621763 LITT lesn liver,guidance 17.631769 LITT lesn, guide oth/NOS 17.691770 IV infusion clofarabine 17.701771 Non-coronary IFVA 17.711781 Insert antimicrobial env 17.811801 Piercing of ear lobe 18.011802 Ext auditory canal incis 18.021809 External ear incis NEC 18.091811 Otoscopy 18.111812 External ear biopsy 18.121819 Ext ear diagnos proc NEC 18.191821 Preauricular sinus excis 18.211829 Destruct ext ear les NEC 18.291831 Rad excis ext ear les 18.311839 Excis external ear NEC 18.39184 Suture ext ear lac 18.4185 Correction prominent ear 18.5186 Ext audit canal reconstr 18.61871 Construction ear auricle 18.711872 Reattach amputated ear 18.721879 Plastic rep ext ear NEC 18.79189 Other ext ear operations 18.9190 Stapes mobilization 19.01911 Stapedect w replac incus 19.111919 Stapedectomy NEC 19.191921 Rev stapdec w incus repl 19.211929 Stapedectomy revis NEC 19.29193 Ossicular chain op NEC 19.3194 Myringoplasty 19.41952 Type 2 tympanoplasty 19.521953 Type 3 tympanoplasty 19.531954 Type 4 tympanoplasty 19.541955 Type 5 tympanoplasty 19.55196 Tympanoplasty revision 19.6

Page 12: ICD9 CM Procedure Vol3 FY2012

199 Middle ear repair NEC 19.92001 Myringotomy w intubation 20.012009 Myringotomy NEC 20.09201 Tympanostomy tube remove 20.12021 Mastoid incision 20.212022 Petrus pyram air cel inc 20.222023 Middle ear incision 20.232031 Electrocochleography 20.312032 Mid & inner ear biopsy 20.322039 Mid/in ear dx proc NEC 20.392041 Simple mastoidectomy 20.412042 Radical mastoidectomy 20.422049 Mastoidectomy NEC 20.492051 Excise middle ear lesion 20.512059 Middle ear excision NEC 20.592061 Inner ear fenestration 20.612062 Revis inner ear fenestra 20.622071 Endolymphatic shunt 20.712072 Inner ear injection 20.722079 Inc/exc/destr in ear NEC 20.79208 Eustachian tube ops 20.82091 Tympanosympathectomy 20.912092 Mastoidectomy revision 20.922093 Repair oval/round window 20.932094 Tympanic injection 20.942095 Elecmag hear dev implant 20.952096 Implt cochlear prost NOS 20.962097 Imp/rep schan coch pros 20.972098 Imp/rep mchan cochl pros 20.982099 Mid-inner ear ops NEC 20.992100 Control of epistaxis NOS 21.002101 Ant nasal pack for epist 21.012102 Post nasal pac for epist 21.022103 Cautery to stop epistax 21.032104 Ethmoid art ligat-epist 21.042105 Max art lig for epistax 21.052106 Ext carot art lig-epist 21.062107 Nasal sept grft-epistax 21.072109 Epistaxis control NEC 21.09211 Incision of nose 21.12121 Rhinoscopy 21.212122 Nasal biopsy 21.222129 Nasal dx proc NEC 21.292130 Nasal lesion excis NOS 21.302131 Intranas les destruction 21.312132 Nasal les destruct NEC 21.32214 Resection of nose 21.4215 Submuc nasal sept resect 21.52161 Diather/cryo turbinectom 21.612162 Turbinate fracture 21.622169 Turbinectomy NEC 21.692171 Clos reduction nasal fx 21.712172 Open reduction nasal fx 21.722181 Nasal laceration suture 21.812182 Nasal fistula closure 21.822183 Tot nasal reconstruction 21.832184 Revision rhinoplasty 21.842185 Augmentation rhinoplasty 21.85

Page 13: ICD9 CM Procedure Vol3 FY2012

2186 Limited rhinoplasty 21.862187 Rhinoplasty NEC 21.872188 Septoplasty NEC 21.882189 Nasal repair NEC 21.892191 Lysis of nasal adhesions 21.912199 Nasal operation NEC 21.992200 Sinus aspirat/lavage NOS 22.002201 Sinus punct for lavage 22.012202 Sinus lavage thru ostium 22.022211 Closed nasal sinus bx 22.112212 Open biopsy nasal sinus 22.122219 Nasal sinus dx proc NEC 22.19222 Intranasal antrotomy 22.22231 Radical maxillary antrot 22.312239 Ext maxillary antrot NEC 22.392241 Frontal sinusotomy 22.412242 Frontal sinusectomy 22.422250 Sinusotomy NOS 22.502251 Ethmoidotomy 22.512252 Sphenoidotomy 22.522253 Multiple sinus incision 22.532260 Sinusectomy NOS 22.602261 C-luc exc max sinus les 22.612262 Exc max sinus lesion NEC 22.622263 Ethmoidectomy 22.632264 Sphenoidectomy 22.642271 Nasal sinus fistula clos 22.712279 Nasal sinus repair NEC 22.79229 Other nasal sinus ops 22.92301 Deciduous tooth extract 23.012309 Tooth extraction NEC 23.092311 Residual root removal 23.112319 Surg tooth extract NEC 23.19232 Tooth restor by filling 23.2233 Tooth restorat by inlay 23.32341 Crown application 23.412342 Fixed bridge insertion 23.422343 Insert removable bridge 23.432349 Dental restoration NEC 23.49235 Tooth implantation 23.5236 Prosthet dental implant 23.62370 Root canal NOS 23.702371 Root canal w irrigation 23.712372 Root canal w apicoectomy 23.722373 Apicoectomy 23.73240 Gum or alveolar incision 24.02411 Gum biopsy 24.112412 Alveolus biopsy 24.122419 Tooth & gum dx proc NEC 24.19242 Gingivoplasty 24.22431 Gum lesion excision 24.312432 Suture of gum laceration 24.322439 Gum operation NEC 24.39244 Exc of dental les of jaw 24.4245 Alveoloplasty 24.5246 Exposure of tooth 24.6247 Orthodon applianc applic 24.7248 Other orthodontic operat 24.8

Page 14: ICD9 CM Procedure Vol3 FY2012

2491 Exten buccolabial/sulcus 24.912499 Dental operation NEC 24.992501 Closed biopsy of tongue 25.012502 Open biopsy of tongue 25.022509 Tongue dx procedure NEC 25.09251 Destruction tongue les 25.1252 Partial glossectomy 25.2253 Complete glossectomy 25.3254 Radical glossectomy 25.42551 Suture of tongue lacerat 25.512559 Repair of tongue NEC 25.592591 Lingual frenotomy 25.912592 Lingual frenectomy 25.922593 Lysis of tongue adhesion 25.932594 Other glossotomy 25.942599 Tongue operation NEC 25.99260 Incis salivary glnd/duct 26.02611 Clos bx saliv gland/duct 26.112612 Open bx saliv gland/duct 26.122619 Saliv glnd dx proc NEC 26.192621 Salivary cyst marsupial 26.212629 Saliv lesion excis NEC 26.292630 Sialoadenectomy NOS 26.302631 Partial sialoadenectomy 26.312632 Complete sialoadenectomy 26.322641 Suture of saliv glnd lac 26.412642 Salivary fistula closure 26.422649 Salivary repair NEC 26.492691 Salivary duct probing 26.912699 Salivary operation NEC 26.99270 Drain face & mouth floor 27.0271 Incision of palate 27.12721 Bony palate biopsy 27.212722 Uvula and soft palate bx 27.222723 Lip biopsy 27.232724 Mouth biopsy NOS 27.242729 Oral cavity dx proc NEC 27.292731 Loc exc bony palate les 27.312732 Wide exc bony palate les 27.322741 Labial frenumectomy 27.412742 Wide excision of lip les 27.422743 Excision of lip les NEC 27.432749 Excision of mouth NEC 27.492751 Suture of lip laceration 27.512752 Suture of mouth lac NEC 27.522753 Closure of mouth fistula 27.532754 Repair of cleft lip 27.542755 Full-thick grft to mouth 27.552756 Skin graft to mouth NEC 27.562757 Pedicle attach to mouth 27.572759 Mouth repair NEC 27.592761 Suture of palate lacerat 27.612762 Cleft palate correction 27.622763 Revis cleft palat repair 27.632764 Insert palatal implant 27.642769 Oth plastic repair palat 27.692771 Incision of uvula 27.712772 Excision of uvula 27.72

Page 15: ICD9 CM Procedure Vol3 FY2012

2773 Repair of uvula 27.732779 Other uvula operations 27.792791 Labial frenotomy 27.912792 Mouth incision NOS 27.922799 Oral cavity ops NEC 27.99280 Peritonsillar i & d 28.02811 Tonsil&adenoid biopsy 28.112819 Tonsil&adenoid dx op NEC 28.19282 Tonsillectomy 28.2283 Tonsillectomy/adenoidec 28.3284 Excision of tonsil tag 28.4285 Excision lingual tonsil 28.5286 Adenoidectomy 28.6287 Hemorr contrl post T & A 28.72891 Incis to remov tonsil FB 28.912892 Excis tonsil/adenoid les 28.922899 Tonsil/adenoid ops NEC 28.99290 Pharyngotomy 29.02911 Pharyngoscopy 29.112912 Pharyngeal biopsy 29.122919 Pharyngeal dx proc NEC 29.19292 Exc branchial cleft cyst 29.22931 Cricopharyngeal myotomy 29.312932 Pharyngeal diverticulec 29.322933 Pharyngectomy 29.332939 Excis/destr les phar NEC 29.39294 Plastic op on pharynx 29.42951 Suture of pharyngeal lac 29.512952 Clos branch cleft fistul 29.522953 Clos pharynx fistula NEC 29.532954 Lysis pharyngeal adhes 29.542959 Pharyngeal repair NEC 29.592991 Pharyngeal dilation 29.912992 Divis glossopharyng nerv 29.922999 Pharyngeal operation NEC 29.993001 Larynx cyst marsupializ 30.013009 Destruct larynx les NEC 30.09301 Hemilaryngectomy 30.13021 Epiglottidectomy 30.213022 Vocal cordectomy 30.223029 Other part laryngectomy 30.29303 Complete laryngectomy 30.3304 Radical laryngectomy 30.4310 Injection of larynx 31.0311 Temporary tracheostomy 31.13121 Mediastinal tracheostomy 31.213129 Other perm tracheostomy 31.29313 Incis larynx trachea NEC 31.33141 Tracheoscopy thru stoma 31.413142 Larygnoscopy/tracheoscop 31.423143 Closed biopsy larynx 31.433144 Closed biopsy trachea 31.443145 Opn bx larynx or trachea 31.453148 Oth larynx dx procedure 31.483149 Oth trachea dx procedure 31.49315 Local destruc trach les 31.53161 Suture of laryngeal lac 31.613162 Laryngeal fistula clos 31.62

Page 16: ICD9 CM Procedure Vol3 FY2012

3163 Laryngostomy revision 31.633164 Laryngeal fx repair 31.643169 Other laryngeal repair 31.693171 Suture of tracheal lacer 31.713172 Closure of tracheostomy 31.723173 Trachea fistula clos NEC 31.733174 Revision of tracheostomy 31.743175 Tracheal reconstruction 31.753179 Other tracheal repair 31.793191 Laryngeal nerv division 31.913192 Lysis trach/larynx adhes 31.923193 Replace trac/laryn stent 31.933194 Tracheal injection 31.943195 Tracheoesoph fistulizat 31.953198 Oth laryngeal operation 31.983199 Other tracheal operation 31.993201 Endosc destruc bronc les 32.013209 Other destruc bronc les 32.09321 Other bronchial excision 32.13220 Thorac exc lung lesion 32.203221 Emphysema bleb plication 32.213222 Lung vol reduction surg 32.223223 Open abltn lung les/tiss 32.233224 Perc abltn lung les/tiss 32.243225 Thor abltn lung les/tiss 32.253226 Abltn lung tiss NEC/NOS 32.263227 Brnc thrmplsty,ablt mscl 32.273228 Endosc destruc lung les 32.283229 Destroy loc lung les NEC 32.293230 Thorac seg lung resect 32.303239 Oth seg lung resect NOS 32.393241 Thorac lobectomy lung 32.413249 Lobectomy of lung NEC 32.493250 Thoracospc pneumonectomy 32.503259 Other pneumonectomy NOS 32.59326 Rad dissec thorac struct 32.6329 Other excision of lung 32.9330 Incision of bronchus 33.0331 Incision of lung 33.13320 Thoracoscopc lung biopsy 33.203321 Bronchoscopy thru stoma 33.213322 Fiber-optic bronchoscopy 33.223323 Other bronchoscopy 33.233324 Closed bronchial biopsy 33.243325 Open bronchial biopsy 33.253326 Closed lung biopsy 33.263327 Clos endoscopic lung bx 33.273328 Open lung biopsy 33.283329 Bronch/lung dx proc NEC 33.293331 Destr phren-lung collaps 33.313332 Pnemothorax-lung collaps 33.323333 Pneumoperit-lung collaps 33.333334 Thoracoplasty 33.343339 Surg collaps of lung NEC 33.393341 Bronchial lacerat suture 33.413342 Bronchial fistula clos 33.423343 Lung laceration closure 33.433348 Bronchial repair NEC 33.48

Page 17: ICD9 CM Procedure Vol3 FY2012

3349 Lung repair NEC 33.493350 Lung transplant NOS 33.503351 Unilat lung transplant 33.513352 Bilat lung transplant 33.52336 Comb heart/lung transpla 33.63371 Endo ins/re bron val,one 33.713372 Endo pulm arwy flow msmt 33.723373 Endo ins/re brnc val,mul 33.733378 Endo rem bronch devc/sub 33.783379 Endo insrt bronc def/sub 33.793391 Bronchial dilation 33.913392 Bronchial ligation 33.923393 Puncture of lung 33.933398 Bronchial operation NEC 33.983399 Lung operation NEC 33.993401 Incision of chest wall 34.013402 Exploratory thoracotomy 34.023403 Reopen thoracotomy site 34.033404 Insert intercostal cath 34.043405 PlEuroperitoneal shunt 34.053406 Thorac drain pleurl cav 34.063409 Other pleural incision 34.09341 Incision of mediastinum 34.13420 Thoracoscopic pleural bx 34.203421 Transpleura thoracoscopy 34.213422 Mediastinoscopy 34.223423 Chest wall biopsy 34.233424 Pleural biopsy NEC 34.243425 Clos mediastinal biopsy 34.253426 Open mediastinal biopsy 34.263427 Biopsy of diaphragm 34.273428 Dx procedure thorax NEC 34.283429 Dx proc mediastinum NEC 34.29343 Destruct mediastin les 34.3344 Destruct chest wall les 34.43451 Decortication of lung 34.513452 Thoracoscopc decort lung 34.523459 Other pleural excision 34.59346 Scarification of pleura 34.63471 Suture chest wall lacer 34.713472 Thoracostomy closure 34.723473 Clos thoracic fistul NEC 34.733474 Pectus deformity repair 34.743479 Other chest wall repair 34.793481 Excise diaphragm lesion 34.813482 Suture diaphragm lacerat 34.823483 Close diaphragm fistula 34.833484 Other diaphragm repair 34.843485 Implant diaphra pacemake 34.853489 Diaphragm operation NEC 34.893491 Thoracentesis 34.913492 Inject into thorax cavit 34.923493 Repair of pleura 34.933499 Thoracic operation NEC 34.993500 Closed valvotomy NOS 35.003501 Closed aortic valvotomy 35.013502 Closed mitral valvotomy 35.023503 Closed pulmon valvotomy 35.03

Page 18: ICD9 CM Procedure Vol3 FY2012

3504 Closed tricusp valvotomy 35.043505 Endovas repl aortc valve 35.053506 Trnsapcl rep aortc valve 35.063507 Endovas repl pulm valve 35.073508 Trnsapcl repl pulm valve 35.083509 Endovas repl uns hrt vlv 35.093510 Open valvuloplasty NOS 35.103511 Opn aortic valvuloplasty 35.113512 Opn mitral valvuloplasty 35.123513 Opn pulmon valvuloplasty 35.133514 Opn tricus valvuloplasty 35.143520 Opn/oth rep hrt vlv NOS 35.203521 Opn/oth rep aort vlv-tis 35.213522 Opn/oth rep aortic valve 35.223523 Opn/oth rep mtrl vlv-tis 35.233524 Opn/oth rep mitral valve 35.243525 Opn/oth rep pulm vlv-tis 35.253526 Opn/oth repl pul valve 35.263527 Opn/oth rep tcspd vlv-ts 35.273528 Opn/oth repl tcspd valve 35.283531 Papillary muscle ops 35.313532 Chordae tendineae ops 35.323533 Annuloplasty 35.333534 Infundibulectomy 35.343535 Trabecul carneae cord op 35.353539 Tiss adj to valv ops NEC 35.393541 Enlarge existing sep def 35.413542 Create septal defect 35.423550 Prosth rep hrt septa NOS 35.503551 Pros rep atrial def-opn 35.513552 Pros repair atria def-cl 35.523553 Pros rep ventric def-opn 35.533554 Pros rep endocar cushion 35.543555 Pros rep ventrc def-clos 35.553560 Grft repair hrt sept NOS 35.603561 Graft repair atrial def 35.613562 Graft repair ventric def 35.623563 Grft rep endocar cushion 35.633570 Heart septa repair NOS 35.703571 Atria septa def rep NEC 35.713572 Ventr septa def rep NEC 35.723573 Endocar cushion rep NEC 35.733581 Tot repair tetral fallot 35.813582 Total repair of tapvc 35.823583 Tot rep truncus arterios 35.833584 Tot cor transpos grt ves 35.843591 Interat ven retrn transp 35.913592 Conduit rt vent-pul art 35.923593 Conduit left ventr-aorta 35.933594 Conduit artium-pulm art 35.943595 Heart repair revision 35.953596 Perc balloon valvuplasty 35.963597 Perc mtrl vlv repr w imp 35.973598 Other heart septa ops 35.983599 Other heart valve ops 35.993603 Open coronry angioplasty 36.033604 Intrcoronry thromb infus 36.043606 Ins nondrug elut cor st 36.06

Page 19: ICD9 CM Procedure Vol3 FY2012

3607 Ins drug-elut coronry st 36.073609 Rem of cor art obstr NEC 36.093610 Aortocoronary bypass NOS 36.103611 Aortocor bypas-1 cor art 36.113612 Aortocor bypas-2 cor art 36.123613 Aortocor bypas-3 cor art 36.133614 Aortcor bypas-4+ cor art 36.143615 1 int mam-cor art bypass 36.153616 2 int mam-cor art bypass 36.163617 Abd-coron artery bypass 36.173619 Hrt revas byps anas NEC 36.19362 Arterial implant revasc 36.23631 Open chest trans revasc 36.313632 Oth transmyo revascular 36.323633 Endo transmyo revascular 36.333634 Perc transmyo revascular 36.343639 Oth heart revascular 36.393691 Coron vess aneurysm rep 36.913699 Heart vessel op NEC 36.99370 Pericardiocentesis 37.03710 Incision of heart NOS 37.103711 Cardiotomy 37.113712 Pericardiotomy 37.123720 Noninvas elect stimulatn 37.203721 Rt heart cardiac cath 37.213722 Left heart cardiac cath 37.223723 Rt/left heart card cath 37.233724 Pericardial biopsy 37.243725 Cardiac biopsy 37.253726 Cath base invasv ep test 37.263727 Cardiac mapping 37.273728 Intracardiac echocardio 37.283729 Hrt/pericar dx proc NEC 37.293731 Pericardiectomy 37.313732 Heart aneurysm excision 37.323733 Exc/dest hrt lesion open 37.333734 Exc/des hrt les,endovasc 37.343735 Partial ventriculectomy 37.353736 Exc,destrct,exclus LAA 37.363737 Exc/dest hrt les, thrspc 37.373741 Impl cardiac support dev 37.413749 Heart/pericard repr NEC 37.493751 Heart transplantation 37.513752 Imp tot int bi ht rp sys 37.523753 Repl/rep thr unt tot hrt 37.533754 Repl/rep oth tot hrt sys 37.543755 Rem int bivent hrt sys 37.553760 Imp bivn ext hrt ast sys 37.603761 Pulsation balloon implan 37.613762 Insrt non-impl circ dev 37.623763 Repair heart assist sys 37.633764 Remve ext hrt assist sys 37.643765 Imp vent ext hrt ast sys 37.653766 Implantable hrt assist 37.663767 Imp cardiomyostimul sys 37.673768 Percutan hrt assist syst 37.683770 Int insert pacemak lead 37.703771 Int insert lead in vent 37.71

Page 20: ICD9 CM Procedure Vol3 FY2012

3772 Int inser lead atri-vent 37.723773 Int inser lead in atrium 37.733774 Int or repl lead epicar 37.743775 Revision of lead 37.753776 Repl tv atri-vent lead 37.763777 Removal of lead w/o repl 37.773778 Inser temp pacemaker sys 37.783779 Rev/reloc card dev pockt 37.793780 Int or repl perm pacemkr 37.803781 Int insert 1-cham, non 37.813782 Int insert 1-cham, rate 37.823783 Int insert dual-cham dev 37.833785 Repl pacem w 1-cham, non 37.853786 Repl pacem 1-cham, rate 37.863787 Repl pacem w dual-cham 37.873789 Revise or remove pacemak 37.893790 Ins left atr append dev 37.903791 Opn chest cardiac massag 37.913792 Injection into heart 37.923793 Injection into pericard 37.933794 Implt/repl carddefib tot 37.943795 Implt cardiodefib leads 37.953796 Implt cardiodefib genatr 37.963797 Repl cardiodefib leads 37.973798 Repl cardiodefib genratr 37.983799 Other heart/pericard ops 37.993800 Incision of vessel NOS 38.003801 Intracran vessel incis 38.013802 Head/neck ves incis NEC 38.023803 Upper limb vessel incis 38.033804 Incision of aorta 38.043805 Thoracic vessel inc NEC 38.053806 Abdomen artery incision 38.063807 Abdominal vein incision 38.073808 Lower limb artery incis 38.083809 Lower limb vein incision 38.093810 Endarterectomy NOS 38.103811 Intracran endarterectomy 38.113812 Head & neck endarter NEC 38.123813 Upper limb endarterectom 38.133814 Endarterectomy of aorta 38.143815 Thoracic endarterectomy 38.153816 Abdominal endarterectomy 38.163818 Lower limb endarterect 38.183821 Blood vessel biopsy 38.213822 Percutaneous angioscopy 38.223823 Intravasclr spectroscopy 38.233824 Intravas img cor ves OCT 38.243825 Intravas img non-cor OCT 38.253826 Insrt prsr snsr w/o lead 38.263829 Blood vessel dx proc NEC 38.293830 Vessel resect/anast NOS 38.303831 Intracran ves resec-anas 38.313832 Head/neck ves resec-anas 38.323833 Arm vessel resect/anast 38.333834 Aorta resection & anast 38.343835 Thor vessel resect/anast 38.353836 Abd vessel resect/anast 38.36

Page 21: ICD9 CM Procedure Vol3 FY2012

3837 Abd vein resect & anast 38.373838 Leg artery resect/anast 38.383839 Leg vein resect/anastom 38.393840 Vessel resect/replac NOS 38.403841 Intracran ves resec-repl 38.413842 Head/neck ves resec-repl 38.423843 Arm ves resect w replace 38.433844 Resect abdm aorta w repl 38.443845 Resect thorac ves w repl 38.453846 Abd artery resec w repla 38.463847 Abd vein resect w replac 38.473848 Leg artery resec w repla 38.483849 Leg vein resect w replac 38.493850 Varicose v lig-strip NOS 38.503851 Intcran var v lig-strip 38.513852 Head/neck var v lig-str 38.523853 Arm varicose v lig-strip 38.533855 Thorac var v lig-strip 38.553857 Abd varicos v liga-strip 38.573859 Leg varicos v liga-strip 38.593860 Excision of vessel NOS 38.603861 Intracran vessel excis 38.613862 Head/neck vessel excis 38.623863 Arm vessel excision 38.633864 Excision of aorta 38.643865 Thoracic vessel excision 38.653866 Abdominal artery excis 38.663867 Abdominal vein excision 38.673868 Leg artery excision 38.683869 Leg vein excision 38.69387 Interruption vena cava 38.73880 Surg vessel occlus NEC 38.803881 Occlus intracran ves NEC 38.813882 Occlus head/neck ves NEC 38.823883 Occlude arm vessel NEC 38.833884 Occlude aorta NEC 38.843885 Occlude thoracic ves NEC 38.853886 Occlude abd artery NEC 38.863887 Occlude abd vein NEC 38.873888 Occlude leg artery NEC 38.883889 Occlude leg vein NEC 38.893891 Arterial catheterization 38.913892 Umbilical vein cath 38.923893 Venous cath NEC 38.933894 Venous cutdown 38.943895 Ven cath renal dialysis 38.953897 CV cath plcmt w guidance 38.973898 Arterial puncture NEC 38.983899 Venous puncture NEC 38.99390 Systemic-pulm art shunt 39.0391 Intra-abd venous shunt 39.13921 Caval-pulmon art anastom 39.213922 Aorta-subclv-carot bypas 39.223923 Intrathoracic shunt NEC 39.233924 Aorta-renal bypass 39.243925 Aorta-iliac-femor bypass 39.253926 Intra-abdomin shunt NEC 39.263927 Dialysis arteriovenostom 39.27

Page 22: ICD9 CM Procedure Vol3 FY2012

3928 Extracran-intracr bypass 39.283929 Vasc shunt & bypass NEC 39.293930 Suture of vessel NOS 39.303931 Suture of artery 39.313932 Suture of vein 39.323941 Postop vasc op hem contr 39.413942 Revis ren dialysis shunt 39.423943 Remov ren dialysis shunt 39.433949 Vasc proc revision NEC 39.493950 Angio oth non-coronary 39.503951 Clipping of aneurysm 39.513952 Aneurysm repair NEC 39.523953 Arterioven fistula rep 39.533954 Re-entry operation 39.543955 Reimplan aberr renal ves 39.553956 Repair vess w tis patch 39.563957 Rep vess w synth patch 39.573958 Repair vess w patch NOS 39.583959 Repair of vessel NEC 39.593961 Extracorporeal circulat 39.613962 Hypothermia w open heart 39.623963 Cardioplegia 39.633964 Intraop cardiac pacemak 39.643965 Extracorporeal memb oxy 39.653966 Per cardiopulmon bypass 39.663971 Endo imp oth grf abd aor 39.713972 Endovasc embol hd/nk ves 39.723973 Endo imp grft thor aorta 39.733974 Endo rem obs hd/neck ves 39.743975 Endo emb hd/nk,bare coil 39.753976 Endo em hd/nk,bioac coil 39.763977 Temp endovsc occls vessl 39.773978 Endovas impln grft aorta 39.783979 Oth endo proc oth vessel 39.793981 Imp crtd sinus stm,totl 39.813982 Imp/rep crtd sinus lead 39.823983 Imp/rep crtd sinus gnrtr 39.833984 Rev crtd sinus stm leads 39.843985 Rev crtd sinus pulse gen 39.853986 Rem crtd sinus stm, totl 39.863987 Rem crtd sinus stm lead 39.873988 Rem crtd sinus pulse gen 39.883989 Oth cartd body/sinus op 39.893990 Ins non-d-e non-cor stnt 39.903991 Freeing of vessel 39.913992 Vein inject-scleros agnt 39.923993 Insert ves-to-ves cannul 39.933994 Replac ves-to-ves cannul 39.943995 Hemodialysis 39.953996 Total body perfusion 39.963997 Other perfusion 39.973998 Hemorrhage control NOS 39.983999 Vessel operation NEC 39.99400 Incis lymphatic structur 40.04011 Lymphatic struct biopsy 40.114019 Lymphatic diag proc NEC 40.194021 Excis deep cervical node 40.214022 Excise int mammary node 40.22

Page 23: ICD9 CM Procedure Vol3 FY2012

4023 Excise axillary node 40.234024 Excise inguinal node 40.244029 Simp exc lymph struc NEC 40.29403 Regional lymph node exc 40.34040 Rad neck dissection NOS 40.404041 Unilat rad neck dissect 40.414042 Bilat rad neck dissect 40.424050 Rad node dissection NOS 40.504051 Rad dissec axillary node 40.514052 Rad dissec periaort node 40.524053 Rad dissect iliac nodes 40.534054 Radical groin dissection 40.544059 Rad node dissection NEC 40.594061 Thorac duct cannulation 40.614062 Thoracic duct fistulizat 40.624063 Close thoracic duct fist 40.634064 Ligate thoracic duct 40.644069 Thoracic duct op NEC 40.69409 Lymph structure op NEC 40.94100 Bone marrow trnsplnt NOS 41.004101 Auto bone mt w/o purg 41.014102 Alo bone marrow trnsplnt 41.024103 Allogrft bone marrow NOS 41.034104 Auto hem stem ct w/o pur 41.044105 Allo hem stem ct w/o pur 41.054106 Cord bld stem cell trans 41.064107 Auto hem stem ct w purg 41.074108 Allo hem stem ct w purg 41.084109 Auto bone mt w purging 41.09411 Puncture of spleen 41.1412 Splenotomy 41.24131 Bone marrow biopsy 41.314132 Closed spleen biopsy 41.324133 Open spleen biopsy 41.334138 Marrow diagnost proc NEC 41.384139 Spleen diagnost proc NEC 41.394141 Splenic cyst marsupial 41.414142 Exc splenic lesion/tiss 41.424143 Partial splenectomy 41.43415 Total splenectomy 41.54191 Donor marrow aspiration 41.914192 Injection into marrow 41.924193 Exc of accessory spleen 41.934194 Spleen transplantation 41.944195 Repair of spleen 41.954198 Bone marrow ops NEC 41.984199 Spleen operation NEC 41.994201 Esophageal web incision 42.014209 Esophageal incision NEC 42.094210 Esophagostomy NOS 42.104211 Cervical esophagostomy 42.114212 Esoph pouch exteriorizat 42.124219 Ext fistulizat esoph NEC 42.194221 Esophagoscopy by incis 42.214222 Esophagoscopy thru stoma 42.224223 Esophagoscopy NEC 42.234224 Closed bx of esophagus 42.244225 Open biopsy of esophagus 42.25

Page 24: ICD9 CM Procedure Vol3 FY2012

4229 Esophageal dx proc NEC 42.294231 Loc excis esoph divertic 42.314232 Local excis esophag NEC 42.324233 Endosc destruc esoph les 42.334239 Destruct esophag les NEC 42.394240 Esophagectomy NOS 42.404241 Partial esophagectomy 42.414242 Total esophagectomy 42.424251 Thorac esophagoesophagos 42.514252 Thorac esophagogastrost 42.524253 Thorac sm bowel interpos 42.534254 Thorac esophagoenter NEC 42.544255 Thorac lg bowel interpos 42.554256 Thorac esophagocolos NEC 42.564258 Thorac interposition NEC 42.584259 Thorac esophag anast NEC 42.594261 Stern esophagoesophagost 42.614262 Stern esophagogastrostom 42.624263 Stern sm bowel interpos 42.634264 Stern esophagoenter NEC 42.644265 Stern lg bowel interpos 42.654266 Stern esophagocolos NEC 42.664268 Stern interposition NEC 42.684269 Stern esophag anast NEC 42.69427 Esophagomyotomy 42.74281 Insert perm tube esophag 42.814282 Suture esophageal lacer 42.824283 Esophagostomy closure 42.834284 Esoph fistula repair NEC 42.844285 Esophag stricture repair 42.854286 Prod subq tunnel no anas 42.864287 Esophageal graft NEC 42.874289 Esophageal repair NEC 42.894291 Ligation esoph varix 42.914292 Esophageal dilation 42.924299 Esophageal operation NEC 42.99430 Gastrotomy 43.04311 Percu endosc gastrostomy 43.114319 Other gastrostomy 43.19433 Pyloromyotomy 43.34341 Endosc destr stomach les 43.414342 Local gastr excision NEC 43.424349 Local gastr destruct NEC 43.49435 Proximal gastrectomy 43.5436 Distal gastrectomy 43.6437 Part gastrec w jej anast 43.74381 Part gast w jej transpos 43.814382 Lap vertical gastrectomy 43.824389 Opn/oth part gastrectomy 43.894391 Tot gast w intes interpo 43.914399 Total gastrectomy NEC 43.994400 Vagotomy NOS 44.004401 Truncal vagotomy 44.014402 Highly select vagotomy 44.024403 Selective vagotomy NEC 44.034411 Transabdomin gastroscopy 44.114412 Gastroscopy thru stoma 44.124413 Gastroscopy NEC 44.13

Page 25: ICD9 CM Procedure Vol3 FY2012

4414 Closed gastric biopsy 44.144415 Open gastric biopsy 44.154419 Gastric diagnos proc NEC 44.194421 Dilate pylorus, incision 44.214422 Endoscop dilate pylorus 44.224429 Other pyloroplasty 44.294431 High gastric bypass 44.314432 Percu gastrojejunostomy 44.324438 Lap gastroenterostomy 44.384439 Gastroenterostomy NEC 44.394440 Suture peptic ulcer NOS 44.404441 Sut gastric ulcer site 44.414442 Suture duoden ulcer site 44.424443 Endosc control gast hem 44.434444 Transcath embo gast hem 44.444449 Other control gast hem 44.49445 Revision gastric anastom 44.54461 Suture gastric lacerat 44.614462 Gastrostomy closure 44.624463 Close gastric fistul NEC 44.634464 Gastropexy 44.644465 Esophagogastroplasty 44.654466 Creat esophagastr sphinc 44.664467 Lap creat esoph sphinct 44.674468 Laparoscop gastroplasty 44.684469 Gastric repair NEC 44.694491 Ligate gastric varices 44.914492 Intraop gastric manipul 44.924493 Insert gastric bubble 44.934494 Remove gastric bubble 44.944495 Lap gastric restric proc 44.954496 Lap rev gast restri proc 44.964497 Lap rem gast restric dev 44.974498 Adjust gast restrict dev 44.984499 Gastric operation NEC 44.994500 Intestinal incision NOS 45.004501 Duodenal incision 45.014502 Small bowel incision NEC 45.024503 Large bowel incision 45.034511 Transab sm bowel endosc 45.114512 Endosc sm bowel thru st 45.124513 Sm bowel endoscopy NEC 45.134514 Clos small bowel biopsy 45.144515 Open small bowel biopsy 45.154516 Egd with closed biopsy 45.164519 Sm bowel dx proc NEC 45.194521 Transab lg bowel endosc 45.214522 Endosc lg bowel thru st 45.224523 Colonoscopy 45.234524 Flexible sigmoidoscopy 45.244525 Clos large bowel biopsy 45.254526 Open large bowel biopsy 45.264527 Intestinal biopsy NOS 45.274528 Lg bowel dx proced NEC 45.284529 Bowel diagnost proc NEC 45.294530 Endosc destru duoden les 45.304531 Oth excise duodenum les 45.314532 Destruct duoden les NEC 45.32

Page 26: ICD9 CM Procedure Vol3 FY2012

4533 Local excis sm bowel NEC 45.334534 Destr sm bowel les NEC 45.344541 Excise lg intestine les 45.414542 Endo polpectomy lrge int 45.424543 Endosc destru lg int les 45.434549 Destruc lg bowel les NEC 45.494550 Intest seg isolat NOS 45.504551 Sm bowel segment isolat 45.514552 Lg bowel segment isolat 45.524561 Mult seg sm bowel excis 45.614562 Part sm bowel resect NEC 45.624563 Total removal sm bowel 45.634571 Opn mul seg lg intes NEC 45.714572 Open cecectomy NEC 45.724573 Opn rt hemicolectomy NEC 45.734574 Opn transv colon res NEC 45.744575 Opn lft hemicolectmy NEC 45.754576 Open sigmoidectomy NEC 45.764579 Prt lg intes exc NEC/NOS 45.794581 Lap tot intr-ab colectmy 45.814582 Op tot intr-abd colectmy 45.824583 Tot abd colectmy NEC/NOS 45.834590 Intestinal anastom NOS 45.904591 Sm-to-sm bowel anastom 45.914592 Sm bowel-rect stump anas 45.924593 Small-to-large bowel NEC 45.934594 Lg-to-lg bowel anastom 45.944595 Anal anastomosis 45.954601 Sm bowel exteriorization 46.014602 Resect ext seg sm bowel 46.024603 Lg bowel exteriorization 46.034604 Resect ext seg lg bowel 46.044610 Colostomy NOS 46.104611 Temporary colostomy 46.114613 Permanent colostomy 46.134614 Delay opening colostomy 46.144620 Ileostomy NOS 46.204621 Temporary ileostomy 46.214622 Continent ileostomy 46.224623 Permanent ileostomy NEC 46.234624 Delay opening ileostomy 46.244631 Delay opening enterostom 46.314632 Percu endosc jejunostomy 46.324639 Enterostomy NEC 46.394640 Intest stoma revis NOS 46.404641 Sm bowel stoma revision 46.414642 Pericolost hernia repair 46.424643 Lg bowel stoma revis NEC 46.434650 Intest stoma closure NOS 46.504651 Sm bowel stoma closure 46.514652 Lg bowel stoma closure 46.524660 Intestinal fixation NOS 46.604661 Sm bowel-abd wall fixat 46.614662 Small bowel fixation NEC 46.624663 Lg bowel-abd wall fixat 46.634664 Large bowel fixation NEC 46.644671 Duodenal lacerat suture 46.714672 Duodenal fistula closure 46.72

Page 27: ICD9 CM Procedure Vol3 FY2012

4673 Small bowel suture NEC 46.734674 Close sm bowel fist NEC 46.744675 Suture lg bowel lacerat 46.754676 Close lg bowel fistula 46.764679 Repair of intestine NEC 46.794680 Intra-ab bowel manip NOS 46.804681 Intra-abd sm bowel manip 46.814682 Intra-abd lg bowel manip 46.824685 Dilation of intestine 46.854686 Endo insrt colonic stent 46.864687 Insert colonic stent NEC 46.874691 Myotomy of sigmoid colon 46.914692 Myotomy of colon NEC 46.924693 Revise sm bowel anastom 46.934694 Revise lg bowel anastom 46.944695 Local sm bowel perfusion 46.954696 Local lg bowel perfusion 46.964697 Transplant of intestine 46.974699 Intestinal op NEC 46.994701 Lap appendectomy 47.014709 Other appendectomy 47.094711 Lap incid appendectomy 47.114719 Other incid appendectomy 47.19472 Drain appendiceal absc 47.24791 Appendicostomy 47.914792 Close appendiceal fistul 47.924799 Appendiceal ops NEC 47.99480 Proctotomy 48.0481 Proctostomy 48.14821 Transab proctosigmoidosc 48.214822 Proctosigmoidosc thru st 48.224823 Rigid proctosigmoidoscpy 48.234824 Closed rectal biopsy 48.244825 Open rectal biopsy 48.254826 Perirectal tissue biopsy 48.264829 Rect/perirect dx op NEC 48.294831 Rad electrocoag-rect les 48.314832 Electrocoag rect les NEC 48.324833 Laser destruc rectal les 48.334834 Cryosurg destr rect les 48.344835 Local excis rectal les 48.354836 Polypectomy of rectum 48.364840 Pull-thru res rectum NOS 48.404841 Soave submuc rect resect 48.414842 Lap pull-thru res rectum 48.424843 Opn pull-thru res rectum 48.434849 Pull-thru rect resec NEC 48.494850 Abdperneal res rectm NOS 48.504851 Lap abdperneal resc rec 48.514852 Opn abdperneal resc rec 48.524859 Abdperneal resc rect NEC 48.594861 Transsac rectosigmoidect 48.614862 Ant rect resect w colost 48.624863 Anterior rect resect NEC 48.634864 Posterior rect resection 48.644865 Duhamel rectal resection 48.654869 Rectal resection NEC 48.694871 Suture of rectal lacer 48.71

Page 28: ICD9 CM Procedure Vol3 FY2012

4872 Closure of proctostomy 48.724873 Close rectal fist NEC 48.734874 Rectorectostomy 48.744875 Abdominal proctopexy 48.754876 Proctopexy NEC 48.764879 Repair of rectum NEC 48.794881 Perirectal incision 48.814882 Perirectal excision 48.824891 Incis rectal stricture 48.914892 Anorectal myomectomy 48.924893 Repair perirect fistula 48.934899 Rectal perirect op NEC 48.994901 Incis perianal abscess 49.014902 Perianal incision NEC 49.024903 Excis perianal skin tag 49.034904 Perianal excision NEC 49.044911 Anal fistulotomy 49.114912 Anal fistulectomy 49.124921 Anoscopy 49.214922 Perianal biopsy 49.224923 Anal biopsy 49.234929 Anal/perian dx proc NEC 49.294931 Endosc destruc anus les 49.314939 Other destruc anus les 49.394941 Hemorrhoid reduction 49.414942 Hemorrhoid injection 49.424943 Hemorrhoid cauterizat 49.434944 Hemorrhoid cryotherapy 49.444945 Hemorrhoid ligation 49.454946 Hemorrhoidectomy 49.464947 Hemorrhoid evacuation 49.474949 Hemorrhoid procedure NEC 49.494951 Left lat sphincterotomy 49.514952 Post sphincterotomy 49.524959 Anal sphincterotomy NEC 49.59496 Excision of anus 49.64971 Suture anal laceration 49.714972 Anal cerclage 49.724973 Closure of anal fistula 49.734974 Gracilis musc transplan 49.744975 Impl or rev art anal sph 49.754976 Remov art anal sphincter 49.764979 Anal sphinct repair NEC 49.794991 Incision of anal septum 49.914992 Insert subq anal stimul 49.924993 Anal incision NEC 49.934994 Reduction anal prolapse 49.944995 Control anal hemorrhage 49.954999 Anal operation NEC 49.99500 Hepatotomy 50.05011 Closed liver biopsy 50.115012 Open liver biopsy 50.125013 Transjugular liver bx 50.135014 Laparoscopic liver bx 50.145019 Hepatic dx proc NEC 50.195021 Marsupializat liver les 50.215022 Partial hepatectomy 50.225023 Opn abltn liver les/tiss 50.23

