UnitedHealthcare® Commercial Policy Appendix: Applicable Code List
Outpatient Surgical Procedures - Site of Service: CPT/HCPCS Codes
This list of codes applies to the Medical Policy titled Outpatient Surgical Procedures - Site of Service Effective Date: January 1, 2026 [Procedures - Site of Service](Procedures - Site of Service) for Commercial plans.
Applicable Codes
The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. The listing of a code does not imply that the service described by the code is a covered or non-covered health service. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. Other Policies and Guidelines may apply.
This list contains CPT/HCPCS codes for the following:
- Auditory System
- Cardiovascular System
- Digestive System
- Eye/Ocular Adnexa System
- Female Genital System
- Hemic and Lymphatic Systems
- Integumentary System
- Male Genital System
- Musculoskeletal System
- Nervous System
- Respiratory System
- Urinary System
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| CPT Code | Description |
|---|---|
| Auditory System | |
| 69100 | Biopsy external ear |
| 69110 | Excision external ear; partial, simple repair |
| 69140 | Excision exostosis(es), external auditory canal |
| 69145 | Excision soft tissue lesion, external auditory canal |
| 69205 | Removal foreign body from external auditory canal; with general anesthesia |
| 69222 | Debridement, mastoidectomy cavity, complex (e.g., with anesthesia or more than routine cleaning) |
| 69310 | Reconstruction of external auditory canal (meatoplasty) (e.g., for stenosis due to injury, infection) (separate procedure) |
| 69320 | Reconstruction external auditory canal for congenital atresia, single stage |
| 69421 | Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia |
| 69424 | Ventilating tube removal requiring general anesthesia |
| 69433 | Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
| 69440 | Middle ear exploration through postauricular or ear canal incision |
| 69450 | Tympanalysis, transcanal |
| 69505 | Mastoidectomy; modified radical |
| 69550 | Excision aural glomus tumor; transcanal |
| 69602 | Revision mastoidectomy; resulting in modified radical mastoidectomy |
| 69610 | Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch |
| 69620 | Myringoplasty (surgery confined to drumhead and donor area) |
| Auditory System | |
| 69631 | Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction |
| 69632 | Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (e.g., postfenestration) |
| 69633 | Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (e.g., partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP]) |
| 69635 | Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction |
| 69636 | Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction |
| 69641 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction |
| 69642 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction |
| 69643 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction |
| 69644 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction |
| 69645 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction |
| 69646 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction |
| 69650 | Stapes mobilization |
| 69660 | Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material |
| 69661 | Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out |
| 69662 | Revision of stapedectomy or stapedotomy |
| 69801 | Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal |
| 69805 | Endolymphatic sac operation; without shunt |
| 69806 | Endolymphatic sac operation; with shunt |
| Cardiovascular System | |
| 33215 | Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode |
| 33216 | Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator |
| 33241 | Removal of implantable defibrillator pulse generator only |
| 36000 | Introduction of needle or intracatheter, vein |
| 36010 | Introduction of catheter, superior or inferior vena cava |
| 36012 | Selective catheter placement, venous system; second order, or more selective, branch (e.g., left adrenal vein, petrosal sinus) |
| 36215 | Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family |
| 36246 | Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family |
| 36556 | Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older |
| 36569 | Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older |
| 36571 | Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older |
| 36581 | Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access |
| 36582 | Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access |
| 36589 | Removal of tunneled central venous catheter, without subcutaneous port or pump |
| 36590 | Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion |
| 36821 | Arteriovenous anastomosis, open; direct, any site (e.g., Cimino type) (separate procedure) |
| 36901 | Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis |
| 36902 | Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis |
| 37242 | Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (e.g., congenital or acquire arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms) |
| 37248 | Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein |
| 37607 | Ligation or banding of angioaccess arteriovenous fistula |
| 37609 | Ligation or biopsy, temporal artery |
| 37761 | Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg |
| 37765 | Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions |
| 37766 | Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions |
| 37785 | Ligation, division, and/or excision of varicose vein cluster(s), 1 leg |
| Digestive System | |
| 40810 | Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair |
| 40812 | Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair |
| 41110 | Excision of lesion of tongue without closure |
| 41112 | Excision of lesion of tongue with closure; anterior two-thirds |
| 41113 | Excision of lesion of tongue with closure; posterior one-third |
| 41520 | Frenoplasty (surgical revision of frenum, e.g., with Z-plasty) |
| 42104 | Excision, lesion of palate, uvula; without closure |
| 42106 | Excision, lesion of palate, uvula; with simple primary closure |
| 42140 | Uvullectomy, excision of uvula |
| 42145 | Palatopharyngoplasty (e.g., uvulopalatopharyngoplasty, uvulopharyngoplasty) |
| 42408 | Excision of sublingual salivary cyst (ranula) |
| 42420 | Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve |
| 42425 | Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve |
| 42440 | Excision of submandibular (submaxillary) gland |
| 42800 | Biopsy; oropharynx |
| 42810 | Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues |
| 42821 | Tonsillectomy and adenoidectomy; age 12 or over |
| 42826 | Tonsillectomy, primary or secondary; age 12 or over |
| 42831 | Adenoidectomy, primary; age 12 or over |
| 43200 | Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
| 43202 | Esophagoscopy, flexible, transoral; with biopsy, single or multiple |
| 43220 | Esophagoscopy, flexible, transoral; with transcendoscopic balloon dilation (less than 30 mm diameter) |
| 43226 | Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire |
| 43229 | Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) |
| 43235 | Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
| 43236 | Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
| 43247 | Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) |
| 43248 | Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire |
| 43249 | Esophagogastroduodenoscopy, flexible, transoral; with transcendoscopic balloon dilation of esophagus (less than 30 mm diameter) |
| 43250 | Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
| 43251 | Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
| 43254 | Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection |
| 43255 | Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method |
| 43270 | Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) |
| 44388 | Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
| 44389 | Colonoscopy through stoma; with biopsy, single or multiple |
| 44392 | Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
| 44394 | Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
| 45172 | Excision of rectal tumor, transanal approach; including muscularis propria (i.e., full thickness) |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
| 45379 | Colonoscopy, flexible; with removal of foreign body(s) |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple |
| 45381 | Colonoscopy, flexible; with directed submucosal injection(s), any substance |
| 45384 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
| 45386 | Colonoscopy, flexible; with transendoscopic balloon dilation |
| 45390 | Colonoscopy, flexible; with endoscopic mucosal resection |
| 45398 | Colonoscopy, flexible; with band ligation(s) (e.g., hemorrhoids) |
| 45990 | Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic |
| 46080 | Sphincterotomy, anal, division of sphincter (separate procedure) |
| 46200 | Fissurectomy, including sphincterotomy, when performed |
