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Procedural Cross Coder Essential links from ICD-9-CM volume 3 procedure codes to CPT® and HCPCS Level II codes 201 6

Procedural Cross Coder - Optum360Coding.com PCC 2016 Sample... · Procedural Cross Coder Essential links from ICD-9-CM ... 32815 Open closure of major bronchial fistula 32906 Thoracoplasty,

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Procedural Cross Coder Essential links from ICD-9-CM

volume 3 procedure codes to CPT® and HCPCS Level II codes

2016

ContentsIntroduction.............................................................. i

Procedures and Interventions NEC (00) .................. 1

Operations on the Nervous System (01–05) ............ 9

Operations on the Endocrine System (06–07) ....... 28

Operations on the Eye (08–16) .............................. 33

Other Miscellaneous Diagnostic and Therapeutic Procedures (17.1–17.81) ................ 56

Operations on the Ear (18–20) .............................. 60

Operations on the Nose, Mouth, and Pharynx (21–29) ................................................. 67

Operations on the Respiratory System (30–34) ..... 84

Operations on the Cardiovascular System (35–39) ................................................... 95

Operations on the Hemic and Lymphatic Systems (40–41) .............................................. 134

Operations on the Digestive System (42–54) ....... 140

Operations on the Urinary System (55–59) ......... 186

Operations on the Male Genital Organs (60–64) ............................................................. 201

Operations on the Female Genital Organs (65–71) ............................................................. 211

Obstetrical Procedures (72–75) ........................... 230

Operations on the Musculoskeletal System (76–84) ................................................. 237

Operations on the Integumentary System (85–86) ................................................. 315

Miscellaneous Diagnostic and TherapeuticProcedures (87–99)........................................... 334

Glossary ............................................................... 419

i

Introduction

Current Procedural Terminology

Procedural Cross Coder

History

FormatProcedural Cross Coder

OrganizationProcedural Cross Coder

© 2015 American Medical Association. All Rights Reserved.

Procedural Cross Coder 0BQ43ZZ

© 2015 Optum360, LLC© 2015 American Medical Association. All Rights Reserved. 251

0BQ10ZZRepair Trachea, Open ApproachCPT Codes31750 Tracheoplasty; cervical31755 Tracheoplasty; tracheopharyngeal fistulization, each stage31760 Tracheoplasty; intrathoracic31800 Suture of tracheal wound or injury; cervical31805 Suture of tracheal wound or injury; intrathoracic31820 Surgical closure tracheostomy or fistula; without plastic repair

0BQ13ZZRepair Trachea, Percutaneous ApproachCPT Codes31750 Tracheoplasty; cervical31755 Tracheoplasty; tracheopharyngeal fistulization, each stage31760 Tracheoplasty; intrathoracic

0BQ14ZZRepair Trachea, Percutaneous Endoscopic ApproachCPT Codes31750 Tracheoplasty; cervical31755 Tracheoplasty; tracheopharyngeal fistulization, each stage31760 Tracheoplasty; intrathoracic

0BQ17ZZRepair Trachea, Via Natural or Artificial OpeningCPT Codes31899 Unlisted procedure, trachea, bronchi

0BQ18ZZRepair Trachea, Via Natural or Artificial Opening EndoscopicCPT Codes31615 Tracheobronchoscopy through established tracheostomy incision31899 Unlisted procedure, trachea, bronchi

0BQ20ZZRepair Carina, Open ApproachCPT Codes31766 Carinal reconstruction

0BQ23ZZRepair Carina, Percutaneous ApproachCPT Codes31766 Carinal reconstruction

0BQ24ZZRepair Carina, Percutaneous Endoscopic ApproachCPT Codes31766 Carinal reconstruction

0BQ27ZZRepair Carina, Via Natural or Artificial OpeningCPT Codes31899 Unlisted procedure, trachea, bronchi

0BQ28ZZRepair Carina, Via Natural or Artificial Opening EndoscopicCPT Codes31615 Tracheobronchoscopy through established tracheostomy incision31899 Unlisted procedure, trachea, bronchi