Page 29: ICD9 CM Procedure Vol3 FY2012

5024 Perc abltn liver les/tis 50.245025 Lap abltn liver les/tiss 50.255026 Abltn liver les/tiss NEC 50.265029 Destruc hepatic les NEC 50.29503 Hepatic lobectomy 50.3504 Total hepatectomy 50.45051 Auxiliary liver transpl 50.515059 Liver transplant NEC 50.595061 Closure liver lacerat 50.615069 Liver repair NEC 50.695091 Percutan liver aspirat 50.915092 Extracorpor hepat Assis 50.925093 Local perfusion liver 50.935094 Hepatic injection NEC 50.945099 Liver operation NEC 50.995101 Percutan aspiration gb 51.015102 Trocar cholecystostomy 51.025103 Cholecystostomy NEC 51.035104 Cholecystotomy NEC 51.045110 Endosc retro cholangiopa 51.105111 Endosc retro cholangio 51.115112 Percu bx gb/bile duct 51.125113 Open biliary tract bx 51.135114 Clo endosc bx bile duct 51.145115 Sphinct of oddi measure 51.155119 Biliary tr dx proc NEC 51.195121 Oth part cholecystectomy 51.215122 Cholecystectomy 51.225123 Laparoscopic cholecystec 51.235124 Lap part cholecystectomy 51.245131 Gb-to-hepat duct anast 51.315132 Gb-to-intestine anastom 51.325133 Gb-to-pancreas anastom 51.335134 Gb-to-stomach anastomos 51.345135 Gallbladder anastom NEC 51.355136 Choledochoenterostomy 51.365137 Hepatic duct-gi anastom 51.375139 Bile duct anastomos NEC 51.395141 Cde for calculus remov 51.415142 Cde for obstruction NEC 51.425143 Choledochohepat intubat 51.435149 Incis obstr bile duc NEC 51.495151 Common duct exploration 51.515159 Bile duct incision NEC 51.595161 Excis cyst duct remnant 51.615162 Excis ampulla of vater 51.625163 Common duct excis NEC 51.635164 Endosc destru bile les 51.645169 Bile duct excision NEC 51.695171 Simple sut-common duct 51.715172 Choledochoplasty 51.725179 Bile duct repair NEC 51.795181 Sphincter of oddi dilat 51.815182 Pancreat sphincterotom 51.825183 Pancreat sphincteroplas 51.835184 Endosc dilation ampulla 51.845185 Endosc sphincterotomy 51.855186 Endosc inser nasobil tub 51.86

Page 30: ICD9 CM Procedure Vol3 FY2012

5187 Endosc inser stent bile 51.875188 Endosc remove bile stone 51.885189 Sphinct of oddi op NEC 51.895191 Repair gb laceration 51.915192 Closure cholecystostomy 51.925193 Clos biliary fistul NEC 51.935194 Revis bile tract anastom 51.945195 Remove bile duct prosth 51.955196 Perc extrac com duc calc 51.965198 Oth perc proc bil trct 51.985199 Biliary tract op NEC 51.995201 Cath drain-pancreat cyst 52.015209 Pancreatotomy NEC 52.095211 Closed pancreatic biopsy 52.115212 Open pancreatic biopsy 52.125213 Endosc retro pancreatog 52.135214 Clo endosc bx pancre duc 52.145219 Pancreatic dx proc NEC 52.195221 Endosc destr pancrea les 52.215222 Other destru pancrea les 52.22523 Pancreat cyst marsupiali 52.3524 Int drain pancreat cyst 52.45251 Proximal pancreatectomy 52.515252 Distal pancreatectomy 52.525253 Rad subtot pancreatectom 52.535259 Partial pancreatect NEC 52.59526 Total pancreatectomy 52.6527 Rad pancreaticoduodenect 52.75280 Pancreat transplant NOS 52.805281 Reimplant pancreatic tis 52.815282 Pancreatic homotransplan 52.825283 Pancreatic heterotranspl 52.835284 Autotrnsplnt islets lang 52.845285 Allotrnsplnt islets lang 52.855286 Trnsplnt islets lang NOS 52.865292 Cannulation pancrea duc 52.925293 Endosc inser panc stent 52.935294 Endosc remove panc stone 52.945295 Pancreatic repair NEC 52.955296 Pancreatic anastomosis 52.965297 Endosc inser nasopan tub 52.975298 Endosc dil pancreat duct 52.985299 Pancreatic operation NEC 52.995300 Unilat ing hern rep NOS 53.005301 Opn rep dir ing hern NEC 53.015302 Opn rep ind ing hern NEC 53.025303 Opn dir ing hern-gft NEC 53.035304 Opn ind ing hern-gft NEC 53.045305 Ing hernia rep-graft NOS 53.055310 Bilat ing hernia rep NOS 53.105311 Opn bil dir ing hern NEC 53.115312 Opn bil ind ing hern NEC 53.125313 Opn bi dr/in ing hrn NEC 53.135314 Opn bi dr ing hrn-gr NEC 53.145315 Op bi in ing hrn-grf NEC 53.155316 Op bi dr/in ig hr-gr NEC 53.165317 Bil ing hrn rep-grft NOS 53.175321 Unil femor hrn rep-grft 53.21

Page 31: ICD9 CM Procedure Vol3 FY2012

5329 Unil femor hern rep NEC 53.295331 Bil fem hern repair-grft 53.315339 Bil fem hern repair NEC 53.395341 Opn rep umb hrn-grft NEC 53.415342 Lap umbil hernia-graft 53.425343 Lap umbilical hernia NEC 53.435349 Open rep umbil hern NEC 53.495351 Incisional hernia repair 53.515359 Abd wall hern repair NEC 53.595361 Open incis hern-grft NEC 53.615362 Lap incis hern repr-grft 53.625363 Lap hern ant abd-gft NEC 53.635369 Opn hern ant abd-grf NEC 53.695371 Lap abd rep-diaphr hern 53.715372 Opn abd diaphrm hern NEC 53.725375 Abd rep-diaphr hern NOS 53.755380 Thor rep-diaph hern NOS 53.805381 Diaphragmatic plication 53.815382 Parastern hernia repair 53.825383 Lap thorc app-diaph hern 53.835384 Opn thorc diaph hern NEC 53.84539 Other hernia repair 53.9540 Abdominal wall incision 54.05411 Exploratory laparotomy 54.115412 Reopen recent lap site 54.125419 Laparotomy NEC 54.195421 Laparoscopy 54.215422 Abdominal wall biopsy 54.225423 Peritoneal biopsy 54.235424 Closed intra-abd mass bx 54.245425 Peritoneal lavage 54.255429 Abd region dx proc NEC 54.29543 Destruct abd wall lesion 54.3544 Destruct peritoneal tiss 54.45451 Lap periton adhesiolysis 54.515459 Oth periton adhesiolysis 54.595461 Reclose post op disrupt 54.615462 Delayed clos abd wound 54.625463 Abd wall suture NEC 54.635464 Peritoneal suture 54.645471 Repair of gastroschisis 54.715472 Abdomen wall repair NEC 54.725473 Peritoneal repair NEC 54.735474 Omental repair NEC 54.745475 Mesenteric repair NEC 54.755491 Percu abdominal drainage 54.915492 Remove FB from periton 54.925493 Create cutanperiton fist 54.935494 Creat peritoneovas shunt 54.945495 Peritoneal incision 54.955496 Injec air-periton cavity 54.965497 Inj therap subst periton 54.975498 Peritoneal dialysis 54.985499 Abdomen region ops NEC 54.995501 Nephrotomy 55.015502 Nephrostomy 55.025503 Percu nephrostm w/o frag 55.035504 Percu nephrostmy w frag 55.04

Page 32: ICD9 CM Procedure Vol3 FY2012

5511 Pyelotomy 55.115512 Pyelostomy 55.125521 Nephroscopy 55.215522 Pyeloscopy 55.225523 Closed renal biopsy 55.235524 Open renal biopsy 55.245529 Renal diagnost proc NEC 55.295531 Renal les marsupializat 55.315532 Opn abltn renal les/tiss 55.325533 Perc abltn renl les/tiss 55.335534 Lap abltn renal les/tiss 55.345535 Abltn renal les/tiss NEC 55.355539 Loc destr renal les NEC 55.39554 Partial nephrectomy 55.45551 Nephroureterectomy 55.515552 Solitary kidney nephrect 55.525553 Rejected kidney nephrect 55.535554 Bilateral nephrectomy 55.545561 Renal autotransplant 55.615569 Kidney transplant NEC 55.69557 Nephropexy 55.75581 Suture kidney laceration 55.815582 Close nephrost & pyelost 55.825583 Close renal fistula NEC 55.835584 Reduce renal pedicl tors 55.845585 Symphysiotomy 55.855586 Renal anastomosis 55.865587 Correct ureteropelv junc 55.875589 Renal repair NEC 55.895591 Renal decapsulation 55.915592 Percutan renal aspirat 55.925593 Replace nephrostomy tube 55.935594 Replace pyelostomy tube 55.945595 Local renal perfusion 55.955596 Renal injection NEC 55.965597 Implant mechanic kidney 55.975598 Remov mechanical kidney 55.985599 Renal operation NEC 55.99560 Tu remov ureter obstruct 56.0561 Ureteral meatotomy 56.1562 Ureterotomy 56.25631 Ureteroscopy 56.315632 Closed ureteral biopsy 56.325633 Clos endosc ureteral bx 56.335634 Open ureteral biopsy 56.345635 Endoscopic ileal conduit 56.355639 Ureteral dx procedur NEC 56.395640 Ureterectomy NOS 56.405641 Partial ureterectomy 56.415642 Total ureterectomy 56.425651 Form cutan ileoureterost 56.515652 Revis cutan ileoureteros 56.525661 Form cutan ureterostomy 56.615662 Revis cutan ureteros NEC 56.625671 Urin diversion to bowel 56.715672 Revis ureteroenterostomy 56.725673 Nephrocystanastomosi NOS 56.735674 Ureteroneocystostomy 56.74

Page 33: ICD9 CM Procedure Vol3 FY2012

5675 Transureteroureterostomy 56.755679 Ureteral anastomosis NEC 56.795681 Intralum urete adhesioly 56.815682 Suture ureteral lacerat 56.825683 Ureterostomy closure 56.835684 Close ureter fistula NEC 56.845685 Ureteropexy 56.855686 Remove ureteral ligature 56.865689 Repair of ureter NEC 56.895691 Ureteral meatus dilation 56.915692 Implant ureteral stimul 56.925693 Replace ureteral stimul 56.935694 Remove ureteral stimulat 56.945695 Ligation of ureter 56.955699 Ureteral operation NEC 56.99570 Tu bladder clearance 57.05711 Percutan bladder aspirat 57.115712 Cystotomy & adhesiolysis 57.125717 Percutaneous cystostomy 57.175718 Other suprapu cystostomy 57.185719 Cystotomy NEC 57.195721 Vesicostomy 57.215722 Revise clo vesicostomy 57.225731 Cystoscopy thru stoma 57.315732 Cystoscopy NEC 57.325733 Clos transureth bladd bx 57.335734 Open bladder biopsy 57.345739 Bladder diagnos proc NEC 57.395741 Tu adhesiolysis bladder 57.415749 Tu destruc bladd les NEC 57.495751 Excision of urachus 57.515759 Bladder les destruct NEC 57.59576 Partial cystectomy 57.65771 Radical cystectomy 57.715779 Total cystectomy NEC 57.795781 Suture bladder lacerat 57.815782 Cystostomy closure 57.825783 Enterovesico fist repair 57.835784 Vesic fistula repair NEC 57.845785 Cystourethroplasty 57.855786 Bladder exstrophy repair 57.865787 Bladder reconstruction 57.875788 Bladder anastomosis NEC 57.885789 Bladder repair NEC 57.895791 Bladder sphincterotomy 57.915792 Bladder neck dilation 57.925793 Control bladd hemorrhage 57.935794 Insert indwelling cath 57.945795 Replace indwelling cath 57.955796 Implant bladder stimulat 57.965797 Replace bladder stimulat 57.975798 Remove bladder stimulat 57.985799 Bladder operation NEC 57.99580 Urethrotomy 58.0581 Urethral meatotomy 58.15821 Perineal urethroscopy 58.215822 Urethroscopy NEC 58.225823 Urethral biopsy 58.23

Page 34: ICD9 CM Procedure Vol3 FY2012

5824 Periurethral biopsy 58.245829 Urethral dx proc NEC 58.295831 Endosc destr urethra les 58.315839 Other destru urethra les 58.395841 Suture urethral lacerat 58.415842 Urethrostomy closure 58.425843 Close ureth fistula NEC 58.435844 Urethral reanastomosis 58.445845 Hypo-epispadius repair 58.455846 Ureth reconstruction NEC 58.465847 Urethral meatoplasty 58.475849 Urethral repair NEC 58.49585 Ureth stricture release 58.5586 Urethral dilation 58.65891 Periurethral incision 58.915892 Periurethral excision 58.925893 Implt artf urin sphinct 58.935899 Ureth/periureth op NEC 58.995900 Retroperit dissect NOS 59.005902 Periren adhesiolys NEC 59.025903 Lap lys periren/uret adh 59.035909 Periren/ureter incis NEC 59.095911 Oth lys perives adhesio 59.115912 Lap lys perivesureth adh 59.125919 Perivesical incision NEC 59.195921 Periren/ureteral biopsy 59.215929 Periren/uret dx proc NEC 59.29593 Urethroves junct plicat 59.3594 Suprapubic sling op 59.4595 Retropubic ureth suspens 59.5596 Paraurethral suspension 59.65971 Levator musc suspension 59.715972 Inject implant urethra 59.725979 Urin incontin repair NEC 59.79598 Ureteral catheterization 59.85991 Periren/vesicle excision 59.915992 Periren/vesicle op NEC 59.925993 Replace ureterost tube 59.935994 Replace cystostomy tube 59.945995 Ultrason fragment-stone 59.955999 Urinary system op NEC 59.99600 Incision of prostate 60.06011 Closed prostatic biopsy 60.116012 Open prostatic biopsy 60.126013 Clos seminal vesicles bx 60.136014 Open seminal vesicles bx 60.146015 Periprostatic biopsy 60.156018 Prostatic dx proced NEC 60.186019 Semin ves dx proced NEC 60.196021 Transureth prostatectomy 60.216029 Oth transureth prostatec 60.29603 Suprapubic prostatectomy 60.3604 Retropubic prostatectomy 60.4605 Radical prostatectomy 60.56061 Los excis prostatic les 60.616062 Perineal prostatectomy 60.626069 Prostatectomy NEC 60.696071 Percut semin ves aspirat 60.71

Page 35: ICD9 CM Procedure Vol3 FY2012

6072 Seminal vesicle incision 60.726073 Seminal vesicle excision 60.736079 Seminal vesicle op NEC 60.796081 Periprostatic incision 60.816082 Periprostatic excision 60.826091 Percut prostatic aspirat 60.916092 Injection into prostate 60.926093 Repair of prostate 60.936094 Control prostate hemorr 60.946095 Trans bal dil pros ureth 60.956096 Tu destr prostate by mt 60.966097 Oth tu destr pros - rt 60.976099 Prostatic operation NEC 60.99610 Scrotum & tunica i & d 61.06111 Scrotum & tunica biopsy 61.116119 Scrot/tunica dx proc NEC 61.19612 Excision of hydrocele 61.2613 Scrotal les destruction 61.36141 Suture scrotal lacerat 61.416142 Scrotal fistula repair 61.426149 Scrotum/tunic repair NEC 61.496191 Percut tunica aspiration 61.916192 Excision tunica les NEC 61.926199 Scrotum & tunica op NEC 61.99620 Incision of testes 62.06211 Closed testicular biopsy 62.116212 Open testicular biopsy 62.126219 Testes dx procedure NEC 62.19622 Testicular les destruct 62.2623 Unilateral orchiectomy 62.36241 Remove both testes 62.416242 Remove solitary testis 62.42625 Orchiopexy 62.56261 Suture testicular lacer 62.616269 Testicular repair NEC 62.69627 Insert testicular prosth 62.76291 Aspiration of testes 62.916292 Injection into testes 62.926299 Testicular operation NEC 62.996301 Spermatic cord/vas biops 63.016309 Spermat cord/vas dx NEC 63.09631 Exc spermatic varicocele 63.1632 Excise epididymis cyst 63.2633 Excise cord/epid les NEC 63.3634 Epididymectomy 63.46351 Suture cord & epid lacer 63.516352 Reduction torsion testes 63.526353 Transplant spermat cord 63.536359 Cord & epidid repair NEC 63.59636 Vasotomy 63.66370 Male sterilization NOS 63.706371 Ligation of vas deferens 63.716372 Spermatic cord ligation 63.726373 Vasectomy 63.736381 Suture vas & epidid lac 63.816382 Postop vas reconstruct 63.826383 Epididymovasostomy 63.836384 Removal vas ligature 63.84

Page 36: ICD9 CM Procedure Vol3 FY2012

6385 Remov vas deferens valve 63.856389 Vas & epididy repair NEC 63.896391 Spermatocele aspiration 63.916392 Epididymotomy 63.926393 Spermatic cord incision 63.936394 Sperm cord adhesiolysis 63.946395 Insert valve in vas def 63.956399 Cord/epid/vas ops NEC 63.99640 Circumcision 64.06411 Penile biopsy 64.116419 Penile diagnost proc NEC 64.19642 Local excis penile les 64.2643 Amputation of penis 64.36441 Suture penile laceration 64.416442 Release of chordee 64.426443 Construction of penis 64.436444 Reconstruction of penis 64.446445 Replantation of penis 64.456449 Penile repair NEC 64.49645 Sex transformat op NEC 64.56491 Dorsal/lat slit prepuce 64.916492 Incision of penis 64.926493 Division of penile adhes 64.936494 Fit ext penile prosthes 64.946495 Ins noninfl penis prosth 64.956496 Remove int penile prosth 64.966497 Ins inflate penis prosth 64.976498 Penile operation NEC 64.986499 Male genital op NEC 64.996501 Laparoscopic oophorotomy 65.016509 Other oophorotomy 65.096511 Ovarian aspirat biopsy 65.116512 Ovarian biopsy NEC 65.126513 Lap biopsy of ovary 65.136514 Oth lap dx proc ovaries 65.146519 Ovarian dx procedure NEC 65.196521 Ovarian cyst marsupializ 65.216522 Ovarian wedge resection 65.226523 Lap marsup ovarian cyst 65.236524 Lap wedge resect ovary 65.246525 Oth lap loc exc dest ova 65.256529 Local destr ova les NEC 65.296531 Lap unilat oophorectomy 65.316539 Oth unilat oophorectomy 65.396541 Lap uni salpingo-oophor 65.416549 Oth uni salpingo-oophor 65.496551 Oth remove both ovaries 65.516552 Oth remove remain ovary 65.526553 Lap remove both ovaries 65.536554 Lap remove remain ovary 65.546561 Oth remove ovaries/tubes 65.616562 Oth remove rem ova/tube 65.626563 Lap remove ovaries/tubes 65.636564 Lap remove rem ova/tube 65.646571 Oth simple suture ovary 65.716572 Oth reimplant of ovary 65.726573 Oth salpingo-oophoroplas 65.736574 Lap simple suture ovary 65.74

Page 37: ICD9 CM Procedure Vol3 FY2012

6575 Lap reimplant of ovary 65.756576 Lap salpingo-oophoroplas 65.766579 Repair of ovary NEC 65.796581 Lap adhesiolys ova/tube 65.816589 Adhesiolysis ovary/tube 65.896591 Aspiration of ovary 65.916592 Transplantation of ovary 65.926593 Manual rupt ovarian cyst 65.936594 Ovarian denervation 65.946595 Ovarian torsion release 65.956599 Ovarian operation NEC 65.996601 Salpingotomy 66.016602 Salpingostomy 66.026611 Fallopian tube biopsy 66.116619 Fallop tube dx proc NEC 66.196621 Bilat endosc crush tube 66.216622 Bilat endosc divis tube 66.226629 Bilat endos occ tube NEC 66.296631 Bilat tubal crushing NEC 66.316632 Bilat tubal division NEC 66.326639 Bilat tubal destruct NEC 66.39664 Total unilat salpingect 66.46651 Remove both fallop tubes 66.516652 Remove solitary fal tube 66.526661 Destroy fallop tube les 66.616662 Remov tube & ectop preg 66.626663 Bilat part salpingec NOS 66.636669 Partial salpingectom NEC 66.696671 Simpl suture fallop tube 66.716672 Salpingo-oophorostomy 66.726673 Salpingo-salpingostomy 66.736674 Salpingo-uterostomy 66.746679 Fallop tube repair NEC 66.79668 Fallopian tube insufflat 66.86691 Fallopian tube aspirat 66.916692 Unilat fallop tube destr 66.926693 Impl fallop tube prosth 66.936694 Remov fallop tube prosth 66.946695 Blow therapeut into tube 66.956696 Fallopian tube dilation 66.966697 Bury fimbriae in uterus 66.976699 Fallopian tube op NEC 66.99670 Cervical canal dilation 67.06711 Endocervical biopsy 67.116712 Cervical biopsy NEC 67.126719 Cervical dx procedur NEC 67.19672 Conization of cervix 67.26731 Cervical cyst marsupial 67.316732 Cervical les cauterizat 67.326733 Cervical les cryotherapy 67.336739 Cervical les destruc NEC 67.39674 Amputation of cervix 67.46751 Transab cerclage cervix 67.516759 Oth rep int cervical os 67.596761 Suture cervical lacerat 67.616762 Cervical fistula repair 67.626769 Cervical repair NEC 67.69680 Hysterotomy 68.0

Page 38: ICD9 CM Procedure Vol3 FY2012

6811 Digital exam of uterus 68.116812 Hysteroscopy 68.126813 Open uterine biopsy 68.136814 Open uterine ligament bx 68.146815 Clos uterine ligament bx 68.156816 Closed uterine biopsy 68.166819 Uterus/adnex dx proc NEC 68.196821 Endomet synechiae divis 68.216822 Incision uterine septum 68.226823 Endometrial ablation 68.236824 Uterine art emb w coils 68.246825 Uterine art emb w/o coil 68.256829 Uterine les destruct NEC 68.296831 Lap scervic hysterectomy 68.316839 Subtotl abd hyst NEC/NOS 68.396841 Lap total abdominal hyst 68.416849 Total abd hyst NEC/NOS 68.496851 Lap ast vag hysterectomy 68.516859 Vag hysterectomy NEC/NOS 68.596861 Lap radical abdomnl hyst 68.616869 Radical abd hyst NEC/NOS 68.696871 Lap radical vaginal hyst 68.716879 Radical vag hyst NEC/NOS 68.79688 Pelvic evisceration 68.8689 Hysterectomy NEC/NOS 68.96901 D & C for preg terminat 69.016902 D & C post delivery 69.026909 D & C NEC 69.096919 Destruc uter support NEC 69.196921 Interposit op uterin lig 69.216922 Uterine suspension NEC 69.226923 Vag repair invers uterus 69.236929 Uterus/adnexa repair NEC 69.29693 Paracerv uterine denerv 69.36941 Suture uterine lacerat 69.416942 Closure uterine fistula 69.426949 Uterine repair NEC 69.496951 Aspirat curet-preg termi 69.516952 Aspirat curet-post deliv 69.526959 Aspir curett uterus NEC 69.59696 Menstrual extraction 69.6697 Insertion of iud 69.76991 Insert uterine device 69.916992 Artificial insemination 69.926993 Insertion of laminaria 69.936994 Man replace invert uter 69.946995 Incision of cervix 69.956996 Remove cervical cerclage 69.966997 Remove penetrat cerv FB 69.976998 Uterine support op NEC 69.986999 Uterine operation NEC 69.99700 Culdocentesis 70.07011 Hymenotomy 70.117012 Culdotomy 70.127013 Intralum vag adhesiolys 70.137014 Vaginotomy NEC 70.147021 Vaginoscopy 70.217022 Culdoscopy 70.22

Page 39: ICD9 CM Procedure Vol3 FY2012

7023 Cul-de-sac biopsy 70.237024 Vaginal biopsy 70.247029 Vagin/cul-de-sac dx NEC 70.297031 Hymenectomy 70.317032 Excis cul-de-sac lesion 70.327033 Excision vaginal lesion 70.33704 Vaginal obliteration 70.47050 Cystocel/rectocel repair 70.507051 Cystocele repair 70.517052 Rectocele repair 70.527053 Cysto & recto w grf/pros 70.537054 Rep cystocel w grft/pros 70.547055 Rep rectocele w grf/pros 70.557061 Vaginal construction 70.617062 Vaginal reconstruction 70.627063 Vaginal const w grf/pros 70.637064 Vag reconst w grft/pros 70.647071 Suture vagina laceration 70.717072 Repair colovagin fistula 70.727073 Repair rectovag fistula 70.737074 Rep vaginoent fistul NEC 70.747075 Repair vag fistula NEC 70.757076 Hymenorrhaphy 70.767077 Vaginal suspens & fixat 70.777078 Vag susp/fix w grft/pros 70.787079 Vaginal repair NEC 70.79708 Vaginal vault obliterat 70.87091 Vaginal operation NEC 70.917092 Cul-de-sac operation NEC 70.927093 Cul-de-sac grf/pros NEC 70.937094 Insert biological graft 70.947095 Insert synth graft/prost 70.957101 Vulvar adhesiolysis 71.017109 Incis vulva/perineum NEC 71.097111 Vulvar biopsy 71.117119 Vulvar diagnos proc NEC 71.197121 Percutan bartholin aspir 71.217122 Incise bartholin's gland 71.227123 Bartholin gland marsup 71.237124 Destruc bartholin gland 71.247129 Bartholin's gland op NEC 71.29713 Local vulvar excis NEC 71.3714 Operations on clitoris 71.4715 Radical vulvectomy 71.57161 Unilateral vulvectomy 71.617162 Bilateral vulvectomy 71.627171 Suture vulvar laceration 71.717172 Repair vulvar fistula 71.727179 Vulvar/perin repair NEC 71.79718 Other vulvar operations 71.8719 Other female genital ops 71.9720 Low forceps operation 72.0721 Low forceps w episiotomy 72.17221 Mid forceps w episiotomy 72.217229 Mid forceps op NEC 72.297231 High forceps w episiot 72.317239 High forceps op NEC 72.39724 Forceps rotat fetal head 72.4

Page 40: ICD9 CM Procedure Vol3 FY2012

7251 Part brch extrac w forcp 72.517252 Part breech extract NEC 72.527253 Tot brch extrac w forcep 72.537254 Tot breech extrac NEC 72.54726 Forceps-aftercoming head 72.67271 Vacuum ext del w episiot 72.717279 Vacuum extract del NEC 72.79728 Instrument delivery NEC 72.8729 Instrument delivery NOS 72.97301 Induct labor-rupt memb 73.017309 Artif rupt membranes NEC 73.09731 Surg induct labor NEC 73.17321 Int/comb version no extr 73.217322 Int/comb version w extr 73.22733 Failed forceps 73.3734 Medical induction labor 73.47351 Manual rotat fetal head 73.517359 Manual assist deliv NEC 73.59736 Episiotomy 73.6738 Fetal ops-facilitate del 73.87391 Ext version-assist deliv 73.917392 Replace prolapsed cord 73.927393 Incis cx to assist deliv 73.937394 Pubiotomy to assist del 73.947399 Ops assisting deliv NEC 73.99740 Classical c-section 74.0741 Low cervical c-section 74.1742 Extraperitoneal c-sect 74.2743 Rem extratub ectop preg 74.3744 Cesarean section NEC 74.47491 Hysterotomy to termin pg 74.917499 Cesarean section NOS 74.99750 Intra-amnion inj for ab 75.0751 Diagnostic amniocentesis 75.1752 Intrauterine transfusion 75.27531 Amnioscopy 75.317532 Fetal ekg 75.327533 Fetal blood sample/bx 75.337534 Other fetal monitoring 75.347535 Dx proc fetus/amnion NEC 75.357536 Correction fetal defect 75.367537 Amnioinfusion 75.377538 Fetal pulse oximetry 75.38754 Manual removal-placenta 75.47550 Repair ob lac uterus NOS 75.507551 Repair ob lacerat cervix 75.517552 Repair ob lac corp uteri 75.527561 Repair ob lac blad/ureth 75.617562 Repair ob lac rect/anus 75.627569 Repair ob laceration NEC 75.69757 Manual explor uterus p/p 75.7758 Ob tamponade uterus/vag 75.87591 Evac ob inc hemat perin 75.917592 Evac ob hemat vulva/vag 75.927593 Surg corr invert uterus 75.937594 Man replac invert uterus 75.947599 Obstetric operation NEC 75.997601 Facial bone sequestrect 76.01

Page 41: ICD9 CM Procedure Vol3 FY2012

7609 Facial bone incision NEC 76.097611 Facial bone biopsy 76.117619 Facial bone dx proc NEC 76.19762 Destruct facial bone les 76.27631 Partial mandibulectomy 76.317639 Part facial ostectom NEC 76.397641 Tot mandibulec w reconst 76.417642 Total mandibulectomy NEC 76.427643 Mandibular reconst NEC 76.437644 Tot face ostect w recons 76.447645 Tot face bone ostect NEC 76.457646 Facial bone reconstr NEC 76.46765 Temporomand arthroplasty 76.57661 Cl osteoplasty mand rami 76.617662 Open osteoplas mand rami 76.627663 Osteoplasty mandible bdy 76.637664 Mand orthognathic op NEC 76.647665 Seg osteoplasty maxilla 76.657666 Tot osteoplasty maxilla 76.667667 Reduction genioplasty 76.677668 Augmentation genioplasty 76.687669 Facial bone repair NEC 76.697670 Reduction facial fx NOS 76.707671 Cl reduct malar/zygo fx 76.717672 Opn reduct malar/zygo fx 76.727673 Cl reduct maxillary fx 76.737674 Open reduct maxillary fx 76.747675 Cl reduct mandible fx 76.757676 Open reduct mandible fx 76.767677 Open reduct alveolar fx 76.777678 Cl reduct facial fx NEC 76.787679 Open reduct face fx NEC 76.797691 Bone graft to face bone 76.917692 Syn implant to face bone 76.927693 Clos reduct tm dislocat 76.937694 Open reduct tm dislocat 76.947695 Tm manipulation NEC 76.957696 Injec therap sbst tm jnt 76.967697 Remove int fix face bone 76.977699 Facial bone/jnt op NEC 76.997700 Sequestrectomy NOS 77.007701 Chest cage sequestrec 77.017702 Humerus sequestrectomy 77.027703 Radius & ulna sequestrec 77.037704 Metacarp/carp sequestrec 77.047705 Femoral sequestrectomy 77.057706 Patellar sequestrectomy 77.067707 Tibia/fibula sequestrec 77.077708 Metatar/tar sequestrec 77.087709 Sequestrectomy NEC 77.097710 Other bone incision NOS 77.107711 Other chest cage incis 77.117712 Other humerus incision 77.127713 Other radius/ulna incis 77.137714 Oth metacarp/carp incis 77.147715 Other femoral incision 77.157716 Other patellar incision 77.167717 Other tibia/fibula incis 77.17

Page 42: ICD9 CM Procedure Vol3 FY2012

7718 Oth metatars/tars incis 77.187719 Bone incis w/o div NEC 77.197720 Wedge osteotomy NOS 77.207721 Chest cage wedg osteotom 77.217722 Humerus wedge osteotomy 77.227723 Radius/ulna wedg osteoto 77.237724 Metacar/car wedg osteoto 77.247725 Femoral wedge osteotomy 77.257726 Patellar wedge osteotomy 77.267727 Tibia/fibul wedg osteot 77.277728 Metatar/tar wedg osteot 77.287729 Wedge osteotomy NEC 77.297730 Other bone division NOS 77.307731 Chest cage bone div NEC 77.317732 Humerus division NEC 77.327733 Radius/ulna division NEC 77.337734 Metacar/car division NEC 77.347735 Femoral division NEC 77.357736 Patellar division NEC 77.367737 Tibia/fibula div NEC 77.377738 Metatar/tar division NEC 77.387739 Bone division NEC 77.397740 Bone biopsy NOS 77.407741 Chest cage bone biopsy 77.417742 Humerus biopsy 77.427743 Radius & ulna biopsy 77.437744 Metacarpal/carpal biopsy 77.447745 Femoral biopsy 77.457746 Patellar biopsy 77.467747 Tibia & fibula biopsy 77.477748 Metatarsal/tarsal biopsy 77.487749 Bone biopsy NEC 77.497751 Bunionect/sft/osteotomy 77.517752 Bunionect/sft/arthrodes 77.527753 Oth bunionect w sft corr 77.537754 Exc correct bunionette 77.547756 Repair of hammer toe 77.567757 Repair of claw toe 77.577758 Oth exc, fus, repair toe 77.587759 Bunionectomy NEC 77.597760 Loc exc bone lesion NOS 77.607761 Exc chest cage bone les 77.617762 Loc exc bone les humerus 77.627763 Loc exc les radius/ulna 77.637764 Loc exc les metacar/car 77.647765 Loc exc bone les femur 77.657766 Loc exc bone les patella 77.667767 Loc exc les tibia/fibula 77.677768 Loc exc les metatar/tar 77.687769 Loc exc bone lesion NEC 77.697770 Excise bone for grft NOS 77.707771 Ex chest cage bone-gft 77.717772 Excise humerus for graft 77.727773 Excis radius/ulna-graft 77.737774 Excis metacar/car-graft 77.747775 Excise femur for graft 77.757776 Excise patella for graft 77.767777 Excise tib/fib for graft 77.77

Page 43: ICD9 CM Procedure Vol3 FY2012

7778 Excis metatar/tar-graft 77.787779 Excise bone for gft NEC 77.797780 Oth part ostectomy NOS 77.807781 Oth chest cage ostectomy 77.817782 Partial humerectomy NEC 77.827783 Part ostect-radius/ulna 77.837784 Part ostect-metacar/car 77.847785 Part ostectomy-femur 77.857786 Partial patellectomy 77.867787 Part ostect-tibia/fibula 77.877788 Part ostect-metatar/tar 77.887789 Partial ostectomy NEC 77.897790 Total ostectomy NOS 77.907791 Tot chest cage ostectomy 77.917792 Total ostectomy-humerus 77.927793 Tot ostect-radius/ulna 77.937794 Tot ostect-metacarp/carp 77.947795 Tot ostectomy-femur 77.957796 Total patellectomy 77.967797 Tot ostect-tibia/fibula 77.977798 Tot ostect-metatars/tars 77.987799 Total ostectomy NEC 77.997800 Bone graft NOS 78.007801 Bone graft to chest cage 78.017802 Bone graft to humerus 78.027803 Bone graft-radius/ulna 78.037804 Bone grft to metacar/car 78.047805 Bone graft to femur 78.057806 Bone graft to patella 78.067807 Bone graft-tibia/fibula 78.077808 Bone graft-metatar/tar 78.087809 Bone graft NEC 78.097810 Applic ext fix dev NOS 78.107811 Appl ext fix-chest cage 78.117812 Applic ext fix-humerus 78.127813 Appl ext fix-radius/ulna 78.137814 Appl ext fix-metacar/car 78.147815 Applic ext fix dev-femur 78.157816 Appl ext fix dev-patella 78.167817 Appl ext fix-tib/fibula 78.177818 Appl ext fix-metatar/tar 78.187819 Applic ext fix dev NEC 78.197820 Limb shorten proc NOS 78.207822 Limb short proc-humerus 78.227823 Limb shorten-radius/ulna 78.237824 Limb shorten-metacar/car 78.247825 Limb short proc-femur 78.257827 Limb shorten-tib/fibula 78.277828 Limb shorten-metatar/tar 78.287829 Limb shorten proc NEC 78.297830 Limb lengthen proc NOS 78.307832 Limb length proc-humerus 78.327833 Limb length-radius/ulna 78.337834 Limb length-metacar/car 78.347835 Limb length proc-femur 78.357837 Limb lengthen-tib/fibula 78.377838 Limb lengthn-metatar/tar 78.387839 Limb lengthen proc NEC 78.39

Page 44: ICD9 CM Procedure Vol3 FY2012

7840 Oth bone repair/plast op 78.407841 Oth chest cage rep/plast 78.417842 Oth humerus repair/plast 78.427843 Oth rad/uln repair/plast 78.437844 Oth metac/carp rep/plast 78.447845 Oth femur repair/plastic 78.457846 Oth patella repair/plast 78.467847 Oth tib/fib repair/plast 78.477848 Oth meta/tar repa/plast 78.487849 Oth bone repa/plast NEC 78.497850 Int fix w/o fx reduc NOS 78.507851 Int fixation-chest cage 78.517852 Int fixation-humerus 78.527853 Int fixation-radius/ulna 78.537854 Int fixation-metacar/car 78.547855 Internal fixation-femur 78.557856 Internal fix-patella 78.567857 Int fixation-tibia/fibul 78.577858 Int fixation-metatar/tar 78.587859 Int fix-no fx reduct NEC 78.597860 Remove imp device NOS 78.607861 Remov imp dev-chest cage 78.617862 Remove impl dev-humerus 78.627863 Remov imp dev-radius/uln 78.637864 Remov imp dev-metac/carp 78.647865 Remove imp device-femur 78.657866 Remov imp device-patella 78.667867 Remov imp dev-tib/fibula 78.677868 Remove imp dev-metat/tar 78.687869 Remove impl device NEC 78.697870 Osteoclasis NOS 78.707871 Osteoclasis-chest cage 78.717872 Osteoclasis-humerus 78.727873 Osteoclasis-radius/ulna 78.737874 Osteoclasis-metacar/car 78.747875 Osteoclasis-femur 78.757876 Osteoclasis-patella 78.767877 Osteoclasis-tibia/fibula 78.777878 Osteoclasis-metatar/tar 78.787879 Osteoclasis NEC 78.797880 Other bone dx proc NOS 78.807881 Oth dx proced-chest cage 78.817882 Oth dx proced-humerus 78.827883 Oth dx proc-radius/ulna 78.837884 Oth dx proc-metacar/car 78.847885 Oth dx proced-femur 78.857886 Oth dx proced-patella 78.867887 Oth dx proc-tibia/fibula 78.877888 Oth dx proc-metatar/tar 78.887889 Other bone dx proc NEC 78.897890 Insert bone stimul NOS 78.907891 Insert bone stimul-chest 78.917892 Insert bone stim-humerus 78.927893 Inser bone stim-rad/ulna 78.937894 Inser bone stim-meta/car 78.947895 Insert bone stim-femur 78.957896 Insert bone stim-patella 78.967897 Inser bone stim-tib/fib 78.97

Page 45: ICD9 CM Procedure Vol3 FY2012

7898 Inser bone stim-meta/tar 78.987899 Insert bone stimul NEC 78.997900 Closed fx reduction NOS 79.007901 Closed fx reduct humerus 79.017902 Cl fx reduc-radius/ulna 79.027903 Cl fx reduc-metacar/car 79.037904 Cl fx reduc-finger 79.047905 Cl fx reduc-femur 79.057906 Cl fx reduc-tibia/fibula 79.067907 Cl fx reduc-metatar/tar 79.077908 Cl fx reduc-toe 79.087909 Closed fx reduction NEC 79.097910 Cl fx reduc-int fix NOS 79.107911 Clos red-int fix humerus 79.117912 Cl red-int fix rad/ulna 79.127913 Cl red-int fix metac/car 79.137914 Close red-int fix finger 79.147915 Closed red-int fix femur 79.157916 Cl red-int fix tib/fibu 79.167917 Cl red-int fix metat/tar 79.177918 Close red-int fix toe fx 79.187919 Cl fx reduc-int fix NEC 79.197920 Open fx reduction NOS 79.207921 Open reduc-humerus fx 79.217922 Open reduc-radius/uln fx 79.227923 Open reduc-metac/car fx 79.237924 Open reduction-finger fx 79.247925 Open reduction-femur fx 79.257926 Open reduc-tibia/fib fx 79.267927 Open reduc-metat/tars fx 79.277928 Open reduction-toe fx 79.287929 Open fx reduction NEC 79.297930 Opn fx red w int fix NOS 79.307931 Open red-int fix humerus 79.317932 Op red-int fix rad/ulna 79.327933 Op red-int fix metac/car 79.337934 Open red-int fix finger 79.347935 Open reduc-int fix femur 79.357936 Op red-int fix tib/fibul 79.367937 Op red-int fix metat/tar 79.377938 Open reduct-int fix toe 79.387939 Opn fx red w int fix NEC 79.397940 Cls reduc-sep epiphy NOS 79.407941 Close red-humerus epiphy 79.417942 Cls red-radius/ul epiphy 79.427945 Close reduc-femur epiphy 79.457946 Cls red-tibia/fib epiphy 79.467949 Cls reduc-sep epiphy NEC 79.497950 Open red-sep epiphy NOS 79.507951 Opn red-sep epiphy-humer 79.517952 Op red-radius/uln epiphy 79.527955 Opn red-sep epiphy-femur 79.557956 Op red-tibia/fib epiphys 79.567959 Open red-sep epiphy NEC 79.597960 Open fx site debride NOS 79.607961 Debrid open fx-humerus 79.617962 Debrid opn fx-radius/uln 79.627963 Debrid opn fx-metac/car 79.63