| 46220 | Excision of single external papilla or tag, anus |
| 46221 | Hemorrhoidectomy, internal, by rubber band ligation(s) |
| 46250 | Hemorrhoidectomy, external, 2 or more columns/groups |
| 46255 | Hemorrhoidectomy, internal and external, single column/group |
| 46257 | Hemorrhoidectomy, internal and external, single column/group; with fissurectomy |
| 46261 | Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy |
| 46270 | Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous |
| 46505 | Chemodenervation of internal anal sphincter |
| 46612 | Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique |
| 46910 | Destruction of lesion(s), anus (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation |
| 46946 | Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups |
| 47000 | Biopsy of liver, needle; percutaneous |
| 49505 | Repair initial inguinal hernia, age 5 years or older; reducible |
| 49550 | Repair initial femoral hernia, any age; reducible |
| 49650 | Laparoscopy, surgical; repair initial inguinal hernia |
| 49651 | Laparoscopy, surgical; repair recurrent inguinal hernia |
| Eye/Ocular Adnexa System | |
| 65400 | Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium |
| 65420 | Excision or transposition of pterygium; without graft |
| 65426 | Excision or transposition of pterygium; with graft |
| 65435 | Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) |
| 65436 | Removal of corneal epithelium; with application of chelating agent (e.g., EDTA) |
| 65710 | Keratoplasty (corneal transplant); anterior lamellar |
| 65730 | Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) |
| 65750 | Keratoplasty (corneal transplant); penetrating (in aphakia) |
| 65755 | Keratoplasty (corneal transplant); penetrating (in pseudophakia) |
| 65756 | Keratoplasty (corneal transplant); endothelial |
| 65772 | Corneal relaxing incision for correction of surgically induced astigmatism |
| 65778 | Placement of amniotic membrane on the ocular surface; without sutures |
| 65779 | Placement of amniotic membrane on the ocular surface; single layer, sutured |
| 65780 | Ocular surface reconstruction; amniotic membrane transplantation, multiple layers |
| [[65800]] | Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous |
| 65815 | Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection |
| 65850 | Trabeculotomy ab externo |
| [[65855]] | Trabeculoplasty by laser surgery |
| 65865 | Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae |
| 65875 | Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae |
| 65920 | Removal of implanted material, anterior segment of eye |
| 66170 | Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery |
| 66172 | Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) |
| 66185 | Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft |
| 66250 | Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure |
| 66682 | Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (e.g., McCannel suture) |
| 66710 | Ciliary body destruction; cyclophotocoagulation, transscleral |
| 66711 | Ciliary body destruction; cyclophotocoagulation, endoscopic |
| [[66761]] | Iridotomy/iridectomy by laser surgery (e.g., for glaucoma) (per session) |
| [[66821]] | Discussion of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (e.g., YAG laser) (1 or more stages) |
| 66825 | Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) |
| 66840 | Removal of lens material; aspiration technique, 1 or more stages |
| 66850 | Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (e.g., phacoemulsification), with aspiration |
| 66852 | Removal of lens material; pars plana approach, with or without vitrectomy |
| [[66982]] | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (e.g., iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; without endoscopic cyclophotocoagulation |
| 66983 | Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) |
| [[66984]] | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation |
| 66985 | Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal |
| 66986 | Exchange of intraocular lens |
| 66987 | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (e.g., iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; with endoscopic cyclophotocoagulation |
| 66988 | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification); with endoscopic cyclophotocoagulation |
| 67005 | Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal |
| 67010 | Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy |
| 67025 | Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) |
| 67028 | Intravitreal injection of a pharmacologic agent (separate procedure) |
| [[67036]] | Vitrectomy, mechanical, pars plana approach |
| 67039 | Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation |
| 67040 | Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation |
| 67041 | Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (e.g., macular pucker) |
| 67042 | Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (e.g., for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponade (i.e., air, gas or silicone oil) |
| 67043 | Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (e.g., choroidal neovascularization), includes, if performed, intraocular tamponade (i.e., air, gas or silicone oil) and laser photocoagulation |
| 67101 | Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy |
| 67105 | Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation |
| 67107 | Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid |
| 67108 | Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique |
| 67110 | Repair of retinal detachment; by injection of air or other gas (e.g., pneumatic retinopexy) |
| 67113 | Repair of complex retinal detachment (e.g., proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens |
| 67120 | Removal of implanted material, posterior segment; extraocular |
| 67121 | Removal of implanted material, posterior segment; intraocular |
| 67145 | Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation |
| 67210 | Destruction of localized lesion of retina (e.g., macular edema, tumors), 1 or more sessions; photocoagulation |
| 67218 | Destruction of localized lesion of retina (e.g., macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) |
| 67220 | Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photocoagulation (e.g., laser), 1 or more sessions |
| 67221 | Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photodynamic therapy (includes intravenous infusion) |
| 67228 | Treatment of extensive or progressive retinopathy (e.g., diabetic retinopathy), photocoagulation |
| 67311 | Strabismus surgery, recession or resection procedure; 1 horizontal muscle |
| 67312 | Strabismus surgery, recession or resection procedure; 2 horizontal muscles |
| 67314 | Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) |
| 67316 | Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) |
| 67318 | Strabismus surgery, any procedure, superior oblique muscle |
| 67345 | Chemodenervation of extraocular muscle |
| 67400 | Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy |
| 67412 | Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion |
| 67414 | Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression |
| 67420 | Orbitotomy with bone flap or window, lateral approach (e.g., Kroenlein); with removal of lesion |
| 67445 | Orbitotomy with bone flap or window, lateral approach (e.g., Kroenlein); with removal of bone for decompression |
| 67550 | Orbital implant (implant outside muscle cone); insertion |
| 67560 | Orbital implant (implant outside muscle cone); removal or revision |
| 67700 | Blepharotomy, drainage of abscess, eyelid |
| 67800 | Excision of chalazion; single |
| 67801 | Excision of chalazion; multiple, same lid |
| 67805 | Excision of chalazion; multiple, different lids |
| 67808 | Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple |
| 67840 | Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure |
| 67875 | Temporary closure of eyelids by suture (e.g., Frost suture) |
| 67880 | Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy |
| 67935 | Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness |
| 67938 | Removal of embedded foreign body, eyelid |
| 67971 | Reconstruction of eyelid, full thickness by transfer of tarsconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage |
| 67973 | Reconstruction of eyelid, full thickness by transfer of tarsconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage |
| 67975 | Reconstruction of eyelid, full thickness by transfer of tarsconjunctival flap from opposing eyelid; second stage |
| 68100 | Biopsy of conjunctiva |
| 68110 | Excision of lesion, conjunctiva; up to 1 cm |
| 68115 | Excision of lesion, conjunctiva; over 1 cm |
| 68135 | Destruction of lesion, conjunctiva |
| 68320 | Conjunctivoplasty; with conjunctival graft or extensive rearrangement |
| 68440 | Snip incision of lacrimal punctum |
| 68700 | Plastic repair of canaliculi |
| 68720 | Dacryocystorhinostomy (Fistulization of lacrimal sac to nasal cavity) |