0BQ30ZZRepair Right Main Bronchus, Open Approach32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ33ZZRepair Right Main Bronchus, Percutaneous ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ34ZZRepair Right Main Bronchus, Percutaneous Endoscopic ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ37ZZRepair Right Main Bronchus, Via Natural or Artificial OpeningCPT Codes31899 Unlisted procedure, trachea, bronchi

0BQ38ZZRepair Right Main Bronchus, Via Natural or Artificial Opening EndoscopicCPT Codes31660 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 1 lobe31661 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 2 or more lobes

0BQ40ZZRepair Right Upper Lobe Bronchus, Open ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ43ZZRepair Right Upper Lobe Bronchus, Percutaneous ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ44ZZ Procedural Cross Coder

252 © 2015 Optum360, LLC© 2015 American Medical Association. All Rights Reserved.

0BQ44ZZRepair Right Upper Lobe Bronchus, Percutaneous Endoscopic ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ47ZZRepair Right Upper Lobe Bronchus, Via Natural or Artificial OpeningCPT Codes31899 Unlisted procedure, trachea, bronchi

0BQ48ZZRepair Right Upper Lobe Bronchus, Via Natural or Artificial Opening EndoscopicCPT Codes31660 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 1 lobe31661 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 2 or more lobes

0BQ50ZZRepair Right Middle Lobe Bronchus, Open ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ53ZZRepair Right Middle Lobe Bronchus, Percutaneous ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ54ZZRepair Right Middle Lobe Bronchus, Percutaneous Endoscopic ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ57ZZRepair Right Middle Lobe Bronchus, Via Natural or Artificial OpeningCPT Codes31899 Unlisted procedure, trachea, bronchi

0BQ58ZZRepair Right Middle Lobe Bronchus, Via Natural or Artificial Opening EndoscopicCPT Codes31660 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 1 lobe

31661 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes

0BQ60ZZRepair Right Lower Lobe Bronchus, Open ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ63ZZRepair Right Lower Lobe Bronchus, Percutaneous ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ64ZZRepair Right Lower Lobe Bronchus, Percutaneous Endoscopic ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ67ZZRepair Right Lower Lobe Bronchus, Via Natural or Artificial OpeningCPT Codes31899 Unlisted procedure, trachea, bronchi

0BQ68ZZRepair Right Lower Lobe Bronchus, Via Natural or Artificial Opening EndoscopicCPT Codes31660 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 1 lobe31661 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 2 or more lobes

0BQ70ZZRepair Left Main Bronchus, Open ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ73ZZRepair Left Main Bronchus, Percutaneous ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

Procedural Cross Coder 0BQB3ZZ

© 2015 Optum360, LLC© 2015 American Medical Association. All Rights Reserved. 253

0BQ74ZZRepair Left Main Bronchus, Percutaneous Endoscopic ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ77ZZRepair Left Main Bronchus, Via Natural or Artificial OpeningCPT Codes31899 Unlisted procedure, trachea, bronchi

0BQ78ZZRepair Left Main Bronchus, Via Natural or Artificial Opening EndoscopicCPT Codes31660 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 1 lobe31661 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 2 or more lobes

0BQ80ZZRepair Left Upper Lobe Bronchus, Open ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ83ZZRepair Left Upper Lobe Bronchus, Percutaneous ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ84ZZRepair Left Upper Lobe Bronchus, Percutaneous Endoscopic ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ87ZZRepair Left Upper Lobe Bronchus, Via Natural or Artificial OpeningCPT Codes31899 Unlisted procedure, trachea, bronchi

0BQ88ZZRepair Left Upper Lobe Bronchus, Via Natural or Artificial Opening EndoscopicCPT Codes31660 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 1 lobe

31661 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes

0BQ90ZZRepair Lingula Bronchus, Open ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ93ZZRepair Lingula Bronchus, Percutaneous ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ94ZZRepair Lingula Bronchus, Percutaneous Endoscopic ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQ97ZZRepair Lingula Bronchus, Via Natural or Artificial OpeningCPT Codes31899 Unlisted procedure, trachea, bronchi