Page 46: ICD9 CM Procedure Vol3 FY2012

7964 Debrid opn fx-finger 79.647965 Debrid opn fx-femur 79.657966 Debrid opn fx-tibia/fib 79.667967 Debrid opn fx-metat/tar 79.677968 Debrid opn fx-toe 79.687969 Open fx site debride NEC 79.697970 Cl reduc disloc NOS 79.707971 Cl reduc disloc-shoulder 79.717972 Cl reduc disloc-elbow 79.727973 Cl reduc disloc-wrist 79.737974 Cl reduc disloc-hand/fng 79.747975 Cl reduc disloc-hip 79.757976 Cl reduc disloc-knee 79.767977 Cl reduc disloc-ankle 79.777978 Cl reduc disloc-foot/toe 79.787979 Cl reduc dislocation NEC 79.797980 Open reduc-dislocat NOS 79.807981 Opn reduc disloc-shouldr 79.817982 Open reduc-elbow disloc 79.827983 Open reduc-wrist disloc 79.837984 Opn reduc disloc-hand 79.847985 Open reduc-hip dislocat 79.857986 Open reduc-knee dislocat 79.867987 Open reduc-ankle disloc 79.877988 Opn reduc disloc-ft/toe 79.887989 Open reduc-dislocat NEC 79.897990 Unspec op bone inj NOS 79.907991 Humerus injury op NOS 79.917992 Radius/ulna inj op NOS 79.927993 Metacarp/carp inj op NOS 79.937994 Finger injury op NOS 79.947995 Femur injury op NOS 79.957996 Tibia/fibula inj op NOS 79.967997 Metatars/tars inj op NOS 79.977998 Toe injury operation NOS 79.987999 Unspec op-bone inj NEC 79.998000 Arth/pros rem wo rep NOS 80.008001 Arth/pros rem wo re-shld 80.018002 Arth/pros rem wo rep-elb 80.028003 Arth/pros rem wo re-wrst 80.038004 Arth/pros rem wo rep-hnd 80.048005 Arth/pros rem wo rep-hip 80.058006 Arth/pros rem wo re-knee 80.068007 Arth/pros rem wo rep-ank 80.078008 Arth/pros rem wo re-foot 80.088009 Arth/pros rem wo rep NEC 80.098010 Other arthrotomy NOS 80.108011 Oth arthrotomy-shoulder 80.118012 Oth arthrotomy-elbow 80.128013 Oth arthrotomy-wrist 80.138014 Oth arthrotomy-hand/fngr 80.148015 Oth arthrotomy-hip 80.158016 Oth arthrotomy-knee 80.168017 Oth arthrotomy-ankle 80.178018 Oth arthrotomy-foot/toe 80.188019 Other arthrotomy NEC 80.198020 Arthroscopy NOS 80.208021 Shoulder arthroscopy 80.21

Page 47: ICD9 CM Procedure Vol3 FY2012

8022 Elbow arthroscopy 80.228023 Wrist arthroscopy 80.238024 Hand & finger arthroscop 80.248025 Hip arthroscopy 80.258026 Knee arthroscopy 80.268027 Ankle arthroscopy 80.278028 Foot & toe arthroscopy 80.288029 Arthroscopy NEC 80.298030 Joint biopsy NOS 80.308031 Shoulder joint biopsy 80.318032 Elbow joint biopsy 80.328033 Wrist joint biopsy 80.338034 Hand/finger joint biopsy 80.348035 Hip joint biopsy 80.358036 Knee joint biopsy 80.368037 Ankle joint biopsy 80.378038 Foot & toe joint biopsy 80.388039 Joint biopsy NEC 80.398040 Jt structur division NOS 80.408041 Shoulder struct division 80.418042 Elbow structure division 80.428043 Wrist structure division 80.438044 Hand joint struct divis 80.448045 Hip structure division 80.458046 Knee structure division 80.468047 Ankle structure division 80.478048 Foot joint struct divis 80.488049 Jt structur division NEC 80.498050 Exc/dest intvrt disc NOS 80.508051 Excision intervert disc 80.518052 Chemonucleolysis iv disc 80.528053 Rep anulus fibrosus-grft 80.538054 Rep anuls fibros NEC/NOS 80.548059 Oth exc/dest intvrt disc 80.59806 Excis knee semilun cartl 80.68070 Synovectomy-site NOS 80.708071 Shoulder synovectomy 80.718072 Elbow synovectomy 80.728073 Wrist synovectomy 80.738074 Hand synovectomy 80.748075 Hip synovectomy 80.758076 Knee synovectomy 80.768077 Ankle synovectomy 80.778078 Foot synovectomy 80.788079 Synovectomy-site NEC 80.798080 Destruct joint les NOS 80.808081 Destruc-shoulder les NEC 80.818082 Destruc-elbow lesion NEC 80.828083 Destruc-wrist lesion NEC 80.838084 Destruc-hand jt les NEC 80.848085 Destruct-hip lesion NEC 80.858086 Destruct-knee lesion NEC 80.868087 Destruc-ankle lesion NEC 80.878088 Destruc-foot jt les NEC 80.888089 Destruct joint les NEC 80.898090 Excision of joint NOS 80.908091 Excision of shoulder NEC 80.918092 Excision of elbow NEC 80.92

Page 48: ICD9 CM Procedure Vol3 FY2012

8093 Excision of wrist NEC 80.938094 Excision hand joint NEC 80.948095 Excision of hip NEC 80.958096 Excision of knee NEC 80.968097 Excision of ankle NEC 80.978098 Excision foot joint NEC 80.988099 Excision of joint NEC 80.998100 Spinal fusion NOS 81.008101 Atlas-axis fusion 81.018102 Oth cerv fusion ant/ant 81.028103 Ot cerv fusion post/post 81.038104 Drsl/drslumb fus ant/ant 81.048105 Drsl/dslmb fus post/post 81.058106 Lumb/lmbosac fus ant/ant 81.068107 Lmb/lmbsac fus post/post 81.078108 Lumb/lmbsac fus ant/post 81.088111 Ankle fusion 81.118112 Triple arthrodesis 81.128113 Subtalar fusion 81.138114 Midtarsal fusion 81.148115 Tarsometatarsal fusion 81.158116 Metatarsophalangeal fus 81.168117 Other fusion of foot 81.178118 Subtalr jt arthroereisis 81.188120 Arthrodesis NOS 81.208121 Arthrodesis of hip 81.218122 Arthrodesis of knee 81.228123 Arthrodesis of shoulder 81.238124 Arthrodesis of elbow 81.248125 Carporadial fusion 81.258126 Metacarpocarpal fusion 81.268127 Metacarpophalangeal fus 81.278128 Interphalangeal fusion 81.288129 Arthrodesis NEC 81.298130 Spinal refusion NOS 81.308131 Refusion of atlas-axis 81.318132 Refus oth cervcl ant/ant 81.328133 Refus oth cerv post/post 81.338134 Refus drs/drslmb ant/ant 81.348135 Refus drs/drslmb pst/pst 81.358136 Refus lmb/lmbsac ant/ant 81.368137 Refus lmb/lmbsac pst/pst 81.378138 Refus lmb/lmbsc ant/post 81.388139 Refusion of spine NEC 81.398140 Repair of hip, NEC 81.408142 Five-in-one knee repair 81.428143 Triad knee repair 81.438144 Patellar stabilization 81.448145 Cruciate lig repair NEC 81.458146 Collaterl lig repair NEC 81.468147 Other repair of knee 81.478149 Other repair of ankle 81.498151 Total hip replacement 81.518152 Partial hip replacement 81.528153 Revise hip replacemt NOS 81.538154 Total knee replacement 81.548155 Revise knee replace NOS 81.558156 Total ankle replacement 81.56

Page 49: ICD9 CM Procedure Vol3 FY2012

8157 Repl joint of foot, toe 81.578159 Rev jt repl low ext NEC 81.598162 Fus/refus 2-3 vertebrae 81.628163 Fus/refus 4-8 vertebrae 81.638164 Fus/refus 9 vertebrae 81.648165 Percutan vertebroplasty 81.658166 Percut vertebral augment 81.668171 Arthroplas metacarp wit 81.718172 Arthroplasty metacar w/o 81.728173 Total wrist replacement 81.738174 Arthroplasty carpal wit 81.748175 Arthroplasty carpal w/o 81.758179 Oth repair han/fin/wris 81.798180 Oth totl shouldr replace 81.808181 Partial shoulder replace 81.818182 Rep recur shlder disloc 81.828183 Shoulder arthroplast NEC 81.838184 Total elbow replacement 81.848185 Elbow arthroplasty NEC 81.858188 Rvrs totl shldr replacmt 81.888191 Arthrocentesis 81.918192 Injection into joint 81.928193 Sutur capsul/ligamen arm 81.938194 Suture capsul/lig ank/ft 81.948195 Sutur capsul/lig leg NEC 81.958196 Other repair of joint 81.968197 Rev jt repl upper extrem 81.978198 Other joint dx procedure 81.988199 Joint structure op NEC 81.998201 Explor tend sheath-hand 82.018202 Myotomy of hand 82.028203 Bursotomy of hand 82.038204 I & d palmar/thenar spac 82.048209 Inc soft tissue hand NEC 82.098211 Tenotomy of hand 82.118212 Fasciotomy of hand 82.128219 Div soft tissue hand NEC 82.198221 Exc les tend sheath hand 82.218222 Excision hand muscle les 82.228229 Exc les sft tiss hnd NEC 82.298231 Bursectomy of hand 82.318232 Excis hand tend for grft 82.328233 Hand tenonectomy NEC 82.338234 Exc hnd mus/fas for grft 82.348235 Hand fasciectomy NEC 82.358236 Other myectomy of hand 82.368239 Hand soft tissue exc NEC 82.398241 Suture tendn sheath hand 82.418242 Delay sut flex tend hand 82.428243 Delay sut hand tend NEC 82.438244 Sutur flex tend hand NEC 82.448245 Suture hand tendon NEC 82.458246 Suture hand muscle/fasc 82.468251 Hand tendon advancement 82.518252 Hand tendon recession 82.528253 Hand tendon reattachment 82.538254 Hand muscle reattachment 82.548255 Chng hnd mus/ten lng NEC 82.55

Page 50: ICD9 CM Procedure Vol3 FY2012

8256 Transplant hand tend NEC 82.568257 Transposit hand tend NEC 82.578258 Transplant hand musc NEC 82.588259 Transposit hand musc NEC 82.598261 Pollicization operation 82.618269 Thumb reconstruction NEC 82.698271 Hand tend pulley reconst 82.718272 Plast op hnd-mus/fas grf 82.728279 Plast op hand w grft NEC 82.798281 Transfer of finger 82.818282 Repair of cleft hand 82.828283 Repair of macrodactyly 82.838284 Repair of mallet finger 82.848285 Other tenodesis of hand 82.858286 Other tenoplasty of hand 82.868289 Hand plastic op NEC 82.898291 Lysis of hand adhesions 82.918292 Aspiration bursa of hand 82.928293 Aspir soft tiss hand NEC 82.938294 Inject bursa of hand 82.948295 Inject tendon of hand 82.958296 Hand sft tissu injec NEC 82.968299 Hand mus/ten/fas/ops NEC 82.998301 Tendon sheath explorat 83.018302 Myotomy 83.028303 Bursotomy 83.038309 Soft tissue incision NEC 83.098311 Achillotenotomy 83.118312 Adductor tenotomy of hip 83.128313 Other tenotomy 83.138314 Fasciotomy 83.148319 Soft tissue division NEC 83.198321 Open biopsy soft tissue 83.218329 Soft tissue dx proc NEC 83.298331 Excis les tendon sheath 83.318332 Excis lesion of muscle 83.328339 Exc les soft tissue NEC 83.398341 Tendon excision for grft 83.418342 Other tenonectomy 83.428343 Musc/fasc excis for grft 83.438344 Other fasciectomy 83.448345 Other myectomy 83.458349 Other soft tissue excis 83.49835 Bursectomy 83.58361 Tendon sheath suture 83.618362 Delayed tendon suture 83.628363 Rotator cuff repair 83.638364 Other suture of tendon 83.648365 Other muscle/fasc suture 83.658371 Tendon advancement 83.718372 Tendon recession 83.728373 Tendon reattachment 83.738374 Muscle reattachment 83.748375 Tendon trnsfr/transplant 83.758376 Other tendon transposit 83.768377 Muscle trnsfr/transplant 83.778379 Other muscle transposit 83.798381 Tendon graft 83.81

Page 51: ICD9 CM Procedure Vol3 FY2012

8382 Muscle or fascia graft 83.828383 Tendon pulley reconstruc 83.838384 Clubfoot release NEC 83.848385 Musc/tend lng change NEC 83.858386 Quadricepsplasty 83.868387 Other plastic ops muscle 83.878388 Other plastic ops tendon 83.888389 Other plastic ops fascia 83.898391 Adhesiolysis mus/ten/fas 83.918392 Insert skel musc stimula 83.928393 Remov skel musc stimulat 83.938394 Aspiration of bursa 83.948395 Soft tissue aspirat NEC 83.958396 Injection into bursa 83.968397 Injection into tendon 83.978398 Soft tissue inject NEC 83.988399 Mus/ten/fas/bur op NEC 83.998400 Upper limb amputat NOS 84.008401 Finger amputation 84.018402 Thumb amputation 84.028403 Amputation through hand 84.038404 Disarticulation of wrist 84.048405 Amputation thru forearm 84.058406 Disarticulation of elbow 84.068407 Amputation thru humerus 84.078408 Shoulder disarticulation 84.088409 Forequarter amputation 84.098410 Lower limb amputat NOS 84.108411 Toe amputation 84.118412 Amputation through foot 84.128413 Disarticulation of ankle 84.138414 Amputat through malleoli 84.148415 Below knee amputat NEC 84.158416 Disarticulation of knee 84.168417 Above knee amputation 84.178418 Disarticulation of hip 84.188419 Hindquarter amputation 84.198421 Thumb reattachment 84.218422 Finger reattachment 84.228423 Forearm/wrist/hand reatt 84.238424 Upper arm reattachment 84.248425 Toe reattachment 84.258426 Foot reattachment 84.268427 Lower leg/ankle reattach 84.278428 Thigh reattachment 84.288429 Reattachment NEC 84.29843 Amputation stump revis 84.38440 Implnt/fit pros limb NOS 84.408441 Fit up arm/should prosth 84.418442 Fit lo arm/hand prosthes 84.428443 Fit arm prosthesis NOS 84.438444 Implant arm prosthesis 84.448445 Fit above knee prosthes 84.458446 Fit below knee prosthes 84.468447 Fit leg prosthesis NOS 84.478448 Implant leg prosthesis 84.488451 Ins spinal fusion device 84.518452 Insert recombinant BMP 84.52

Page 52: ICD9 CM Procedure Vol3 FY2012

8453 Imp limb length kinetic 84.538454 Impl other limb length 84.548455 Ins bone void filler 84.558456 Ins or rep cement spacer 84.568457 Removal of cement spacer 84.578459 Insert othr spin device 84.598460 Insert disc pros NOS 84.608461 Ins part disc pros cerv 84.618462 Ins tot disc prost cerv 84.628463 Ins spin disc pros thor 84.638464 Ins part disc pros lumb 84.648465 Ins totl disc pros lumb 84.658466 Revise disc prost cerv 84.668467 Revise disc prost thora 84.678468 Revise disc prosth lumb 84.688469 Revise disc prosth NOS 84.698471 App ext fix dev-monoplan 84.718472 App ext fix dev-ring sys 84.728473 App hybrid ext fix dev 84.738480 Ins/repl interspine dev 84.808481 Rev interspine device 84.818482 Ins/repl pdcl stabil dev 84.828483 Rev pedcl dyn stabil dev 84.838484 Ins/repl facet replc dev 84.848485 Rev facet replace device 84.858491 Amputation NOS 84.918492 Separat equal join twin 84.928493 Separat unequl join twin 84.938494 Ins strn fix w rgd plate 84.948499 Musculoskeletal op NEC 84.99850 Mastotomy 85.08511 Closed breast biopsy 85.118512 Open breast biopsy 85.128519 Breast dx procedure NEC 85.198520 Breast tissu destruc NOS 85.208521 Local excis breast les 85.218522 Quadrant resect breast 85.228523 Subtotal mastectomy 85.238524 Exc ectopic breast tissu 85.248525 Excision of nipple 85.258531 Unilat reduct mammoplast 85.318532 Bilat reduct mammoplasty 85.328533 Unil subq mammect-implnt 85.338534 Unilat subq mammect NEC 85.348535 Bil subq mammect-implant 85.358536 Bilat subq mammectom NEC 85.368541 Unilat simple mastectomy 85.418542 Bilat simple mastectomy 85.428543 Unilat exten simp mastec 85.438544 Bilat extend simp mastec 85.448545 Unilat radical mastectom 85.458546 Bilat radical mastectomy 85.468547 Unil ext rad mastectomy 85.478548 Bil exten rad mastectomy 85.488550 Augment mammoplasty NOS 85.508551 Unil breast injec-augmen 85.518552 Bil breast injec-augment 85.528553 Unilat breast implant 85.53

Page 53: ICD9 CM Procedure Vol3 FY2012

8554 Bilateral breast implant 85.548555 Fat graft to breast 85.55856 Mastopexy 85.68570 Totl reconstc breast NOS 85.708571 Latiss dorsi myocut flap 85.718572 TRAM flap, pedicled 85.728573 TRAM flap, free 85.738574 DIEP flap, free 85.748575 SIEA flap, free 85.758576 GAP flap, free 85.768579 Totl reconst breast NEC 85.798581 Suture breast laceration 85.818582 Breast split-thick graft 85.828583 Breast full-thick graft 85.838584 Breast pedicle graft 85.848585 Breast muscle flap graft 85.858586 Transposition of nipple 85.868587 Nipple repair NEC 85.878589 Mammoplasty NEC 85.898591 Aspiration of breast 85.918592 Breast injection 85.928593 Breast implant revision 85.938594 Breast implant removal 85.948595 Inser breast tissu expan 85.958596 Remov breast tissu expan 85.968599 Breast operation NEC 85.998601 Aspiration skin & subq 86.018602 Skin defect tattooing 86.028603 Incision pilonidal sinus 86.038604 Other skin & subq i & d 86.048605 Removal fb/dev from skin 86.058606 Insert infusion pump 86.068607 Insert vasc access dev 86.078609 Skin & subq incision NEC 86.098611 Closed bx skin/subq tiss 86.118619 Skin & subq dx proc NEC 86.198621 Excision of pilonid cyst 86.218622 Exc wound debridement 86.228623 Nail removal 86.238624 Skin chemosurgery 86.248625 Dermabrasion 86.258626 Ligation dermal appendag 86.268627 Debridement of nail 86.278628 Nonexcis debridement wnd 86.28863 Other local destruc skin 86.3864 Radical excis skin les 86.48651 Replantation of scalp 86.518659 Skin closure NEC 86.598660 Free skin graft NOS 86.608661 Full-thick hand skin grf 86.618662 Hand skin graft NEC 86.628663 Full-thick skin grft NEC 86.638664 Hair transplant 86.648665 Heterograft to skin 86.658666 Homograft to skin 86.668667 Dermal regener graft 86.678669 Free skin graft NEC 86.698670 Pedicle graft/flap NOS 86.70

Page 54: ICD9 CM Procedure Vol3 FY2012

8671 Cut & prep pedicle graft 86.718672 Pedicle graft advancemen 86.728673 Attach pedicle to hand 86.738674 Attach pedicle graft NEC 86.748675 Revision of pedicle grft 86.758681 Repair facial weakness 86.818682 Facial rhytidectomy 86.828683 Size reduct plastic op 86.838684 Relaxation of scar 86.848685 Syndactyly correction 86.858686 Onychoplasty 86.868687 Fat grft skin/subq tiss 86.878689 Skin repair & plasty NEC 86.898690 Ext fat for grft/banking 86.908691 Skin excision for graft 86.918692 Epilation of skin 86.928693 Insert tissue expander 86.938694 Ins/repl single pul gen 86.948695 Ins/re pls gn no rechrg 86.958696 Insert/repl oth neurost 86.968697 Ins/rep 1 pul gen,rechrg 86.978698 Ins/rep mul pul gn,rechg 86.988699 Skin & subq op NEC 86.998701 Pneumoencephalogram 87.018702 Brain/skull contrst xray 87.028703 C.A.T. scan of head 87.038704 Head tomography NEC 87.048705 Contrast dacryocystogram 87.058706 Nasophary contrast x-ray 87.068707 Contrast laryngogram 87.078708 Cervical lymphangiogram 87.088709 Head soft tiss x-ray NEC 87.098711 Full-mouth x-ray 87.118712 Dental x-ray NEC 87.128713 Tm contrast arthrogram 87.138714 Contrast x-ray of orbit 87.148715 Contrast x-ray of sinus 87.158716 Facial bone x-ray NEC 87.168717 Skull x-ray NEC 87.178721 Contrast myelogram 87.218722 Cervical spine x-ray NEC 87.228723 Thoracic spine x-ray NEC 87.238724 Lumbosac spine x-ray NEC 87.248729 Spinal x-ray NEC 87.298731 Endotracheal bronchogram 87.318732 Contrast bronchogram NEC 87.328733 Mediastinal pneumogram 87.338734 Intrathor lymphangiogram 87.348735 Contr mammary ductogram 87.358736 Breast xerography 87.368737 Mammography NEC 87.378738 Chest wall sinogram 87.388739 Thorax sft tiss xray NEC 87.398741 C.A.T. scan of thorax 87.418742 Thoracic tomography NEC 87.428743 Rib/sternum/clavic x-ray 87.438744 Routine chest x-ray 87.448749 Chest x-ray NEC 87.49

Page 55: ICD9 CM Procedure Vol3 FY2012

8751 Perc hepat Cholangiogram 87.518752 Intraven cholangiogram 87.528753 Intraoper cholangiogram 87.538754 Cholangiogram NEC 87.548759 Biliary tract x-ray NEC 87.598761 Barium swallow 87.618762 Upper GI series 87.628763 Small bowel series 87.638764 Lower GI series 87.648765 Intestinal x-ray NEC 87.658766 Contrast pancreatogram 87.668769 Digestive tract xray NEC 87.698771 C.A.T. scan of kidney 87.718772 Nephrotomogram NEC 87.728773 Intravenous pyelogram 87.738774 Retrograde pyelogram 87.748775 Percutaneous pyelogram 87.758776 Retrogr cystourethrogram 87.768777 Cystogram NEC 87.778778 Ileal conduitogram 87.788779 Urinary system x-ray NEC 87.798781 X-ray of gravid uterus 87.818782 Gas hysterosalpingogram 87.828783 Dye hysterosalpingogram 87.838784 Percutaneous hysterogram 87.848785 Tube & uterus x-ray NEC 87.858789 Female genital x-ray NEC 87.898791 Contr semin vesiculogram 87.918792 Prostat/sem ves xray NEC 87.928793 Contrast epididymogram 87.938794 Contrast vasogram 87.948795 Epididymis/vas x-ray NEC 87.958799 Male genital x-ray NEC 87.998801 C.A.T. scan of abdomen 88.018802 Abdominal tomography NEC 88.028803 Abdominal wall sinogram 88.038804 Abdominal lymphangiogram 88.048809 Abdominal wall x-ray NEC 88.098811 Pelvic dye contrast xray 88.118812 Pelvic gas contrast xray 88.128813 Periton pneumogram NEC 88.138814 Retroperiton fistulogram 88.148815 Retroperiton pneumogram 88.158816 Retroperitoneal xray NEC 88.168819 Abdominal x-ray NEC 88.198821 Skl xray-shoulder/up arm 88.218822 Skel xray-elbow/forearm 88.228823 Skel xray-wrist & hand 88.238824 Skel xray-upper limb NOS 88.248825 Pelvimetry 88.258826 Skel xray-pelvis/hip NEC 88.268827 Skel xray-thigh/knee/leg 88.278828 Skel xray-ankle & foot 88.288829 Skel xray-lower limb NOS 88.298831 Skeletal series x-ray 88.318832 Contrast arthrogram 88.328833 Other skeletal x-ray 88.338834 Upper limb lymphangiogrm 88.34

Page 56: ICD9 CM Procedure Vol3 FY2012

8835 Up limb sft tis xray NEC 88.358836 Lower limb lymphangiogrm 88.368837 Lo limb sft tis xray NEC 88.378838 Other C.A.T. scan 88.388839 X-ray NEC and NOS 88.398840 Contrast arteriogram NOS 88.408841 Contr cerebr arteriogram 88.418842 Contrast aortogram 88.428843 Contr pulmon arteriogram 88.438844 Contr thor arteriogr NEC 88.448845 Contrast renal arteriogr 88.458846 Contrast placentogram 88.468847 Contr abd arteriogrm NEC 88.478848 Contrast arteriogram-leg 88.488849 Contrast arteriogram NEC 88.498850 Angiocardiography NOS 88.508851 Vena cav angiocardiogram 88.518852 Rt heart angiocardiogram 88.528853 Lt heart angiocardiogram 88.538854 Rt & lt heart angiocard 88.548855 Coronar arteriogr-1 cath 88.558856 Coronar arteriogr-2 cath 88.568857 Coronary arteriogram NEC 88.578858 Negatve-contr cardiogram 88.588859 Intraop cor flr vas angi 88.598860 Contrast phlebogram NOS 88.608861 Contr phlebogram-hd/neck 88.618862 Contr phlebogram-pulmon 88.628863 Thorac contr phlebog NEC 88.638864 Portal contr phlebogram 88.648865 Abd contr phlebogram NEC 88.658866 Contrast phlebogram-leg 88.668867 Contrast phlebogram NEC 88.678868 Impedance phlebogram 88.688871 Dx ultrasound-head/neck 88.718872 Dx ultrasound-heart 88.728873 Dx ultrasound-thorax NEC 88.738874 Dx ultrasound-digestive 88.748875 Dx ultrasound-urinary 88.758876 Dx ultrasound-abdomen 88.768877 Dx ultrasound-vascular 88.778878 Dx ultrasound-grav uter 88.788879 Dx ultrasound NEC 88.798881 Cerebral thermography 88.818882 Ocular thermography 88.828883 Bone thermography 88.838884 Muscle thermography 88.848885 Breast thermography 88.858886 Blood vessel thermograph 88.868889 Thermography NEC 88.898890 Diagnostic imaging NOS 88.908891 Mri of brain & brainstem 88.918892 Mri chest & heart 88.928893 Mri spinal canal 88.938894 Mri musculoskeletal 88.948895 Mri pelvis,prostate,blad 88.958896 Oth intraop mag res imag 88.968897 Magnetic res image unsp 88.97

Page 57: ICD9 CM Procedure Vol3 FY2012

8898 Bone mineral density 88.988901 Brief interview & evalua 89.018902 Limited interview/evalua 89.028903 Comprehen interview/eval 89.038904 Interview & evaluat NEC 89.048905 Interview & evaluat NOS 89.058906 Limited consultation 89.068907 Comprehensive consultat 89.078908 Consultation NEC 89.088909 Consultation NOS 89.098910 Intracarot amobarb test 89.108911 Tonometry 89.118912 Nasal function study 89.128913 Neurologic examination 89.138914 Electroencephalogram 89.148915 Neurologic func test NEC 89.158916 Skull transilluminat 89.168917 Polysomnogram 89.178918 Oth sleep dis funct test 89.188919 Video/radio eeg monitor 89.198921 Urinary manometry 89.218922 Cystometrogram 89.228923 Urethral sphincter emg 89.238924 Uroflowmetry 89.248925 Urethral pressure profil 89.258926 Gynecologic examination 89.268929 Other gu system exams 89.298931 Dental examination 89.318932 Esophageal manometry 89.328933 Digital enterostomy exam 89.338934 Digital rectal exam 89.348935 Nasal sinus transillumin 89.358936 Manual exam of breast 89.368937 Vital capacity determin 89.378938 Respiratory measure NEC 89.388939 Nonoperative exams NEC 89.398941 Treadmill stress test 89.418942 Masters' 2-step test 89.428943 Bicycle ergometer test 89.438944 Cardiac stress test NEC 89.448945 Pacemaker rate check 89.458946 Pacemaker wave form chck 89.468947 Pacemaker impedance chck 89.478948 Pacemaker volt threshold 89.488949 AICD check 89.498950 Ambu cardiac monitoring 89.508951 Rhythm electrocardiogram 89.518952 Electrocardiogram 89.528953 Vectorcardiogram 89.538954 Electrocardiograph monit 89.548955 Phonocardiogram 89.558956 Carotid pulse tracing 89.568957 Apexcardiogram 89.578958 Plethysmogram 89.588959 Nonop cardiac/vasc exam 89.598960 Cnt intraart bld gas mon 89.608961 Arterial pressure monit 89.618962 Cvp monitoring 89.62

Page 58: ICD9 CM Procedure Vol3 FY2012

8963 Pulmon art press monitor 89.638964 Pulmon art wedge monitor 89.648965 Arterial bld gas measure 89.658966 Mix venous bld gas meas 89.668967 Oxygen consumption monit 89.678968 Oth cardiac mon output 89.688969 Coronary bld flow monit 89.69897 General physical exam 89.7898 Autopsy 89.89001 Bact smear-nervous syst 90.019002 Culture-nervous syst 90.029003 C & s-nervous syst 90.039004 Parasitology-nerv syst 90.049005 Toxicology-nervous syst 90.059006 Cell blk/pap-nervous sys 90.069009 Micro exam-nervous NEC 90.099011 Bact smear-endocrine 90.119012 Culture-endocrine 90.129013 C & s-endocrine 90.139014 Parasitology-endocrine 90.149015 Toxicology-endocrine 90.159016 Cell block/pap-endocrine 90.169019 Micro exam-endocrine NEC 90.199021 Bact smear-eye 90.219022 Culture-eye 90.229023 C & s-eye 90.239024 Parasitology-eye 90.249025 Toxicology-eye 90.259026 Cell block/pap-eye 90.269029 Micro exam-eye NEC 90.299031 Bact smear-ent/larynx 90.319032 Culture-ent/larynx 90.329033 C & s-ent/larynx 90.339034 Parasitology-ent/larynx 90.349035 Toxicology-ent/larynx 90.359036 Cell block/pap-ent/laryn 90.369039 Micro exam-ent/laryn NEC 90.399041 Bact smear-lower resp 90.419042 Culture-lower resp 90.429043 C & s-lower resp 90.439044 Parasitology-lower resp 90.449045 Toxicology-lower resp 90.459046 Cell block/pap-lowr resp 90.469049 Micro exam-lowr resp NEC 90.499051 Bact smear-blood 90.519052 Culture-blood 90.529053 C & s-blood 90.539054 Parasitology-blood 90.549055 Toxicology-blood 90.559056 Cell block/pap-blood 90.569059 Micro exam-blood NEC 90.599061 Bact smear-spleen/marrow 90.619062 Culture-spleen/marrow 90.629063 C & s-spleen/marrow 90.639064 Parasitol-spleen/marrow 90.649065 Toxicology-spleen/marrow 90.659066 Cell blk/pap-spleen/marr 90.669069 Micro exam-spln/marr NEC 90.69

Page 59: ICD9 CM Procedure Vol3 FY2012

9071 Bact smear-lymph system 90.719072 Culture-lymph system 90.729073 C & s-lymph system 90.739074 Parasitology-lymph sys 90.749075 Toxicology-lymph system 90.759076 Cell blk/pap-lymph sys 90.769079 Micro exam-lymph sys NEC 90.799081 Bact smear-upper GI 90.819082 Culture-upper GI 90.829083 C & s-upper GI 90.839084 Parasitology-upper GI 90.849085 Toxicology-upper GI 90.859086 Cell blk/pap-upper GI 90.869089 Micro exam-upper GI NEC 90.899091 Bact smear-lower GI 90.919092 Culture-lower GI 90.929093 C & s-lower GI 90.939094 Parasitology-lower GI 90.949095 Toxicology-lower GI 90.959096 Cell blk/pap-lower GI 90.969099 Micro exam-lower GI NEC 90.999101 Bact smear-bili/pancreas 91.019102 Culture-bili/pancreas 91.029103 C & s-bili/pancreas 91.039104 Parasitology-bili/pancr 91.049105 Toxicology-bili/pancreas 91.059106 Cell blk/pap-bili/pancre 91.069109 Micro exam-bili/panc NEC 91.099111 Bact smear-peritoneum 91.119112 Culture-peritoneum 91.129113 C & s-peritoneum 91.139114 Parasitology-peritoneum 91.149115 Toxicology-peritoneum 91.159116 Cell blk/pap-peritoneum 91.169119 Micro exam-periton NEC 91.199121 Bact smear-upper urinary 91.219122 Culture-upper urinary 91.229123 C & s-upper urinary 91.239124 Parasitology-upper urin 91.249125 Toxicology-upper urinary 91.259126 Cell blk/pap-upper urin 91.269129 Micro exam-uppr urin NEC 91.299131 Bact smear-lower urinary 91.319132 Culture-lower urinary 91.329133 C & s-lower urinary 91.339134 Parasitlolgy-lower urin 91.349135 Toxicology-lower urinary 91.359136 Cell blk/pap-lower urin 91.369139 Micro exam-low urin NEC 91.399141 Bact smear-female genit 91.419142 Culture-female genital 91.429143 C & s-female genital 91.439144 Parasitology-female gen 91.449145 Toxicology-female genit 91.459146 Cell blk/pap-female gen 91.469149 Micro exam-femal gen NEC 91.499151 Bact smear-musculoskel 91.519152 Culture-musculoskeletal 91.52

Page 60: ICD9 CM Procedure Vol3 FY2012

9153 C & s-musculoskeletal 91.539154 Parasitology-musculoskel 91.549155 Toxicology-musculoskel 91.559156 Cell blk/pap-musculoskel 91.569159 Micro exam-musculosk NEC 91.599161 Bact smear-integument 91.619162 Culture-integument 91.629163 C & s-integument 91.639164 Parasitology-integument 91.649165 Toxicology-integument 91.659166 Cell blk/pap-integument 91.669169 Micro exam-integumen NEC 91.699171 Bact smear-op wound 91.719172 Culture-op wound 91.729173 C & s-op wound 91.739174 Parasitology-op wound 91.749175 Toxicology-op wound 91.759176 Cell blk/pap-op wound 91.769179 Micro exam-op wound NEC 91.799181 Bact smear NEC 91.819182 Culture NEC 91.829183 C & s NEC 91.839184 Parasitology NEC 91.849185 Toxicology NEC 91.859186 Cell blk/pap NEC 91.869189 Micro exam NEC 91.899191 Bact smear NOS 91.919192 Culture NOS 91.929193 C & s NOS 91.939194 Parasitology NOS 91.949195 Toxicology NOS 91.959196 Cell blk/pap NOS 91.969199 Micro exam NOS 91.999201 Thyroid scan/isotop func 92.019202 Liver scan/isotope funct 92.029203 Renal scan/isotope funct 92.039204 GI scan & isotope funct 92.049205 C-vasc scan/isotop funct 92.059209 Other isotope function 92.099211 Cerebral scan 92.119212 Head scan NEC 92.129213 Parathyroid scan 92.139214 Bone scan 92.149215 Pulmonary scan 92.159216 Lymphatic system scan 92.169217 Placental scan 92.179218 Total body scan 92.189219 Scan of other sites 92.199220 Inf liquid brachy isotop 92.209221 Superficial radiation 92.219222 Orthovoltage radiation 92.229223 Radioisot teleradiother 92.239224 Teleradio using photons 92.249225 Electron teleradiotherap 92.259226 Particul teleradioth NEC 92.269227 Radioactive elem implant 92.279228 Isotope inject/instill 92.289229 Radiotherapeut proc NEC 92.29

Page 61: ICD9 CM Procedure Vol3 FY2012

9230 Stereo radiosurgery NOS 92.309231 Sing source radiosurgery 92.319232 Multisource radiosurgery 92.329233 Particulate radiosurgery 92.339239 Stereo radiosurgery NEC 92.399241 Intra-op electron rad rx 92.419301 Functional pt evaluation 93.019302 Orthotic evaluation 93.029303 Prosthetic evaluation 93.039304 Manual muscle funct test 93.049305 Range of motion testing 93.059306 Limb length measurement 93.069307 Body measurement 93.079308 Electromyography 93.089309 Other dx pt procedure 93.099311 Assisting exercise 93.119312 Activ musculosk exer NEC 93.129313 Resistive exercise 93.139314 Joint movement training 93.149315 Mobilization of spine 93.159316 Other joint mobilization 93.169317 Pass musculosk exer NEC 93.179318 Pt breathing exercise 93.189319 Pt exercise NEC 93.199321 Manual & mechan traction 93.219322 Ambulat & gait training 93.229323 Orthotic device fitting 93.239324 Prosthet/orthot training 93.249325 Forced limb extension 93.259326 Manual rupt joint adhes 93.269327 Musc or tend stretching 93.279328 Stretching of fascia 93.289329 Forcib correct defor NEC 93.299331 Assisted pool exercise 93.319332 Whirlpool treatment 93.329333 Other hydrotherapy 93.339334 Diathermy 93.349335 Other heat therapy 93.359336 Cardiac retraining 93.369337 Prenatal training 93.379338 Combined pt NOS 93.389339 Physical therapy NEC 93.399341 Spine tract w skull dev 93.419342 Other spinal traction 93.429343 Intermitt skel traction 93.439344 Other skeletal traction 93.449345 Thomas' splint traction 93.459346 Limb skin traction NEC 93.469351 Plaster jacket applicat 93.519352 Neck support application 93.529353 Other cast application 93.539354 Application of splint 93.549355 Dental wiring 93.559356 Pressure dressing applic 93.569357 Dressing of wound NEC 93.579358 Pressure trouser applica 93.589359 Immobiliz/wound attn NEC 93.599361 Omt for gen'l mobilizat 93.61

Page 62: ICD9 CM Procedure Vol3 FY2012

9362 Omt with hi-vel,lo-ampli 93.629363 Omt with lo-vel,hi-ampli 93.639364 Omt with isoton,isometri 93.649365 Omt with indirect forces 93.659366 Omt to move tissue fluid 93.669367 Osteopath manipulat NEC 93.679371 Dyslexia training 93.719372 Dysphasia training 93.729373 Esophag speech training 93.739374 Speech defect training 93.749375 Other speech therapy 93.759376 Training in lead dog use 93.769377 Braille or moon training 93.779378 Rehab for the blind NEC 93.789381 Recreational therapy 93.819382 Educational therapy 93.829383 Occupational therapy 93.839384 Music therapy 93.849385 Vocational rehabilitat 93.859389 Rehabilitation NEC 93.899390 Non-invasive mech vent 93.909391 Ippb 93.919393 Nonmechan resuscitation 93.939394 Nebulizer therapy 93.949395 Hyperbaric oxygenation 93.959396 Oxygen enrichment NEC 93.969397 Decompression chamber 93.979398 Atmos press/compos contr 93.989399 Other resp procedures 93.999401 Intelligence test admin 94.019402 Psychologic test adminis 94.029403 Character analysis 94.039408 Psychol eval & test NEC 94.089409 Psychol mental stat NOS 94.099411 Psychiat mental determin 94.119412 Routine psychiat visit 94.129413 Psychia commitment eval 94.139419 Psychia interv/eval NEC 94.199421 Narcoanalysis 94.219422 Lithium therapy 94.229423 Neuroleptic therapy 94.239424 Chemical shock therapy 94.249425 Psychiat drug therap NEC 94.259426 Subconvulsive est 94.269427 Electroshock therapy NEC 94.279429 Psychiatr somatother NEC 94.299431 Psychoanalysis 94.319432 Hypnotherapy 94.329433 Behavior therapy 94.339434 Ind therap psychsex dysf 94.349435 Crisis intervention 94.359436 Play psychotherapy 94.369437 Explor verbal psychother 94.379438 Suppor verbal psychother 94.389439 Individ psychotherap NEC 94.399441 Grp therap psychsex dysf 94.419442 Family therapy 94.429443 Psychodrama 94.43

Page 63: ICD9 CM Procedure Vol3 FY2012

9444 Other group therapy 94.449445 Drug addict counselling 94.459446 Alcoholism counselling 94.469449 Other counselling 94.499451 Referral for psychother 94.519452 Referral psych aftercare 94.529453 Referral alcohol rehab 94.539454 Referral for drug rehab 94.549455 Referral vocation rehab 94.559459 Referral psych rehab NEC 94.599461 Alcohol rehabilitation 94.619462 Alcohol detoxification 94.629463 Alcohol rehab/detox 94.639464 Drug rehabilitation 94.649465 Drug detoxification 94.659466 Drug rehab/detox 94.669467 Comb alcohol/drug rehab 94.679468 Comb alcohol/drug detox 94.689469 Comb alco/drug reha/deto 94.699501 Limited eye examination 95.019502 Comprehensive eye exam 95.029503 Extended ophthal work-up 95.039504 Anesthetized eye exam 95.049505 Visual field study 95.059506 Color vision study 95.069507 Dark adaptation study 95.079509 Eye examination NOS 95.099511 Fundus photography 95.119512 Eye fluorescein angiogra 95.129513 Ultrasound study of eye 95.139514 X-ray study of eye 95.149515 Ocular motility study 95.159516 P32 & eye tracer NEC 95.169521 Electroretinogram 95.219522 Electro-oculogram 95.229523 Visual evoked potential 95.239524 Electronystagmogram 95.249525 Electromyogram of eye 95.259526 Glaucoma testing 95.269531 Spectacle fit & dispense 95.319532 Perscr/fit/disp contacts 95.329533 Oth lo vision aid dispen 95.339534 Ocular prosthetics 95.349535 Orthoptic training 95.359536 Ophth counsel & instruct 95.369541 Audiometry 95.419542 Clinical hearing test 95.429543 Audiological evaluation 95.439544 Clin vestibul funct test 95.449545 Rotation tests 95.459546 Audit & vestib test NEC 95.469547 Hearing examination NOS 95.479548 Fitting of hearing aid 95.489549 Non-op hearing proc NEC 95.499601 Insert nasopharyn airway 96.019602 Insert oropharyn airway 96.029603 Insert esoph obtu airway 96.039604 Insert endotracheal tube 96.04