| 68750 | Conjunctivorhinostomy (Fistulization of conjunctiva to nasal cavity); with insertion of tube or stent |
| 68811 | Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia |
| 68815 | Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent |
| Female Genital System | |
| 56405 | Incision and drainage of vulva or perineal abscess |
| 56420 | Incision and drainage of Bartholin's gland abscess |
| 56440 | Marsupialization of Bartholin's gland cyst |
| 56441 | Lysis of labial adhesions |
| 56442 | Hymenotomy, simple incision |
| 56501 | Destruction of lesion(s), vulva; simple (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery) |
| 56515 | Destruction of lesion(s), vulva; extensive (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery) |
| 56605 | Biopsy of vulva or perineum (separate procedure); 1 lesion |
| Female Genital System | |
| 56620 | Vulvectomy simple; partial |
| 56700 | Partial hymenectomy or revision of hymenal ring |
| 56740 | Excision of Bartholin's gland or cyst |
| 56810 | Perineoplasty, repair of perineum, non-obstetrical (separate procedure) |
| 56821 | Colposcopy of the vulva; with biopsy(s) |
| 57000 | Colpotomy; with exploration |
| 57061 | Destruction of vaginal lesion(s); simple (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery) |
| 57065 | Destruction of vaginal lesion(s); extensive (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery) |
| 57100 | Biopsy of vaginal mucosa; simple (separate procedure) |
| 57105 | Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) |
| 57130 | Excision of vaginal septum |
| 57135 | Excision of vaginal cyst or tumor |
| 57240 | Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed |
| 57250 | Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy |
| 57260 | Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed |
| 57268 | Repair of enterocele, vaginal approach (separate procedure) |
| 57282 | Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) |
| 57283 | Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) |
| 57287 | Removal or revision of sling for stress incontinence (e.g., fascia or synthetic) |
| 57295 | Revision (including removal) of prosthetic vaginal graft; vaginal approach |
| 57300 | Closure of rectovaginal fistula; vaginal or transanal approach |
| 57410 | Pelvic examination under anesthesia (other than local) |
| 57415 | Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) |
| 57420 | Colposcopy of the entire vagina, with cervix if present |
| 57421 | Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix |
| 57425 | Laparoscopy, surgical, colpopexy (suspension of vaginal apex) |
| 57452 | Colposcopy of the cervix including upper/adjacent vagina |
| 57454 | Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage |
| 57456 | Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage |
| 57461 | Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix |
| 57500 | Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) |
| 57505 | Endocervical curettage (not done as part of a dilation and curettage) |
| 57510 | Cautery of cervix; electro or thermal |
| 57511 | Cautery of cervix; cryocautery, initial or repeat |
| 57513 | Cautery of cervix; laser ablation |
| 57520 | Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser |
| 57522 | Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision |
| 57530 | Trachelectomy (cervicectomy), amputation of cervix (separate procedure) |
| 57700 | Cerclage of uterine cervix, non-obstetrical |
| 57720 | Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach |
| 57800 | Dilation of cervical canal, instrumental (separate procedure) |
| 58100 | Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) |
| 58120 | Dilation and curettage, diagnostic and/or therapeutic (non-obstetrical) |
| 58353 | Endometrial ablation, thermal, without hysteroscopic guidance |
| 58558 | Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C |
| 58560 | Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) |
| 58561 | Hysteroscopy, surgical; with removal of leiomyomata |
| 58562 | Hysteroscopy, surgical; with removal of impacted foreign body |
| 58563 | Hysteroscopy, surgical; with endometrial ablation (e.g., endometrial resection, electrosurgical ablation, thermoablation) |
| 58565 | Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants |
| Hemic and Lymphatic Systems | |
| 38221 | Diagnostic bone marrow; biopsy(ies) |
| 38222 | Diagnostic bone marrow; biopsy(ies) and aspiration(s) |
| 38500 | Biopsy or excision of lymph node(s); open, superficial |
| 38505 | Biopsy or excision of lymph node(s); by needle, superficial (e.g., cervical, inguinal, axillary) |
| 38510 | Biopsy or excision of lymph node(s); open, deep cervical node(s) |
| 38520 | Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad |
| 38525 | Biopsy or excision of lymph node(s); open, deep axillary node(s) |
| 38740 | Axillary lymphadenectomy; superficial |
| 38760 | Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) |
| Integumentary System | |
| 10121 | Incision and removal of foreign body, subcutaneous tissues; complicated |
| 10180 | Incision and drainage, complex, postoperative wound infection |
| 11010 | Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (e.g., excisional debridement); skin and subcutaneous tissues |
| 11012 | Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (e.g., excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone |
| 11440 | Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less |
| 11441 | Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm |
| 11443 | Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm |
| 11444 | Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm |
| 11446 | Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm |
| 11450 | Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair |
| 11451 | Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair |
| 11462 | Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair |
| 11463 | Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair |
| 11470 | Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair |
| 11471 | Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair |
| 11601 | Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm |
| 11602 | Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm |
| 11603 | Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm |
| 11604 | Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm |
| 11620 | Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less |
| 11621 | Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm |
| 11622 | Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm |
| 11623 | Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm |
| 11624 | Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm |
| 11640 | Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less |
| 11641 | Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm |
| 11642 | Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm |
| 11643 | Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm |
| 11644 | Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm |
| 11750 | Excision of nail and nail matrix, partial or complete (e.g., ingrown or deformed nail), for permanent removal |
| 11755 | Biopsy of nail unit (e.g., plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure) |
| 11760 | Repair of nail bed |
| 11770 | Excision of pilonidal cyst or sinus; simple |
| 11772 | Excision of pilonidal cyst or sinus; complicated |
| 12031 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less |
| 12032 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm |
| 12034 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm |
| 12035 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm |
| 12041 | Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less |
| 12042 | Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm |
| 12051 | Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less |
| 12052 | Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm |
| 13100 | Repair, complex, trunk; 1.1 cm to 2.5 cm |
| 13101 | Repair, complex, trunk; 2.6 cm to 7.5 cm |
| 13120 | Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm |
| 13121 | Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm |
| [[13131]] | Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm |
| 13132 | Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm |
| 13151 | Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm |
| [[14040]] | Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq. cm or less |
| 14060 | Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq. cm or less |
| 14301 | Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq. cm to 60.0 sq. cm |
| 15100 | Split-thickness autograft, trunk, arms, legs; first 100 sq. cm or less, or 1% of body area of infants and children (except 15050) |
| 15120 | Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq. cm or less, or 1% of body area of infants and children (except 15050) |
| 15220 | Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq. cm or less |
| 15240 | Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq. cm or less |