0BQ98ZZRepair Lingula Bronchus, Via Natural or Artificial Opening EndoscopicCPT Codes31660 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 1 lobe31661 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when

performed; with bronchial thermoplasty, 2 or more lobes

0BQB0ZZRepair Left Lower Lobe Bronchus, Open ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0BQB3ZZRepair Left Lower Lobe Bronchus, Percutaneous ApproachCPT Codes32501 Resection and repair of portion of bronchus (bronchoplasty) when

performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)

32815 Open closure of major bronchial fistula32906 Thoracoplasty, Schede type or extrapleural (all stages); with closure of

bronchopleural fistula

0QS004Z Procedural Cross Coder

254 © 2015 Optum360, LLC© 2015 American Medical Association. All Rights Reserved.

0QS004ZReposition Lumbar Vertebra with Internal Fixation Device, Open ApproachCPT Codes22325 Open treatment and/or reduction of vertebral fracture(s) and/or

dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar

22328 Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment (List separately in addition to code for primary procedure)

22840 Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary procedure)

22842 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)

22843 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure)

22844 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (List separately in addition to code for primary procedure)

0QS00ZZReposition Lumbar Vertebra, Open ApproachCPT Codes22325 Open treatment and/or reduction of vertebral fracture(s) and/or

dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar

22328 Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment (List separately in addition to code for primary procedure)

0QS034ZReposition Lumbar Vertebra with Internal Fixation Device, Percutaneous ApproachCPT Codes22514 Percutaneous vertebral augmentation, including cavity creation (fracture

reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar

22515 Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure)

0QS03ZZReposition Lumbar Vertebra, Percutaneous ApproachCPT Codes22511 Percutaneous vertebroplasty (bone biopsy included when performed), 1

vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral

22512 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure)

0QS044ZReposition Lumbar Vertebra with Internal Fixation Device, Percutaneous Endoscopic ApproachCPT Codes22514 Percutaneous vertebral augmentation, including cavity creation (fracture

reduction and bone biopsy included when performed) using mechanical

device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar

22515 Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure)

0QS04ZZReposition Lumbar Vertebra, Percutaneous Endoscopic ApproachCPT Codes22511 Percutaneous vertebroplasty (bone biopsy included when performed), 1

vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral

22512 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure)

0QS0XZZReposition Lumbar Vertebra, External ApproachCPT Codes22315 Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring

casting or bracing, with and including casting and/or bracing by manipulation or traction

0QS104ZReposition Sacrum with Internal Fixation Device, Open ApproachCPT Codes27218 Open treatment of posterior pelvic bone fracture and/or dislocation, for

fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

0QS10ZZReposition Sacrum, Open ApproachCPT Codes27218 Open treatment of posterior pelvic bone fracture and/or dislocation, for

fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

0QS134ZReposition Sacrum with Internal Fixation Device, Percutaneous ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

0QS13ZZReposition Sacrum, Percutaneous ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

0QS144ZReposition Sacrum with Internal Fixation Device, Percutaneous Endoscopic ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

Procedural Cross Coder 0QS305Z

© 2015 Optum360, LLC© 2015 American Medical Association. All Rights Reserved. 255

0QS14ZZReposition Sacrum, Percutaneous Endoscopic ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

0QS1XZZReposition Sacrum, External ApproachCPT Codes20999 Unlisted procedure, musculoskeletal system, general

0QS204ZReposition Right Pelvic Bone with Internal Fixation Device, Open ApproachCPT Codes27217 Open treatment of anterior pelvic bone fracture and/or dislocation for

fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis and/or ipsilateral superior/inferior rami)

27218 Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

G0414 Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)