Page 64: ICD9 CM Procedure Vol3 FY2012

9605 Resp tract intubat NEC 96.059606 Insert sengstaken tube 96.069607 Insert gastric tube NEC 96.079608 Insert intestinal tube 96.089609 Insert rectal tube 96.099611 Pack ext auditory canal 96.119614 Vaginal packing 96.149615 Vaginal mold insertion 96.159616 Other vaginal dilation 96.169617 Vag diaphragm insertion 96.179618 Oth vagin pessary insert 96.189619 Rectal packing 96.199621 Dilat frontonasal duct 96.219622 Dilation of rectum 96.229623 Dilation anal sphincter 96.239624 Dilat enterostomy stoma 96.249625 Therapeut distent bladd 96.259626 Manual reduc rect prolap 96.269627 Manual reduction hernia 96.279628 Manl reduct stoma prolap 96.289629 Reduct intuss ali tract 96.299631 Gastric cooling 96.319632 Gastric freezing 96.329633 Gastric lavage 96.339634 Gastric tube irrigat NEC 96.349635 Gastric gavage 96.359636 GI ostomy irrigation 96.369637 Proctoclysis 96.379638 Impacted feces removal 96.389639 Other transanal enema 96.399641 Biliary tube irrigation 96.419642 Pancreatic tube irrigat 96.429643 GI tract instillat NEC 96.439644 Vaginal douche 96.449645 Nephrost/pyelost irrigat 96.459646 Urterost/urete cth irrig 96.469647 Cystostomy irrigation 96.479648 Indwell cath irrig NEC 96.489649 Other gu instillation 96.499651 Irrigation of eye 96.519652 Irrigation of ear 96.529653 Irrigation of nasal pass 96.539654 Dental scaling & debride 96.549655 Tracheostomy toilette 96.559656 Bronch/trach lavage NEC 96.569657 Vascular cath irrigation 96.579658 Wound catheter irrigat 96.589659 Wound irrigation NEC 96.59966 Entral infus nutrit sub 96.69670 Con inv mec ven-unsp dur 96.709671 Cont inv mec ven <96 hrs 96.719672 Cont inv mec ven 96+ hrs 96.729701 Replace gast/esoph tube 97.019702 Replace gastrostomy tube 97.029703 Replace small bowel tube 97.039704 Replace large bowel tube 97.049705 Repl stent in bile duct 97.059711 Replace upper limb cast 97.11

Page 65: ICD9 CM Procedure Vol3 FY2012

9712 Replace lower limb cast 97.129713 Replace cast NEC 97.139714 Replac m/s immob dev NEC 97.149715 Replace wound catheter 97.159716 Replace wound pack/drain 97.169721 Replace nasal packing 97.219722 Replace dental packing 97.229723 Replace trach tube 97.239724 Replace vag diaphragm 97.249725 Replace vaginal pessary 97.259726 Replace vag/vulv packing 97.269729 Non-op replacement NEC 97.299731 Remove eye prosthesis 97.319732 Remove nasal packing 97.329733 Remove dental wiring 97.339734 Remove dental packing 97.349735 Remove dental prosthesis 97.359736 Remove ext mand fix dev 97.369737 Remove tracheostomy tube 97.379738 Remove head/neck sutures 97.389739 Remove head/neck dev NEC 97.399741 Remov thoracotomy tube 97.419742 Remov mediastinal drain 97.429743 Remov thorax sutures 97.439744 Nonop remov hrt asst sys 97.449749 Remov thor ther dev NEC 97.499751 Remov gastrostomy tube 97.519752 Remov small bowel tube 97.529753 Remov large bowel tube 97.539754 Remov cholecystost tube 97.549755 Remov biliary/liver tube 97.559756 Remov pancreatic tube 97.569759 Remov other GI device 97.599761 Remov pyelos/nephros tub 97.619762 Remov ureteral drain 97.629763 Remov cystostomy tube 97.639764 Remov urin drainage NEC 97.649765 Remov urethral stent 97.659769 Remov other urin device 97.699771 Removal iud 97.719772 Remov intrauterine pack 97.729773 Remov vaginal diaphragm 97.739774 Removal oth vag pessary 97.749775 Remov vag/vulv packing 97.759779 Remov other genit device 97.799781 Remov retroperiton drain 97.819782 Remov peritoneal drain 97.829783 Remov abdom wall suture 97.839784 Remov trunk suture NEC 97.849785 Remov trunk packing NEC 97.859786 Remov abdomen device NEC 97.869787 Remov trunk device NEC 97.879788 Remov ext immobilization 97.889789 Remov therapeut dev NEC 97.899801 Remov intralum mouth FB 98.019802 Remov intralum esoph FB 98.029803 Remov intralum gastr FB 98.039804 Remov intralum colon FB 98.04

Page 66: ICD9 CM Procedure Vol3 FY2012

9805 Remov intralum rect FB 98.059811 Remov intralum ear FB 98.119812 Remov intralum nose FB 98.129813 Remov intralum pharyn FB 98.139814 Remov intralum laryn FB 98.149815 Remov intralum trach FB 98.159816 Remov intralum uter FB 98.169817 Remov intralum vag FB 98.179818 Remov intralum stoma FB 98.189819 Remove intralum ureth FB 98.199820 Removal of FB NOS 98.209821 Removal superfic FB eye 98.219822 Removal head/neck FB 98.229823 Removal vulvar FB 98.239824 Removal scrotal/penis FB 98.249825 Removal trunk FB NEC 98.259826 Removal FB from hand 98.269827 Removal FB from arm 98.279828 Removal FB from foot 98.289829 Removal FB from leg 98.299851 Eswl kid/ureter/bladder 98.519852 Eswl gb/bile duct 98.529859 Eswl other sites 98.599900 Periop aut trans hol bld 99.009901 Exchange transfusion 99.019902 Transfus prev auto blood 99.029903 Whole blood transfus NEC 99.039904 Packed cell transfusion 99.049905 Platelet transfusion 99.059906 Coag factor transfusion 99.069907 Serum transfusion NEC 99.079908 Blood expander transfus 99.089909 Transfusion NEC 99.099910 Inject/inf thrombo agent 99.109911 Inject rh immune globul 99.119912 Allergy immunization 99.129913 Autoimmune dis immunizat 99.139914 Injct/inf immunoglobulin 99.149915 Parent infus nutrit sub 99.159916 Inject antidote 99.169917 Inject insulin 99.179918 Inject/infuse electrolyt 99.189919 Inject anticoagulant 99.199920 Inj/inf platelet inhibit 99.209921 Inject antibiotic 99.219922 Inject anti-infect NEC 99.229923 Inject steroid 99.239924 Inject hormone NEC 99.249925 Inject ca chemother NEC 99.259926 Inject tranquilizer 99.269927 Iontophoresis 99.279928 Immunotherapy as antineo 99.289929 Inject/infuse NEC 99.299931 Cholera vaccination 99.319932 Typhoid/paratyphoid vacc 99.329933 Tuberculosis vaccination 99.339934 Plague vaccination 99.349935 Tularemia vaccination 99.35

Page 67: ICD9 CM Procedure Vol3 FY2012

9936 Diphtheria toxoid admin 99.369937 Pertussis vaccination 99.379938 Tetanus toxoid administ 99.389939 Dpt administration 99.399941 Polio vaccine administra 99.419942 Smallpox vaccination 99.429943 Yellow fever vaccination 99.439944 Rabies vaccination 99.449945 Measles vaccination 99.459946 Mumps vaccination 99.469947 Rubella vaccination 99.479948 Mmr administration 99.489951 Common cold vaccination 99.519952 Influenza vaccination 99.529953 Arbovirus enceph vaccin 99.539954 Arbovirus vaccinat NEC 99.549955 Vaccination NEC 99.559956 Tetanus antitoxin admini 99.569957 Botulism antitoxin admin 99.579958 Antitoxin administra NEC 99.589959 Vaccination/innocula NEC 99.599960 Cardiopulm resuscita NOS 99.609961 Atrial cardioversion 99.619962 Heart countershock NEC 99.629963 Closed chest card massag 99.639964 Carotid sinus stiumlat 99.649969 Cardiac rhythm conv NEC 99.699971 Therapeu plasmapheresis 99.719972 Therapeutc leukopheresis 99.729973 Therapeu erythropheresis 99.739974 Therapeu plateltpheresis 99.749975 Adm neuroprotective agnt 99.759976 Extracorp immunoabsorpt 99.769977 App adhesion barrier sub 99.779978 Aquapheresis 99.789979 Other therapeu apheresis 99.799981 Hypothermia 99.819982 Ultraviolet light therap 99.829983 Other phototherapy 99.839984 Isolation 99.849985 Hyperthermia ca therapy 99.859986 Non-invasive bone stimul 99.869988 Therapeutc photopheresis 99.889991 Anesthesia acupuncture 99.919992 Other acupuncture 99.929993 Rectal massage 99.939994 Prostatic massage 99.949995 Stretching of foreskin 99.959996 Sperm collection 99.969997 Denture fitting 99.979998 Milk extraction 99.989999 Miscellaneous proc NEC 99.99

Page 68: ICD9 CM Procedure Vol3 FY2012

Therapeutic ultrasound of vessels of head and neck [00.01]Therapeutic ultrasound of heart [00.02]Therapeutic ultrasound of peripheral vascular vessels [00.03]Other therapeutic ultrasound [00.09]Implantation of chemotherapeutic agent [00.10]Infusion of drotrecogin alfa (activated) [00.11]Administration of inhaled nitric oxide [00.12]Injection or infusion of nesiritide [00.13]Injection or infusion of oxazolidinone class of antibiotics [00.14]High-dose infusion interleukin-2 [IL-2] [00.15]Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance [00.16]Infusion of vasopressor agent [00.17]Infusion of immunosuppressive antibody therapy [00.18]Disruption of blood brain barrier via infusion [BBBD] [00.19]Intravascular imaging of extracranial cerebral vessels [00.21]Intravascular imaging of intrathoracic vessels [00.22]Intravascular imaging of peripheral vessels [00.23]Intravascular imaging of coronary vessels [00.24]Intravascular imaging of renal vessels [00.25]Intravascular imaging, other specified vessel(s) [00.28]Intravascular imaging, unspecified vessel(s) [00.29]Computer assisted surgery with CT/CTA [00.31]Computer assisted surgery with MR/MRA [00.32]Computer assisted surgery with fluoroscopy [00.33]Imageless computer assisted surgery [00.34]Computer assisted surgery with multiple datasets [00.35]Other computer assisted surgery [00.39]Procedure on single vessel [00.40]Procedure on two vessels [00.41]Procedure on three vessels [00.42]Procedure on four or more vessels [00.43]Procedure on vessel bifurcation [00.44]Insertion of one vascular stent [00.45]Insertion of two vascular stents [00.46]Insertion of three vascular stents [00.47]Insertion of four or more vascular stents [00.48]Supersaturated oxygen therapy [00.49]Implantation of cardiac resynchronization pacemaker without mention of defibrillation, total system [CRT-P] [00.50]Implantation of cardiac resynchronization defibrillator, total system [CRT-D] [00.51]Implantation or replacement of transvenous lead [electrode] into left ventricular coronary venous system [00.52]Implantation or replacement of cardiac resynchronization pacemaker pulse generator only [CRT-P] [00.53]Implantation or replacement of cardiac resynchronization defibrillator pulse generator only [CRT-D] [00.54]Insertion of drug-eluting stent(s) of other peripheral vessel(s) [00.55]Insertion or replacement of implantable pressure sensor with lead for intracardiac or great vessel hemodynamic monitoring [00.56]Implantation or replacement of subcutaneous device for intracardiac or great vessel hemodynamic monitoring [00.57]Insertion of intra-aneurysm sac pressure monitoring device (intraoperative) [00.58]Intravascular pressure measurement of coronary arteries [00.59]Insertion of drug-eluting stent(s) of superficial femoral artery [00.60]Percutaneous angioplasty of extracranial vessel(s) [00.61]Percutaneous angioplasty of intracranial vessel(s) [00.62]Percutaneous insertion of carotid artery stent(s) [00.63]Percutaneous insertion of other extracranial artery stent(s) [00.64]Percutaneous insertion of intracranial vascular stent(s) [00.65]Percutaneous transluminal coronary angioplasty [PTCA] [00.66]Intravascular pressure measurement of intrathoracic arteries [00.67]

Preferred Name (Long Description with ICD-9 codes with Decimal)

Page 69: ICD9 CM Procedure Vol3 FY2012

Intravascular pressure measurement of peripheral arteries [00.68]Intravascular pressure measurement, other specified and unspecified vessels [00.69]Revision of hip replacement, both acetabular and femoral components [00.70]Revision of hip replacement, acetabular component [00.71]Revision of hip replacement, femoral component [00.72]Revision of hip replacement, acetabular liner and/or femoral head only [00.73]Hip bearing surface, metal-on-polyethylene [00.74]Hip bearing surface, metal-on-metal [00.75]Hip bearing surface, ceramic-on-ceramic [00.76]Hip bearing surface, ceramic-on-polyethylene [00.77]Revision of knee replacement, total (all components) [00.80]Revision of knee replacement, tibial component [00.81]Revision of knee replacement, femoral component [00.82]Revision of knee replacement, patellar component [00.83]Revision of total knee replacement, tibial insert (liner) [00.84]Resurfacing hip, total, acetabulum and femoral head [00.85]Resurfacing hip, partial, femoral head [00.86]Resurfacing hip, partial, acetabulum [00.87]Transplant from live related donor [00.91]Transplant from live non-related donor [00.92]Transplant from cadaver [00.93]Intra-operative neurophysiologic monitoring [00.94]Cisternal puncture [01.01]Ventriculopuncture through previously implanted catheter [01.02]Other cranial puncture [01.09]Intracranial pressure monitoring [01.10]Closed [percutaneous] [needle] biopsy of cerebral meninges [01.11]Open biopsy of cerebral meninges [01.12]Closed [percutaneous] [needle] biopsy of brain [01.13]Open biopsy of brain [01.14]Biopsy of skull [01.15]Intracranial oxygen monitoring [01.16]Brain temperature monitoring [01.17]Other diagnostic procedures on brain and cerebral meninges [01.18]Other diagnostic procedures on skull [01.19]Cranial implantation or replacement of neurostimulator pulse generator [01.20]Incision and drainage of cranial sinus [01.21]Removal of intracranial neurostimulator lead(s) [01.22]Reopening of craniotomy site [01.23]Other craniotomy [01.24]Other craniectomy [01.25]Insertion of catheter(s) into cranial cavity or tissue [01.26]Removal of catheter(s) from cranial cavity or tissue [01.27]Placement of intracerebral catheter(s) via burr hole(s) [01.28]Removal of cranial neurostimulator pulse generator [01.29]Incision of cerebral meninges [01.31]Lobotomy and tractotomy [01.32]Other incision of brain [01.39]Operations on thalamus [01.41]Operations on globus pallidus [01.42]Excision of lesion or tissue of cerebral meninges [01.51]Hemispherectomy [01.52]Lobectomy of brain [01.53]Other excision or destruction of lesion or tissue of brain [01.59]Excision of lesion of skull [01.6]Opening of cranial suture [02.01]Elevation of skull fracture fragments [02.02]Formation of cranial bone flap [02.03]

Page 70: ICD9 CM Procedure Vol3 FY2012

Bone graft to skull [02.04]Insertion of skull plate [02.05]Other cranial osteoplasty [02.06]Removal of skull plate [02.07]Simple suture of dura mater of brain [02.11]Other repair of cerebral meninges [02.12]Ligation of meningeal vessel [02.13]Choroid plexectomy [02.14]Insertion or replacement of external ventricular drain [EVD] [02.21]Intracranial ventricular shunt or anastomosis [02.22]Ventricular shunt to structure in head and neck [02.31]Ventricular shunt to circulatory system [02.32]Ventricular shunt to thoracic cavity [02.33]Ventricular shunt to abdominal cavity and organs [02.34]Ventricular shunt to urinary system [02.35]Ventricular shunt to extracranial site NEC [02.39]Irrigation and exploration of ventricular shunt [02.41]Replacement of ventricular shunt [02.42]Removal of ventricular shunt [02.43]Lysis of cortical adhesions [02.91]Repair of brain [02.92]Implantation or replacement of intracranial neurostimulator lead(s) [02.93]Insertion or replacement of skull tongs or halo traction device [02.94]Removal of skull tongs or halo traction device [02.95]Insertion of sphenoidal electrodes [02.96]Other operations on skull, brain, and cerebral meninges [02.99]Removal of foreign body from spinal canal [03.01]Reopening of laminectomy site [03.02]Other exploration and decompression of spinal canal [03.09]Division of intraspinal nerve root [03.1]Percutaneous chordotomy [03.21]Other chordotomy [03.29]Spinal tap [03.31]Biopsy of spinal cord or spinal meninges [03.32]Other diagnostic procedures on spinal cord and spinal canal structures [03.39]Excision or destruction of lesion of spinal cord or spinal meninges [03.4]Repair of spinal meningocele [03.51]Repair of spinal myelomeningocele [03.52]Repair of vertebral fracture [03.53]Other repair and plastic operations on spinal cord structures [03.59]Lysis of adhesions of spinal cord and nerve roots [03.6]Spinal subarachnoid-peritoneal shunt [03.71]Spinal subarachnoid-ureteral shunt [03.72]Other shunt of spinal theca [03.79]Injection of destructive agent into spinal canal [03.8]Insertion of catheter into spinal canal for infusion of therapeutic or palliative substances [03.90]Injection of anesthetic into spinal canal for analgesia [03.91]Injection of other agent into spinal canal [03.92]Implantation or replacement of spinal neurostimulator lead(s) [03.93]Removal of spinal neurostimulator lead(s) [03.94]Spinal blood patch [03.95]Percutaneous denervation of facet [03.96]Revision of spinal thecal shunt [03.97]Removal of spinal thecal shunt [03.98]Other operations on spinal cord and spinal canal structures [03.99]Excision of acoustic neuroma [04.01]Division of trigeminal nerve [04.02]Division or crushing of other cranial and peripheral nerves [04.03]

Page 71: ICD9 CM Procedure Vol3 FY2012

Other incision of cranial and peripheral nerves [04.04]Gasserian ganglionectomy [04.05]Other cranial or peripheral ganglionectomy [04.06]Other excision or avulsion of cranial and peripheral nerves [04.07]Closed [percutaneous] [needle] biopsy of cranial or peripheral nerve or ganglion [04.11]Open biopsy of cranial or peripheral nerve or ganglion [04.12]Other diagnostic procedures on cranial and peripheral nerves and ganglia [04.19]Destruction of cranial and peripheral nerves [04.2]Suture of cranial and peripheral nerves [04.3]Decompression of trigeminal nerve root [04.41]Other cranial nerve decompression [04.42]Release of carpal tunnel [04.43]Release of tarsal tunnel [04.44]Other peripheral nerve or ganglion decompression or lysis of adhesions [04.49]Cranial or peripheral nerve graft [04.5]Transposition of cranial and peripheral nerves [04.6]Hypoglossal-facial anastomosis [04.71]Accessory-facial anastomosis [04.72]Accessory-hypoglossal anastomosis [04.73]Other anastomosis of cranial or peripheral nerve [04.74]Revision of previous repair of cranial and peripheral nerves [04.75]Repair of old traumatic injury of cranial and peripheral nerves [04.76]Other neuroplasty [04.79]Peripheral nerve injection, not otherwise specified [04.80]Injection of anesthetic into peripheral nerve for analgesia [04.81]Injection of other agent, except neurolytic [04.89]Neurectasis [04.91]Implantation or replacement of peripheral neurostimulator lead(s) [04.92]Removal of peripheral neurostimulator lead(s) [04.93]Other operations on cranial and peripheral nerves [04.99]Division of sympathetic nerve or ganglion [05.0]Biopsy of sympathetic nerve or ganglion [05.11]Other diagnostic procedures on sympathetic nerves or ganglia [05.19]Sphenopalatine ganglionectomy [05.21]Cervical sympathectomy [05.22]Lumbar sympathectomy [05.23]Presacral sympathectomy [05.24]Periarterial sympathectomy [05.25]Other sympathectomy and ganglionectomy [05.29]Injection of anesthetic into sympathetic nerve for analgesia [05.31]Injection of neurolytic agent into sympathetic nerve [05.32]Other injection into sympathetic nerve or ganglion [05.39]Repair of sympathetic nerve or ganglion [05.81]Other operations on sympathetic nerves or ganglia [05.89]Other operations on nervous system [05.9]Aspiration of thyroid field [06.01]Reopening of wound of thyroid field [06.02]Other incision of thyroid field [06.09]Closed [percutaneous] [needle] biopsy of thyroid gland [06.11]Open biopsy of thyroid gland [06.12]Biopsy of parathyroid gland [06.13]Other diagnostic procedures on thyroid and parathyroid glands [06.19]Unilateral thyroid lobectomy [06.2]Excision of lesion of thyroid [06.31]Other partial thyroidectomy [06.39]Complete thyroidectomy [06.4]Substernal thyroidectomy, not otherwise specified [06.50]Partial substernal thyroidectomy [06.51]

Page 72: ICD9 CM Procedure Vol3 FY2012

Complete substernal thyroidectomy [06.52]Excision of lingual thyroid [06.6]Excision of thyroglossal duct or tract [06.7]Complete parathyroidectomy [06.81]Other parathyroidectomy [06.89]Division of thyroid isthmus [06.91]Ligation of thyroid vessels [06.92]Suture of thyroid gland [06.93]Thyroid tissue reimplantation [06.94]Parathyroid tissue reimplantation [06.95]Other operations on thyroid glands [06.98]Other operations on parathyroid glands [06.99]Exploration of adrenal field, not otherwise specified [07.00]Unilateral exploration of adrenal field [07.01]Bilateral exploration of adrenal field [07.02]Closed [percutaneous] [needle] biopsy of adrenal gland [07.11]Open biopsy of adrenal gland [07.12]Biopsy of pituitary gland, transfrontal approach [07.13]Biopsy of pituitary gland, transsphenoidal approach [07.14]Biopsy of pituitary gland, unspecified approach [07.15]Biopsy of thymus [07.16]Biopsy of pineal gland [07.17]Other diagnostic procedures on adrenal glands, pituitary gland, pineal gland, and thymus [07.19]Excision of lesion of adrenal gland [07.21]Unilateral adrenalectomy [07.22]Other partial adrenalectomy [07.29]Bilateral adrenalectomy [07.3]Incision of adrenal gland [07.41]Division of nerves to adrenal glands [07.42]Ligation of adrenal vessels [07.43]Repair of adrenal gland [07.44]Reimplantation of adrenal tissue [07.45]Other operations on adrenal glands, nerves, and vessels [07.49]Exploration of pineal field [07.51]Incision of pineal gland [07.52]Partial excision of pineal gland [07.53]Total excision of pineal gland [07.54]Other operations on pineal gland [07.59]Partial excision of pituitary gland, transfrontal approach [07.61]Partial excision of pituitary gland, transsphenoidal approach [07.62]Partial excision of pituitary gland, unspecified approach [07.63]Total excision of pituitary gland, transfrontal approach [07.64]Total excision of pituitary gland, transsphenoidal approach [07.65]Total excision of pituitary gland, other specified approach [07.68]Total excision of pituitary gland, unspecified approach [07.69]Exploration of pituitary fossa [07.71]Incision of pituitary gland [07.72]Other operations on hypophysis [07.79]Thymectomy, not otherwise specified [07.80]Other partial excision of thymus [07.81]Other total excision of thymus [07.82]Thoracoscopic partial excision of thymus [07.83]Thoracoscopic total excision of thymus [07.84]Exploration of thymus field [07.91]Other incision of thymus [07.92]Repair of thymus [07.93]Transplantation of thymus [07.94]Thoracoscopic incision of thymus [07.95]

Page 73: ICD9 CM Procedure Vol3 FY2012

Other and unspecified thoracoscopic operations on thymus [07.98]Other and unspecified operations on thymus [07.99]Incision of lid margin [08.01]Severing of blepharorrhaphy [08.02]Other incision of eyelid [08.09]Biopsy of eyelid [08.11]Other diagnostic procedures on eyelid [08.19]Removal of lesion of eyelid, not otherwise specified [08.20]Excision of chalazion [08.21]Excision of other minor lesion of eyelid [08.22]Excision of major lesion of eyelid, partial-thickness [08.23]Excision of major lesion of eyelid, full-thickness [08.24]Destruction of lesion of eyelid [08.25]Repair of blepharoptosis by frontalis muscle technique with suture [08.31]Repair of blepharoptosis by frontalis muscle technique with fascial sling [08.32]Repair of blepharoptosis by resection or advancement of levator muscle or aponeurosis [08.33]Repair of blepharoptosis by other levator muscle techniques [08.34]Repair of blepharoptosis by tarsal technique [08.35]Repair of blepharoptosis by other techniques [08.36]Reduction of overcorrection of ptosis [08.37]Correction of lid retraction [08.38]Repair of entropion or ectropion by thermocauterization [08.41]Repair of entropion or ectropion by suture technique [08.42]Repair of entropion or ectropion with wedge resection [08.43]Repair of entropion or ectropion with lid reconstruction [08.44]Other repair of entropion or ectropion [08.49]Canthotomy [08.51]Blepharorrhaphy [08.52]Other adjustment of lid position [08.59]Reconstruction of eyelid with skin flap or graft [08.61]Reconstruction of eyelid with mucous membrane flap or graft [08.62]Reconstruction of eyelid with hair follicle graft [08.63]Reconstruction of eyelid with tarsoconjunctival flap [08.64]Other reconstruction of eyelid with flaps or grafts [08.69]Reconstruction of eyelid, not otherwise specified [08.70]Reconstruction of eyelid involving lid margin, partial-thickness [08.71]Other reconstruction of eyelid, partial-thickness [08.72]Reconstruction of eyelid involving lid margin, full-thickness [08.73]Other reconstruction of eyelid, full-thickness [08.74]Linear repair of laceration of eyelid or eyebrow [08.81]Repair of laceration involving lid margin, partial-thickness [08.82]Other repair of laceration of eyelid, partial-thickness [08.83]Repair of laceration involving lid margin, full-thickness [08.84]Other repair of laceration of eyelid, full-thickness [08.85]Lower eyelid rhytidectomy [08.86]Upper eyelid rhytidectomy [08.87]Other eyelid repair [08.89]Electrosurgical epilation of eyelid [08.91]Cryosurgical epilation of eyelid [08.92]Other epilation of eyelid [08.93]Other operations on eyelids [08.99]Incision of lacrimal gland [09.0]Biopsy of lacrimal gland [09.11]Biopsy of lacrimal sac [09.12]Other diagnostic procedures on lacrimal system [09.19]Excision of lacrimal gland, not otherwise specified [09.20]Excision of lesion of lacrimal gland [09.21]Other partial dacryoadenectomy [09.22]

Page 74: ICD9 CM Procedure Vol3 FY2012

Total dacryoadenectomy [09.23]Other operations on lacrimal gland [09.3]Probing of lacrimal punctum [09.41]Probing of lacrimal canaliculi [09.42]Probing of nasolacrimal duct [09.43]Intubation of nasolacrimal duct [09.44]Other manipulation of lacrimal passage [09.49]Incision of lacrimal punctum [09.51]Incision of lacrimal canaliculi [09.52]Incision of lacrimal sac [09.53]Other incision of lacrimal passages [09.59]Excision of lacrimal sac and passage [09.6]Correction of everted punctum [09.71]Other repair of punctum [09.72]Repair of canaliculus [09.73]Dacryocystorhinostomy [DCR] [09.81]Conjunctivocystorhinostomy [09.82]Conjunctivorhinostomy with insertion of tube or stent [09.83]Obliteration of lacrimal punctum [09.91]Other operations on lacrimal system [09.99]Removal of embedded foreign body from conjunctiva by incision [10.0]Other incision of conjunctiva [10.1]Biopsy of conjunctiva [10.21]Other diagnostic procedures on conjunctiva [10.29]Excision of lesion or tissue of conjunctiva [10.31]Destruction of lesion of conjunctiva [10.32]Other destructive procedures on conjunctiva [10.33]Repair of symblepharon with free graft [10.41]Reconstruction of conjunctival cul-de-sac with free graft [10.42]Other reconstruction of conjunctival cul-de-sac [10.43]Other free graft to conjunctiva [10.44]Other conjunctivoplasty [10.49]Lysis of adhesions of conjunctiva and eyelid [10.5]Repair of laceration of conjunctiva [10.6]Subconjunctival injection [10.91]Other operations on conjunctiva [10.99]Magnetic removal of embedded foreign body from cornea [11.0]Incision of cornea [11.1]Scraping of cornea for smear or culture [11.21]Biopsy of cornea [11.22]Other diagnostic procedures on cornea [11.29]Transposition of pterygium [11.31]Excision of pterygium with corneal graft [11.32]Other excision of pterygium [11.39]Mechanical removal of corneal epithelium [11.41]Thermocauterization of corneal lesion [11.42]Cryotherapy of corneal lesion [11.43]Other removal or destruction of corneal lesion [11.49]Suture of corneal laceration [11.51]Repair of postoperative wound dehiscence of cornea [11.52]Repair of corneal laceration or wound with conjunctival flap [11.53]Other repair of cornea [11.59]Corneal transplant, not otherwise specified [11.60]Lamellar keratoplasty with autograft [11.61]Other lamellar keratoplasty [11.62]Penetrating keratoplasty with autograft [11.63]Other penetrating keratoplasty [11.64]Other corneal transplant [11.69]

Page 75: ICD9 CM Procedure Vol3 FY2012

Keratomileusis [11.71]Keratophakia [11.72]Keratoprosthesis [11.73]Thermokeratoplasty [11.74]Radial keratotomy [11.75]Epikeratophakia [11.76]Other reconstructive and refractive surgery on cornea [11.79]Tattooing of cornea [11.91]Removal of artificial implant from cornea [11.92]Other operations on cornea [11.99]Removal of intraocular foreign body from anterior segment of eye, not otherwise specified [12.00]Removal of intraocular foreign body from anterior segment of eye with use of magnet [12.01]Removal of intraocular foreign body from anterior segment of eye without use of magnet [12.02]Iridotomy with transfixion [12.11]Other iridotomy [12.12]Excision of prolapsed iris [12.13]Other iridectomy [12.14]Diagnostic aspiration of anterior chamber of eye [12.21]Biopsy of iris [12.22]Other diagnostic procedures on iris, ciliary body, sclera, and anterior chamber [12.29]Lysis of goniosynechiae [12.31]Lysis of other anterior synechiae [12.32]Lysis of posterior synechiae [12.33]Lysis of corneovitreal adhesions [12.34]Coreoplasty [12.35]Other iridoplasty [12.39]Removal of lesion of anterior segment of eye, not otherwise specified [12.40]Destruction of lesion of iris, nonexcisional [12.41]Excision of lesion of iris [12.42]Destruction of lesion of ciliary body, nonexcisional [12.43]Excision of lesion of ciliary body [12.44]Goniopuncture without goniotomy [12.51]Goniotomy without goniopuncture [12.52]Goniotomy with goniopuncture [12.53]Trabeculotomy ab externo [12.54]Cyclodialysis [12.55]Other facilitation of intraocular circulation [12.59]Trephination of sclera with iridectomy [12.61]Thermocauterization of sclera with iridectomy [12.62]Iridencleisis and iridotasis [12.63]Trabeculectomy ab externo [12.64]Other scleral fistulization with iridectomy [12.65]Postoperative revision of scleral fistulization procedure [12.66]Insertion of aqueous drainage device [12.67]Other scleral fistulizing procedure [12.69]Cyclodiathermy [12.71]Cyclocryotherapy [12.72]Cyclophotocoagulation [12.73]Diminution of ciliary body, not otherwise specified [12.74]Other glaucoma procedures [12.79]Suture of laceration of sclera [12.81]Repair of scleral fistula [12.82]Revision of operative wound of anterior segment, not elsewhere classified [12.83]Excision or destruction of lesion of sclera [12.84]Repair of scleral staphyloma with graft [12.85]Other repair of scleral staphyloma [12.86]Scleral reinforcement with graft [12.87]Other scleral reinforcement [12.88]

Page 76: ICD9 CM Procedure Vol3 FY2012

Other operations on sclera [12.89]Therapeutic evacuation of anterior chamber [12.91]Injection into anterior chamber [12.92]Removal or destruction of epithelial downgrowth from anterior chamber [12.93]Other operations on iris [12.97]Other operations on ciliary body [12.98]Other operations on anterior chamber [12.99]Removal of foreign body from lens, not otherwise specified [13.00]Removal of foreign body from lens with use of magnet [13.01]Removal of foreign body from lens without use of magnet [13.02]Intracapsular extraction of lens by temporal inferior route [13.11]Other intracapsular extraction of lens [13.19]Extracapsular extraction of lens by linear extraction technique [13.2]Extracapsular extraction of lens by simple aspiration (and irrigation) technique [13.3]Phacoemulsification and aspiration of cataract [13.41]Mechanical phacofragmentation and aspiration of cataract by posterior route [13.42]Mechanical phacofragmentation and other aspiration of cataract [13.43]Extracapsular extraction of lens by temporal inferior route [13.51]Other extracapsular extraction of lens [13.59]Discission of secondary membrane [after cataract] [13.64]Excision of secondary membrane [after cataract] [13.65]Mechanical fragmentation of secondary membrane [after cataract] [13.66]Other cataract extraction [13.69]Insertion of pseudophakos, not otherwise specified [13.70]Insertion of intraocular lens prosthesis at time of cataract extraction, one-stage [13.71]Secondary insertion of intraocular lens prosthesis [13.72]Removal of implanted lens [13.8]Operation on lens, not elsewhere classified [13.90]Implantation of intraocular telescope prosthesis [13.91]Removal of foreign body from posterior segment of eye, not otherwise specified [14.00]Removal of foreign body from posterior segment of eye with use of magnet [14.01]Removal of foreign body from posterior segment of eye without use of magnet [14.02]Diagnostic aspiration of vitreous [14.11]Other diagnostic procedures on retina, choroid, vitreous, and posterior chamber [14.19]Destruction of chorioretinal lesion by diathermy [14.21]Destruction of chorioretinal lesion by cryotherapy [14.22]Destruction of chorioretinal lesion by xenon arc photocoagulation [14.23]Destruction of chorioretinal lesion by laser photocoagulation [14.24]Destruction of chorioretinal lesion by photocoagulation of unspecified type [14.25]Destruction of chorioretinal lesion by radiation therapy [14.26]Destruction of chorioretinal lesion by implantation of radiation source [14.27]Other destruction of chorioretinal lesion [14.29]Repair of retinal tear by diathermy [14.31]Repair of retinal tear by cryotherapy [14.32]Repair of retinal tear by xenon arc photocoagulation [14.33]Repair of retinal tear by laser photocoagulation [14.34]Repair of retinal tear by photocoagulation of unspecified type [14.35]Other repair of retinal tear [14.39]Scleral buckling with implant [14.41]Other scleral buckling [14.49]Repair of retinal detachment with diathermy [14.51]Repair of retinal detachment with cryotherapy [14.52]Repair of retinal detachment with xenon arc photocoagulation [14.53]Repair of retinal detachment with laser photocoagulation [14.54]Repair of retinal detachment with photocoagulation of unspecified type [14.55]Other repair of retinal detachment [14.59]Removal of surgically implanted material from posterior segment of eye [14.6]Removal of vitreous, anterior approach [14.71]

Page 77: ICD9 CM Procedure Vol3 FY2012

Other removal of vitreous [14.72]Mechanical vitrectomy by anterior approach [14.73]Other mechanical vitrectomy [14.74]Injection of vitreous substitute [14.75]Other operations on vitreous [14.79]Other operations on retina, choroid, and posterior chamber [14.9]Biopsy of extraocular muscle or tendon [15.01]Other diagnostic procedures on extraocular muscles and tendons [15.09]Recession of one extraocular muscle [15.11]Advancement of one extraocular muscle [15.12]Resection of one extraocular muscle [15.13]Other operations on one extraocular muscle involving temporary detachment from globe [15.19]Lengthening procedure on one extraocular muscle [15.21]Shortening procedure on one extraocular muscle [15.22]Other operations on one extraocular muscle [15.29]Operations on two or more extraocular muscles involving temporary detachment from globe, one or both eyes [15.3]Other operations on two or more extraocular muscles, one or both eyes [15.4]Transposition of extraocular muscles [15.5]Revision of extraocular muscle surgery [15.6]Repair of injury of extraocular muscle [15.7]Other operations on extraocular muscles and tendons [15.9]Orbitotomy with bone flap [16.01]Orbitotomy with insertion of orbital implant [16.02]Other orbitotomy [16.09]Removal of penetrating foreign body from eye, not otherwise specified [16.1]Ophthalmoscopy [16.21]Diagnostic aspiration of orbit [16.22]Biopsy of eyeball and orbit [16.23]Other diagnostic procedures on orbit and eyeball [16.29]Removal of ocular contents with synchronous implant into scleral shell [16.31]Other evisceration of eyeball [16.39]Enucleation of eyeball with synchronous implant into Tenon's capsule with attachment of muscles [16.41]Enucleation of eyeball with other synchronous implant [16.42]Other enucleation of eyeball [16.49]Exenteration of orbit with removal of adjacent structures [16.51]Exenteration of orbit with therapeutic removal of orbital bone [16.52]Other exenteration of orbit [16.59]Secondary insertion of ocular implant [16.61]Revision and reinsertion of ocular implant [16.62]Revision of enucleation socket with graft [16.63]Other revision of enucleation socket [16.64]Secondary graft to exenteration cavity [16.65]Other revision of exenteration cavity [16.66]Other secondary procedures after removal of eyeball [16.69]Removal of ocular implant [16.71]Removal of orbital implant [16.72]Repair of wound of orbit [16.81]Repair of rupture of eyeball [16.82]Other repair of injury of eyeball or orbit [16.89]Retrobulbar injection of therapeutic agent [16.91]Excision of lesion of orbit [16.92]Excision of lesion of eye, unspecified structure [16.93]Other operations on orbit [16.98]Other operations on eyeball [16.99]Laparoscopic repair of direct inguinal hernia with graft or prosthesis [17.11]Laparoscopic repair of indirect inguinal hernia with graft or prosthesis [17.12]Laparoscopic repair of inguinal hernia with graft or prosthesis, not otherwise specified [17.13]Laparoscopic bilateral repair of direct inguinal hernia with graft or prosthesis [17.21]

Page 78: ICD9 CM Procedure Vol3 FY2012

Laparoscopic bilateral repair of indirect inguinal hernia with graft or prosthesis [17.22]Laparoscopic bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis [17.23]Laparoscopic bilateral repair of inguinal hernia with graft or prosthesis, not otherwise specified [17.24]Laparoscopic multiple segmental resection of large intestine [17.31]Laparoscopic cecectomy [17.32]Laparoscopic right hemicolectomy [17.33]Laparoscopic resection of transverse colon [17.34]Laparoscopic left hemicolectomy [17.35]Laparoscopic sigmoidectomy [17.36]Other laparoscopic partial excision of large intestine [17.39]Open robotic assisted procedure [17.41]Laparoscopic robotic assisted procedure [17.42]Percutaneous robotic assisted procedure [17.43]Endoscopic robotic assisted procedure [17.44]Thoracoscopic robotic assisted procedure [17.45]Other and unspecified robotic assisted procedure [17.49]Implantation of rechargeable cardiac contractility modulation [CCM], total system [17.51]Implantation or replacement of cardiac contractility modulation [CCM] rechargeable pulse generator only [17.52]Percutaneous atherectomy of extracranial vessel(s) [17.53]Percutaneous atherectomy of intracranial vessel(s) [17.54]Transluminal coronary atherectomy [17.55]Atherectomy of other non-coronary vessel(s) [17.56]Laser interstitial thermal therapy [LITT] of lesion or tissue of brain under guidance [17.61]Laser interstitial thermal therapy [LITT] of lesion or tissue of head and neck under guidance [17.62]Laser interstitial thermal therapy [LITT] of lesion or tissue of liver under guidance [17.63]Laser interstitial thermal therapy [LITT] of lesion or tissue of other and unspecified site under guidance [17.69]Intravenous infusion of clofarabine [17.70]Non-coronary intra-operative fluorescence vascular angiography [IFVA] [17.71]Insertion of antimicrobial envelope [17.81]Piercing of ear lobe [18.01]Incision of external auditory canal [18.02]Other incision of external ear [18.09]Otoscopy [18.11]Biopsy of external ear [18.12]Other diagnostic procedures on external ear [18.19]Excision of preauricular sinus [18.21]Excision or destruction of other lesion of external ear [18.29]Radical excision of lesion of external ear [18.31]Other excision of external ear [18.39]Suture of laceration of external ear [18.4]Surgical correction of prominent ear [18.5]Reconstruction of external auditory canal [18.6]Construction of auricle of ear [18.71]Reattachment of amputated ear [18.72]Other plastic repair of external ear [18.79]Other operations on external ear [18.9]Stapes mobilization [19.0]Stapedectomy with incus replacement [19.11]Other stapedectomy [19.19]Revision of stapedectomy with incus replacement [19.21]Other revision of stapedectomy [19.29]Other operations on ossicular chain [19.3]Myringoplasty [19.4]Type II tympanoplasty [19.52]Type III tympanoplasty [19.53]Type IV tympanoplasty [19.54]Type V tympanoplasty [19.55]Revision of tympanoplasty [19.6]

Page 79: ICD9 CM Procedure Vol3 FY2012

Other repair of middle ear [19.9]Myringotomy with insertion of tube [20.01]Other myringotomy [20.09]Removal of tympanostomy tube [20.1]Incision of mastoid [20.21]Incision of petrous pyramid air cells [20.22]Incision of middle ear [20.23]Electrocochleography [20.31]Biopsy of middle and inner ear [20.32]Other diagnostic procedures on middle and inner ear [20.39]Simple mastoidectomy [20.41]Radical mastoidectomy [20.42]Other mastoidectomy [20.49]Excision of lesion of middle ear [20.51]Other excision of middle ear [20.59]Fenestration of inner ear (initial) [20.61]Revision of fenestration of inner ear [20.62]Endolymphatic shunt [20.71]Injection into inner ear [20.72]Other incision, excision, and destruction of inner ear [20.79]Operations on eustachian tube [20.8]Tympanosympathectomy [20.91]Revision of mastoidectomy [20.92]Repair of oval and round windows [20.93]Injection of tympanum [20.94]Implantation of electromagnetic hearing device [20.95]Implantation or replacement of cochlear prosthetic device, not otherwise specified [20.96]Implantation or replacement of cochlear prosthetic device, single channel [20.97]Implantation or replacement of cochlear prosthetic device, multiple channel [20.98]Other operations on middle and inner ear [20.99]Control of epistaxis, not otherwise specified [21.00]Control of epistaxis by anterior nasal packing [21.01]Control of epistaxis by posterior (and anterior) packing [21.02]Control of epistaxis by cauterization (and packing) [21.03]Control of epistaxis by ligation of ethmoidal arteries [21.04]Control of epistaxis by (transantral) ligation of the maxillary artery [21.05]Control of epistaxis by ligation of the external carotid artery [21.06]Control of epistaxis by excision of nasal mucosa and skin grafting of septum and lateral nasal wall [21.07]Control of epistaxis by other means [21.09]Incision of nose [21.1]Rhinoscopy [21.21]Biopsy of nose [21.22]Other diagnostic procedures on nose [21.29]Excision or destruction of lesion of nose, not otherwise specified [21.30]Local excision or destruction of intranasal lesion [21.31]Local excision or destruction of other lesion of nose [21.32]Resection of nose [21.4]Submucous resection of nasal septum [21.5]Turbinectomy by diathermy or cryosurgery [21.61]Fracture of the turbinates [21.62]Other turbinectomy [21.69]Closed reduction of nasal fracture [21.71]Open reduction of nasal fracture [21.72]Suture of laceration of nose [21.81]Closure of nasal fistula [21.82]Total nasal reconstruction [21.83]Revision rhinoplasty [21.84]Augmentation rhinoplasty [21.85]