| 15576 | Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral |
| 15760 | Graft; composite (e.g., full thickness of external ear or nasal ala), including primary closure, donor area |
| 15770 | Graft; derma-fat-fascia |
| 17000 | Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (e.g., actinic keratoses); first lesion |
| 17004 | Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (e.g., actinic keratoses), 15 or more lesions |
| 17106 | Destruction of cutaneous vascular proliferative lesions (e.g., laser technique); less than 10 sq. cm |
| 17107 | Destruction of cutaneous vascular proliferative lesions (e.g., laser technique); 10.0 to 50.0 sq. cm |
| 17108 | Destruction of cutaneous vascular proliferative lesions (e.g., laser technique); over 50.0 sq. cm |
| 17110 | Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettetment), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions |
| 17111 | Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettetment), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions |
| 17311 | Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (e.g., hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; first stage, up to 5 tissue blocks |
| 17313 | Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (e.g., hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; first stage, up to 5 tissue blocks |
| 19101 | Biopsy of breast; open, incisional |
| 19110 | Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct |
| 19112 | Excision of lactiferous duct fistula |
| 19120 | Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions |
| 19125 | Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion |
| 21552 | Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater |
| 21931 | Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater |
| Male Genital System | |
| 54001 | Slitting of prepuce, dorsal or lateral (separate procedure); except newborn |
| 54055 | Destruction of lesion(s), penis (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation |
| 54057 | Destruction of lesion(s), penis (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery |
| 54060 | Destruction of lesion(s), penis (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision |
| 54065 | Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) |
| 54161 | Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age |
| 54100 | Biopsy of penis; (separate procedure) |
| 54110 | Excision of penile plaque (Peyronie disease) |
| 54 54150 | Circumcision, using clamp or other device with regional dorsal penile or ring block |
| 54162 | Lysis or excision of penile post-circumcision adhesions |
| 54163 | Repair incomplete circumcision |
| 54164 | Frenulotomy of penis |
| 54300 | Plastic operation of penis for straightening of chordee (e.g., hypospadias), with or without mobilization of urethra |
| 54360 | Plastic operation on penis to correct angulation |
| 54450 | Foreskin manipulation including lysis of preputial adhesions and stretching |
| 54512 | Excision of extraparenchymal lesion of testis |
| 54530 | Orchiectomy, radical, for tumor; inguinal approach |
| 54600 | Reduction of torsion of testis, surgical, with or without fixation of contralateral testis |
| 54620 | Fixation of contralateral testis (separate procedure) |
| 54640 | Orchiopexy, inguinal approach, with or without hernia repair |
| 54700 | Incision and drainage of epididymis, testis and/or scrotal space (e.g., abscess or hematoma) |
| 54830 | Excision of local lesion of epididymis |
| 54840 | Excision of spermatocele, with or without epididymectomy |
| 54860 | Epididymectomy; unilateral |
| 55040 | Excision of hydrocele; unilateral |
| 55041 | Excision of hydrocele; bilateral |
| 55060 | Repair of tunica vaginalis hydrocele (Bottle type) |
| 55100 | Drainage of scrotal wall abscess |
| 55110 | Scrotal exploration |
| 55120 | Removal of foreign body in scrotum |
| 55500 | Excision of hydrocele of spermatic cord, unilateral (separate procedure) |
| 55520 | Excision of lesion of spermatic cord (separate procedure) |
| 55540 | Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair |
| Musculoskeletal System | |
| 20200 | Biopsy, muscle; superficial |
| 20205 | Biopsy, muscle; deep |
| 20220 | Biopsy, bone, trocar, or needle; superficial (e.g., ilium, sternum, spinous process, ribs) |
| 20225 | Biopsy, bone, trocar, or needle; deep (e.g., vertebral body, femur) |
| 20240 | Biopsy, bone, open; superficial (e.g., sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx) |
| 20245 | Biopsy, bone, open; deep (e.g., humeral shaft, ischium, femoral shaft) |
| 20520 | Removal of foreign body in muscle or tendon sheath; simple |
| 20525 | Removal of foreign body in muscle or tendon sheath; deep or complicated |
| 20526 | Injection, therapeutic (e.g., local anesthetic, corticosteroid), carpal tunnel |
| 20551 | Injection(s); single tendon origin/insertion |
| 20600 | Arthrocentesis, aspiration and/or injection, small joint or bursa (e.g., fingers, toes); without ultrasound guidance |
| 20604 | Arthrocentesis, aspiration and/or injection, small joint or bursa (e.g., fingers, toes); with ultrasound guidance, with permanent recording and reporting |
| 20605 | Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance |
| 20606 | Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting |
| 20610 | Arthrocentesis, aspiration and/or injection, major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa); without ultrasound guidance |
| 20611 | Arthrocentesis, aspiration and/or injection, major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting |
| 20612 | Aspiration and/or injection of ganglion cyst(s) any location |
| 20680 | Removal of implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod or plate) |
| 20693 | Adjustment or revision of external fixation system requiring anesthesia (e.g., new pin[s] or wire[s] and/or new ring[s] or bar[s]) |
| 20694 | Removal, under anesthesia, of external fixation system |
| 20912 | Cartilage graft; nasal septum |
| 21011 | Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm |
| 21012 | Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater |
| 21013 | Excision, tumor, soft tissue of face and scalp, subfascial (e.g., subgaleal, intramuscular); less than 2 cm |
| 21014 | Excision, tumor, soft tissue of face and scalp, subfascial (e.g., subgaleal, intramuscular); 2 cm or greater |
| 21030 | Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage |
| 21031 | Excision of torus mandibularis |
| 21040 | Excision of benign tumor or cyst of mandible, by enucleation and/or curettage |
| 21046 | Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (e.g., locally aggressive or destructive lesion[s]) |
| 21048 | Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (e.g., locally aggressive or destructive lesion[s]) |
| [[21315 - Lefort I Guide 1]] | Closed treatment of nasal bone fracture with manipulation; without stabilization |
| 21325 | Open treatment of nasal fracture; uncomplicated |
| 21330 | Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation |
| 21335 | Open treatment of nasal fracture; with concomitant open treatment of fractured septum |
| 21336 | Open treatment of nasal septal fracture, with or without stabilization |
| 21337 | Closed treatment of nasal septal fracture, with or without stabilization |
| 21356 | Open treatment of depressed zygomatic arch fracture (e.g., Gillies approach) |
| 21550 | Biopsy, soft tissue of neck or thorax |
| 21555 | Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm |
| 21556 | Excision, tumor, soft tissue of neck or anterior thorax, subfascial (e.g., intramuscular); less than 5 cm |
| 21557 | Radical resection of tumor (e.g., sarcoma), soft tissue of neck or anterior thorax; less than 5 cm |
| 21920 | Biopsy, soft tissue of back or flank; superficial |
| 21930 | Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm |
| 21932 | Excision, tumor, soft tissue of back or flank, subfascial (e.g., intramuscular); less than 5 cm |
| 21933 | Excision, tumor, soft tissue of back or flank, subfascial (e.g., intramuscular); 5 cm or greater |
| 22513 | Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (e.g., kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic |
| 22514 | Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (e.g., kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar |
| 22900 | Excision, tumor, soft tissue of abdominal wall, subfascial (e.g., intramuscular); less than 5 cm |
| 22901 | Excision, tumor, soft tissue of abdominal wall, subfascial (e.g., intramuscular); 5 cm or greater |
| 22902 | Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm |
| 22903 | Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater |
| 23071 | Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater |
| 23075 | Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm |
| 23076 | Excision, tumor, soft tissue of shoulder area, subfascial (e.g., intramuscular); less than 5 cm |
| 23120 | Claviculectomy; partial |
| 23140 | Excision or curettage of bone cyst or benign tumor of clavicle or scapula |