0QS205ZReposition Right Pelvic Bone with External Fixation Device, Open ApproachCPT Codes27254 Open treatment of hip dislocation, traumatic, with acetabular wall and

femoral head fracture, with or without internal or external fixation

0QS20ZZReposition Right Pelvic Bone, Open ApproachCPT Codes27217 Open treatment of anterior pelvic bone fracture and/or dislocation for

fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis and/or ipsilateral superior/inferior rami)

27218 Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

0QS234ZReposition Right Pelvic Bone with Internal Fixation Device, Percutaneous ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

G0413 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)

0QS235ZReposition Right Pelvic Bone with External Fixation Device, Percutaneous ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

0QS23ZZReposition Right Pelvic Bone, Percutaneous ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

0QS244ZReposition Right Pelvic Bone with Internal Fixation Device, Percutaneous Endoscopic ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

29999 Unlisted procedure, arthroscopy

0QS245ZReposition Right Pelvic Bone with External Fixation Device, Percutaneous Endoscopic ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

29999 Unlisted procedure, arthroscopy

0QS24ZZReposition Right Pelvic Bone, Percutaneous Endoscopic ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

29999 Unlisted procedure, arthroscopy

0QS2XZZReposition Right Pelvic Bone, External ApproachCPT Codes27193 Closed treatment of pelvic ring fracture, dislocation, diastasis or

subluxation; without manipulation27194 Closed treatment of pelvic ring fracture, dislocation, diastasis or

subluxation; with manipulation, requiring more than local anesthesia

0QS304ZReposition Left Pelvic Bone with Internal Fixation Device, Open ApproachCPT Codes27217 Open treatment of anterior pelvic bone fracture and/or dislocation for

fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis and/or ipsilateral superior/inferior rami)

27218 Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral ilium, sacroiliac joint and/or sacrum)G0414Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)

0QS305ZReposition Left Pelvic Bone with External Fixation Device, Open ApproachCPT Codes27254 Open treatment of hip dislocation, traumatic, with acetabular wall and

femoral head fracture, with or without internal or external fixation

0QS30ZZ Procedural Cross Coder

256 © 2015 Optum360, LLC© 2015 American Medical Association. All Rights Reserved.

0QS30ZZReposition Left Pelvic Bone, Open ApproachCPT Codes27217 Open treatment of anterior pelvic bone fracture and/or dislocation for

fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis and/or ipsilateral superior/inferior rami)

27218 Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

0QS334ZReposition Left Pelvic Bone with Internal Fixation Device, Percutaneous ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

G0413 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)

0QS335ZReposition Left Pelvic Bone with External Fixation Device, Percutaneous ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

0QS33ZZReposition Left Pelvic Bone, Percutaneous ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

0QS344ZReposition Left Pelvic Bone with Internal Fixation Device, Percutaneous Endoscopic ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

29999 Unlisted procedure, arthroscopy

0QS345ZReposition Left Pelvic Bone with External Fixation Device, Percutaneous Endoscopic ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

29999 Unlisted procedure, arthroscopy

0QS34ZZReposition Left Pelvic Bone, Percutaneous Endoscopic ApproachCPT Codes27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

29999 Unlisted procedure, arthroscopy

0QS3XZZReposition Left Pelvic Bone, External ApproachCPT Codes27193 Closed treatment of pelvic ring fracture, dislocation, diastasis or

subluxation; without manipulation27194 Closed treatment of pelvic ring fracture, dislocation, diastasis or

subluxation; with manipulation, requiring more than local anesthesia

0QS404ZReposition Right Acetabulum with Internal Fixation Device, Open ApproachCPT Codes27226 Open treatment of posterior or anterior acetabular wall fracture, with

internal fixation27227 Open treatment of acetabular fracture(s) involving anterior or posterior

(one) column, or a fracture running transversely across the acetabulum, with internal fixation

27228 Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse fracture with associated acetabular wall fracture, with internal fixation