Page 80: ICD9 CM Procedure Vol3 FY2012

Limited rhinoplasty [21.86]Other rhinoplasty [21.87]Other septoplasty [21.88]Other repair and plastic operations on nose [21.89]Lysis of adhesions of nose [21.91]Other operations on nose [21.99]Aspiration and lavage of nasal sinus, not otherwise specified [22.00]Puncture of nasal sinus for aspiration or lavage [22.01]Aspiration or lavage of nasal sinus through natural ostium [22.02]Closed [endoscopic] [needle] biopsy of nasal sinus [22.11]Open biopsy of nasal sinus [22.12]Other diagnostic procedures on nasal sinuses [22.19]Intranasal antrotomy [22.2]Radical maxillary antrotomy [22.31]Other external maxillary antrotomy [22.39]Frontal sinusotomy [22.41]Frontal sinusectomy [22.42]Sinusotomy, not otherwise specified [22.50]Ethmoidotomy [22.51]Sphenoidotomy [22.52]Incision of multiple nasal sinuses [22.53]Sinusectomy, not otherwise specified [22.60]Excision of lesion of maxillary sinus with Caldwell-Luc approach [22.61]Excision of lesion of maxillary sinus with other approach [22.62]Ethmoidectomy [22.63]Sphenoidectomy [22.64]Closure of nasal sinus fistula [22.71]Other repair of nasal sinus [22.79]Other operations on nasal sinuses [22.9]Extraction of deciduous tooth [23.01]Extraction of other tooth [23.09]Removal of residual root [23.11]Other surgical extraction of tooth [23.19]Restoration of tooth by filling [23.2]Restoration of tooth by inlay [23.3]Application of crown [23.41]Insertion of fixed bridge [23.42]Insertion of removable bridge [23.43]Other dental restoration [23.49]Implantation of tooth [23.5]Prosthetic dental implant [23.6]Root canal, not otherwise specified [23.70]Root canal therapy with irrigation [23.71]Root canal therapy with apicoectomy [23.72]Apicoectomy [23.73]Incision of gum or alveolar bone [24.0]Biopsy of gum [24.11]Biopsy of alveolus [24.12]Other diagnostic procedures on teeth, gums, and alveoli [24.19]Gingivoplasty [24.2]Excision of lesion or tissue of gum [24.31]Suture of laceration of gum [24.32]Other operations on gum [24.39]Excision of dental lesion of jaw [24.4]Alveoloplasty [24.5]Exposure of tooth [24.6]Application of orthodontic appliance [24.7]Other orthodontic operation [24.8]

Page 81: ICD9 CM Procedure Vol3 FY2012

Extension or deepening of buccolabial or lingual sulcus [24.91]Other dental operations [24.99]Closed [needle] biopsy of tongue [25.01]Open biopsy of tongue [25.02]Other diagnostic procedures on tongue [25.09]Excision or destruction of lesion or tissue of tongue [25.1]Partial glossectomy [25.2]Complete glossectomy [25.3]Radical glossectomy [25.4]Suture of laceration of tongue [25.51]Other repair and plastic operations on tongue [25.59]Lingual frenotomy [25.91]Lingual frenectomy [25.92]Lysis of adhesions of tongue [25.93]Other glossotomy [25.94]Other operations on tongue [25.99]Incision of salivary gland or duct [26.0]Closed [needle] biopsy of salivary gland or duct [26.11]Open biopsy of salivary gland or duct [26.12]Other diagnostic procedures on salivary glands and ducts [26.19]Marsupialization of salivary gland cyst [26.21]Other excision of salivary gland lesion [26.29]Sialoadenectomy, not otherwise specified [26.30]Partial sialoadenectomy [26.31]Complete sialoadenectomy [26.32]Suture of laceration of salivary gland [26.41]Closure of salivary fistula [26.42]Other repair and plastic operations on salivary gland or duct [26.49]Probing of salivary duct [26.91]Other operations on salivary gland or duct [26.99]Drainage of face and floor of mouth [27.0]Incision of palate [27.1]Biopsy of bony palate [27.21]Biopsy of uvula and soft palate [27.22]Biopsy of lip [27.23]Biopsy of mouth, unspecified structure [27.24]Other diagnostic procedures on oral cavity [27.29]Local excision or destruction of lesion or tissue of bony palate [27.31]Wide excision or destruction of lesion or tissue of bony palate [27.32]Labial frenectomy [27.41]Wide excision of lesion of lip [27.42]Other excision of lesion or tissue of lip [27.43]Other excision of mouth [27.49]Suture of laceration of lip [27.51]Suture of laceration of other part of mouth [27.52]Closure of fistula of mouth [27.53]Repair of cleft lip [27.54]Full-thickness skin graft to lip and mouth [27.55]Other skin graft to lip and mouth [27.56]Attachment of pedicle or flap graft to lip and mouth [27.57]Other plastic repair of mouth [27.59]Suture of laceration of palate [27.61]Correction of cleft palate [27.62]Revision of cleft palate repair [27.63]Insertion of palatal implant [27.64]Other plastic repair of palate [27.69]Incision of uvula [27.71]Excision of uvula [27.72]

Page 82: ICD9 CM Procedure Vol3 FY2012

Repair of uvula [27.73]Other operations on uvula [27.79]Labial frenotomy [27.91]Incision of mouth, unspecified structure [27.92]Other operations on oral cavity [27.99]Incision and drainage of tonsil and peritonsillar structures [28.0]Biopsy of tonsils and adenoids [28.11]Other diagnostic procedures on tonsils and adenoids [28.19]Tonsillectomy without adenoidectomy [28.2]Tonsillectomy with adenoidectomy [28.3]Excision of tonsil tag [28.4]Excision of lingual tonsil [28.5]Adenoidectomy without tonsillectomy [28.6]Control of hemorrhage after tonsillectomy and adenoidectomy [28.7]Removal of foreign body from tonsil and adenoid by incision [28.91]Excision of lesion of tonsil and adenoid [28.92]Other operations on tonsils and adenoids [28.99]Pharyngotomy [29.0]Pharyngoscopy [29.11]Pharyngeal biopsy [29.12]Other diagnostic procedures on pharynx [29.19]Excision of branchial cleft cyst or vestige [29.2]Cricopharyngeal myotomy [29.31]Pharyngeal diverticulectomy [29.32]Pharyngectomy (partial) [29.33]Other excision or destruction of lesion or tissue of pharynx [29.39]Plastic operation on pharynx [29.4]Suture of laceration of pharynx [29.51]Closure of branchial cleft fistula [29.52]Closure of other fistula of pharynx [29.53]Lysis of pharyngeal adhesions [29.54]Other repair of pharynx [29.59]Dilation of pharynx [29.91]Division of glossopharyngeal nerve [29.92]Other operations on pharynx [29.99]Marsupialization of laryngeal cyst [30.01]Other excision or destruction of lesion or tissue of larynx [30.09]Hemilaryngectomy [30.1]Epiglottidectomy [30.21]Vocal cordectomy [30.22]Other partial laryngectomy [30.29]Complete laryngectomy [30.3]Radical laryngectomy [30.4]Injection of larynx [31.0]Temporary tracheostomy [31.1]Mediastinal tracheostomy [31.21]Other permanent tracheostomy [31.29]Other incision of larynx or trachea [31.3]Tracheoscopy through artificial stoma [31.41]Laryngoscopy and other tracheoscopy [31.42]Closed [endoscopic] biopsy of larynx [31.43]Closed [endoscopic] biopsy of trachea [31.44]Open biopsy of larynx or trachea [31.45]Other diagnostic procedures on larynx [31.48]Other diagnostic procedures on trachea [31.49]Local excision or destruction of lesion or tissue of trachea [31.5]Suture of laceration of larynx [31.61]Closure of fistula of larynx [31.62]

Page 83: ICD9 CM Procedure Vol3 FY2012

Revision of laryngostomy [31.63]Repair of laryngeal fracture [31.64]Other repair of larynx [31.69]Suture of laceration of trachea [31.71]Closure of external fistula of trachea [31.72]Closure of other fistula of trachea [31.73]Revision of tracheostomy [31.74]Reconstruction of trachea and construction of artificial larynx [31.75]Other repair and plastic operations on trachea [31.79]Division of laryngeal nerve [31.91]Lysis of adhesions of trachea or larynx [31.92]Replacement of laryngeal or tracheal stent [31.93]Injection of locally-acting therapeutic substance into trachea [31.94]Tracheoesophageal fistulization [31.95]Other operations on larynx [31.98]Other operations on trachea [31.99]Endoscopic excision or destruction of lesion or tissue of bronchus [32.01]Other local excision or destruction of lesion or tissue of bronchus [32.09]Other excision of bronchus [32.1]Thoracoscopic excision of lesion or tissue of lung [32.20]Plication of emphysematous bleb [32.21]Lung volume reduction surgery [32.22]Open ablation of lung lesion or tissue [32.23]Percutaneous ablation of lung lesion or tissue [32.24]Thoracoscopic ablation of lung lesion or tissue [32.25]Other and unspecified ablation of lung lesion or tissue [32.26]Bronchoscopic bronchial thermoplasty, ablation of airway smooth muscle [32.27]Endoscopic excision or destruction of lesion or tissue of lung [32.28]Other local excision or destruction of lesion or tissue of lung [32.29]Thoracoscopic segmental resection of lung [32.30]Other and unspecified segmental resection of lung [32.39]Thoracoscopic lobectomy of lung [32.41]Other lobectomy of lung [32.49]Thoracoscopic pneumonectomy [32.50]Other and unspecified pneumonectomy [32.59]Radical dissection of thoracic structures [32.6]Other excision of lung [32.9]Incision of bronchus [33.0]Incision of lung [33.1]Thoracoscopic lung biopsy [33.20]Bronchoscopy through artificial stoma [33.21]Fiber-optic bronchoscopy [33.22]Other bronchoscopy [33.23]Closed [endoscopic] biopsy of bronchus [33.24]Open biopsy of bronchus [33.25]Closed [percutaneous] [needle] biopsy of lung [33.26]Closed endoscopic biopsy of lung [33.27]Open biopsy of lung [33.28]Other diagnostic procedures on lung or bronchus [33.29]Destruction of phrenic nerve for collapse of lung [33.31]Artificial pneumothorax for collapse of lung [33.32]Pneumoperitoneum for collapse of lung [33.33]Thoracoplasty [33.34]Other surgical collapse of lung [33.39]Suture of laceration of bronchus [33.41]Closure of bronchial fistula [33.42]Closure of laceration of lung [33.43]Other repair and plastic operations on bronchus [33.48]

Page 84: ICD9 CM Procedure Vol3 FY2012

Other repair and plastic operations on lung [33.49]Lung transplantation, not otherwise specified [33.50]Unilateral lung transplantation [33.51]Bilateral lung transplantation [33.52]Combined heart-lung transplantation [33.6]Endoscopic insertion or replacement of bronchial valve(s), single lobe [33.71]Endoscopic pulmonary airway flow measurement [33.72]Endoscopic insertion or replacement of bronchial valve(s), multiple lobes [33.73]Endoscopic removal of bronchial device(s) or substances [33.78]Endoscopic insertion of other bronchial device or substances [33.79]Bronchial dilation [33.91]Ligation of bronchus [33.92]Puncture of lung [33.93]Other operations on bronchus [33.98]Other operations on lung [33.99]Incision of chest wall [34.01]Exploratory thoracotomy [34.02]Reopening of recent thoracotomy site [34.03]Insertion of intercostal catheter for drainage [34.04]Creation of pleuroperitoneal shunt [34.05]Thoracoscopic drainage of pleural cavity [34.06]Other incision of pleura [34.09]Incision of mediastinum [34.1]Thoracoscopic pleural biopsy [34.20]Transpleural thoracoscopy [34.21]Mediastinoscopy [34.22]Biopsy of chest wall [34.23]Other pleural biopsy [34.24]Closed [percutaneous] [needle] biopsy of mediastinum [34.25]Open mediastinal biopsy [34.26]Biopsy of diaphragm [34.27]Other diagnostic procedures on chest wall, pleura, and diaphragm [34.28]Other diagnostic procedures on mediastinum [34.29]Excision or destruction of lesion or tissue of mediastinum [34.3]Excision or destruction of lesion of chest wall [34.4]Decortication of lung [34.51]Thoracoscopic decortication of lung [34.52]Other excision of pleura [34.59]Scarification of pleura [34.6]Suture of laceration of chest wall [34.71]Closure of thoracostomy [34.72]Closure of other fistula of thorax [34.73]Repair of pectus deformity [34.74]Other repair of chest wall [34.79]Excision of lesion or tissue of diaphragm [34.81]Suture of laceration of diaphragm [34.82]Closure of fistula of diaphragm [34.83]Other repair of diaphragm [34.84]Implantation of diaphragmatic pacemaker [34.85]Other operations on diaphragm [34.89]Thoracentesis [34.91]Injection into thoracic cavity [34.92]Repair of pleura [34.93]Other operations on thorax [34.99]Closed heart valvotomy, unspecified valve [35.00]Closed heart valvotomy, aortic valve [35.01]Closed heart valvotomy, mitral valve [35.02]Closed heart valvotomy, pulmonary valve [35.03]

Page 85: ICD9 CM Procedure Vol3 FY2012

Closed heart valvotomy, tricuspid valve [35.04]Endovascular replacement of aortic valve [35.05]Transapical replacement of aortic valve [35.06]Endovascular replacement of pulmonary valve [35.07]Transapical replacement of pulmonary valve [35.08]Endovascular replacement of unspecified heart valve [35.09]Open heart valvuloplasty without replacement, unspecified valve [35.10]Open heart valvuloplasty of aortic valve without replacement [35.11]Open heart valvuloplasty of mitral valve without replacement [35.12]Open heart valvuloplasty of pulmonary valve without replacement [35.13]Open heart valvuloplasty of tricuspid valve without replacement [35.14]Open and other replacement of unspecified heart valve [35.20]Open and other replacement of aortic valve with tissue graft [35.21]Open and other replacement of aortic valve [35.22]Open and other replacement of mitral valve with tissue graft [35.23]Open and other replacement of mitral valve [35.24]Open and other replacement of pulmonary valve with tissue graft [35.25]Open and other replacement of pulmonary valve [35.26]Open and other replacement of tricuspid valve with tissue graft [35.27]Open and other replacement of tricuspid valve [35.28]Operations on papillary muscle [35.31]Operations on chordae tendineae [35.32]Annuloplasty [35.33]Infundibulectomy [35.34]Operations on trabeculae carneae cordis [35.35]Operations on other structures adjacent to valves of heart [35.39]Enlargement of existing atrial septal defect [35.41]Creation of septal defect in heart [35.42]Repair of unspecified septal defect of heart with prosthesis [35.50]Repair of atrial septal defect with prosthesis, open technique [35.51]Repair of atrial septal defect with prosthesis, closed technique [35.52]Repair of ventricular septal defect with prosthesis, open technique [35.53]Repair of endocardial cushion defect with prosthesis [35.54]Repair of ventricular septal defect with prosthesis, closed technique [35.55]Repair of unspecified septal defect of heart with tissue graft [35.60]Repair of atrial septal defect with tissue graft [35.61]Repair of ventricular septal defect with tissue graft [35.62]Repair of endocardial cushion defect with tissue graft [35.63]Other and unspecified repair of unspecified septal defect of heart [35.70]Other and unspecified repair of atrial septal defect [35.71]Other and unspecified repair of ventricular septal defect [35.72]Other and unspecified repair of endocardial cushion defect [35.73]Total repair of tetralogy of fallot [35.81]Total repair of total anomalous pulmonary venous connection [35.82]Total repair of truncus arteriosus [35.83]Total correction of transposition of great vessels, not elsewhere classified [35.84]Interatrial transposition of venous return [35.91]Creation of conduit between right ventricle and pulmonary artery [35.92]Creation of conduit between left ventricle and aorta [35.93]Creation of conduit between atrium and pulmonary artery [35.94]Revision of corrective procedure on heart [35.95]Percutaneous balloon valvuloplasty [35.96]Percutaneous mitral valve repair with implant [35.97]Other operations on septa of heart [35.98]Other operations on valves of heart [35.99]Open chest coronary artery angioplasty [36.03]Intracoronary artery thrombolytic infusion [36.04]Insertion of non-drug-eluting coronary artery stent(s) [36.06]

Page 86: ICD9 CM Procedure Vol3 FY2012

Insertion of drug-eluting coronary artery stent(s) [36.07]Other removal of coronary artery obstruction [36.09]Aortocoronary bypass for heart revascularization, not otherwise specified [36.10](Aorto)coronary bypass of one coronary artery [36.11](Aorto)coronary bypass of two coronary arteries [36.12](Aorto)coronary bypass of three coronary arteries [36.13](Aorto)coronary bypass of four or more coronary arteries [36.14]Single internal mammary-coronary artery bypass [36.15]Double internal mammary-coronary artery bypass [36.16]Abdominal-coronary artery bypass [36.17]Other bypass anastomosis for heart revascularization [36.19]Heart revascularization by arterial implant [36.2]Open chest transmyocardial revascularization [36.31]Other transmyocardial revascularization [36.32]Endoscopic transmyocardial revascularization [36.33]Percutaneous transmyocardial revascularization [36.34]Other heart revascularization [36.39]Repair of aneurysm of coronary vessel [36.91]Other operations on vessels of heart [36.99]Pericardiocentesis [37.0]Incision of heart, not otherwise specified [37.10]Cardiotomy [37.11]Pericardiotomy [37.12]Noninvasive programmed electrical stimulation [NIPS] [37.20]Right heart cardiac catheterization [37.21]Left heart cardiac catheterization [37.22]Combined right and left heart cardiac catheterization [37.23]Biopsy of pericardium [37.24]Biopsy of heart [37.25]Catheter based invasive electrophysiologic testing [37.26]Cardiac mapping [37.27]Intracardiac echocardiography [37.28]Other diagnostic procedures on heart and pericardium [37.29]Pericardiectomy [37.31]Excision of aneurysm of heart [37.32]Excision or destruction of other lesion or tissue of heart, open approach [37.33]Excision or destruction of other lesion or tissue of heart, endovascular approach [37.34]Partial ventriculectomy [37.35]Excision, destruction, or exclusion of left atrial appendage (LAA) [37.36]Excision or destruction of other lesion or tissue of heart, thoracoscopic approach [37.37]Implantation of prosthetic cardiac support device around the heart [37.41]Other repair of heart and pericardium [37.49]Heart transplantation [37.51]Implantation of total internal biventricular heart replacement system [37.52]Replacement or repair of thoracic unit of (total) replacement heart system [37.53]Replacement or repair of other implantable component of (total) replacement heart system [37.54]Removal of internal biventricular heart replacement system [37.55]Implantation or insertion of biventricular external heart assist system [37.60]Implant of pulsation balloon [37.61]Insertion of temporary non-implantable extracorporeal circulatory assist device [37.62]Repair of heart assist system [37.63]Removal of external heart assist system(s) or device(s) [37.64]Implant of single ventricular (extracorporeal) external heart assist system [37.65]Insertion of implantable heart assist system [37.66]Implantation of cardiomyostimulation system [37.67]Insertion of percutaneous external heart assist device [37.68]Initial insertion of lead [electrode], not otherwise specified [37.70]Initial insertion of transvenous lead [electrode] into ventricle [37.71]

Page 87: ICD9 CM Procedure Vol3 FY2012

Initial insertion of transvenous leads [electrodes] into atrium and ventricle [37.72]Initial insertion of transvenous lead [electrode] into atrium [37.73]Insertion or replacement of epicardial lead [electrode] into epicardium [37.74]Revision of lead [electrode] [37.75]Replacement of transvenous atrial and/or ventricular lead(s) [electrode] [37.76]Removal of lead(s) [electrode] without replacement [37.77]Insertion of temporary transvenous pacemaker system [37.78]Revision or relocation of cardiac device pocket [37.79]Insertion of permanent pacemaker, initial or replacement, type of device not specified [37.80]Initial insertion of single-chamber device, not specified as rate responsive [37.81]Initial insertion of single-chamber device, rate responsive [37.82]Initial insertion of dual-chamber device [37.83]Replacement of any type pacemaker device with single-chamber device, not specified as rate responsive [37.85]Replacement of any type of pacemaker device with single-chamber device, rate responsive [37.86]Replacement of any type pacemaker device with dual-chamber device [37.87]Revision or removal of pacemaker device [37.89]Insertion of left atrial appendage device [37.90]Open chest cardiac massage [37.91]Injection of therapeutic substance into heart [37.92]Injection of therapeutic substance into pericardium [37.93]Implantation or replacement of automatic cardioverter/defibrillator, total system [AICD] [37.94]Implantation of automatic cardioverter/defibrillator lead(s) only [37.95]Implantation of automatic cardioverter/defibrillator pulse generator only [37.96]Replacement of automatic cardioverter/defibrillator lead(s) only [37.97]Replacement of automatic cardioverter/defibrillator pulse generator only [37.98]Other operations on heart and pericardium [37.99]Incision of vessel, unspecified site [38.00]Incision of vessel, intracranial vessels [38.01]Incision of vessel, other vessels of head and neck [38.02]Incision of vessel, upper limb vessels [38.03]Incision of vessel, aorta [38.04]Incision of vessel, other thoracic vessels [38.05]Incision of vessel, abdominal arteries [38.06]Incision of vessel, abdominal veins [38.07]Incision of vessel, lower limb arteries [38.08]Incision of vessel, lower limb veins [38.09]Endarterectomy, unspecified site [38.10]Endarterectomy, intracranial vessels [38.11]Endarterectomy, other vessels of head and neck [38.12]Endarterectomy, upper limb vessels [38.13]Endarterectomy, aorta [38.14]Endarterectomy, other thoracic vessels [38.15]Endarterectomy, abdominal arteries [38.16]Endarterectomy, lower limb arteries [38.18]Biopsy of blood vessel [38.21]Percutaneous angioscopy [38.22]Intravascular spectroscopy [38.23]Intravascular imaging of coronary vessel(s) by optical coherence tomography [OCT] [38.24]Intravascular imaging of non-coronary vessel(s) by optical coherence tomography [OCT] [38.25]Insertion of implantable pressure sensor without lead for intracardiac or great vessel hemodynamic monitoring [38.26]Other diagnostic procedures on blood vessels [38.29]Resection of vessel with anastomosis, unspecified site [38.30]Resection of vessel with anastomosis, intracranial vessels [38.31]Resection of vessel with anastomosis, other vessels of head and neck [38.32]Resection of vessel with anastomosis, upper limb vessels [38.33]Resection of vessel with anastomosis, aorta [38.34]Resection of vessel with anastomosis, other thoracic vessels [38.35]Resection of vessel with anastomosis, abdominal arteries [38.36]

Page 88: ICD9 CM Procedure Vol3 FY2012

Resection of vessel with anastomosis, abdominal veins [38.37]Resection of vessel with anastomosis, lower limb arteries [38.38]Resection of vessel with anastomosis, lower limb veins [38.39]Resection of vessel with replacement, unspecified site [38.40]Resection of vessel with replacement, intracranial vessels [38.41]Resection of vessel with replacement, other vessels of head and neck [38.42]Resection of vessel with replacement, upper limb vessels [38.43]Resection of vessel with replacement, aorta, abdominal [38.44]Resection of vessel with replacement, thoracic vessels [38.45]Resection of vessel with replacement, abdominal arteries [38.46]Resection of vessel with replacement, abdominal veins [38.47]Resection of vessel with replacement, lower limb arteries [38.48]Resection of vessel with replacement, lower limb veins [38.49]Ligation and stripping of varicose veins, unspecified site [38.50]Ligation and stripping of varicose veins, intracranial vessels [38.51]Ligation and stripping of varicose veins, other vessels of head and neck [38.52]Ligation and stripping of varicose veins, upper limb vessels [38.53]Ligation and stripping of varicose veins, other thoracic vessels [38.55]Ligation and stripping of varicose veins, abdominal veins [38.57]Ligation and stripping of varicose veins, lower limb veins [38.59]Other excision of vessels, unspecified site [38.60]Other excision of vessels, intracranial vessels [38.61]Other excision of vessels, other vessels of head and neck [38.62]Other excision of vessels, upper limb vessels [38.63]Other excision of vessels, aorta, abdominal [38.64]Other excision of vessels, thoracic vessels [38.65]Other excision of vessels, abdominal arteries [38.66]Other excision of vessels, abdominal veins [38.67]Other excision of vessels, lower limb arteries [38.68]Other excision of vessels, lower limb veins [38.69]Interruption of the vena cava [38.7]Other surgical occlusion of vessels, unspecified site [38.80]Other surgical occlusion of vessels, intracranial vessels [38.81]Other surgical occlusion of vessels, other vessels of head and neck [38.82]Other surgical occlusion of vessels, upper limb vessels [38.83]Other surgical occlusion of vessels, aorta, abdominal [38.84]Other surgical occlusion of vessels, thoracic vessels [38.85]Other surgical occlusion of vessels, abdominal arteries [38.86]Other surgical occlusion of vessels, abdominal veins [38.87]Other surgical occlusion of vessels, lower limb arteries [38.88]Other surgical occlusion of vessels, lower limb veins [38.89]Arterial catheterization [38.91]Umbilical vein catheterization [38.92]Venous catheterization, not elsewhere classified [38.93]Venous cutdown [38.94]Venous catheterization for renal dialysis [38.95]Central venous catheter placement with guidance [38.97]Other puncture of artery [38.98]Other puncture of vein [38.99]Systemic to pulmonary artery shunt [39.0]Intra-abdominal venous shunt [39.1]Caval-pulmonary artery anastomosis [39.21]Aorta-subclavian-carotid bypass [39.22]Other intrathoracic vascular shunt or bypass [39.23]Aorta-renal bypass [39.24]Aorta-iliac-femoral bypass [39.25]Other intra-abdominal vascular shunt or bypass [39.26]Arteriovenostomy for renal dialysis [39.27]

Page 89: ICD9 CM Procedure Vol3 FY2012

Extracranial-intracranial (EC-IC) vascular bypass [39.28]Other (peripheral) vascular shunt or bypass [39.29]Suture of unspecified blood vessel [39.30]Suture of artery [39.31]Suture of vein [39.32]Control of hemorrhage following vascular surgery [39.41]Revision of arteriovenous shunt for renal dialysis [39.42]Removal of arteriovenous shunt for renal dialysis [39.43]Other revision of vascular procedure [39.49]Angioplasty of other non-coronary vessel(s) [39.50]Clipping of aneurysm [39.51]Other repair of aneurysm [39.52]Repair of arteriovenous fistula [39.53]Re-entry operation (aorta) [39.54]Reimplantation of aberrant renal vessel [39.55]Repair of blood vessel with tissue patch graft [39.56]Repair of blood vessel with synthetic patch graft [39.57]Repair of blood vessel with unspecified type of patch graft [39.58]Other repair of vessel [39.59]Extracorporeal circulation auxiliary to open heart surgery [39.61]Hypothermia (systemic) incidental to open heart surgery [39.62]Cardioplegia [39.63]Intraoperative cardiac pacemaker [39.64]Extracorporeal membrane oxygenation [ECMO] [39.65]Percutaneous cardiopulmonary bypass [39.66]Endovascular implantation of other graft in abdominal aorta [39.71]Endovascular (total) embolization or occlusion of head and neck vessels [39.72]Endovascular implantation of graft in thoracic aorta [39.73]Endovascular removal of obstruction from head and neck vessel(s) [39.74]Endovascular embolization or occlusion of vessel(s) of head or neck using bare coils [39.75]Endovascular embolization or occlusion of vessel(s) of head or neck using bioactive coils [39.76]Temporary (partial) therapeutic endovascular occlusion of vessel [39.77]Endovascular implantation of branching or fenestrated graft(s) in aorta [39.78]Other endovascular procedures on other vessels [39.79]Implantation or replacement of carotid sinus stimulation device, total system [39.81]Implantation or replacement of carotid sinus stimulation lead(s) only [39.82]Implantation or replacement of carotid sinus stimulation pulse generator only [39.83]Revision of carotid sinus stimulation lead(s) only [39.84]Revision of carotid sinus stimulation pulse generator [39.85]Removal of carotid sinus stimulation device, total system [39.86]Removal of carotid sinus stimulation lead(s) only [39.87]Removal of carotid sinus stimulation pulse generator only [39.88]Other operations on carotid body, carotid sinus and other vascular bodies [39.89]Insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) [39.90]Freeing of vessel [39.91]Injection of sclerosing agent into vein [39.92]Insertion of vessel-to-vessel cannula [39.93]Replacement of vessel-to-vessel cannula [39.94]Hemodialysis [39.95]Total body perfusion [39.96]Other perfusion [39.97]Control of hemorrhage, not otherwise specified [39.98]Other operations on vessels [39.99]Incision of lymphatic structures [40.0]Biopsy of lymphatic structure [40.11]Other diagnostic procedures on lymphatic structures [40.19]Excision of deep cervical lymph node [40.21]Excision of internal mammary lymph node [40.22]

Page 90: ICD9 CM Procedure Vol3 FY2012

Excision of axillary lymph node [40.23]Excision of inguinal lymph node [40.24]Simple excision of other lymphatic structure [40.29]Regional lymph node excision [40.3]Radical neck dissection, not otherwise specified [40.40]Radical neck dissection, unilateral [40.41]Radical neck dissection, bilateral [40.42]Radical excision of lymph nodes, not otherwise specified [40.50]Radical excision of axillary lymph nodes [40.51]Radical excision of periaortic lymph nodes [40.52]Radical excision of iliac lymph nodes [40.53]Radical groin dissection [40.54]Radical excision of other lymph nodes [40.59]Cannulation of thoracic duct [40.61]Fistulization of thoracic duct [40.62]Closure of fistula of thoracic duct [40.63]Ligation of thoracic duct [40.64]Other operations on thoracic duct [40.69]Other operations on lymphatic structures [40.9]Bone marrow transplant, not otherwise specified [41.00]Autologous bone marrow transplant without purging [41.01]Allogeneic bone marrow transplant with purging [41.02]Allogeneic bone marrow transplant without purging [41.03]Autologous hematopoietic stem cell transplant without purging [41.04]Allogeneic hematopoietic stem cell transpant without purging [41.05]Cord blood stem cell transplant [41.06]Autologous hematopoietic stem cell transplant with purging [41.07]Allogeneic hematopoietic stem cell transplant with purging [41.08]Autologous bone marrow transplant with purging [41.09]Puncture of spleen [41.1]Splenotomy [41.2]Biopsy of bone marrow [41.31]Closed [aspiration] [percutaneous] biopsy of spleen [41.32]Open biopsy of spleen [41.33]Other diagnostic procedures on bone marrow [41.38]Other diagnostic procedures on spleen [41.39]Marsupialization of splenic cyst [41.41]Excision of lesion or tissue of spleen [41.42]Partial splenectomy [41.43]Total splenectomy [41.5]Aspiration of bone marrow from donor for transplant [41.91]Injection into bone marrow [41.92]Excision of accessory spleen [41.93]Transplantation of spleen [41.94]Repair and plastic operations on spleen [41.95]Other operations on bone marrow [41.98]Other operations on spleen [41.99]Incision of esophageal web [42.01]Other incision of esophagus [42.09]Esophagostomy, not otherwise specified [42.10]Cervical esophagostomy [42.11]Exteriorization of esophageal pouch [42.12]Other external fistulization of esophagus [42.19]Operative esophagoscopy by incision [42.21]Esophagoscopy through artificial stoma [42.22]Other esophagoscopy [42.23]Closed [endoscopic] biopsy of esophagus [42.24]Open biopsy of esophagus [42.25]

Page 91: ICD9 CM Procedure Vol3 FY2012

Other diagnostic procedures on esophagus [42.29]Local excision of esophageal diverticulum [42.31]Local excision of other lesion or tissue of esophagus [42.32]Endoscopic excision or destruction of lesion or tissue of esophagus [42.33]Other destruction of lesion or tissue of esophagus [42.39]Esophagectomy, not otherwise specified [42.40]Partial esophagectomy [42.41]Total esophagectomy [42.42]Intrathoracic esophagoesophagostomy [42.51]Intrathoracic esophagogastrostomy [42.52]Intrathoracic esophageal anastomosis with interposition of small bowel [42.53]Other intrathoracic esophagoenterostomy [42.54]Intrathoracic esophageal anastomosis with interposition of colon [42.55]Other intrathoracic esophagocolostomy [42.56]Intrathoracic esophageal anastomosis with other interposition [42.58]Other intrathoracic anastomosis of esophagus [42.59]Antesternal esophagoesophagostomy [42.61]Antesternal esophagogastrostomy [42.62]Antesternal esophageal anastomosis with interposition of small bowel [42.63]Other antesternal esophagoenterostomy [42.64]Antesternal esophageal anastomosis with interposition of colon [42.65]Other antesternal esophagocolostomy [42.66]Other antesternal esophageal anastomosis with interposition [42.68]Other antesternal anastomosis of esophagus [42.69]Esophagomyotomy [42.7]Insertion of permanent tube into esophagus [42.81]Suture of laceration of esophagus [42.82]Closure of esophagostomy [42.83]Repair of esophageal fistula, not elsewhere classified [42.84]Repair of esophageal stricture [42.85]Production of subcutaneous tunnel without esophageal anastomosis [42.86]Other graft of esophagus [42.87]Other repair of esophagus [42.89]Ligation of esophageal varices [42.91]Dilation of esophagus [42.92]Other operations on esophagus [42.99]Gastrotomy [43.0]Percutaneous [endoscopic] gastrostomy [PEG] [43.11]Other gastrostomy [43.19]Pyloromyotomy [43.3]Endoscopic excision or destruction of lesion or tissue of stomach [43.41]Local excision of other lesion or tissue of stomach [43.42]Other destruction of lesion or tissue of stomach [43.49]Partial gastrectomy with anastomosis to esophagus [43.5]Partial gastrectomy with anastomosis to duodenum [43.6]Partial gastrectomy with anastomosis to jejunum [43.7]Partial gastrectomy with jejunal transposition [43.81]Laparoscopic vertical (sleeve) gastrectomy [43.82]Open and other partial gastrectomy [43.89]Total gastrectomy with intestinal interposition [43.91]Other total gastrectomy [43.99]Vagotomy, not otherwise specified [44.00]Truncal vagotomy [44.01]Highly selective vagotomy [44.02]Other selective vagotomy [44.03]Transabdominal gastroscopy [44.11]Gastroscopy through artificial stoma [44.12]Other gastroscopy [44.13]

Page 92: ICD9 CM Procedure Vol3 FY2012

Closed [endoscopic] biopsy of stomach [44.14]Open biopsy of stomach [44.15]Other diagnostic procedures on stomach [44.19]Dilation of pylorus by incision [44.21]Endoscopic dilation of pylorus [44.22]Other pyloroplasty [44.29]High gastric bypass [44.31]Percutaneous [endoscopic] gastrojejunostomy [44.32]Laparoscopic gastroenterostomy [44.38]Other gastroenterostomy without gastrectomy [44.39]Suture of peptic ulcer, not otherwise specified [44.40]Suture of gastric ulcer site [44.41]Suture of duodenal ulcer site [44.42]Endoscopic control of gastric or duodenal bleeding [44.43]Transcatheter embolization for gastric or duodenal bleeding [44.44]Other control of hemorrhage of stomach or duodenum [44.49]Revision of gastric anastomosis [44.5]Suture of laceration of stomach [44.61]Closure of gastrostomy [44.62]Closure of other gastric fistula [44.63]Gastropexy [44.64]Esophagogastroplasty [44.65]Other procedures for creation of esophagogastric sphincteric competence [44.66]Laparoscopic procedures for creation of esophagogastric sphincteric competence [44.67]Laparoscopic gastroplasty [44.68]Other repair of stomach [44.69]Ligation of gastric varices [44.91]Intraoperative manipulation of stomach [44.92]Insertion of gastric bubble (balloon) [44.93]Removal of gastric bubble (balloon) [44.94]Laparoscopic gastric restrictive procedure [44.95]Laparoscopic revision of gastric restrictive procedure [44.96]Laparoscopic removal of gastric restrictive device(s) [44.97](Laparoscopic) adjustment of size of adjustable gastric restrictive device [44.98]Other operations on stomach [44.99]Incision of intestine, not otherwise specified [45.00]Incision of duodenum [45.01]Other incision of small intestine [45.02]Incision of large intestine [45.03]Transabdominal endoscopy of small intestine [45.11]Endoscopy of small intestine through artificial stoma [45.12]Other endoscopy of small intestine [45.13]Closed [endoscopic] biopsy of small intestine [45.14]Open biopsy of small intestine [45.15]Esophagogastroduodenoscopy [EGD] with closed biopsy [45.16]Other diagnostic procedures on small intestine [45.19]Transabdominal endoscopy of large intestine [45.21]Endoscopy of large intestine through artificial stoma [45.22]Colonoscopy [45.23]Flexible sigmoidoscopy [45.24]Closed [endoscopic] biopsy of large intestine [45.25]Open biopsy of large intestine [45.26]Intestinal biopsy, site unspecified [45.27]Other diagnostic procedures on large intestine [45.28]Other diagnostic procedures on intestine, site unspecified [45.29]Endoscopic excision or destruction of lesion of duodenum [45.30]Other local excision of lesion of duodenum [45.31]Other destruction of lesion of duodenum [45.32]

Page 93: ICD9 CM Procedure Vol3 FY2012

Local excision of lesion or tissue of small intestine, except duodenum [45.33]Other destruction of lesion of small intestine, except duodenum [45.34]Excision of lesion or tissue of large intestine [45.41]Endoscopic polypectomy of large intestine [45.42]Endoscopic destruction of other lesion or tissue of large intestine [45.43]Other destruction of lesion of large intestine [45.49]Isolation of intestinal segment, not otherwise specified [45.50]Isolation of segment of small intestine [45.51]Isolation of segment of large intestine [45.52]Multiple segmental resection of small intestine [45.61]Other partial resection of small intestine [45.62]Total removal of small intestine [45.63]Open and other multiple segmental resection of large intestine [45.71]Open and other cecectomy [45.72]Open and other right hemicolectomy [45.73]Open and other resection of transverse colon [45.74]Open and other left hemicolectomy [45.75]Open and other sigmoidectomy [45.76]Other and unspecified partial excision of large intestine [45.79]Laparoscopic total intra-abdominal colectomy [45.81]Open total intra-abdominal colectomy [45.82]Other and unspecified total intra-abdominal colectomy [45.83]Intestinal anastomosis, not otherwise specified [45.90]Small-to-small intestinal anastomosis [45.91]Anastomosis of small intestine to rectal stump [45.92]Other small-to-large intestinal anastomosis [45.93]Large-to-large intestinal anastomosis [45.94]Anastomosis to anus [45.95]Exteriorization of small intestine [46.01]Resection of exteriorized segment of small intestine [46.02]Exteriorization of large intestine [46.03]Resection of exteriorized segment of large intestine [46.04]Colostomy, not otherwise specified [46.10]Temporary colostomy [46.11]Permanent colostomy [46.13]Delayed opening of colostomy [46.14]Ileostomy, not otherwise specified [46.20]Temporary ileostomy [46.21]Continent ileostomy [46.22]Other permanent ileostomy [46.23]Delayed opening of ileostomy [46.24]Delayed opening of other enterostomy [46.31]Percutaneous (endoscopic) jejunostomy [PEJ] [46.32]Other enterostomy [46.39]Revision of intestinal stoma, not otherwise specified [46.40]Revision of stoma of small intestine [46.41]Repair of pericolostomy hernia [46.42]Other revision of stoma of large intestine [46.43]Closure of intestinal stoma, not otherwise specified [46.50]Closure of stoma of small intestine [46.51]Closure of stoma of large intestine [46.52]Fixation of intestine, not otherwise specified [46.60]Fixation of small intestine to abdominal wall [46.61]Other fixation of small intestine [46.62]Fixation of large intestine to abdominal wall [46.63]Other fixation of large intestine [46.64]Suture of laceration of duodenum [46.71]Closure of fistula of duodenum [46.72]