| 23150 | Excision or curettage of bone cyst or benign tumor of proximal humerus |
| 23405 | Tenotomy, shoulder area; single tendon |
| 23415 | Coracoacromial ligament release, with or without acromioplasty |
| 23430 | Tenodesis of long tendon of biceps |
| 23440 | Resection or transplantation of long tendon of biceps |
| 23480 | Osteotomy, clavicle, with or without internal fixation |
| 23615 | Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed |
| 23630 | Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed |
| 23700 | Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) |
| 24000 | Arthroscopy, elbow, including exploration, drainage, or removal of foreign body |
| 24006 | Arthroscopy of the elbow, with capsular excision for capsular release (separate procedure) |
| 24065 | Biopsy, soft tissue of upper arm or elbow area; superficial |
| 24066 | Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) |
| 24071 | Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater |
| 24073 | Excision, tumor, soft tissue of upper arm or elbow area, subfascial (e.g., intramuscular); 5 cm or greater |
| 24075 | Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm |
| 24076 | Excision, tumor, soft tissue of upper arm or elbow area, subfascial (e.g., intramuscular); less than 5 cm |
| 24101 | Arthroscopy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body |
| 24102 | Arthroscopy, elbow; with synovectomy |
| 24105 | Excision, olecranon bursa |
| 24110 | Excision or curettage of bone cyst or benign tumor, humerus |
| 24120 | Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process |
| 24130 | Excision, radial head |
| 24147 | Partial excision (craterization, saucerization, or diaphysectomy) bone (e.g., osteomyelitis), olecranon process |
| 24200 | Removal of foreign body, upper arm or elbow area; subcutaneous |
| 24201 | Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular) |
| 24300 | Manipulation, elbow, under anesthesia |
| 24310 | Tenotomy, open, elbow to shoulder, each tendon |
| 24340 | Tenodesis of biceps tendon at elbow (separate procedure) |
| 24341 | Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) |
| 24342 | Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft |
| 24343 | Repair lateral collateral ligament, elbow, with local tissue |
| 24357 | Tenotomy, elbow, lateral or medial (e.g., epicondylitis, tennis elbow, golfer's elbow); percutaneous |
| 24358 | Tenotomy, elbow, lateral or medial (e.g., epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open |
| 24366 | Arthroplasty, radial head; with implant |
| 24515 | Open treatment of humeral shaft fracture with plate/screws, with or without cerclage |
| 24516 | Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws |
| 24586 | Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius) |
| 24615 | Open treatment of acute or chronic elbow dislocation |
| 24665 | Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed |
| 24666 | Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement |
| 25000 | Incision, extensor tendon sheath, wrist (e.g., deQuervains disease) |
| 25071 | Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater |
| 25073 | Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (e.g., intramuscular); 3 cm or greater |
| 25075 | Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm |
| 25076 | Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (e.g., intramuscular); less than 3 cm |
| 25085 | Capsulotomy, wrist (e.g., contracture) |
| 25105 | Arthrotomy, wrist joint; with synovectomy |
| 25107 | Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex |
| 25109 | Excision of tendon, forearm and/or wrist, flexor or extensor, each |
| 25110 | Excision, lesion of tendon sheath, forearm and/or wrist |
| 25111 | Excision of ganglion, wrist (dorsal or volar); primary |
| 25112 | Excision of ganglion, wrist (dorsal or volar); recurrent |
| 25115 | Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors |
| 25118 | Synovectomy, extensor tendon sheath, wrist, single compartment |
| 25120 | Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process) |
| 25130 | Excision or curettage of bone cyst or benign tumor of carpal bones |
| 25151 | Partial excision (craterization, saucerization, or diaphysectomy) of bone (e.g., for osteomyelitis); radius |
| 25210 | Carpectomy; 1 bone |
| 25215 | Carpectomy; all bones of proximal row |
| 25230 | Radial styloidectomy (separate procedure) |
| 25240 | Excision distal ulna partial or complete (e.g., Darrach type or matched resection) |
| 25260 | Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle |
| 25270 | Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle |
| 25275 | Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (e.g., for extensor carpi ulnaris subluxation) |
| 25280 | Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon |
| 25290 | Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon |
| 25295 | Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon |
| 25350 | Osteotomy, radius; distal third |
| 25445 | Arthroplasty with prosthetic replacement; trapezium |
| 25545 | Open treatment of ulnar shaft fracture, includes internal fixation, when performed |
| 25605 | Closed treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation |
| 25606 | Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation |
| 25607 | Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation |
| 25608 | Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments |
| 25609 | Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments |
| 25624 | Closed treatment of carpal scaphoid (navicular) fracture; with manipulation |
| 25628 | Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed |
| 25645 | Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone |
| 25652 | Open treatment of ulnar styloid fracture |
| 25810 | Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) |
| 25825 | Arthrodesis, wrist; with autograft (includes obtaining graft) |
| 26011 | Drainage of finger abscess; complicated (e.g., felon) |
| 26020 | Drainage of tendon sheath, digit and/or palm, each |
| 26045 | Fasciotomy, palmar (e.g., Dupuytren's contracture); open, partial |
| 26055 | Tendon sheath incision (e.g., for trigger finger) |
| 26070 | Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint |
| 26075 | Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each |
| 26080 | Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each |
| 26105 | Arthrotomy with biopsy; metacarpophalangeal joint, each |
| 26110 | Arthrotomy with biopsy; interphalangeal joint, each |
| 26111 | Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater |
| 26113 | Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (e.g., intramuscular); 1.5 cm or greater |
| 26115 | Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm |
| 26116 | Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (e.g., intramuscular); less than 1.5 cm |
| 26121 | Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) |
| 26123 | Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) |
| 26160 | Excision of lesion of tendon sheath or joint capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger |
| 26180 | Excision of tendon, finger, flexor or extensor, each tendon |
| 26200 | Excision or curettage of bone cyst or benign tumor of metacarpal |
| 26210 | Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger |
| 26215 | Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft) |
| 26236 | Partial excision (craterization, saucerization, or diaphysectomy) bone (e.g., osteomyelitis); distal phalanx of finger |
| 26320 | Removal of implant from finger or hand |
| 26350 | Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon |
| 26356 | Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (e.g., no man's land); primary, without free graft, each tendon |
| 26357 | Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (e.g., no man's land); secondary, without free graft, each tendon |
| 26392 | Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod |
| 26410 | Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon |
| 26418 | Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon |
| 26420 | Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon |
| 26426 | Repair of extensor tendon, central slip, secondary (e.g., boutonniere deformity); using local tissue(s), including lateral band(s), each finger |
| 26432 | Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (e.g., mallet finger) |
| 26433 | Repair of extensor tendon, distal insertion, primary or secondary; without graft (e.g., mallet finger) |
| 26437 | Realignment of extensor tendon, hand, each tendon |
| 26440 | Tenolysis, flexor tendon; palm or finger, each tendon |
| 26442 | Tenolysis, flexor tendon; palm and finger, each tendon |
| 26445 | Tenolysis, extensor tendon, hand or finger, each tendon |
| 26455 | Tenotomy, flexor, finger, open, each tendon |
| 26480 | Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon |
| 26500 | Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) |
| 26502 | Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure) |