27254 Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation

0QS40ZZReposition Right Acetabulum, Open ApproachCPT Codes27254 Open treatment of hip dislocation, traumatic, with acetabular wall and

femoral head fracture, with or without internal or external fixation

0QS434ZReposition Right Acetabulum with Internal Fixation Device, Percutaneous ApproachCPT Codes27226 Open treatment of posterior or anterior acetabular wall fracture, with

internal fixation27227 Open treatment of acetabular fracture(s) involving anterior or posterior

(one) column, or a fracture running transversely across the acetabulum, with internal fixation

27228 Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse fracture with associated acetabular wall fracture, with internal fixation

27254 Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation

0QS43ZZReposition Right Acetabulum, Percutaneous ApproachCPT Codes27254 Open treatment of hip dislocation, traumatic, with acetabular wall and

femoral head fracture, with or without internal or external fixation

0QS444ZReposition Right Acetabulum with Internal Fixation Device, Percutaneous Endoscopic ApproachCPT Codes27226 Open treatment of posterior or anterior acetabular wall fracture, with

internal fixation27227 Open treatment of acetabular fracture(s) involving anterior or posterior

(one) column, or a fracture running transversely across the acetabulum, with internal fixation

27228 Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse fracture with associated acetabular wall fracture, with internal fixation

Procedural Cross Coder B02810Z

© 2015 Optum360, LLC© 2015 American Medical Association. All Rights Reserved. 257

B02000ZComputerized Tomography (CT Scan) of Brain using High Osmolar Contrast, Unenhanced and EnhancedCPT Codes70460 Computed tomography, head or brain; with contrast material(s)70470 Computed tomography, head or brain; without contrast material,

followed by contrast material(s) and further sections

B0200ZZComputerized Tomography (CT Scan) of Brain using High Osmolar ContrastCPT Codes70460 Computed tomography, head or brain; with contrast material(s)

B02010ZComputerized Tomography (CT Scan) of Brain using Low Osmolar Contrast, Unenhanced and EnhancedCPT Codes70460 Computed tomography, head or brain; with contrast material(s)70470 Computed tomography, head or brain; without contrast material,

followed by contrast material(s) and further sections

B0201ZZComputerized Tomography (CT Scan) of Brain using Low Osmolar ContrastCPT Codes70460 Computed tomography, head or brain; with contrast material(s)

B020Y0ZComputerized Tomography (CT Scan) of Brain using Other Contrast, Unenhanced and EnhancedCPT Codes70460 Computed tomography, head or brain; with contrast material(s)70470 Computed tomography, head or brain; without contrast material,

followed by contrast material(s) and further sections

B020YZZComputerized Tomography (CT Scan) of Brain using Other ContrastCPT Codes70460 Computed tomography, head or brain; with contrast material(s)

B020ZZZComputerized Tomography (CT Scan) of BrainCPT Codes70450 Computed tomography, head or brain; without contrast material76380 Computed tomography, limited or localized follow-up study

B02700ZComputerized Tomography (CT Scan) of Cisterna using High Osmolar Contrast, Unenhanced and EnhancedCPT Codes70460 Computed tomography, head or brain; with contrast material(s)70470 Computed tomography, head or brain; without contrast material,

followed by contrast material(s) and further sections70482 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; without contrast material, followed by contrast material(s) and further sections

B0270ZZComputerized Tomography (CT Scan) of Cisterna using High Osmolar ContrastCPT Codes70460 Computed tomography, head or brain; with contrast material(s)

B02710ZComputerized Tomography (CT Scan) of Cisterna using Low Osmolar Contrast, Unenhanced and EnhancedCPT Codes70460 Computed tomography, head or brain; with contrast material(s)70470 Computed tomography, head or brain; without contrast material,

followed by contrast material(s) and further sections70482 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; without contrast material, followed by contrast material(s) and further sections

B0271ZZComputerized Tomography (CT Scan) of Cisterna using Low Osmolar ContrastCPT Codes70460 Computed tomography, head or brain; with contrast material(s)