Page 94: ICD9 CM Procedure Vol3 FY2012

Suture of laceration of small intestine, except duodenum [46.73]Closure of fistula of small intestine, except duodenum [46.74]Suture of laceration of large intestine [46.75]Closure of fistula of large intestine [46.76]Other repair of intestine [46.79]Intra-abdominal manipulation of intestine, not otherwise specified [46.80]Intra-abdominal manipulation of small intestine [46.81]Intra-abdominal manipulation of large intestine [46.82]Dilation of intestine [46.85]Endoscopic insertion of colonic stent(s) [46.86]Other insertion of colonic stent(s) [46.87]Myotomy of sigmoid colon [46.91]Myotomy of other parts of colon [46.92]Revision of anastomosis of small intestine [46.93]Revision of anastomosis of large intestine [46.94]Local perfusion of small intestine [46.95]Local perfusion of large intestine [46.96]Transplant of intestine [46.97]Other operations on intestines [46.99]Laparoscopic appendectomy [47.01]Other appendectomy [47.09]Laparoscopic incidental appendectomy [47.11]Other incidental appendectomy [47.19]Drainage of appendiceal abscess [47.2]Appendicostomy [47.91]Closure of appendiceal fistula [47.92]Other operations on appendix [47.99]Proctotomy [48.0]Proctostomy [48.1]Transabdominal proctosigmoidoscopy [48.21]Proctosigmoidoscopy through artificial stoma [48.22]Rigid proctosigmoidoscopy [48.23]Closed [endoscopic] biopsy of rectum [48.24]Open biopsy of rectum [48.25]Biopsy of perirectal tissue [48.26]Other diagnostic procedures on rectum, rectosigmoid and perirectal tissue [48.29]Radical electrocoagulation of rectal lesion or tissue [48.31]Other electrocoagulation of rectal lesion or tissue [48.32]Destruction of rectal lesion or tissue by laser [48.33]Destruction of rectal lesion or tissue by cryosurgery [48.34]Local excision of rectal lesion or tissue [48.35][Endoscopic] polypectomy of rectum [48.36]Pull-through resection of rectum, not otherwise specified [48.40]Soave submucosal resection of rectum [48.41]Laparoscopic pull-through resection of rectum [48.42]Open pull-through resection of rectum [48.43]Other pull-through resection of rectum [48.49]Abdominoperineal resection of the rectum, not otherwise specified [48.50]Laparoscopic abdominoperineal resection of the rectum [48.51]Open abdominoperineal resection of the rectum [48.52]Other abdominoperineal resection of the rectum [48.59]Transsacral rectosigmoidectomy [48.61]Anterior resection of rectum with synchronous colostomy [48.62]Other anterior resection of rectum [48.63]Posterior resection of rectum [48.64]Duhamel resection of rectum [48.65]Other resection of rectum [48.69]Suture of laceration of rectum [48.71]

Page 95: ICD9 CM Procedure Vol3 FY2012

Closure of proctostomy [48.72]Closure of other rectal fistula [48.73]Rectorectostomy [48.74]Abdominal proctopexy [48.75]Other proctopexy [48.76]Other repair of rectum [48.79]Incision of perirectal tissue [48.81]Excision of perirectal tissue [48.82]Incision of rectal stricture [48.91]Anorectal myectomy [48.92]Repair of perirectal fistula [48.93]Other operations on rectum and perirectal tissue [48.99]Incision of perianal abscess [49.01]Other incision of perianal tissue [49.02]Excision of perianal skin tags [49.03]Other excision of perianal tissue [49.04]Anal fistulotomy [49.11]Anal fistulectomy [49.12]Anoscopy [49.21]Biopsy of perianal tissue [49.22]Biopsy of anus [49.23]Other diagnostic procedures on anus and perianal tissue [49.29]Endoscopic excision or destruction of lesion or tissue of anus [49.31]Other local excision or destruction of lesion or tissue of anus [49.39]Reduction of hemorrhoids [49.41]Injection of hemorrhoids [49.42]Cauterization of hemorrhoids [49.43]Destruction of hemorrhoids by cryotherapy [49.44]Ligation of hemorrhoids [49.45]Excision of hemorrhoids [49.46]Evacuation of thrombosed hemorrhoids [49.47]Other procedures on hemorrhoids [49.49]Left lateral anal sphincterotomy [49.51]Posterior anal sphincterotomy [49.52]Other anal sphincterotomy [49.59]Excision of anus [49.6]Suture of laceration of anus [49.71]Anal cerclage [49.72]Closure of anal fistula [49.73]Gracilis muscle transplant for anal incontinence [49.74]Implantation or revision of artificial anal sphincter [49.75]Removal of artificial anal sphincter [49.76]Other repair of anal sphincter [49.79]Incision of anal septum [49.91]Insertion of subcutaneous electrical anal stimulator [49.92]Other incision of anus [49.93]Reduction of anal prolapse [49.94]Control of (postoperative) hemorrhage of anus [49.95]Other operations on anus [49.99]Hepatotomy [50.0]Closed (percutaneous) [needle] biopsy of liver [50.11]Open biopsy of liver [50.12]Transjugular liver biopsy [50.13]Laparoscopic liver biopsy [50.14]Other diagnostic procedures on liver [50.19]Marsupialization of lesion of liver [50.21]Partial hepatectomy [50.22]Open ablation of liver lesion or tissue [50.23]

Page 96: ICD9 CM Procedure Vol3 FY2012

Percutaneous ablation of liver lesion or tissue [50.24]Laparoscopic ablation of liver lesion or tissue [50.25]Other and unspecified ablation of liver lesion or tissue [50.26]Other destruction of lesion of liver [50.29]Lobectomy of liver [50.3]Total hepatectomy [50.4]Auxiliary liver transplant [50.51]Other transplant of liver [50.59]Closure of laceration of liver [50.61]Other repair of liver [50.69]Percutaneous aspiration of liver [50.91]Extracorporeal hepatic assistance [50.92]Localized perfusion of liver [50.93]Other injection of therapeutic substance into liver [50.94]Other operations on liver [50.99]Percutaneous aspiration of gallbladder [51.01]Trocar cholecystostomy [51.02]Other cholecystostomy [51.03]Other cholecystotomy [51.04]Endoscopic retrograde cholangiopancreatography [ERCP] [51.10]Endoscopic retrograde cholangiography [ERC] [51.11]Percutaneous biopsy of gallbladder or bile ducts [51.12]Open biopsy of gallbladder or bile ducts [51.13]Other closed [endoscopic] biopsy of biliary duct or sphincter of Oddi [51.14]Pressure measurement of sphincter of Oddi [51.15]Other diagnostic procedures on biliary tract [51.19]Other partial cholecystectomy [51.21]Cholecystectomy [51.22]Laparoscopic cholecystectomy [51.23]Laparoscopic partial cholecystectomy [51.24]Anastomosis of gallbladder to hepatic ducts [51.31]Anastomosis of gallbladder to intestine [51.32]Anastomosis of gallbladder to pancreas [51.33]Anastomosis of gallbladder to stomach [51.34]Other gallbladder anastomosis [51.35]Choledochoenterostomy [51.36]Anastomosis of hepatic duct to gastrointestinal tract [51.37]Other bile duct anastomosis [51.39]Common duct exploration for removal of calculus [51.41]Common duct exploration for relief of other obstruction [51.42]Insertion of choledochohepatic tube for decompression [51.43]Incision of other bile ducts for relief of obstruction [51.49]Exploration of common duct [51.51]Other incision of other bile duct [51.59]Excision of cystic duct remnant [51.61]Excision of ampulla of Vater (with reimplantation of common duct) [51.62]Other excision of common duct [51.63]Endoscopic excision or destruction of lesion of biliary ducts or sphincter of Oddi [51.64]Excision of other bile duct [51.69]Simple suture of common bile duct [51.71]Choledochoplasty [51.72]Repair of other bile ducts [51.79]Dilation of sphincter of Oddi [51.81]Pancreatic sphincterotomy [51.82]Pancreatic sphincteroplasty [51.83]Endoscopic dilation of ampulla and biliary duct [51.84]Endoscopic sphincterotomy and papillotomy [51.85]Endoscopic insertion of nasobiliary drainage tube [51.86]

Page 97: ICD9 CM Procedure Vol3 FY2012

Endoscopic insertion of stent (tube) into bile duct [51.87]Endoscopic removal of stone(s) from biliary tract [51.88]Other operations on sphincter of Oddi [51.89]Repair of laceration of gallbladder [51.91]Closure of cholecystostomy [51.92]Closure of other biliary fistula [51.93]Revision of anastomosis of biliary tract [51.94]Removal of prosthetic device from bile duct [51.95]Percutaneous extraction of common duct stones [51.96]Other percutaneous procedures on biliary tract [51.98]Other operations on biliary tract [51.99]Drainage of pancreatic cyst by catheter [52.01]Other pancreatotomy [52.09]Closed [aspiration] [needle] [percutaneous] biopsy of pancreas [52.11]Open biopsy of pancreas [52.12]Endoscopic retrograde pancreatography [ERP] [52.13]Closed [endoscopic] biopsy of pancreatic duct [52.14]Other diagnostic procedures on pancreas [52.19]Endoscopic excision or destruction of lesion or tissue of pancreatic duct [52.21]Other excision or destruction of lesion or tissue of pancreas or pancreatic duct [52.22]Marsupialization of pancreatic cyst [52.3]Internal drainage of pancreatic cyst [52.4]Proximal pancreatectomy [52.51]Distal pancreatectomy [52.52]Radical subtotal pancreatectomy [52.53]Other partial pancreatectomy [52.59]Total pancreatectomy [52.6]Radical pancreaticoduodenectomy [52.7]Pancreatic transplant, not otherwise specified [52.80]Reimplantation of pancreatic tissue [52.81]Homotransplant of pancreas [52.82]Heterotransplant of pancreas [52.83]Autotransplantation of cells of Islets of Langerhans [52.84]Allotransplantation of cells of Islets of Langerhans [52.85]Transplantation of cells of Islets of Langerhans, not otherwise specified [52.86]Cannulation of pancreatic duct [52.92]Endoscopic insertion of stent (tube) into pancreatic duct [52.93]Endoscopic removal of stone(s) from pancreatic duct [52.94]Other repair of pancreas [52.95]Anastomosis of pancreas [52.96]Endoscopic insertion of nasopancreatic drainage tube [52.97]Endoscopic dilation of pancreatic duct [52.98]Other operations on pancreas [52.99]Unilateral repair of inguinal hernia, not otherwise specified [53.00]Other and open repair of direct inguinal hernia [53.01]Other and open repair of indirect inguinal hernia [53.02]Other and open repair of direct inguinal hernia with graft or prosthesis [53.03]Other and open repair of indirect inguinal hernia with graft or prosthesis [53.04]Repair of inguinal hernia with graft or prosthesis, not otherwise specified [53.05]Bilateral repair of inguinal hernia, not otherwise specified [53.10]Other and open bilateral repair of direct inguinal hernia [53.11]Other and open bilateral repair of indirect inguinal hernia [53.12]Other and open bilateral repair of inguinal hernia, one direct and one indirect [53.13]Other and open bilateral repair of direct inguinal hernia with graft or prosthesis [53.14]Other and open bilateral repair of indirect inguinal hernia with graft or prosthesis [53.15]Other and open bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis [53.16]Bilateral inguinal hernia repair with graft or prosthesis, not otherwise specified [53.17]Unilateral repair of femoral hernia with graft or prosthesis [53.21]

Page 98: ICD9 CM Procedure Vol3 FY2012

Other unilateral femoral herniorrhaphy [53.29]Bilateral repair of femoral hernia with graft or prosthesis [53.31]Other bilateral femoral herniorrhaphy [53.39]Other and open repair of umbilical hernia with graft or prosthesis [53.41]Laparoscopic repair of umbilical hernia with graft or prosthesis [53.42]Other laparoscopic umbilical herniorrhaphy [53.43]Other open umbilical herniorrhaphy [53.49]Incisional hernia repair [53.51]Repair of other hernia of anterior abdominal wall [53.59]Other open incisional hernia repair with graft or prosthesis [53.61]Laparoscopic incisional hernia repair with graft or prosthesis [53.62]Other laparoscopic repair of other hernia of anterior abdominal wall with graft or prosthesis [53.63]Other and open repair of other hernia of anterior abdominal wall with graft or prosthesis [53.69]Laparoscopic repair of diaphragmatic hernia, abdominal approach [53.71]Other and open repair of diaphragmatic hernia, abdominal approach [53.72]Repair of diaphragmatic hernia, abdominal approach, not otherwise specified [53.75]Repair of diaphragmatic hernia with thoracic approach, not otherwise specified [53.80]Plication of the diaphragm [53.81]Repair of parasternal hernia [53.82]Laparoscopic repair of diaphragmatic hernia, with thoracic approach [53.83]Other and open repair of diaphragmatic hernia, with thoracic approach [53.84]Other hernia repair [53.9]Incision of abdominal wall [54.0]Exploratory laparotomy [54.11]Reopening of recent laparotomy site [54.12]Other laparotomy [54.19]Laparoscopy [54.21]Biopsy of abdominal wall or umbilicus [54.22]Biopsy of peritoneum [54.23]Closed [percutaneous] [needle] biopsy of intra-abdominal mass [54.24]Peritoneal lavage [54.25]Other diagnostic procedures on abdominal region [54.29]Excision or destruction of lesion or tissue of abdominal wall or umbilicus [54.3]Excision or destruction of peritoneal tissue [54.4]Laparoscopic lysis of peritoneal adhesions [54.51]Other lysis of peritoneal adhesions [54.59]Reclosure of postoperative disruption of abdominal wall [54.61]Delayed closure of granulating abdominal wound [54.62]Other suture of abdominal wall [54.63]Suture of peritoneum [54.64]Repair of gastroschisis [54.71]Other repair of abdominal wall [54.72]Other repair of peritoneum [54.73]Other repair of omentum [54.74]Other repair of mesentery [54.75]Percutaneous abdominal drainage [54.91]Removal of foreign body from peritoneal cavity [54.92]Creation of cutaneoperitoneal fistula [54.93]Creation of peritoneovascular shunt [54.94]Incision of peritoneum [54.95]Injection of air into peritoneal cavity [54.96]Injection of locally-acting therapeutic substance into peritoneal cavity [54.97]Peritoneal dialysis [54.98]Other operations of abdominal region [54.99]Nephrotomy [55.01]Nephrostomy [55.02]Percutaneous nephrostomy without fragmentation [55.03]Percutaneous nephrostomy with fragmentation [55.04]

Page 99: ICD9 CM Procedure Vol3 FY2012

Pyelotomy [55.11]Pyelostomy [55.12]Nephroscopy [55.21]Pyeloscopy [55.22]Closed [percutaneous] [needle] biopsy of kidney [55.23]Open biopsy of kidney [55.24]Other diagnostic procedures on kidney [55.29]Marsupialization of kidney lesion [55.31]Open ablation of renal lesion or tissue [55.32]Percutaneous ablation of renal lesion or tissue [55.33]Laparoscopic ablation of renal lesion or tissue [55.34]Other and unspecified ablation of renal lesion or tissue [55.35]Other local destruction or excision of renal lesion or tissue [55.39]Partial nephrectomy [55.4]Nephroureterectomy [55.51]Nephrectomy of remaining kidney [55.52]Removal of transplanted or rejected kidney [55.53]Bilateral nephrectomy [55.54]Renal autotransplantation [55.61]Other kidney transplantation [55.69]Nephropexy [55.7]Suture of laceration of kidney [55.81]Closure of nephrostomy and pyelostomy [55.82]Closure of other fistula of kidney [55.83]Reduction of torsion of renal pedicle [55.84]Symphysiotomy for horseshoe kidney [55.85]Anastomosis of kidney [55.86]Correction of ureteropelvic junction [55.87]Other repair of kidney [55.89]Decapsulation of kidney [55.91]Percutaneous aspiration of kidney (pelvis) [55.92]Replacement of nephrostomy tube [55.93]Replacement of pyelostomy tube [55.94]Local perfusion of kidney [55.95]Other injection of therapeutic substance into kidney [55.96]Implantation or replacement of mechanical kidney [55.97]Removal of mechanical kidney [55.98]Other operations on kidney [55.99]Transurethral removal of obstruction from ureter and renal pelvis [56.0]Ureteral meatotomy [56.1]Ureterotomy [56.2]Ureteroscopy [56.31]Closed percutaneous biopsy of ureter [56.32]Closed endoscopic biopsy of ureter [56.33]Open biopsy of ureter [56.34]Endoscopy (cystoscopy) (looposcopy) of ileal conduit [56.35]Other diagnostic procedures on ureter [56.39]Ureterectomy, not otherwise specified [56.40]Partial ureterectomy [56.41]Total ureterectomy [56.42]Formation of cutaneous uretero-ileostomy [56.51]Revision of cutaneous uretero-ileostomy [56.52]Formation of other cutaneous ureterostomy [56.61]Revision of other cutaneous ureterostomy [56.62]Urinary diversion to intestine [56.71]Revision of ureterointestinal anastomosis [56.72]Nephrocystanastomosis, not otherwise specified [56.73]Ureteroneocystostomy [56.74]

Page 100: ICD9 CM Procedure Vol3 FY2012

Transureteroureterostomy [56.75]Other anastomosis or bypass of ureter [56.79]Lysis of intraluminal adhesions of ureter [56.81]Suture of laceration of ureter [56.82]Closure of ureterostomy [56.83]Closure of other fistula of ureter [56.84]Ureteropexy [56.85]Removal of ligature from ureter [56.86]Other repair of ureter [56.89]Dilation of ureteral meatus [56.91]Implantation of electronic ureteral stimulator [56.92]Replacement of electronic ureteral stimulator [56.93]Removal of electronic ureteral stimulator [56.94]Ligation of ureter [56.95]Other operations on ureter [56.99]Transurethral clearance of bladder [57.0]Percutaneous aspiration of bladder [57.11]Lysis of intraluminal adhesions with incision into bladder [57.12]Percutaneous cystostomy [57.17]Other suprapubic cystostomy [57.18]Other cystotomy [57.19]Vesicostomy [57.21]Revision or closure of vesicostomy [57.22]Cystoscopy through artificial stoma [57.31]Other cystoscopy [57.32]Closed [transurethral] biopsy of bladder [57.33]Open biopsy of bladder [57.34]Other diagnostic procedures on bladder [57.39]Transurethral lysis of intraluminal adhesions [57.41]Other transurethral excision or destruction of lesion or tissue of bladder [57.49]Excision of urachus [57.51]Open excision or destruction of other lesion or tissue of bladder [57.59]Partial cystectomy [57.6]Radical cystectomy [57.71]Other total cystectomy [57.79]Suture of laceration of bladder [57.81]Closure of cystostomy [57.82]Repair of fistula involving bladder and intestine [57.83]Repair of other fistula of bladder [57.84]Cystourethroplasty and plastic repair of bladder neck [57.85]Repair of bladder exstrophy [57.86]Reconstruction of urinary bladder [57.87]Other anastomosis of bladder [57.88]Other repair of bladder [57.89]Sphincterotomy of bladder [57.91]Dilation of bladder neck [57.92]Control of (postoperative) hemorrhage of bladder [57.93]Insertion of indwelling urinary catheter [57.94]Replacement of indwelling urinary catheter [57.95]Implantation of electronic bladder stimulator [57.96]Replacement of electronic bladder stimulator [57.97]Removal of electronic bladder stimulator [57.98]Other operations on bladder [57.99]Urethrotomy [58.0]Urethral meatotomy [58.1]Perineal urethroscopy [58.21]Other urethroscopy [58.22]Biopsy of urethra [58.23]

Page 101: ICD9 CM Procedure Vol3 FY2012

Biopsy of periurethral tissue [58.24]Other diagnostic procedures on urethra and periurethral tissue [58.29]Endoscopic excision or destruction of lesion or tissue of urethra [58.31]Other local excision or destruction of lesion or tissue of urethra [58.39]Suture of laceration of urethra [58.41]Closure of urethrostomy [58.42]Closure of other fistula of urethra [58.43]Reanastomosis of urethra [58.44]Repair of hypospadias or epispadias [58.45]Other reconstruction of urethra [58.46]Urethral meatoplasty [58.47]Other repair of urethra [58.49]Release of urethral stricture [58.5]Dilation of urethra [58.6]Incision of periurethral tissue [58.91]Excision of periurethral tissue [58.92]Implantation of artificial urinary sphincter [AUS] [58.93]Other operations on urethra and periurethral tissue [58.99]Retroperitoneal dissection, not otherwise specified [59.00]Other lysis of perirenal or periureteral adhesions [59.02]Laparoscopic lysis of perirenal or periureteral adhesions [59.03]Other incision of perirenal or periureteral tissue [59.09]Other lysis of perivesical adhesions [59.11]Laparoscopic lysis of perivesical adhesions [59.12]Other incision of perivesical tissue [59.19]Biopsy of perirenal or perivesical tissue [59.21]Other diagnostic procedures on perirenal tissue, perivesical tissue, and retroperitoneum [59.29]Plication of urethrovesical junction [59.3]Suprapubic sling operation [59.4]Retropubic urethral suspension [59.5]Paraurethral suspension [59.6]Levator muscle operation for urethrovesical suspension [59.71]Injection of implant into urethra and/or bladder neck [59.72]Other repair of urinary stress incontinence [59.79]Ureteral catheterization [59.8]Excision of perirenal or perivesical tissue [59.91]Other operations on perirenal or perivesical tissue [59.92]Replacement of ureterostomy tube [59.93]Replacement of cystostomy tube [59.94]Ultrasonic fragmentation of urinary stones [59.95]Other operations on urinary system [59.99]Incision of prostate [60.0]Closed [percutaneous] [needle] biopsy of prostate [60.11]Open biopsy of prostate [60.12]Closed [percutaneous] biopsy of seminal vesicles [60.13]Open biopsy of seminal vesicles [60.14]Biopsy of periprostatic tissue [60.15]Other diagnostic procedures on prostate and periprostatic tissue [60.18]Other diagnostic procedures on seminal vesicles [60.19]Transurethral (ultrasound) guided laser induced prostatectomy (TULIP) [60.21]Other transurethral prostatectomy [60.29]Suprapubic prostatectomy [60.3]Retropubic prostatectomy [60.4]Radical prostatectomy [60.5]Local excision of lesion of prostate [60.61]Perineal prostatectomy [60.62]Other prostatectomy [60.69]Percutaneous aspiration of seminal vesicle [60.71]

Page 102: ICD9 CM Procedure Vol3 FY2012

Incision of seminal vesicle [60.72]Excision of seminal vesicle [60.73]Other operations on seminal vesicles [60.79]Incision of periprostatic tissue [60.81]Excision of periprostatic tissue [60.82]Percutaneous aspiration of prostate [60.91]Injection into prostate [60.92]Repair of prostate [60.93]Control of (postoperative) hemorrhage of prostate [60.94]Transurethral balloon dilation of the prostatic urethra [60.95]Transurethral destruction of prostate tissue by microwave thermotherapy [60.96]Other transurethral destruction of prostate tissue by other thermotherapy [60.97]Other operations on prostate [60.99]Incision and drainage of scrotum and tunica vaginalis [61.0]Biopsy of scrotum or tunica vaginalis [61.11]Other diagnostic procedures on scrotum and tunica vaginalis [61.19]Excision of hydrocele (of tunica vaginalis) [61.2]Excision or destruction of lesion or tissue of scrotum [61.3]Suture of laceration of scrotum and tunica vaginalis [61.41]Repair of scrotal fistula [61.42]Other repair of scrotum and tunica vaginalis [61.49]Percutaneous aspiration of tunica vaginalis [61.91]Excision of lesion of tunica vaginalis other than hydrocele [61.92]Other operations on scrotum and tunica vaginalis [61.99]Incision of testis [62.0]Closed [percutaneous] [needle] biopsy of testis [62.11]Open biopsy of testis [62.12]Other diagnostic procedures on testes [62.19]Excision or destruction of testicular lesion [62.2]Unilateral orchiectomy [62.3]Removal of both testes at same operative episode [62.41]Removal of remaining testis [62.42]Orchiopexy [62.5]Suture of laceration of testis [62.61]Other repair of testis [62.69]Insertion of testicular prosthesis [62.7]Aspiration of testis [62.91]Injection of therapeutic substance into testis [62.92]Other operations on testes [62.99]Biopsy of spermatic cord, epididymis, or vas deferens [63.01]Other diagnostic procedures on spermatic cord, epididymis, and vas deferens [63.09]Excision of varicocele and hydrocele of spermatic cord [63.1]Excision of cyst of epididymis [63.2]Excision of other lesion or tissue of spermatic cord and epididymis [63.3]Epididymectomy [63.4]Suture of laceration of spermatic cord and epididymis [63.51]Reduction of torsion of testis or spermatic cord [63.52]Transplantation of spermatic cord [63.53]Other repair of spermatic cord and epididymis [63.59]Vasotomy [63.6]Male sterilization procedure, not otherwise specified [63.70]Ligation of vas deferens [63.71]Ligation of spermatic cord [63.72]Vasectomy [63.73]Suture of laceration of vas deferens and epididymis [63.81]Reconstruction of surgically divided vas deferens [63.82]Epididymovasostomy [63.83]Removal of ligature from vas deferens [63.84]

Page 103: ICD9 CM Procedure Vol3 FY2012

Removal of valve from vas deferens [63.85]Other repair of vas deferens and epididymis [63.89]Aspiration of spermatocele [63.91]Epididymotomy [63.92]Incision of spermatic cord [63.93]Lysis of adhesions of spermatic cord [63.94]Insertion of valve in vas deferens [63.95]Other operations on spermatic card, epididymis, and vas deferens [63.99]Circumcision [64.0]Biopsy of penis [64.11]Other diagnostic procedures on penis [64.19]Local excision or destruction of lesion of penis [64.2]Amputation of penis [64.3]Suture of laceration of penis [64.41]Release of chordee [64.42]Construction of penis [64.43]Reconstruction of penis [64.44]Replantation of penis [64.45]Other repair of penis [64.49]Operations for sex transformation, not elsewhere classified [64.5]Dorsal or lateral slit of prepuce [64.91]Incision of penis [64.92]Division of penile adhesions [64.93]Fitting of external prosthesis of penis [64.94]Insertion or replacement of non-inflatable penile prosthesis [64.95]Removal of internal prosthesis of penis [64.96]Insertion or replacement of inflatable penile prosthesis [64.97]Other operations on penis [64.98]Other operations on male genital organs [64.99]Laparoscopic oophorotomy [65.01]Other oophorotomy [65.09]Aspiration biopsy of ovary [65.11]Other biopsy of ovary [65.12]Laparoscopic biopsy of ovary [65.13]Other laparoscopic diagnostic procedures on ovaries [65.14]Other diagnostic procedures on ovaries [65.19]Marsupialization of ovarian cyst [65.21]Wedge resection of ovary [65.22]Laparoscopic marsupialization of ovarian cyst [65.23]Laparoscopic wedge resection of ovary [65.24]Other laparoscopic local excision or destruction of ovary [65.25]Other local excision or destruction of ovary [65.29]Laparoscopic unilateral oophorectomy [65.31]Other unilateral oophorectomy [65.39]Laparoscopic unilateral salpingo-oophorectomy [65.41]Other unilateral salpingo-oophorectomy [65.49]Other removal of both ovaries at same operative episode [65.51]Other removal of remaining ovary [65.52]Laparoscopic removal of both ovaries at same operative episode [65.53]Laparoscopic removal of remaining ovary [65.54]Other removal of both ovaries and tubes at same operative episode [65.61]Other removal of remaining ovary and tube [65.62]Laparoscopic removal of both ovaries and tubes at same operative episode [65.63]Laparoscopic removal of remaining ovary and tube [65.64]Other simple suture of ovary [65.71]Other reimplantation of ovary [65.72]Other salpingo-oophoroplasty [65.73]Laparoscopic simple suture of ovary [65.74]

Page 104: ICD9 CM Procedure Vol3 FY2012

Laparoscopic reimplantation of ovary [65.75]Laparoscopic salpingo-oophoroplasty [65.76]Other repair of ovary [65.79]Laparoscopic lysis of adhesions of ovary and fallopian tube [65.81]Other lysis of adhesions of ovary and fallopian tube [65.89]Aspiration of ovary [65.91]Transplantation of ovary [65.92]Manual rupture of ovarian cyst [65.93]Ovarian denervation [65.94]Release of torsion of ovary [65.95]Other operations on ovary [65.99]Salpingotomy [66.01]Salpingostomy [66.02]Biopsy of fallopian tube [66.11]Other diagnostic procedures on fallopian tubes [66.19]Bilateral endoscopic ligation and crushing of fallopian tubes [66.21]Bilateral endoscopic ligation and division of fallopian tubes [66.22]Other bilateral endoscopic destruction or occlusion of fallopian tubes [66.29]Other bilateral ligation and crushing of fallopian tubes [66.31]Other bilateral ligation and division of fallopian tubes [66.32]Other bilateral destruction or occlusion of fallopian tubes [66.39]Total unilateral salpingectomy [66.4]Removal of both fallopian tubes at same operative episode [66.51]Removal of remaining fallopian tube [66.52]Excision or destruction of lesion of fallopian tube [66.61]Salpingectomy with removal of tubal pregnancy [66.62]Bilateral partial salpingectomy, not otherwise specified [66.63]Other partial salpingectomy [66.69]Simple suture of fallopian tube [66.71]Salpingo-oophorostomy [66.72]Salpingo-salpingostomy [66.73]Salpingo-uterostomy [66.74]Other repair of fallopian tube [66.79]Insufflation of fallopian tube [66.8]Aspiration of fallopian tube [66.91]Unilateral destruction or occlusion of fallopian tube [66.92]Implantation or replacement of prosthesis of fallopian tube [66.93]Removal of prosthesis of fallopian tube [66.94]Insufflation of therapeutic agent into fallopian tubes [66.95]Dilation of fallopian tube [66.96]Burying of fimbriae in uterine wall [66.97]Other operations on fallopian tubes [66.99]Dilation of cervical canal [67.0]Endocervical biopsy [67.11]Other cervical biopsy [67.12]Other diagnostic procedures on cervix [67.19]Conization of cervix [67.2]Marsupialization of cervical cyst [67.31]Destruction of lesion of cervix by cauterization [67.32]Destruction of lesion of cervix by cryosurgery [67.33]Other excision or destruction of lesion or tissue of cervix [67.39]Amputation of cervix [67.4]Transabdominal cerclage of cervix [67.51]Other repair of internal cervical os [67.59]Suture of laceration of cervix [67.61]Repair of fistula of cervix [67.62]Other repair of cervix [67.69]Hysterotomy [68.0]

Page 105: ICD9 CM Procedure Vol3 FY2012

Digital examination of uterus [68.11]Hysteroscopy [68.12]Open biopsy of uterus [68.13]Open biopsy of uterine ligaments [68.14]Closed biopsy of uterine ligaments [68.15]Closed biopsy of uterus [68.16]Other diagnostic procedures on uterus and supporting structures [68.19]Division of endometrial synechiae [68.21]Incision or excision of congenital septum of uterus [68.22]Endometrial ablation [68.23]Uterine artery embolization [UAE] with coils [68.24]Uterine artery embolization [UAE] without coils [68.25]Other excision or destruction of lesion of uterus [68.29]Laparoscopic supracervical hysterectomy [LSH] [68.31]Other and unspecified subtotal abdominal hysterectomy [68.39]Laparoscopic total abdominal hysterectomy [68.41]Other and unspecified total abdominal hysterectomy [68.49]Laparoscopically assisted vaginal hysterectomy (LAVH) [68.51]Other and unspecified vaginal hysterectomy [68.59]Laparoscopic radical abdominal hysterectomy [68.61]Other and unspecified radical abdominal hysterectomy [68.69]Laparoscopic radical vaginal hysterectomy [LRVH] [68.71]Other and unspecified radical vaginal hysterectomy [68.79]Pelvic evisceration [68.8]Other and unspecified hysterectomy [68.9]Dilation and curettage for termination of pregnancy [69.01]Dilation and curettage following delivery or abortion [69.02]Other dilation and curettage [69.09]Other excision or destruction of uterus and supporting structures [69.19]Interposition operation [69.21]Other uterine suspension [69.22]Vaginal repair of chronic inversion of uterus [69.23]Other repair of uterus and supporting structures [69.29]Paracervical uterine denervation [69.3]Suture of laceration of uterus [69.41]Closure of fistula of uterus [69.42]Other repair of uterus [69.49]Aspiration curettage of uterus for termination of pregnancy [69.51]Aspiration curettage following delivery or abortion [69.52]Other aspiration curettage of uterus [69.59]Menstrual extraction or regulation [69.6]Insertion of intrauterine contraceptive device [69.7]Insertion of therapeutic device into uterus [69.91]Artificial insemination [69.92]Insertion of laminaria [69.93]Manual replacement of inverted uterus [69.94]Incision of cervix [69.95]Removal of cerclage material from cervix [69.96]Removal of other penetrating foreign body from cervix [69.97]Other operations on supporting structures of uterus [69.98]Other operations on cervix and uterus [69.99]Culdocentesis [70.0]Hymenotomy [70.11]Culdotomy [70.12]Lysis of intraluminal adhesions of vagina [70.13]Other vaginotomy [70.14]Vaginoscopy [70.21]Culdoscopy [70.22]

Page 106: ICD9 CM Procedure Vol3 FY2012

Biopsy of cul-de-sac [70.23]Vaginal biopsy [70.24]Other diagnostic procedures on vagina and cul-de-sac [70.29]Hymenectomy [70.31]Excision or destruction of lesion of cul-de-sac [70.32]Excision or destruction of lesion of vagina [70.33]Obliteration and total excision of vagina [70.4]Repair of cystocele and rectocele [70.50]Repair of cystocele [70.51]Repair of rectocele [70.52]Repair of cystocele and rectocele with graft or prosthesis [70.53]Repair of cystocele with graft or prosthesis [70.54]Repair of rectocele with graft or prosthesis [70.55]Vaginal construction [70.61]Vaginal reconstruction [70.62]Vaginal construction with graft or prosthesis [70.63]Vaginal reconstruction with graft or prosthesis [70.64]Suture of laceration of vagina [70.71]Repair of colovaginal fistula [70.72]Repair of rectovaginal fistula [70.73]Repair of other vaginoenteric fistula [70.74]Repair of other fistula of vagina [70.75]Hymenorrhaphy [70.76]Vaginal suspension and fixation [70.77]Vaginal suspension and fixation with graft or prosthesis [70.78]Other repair of vagina [70.79]Obliteration of vaginal vault [70.8]Other operations on vagina [70.91]Other operations on cul-de-sac [70.92]Other operations on cul-de-sac with graft or prosthesis [70.93]Insertion of biological graft [70.94]Insertion of synthetic graft or prosthesis [70.95]Lysis of vulvar adhesions [71.01]Other incision of vulva and perineum [71.09]Biopsy of vulva [71.11]Other diagnostic procedures on vulva [71.19]Percutaneous aspiration of Bartholin's gland (cyst) [71.21]Incision of Bartholin's gland (cyst) [71.22]Marsupialization of Bartholin's gland (cyst) [71.23]Excision or other destruction of Bartholin's gland (cyst) [71.24]Other operations on Bartholin's gland [71.29]Other local excision or destruction of vulva and perineum [71.3]Operations on clitoris [71.4]Radical vulvectomy [71.5]Unilateral vulvectomy [71.61]Bilateral vulvectomy [71.62]Suture of laceration of vulva or perineum [71.71]Repair of fistula of vulva or perineum [71.72]Other repair of vulva and perineum [71.79]Other operations on vulva [71.8]Other operations on female genital organs [71.9]Low forceps operation [72.0]Low forceps operation with episiotomy [72.1]Mid forceps operation with episiotomy [72.21]Other mid forceps operation [72.29]High forceps operation with episiotomy [72.31]Other high forceps operation [72.39]Forceps rotation of fetal head [72.4]

Page 107: ICD9 CM Procedure Vol3 FY2012

Partial breech extraction with forceps to aftercoming head [72.51]Other partial breech extraction [72.52]Total breech extraction with forceps to aftercoming head [72.53]Other total breech extraction [72.54]Forceps application to aftercoming head [72.6]Vacuum extraction with episiotomy [72.71]Other vacuum extraction [72.79]Other specified instrumental delivery [72.8]Unspecified instrumental delivery [72.9]Induction of labor by artificial rupture of membranes [73.01]Other artificial rupture of membranes [73.09]Other surgical induction of labor [73.1]Internal and combined version without extraction [73.21]Internal and combined version with extraction [73.22]Failed forceps [73.3]Medical induction of labor [73.4]Manual rotation of fetal head [73.51]Other manually assisted delivery [73.59]Episiotomy [73.6]Operations on fetus to facilitate delivery [73.8]External version assisting delivery [73.91]Replacement of prolapsed umbilical cord [73.92]Incision of cervix to assist delivery [73.93]Pubiotomy to assist delivery [73.94]Other operations assisting delivery [73.99]Classical cesarean section [74.0]Low cervical cesarean section [74.1]Extraperitoneal cesarean section [74.2]Removal of extratubal ectopic pregnancy [74.3]Cesarean section of other specified type [74.4]Hysterotomy to terminate pregnancy [74.91]Other cesarean section of unspecified type [74.99]Intra-amniotic injection for abortion [75.0]Diagnostic amniocentesis [75.1]Intrauterine transfusion [75.2]Amnioscopy [75.31]Fetal EKG (scalp) [75.32]Fetal blood sampling and biopsy [75.33]Other fetal monitoring [75.34]Other diagnostic procedures on fetus and amnion [75.35]Correction of fetal defect [75.36]Amnioinfusion [75.37]Fetal pulse oximetry [75.38]Manual removal of retained placenta [75.4]Repair of current obstetric laceration of uterus, not otherwise specified [75.50]Repair of current obstetric laceration of cervix [75.51]Repair of current obstetric laceration of corpus uteri [75.52]Repair of current obstetric laceration of bladder and urethra [75.61]Repair of current obstetric laceration of rectum and sphincter ani [75.62]Repair of other current obstetric laceration [75.69]Manual exploration of uterine cavity, postpartum [75.7]Obstetric tamponade of uterus or vagina [75.8]Evacuation of obstetrical incisional hematoma of perineum [75.91]Evacuation of other hematoma of vulva or vagina [75.92]Surgical correction of inverted uterus [75.93]Immediate postpartum manual replacement of inverted uterus [75.94]Other obstetric operations [75.99]Sequestrectomy of facial bone [76.01]

Page 108: ICD9 CM Procedure Vol3 FY2012

Other incision of facial bone [76.09]Biopsy of facial bone [76.11]Other diagnostic procedures on facial bones and joints [76.19]Local excision or destruction of lesion of facial bone [76.2]Partial mandibulectomy [76.31]Partial ostectomy of other facial bone [76.39]Total mandibulectomy with synchronous reconstruction [76.41]Other total mandibulectomy [76.42]Other reconstruction of mandible [76.43]Total ostectomy of other facial bone with synchronous reconstruction [76.44]Other total ostectomy of other facial bone [76.45]Other reconstruction of other facial bone [76.46]Temporomandibular arthroplasty [76.5]Closed osteoplasty [osteotomy] of mandibular ramus [76.61]Open osteoplasty [osteotomy] of mandibular ramus [76.62]Osteoplasty [osteotomy] of body of mandible [76.63]Other orthognathic surgery on mandible [76.64]Segmental osteoplasty [osteotomy] of maxilla [76.65]Total osteoplasty [osteotomy] of maxilla [76.66]Reduction genioplasty [76.67]Augmentation genioplasty [76.68]Other facial bone repair [76.69]Reduction of facial fracture, not otherwise specified [76.70]Closed reduction of malar and zygomatic fracture [76.71]Open reduction of malar and zygomatic fracture [76.72]Closed reduction of maxillary fracture [76.73]Open reduction of maxillary fracture [76.74]Closed reduction of mandibular fracture [76.75]Open reduction of mandibular fracture [76.76]Open reduction of alveolar fracture [76.77]Other closed reduction of facial fracture [76.78]Other open reduction of facial fracture [76.79]Bone graft to facial bone [76.91]Insertion of synthetic implant in facial bone [76.92]Closed reduction of temporomandibular dislocation [76.93]Open reduction of temporomandibular dislocation [76.94]Other manipulation of temporomandibular joint [76.95]Injection of therapeutic substance into temporomandibular joint [76.96]Removal of internal fixation device from facial bone [76.97]Other operations on facial bones and joints [76.99]Sequestrectomy, unspecified site [77.00]Sequestrectomy, scapula, clavicle, and thorax [ribs and sternum] [77.01]Sequestrectomy, humerus [77.02]Sequestrectomy, radius and ulna [77.03]Sequestrectomy, carpals and metacarpals [77.04]Sequestrectomy, femur [77.05]Sequestrectomy, patella [77.06]Sequestrectomy, tibia and fibula [77.07]Sequestrectomy, tarsals and metatarsals [77.08]Sequestrectomy, other bones [77.09]Other incision of bone without division, unspecified site [77.10]Other incision of bone without division, scapula, clavicle, and thorax [ribs and sternum] [77.11]Other incision of bone without division, humerus [77.12]Other incision of bone without division, radius and ulna [77.13]Other incision of bone without division, carpals and metacarpals [77.14]Other incision of bone without division, femur [77.15]Other incision of bone without division, patella [77.16]Other incision of bone without division, tibia and fibula [77.17]

Page 109: ICD9 CM Procedure Vol3 FY2012

Other incision of bone without division, tarsals and metatarsals [77.18]Other incision of bone without division, other bones [77.19]Wedge osteotomy, unspecified site [77.20]Wedge osteotomy, scapula, clavicle, and thorax [ribs and sternum] [77.21]Wedge osteotomy, humerus [77.22]Wedge osteotomy, radius and ulna [77.23]Wedge osteotomy, carpals and metacarpals [77.24]Wedge osteotomy, femur [77.25]Wedge osteotomy, patella [77.26]Wedge osteotomy, tibia and fibula [77.27]Wedge osteotomy, tarsals and metatarsals [77.28]Wedge osteotomy, other bones [77.29]Other division of bone, unspecified site [77.30]Other division of bone, scapula, clavicle, and thorax [ribs and sternum] [77.31]Other division of bone, humerus [77.32]Other division of bone, radius and ulna [77.33]Other division of bone, carpals and metacarpals [77.34]Other division of bone, femur [77.35]Other division of bone, patella [77.36]Other division of bone, tibia and fibula [77.37]Other division of bone, tarsals and metatarsals [77.38]Other division of bone, other bones [77.39]Biopsy of bone, unspecified site [77.40]Biopsy of bone, scapula, clavicle, and thorax [ribs and sternum] [77.41]Biopsy of bone, humerus [77.42]Biopsy of bone, radius and ulna [77.43]Biopsy of bone, carpals and metacarpals [77.44]Biopsy of bone, femur [77.45]Biopsy of bone, patella [77.46]Biopsy of bone, tibia and fibula [77.47]Biopsy of bone, tarsals and metatarsals [77.48]Biopsy of bone, other bones [77.49]Bunionectomy with soft tissue correction and osteotomy of the first metatarsal [77.51]Bunionectomy with soft tissue correction and arthrodesis [77.52]Other bunionectomy with soft tissue correction [77.53]Excision or correction of bunionette [77.54]Repair of hammer toe [77.56]Repair of claw toe [77.57]Other excision, fusion and repair of toes [77.58]Other bunionectomy [77.59]Local excision of lesion or tissue of bone, unspecified site [77.60]Local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] [77.61]Local excision of lesion or tissue of bone, humerus [77.62]Local excision of lesion or tissue of bone, radius and ulna [77.63]Local excision of lesion or tissue of bone, carpals and metacarpals [77.64]Local excision of lesion or tissue of bone, femur [77.65]Local excision of lesion or tissue of bone, patella [77.66]Local excision of lesion or tissue of bone, tibia and fibula [77.67]Local excision of lesion or tissue of bone, tarsals and metatarsals [77.68]Local excision of lesion or tissue of bone, other bones [77.69]Excision of bone for graft, unspecified site [77.70]Excision of bone for graft, scapula, clavicle, and thorax [ribs and sternum] [77.71]Excision of bone for graft, humerus [77.72]Excision of bone for graft, radius and ulna [77.73]Excision of bone for graft, carpals and metacarpals [77.74]Excision of bone for graft, femur [77.75]Excision of bone for graft, patella [77.76]Excision of bone for graft, tibia and fibula [77.77]