| 26516 | Capsulodesis, metacarpophalangeal joint; single digit |
| 26520 | Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint |
| 26525 | Capsulectomy or capsulotomy; interphalangeal joint, each joint |
| 26530 | Arthroplasty, metacarpophalangeal joint; each joint |
| 26535 | Arthroplasty, interphalangeal joint; each joint |
| 26540 | Repair of collateral ligament, metacarpophalangeal or interphalangeal joint |
| 26541 | Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft) |
| 26542 | Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (e.g., adductor advancement) |
| 26567 | Osteotomy; phalanx of finger, each |
| 26608 | Percutaneous skeletal fixation of metacarpal fracture, each bone |
| 26615 | Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone |
| 26650 | Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation |
| 26665 | Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed |
| 26676 | Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint |
| 26715 | Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed |
| 26727 | Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each |
| 26735 | Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each |
| 26742 | Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each |
| 26746 | Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each |
| 26756 | Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each |
| 26765 | Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each |
| 26841 | Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation |
| 26842 | Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) |
| 26850 | Arthrodesis, metacarpophalangeal joint, with or without internal fixation |
| 26860 | Arthrodesis, interphalangeal joint, with or without internal fixation |
| 26862 | Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) |
| 26910 | Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer |
| 26951 | Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure |
| 26952 | Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) |
| 27043 | Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater |
| 27045 | Excision, tumor, soft tissue of pelvis and hip area, subfascial (e.g., intramuscular); 5 cm or greater |
| 27047 | Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm |
| 27048 | Excision, tumor, soft tissue of pelvis and hip area, subfascial (e.g., intramuscular); less than 5 cm |
| 27062 | Excision; trochanteric bursa or calcification |
| 27093 | Injection procedure for hip arthrography; without anesthesia |
| 27095 | Injection procedure for hip arthrography; with anesthesia |
| 27310 | Arthrotomy, knee, with exploration, drainage, or removal of foreign body (e.g., infection) |
| 27323 | Biopsy, soft tissue of thigh or knee area; superficial |
| 27324 | Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) |
| 27327 | Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm |
| 27328 | Excision, tumor, soft tissue of thigh or knee area, subfascial (e.g., intramuscular); less than 5 cm |
| 27329 | Radical resection of tumor (e.g., sarcoma), soft tissue of thigh or knee area; less than 5 cm |
| 27331 | Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies |
| 27332 | Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial or lateral |
| 27334 | Arthrotomy, with synovectomy, knee; anterior or posterior |
| 27335 | Arthrotomy, with synovectomy, knee; anterior and posterior including popliteal area |
| 27337 | Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater |
| 27339 | Excision, tumor, soft tissue of thigh or knee area, subfascial (e.g., intramuscular); 5 cm or greater |
| 27340 | Excision, prepatellar bursa |
| 27345 | Excision of synovial cyst of popliteal space (e.g., Baker's cyst) |
| 27347 | Excision of lesion of meniscus or capsule (e.g., cyst, ganglion), knee |
| 27372 | Removal of foreign body, deep, thigh region or knee area |
| 27403 | Arthrotomy with meniscus repair, knee |
| 27407 | Repair, primary, torn ligament and/or capsule, knee; cruciate |
| 27418 | Anterior tibial tubercleplasty (e.g., Maquet type procedure) |
| 27570 | Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) |
| 27606 | Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia |
| 27613 | Biopsy, soft tissue of leg or ankle area; superficial |
| 27614 | Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) |
| 27618 | Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm |
| 27619 | Excision, tumor, soft tissue of leg or ankle area, subfascial (e.g., intramuscular); less than 5 cm |
| 27620 | Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body |
| 27626 | Arthrotomy, with synovectomy, ankle; including tenosynovectomy |
| 27632 | Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater |
| 27634 | Excision, tumor, soft tissue of leg or ankle area, subfascial (e.g., intramuscular); 5 cm or greater |
| 27638 | Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft |
| 27640 | Partial excision (craterization, saucerization, or diaphysectomy), bone (e.g., osteomyelitis); tibia |
| 27658 | Repair, flexor tendon, leg; primary, without graft, each tendon |
| 27659 | Repair, flexor tendon, leg; secondary, with or without graft, each tendon |
| 27665 | Repair, extensor tendon, leg; secondary, with or without graft, each tendon |
| 27680 | Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon |
| 27685 | Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) |
| 27690 | Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot) |
| 27696 | Repair, primary, disrupted ligament, ankle; both collateral ligaments |
| 27705 | Osteotomy; tibia |
| 27720 | Repair of nonunion or malunion, tibia; without graft, (e.g., compression technique) |
| 27756 | Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (e.g., pins or screws) |
| 27788 | Closed treatment of distal fibular fracture (lateral malleolus); with manipulation |
| 28005 | Incision, bone cortex (e.g., osteomyelitis or bone abscess), foot |
| 28010 | Tenotomy, percutaneous, toe; single tendon |
| 28011 | Tenotomy, percutaneous, toe; multiple tendons |
| 28020 | Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint |
| 28022 | Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint |
| 28035 | Release, tarsal tunnel (posterior tibial nerve decompression) |
| 28039 | Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater |
| 28041 | Excision, tumor, soft tissue of foot or toe, subfascial (e.g., intramuscular); 1.5 cm or greater |
| 28043 | Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm |
| 28045 | Excision, tumor, soft tissue of foot or toe, subfascial (e.g., intramuscular); less than 1.5 cm |
| 28047 | Radical resection of tumor (e.g., sarcoma), soft tissue of foot or toe; 3 cm or greater |
| 28055 | Neurectomy, intrinsic musculature of foot |
| 28060 | Fasciectomy, plantar fascia; partial (separate procedure) |
| 28080 | Excision, interdigital (Morton) neuroma, single, each |
| 28086 | Synovectomy, tendon sheath, foot; flexor |
| 28088 | Synovectomy, tendon sheath, foot; extensor |
| 28090 | Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (e.g., cyst or ganglion); foot |
| 28092 | Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (e.g., cyst or ganglion); toe(s), each |
| 28100 | Excision or curettage of bone cyst or benign tumor, talus or calcaneus |
| 28103 | Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft |
| 28104 | Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus |
| 28108 | Excision or curettage of bone cyst or benign tumor, phalanges of foot |
| 28110 | Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) |
| 28111 | Ostectomy, complete excision; first metatarsal head |
| 28112 | Ostectomy, complete excision; other metatarsal head (second, third or fourth) |
| 28113 | Ostectomy, complete excision; fifth metatarsal head |
| 28118 | Ostectomy, calcaneus |
| 28119 | Ostectomy, calcaneus; for spur, with or without plantar fascial release |
| 28120 | Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (e.g., osteomyelitis or bossing); talus or calcaneus |
| 28122 | Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus |
| 28124 | Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (e.g., osteomyelitis or bossing); phalanx of toe |
| 28126 | Resection, partial or complete, phalangeal base, each toe |
| 28153 | Resection, condyle(s), distal end of phalanx, each toe |
| 28160 | Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each |
| 28190 | Removal of foreign body, foot; subcutaneous |
| 28192 | Removal of foreign body, foot; deep |
| 28193 | Removal of foreign body, foot; complicated |
| 28200 | Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon |
| 28208 | Repair, tendon, extensor, foot; primary or secondary, each tendon |
| 28225 | Tenolysis, extensor, foot; single tendon |
| 28232 | Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) |
| 28234 | Tenotomy, open, extensor, foot or toe, each tendon |
| 28238 | Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure) |
| 28250 | Division of plantar fascia and muscle (e.g., Steindler stripping) (separate procedure) |