B027Y0ZComputerized Tomography (CT Scan) of Cisterna using Other Contrast, Unenhanced and EnhancedCPT Codes70460 Computed tomography, head or brain; with contrast material(s)70470 Computed tomography, head or brain; without contrast material,

followed by contrast material(s) and further sections70482 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; without contrast material, followed by contrast material(s) and further sections

B027YZZComputerized Tomography (CT Scan) of Cisterna using Other ContrastCPT Codes70460 Computed tomography, head or brain; with contrast material(s)

B027ZZZComputerized Tomography (CT Scan) of CisternaCPT Codes70480 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; without contrast material76380 Computed tomography, limited or localized follow-up study

B02800ZComputerized Tomography (CT Scan) of Cerebral Ventricle(s) using High Osmolar Contrast, Unenhanced and EnhancedCPT Codes70460 Computed tomography, head or brain; with contrast material(s)70470 Computed tomography, head or brain; without contrast material,

followed by contrast material(s) and further sections

B0280ZZComputerized Tomography (CT Scan) of Cerebral Ventricle(s) using High Osmolar ContrastCPT Codes70460 Computed tomography, head or brain; with contrast material(s)

B02810ZComputerized Tomography (CT Scan) of Cerebral Ventricle(s) using Low Osmolar Contrast, Unenhanced and EnhancedCPT Codes70460 Computed tomography, head or brain; with contrast material(s)70470 Computed tomography, head or brain; without contrast material,

followed by contrast material(s) and further sections

B0281ZZ Procedural Cross Coder

258 © 2015 Optum360, LLC© 2015 American Medical Association. All Rights Reserved.

B0281ZZComputerized Tomography (CT Scan) of Cerebral Ventricle(s) using Low Osmolar ContrastCPT Codes70460 Computed tomography, head or brain; with contrast material(s)

B028Y0ZComputerized Tomography (CT Scan) of Cerebral Ventricle(s) using Other Contrast, Unenhanced and EnhancedCPT Codes70460 Computed tomography, head or brain; with contrast material(s)70470 Computed tomography, head or brain; without contrast material,

followed by contrast material(s) and further sections

B028YZZComputerized Tomography (CT Scan) of Cerebral Ventricle(s) using Other ContrastCPT Codes70460 Computed tomography, head or brain; with contrast material(s)

B028ZZZComputerized Tomography (CT Scan) of Cerebral Ventricle(s)CPT Codes70450 Computed tomography, head or brain; without contrast material76380 Computed tomography, limited or localized follow-up study

B02900ZComputerized Tomography (CT Scan) of Sella Turcica/Pituitary Gland using High Osmolar Contrast, Unenhanced and EnhancedCPT Codes70481 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; with contrast material(s)70482 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; without contrast material, followed by contrast material(s) and further sections

B0290ZZComputerized Tomography (CT Scan) of Sella Turcica/Pituitary Gland using High Osmolar ContrastCPT Codes70481 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; with contrast material(s)

B02910ZComputerized Tomography (CT Scan) of Sella Turcica/Pituitary Gland using Low Osmolar Contrast, Unenhanced and EnhancedCPT Codes70481 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; with contrast material(s)70482 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; without contrast material, followed by contrast material(s) and further sections

B0291ZZComputerized Tomography (CT Scan) of Sella Turcica/Pituitary Gland using Low Osmolar ContrastCPT Codes70481 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; with contrast material(s)

B029Y0ZComputerized Tomography (CT Scan) of Sella Turcica/Pituitary Gland using Other Contrast, Unenhanced and EnhancedCPT Codes70481 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; with contrast material(s)70482 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; without contrast material, followed by contrast material(s) and further sections

B029YZZComputerized Tomography (CT Scan) of Sella Turcica/Pituitary Gland using Other ContrastCPT Codes70481 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; with contrast material(s)

B029ZZZComputerized Tomography (CT Scan) of Sella Turcica/Pituitary GlandCPT Codes70480 Computed tomography, orbit, sella, or posterior fossa or outer, middle,

or inner ear; without contrast material76380 Computed tomography, limited or localized follow-up study