Page 110: ICD9 CM Procedure Vol3 FY2012

Excision of bone for graft, tarsals and metatarsals [77.78]Excision of bone for graft, other bones [77.79]Other partial ostectomy, unspecified site [77.80]Other partial ostectomy, scapula, clavicle, and thorax [ribs and sternum] [77.81]Other partial ostectomy, humerus [77.82]Other partial ostectomy, radius and ulna [77.83]Other partial ostectomy, carpals and metacarpals [77.84]Other partial ostectomy, femur [77.85]Other partial ostectomy, patella [77.86]Other partial ostectomy, tibia and fibula [77.87]Other partial ostectomy, tarsals and metatarsals [77.88]Other partial ostectomy, other bones [77.89]Total ostectomy, unspecified site [77.90]Total ostectomy, scapula, clavicle, and thorax [ribs and sternum] [77.91]Total ostectomy, humerus [77.92]Total ostectomy, radius and ulna [77.93]Total ostectomy, carpals and metacarpals [77.94]Total ostectomy, femur [77.95]Total ostectomy, patella [77.96]Total ostectomy, tibia and fibula [77.97]Total ostectomy, tarsals and metatarsals [77.98]Total ostectomy, other bones [77.99]Bone graft, unspecified site [78.00]Bone graft, scapula, clavicle, and thorax [ribs and sternum] [78.01]Bone graft, humerus [78.02]Bone graft, radius and ulna [78.03]Bone graft, carpals and metacarpals [78.04]Bone graft, femur [78.05]Bone graft, patella [78.06]Bone graft, tibia and fibula [78.07]Bone graft, tarsals and metatarsals [78.08]Bone graft, other bones [78.09]Application of external fixator device, unspecified site [78.10]Application of external fixator device, scapula, clavicle, and thorax [ribs and sternum] [78.11]Application of external fixator device, humerus [78.12]Application of external fixator device, radius and ulna [78.13]Application of external fixator device, carpals and metacarpals [78.14]Application of external fixator device, femur [78.15]Application of external fixator device, patella [78.16]Application of external fixator device, tibia and fibula [78.17]Application of external fixator device, tarsals and metatarsals [78.18]Application of external fixator device, other bones [78.19]Limb shortening procedures, unspecified site [78.20]Limb shortening procedures, humerus [78.22]Limb shortening procedures, radius and ulna [78.23]Limb shortening procedures, carpals and metacarpals [78.24]Limb shortening procedures, femur [78.25]Limb shortening procedures, tibia and fibula [78.27]Limb shortening procedures, tarsals and metatarsals [78.28]Limb shortening procedures, other bones [78.29]Limb lengthening procedures, unspecified site [78.30]Limb lengthening procedures, humerus [78.32]Limb lengthening procedures, radius and ulna [78.33]Limb lengthening procedures, carpals and metacarpals [78.34]Limb lengthening procedures, femur [78.35]Limb lengthening procedures, tibia and fibula [78.37]Limb lengthening procedures, tarsals and metatarsals [78.38]Limb lengthening procedures, other bones [78.39]

Page 111: ICD9 CM Procedure Vol3 FY2012

Other repair or plastic operations on bone, unspecified site [78.40]Other repair or plastic operations on bone, scapula, clavicle, and thorax [ribs and sternum] [78.41]Other repair or plastic operations on bone, humerus [78.42]Other repair or plastic operations on bone, radius and ulna [78.43]Other repair or plastic operations on bone, carpals and metacarpals [78.44]Other repair or plastic operations on bone, femur [78.45]Other repair or plastic operations on bone, patella [78.46]Other repair or plastic operations on bone, tibia and fibula [78.47]Other repair or plastic operations on bone, tarsals and metatarsals [78.48]Other repair or plastic operations on bone, other bones [78.49]Internal fixation of bone without fracture reduction, unspecified site [78.50]Internal fixation of bone without fracture reduction, scapula, clavicle, and thorax [ribs and sternum] [78.51]Internal fixation of bone without fracture reduction, humerus [78.52]Internal fixation of bone without fracture reduction, radius and ulna [78.53]Internal fixation of bone without fracture reduction, carpals and metacarpals [78.54]Internal fixation of bone without fracture reduction, femur [78.55]Internal fixation of bone without fracture reduction, patella [78.56]Internal fixation of bone without fracture reduction, tibia and fibula [78.57]Internal fixation of bone without fracture reduction, tarsals and metatarsals [78.58]Internal fixation of bone without fracture reduction, other bones [78.59]Removal of implanted devices from bone, unspecified site [78.60]Removal of implanted devices from bone, scapula, clavicle, and thorax [ribs and sternum] [78.61]Removal of implanted devices from bone, humerus [78.62]Removal of implanted devices from bone, radius and ulna [78.63]Removal of implanted devices from bone, carpals and metacarpals [78.64]Removal of implanted devices from bone, femur [78.65]Removal of implanted devices from bone, patella [78.66]Removal of implanted devices from bone, tibia and fibula [78.67]Removal of implanted devices from bone, tarsals and metatarsals [78.68]Removal of implanted devices from bone, other bones [78.69]Osteoclasis, unspecified site [78.70]Osteoclasis, scapula, clavicle, and thorax [ribs and sternum] [78.71]Osteoclasis, humerus [78.72]Osteoclasis, radius and ulna [78.73]Osteoclasis, carpals and metacarpals [78.74]Osteoclasis, femur [78.75]Osteoclasis, patella [78.76]Osteoclasis, tibia and fibula [78.77]Osteoclasis, tarsals and metatarsals [78.78]Osteoclasis, other bones [78.79]Diagnostic procedures on bone, not elsewhere classified, unspecified site [78.80]Diagnostic procedures on bone, not elsewhere classified, scapula, clavicle, and thorax [ribs and sternum] [78.81]Diagnostic procedures on bone, not elsewhere classified, humerus [78.82]Diagnostic procedures on bone, not elsewhere classified, radius and ulna [78.83]Diagnostic procedures on bone, not elsewhere classified, carpals and metacarpals [78.84]Diagnostic procedures on bone, not elsewhere classified, femur [78.85]Diagnostic procedures on bone, not elsewhere classified, patella [78.86]Diagnostic procedures on bone, not elsewhere classified, tibia and fibula [78.87]Diagnostic procedures on bone, not elsewhere classified, tarsals and metatarsals [78.88]Diagnostic procedures on bone, not elsewhere classified, other bones [78.89]Insertion of bone growth stimulator, unspecified site [78.90]Insertion of bone growth stimulator, scapula, clavicle and thorax [ribs and sternum] [78.91]Insertion of bone growth stimulator, humerus [78.92]Insertion of bone growth stimulator, radius and ulna [78.93]Insertion of bone growth stimulator, carpals and metacarpals [78.94]Insertion of bone growth stimulator, femur [78.95]Insertion of bone growth stimulator, patella [78.96]Insertion of bone growth stimulator, tibia and fibula [78.97]

Page 112: ICD9 CM Procedure Vol3 FY2012

Insertion of bone growth stimulator, tarsals and metatarsals [78.98]Insertion of bone growth stimulator, other bones [78.99]Closed reduction of fracture without internal fixation, unspecified site [79.00]Closed reduction of fracture without internal fixation, humerus [79.01]Closed reduction of fracture without internal fixation, radius and ulna [79.02]Closed reduction of fracture without internal fixation, carpals and metacarpals [79.03]Closed reduction of fracture without internal fixation, phalanges of hand [79.04]Closed reduction of fracture without internal fixation, femur [79.05]Closed reduction of fracture without internal fixation, tibia and fibula [79.06]Closed reduction of fracture without internal fixation, tarsals and metatarsals [79.07]Closed reduction of fracture without internal fixation, phalanges of foot [79.08]Closed reduction of fracture without internal fixation, other specified bone [79.09]Closed reduction of fracture with internal fixation, unspecified site [79.10]Closed reduction of fracture with internal fixation, humerus [79.11]Closed reduction of fracture with internal fixation, radius and ulna [79.12]Closed reduction of fracture with internal fixation, carpals and metacarpals [79.13]Closed reduction of fracture with internal fixation, phalanges of hand [79.14]Closed reduction of fracture with internal fixation, femur [79.15]Closed reduction of fracture with internal fixation, tibia and fibula [79.16]Closed reduction of fracture with internal fixation, tarsals and metatarsals [79.17]Closed reduction of fracture with internal fixation, phalanges of foot [79.18]Closed reduction of fracture with internal fixation, other specified bone [79.19]Open reduction of fracture without internal fixation, unspecified site [79.20]Open reduction of fracture without internal fixation, humerus [79.21]Open reduction of fracture without internal fixation, radius and ulna [79.22]Open reduction of fracture without internal fixation, carpals and metacarpals [79.23]Open reduction of fracture without internal fixation, phalanges of hand [79.24]Open reduction of fracture without internal fixation, femur [79.25]Open reduction of fracture without internal fixation, tibia and fibula [79.26]Open reduction of fracture without internal fixation, tarsals and metatarsals [79.27]Open reduction of fracture without internal fixation, phalanges of foot [79.28]Open reduction of fracture without internal fixation, other specified bone [79.29]Open reduction of fracture with internal fixation, unspecified site [79.30]Open reduction of fracture with internal fixation, humerus [79.31]Open reduction of fracture with internal fixation, radius and ulna [79.32]Open reduction of fracture with internal fixation, carpals and metacarpals [79.33]Open reduction of fracture with internal fixation, phalanges of hand [79.34]Open reduction of fracture with internal fixation, femur [79.35]Open reduction of fracture with internal fixation, tibia and fibula [79.36]Open reduction of fracture with internal fixation, tarsals and metatarsals [79.37]Open reduction of fracture with internal fixation, phalanges of foot [79.38]Open reduction of fracture with internal fixation, other specified bone [79.39]Closed reduction of separated epiphysis, unspecified site [79.40]Closed reduction of separated epiphysis, humerus [79.41]Closed reduction of separated epiphysis, radius and ulna [79.42]Closed reduction of separated epiphysis, femur [79.45]Closed reduction of separated epiphysis, tibia and fibula [79.46]Closed reduction of separated epiphysis, other specified bone [79.49]Open reduction of separated epiphysis, unspecified site [79.50]Open reduction of separated epiphysis, humerus [79.51]Open reduction of separated epiphysis, radius and ulna [79.52]Open reduction of separated epiphysis, femur [79.55]Open reduction of separated epiphysis, tibia and fibula [79.56]Open reduction of separated epiphysis, other specified bone [79.59]Debridement of open fracture, unspecified site [79.60]Debridement of open fracture site, humerus [79.61]Debridement of open fracture site, radius and ulna [79.62]Debridement of open fracture site, carpals and metacarpals [79.63]

Page 113: ICD9 CM Procedure Vol3 FY2012

Debridement of open fracture site, phalanges of hand [79.64]Debridement of open fracture site, femur [79.65]Debridement of open fracture site, tibia and fibula [79.66]Debridement of open fracture site, tarsals and metatarsals [79.67]Debridement of open fracture site, phalanges of foot [79.68]Debridement of open fracture site, other specified bone [79.69]Closed reduction of dislocation of unspecified site [79.70]Closed reduction of dislocation of shoulder [79.71]Closed reduction of dislocation of elbow [79.72]Closed reduction of dislocation of wrist [79.73]Closed reduction of dislocation of hand and finger [79.74]Closed reduction of dislocation of hip [79.75]Closed reduction of dislocation of knee [79.76]Closed reduction of dislocation of ankle [79.77]Closed reduction of dislocation of foot and toe [79.78]Closed reduction of dislocation of other specified sites [79.79]Open reduction of dislocation of unspecified site [79.80]Open reduction of dislocation of shoulder [79.81]Open reduction of dislocation of elbow [79.82]Open reduction of dislocation of wrist [79.83]Open reduction of dislocation of hand and finger [79.84]Open reduction of dislocation of hip [79.85]Open reduction of dislocation of knee [79.86]Open reduction of dislocation of ankle [79.87]Open reduction of dislocation of foot and toe [79.88]Open reduction of dislocation of other specified sites [79.89]Unspecified operation on bone injury, unspecified site [79.90]Unspecified operation on bone injury, humerus [79.91]Unspecified operation on bone injury, radius and ulna [79.92]Unspecified operation on bone injury, carpals and metacarpals [79.93]Unspecified operation on bone injury, phalanges of hand [79.94]Unspecified operation on bone injury, femur [79.95]Unspecified operation on bone injury, tibia and fibula [79.96]Unspecified operation on bone injury, tarsals and metatarsals [79.97]Unspecified operation on bone injury, phalanges of foot [79.98]Unspecified operation on bone injury, other specified bone [79.99]Arthrotomy for removal of prosthesis without replacement, unspecified site [80.00]Arthrotomy for removal of prosthesis without replacement, shoulder [80.01]Arthrotomy for removal of prosthesis without replacement, elbow [80.02]Arthrotomy for removal of prosthesis without replacement, wrist [80.03]Arthrotomy for removal of prosthesis without replacement, hand and finger [80.04]Arthrotomy for removal of prosthesis without replacement, hip [80.05]Arthrotomy for removal of prosthesis without replacement, knee [80.06]Arthrotomy for removal of prosthesis without replacement, ankle [80.07]Arthrotomy for removal of prosthesis without replacement, foot and toe [80.08]Arthrotomy for removal of prosthesis without replacement, other specified sites [80.09]Other arthrotomy, unspecified site [80.10]Other arthrotomy, shoulder [80.11]Other arthrotomy, elbow [80.12]Other arthrotomy, wrist [80.13]Other arthrotomy, hand and finger [80.14]Other arthrotomy, hip [80.15]Other arthrotomy, knee [80.16]Other arthrotomy, ankle [80.17]Other arthrotomy, foot and toe [80.18]Other arthrotomy, other specified sites [80.19]Arthroscopy, unspecified site [80.20]Arthroscopy, shoulder [80.21]

Page 114: ICD9 CM Procedure Vol3 FY2012

Arthroscopy, elbow [80.22]Arthroscopy, wrist [80.23]Arthroscopy, hand and finger [80.24]Arthroscopy, hip [80.25]Arthroscopy, knee [80.26]Arthroscopy, ankle [80.27]Arthroscopy, foot and toe [80.28]Arthroscopy, other specified sites [80.29]Biopsy of joint structure, unspecified site [80.30]Biopsy of joint structure, shoulder [80.31]Biopsy of joint structure, elbow [80.32]Biopsy of joint structure, wrist [80.33]Biopsy of joint structure, hand and finger [80.34]Biopsy of joint structure, hip [80.35]Biopsy of joint structure, knee [80.36]Biopsy of joint structure, ankle [80.37]Biopsy of joint structure, foot and toe [80.38]Biopsy of joint structure, other specified sites [80.39]Division of joint capsule, ligament, or cartilage, unspecified site [80.40]Division of joint capsule, ligament, or cartilage, shoulder [80.41]Division of joint capsule, ligament, or cartilage, elbow [80.42]Division of joint capsule, ligament, or cartilage, wrist [80.43]Division of joint capsule, ligament, or cartilage, hand and finger [80.44]Division of joint capsule, ligament, or cartilage, hip [80.45]Division of joint capsule, ligament, or cartilage, knee [80.46]Division of joint capsule, ligament, or cartilage, ankle [80.47]Division of joint capsule, ligament, or cartilage, foot and toe [80.48]Division of joint capsule, ligament, or cartilage, other specified sites [80.49]Excision or destruction of intervertebral disc, unspecified [80.50]Excision of intervertebral disc [80.51]Intervertebral chemonucleolysis [80.52]Repair of the anulus fibrosus with graft or prosthesis [80.53]Other and unspecified repair of the anulus fibrosus [80.54]Other destruction of intervertebral disc [80.59]Excision of semilunar cartilage of knee [80.6]Synovectomy, unspecified site [80.70]Synovectomy, shoulder [80.71]Synovectomy, elbow [80.72]Synovectomy, wrist [80.73]Synovectomy, hand and finger [80.74]Synovectomy, hip [80.75]Synovectomy, knee [80.76]Synovectomy, ankle [80.77]Synovectomy, foot and toe [80.78]Synovectomy, other specified sites [80.79]Other local excision or destruction of lesion of joint, unspecified site [80.80]Other local excision or destruction of lesion of joint, shoulder [80.81]Other local excision or destruction of lesion of joint, elbow [80.82]Other local excision or destruction of lesion of joint, wrist [80.83]Other local excision or destruction of lesion of joint, hand and finger [80.84]Other local excision or destruction of lesion of joint, hip [80.85]Other local excision or destruction of lesion of joint, knee [80.86]Other local excision or destruction of lesion of joint, ankle [80.87]Other local excision or destruction of lesion of joint, foot and toe [80.88]Other local excision or destruction of lesion of joint, other specified sites [80.89]Other excision of joint, unspecified site [80.90]Other excision of joint, shoulder [80.91]Other excision of joint, elbow [80.92]

Page 115: ICD9 CM Procedure Vol3 FY2012

Other excision of joint, wrist [80.93]Other excision of joint, hand and finger [80.94]Other excision of joint, hip [80.95]Other excision of joint, knee [80.96]Other excision of joint, ankle [80.97]Other excision of joint, foot and toe [80.98]Other excision of joint, other specified sites [80.99]Spinal fusion, not otherwise specified [81.00]Atlas-axis spinal fusion [81.01]Other cervical fusion of the anterior column, anterior technique [81.02]Other cervical fusion of the posterior column, posterior technique [81.03]Dorsal and dorsolumbar fusion of the anterior column, anterior technique [81.04]Dorsal and dorsolumbar fusion of the posterior column, posterior technique [81.05]Lumbar and lumbosacral fusion of the anterior column, anterior technique [81.06]Lumbar and lumbosacral fusion of the posterior column, posterior technique [81.07]Lumbar and lumbosacral fusion of the anterior column, posterior technique [81.08]Ankle fusion [81.11]Triple arthrodesis [81.12]Subtalar fusion [81.13]Midtarsal fusion [81.14]Tarsometatarsal fusion [81.15]Metatarsophalangeal fusion [81.16]Other fusion of foot [81.17]Subtalar joint arthroereisis [81.18]Arthrodesis of unspecified joint [81.20]Arthrodesis of hip [81.21]Arthrodesis of knee [81.22]Arthrodesis of shoulder [81.23]Arthrodesis of elbow [81.24]Carporadial fusion [81.25]Metacarpocarpal fusion [81.26]Metacarpophalangeal fusion [81.27]Interphalangeal fusion [81.28]Arthrodesis of other specified joints [81.29]Refusion of spine, not otherwise specified [81.30]Refusion of atlas-axis spine [81.31]Refusion of other cervical spine, anterior column, anterior technique [81.32]Refusion of other cervical spine, posterior column, posterior technique [81.33]Refusion of dorsal and dorsolumbar spine, anterior column, anterior technique [81.34]Refusion of dorsal and dorsolumbar spine, posterior column, posterior technique [81.35]Refusion of lumbar and lumbosacral spine, anterior column, anterior technique [81.36]Refusion of lumbar and lumbosacral spine, posterior column, posterior technique [81.37]Refusion of lumbar and lumbosacral spine, anterior column, posterior technique [81.38]Refusion of spine, not elsewhere classified [81.39]Repair of hip, not elsewhere classified [81.40]Five-in-one repair of knee [81.42]Triad knee repair [81.43]Patellar stabilization [81.44]Other repair of the cruciate ligaments [81.45]Other repair of the collateral ligaments [81.46]Other repair of knee [81.47]Other repair of ankle [81.49]Total hip replacement [81.51]Partial hip replacement [81.52]Revision of hip replacement, not otherwise specified [81.53]Total knee replacement [81.54]Revision of knee replacement, not otherwise specified [81.55]Total ankle replacement [81.56]

Page 116: ICD9 CM Procedure Vol3 FY2012

Replacement of joint of foot and toe [81.57]Revision of joint replacement of lower extremity, not elsewhere classified [81.59]Fusion or refusion of 2-3 vertebrae [81.62]Fusion or refusion of 4-8 vertebrae [81.63]Fusion or refusion of 9 or more vertebrae [81.64]Percutaneous vertebroplasty [81.65]Percutaneous vertebral augmentation [81.66]Arthroplasty of metacarpophalangeal and interphalangeal joint with implant [81.71]Arthroplasty of metacarpophalangeal and interphalangeal joint without implant [81.72]Total wrist replacement [81.73]Arthroplasty of carpocarpal or carpometacarpal joint with implant [81.74]Arthroplasty of carpocarpal or carpometacarpal joint without implant [81.75]Other repair of hand, fingers, and wrist [81.79]Other total shoulder replacement [81.80]Partial shoulder replacement [81.81]Repair of recurrent dislocation of shoulder [81.82]Other repair of shoulder [81.83]Total elbow replacement [81.84]Other repair of elbow [81.85]Reverse total shoulder replacement [81.88]Arthrocentesis [81.91]Injection of therapeutic substance into joint or ligament [81.92]Suture of capsule or ligament of upper extremity [81.93]Suture of capsule or ligament of ankle and foot [81.94]Suture of capsule or ligament of other lower extremity [81.95]Other repair of joint [81.96]Revision of joint replacement of upper extremity [81.97]Other diagnostic procedures on joint structures [81.98]Other operations on joint structures [81.99]Exploration of tendon sheath of hand [82.01]Myotomy of hand [82.02]Bursotomy of hand [82.03]Incision and drainage of palmar or thenar space [82.04]Other incision of soft tissue of hand [82.09]Tenotomy of hand [82.11]Fasciotomy of hand [82.12]Other division of soft tissue of hand [82.19]Excision of lesion of tendon sheath of hand [82.21]Excision of lesion of muscle of hand [82.22]Excision of other lesion of soft tissue of hand [82.29]Bursectomy of hand [82.31]Excision of tendon of hand for graft [82.32]Other tenonectomy of hand [82.33]Excision of muscle or fascia of hand for graft [82.34]Other fasciectomy of hand [82.35]Other myectomy of hand [82.36]Other excision of soft tissue of hand [82.39]Suture of tendon sheath of hand [82.41]Delayed suture of flexor tendon of hand [82.42]Delayed suture of other tendon of hand [82.43]Other suture of flexor tendon of hand [82.44]Other suture of other tendon of hand [82.45]Suture of muscle or fascia of hand [82.46]Advancement of tendon of hand [82.51]Recession of tendon of hand [82.52]Reattachment of tendon of hand [82.53]Reattachment of muscle of hand [82.54]Other change in hand muscle or tendon length [82.55]

Page 117: ICD9 CM Procedure Vol3 FY2012

Other hand tendon transfer or transplantation [82.56]Other hand tendon transposition [82.57]Other hand muscle transfer or transplantation [82.58]Other hand muscle transposition [82.59]Pollicization operation carrying over nerves and blood supply [82.61]Other reconstruction of thumb [82.69]Tendon pulley reconstruction of hand [82.71]Plastic operation on hand with graft of muscle or fascia [82.72]Plastic operation on hand with other graft or implant [82.79]Transfer of finger, except thumb [82.81]Repair of cleft hand [82.82]Repair of macrodactyly [82.83]Repair of mallet finger [82.84]Other tenodesis of hand [82.85]Other tenoplasty of hand [82.86]Other plastic operations on hand [82.89]Lysis of adhesions of hand [82.91]Aspiration of bursa of hand [82.92]Aspiration of other soft tissue of hand [82.93]Injection of therapeutic substance into bursa of hand [82.94]Injection of therapeutic substance into tendon of hand [82.95]Other injection of locally-acting therapeutic substance into soft tissue of hand [82.96]Other operations on muscle, tendon, and fascia of hand [82.99]Exploration of tendon sheath [83.01]Myotomy [83.02]Bursotomy [83.03]Other incision of soft tissue [83.09]Achillotenotomy [83.11]Adductor tenotomy of hip [83.12]Other tenotomy [83.13]Fasciotomy [83.14]Other division of soft tissue [83.19]Open biopsy of soft tissue [83.21]Other diagnostic procedures on muscle, tendon, fascia, and bursa, including that of hand [83.29]Excision of lesion of tendon sheath [83.31]Excision of lesion of muscle [83.32]Excision of lesion of other soft tissue [83.39]Excision of tendon for graft [83.41]Other tenonectomy [83.42]Excision of muscle or fascia for graft [83.43]Other fasciectomy [83.44]Other myectomy [83.45]Other excision of soft tissue [83.49]Bursectomy [83.5]Suture of tendon sheath [83.61]Delayed suture of tendon [83.62]Rotator cuff repair [83.63]Other suture of tendon [83.64]Other suture of muscle or fascia [83.65]Advancement of tendon [83.71]Recession of tendon [83.72]Reattachment of tendon [83.73]Reattachment of muscle [83.74]Tendon transfer or transplantation [83.75]Other tendon transposition [83.76]Muscle transfer or transplantation [83.77]Other muscle transposition [83.79]Tendon graft [83.81]

Page 118: ICD9 CM Procedure Vol3 FY2012

Graft of muscle or fascia [83.82]Tendon pulley reconstruction other than hand [83.83]Release of clubfoot, not elsewhere classified [83.84]Other change in muscle or tendon length [83.85]Quadricepsplasty [83.86]Other plastic operations on muscle [83.87]Other plastic operations on tendon [83.88]Other plastic operations on fascia [83.89]Lysis of adhesions of muscle, tendon, fascia, and bursa [83.91]Insertion or replacement of skeletal muscle stimulator [83.92]Removal of skeletal muscle stimulator [83.93]Aspiration of bursa [83.94]Aspiration of other soft tissue [83.95]Injection of therapeutic substance into bursa [83.96]Injection of therapeutic substance into tendon [83.97]Injection of locally acting therapeutic substance into other soft tissue [83.98]Other operations on muscle, tendon, fascia, and bursa [83.99]Upper limb amputation, not otherwise specified [84.00]Amputation and disarticulation of finger [84.01]Amputation and disarticulation of thumb [84.02]Amputation through hand [84.03]Disarticulation of wrist [84.04]Amputation through forearm [84.05]Disarticulation of elbow [84.06]Amputation through humerus [84.07]Disarticulation of shoulder [84.08]Interthoracoscapular amputation [84.09]Lower limb amputation, not otherwise specified [84.10]Amputation of toe [84.11]Amputation through foot [84.12]Disarticulation of ankle [84.13]Amputation of ankle through malleoli of tibia and fibula [84.14]Other amputation below knee [84.15]Disarticulation of knee [84.16]Amputation above knee [84.17]Disarticulation of hip [84.18]Abdominopelvic amputation [84.19]Thumb reattachment [84.21]Finger reattachment [84.22]Forearm, wrist, or hand reattachment [84.23]Upper arm reattachment [84.24]Toe reattachment [84.25]Foot reattachment [84.26]Lower leg or ankle reattachment [84.27]Thigh reattachment [84.28]Other reattachment of extremity [84.29]Revision of amputation stump [84.3]Implantation or fitting of prosthetic limb device, not otherwise specified [84.40]Fitting of prosthesis of upper arm and shoulder [84.41]Fitting of prosthesis of lower arm and hand [84.42]Fitting of prosthesis of arm, not otherwise specified [84.43]Implantation of prosthetic device of arm [84.44]Fitting of prosthesis above knee [84.45]Fitting of prosthesis below knee [84.46]Fitting of prosthesis of leg, not otherwise specified [84.47]Implantation of prosthetic device of leg [84.48]Insertion of interbody spinal fusion device [84.51]Insertion of recombinant bone morphogenetic protein [84.52]

Page 119: ICD9 CM Procedure Vol3 FY2012

Implantation of internal limb lengthening device with kinetic distraction [84.53]Implantation of other internal limb lengthening device [84.54]Insertion of bone void filler [84.55]Insertion or replacement of (cement) spacer [84.56]Removal of (cement) spacer [84.57]Insertion of other spinal devices [84.59]Insertion of spinal disc prosthesis, not otherwise specified [84.60]Insertion of partial spinal disc prosthesis, cervical [84.61]Insertion of total spinal disc prosthesis, cervical [84.62]Insertion of spinal disc prosthesis, thoracic [84.63]Insertion of partial spinal disc prosthesis, lumbosacral [84.64]Insertion of total spinal disc prosthesis, lumbosacral [84.65]Revision or replacement of artificial spinal disc prosthesis, cervical [84.66]Revision or replacement of artificial spinal disc prosthesis, thoracic [84.67]Revision or replacement of artificial spinal disc prosthesis, lumbosacral [84.68]Revision or replacement of artificial spinal disc prosthesis, not otherwise specified [84.69]Application of external fixator device, monoplanar system [84.71]Application of external fixator device, ring system [84.72]Application of hybrid external fixator device [84.73]Insertion or replacement of interspinous process device(s) [84.80]Revision of interspinous process device(s) [84.81]Insertion or replacement of pedicle-based dynamic stabilization device(s) [84.82]Revision of pedicle-based dynamic stabilization device(s) [84.83]Insertion or replacement of facet replacement device(s) [84.84]Revision of facet replacement device(s) [84.85]Amputation, not otherwise specified [84.91]Separation of equal conjoined twins [84.92]Separation of unequal conjoined twins [84.93]Insertion of sternal fixation device with rigid plates [84.94]Other operations on musculoskeletal system [84.99]Mastotomy [85.0]Closed [percutaneous] [needle] biopsy of breast [85.11]Open biopsy of breast [85.12]Other diagnostic procedures on breast [85.19]Excision or destruction of breast tissue, not otherwise specified [85.20]Local excision of lesion of breast [85.21]Resection of quadrant of breast [85.22]Subtotal mastectomy [85.23]Excision of ectopic breast tissue [85.24]Excision of nipple [85.25]Unilateral reduction mammoplasty [85.31]Bilateral reduction mammoplasty [85.32]Unilateral subcutaneous mammectomy with synchronous implant [85.33]Other unilateral subcutaneous mammectomy [85.34]Bilateral subcutaneous mammectomy with synchronous implant [85.35]Other bilateral subcutaneous mammectomy [85.36]Unilateral simple mastectomy [85.41]Bilateral simple mastectomy [85.42]Unilateral extended simple mastectomy [85.43]Bilateral extended simple mastectomy [85.44]Unilateral radical mastectomy [85.45]Bilateral radical mastectomy [85.46]Unilateral extended radical mastectomy [85.47]Bilateral extended radical mastectomy [85.48]Augmentation mammoplasty, not otherwise specified [85.50]Unilateral injection into breast for augmentation [85.51]Bilateral injection into breast for augmentation [85.52]Unilateral breast implant [85.53]

Page 120: ICD9 CM Procedure Vol3 FY2012

Bilateral breast implant [85.54]Fat graft to breast [85.55]Mastopexy [85.6]Total reconstruction of breast, not otherwise specified [85.70]Latissimus dorsi myocutaneous flap [85.71]Transverse rectus abdominis myocutaneous (TRAM) flap, pedicled [85.72]Transverse rectus abdominis myocutaneous (TRAM) flap, free [85.73]Deep inferior epigastric artery perforator (DIEP) flap, free [85.74]Superficial inferior epigastric artery (SIEA) flap, free [85.75]Gluteal artery perforator (GAP) flap, free [85.76]Other total reconstruction of breast [85.79]Suture of laceration of breast [85.81]Split-thickness graft to breast [85.82]Full-thickness graft to breast [85.83]Pedicle graft to breast [85.84]Muscle flap graft to breast [85.85]Transposition of nipple [85.86]Other repair or reconstruction of nipple [85.87]Other mammoplasty [85.89]Aspiration of breast [85.91]Injection of therapeutic agent into breast [85.92]Revision of implant of breast [85.93]Removal of implant of breast [85.94]Insertion of breast tissue expander [85.95]Removal of breast tissue expander [85.96]Other operations on the breast [85.99]Aspiration of skin and subcutaneous tissue [86.01]Injection or tattooing of skin lesion or defect [86.02]Incision of pilonidal sinus or cyst [86.03]Other incision with drainage of skin and subcutaneous tissue [86.04]Incision with removal of foreign body or device from skin and subcutaneous tissue [86.05]Insertion of totally implantable infusion pump [86.06]Insertion of totally implantable vascular access device [VAD] [86.07]Other incision of skin and subcutaneous tissue [86.09]Closed biopsy of skin and subcutaneous tissue [86.11]Other diagnostic procedures on skin and subcutaneous tissue [86.19]Excision of pilonidal cyst or sinus [86.21]Excisional debridement of wound, infection, or burn [86.22]Removal of nail, nail bed, or nail fold [86.23]Chemosurgery of skin [86.24]Dermabrasion [86.25]Ligation of dermal appendage [86.26]Debridement of nail, nail bed, or nail fold [86.27]Nonexcisional debridement of wound, infection or burn [86.28]Other local excision or destruction of lesion or tissue of skin and subcutaneous tissue [86.3]Radical excision of skin lesion [86.4]Replantation of scalp [86.51]Closure of skin and subcutaneous tissue of other sites [86.59]Free skin graft, not otherwise specified [86.60]Full-thickness skin graft to hand [86.61]Other skin graft to hand [86.62]Full-thickness skin graft to other sites [86.63]Hair transplant [86.64]Heterograft to skin [86.65]Homograft to skin [86.66]Dermal regenerative graft [86.67]Other skin graft to other sites [86.69]Pedicle or flap graft, not otherwise specified [86.70]

Page 121: ICD9 CM Procedure Vol3 FY2012

Cutting and preparation of pedicle grafts or flaps [86.71]Advancement of pedicle graft [86.72]Attachment of pedicle or flap graft to hand [86.73]Attachment of pedicle or flap graft to other sites [86.74]Revision of pedicle or flap graft [86.75]Repair for facial weakness [86.81]Facial rhytidectomy [86.82]Size reduction plastic operation [86.83]Relaxation of scar or web contracture of skin [86.84]Correction of syndactyly [86.85]Onychoplasty [86.86]Fat graft of skin and subcutaneous tissue [86.87]Other repair and reconstruction of skin and subcutaneous tissue [86.89]Extraction of fat for graft or banking [86.90]Excision of skin for graft [86.91]Electrolysis and other epilation of skin [86.92]Insertion of tissue expander [86.93]Insertion or replacement of single array neurostimulator pulse generator, not specified as rechargeable [86.94]Insertion or replacement of multiple array neurostimulator pulse generator, not specified as rechargeable [86.95]Insertion or replacement of other neurostimulator pulse generator [86.96]Insertion or replacement of single array rechargeable neurostimulator pulse generator [86.97]Insertion or replacement of multiple array (two or more) rechargeable neurostimulator pulse generator [86.98]Other operations on skin and subcutaneous tissue [86.99]Pneumoencephalogram [87.01]Other contrast radiogram of brain and skull [87.02]Computerized axial tomography of head [87.03]Other tomography of head [87.04]Contrast dacryocystogram [87.05]Contrast radiogram of nasopharynx [87.06]Contrast laryngogram [87.07]Cervical lymphangiogram [87.08]Other soft tissue x-ray of face, head, and neck [87.09]Full-mouth x-ray of teeth [87.11]Other dental x-ray [87.12]Temporomandibular contrast arthrogram [87.13]Contrast radiogram of orbit [87.14]Contrast radiogram of sinus [87.15]Other x-ray of facial bones [87.16]Other x-ray of skull [87.17]Contrast myelogram [87.21]Other x-ray of cervical spine [87.22]Other x-ray of thoracic spine [87.23]Other x-ray of lumbosacral spine [87.24]Other x-ray of spine [87.29]Endotracheal bronchogram [87.31]Other contrast bronchogram [87.32]Mediastinal pneumogram [87.33]Intrathoracic lymphangiogram [87.34]Contrast radiogram of mammary ducts [87.35]Xerography of breast [87.36]Other mammography [87.37]Sinogram of chest wall [87.38]Other soft tissue x-ray of chest wall [87.39]Computerized axial tomography of thorax [87.41]Other tomography of thorax [87.42]X-ray of ribs, sternum, and clavicle [87.43]Routine chest x-ray, so described [87.44]Other chest x-ray [87.49]

Page 122: ICD9 CM Procedure Vol3 FY2012

Percutaneous hepatic cholangiogram [87.51]Intravenous cholangiogram [87.52]Intraoperative cholangiogram [87.53]Other cholangiogram [87.54]Other biliary tract x-ray [87.59]Barium swallow [87.61]Upper GI series [87.62]Small bowel series [87.63]Lower GI series [87.64]Other x-ray of intestine [87.65]Contrast pancreatogram [87.66]Other digestive tract x-ray [87.69]Computerized axial tomography of kidney [87.71]Other nephrotomogram [87.72]Intravenous pyelogram [87.73]Retrograde pyelogram [87.74]Percutaneous pyelogram [87.75]Retrograde cystourethrogram [87.76]Other cystogram [87.77]Ileal conduitogram [87.78]Other x-ray of the urinary system [87.79]X-ray of gravid uterus [87.81]Gas contrast hysterosalpingogram [87.82]Opaque dye contrast hysterosalpingogram [87.83]Percutaneous hysterogram [87.84]Other x-ray of fallopian tubes and uterus [87.85]Other x-ray of female genital organs [87.89]Contrast seminal vesiculogram [87.91]Other x-ray of prostate and seminal vesicles [87.92]Contrast epididymogram [87.93]Contrast vasogram [87.94]Other x-ray of epididymis and vas deferens [87.95]Other x-ray of male genital organs [87.99]Computerized axial tomography of abdomen [88.01]Other abdomen tomography [88.02]Sinogram of abdominal wall [88.03]Abdominal lymphangiogram [88.04]Other soft tissue x-ray of abdominal wall [88.09]Pelvic opaque dye contrast radiography [88.11]Pelvic gas contrast radiography [88.12]Other peritoneal pneumogram [88.13]Retroperitoneal fistulogram [88.14]Retroperitoneal pneumogram [88.15]Other retroperitoneal x-ray [88.16]Other x-ray of abdomen [88.19]Skeletal x-ray of shoulder and upper arm [88.21]Skeletal x-ray of elbow and forearm [88.22]Skeletal x-ray of wrist and hand [88.23]Skeletal x-ray of upper limb, not otherwise specified [88.24]Pelvimetry [88.25]Other skeletal x-ray of pelvis and hip [88.26]Skeletal x-ray of thigh, knee, and lower leg [88.27]Skeletal x-ray of ankle and foot [88.28]Skeletal x-ray of lower limb, not otherwise specified [88.29]Skeletal series [88.31]Contrast arthrogram [88.32]Other skeletal x-ray [88.33]Lymphangiogram of upper limb [88.34]

Page 123: ICD9 CM Procedure Vol3 FY2012

Other soft tissue x-ray of upper limb [88.35]Lymphangiogram of lower limb [88.36]Other soft tissue x-ray of lower limb [88.37]Other computerized axial tomography [88.38]X-ray, other and unspecified [88.39]Arteriography using contrast material, unspecified site [88.40]Arteriography of cerebral arteries [88.41]Aortography [88.42]Arteriography of pulmonary arteries [88.43]Arteriography of other intrathoracic vessels [88.44]Arteriography of renal arteries [88.45]Arteriography of placenta [88.46]Arteriography of other intra-abdominal arteries [88.47]Arteriography of femoral and other lower extremity arteries [88.48]Arteriography of other specified sites [88.49]Angiocardiography, not otherwise specified [88.50]Angiocardiography of venae cavae [88.51]Angiocardiography of right heart structures [88.52]Angiocardiography of left heart structures [88.53]Combined right and left heart angiocardiography [88.54]Coronary arteriography using a single catheter [88.55]Coronary arteriography using two catheters [88.56]Other and unspecified coronary arteriography [88.57]Negative-contrast cardiac roentgenography [88.58]Intra-operative coronary fluorescence vascular angiography [88.59]Phlebography using contrast material, unspecified site [88.60]Phlebography of veins of head and neck using contrast material [88.61]Phlebography of pulmonary veins using contrast material [88.62]Phlebography of other intrathoracic veins using contrast material [88.63]Phlebography of the portal venous system using contrast material [88.64]Phlebography of other Intra-Abdominal veins using contrast material [88.65]Phlebography of femoral and other lower extremity veins using contrast material [88.66]Phlebography of other specified sites using contrast material [88.67]Impedance phlebography [88.68]Diagnostic ultrasound of head and neck [88.71]Diagnostic ultrasound of heart [88.72]Diagnostic ultrasound of other sites of thorax [88.73]Diagnostic ultrasound of digestive system [88.74]Diagnostic ultrasound of urinary system [88.75]Diagnostic ultrasound of abdomen and retroperitoneum [88.76]Diagnostic ultrasound of peripheral vascular system [88.77]Diagnostic ultrasound of gravid uterus [88.78]Other diagnostic ultrasound [88.79]Cerebral thermography [88.81]Ocular thermography [88.82]Bone thermography [88.83]Muscle thermography [88.84]Breast thermography [88.85]Blood vessel thermography [88.86]Thermography of other sites [88.89]Diagnostic imaging, not elsewhere classified [88.90]Magnetic resonance imaging of brain and brain stem [88.91]Magnetic resonance imaging of chest and myocardium [88.92]Magnetic resonance imaging of spinal canal [88.93]Magnetic resonance imaging of musculoskeletal [88.94]Magnetic resonance imaging of pelvis, prostate, and bladder [88.95]Other intraoperative magnetic resonance imaging [88.96]Magnetic resonance imaging of other and unspecified sites [88.97]