| 28272 | Capsulotomy; interphalangeal joint, each joint (separate procedure) |
| 28280 | Syndactylization, toes (e.g., webbing or Kelikian type procedure) |
| 28285 | Correction, hammer toe (e.g., interphalangeal fusion, partial or total phalangectomy) |
| 28286 | Correction, cock-up fifth toe, with plastic skin closure (e.g., Ruiz-Mora type procedure) |
| 28288 | Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head |
| 28289 | Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant |
| 28291 | Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant |
| 28292 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method |
| 28295 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method |
| 28296 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method |
| 28297 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method |
| 28298 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method |
| 28299 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method |
| 28306 | Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal |
| 28310 | Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) |
| 28312 | Osteotomy, shortening, angular or rotational correction; other phalanges, any toe |
| 28313 | Reconstruction, angular deformity of toe, soft tissue procedures only (e.g., overlapping second toe, fifth toe, curly toes) |
| 28315 | Sesamoidectomy, first toe (separate procedure) |
| 28322 | Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) |
| 28475 | Closed treatment of metatarsal fracture; with manipulation, each |
| 28476 | Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each |
| 28496 | Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation |
| 28515 | Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each |
| 28525 | Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each |
| 28645 | Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed |
| 28666 | Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation |
| 28675 | Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed |
| 28755 | Arthrodesis, great toe; interphalangeal joint |
| 28760 | Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (e.g., Jones type procedure) |
| 28810 | Amputation, metatarsal, with toe, single |
| 28825 | Amputation, toe; interphalangeal joint |
| 29800 | Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) |
| 29804 | Arthroscopy, temporomandibular joint, surgical |
| 29805 | Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) |
| 29806 | Arthroscopy, shoulder, surgical; Capsulorrhaphy |
| 29807 | Arthroscopy, shoulder, surgical; repair of SLAP lesion |
| 29819 | Arthroscopy, shoulder, surgical; with removal of loose body or foreign body |
| 29820 | Arthroscopy, shoulder, surgical; synovectomy, partial |
| 29821 | Arthroscopy, shoulder, surgical; synovectomy, complete |
| 29822 | Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (e.g., humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies]) |
| 29823 | Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (e.g., humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies]) |
| 29824 | Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) |
| 29825 | Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation |
| 29827 | Arthroscopy, shoulder, surgical; with rotator cuff repair |
| 29828 | Arthroscopy, shoulder, surgical; biceps tenodesis |
| 29830 | Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) |
| 29834 | Arthroscopy, elbow, surgical; with removal of loose body or foreign body |
| 29835 | Arthroscopy, elbow, surgical; synovectomy, partial |
| 29836 | Arthroscopy, elbow, surgical; synovectomy, complete |
| 29837 | Arthroscopy, elbow, surgical; debridement, limited |
| 29838 | Arthroscopy, elbow, surgical; debridement, extensive |
| 29840 | Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) |
| 29844 | Arthroscopy, wrist, surgical; synovectomy, partial |
| 29845 | Arthroscopy, wrist, surgical; synovectomy, complete |
| 29846 | Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement |
| 29847 | Arthroscopy, wrist, surgical; internal fixation for fracture or instability |
| 29848 | Endoscopy, wrist, surgical, with release of transverse carpal ligament |
| 29860 | Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) |
| 29861 | Arthroscopy, hip, surgical; with removal of loose body or foreign body |
| 29862 | Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum |
| 29863 | Arthroscopy, hip, surgical; with synovectomy |
| 29870 | Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) |
| 29873 | Arthroscopy, knee, surgical; with lateral release |
| 29874 | Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) |
| 29875 | Arthroscopy, knee, surgical; synovectomy, limited (e.g., plica or shelf resection) (separate procedure) |
| 29876 | Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) |
| 29877 | Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) |
| 29879 | Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture |
| 29880 | Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed |
| 29881 | Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed |
| 29882 | Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) |
| 29883 | Arthroscopy, knee, surgical; with meniscus repair (medial and lateral) |
| 29884 | Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) |
| 29885 | Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) |
| 29886 | Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion |
| 29887 | Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation |
| 29888 | Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction |
| 29889 | Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction |
| 29891 | Arthroscopy, ankle, surgical; excision of osteochondral defect of talus and/or tibia, including drilling of the defect |
| 29892 | Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) |
| 29893 | Endoscopic plantar fasciotomy |
| 29894 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body |
| 29895 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial |
| 29897 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited |
| 29898 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive |
| 29899 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis |
| 29900 | Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy |
| 29901 | Arthroscopy, metacarpophalangeal joint, surgical; with debridement |
| 29902 | Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesion) |
| 29906 | Arthroscopy, subtalar joint, surgical; with debridement |
| 29914 | Arthroscopy, hip, surgical; with femoroplasty (i.e., treatment of cam lesion) |
| 29915 | Arthroscopy, hip, surgical; with acetabuloplasty (i.e., treatment of pincer lesion) |
| 29916 | Arthroscopy, hip, surgical; with labral repair |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent and arthrography |
| 29895 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial |
| 29897 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited |
| 29898 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive |
| 29899 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis |
| 29900 | Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy |
| 29901 | Arthroscopy, metacarpophalangeal joint, surgical; with debridement |
| 29902 | Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesion) |
| 29906 | Arthroscopy, subtalar joint, surgical; with debridement |
| 29914 | Arthroscopy, hip, surgical; with femoroplasty (i.e., treatment of cam lesion) |
| 29915 | Arthroscopy, hip, surgical; with acetabuloplasty (i.e., treatment of pincer lesion) |
| 29916 | Arthroscopy, hip, surgical; with labral repair |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent and arthrography |
| Nervous System | |
| 62281 | Injection/infusion of neurolytic substance (e.g., alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic |
| 63661 | Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed |
| 63663 | Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed |
| 64425 | Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves |
| 64530 | Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring |
| 64561 | Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed |
| 64581 | Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) |
| 64585 | Revision or removal of peripheral neurostimulator electrode array |
| 64600 | Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch |
| 64610 | Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring |
| 64642 | Chemodenervation of one extremity; 1-4 muscle(s) |
| 64644 | Chemodenervation of one extremity; 5 or more muscles |
| 64646 | Chemodenervation of trunk muscle(s); 1-5 muscle(s) |
| 64647 | Chemodenervation of trunk muscle(s); 6 or more muscles |
| 64702 | Neuroplasty; digital, 1 or both, same digit |
| 64718 | Neuroplasty and/or transposition; ulnar nerve at elbow |
| 64719 | Neuroplasty and/or transposition; ulnar nerve at wrist |
| 64721 | Neuroplasty and/or transposition; median nerve at carpal tunnel |
| 64774 | Excision of neuroma; cutaneous nerve, surgically identifiable |
| 64776 | Excision of neuroma; digital nerve, 1 or both, same digit |
| 64782 | Excision of neuroma; hand or foot, except digital nerve |
| 64784 | Excision of neuroma; major peripheral nerve, except sciatic |
| 64788 | Excision of neurofibroma or neurolemmoma; cutaneous nerve |
| 64795 | Biopsy of nerve |
| 64831 | Suture of digital nerve, hand or foot; 1 nerve |
| 64835 | Suture of 1 nerve; median motor thenar |
| Respiratory System | |
| 21320 | Closed treatment of nasal bone fracture with manipulation; with stabilization |
| 30000 | Drainage abscess or hematoma, nasal, internal approach |
| 30020 | Drainage abscess or hematoma, nasal septum |
| 30100 | Biopsy, intranasal |
| 30110 | Excision, nasal polyp(s), simple |
| 30115 | Excision, nasal polyp(s), extensive |
| 30118 | Excision or destruction (e.g., laser), intranasal lesion; external approach (lateral rhinotomy) |
| 30130 | Excision inferior turbinate, partial or complete, any method |
| 30140 | Submucous resection inferior turbinate, partial or complete, any method |
| 30220 | Insertion, nasal septal prosthesis (button) |
| 30310 | Removal foreign body, intranasal; requiring general anesthesia |
| [[30520]] | Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft |
| 30580 | Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) |
| 30630 | Repair nasal septal perforations |
| 30801 | Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (e.g., electrocautery, radiofrequency ablation, or tissue volume reduction); superficial |
| 30802 | Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (e.g., electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (i.e., submucosal) |
| 30930 | Fracture nasal inferior turbinate(s), therapeutic |
| 31020 | Sinusotomy, maxillary (antrotomy); intranasal |
| 31030 | Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps |
| 31032 | Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps |
| 31200 | Ethmoidectomy; intranasal, anterior |
| 31205 | Ethmoidectomy; extranasal, total |
| 31525 | Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn |
| [[31526]] | Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope |
| 31528 | Laryngoscopy direct, with or without tracheoscopy; with dilation, initial |
| 31529 | Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent |
| 31530 | Laryngoscopy, direct, operative, with foreign body removal |
| 31535 | Laryngoscopy, direct, operative, with biopsy |
| 31536 | Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope |
| 31540 | Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis |
| 31541 | Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope |
| 31545 | Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) |
| 31570 | Laryngoscopy, direct, with injection into vocal cord(s), therapeutic |
| 31571 | Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope |
| [[31574]] | Laryngoscopy, flexible; with injection(s) for augmentation (e.g., percutaneous, transoral), unilateral |
| [[31575]] | Laryngoscopy, flexible; diagnostic |
| 31576 | Laryngoscopy, flexible; with biopsy(ies) |
| 31578 | Laryngoscopy, flexible; with removal of lesion(s), non-laser |
| 31591 | Laryngoplasty, medialization, unilateral |
| 31611 | Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (e.g., voice button, Blom-Singer prosthesis) |
| 31622 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) |
| 31623 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings |
| 31624 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage |
| 31625 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites |
| 31628 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe |
| 31652 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (e.g., aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures |
| 32408 | Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed |
| 32555 | Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance |
| 32557 | Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance |
| Urinary System | |
| 50430 | Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (e.g., ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access |
| 50435 | Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (e.g., ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation |
| 50575 | Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy, dilation of ureter and ureteral pelvic junction, incision of ureteral pelvic junction and insertion of endopyelotomy stent) |
| 50590 | Lithotripsy, extracorporeal shock wave |
| 50688 | Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit |
| 51102 | Aspiration of bladder; with insertion of suprapubic catheter |
| [[51702]] | Insertion of temporary indwelling bladder catheter; simple (e.g., Foley) |
| 51710 | Change of cystostomy tube; complicated |
| 51715 | Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck |
| 51720 | Bladder installation of anticarcinogenic agent (including retention time) |
| 51726 | Complex cystometrogram (i.e., calibrated electronic equipment) |
| 51728 | Complex cystometrogram (i.e., calibrated electronic equipment); with voiding pressure studies (i.e., bladder voiding pressure), any technique |
| 51729 | Complex cystometrogram (i.e., calibrated electronic equipment); with voiding pressure studies (i.e., bladder voiding pressure) and urethral pressure profile studies (i.e., urethral closure pressure profile), any technique |
| [[52000]] | Cystourethroscopy (separate procedure) |
| 52001 | Cystourethroscopy with irrigation and evacuation of multiple obstructing clots |
| [[52005]] | Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service |
| 52007 | Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis |
| [[52204]] | Cystourethroscopy, with biopsy(s) |
| 52214 | Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands |
| 52224 | Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of minor (less than 0.5 cm) lesion(s) with or without biopsy |
| 52234 | Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; small bladder tumor(s) (0.5 up to 2.0 cm) |
| 52235 | Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; medium bladder tumor(s) (2.0 to 5.0 cm) |
| 52260 | Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia |
| 52265 | Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia |
| 52275 | Cystourethroscopy, with internal urethrotomy; male |
| 52276 | Cystourethroscopy with direct vision internal urethrotomy |
| 52281 | Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female |
| 52282 | Cystourethroscopy, with insertion of permanent urethral stent |
| 52283 | Cystourethroscopy, with steroid injection into stricture |
| 52285 | Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration |
| 52287 | Cystourethroscopy, with injection(s) for Chemodenervation of the bladder |
| 52300 | Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral |
| [[52310]] | Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple |
| 52315 | Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated |
| 52317 | Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) |
| 52320 | Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus |
| 52325 | Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (e.g., ultrasonic or electro-hydraulic technique) |
| 52327 | Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material |
| 52330 | Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus |
| 52332 | Cystourethroscopy, with insertion of indwelling ureteral stent (e.g., Gibbons or double-J type) |
| 52341 | Cystourethroscopy; with treatment of ureteral stricture (e.g., balloon dilation, laser, electrocautery, and incision) |
| 52344 | Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (e.g., balloon dilation, laser, electrocautery, and incision) |
| 52351 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic |
| 52352 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) |
| [[52353]] | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) |
| 52354 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion |
| 52356 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (e.g., Gibbons or double-J type) |
| 52450 | Transurethral incision of prostate |
| 52500 | Transurethral resection of bladder neck (separate procedure) |
| 52630 | Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included) |
| 52640 | Transurethral resection; of postoperative bladder neck contracture |
| 53020 | Meatotomy, cutting of meatus (separate procedure); except infant |
| 53230 | Excision of urethral diverticulum (separate procedure); female |
| 53260 | Excision or fulguration; urethral polyp(s), distal urethra |
| 53265 | Excision or fulguration; urethral caruncle |
| 53270 | Excision or fulguration; Skene's glands |
| 53440 | Sling operation for correction of male urinary incontinence (e.g., fascia or synthetic) |
| 53445 | Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff |
| 53450 | Urethromeatoplasty, with mucosal advancement |
| 53605 | Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia |
| 53665 | Dilation of female urethra, general or conduction (spinal) anesthesia |
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