Page 124: ICD9 CM Procedure Vol3 FY2012

Bone mineral density studies [88.98]Interview and evaluation, described as brief [89.01]Interview and evaluation, described as limited [89.02]Interview and evaluation, described as comprehensive [89.03]Other interview and evaluation [89.04]Diagnostic interview and evaluation, not otherwise specified [89.05]Consultation, described as limited [89.06]Consultation, described as comprehensive [89.07]Other consultation [89.08]Consultation, not otherwise specified [89.09]Intracarotid amobarbital test [89.10]Tonometry [89.11]Nasal function study [89.12]Neurologic examination [89.13]Electroencephalogram [89.14]Other nonoperative neurologic function tests [89.15]Transillumination of newborn skull [89.16]Polysomnogram [89.17]Other sleep disorder function tests [89.18]Video and radio-telemetered electroencephalographic monitoring [89.19]Urinary manometry [89.21]Cystometrogram [89.22]Urethral sphincter electromyogram [89.23]Uroflowmetry [UFR] [89.24]Urethral pressure profile [UPP] [89.25]Gynecological examination [89.26]Other nonoperative genitourinary system measurements [89.29]Dental examination [89.31]Esophageal manometry [89.32]Digital examination of enterostomy stoma [89.33]Digital examination of rectum [89.34]Transillumination of nasal sinuses [89.35]Manual examination of breast [89.36]Vital capacity determination [89.37]Other nonoperative respiratory measurements [89.38]Other nonoperative measurements and examinations [89.39]Cardiovascular stress test using treadmill [89.41]Masters' two-step stress test [89.42]Cardiovascular stress test using bicycle ergometer [89.43]Other cardiovascular stress test [89.44]Artificial pacemaker rate check [89.45]Artificial pacemaker artifact wave form check [89.46]Artificial pacemaker electrode impedance check [89.47]Artificial pacemaker voltage or amperage threshold check [89.48]Automatic implantable cardioverter/defibrillator (AICD) check [89.49]Ambulatory cardiac monitoring [89.50]Rhythm electrocardiogram [89.51]Electrocardiogram [89.52]Vectorcardiogram (with ECG) [89.53]Electrographic monitoring [89.54]Phonocardiogram with ECG lead [89.55]Carotid pulse tracing with ECG lead [89.56]Apexcardiogram (with ECG lead) [89.57]Plethysmogram [89.58]Other nonoperative cardiac and vascular measurements [89.59]Continuous intra-arterial blood gas monitoring [89.60]Systemic arterial pressure monitoring [89.61]Central venous pressure monitoring [89.62]

Page 125: ICD9 CM Procedure Vol3 FY2012

Pulmonary artery pressure monitoring [89.63]Pulmonary artery wedge monitoring [89.64]Measurement of systemic arterial blood gases [89.65]Measurement of mixed venous blood gases [89.66]Monitoring of cardiac output by oxygen consumption technique [89.67]Monitoring of cardiac output by other technique [89.68]Monitoring of coronary blood flow [89.69]General physical examination [89.7]Autopsy [89.8]Microscopic examination of specimen from nervous system and of spinal fluid, bacterial smear [90.01]Microscopic examination of specimen from nervous system and of spinal fluid, culture [90.02]Microscopic examination of specimen from nervous system and of spinal fluid, culture and sensitivity [90.03]Microscopic examination of specimen from nervous system and of spinal fluid, parasitology [90.04]Microscopic examination of specimen from nervous system and of spinal fluid, toxicology [90.05]Microscopic examination of specimen from nervous system and of spinal fluid, cell block and Papanicolaou smear [90.06]Microscopic examination of specimen from nervous system and of spinal fluid, other microscopic examination [90.09]Microscopic examination of specimen from endocrine gland, not elsewhere classified, bacterial smear [90.11]Microscopic examination of specimen from endocrine gland, not elsewhere classified, culture [90.12]Microscopic examination of specimen from endocrine gland, not elsewhere classified, culture and sensitivity [90.13]Microscopic examination of specimen from endocrine gland, not elsewhere classified, parasitology [90.14]Microscopic examination of specimen from endocrine gland, not elsewhere classified, toxicology [90.15]Microscopic examination of specimen from endocrine gland, not elsewhere classified, cell block and Papanicolaou smear [90.16]Microscopic examination of specimen from endocrine gland, not elsewhere classified, other microscopic examination [90.19]Microscopic examination of specimen from eye, bacterial smear [90.21]Microscopic examination of specimen from eye, culture [90.22]Microscopic examination of specimen from eye, culture and sensitivity [90.23]Microscopic examination of specimen from eye, parasitology [90.24]Microscopic examination of specimen from eye, toxicology [90.25]Microscopic examination of specimen from eye, cell block and Papanicolaou smear [90.26]Microscopic examination of specimen from eye, other microscopic examination [90.29]Microscopic examination of specimen from ear, nose, throat, and larynx, bacterial smear [90.31]Microscopic examination of specimen from ear, nose, throat, and larynx, culture [90.32]Microscopic examination of specimen from ear, nose, throat, and larynx, culture and sensitivity [90.33]Microscopic examination of specimen from ear, nose, throat, and larynx, parasitology [90.34]Microscopic examination of specimen from ear, nose, throat, and larynx, toxicology [90.35]Microscopic examination of specimen from ear, nose, throat, and larynx, cell block and Papanicolaou smear [90.36]Microscopic examination of specimen from ear, nose, throat, and larynx, other microscopic examination [90.39]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, bacterial smear [90.41]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, culture [90.42]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, culture and sensitivity [90.43]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, parasitology [90.44]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, toxicology [90.45]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, cell block and Papanicolaou smear [90.46]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, other microscopic examination [90.49]Microscopic examination of blood, bacterial smear [90.51]Microscopic examination of blood, culture [90.52]Microscopic examination of blood, culture and sensitivity [90.53]Microscopic examination of blood, parasitology [90.54]Microscopic examination of blood, toxicology [90.55]Microscopic examination of blood, cell block and Papanicolaou smear [90.56]Microscopic examination of blood, other microscopic examination [90.59]Microscopic examination of specimen from spleen and of bone marrow, bacterial smear [90.61]Microscopic examination of specimen from spleen and of bone marrow, culture [90.62]Microscopic examination of specimen from spleen and of bone marrow, culture and sensitivity [90.63]Microscopic examination of specimen from spleen and of bone marrow, parasitology [90.64]Microscopic examination of specimen from spleen and of bone marrow, toxicology [90.65]Microscopic examination of specimen from spleen and of bone marrow, cell block and Papanicolaou smear [90.66]Microscopic examination of specimen from spleen and of bone marrow, other microscopic examination [90.69]

Page 126: ICD9 CM Procedure Vol3 FY2012

Microscopic examination of specimen from lymph node and of lymph, bacterial smear [90.71]Microscopic examination of specimen from lymph node and of lymph, culture [90.72]Microscopic examination of specimen from lymph node and of lymph, culture and sensitivity [90.73]Microscopic examination of specimen from lymph node and of lymph, parasitology [90.74]Microscopic examination of specimen from lymph node and of lymph, toxicology [90.75]Microscopic examination of specimen from lymph node and of lymph, cell block and Papanicolaou smear [90.76]Microscopic examination of specimen from lymph node and of lymph, other microscopic examination [90.79]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, bacterial smear [90.81]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, culture [90.82]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, culture and sensitivity [90.83]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, parasitology [90.84]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, toxicology [90.85]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, cell block and Papanicolaou smear [90.86]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, other microscopic examination [90.89]Microscopic examination of specimen from lower gastrointestinal tract and of stool, bacterial smear [90.91]Microscopic examination of specimen from lower gastrointestinal tract and of stool, culture [90.92]Microscopic examination of specimen from lower gastrointestinal tract and of stool, culture and sensitivity [90.93]Microscopic examination of specimen from lower gastrointestinal tract and of stool, parasitology [90.94]Microscopic examination of specimen from lower gastrointestinal tract and of stool, toxicology [90.95]Microscopic examination of specimen from lower gastrointestinal tract and of stool, cell block and Papanicolaou smear [90.96]Microscopic examination of specimen from lower gastrointestinal tract and of stool, other microscopic examination [90.99]Microscopic examination of specimen from liver, biliary tract, and pancreas, bacterial smear [91.01]Microscopic examination of specimen from liver, biliary tract, and pancreas, culture [91.02]Microscopic examination of specimen from liver, biliary tract, and pancreas, culture and sensitivity [91.03]Microscopic examination of specimen from liver, biliary tract, and pancreas, parasitology [91.04]Microscopic examination of specimen from liver, biliary tract, and pancreas, toxicology [91.05]Microscopic examination of specimen from liver, biliary tract, and pancreas, cell block and Papanicolaou smear [91.06]Microscopic examination of specimen from liver, biliary tract, and pancreas, other microscopic examination [91.09]Microscopic examination of peritoneal and retroperitoneal specimen, bacterial smear [91.11]Microscopic examination of peritoneal and retroperitoneal specimen, culture [91.12]Microscopic examination of peritoneal and retroperitoneal specimen, culture and sensitivity [91.13]Microscopic examination of peritoneal and retroperitoneal specimen, parasitology [91.14]Microscopic examination of peritoneal and retroperitoneal specimen, toxicology [91.15]Microscopic examination of peritoneal and retroperitoneal specimen, cell block and Papanicolaou smear [91.16]Microscopic examination of peritoneal and retroperitoneal specimen, other microscopic examination [91.19]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, bacterial smear [91.21]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, culture [91.22]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, culture and sensitivity [91.23]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, parasitology [91.24]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, toxicology [91.25]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, cell block and Papanicolaou smear [91.26]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, other microscopic examination [91.29]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, bacterial smear [91.31]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, culture [91.32]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, culture and sensitivity [91.33]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, parasitology [91.34]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, toxicology [91.35]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, cell block and Papanicolaou smear [91.36]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, other microscopic examination [91.39]Microscopic examination of specimen from female genital tract, bacterial smear [91.41]Microscopic examination of specimen from female genital tract, culture [91.42]Microscopic examination of specimen from female genital tract, culture and sensitivity [91.43]Microscopic examination of specimen from female genital tract, parasitology [91.44]Microscopic examination of specimen from female genital tract, toxicology [91.45]Microscopic examination of specimen from female genital tract, cell block and Papanicolaou smear [91.46]Microscopic examination of specimen from female genital tract, other microscopic examination [91.49]Microscopic examination of specimen from musculoskeletal system and of joint fluid, bacterial smear [91.51]Microscopic examination of specimen from musculoskeletal system and of joint fluid, culture [91.52]

Page 127: ICD9 CM Procedure Vol3 FY2012

Microscopic examination of specimen from musculoskeletal system and of joint fluid, culture and sensitivity [91.53]Microscopic examination of specimen from musculoskeletal system and of joint fluid, parasitology [91.54]Microscopic examination of specimen from musculoskeletal system and of joint fluid, toxicology [91.55]Microscopic examination of specimen from musculoskeletal system and of joint fluid, cell block and Papanicolaou smear [91.56]Microscopic examination of specimen from musculoskeletal system and of joint fluid, other microscopic examination [91.59]Microscopic examination of specimen from skin and other integument, bacterial smear [91.61]Microscopic examination of specimen from skin and other integument, culture [91.62]Microscopic examination of specimen from skin and other integument, culture and sensitivity [91.63]Microscopic examination of specimen from skin and other integument, parasitology [91.64]Microscopic examination of specimen from skin and other integument, toxicology [91.65]Microscopic examination of specimen from skin and other integument, cell block and Papanicolaou smear [91.66]Microscopic examination of specimen from skin and other integument, other microscopic examination [91.69]Microscopic examination of specimen from operative wound, bacterial smear [91.71]Microscopic examination of specimen from operative wound, culture [91.72]Microscopic examination of specimen from operative wound, culture and sensitivity [91.73]Microscopic examination of specimen from operative wound, parasitology [91.74]Microscopic examination of specimen from operative wound, toxicology [91.75]Microscopic examination of specimen from operative wound, cell block and Papanicolaou smear [91.76]Microscopic examination of specimen from operative wound, other microscopic examination [91.79]Microscopic examination of specimen from other site, bacterial smear [91.81]Microscopic examination of specimen from other site, culture [91.82]Microscopic examination of specimen from other site, culture and sensitivity [91.83]Microscopic examination of specimen from other site, parasitology [91.84]Microscopic examination of specimen from other site, toxicology [91.85]Microscopic examination of specimen from other site, cell block and Papanicolaou smear [91.86]Microscopic examination of specimen from other site, other microscopic examination [91.89]Microscopic examination of specimen from unspecified site, bacterial smear [91.91]Microscopic examination of specimen from unspecified site, culture [91.92]Microscopic examination of specimen from unspecified site, culture and sensitivity [91.93]Microscopic examination of specimen from unspecified site, parasitology [91.94]Microscopic examination of specimen from unspecified site, toxicology [91.95]Microscopic examination of specimen from unspecified site, cell block and Papanicolaou smear [91.96]Microscopic examination of specimen from unspecified site, other microscopic examination [91.99]Thyroid scan and radioisotope function studies [92.01]Liver scan and radioisotope function study [92.02]Renal scan and radioisotope function study [92.03]Gastrointestinal scan and radioisotope function study [92.04]Cardiovascular and hematopoietic scan and radioisotope function study [92.05]Other radioisotope function studies [92.09]Cerebral scan [92.11]Scan of other sites of head [92.12]Parathyroid scan [92.13]Bone scan [92.14]Pulmonary scan [92.15]Scan of lymphatic system [92.16]Placental scan [92.17]Total body scan [92.18]Scan of other sites [92.19]Infusion of liquid brachytherapy radioisotope [92.20]Superficial radiation [92.21]Orthovoltage radiation [92.22]Radioisotopic teleradiotherapy [92.23]Teleradiotherapy using photons [92.24]Teleradiotherapy using electrons [92.25]Teleradiotherapy of other particulate radiation [92.26]Implantation or insertion of radioactive elements [92.27]Injection or instillation of radioisotopes [92.28]Other radiotherapeutic procedure [92.29]

Page 128: ICD9 CM Procedure Vol3 FY2012

Stereotactic radiosurgery, not otherwise specified [92.30]Single source photon radiosurgery [92.31]Multi-source photon radiosurgery [92.32]Particulate radiosurgery [92.33]Stereotactic radiosurgery, not elsewhere classified [92.39]Intra-operative electron radiation therapy [92.41]Functional evaluation [93.01]Orthotic evaluation [93.02]Prosthetic evaluation [93.03]Manual testing of muscle function [93.04]Range of motion testing [93.05]Measurement of limb length [93.06]Body measurement [93.07]Electromyography [93.08]Other diagnostic physical therapy procedure [93.09]Assisting exercise [93.11]Other active musculoskeletal exercise [93.12]Resistive exercise [93.13]Training in joint movements [93.14]Mobilization of spine [93.15]Mobilization of other joints [93.16]Other passive musculoskeletal exercise [93.17]Breathing exercise [93.18]Exercise, not elsewhere classified [93.19]Manual and mechanical traction [93.21]Ambulation and gait training [93.22]Fitting of orthotic device [93.23]Training in use of prosthetic or orthotic device [93.24]Forced extension of limb [93.25]Manual rupture of joint adhesions [93.26]Stretching of muscle or tendon [93.27]Stretching of fascia [93.28]Other forcible correction of musculoskeletal deformity [93.29]Assisted exercise in pool [93.31]Whirlpool treatment [93.32]Other hydrotherapy [93.33]Diathermy [93.34]Other heat therapy [93.35]Cardiac retraining [93.36]Prenatal training [93.37]Combined physical therapy without mention of the components [93.38]Other physical therapy [93.39]Spinal traction using skull device [93.41]Other spinal traction [93.42]Intermittent skeletal traction [93.43]Other skeletal traction [93.44]Thomas' splint traction [93.45]Other skin traction of limbs [93.46]Application of plaster jacket [93.51]Application of neck support [93.52]Application of other cast [93.53]Application of splint [93.54]Dental wiring [93.55]Application of pressure dressing [93.56]Application of other wound dressing [93.57]Application of pressure trousers [93.58]Other immobilization, pressure, and attention to wound [93.59]Osteopathic manipulative treatment for general mobilization [93.61]

Page 129: ICD9 CM Procedure Vol3 FY2012

Osteopathic manipulative treatment using high-velocity, low-amplitude forces [93.62]Osteopathic manipulative treatment using low- velocity, high-amplitude forces [93.63]Osteopathic manipulative treatment using isotonic, isometric forces [93.64]Osteopathic manipulative treatment using indirect forces [93.65]Osteopathic manipulative treatment to move tissue fluids [93.66]Other specified osteopathic manipulative treatment [93.67]Dyslexia training [93.71]Dysphasia training [93.72]Esophageal speech training [93.73]Speech defect training [93.74]Other speech training and therapy [93.75]Training in use of lead dog for the blind [93.76]Training in braille or moon [93.77]Other rehabilitation for the blind [93.78]Recreation therapy [93.81]Educational therapy [93.82]Occupational therapy [93.83]Music therapy [93.84]Vocational rehabilitation [93.85]Rehabilitation, not elsewhere classified [93.89]Non-invasive mechanical ventilation [93.90]Intermittent positive pressure breathing [IPPB] [93.91]Nonmechanical methods of resuscitation [93.93]Respiratory medication administered by nebulizer [93.94]Hyperbaric oxygenation [93.95]Other oxygen enrichment [93.96]Decompression chamber [93.97]Other control of atmospheric pressure and composition [93.98]Other respiratory procedures [93.99]Administration of intelligence test [94.01]Administration of psychologic test [94.02]Character analysis [94.03]Other psychologic evaluation and testing [94.08]Psychologic mental status determination, not otherwise specified [94.09]Psychiatric mental status determination [94.11]Routine psychiatric visit, not otherwise specified [94.12]Psychiatric commitment evaluation [94.13]Other psychiatric interview and evaluation [94.19]Narcoanalysis [94.21]Lithium therapy [94.22]Neuroleptic therapy [94.23]Chemical shock therapy [94.24]Other psychiatric drug therapy [94.25]Subconvulsive electroshock therapy [94.26]Other electroshock therapy [94.27]Other psychiatric somatotherapy [94.29]Psychoanalysis [94.31]Hypnotherapy [94.32]Behavior therapy [94.33]Individual therapy for psychosexual dysfunction [94.34]Crisis intervention [94.35]Play psychotherapy [94.36]Exploratory verbal psychotherapy [94.37]Supportive verbal psychotherapy [94.38]Other individual psychotherapy [94.39]Group therapy for psychosexual dysfunction [94.41]Family therapy [94.42]Psychodrama [94.43]

Page 130: ICD9 CM Procedure Vol3 FY2012

Other group therapy [94.44]Drug addiction counseling [94.45]Alcoholism counseling [94.46]Other counseling [94.49]Referral for psychotherapy [94.51]Referral for psychiatric aftercare [94.52]Referral for alcoholism rehabilitation [94.53]Referral for drug addiction rehabilitation [94.54]Referral for vocational rehabilitation [94.55]Referral for other psychologic rehabilitation [94.59]Alcohol rehabilitation [94.61]Alcohol detoxification [94.62]Alcohol rehabilitation and detoxification [94.63]Drug rehabilitation [94.64]Drug detoxification [94.65]Drug rehabilitation and detoxification [94.66]Combined alcohol and drug rehabilitation [94.67]Combined alcohol and drug detoxification [94.68]Combined alcohol and drug rehabilitation and detoxification [94.69]Limited eye examination [95.01]Comprehensive eye examination [95.02]Extended ophthalmologic work-up [95.03]Eye examination under anesthesia [95.04]Visual field study [95.05]Color vision study [95.06]Dark adaptation study [95.07]Eye examination, not otherwise specified [95.09]Fundus photography [95.11]Fluorescein angiography or angioscopy of eye [95.12]Ultrasound study of eye [95.13]X-ray study of eye [95.14]Ocular motility study [95.15]P32 and other tracer studies of eye [95.16]Electroretinogram [ERG] [95.21]Electro-oculogram [EOG] [95.22]Visual evoked potential [VEP] [95.23]Electronystagmogram [ENG] [95.24]Electromyogram of eye [EMG] [95.25]Tonography, provocative tests, and other glaucoma testing [95.26]Fitting and dispensing of spectacles [95.31]Prescription, fitting, and dispensing of contact lens [95.32]Dispensing of other low vision aids [95.33]Ocular prosthetics [95.34]Orthoptic training [95.35]Ophthalmologic counseling and instruction [95.36]Audiometry [95.41]Clinical test of hearing [95.42]Audiological evaluation [95.43]Clinical vestibular function tests [95.44]Rotation tests [95.45]Other auditory and vestibular function tests [95.46]Hearing examination, not otherwise specified [95.47]Fitting of hearing aid [95.48]Other nonoperative procedures related to hearing [95.49]Insertion of nasopharyngeal airway [96.01]Insertion of oropharyngeal airway [96.02]Insertion of esophageal obturator airway [96.03]Insertion of endotracheal tube [96.04]

Page 131: ICD9 CM Procedure Vol3 FY2012

Other intubation of respiratory tract [96.05]Insertion of Sengstaken tube [96.06]Insertion of other (naso-)gastric tube [96.07]Insertion of (naso-)intestinal tube [96.08]Insertion of rectal tube [96.09]Packing of external auditory canal [96.11]Vaginal packing [96.14]Insertion of vaginal mold [96.15]Other vaginal dilation [96.16]Insertion of vaginal diaphragm [96.17]Insertion of other vaginal pessary [96.18]Rectal packing [96.19]Dilation of frontonasal duct [96.21]Dilation of rectum [96.22]Dilation of anal sphincter [96.23]Dilation and manipulation of enterostomy stoma [96.24]Therapeutic distention of bladder [96.25]Manual reduction of rectal prolapse [96.26]Manual reduction of hernia [96.27]Manual reduction of enterostomy prolapse [96.28]Reduction of intussusception of alimentary tract [96.29]Gastric cooling [96.31]Gastric freezing [96.32]Gastric lavage [96.33]Other irrigation of (naso-)gastric tube [96.34]Gastric gavage [96.35]Irrigation of gastrostomy or enterostomy [96.36]Proctoclysis [96.37]Removal of impacted feces [96.38]Other transanal enema [96.39]Irrigation of cholecystostomy and other biliary tube [96.41]Irrigation of pancreatic tube [96.42]Digestive tract instillation, except gastric gavage [96.43]Vaginal douche [96.44]Irrigation of nephrostomy and pyelostomy [96.45]Irrigation of ureterostomy and ureteral catheter [96.46]Irrigation of cystostomy [96.47]Irrigation of other indwelling urinary catheter [96.48]Other genitourinary instillation [96.49]Irrigation of eye [96.51]Irrigation of ear [96.52]Irrigation of nasal passages [96.53]Dental scaling, polishing, and debridement [96.54]Tracheostomy toilette [96.55]Other lavage of bronchus and trachea [96.56]Irrigation of vascular catheter [96.57]Irrigation of wound catheter [96.58]Other irrigation of wound [96.59]Enteral infusion of concentrated nutritional substances [96.6]Continuous invasive mechanical ventilation of unspecified duration [96.70]Continuous invasive mechanical ventilation for less than 96 consecutive hours [96.71]Continuous invasive mechanical ventilation for 96 consecutive hours or more [96.72]Replacement of (naso-)gastric or esophagostomy tube [97.01]Replacement of gastrostomy tube [97.02]Replacement of tube or enterostomy device of small intestine [97.03]Replacement of tube or enterostomy device of large intestine [97.04]Replacement of stent (tube) in biliary or pancreatic duct [97.05]Replacement of cast on upper limb [97.11]

Page 132: ICD9 CM Procedure Vol3 FY2012

Replacement of cast on lower limb [97.12]Replacement of other cast [97.13]Replacement of other device for musculoskeletal immobilization [97.14]Replacement of wound catheter [97.15]Replacement of wound packing or drain [97.16]Replacement of nasal packing [97.21]Replacement of dental packing [97.22]Replacement of tracheostomy tube [97.23]Replacement and refitting of vaginal diaphragm [97.24]Replacement of other vaginal pessary [97.25]Replacement of vaginal or vulvar packing or drain [97.26]Other nonoperative replacements [97.29]Removal of eye prosthesis [97.31]Removal of nasal packing [97.32]Removal of dental wiring [97.33]Removal of dental packing [97.34]Removal of dental prosthesis [97.35]Removal of other external mandibular fixation device [97.36]Removal of tracheostomy tube [97.37]Removal of sutures from head and neck [97.38]Removal of other therapeutic device from head and neck [97.39]Removal of thoracotomy tube or pleural cavity drain [97.41]Removal of mediastinal drain [97.42]Removal of sutures from thorax [97.43]Nonoperative removal of heart assist system [97.44]Removal of other device from thorax [97.49]Removal of gastrostomy tube [97.51]Removal of tube from small intestine [97.52]Removal of tube from large intestine or appendix [97.53]Removal of cholecystostomy tube [97.54]Removal of T-tube, other bile duct tube, or liver tube [97.55]Removal of pancreatic tube or drain [97.56]Removal of other device from digestive system [97.59]Removal of pyelostomy and nephrostomy tube [97.61]Removal of ureterostomy tube and ureteral catheter [97.62]Removal of cystostomy tube [97.63]Removal of other urinary drainage device [97.64]Removal of urethral stent [97.65]Removal of other device from urinary system [97.69]Removal of intrauterine contraceptive device [97.71]Removal of intrauterine pack [97.72]Removal of vaginal diaphragm [97.73]Removal of other vaginal pessary [97.74]Removal of vaginal or vulvar packing [97.75]Removal of other device from genital tract [97.79]Removal of retroperitoneal drainage device [97.81]Removal of peritoneal drainage device [97.82]Removal of abdominal wall sutures [97.83]Removal of sutures from trunk, not elsewhere classified [97.84]Removal of packing from trunk, not elsewhere classified [97.85]Removal of other device from abdomen [97.86]Removal of other device from trunk [97.87]Removal of external immobilization device [97.88]Removal of other therapeutic device [97.89]Removal of intraluminal foreign body from mouth without incision [98.01]Removal of intraluminal foreign body from esophagus without incision [98.02]Removal of intraluminal foreign body from stomach and small intestine without incision [98.03]Removal of intraluminal foreign body from large intestine without incision [98.04]

Page 133: ICD9 CM Procedure Vol3 FY2012

Removal of intraluminal foreign body from rectum and anus without incision [98.05]Removal of intraluminal foreign body from ear without incision [98.11]Removal of intraluminal foreign body from nose without incision [98.12]Removal of intraluminal foreign body from pharynx without incision [98.13]Removal of intraluminal foreign body from larynx without incision [98.14]Removal of intraluminal foreign body from trachea and bronchus without incision [98.15]Removal of intraluminal foreign body from uterus without incision [98.16]Removal of intraluminal foreign body from vagina without incision [98.17]Removal of intraluminal foreign body from artificial stoma without incision [98.18]Removal of intraluminal foreign body from urethra without incision [98.19]Removal of foreign body, not otherwise specified [98.20]Removal of superficial foreign body from eye without incision [98.21]Removal of other foreign body without incision from head and neck [98.22]Removal of foreign body from vulva without incision [98.23]Removal of foreign body from scrotum or penis without incision [98.24]Removal of other foreign body without incision from trunk except scrotum, penis, or vulva [98.25]Removal of foreign body from hand without incision [98.26]Removal of foreign body without incision from upper limb, except hand [98.27]Removal of foreign body from foot without incision [98.28]Removal of foreign body without incision from lower limb, except foot [98.29]Extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureter and/or bladder [98.51]Extracorporeal shockwave lithotripsy [ESWL] of the gallbladder and/or bile duct [98.52]Extracorporeal shockwave lithotripsy of other sites [98.59]Perioperative autologous transfusion of whole blood or blood components [99.00]Exchange transfusion [99.01]Transfusion of previously collected autologous blood [99.02]Other transfusion of whole blood [99.03]Transfusion of packed cells [99.04]Transfusion of platelets [99.05]Transfusion of coagulation factors [99.06]Transfusion of other serum [99.07]Transfusion of blood expander [99.08]Transfusion of other substance [99.09]Injection or infusion of thrombolytic agent [99.10]Injection of Rh immune globulin [99.11]Immunization for allergy [99.12]Immunization for autoimmune disease [99.13]Injection or infusion of immunoglobulin [99.14]Parenteral infusion of concentrated nutritional substances [99.15]Injection of antidote [99.16]Injection of insulin [99.17]Injection or infusion of electrolytes [99.18]Injection of anticoagulant [99.19]Injection or infusion of platelet inhibitor [99.20]Injection of antibiotic [99.21]Injection of other anti-infective [99.22]Injection of steroid [99.23]Injection of other hormone [99.24]Injection or infusion of cancer chemotherapeutic substance [99.25]Injection of tranquilizer [99.26]Iontophoresis [99.27]Injection or infusion of biological response modifier [BRM] as an antineoplastic agent [99.28]Injection or infusion of other therapeutic or prophylactic substance [99.29]Vaccination against cholera [99.31]Vaccination against typhoid and paratyphoid fever [99.32]Vaccination against tuberculosis [99.33]Vaccination against plague [99.34]Vaccination against tularemia [99.35]

Page 134: ICD9 CM Procedure Vol3 FY2012

Administration of diphtheria toxoid [99.36]Vaccination against pertussis [99.37]Administration of tetanus toxoid [99.38]Administration of diphtheria-tetanus-pertussis, combined [99.39]Administration of poliomyelitis vaccine [99.41]Vaccination against smallpox [99.42]Vaccination against yellow fever [99.43]Vaccination against rabies [99.44]Vaccination against measles [99.45]Vaccination against mumps [99.46]Vaccination against rubella [99.47]Administration of measles-mumps-rubella vaccine [99.48]Prophylactic vaccination against the common cold [99.51]Prophylactic vaccination against influenza [99.52]Prophylactic vaccination against arthropod-borne viral encephalitis [99.53]Prophylactic vaccination against other arthropod-borne viral diseases [99.54]Prophylactic administration of vaccine against other diseases [99.55]Administration of tetanus antitoxin [99.56]Administration of botulism antitoxin [99.57]Administration of other antitoxins [99.58]Other vaccination and inoculation [99.59]Cardiopulmonary resuscitation, not otherwise specified [99.60]Atrial cardioversion [99.61]Other electric countershock of heart [99.62]Closed chest cardiac massage [99.63]Carotid sinus stimulation [99.64]Other conversion of cardiac rhythm [99.69]Therapeutic plasmapheresis [99.71]Therapeutic leukopheresis [99.72]Therapeutic erythrocytapheresis [99.73]Therapeutic plateletpheresis [99.74]Administration of neuroprotective agent [99.75]Extracorporeal immunoadsorption [99.76]Application or administration of an adhesion barrier substance [99.77]Aquapheresis [99.78]Other therapeutic apheresis [99.79]Hypothermia (central) (local) [99.81]Ultraviolet light therapy [99.82]Other phototherapy [99.83]Isolation [99.84]Hyperthermia for treatment of cancer [99.85]Non-invasive placement of bone growth stimulator [99.86]Therapeutic photopheresis [99.88]Acupuncture for anesthesia [99.91]Other acupuncture [99.92]Rectal massage (for levator spasm) [99.93]Prostatic massage [99.94]Stretching of foreskin [99.95]Collection of sperm for artificial insemination [99.96]Fitting of denture [99.97]Extraction of milk from lactating breast [99.98]Other miscellaneous procedures [99.99]

Page 135: ICD9 CM Procedure Vol3 FY2012

Implantation of cardiac resynchronization pacemaker without mention of defibrillation, total system [CRT-P] [00.50]

Implantation or replacement of transvenous lead [electrode] into left ventricular coronary venous system [00.52]Implantation or replacement of cardiac resynchronization pacemaker pulse generator only [CRT-P] [00.53]Implantation or replacement of cardiac resynchronization defibrillator pulse generator only [CRT-D] [00.54]

Insertion or replacement of implantable pressure sensor with lead for intracardiac or great vessel hemodynamic monitoring [00.56]Implantation or replacement of subcutaneous device for intracardiac or great vessel hemodynamic monitoring [00.57]

Page 136: ICD9 CM Procedure Vol3 FY2012
Page 137: ICD9 CM Procedure Vol3 FY2012
Page 138: ICD9 CM Procedure Vol3 FY2012
Page 139: ICD9 CM Procedure Vol3 FY2012
Page 140: ICD9 CM Procedure Vol3 FY2012
Page 141: ICD9 CM Procedure Vol3 FY2012
Page 142: ICD9 CM Procedure Vol3 FY2012
Page 143: ICD9 CM Procedure Vol3 FY2012
Page 144: ICD9 CM Procedure Vol3 FY2012

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

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

Page 145: ICD9 CM Procedure Vol3 FY2012

Laparoscopic bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis [17.23]

Implantation or replacement of cardiac contractility modulation [CCM] rechargeable pulse generator only [17.52]

Laser interstitial thermal therapy [LITT] of lesion or tissue of other and unspecified site under guidance [17.69]

Page 146: ICD9 CM Procedure Vol3 FY2012

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

Page 147: ICD9 CM Procedure Vol3 FY2012
Page 148: ICD9 CM Procedure Vol3 FY2012
Page 149: ICD9 CM Procedure Vol3 FY2012
Page 150: ICD9 CM Procedure Vol3 FY2012
Page 151: ICD9 CM Procedure Vol3 FY2012
Page 152: ICD9 CM Procedure Vol3 FY2012
Page 153: ICD9 CM Procedure Vol3 FY2012
Page 154: ICD9 CM Procedure Vol3 FY2012

Replacement of any type pacemaker device with single-chamber device, not specified as rate responsive [37.85]

Insertion of implantable pressure sensor without lead for intracardiac or great vessel hemodynamic monitoring [38.26]

Page 155: ICD9 CM Procedure Vol3 FY2012
Page 156: ICD9 CM Procedure Vol3 FY2012
Page 157: ICD9 CM Procedure Vol3 FY2012
Page 158: ICD9 CM Procedure Vol3 FY2012
Page 159: ICD9 CM Procedure Vol3 FY2012
Page 160: ICD9 CM Procedure Vol3 FY2012
Page 161: ICD9 CM Procedure Vol3 FY2012
Page 162: ICD9 CM Procedure Vol3 FY2012
Page 163: ICD9 CM Procedure Vol3 FY2012
Page 164: ICD9 CM Procedure Vol3 FY2012

Other and open bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis [53.16]

Page 165: ICD9 CM Procedure Vol3 FY2012
Page 166: ICD9 CM Procedure Vol3 FY2012
Page 167: ICD9 CM Procedure Vol3 FY2012
Page 168: ICD9 CM Procedure Vol3 FY2012
Page 169: ICD9 CM Procedure Vol3 FY2012
Page 170: ICD9 CM Procedure Vol3 FY2012
Page 171: ICD9 CM Procedure Vol3 FY2012
Page 172: ICD9 CM Procedure Vol3 FY2012
Page 173: ICD9 CM Procedure Vol3 FY2012
Page 174: ICD9 CM Procedure Vol3 FY2012
Page 175: ICD9 CM Procedure Vol3 FY2012
Page 176: ICD9 CM Procedure Vol3 FY2012
Page 177: ICD9 CM Procedure Vol3 FY2012
Page 178: ICD9 CM Procedure Vol3 FY2012

Internal fixation of bone without fracture reduction, scapula, clavicle, and thorax [ribs and sternum] [78.51]

Diagnostic procedures on bone, not elsewhere classified, scapula, clavicle, and thorax [ribs and sternum] [78.81]

Page 179: ICD9 CM Procedure Vol3 FY2012
Page 180: ICD9 CM Procedure Vol3 FY2012
Page 181: ICD9 CM Procedure Vol3 FY2012
Page 182: ICD9 CM Procedure Vol3 FY2012
Page 183: ICD9 CM Procedure Vol3 FY2012
Page 184: ICD9 CM Procedure Vol3 FY2012
Page 185: ICD9 CM Procedure Vol3 FY2012
Page 186: ICD9 CM Procedure Vol3 FY2012
Page 187: ICD9 CM Procedure Vol3 FY2012
Page 188: ICD9 CM Procedure Vol3 FY2012

Insertion or replacement of single array neurostimulator pulse generator, not specified as rechargeable [86.94]Insertion or replacement of multiple array neurostimulator pulse generator, not specified as rechargeable [86.95]

Insertion or replacement of multiple array (two or more) rechargeable neurostimulator pulse generator [86.98]

Page 189: ICD9 CM Procedure Vol3 FY2012
Page 190: ICD9 CM Procedure Vol3 FY2012
Page 191: ICD9 CM Procedure Vol3 FY2012
Page 192: ICD9 CM Procedure Vol3 FY2012

Microscopic examination of specimen from nervous system and of spinal fluid, culture and sensitivity [90.03]

Microscopic examination of specimen from nervous system and of spinal fluid, cell block and Papanicolaou smear [90.06]Microscopic examination of specimen from nervous system and of spinal fluid, other microscopic examination [90.09]Microscopic examination of specimen from endocrine gland, not elsewhere classified, bacterial smear [90.11]

Microscopic examination of specimen from endocrine gland, not elsewhere classified, culture and sensitivity [90.13]Microscopic examination of specimen from endocrine gland, not elsewhere classified, parasitology [90.14]Microscopic examination of specimen from endocrine gland, not elsewhere classified, toxicology [90.15]Microscopic examination of specimen from endocrine gland, not elsewhere classified, cell block and Papanicolaou smear [90.16]Microscopic examination of specimen from endocrine gland, not elsewhere classified, other microscopic examination [90.19]

Microscopic examination of specimen from ear, nose, throat, and larynx, cell block and Papanicolaou smear [90.36]Microscopic examination of specimen from ear, nose, throat, and larynx, other microscopic examination [90.39]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, bacterial smear [90.41]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, culture [90.42]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, culture and sensitivity [90.43]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, parasitology [90.44]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, toxicology [90.45]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, cell block and Papanicolaou smear [90.46]Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum, other microscopic examination [90.49]

Microscopic examination of specimen from spleen and of bone marrow, cell block and Papanicolaou smear [90.66]Microscopic examination of specimen from spleen and of bone marrow, other microscopic examination [90.69]

Page 193: ICD9 CM Procedure Vol3 FY2012

Microscopic examination of specimen from lymph node and of lymph, cell block and Papanicolaou smear [90.76]Microscopic examination of specimen from lymph node and of lymph, other microscopic examination [90.79]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, bacterial smear [90.81]

Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, culture and sensitivity [90.83]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, parasitology [90.84]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, toxicology [90.85]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, cell block and Papanicolaou smear [90.86]Microscopic examination of specimen from upper gastrointestinal tract and of vomitus, other microscopic examination [90.89]Microscopic examination of specimen from lower gastrointestinal tract and of stool, bacterial smear [90.91]

Microscopic examination of specimen from lower gastrointestinal tract and of stool, culture and sensitivity [90.93]Microscopic examination of specimen from lower gastrointestinal tract and of stool, parasitology [90.94]

Microscopic examination of specimen from lower gastrointestinal tract and of stool, cell block and Papanicolaou smear [90.96]Microscopic examination of specimen from lower gastrointestinal tract and of stool, other microscopic examination [90.99]

Microscopic examination of specimen from liver, biliary tract, and pancreas, culture and sensitivity [91.03]

Microscopic examination of specimen from liver, biliary tract, and pancreas, cell block and Papanicolaou smear [91.06]Microscopic examination of specimen from liver, biliary tract, and pancreas, other microscopic examination [91.09]

Microscopic examination of peritoneal and retroperitoneal specimen, cell block and Papanicolaou smear [91.16]Microscopic examination of peritoneal and retroperitoneal specimen, other microscopic examination [91.19]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, bacterial smear [91.21]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, culture [91.22]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, culture and sensitivity [91.23]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, parasitology [91.24]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, toxicology [91.25]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, cell block and Papanicolaou smear [91.26]Microscopic examination of specimen from kidney, ureter, perirenal and periureteral tissue, other microscopic examination [91.29]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, bacterial smear [91.31]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, culture [91.32]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, culture and sensitivity [91.33]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, parasitology [91.34]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, toxicology [91.35]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, cell block and Papanicolaou smear [91.36]Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen, other microscopic examination [91.39]

Microscopic examination of specimen from female genital tract, cell block and Papanicolaou smear [91.46]

Microscopic examination of specimen from musculoskeletal system and of joint fluid, bacterial smear [91.51]

Page 194: ICD9 CM Procedure Vol3 FY2012

Microscopic examination of specimen from musculoskeletal system and of joint fluid, culture and sensitivity [91.53]Microscopic examination of specimen from musculoskeletal system and of joint fluid, parasitology [91.54]Microscopic examination of specimen from musculoskeletal system and of joint fluid, toxicology [91.55]Microscopic examination of specimen from musculoskeletal system and of joint fluid, cell block and Papanicolaou smear [91.56]Microscopic examination of specimen from musculoskeletal system and of joint fluid, other microscopic examination [91.59]

Microscopic examination of specimen from skin and other integument, cell block and Papanicolaou smear [91.66]Microscopic examination of specimen from skin and other integument, other microscopic examination [91.69]

Microscopic examination of specimen from operative wound, cell block and Papanicolaou smear [91.76]

Microscopic examination of specimen from unspecified site, cell block and Papanicolaou smear [91.96]

Page 195: ICD9 CM Procedure Vol3 FY2012
Page 196: ICD9 CM Procedure Vol3 FY2012
Page 197: ICD9 CM Procedure Vol3 FY2012
Page 198: ICD9 CM Procedure Vol3 FY2012
Page 199: ICD9 CM Procedure Vol3 FY2012
Page 200: ICD9 CM Procedure Vol3 FY2012
Page 201: ICD9 CM Procedure Vol3 FY2012