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 CodeDescription
Auditory System
69100Biopsy external ear
69110Excision external ear; partial, simple repair
69140Excision exostosis(es), external auditory canal
69145Excision soft tissue lesion, external auditory canal
69205Removal foreign body from external auditory canal; with general anesthesia
69222Debridement, mastoidectomy cavity, complex (e.g., with anesthesia or more than routine cleaning)
69310Reconstruction of external auditory canal (meatoplasty) (e.g., for stenosis due to injury, infection) (separate procedure)
69320Reconstruction external auditory canal for congenital atresia, single stage
69421Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia
69424Ventilating tube removal requiring general anesthesia
69433Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia
69436Tympanostomy (requiring insertion of ventilating tube), general anesthesia
69440Middle ear exploration through postauricular or ear canal incision
69450Tympanalysis, transcanal
69505Mastoidectomy; modified radical
69550Excision aural glomus tumor; transcanal
69602Revision mastoidectomy; resulting in modified radical mastoidectomy
69610Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch
69620Myringoplasty (surgery confined to drumhead and donor area)
Auditory System
69631Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction
69632Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (e.g., postfenestration)
69633Tympanoplasty 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])
69635Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction
69636Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction
69641Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction
69642Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction
69643Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction
69644Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction
69645Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction
69646Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction
69650Stapes mobilization
69660Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material
69661Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out
69662Revision of stapedectomy or stapedotomy
69801Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal
69805Endolymphatic sac operation; without shunt
69806Endolymphatic sac operation; with shunt
Cardiovascular System
33215Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode
33216Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator
33241Removal of implantable defibrillator pulse generator only
36000Introduction of needle or intracatheter, vein
36010Introduction of catheter, superior or inferior vena cava
36012Selective catheter placement, venous system; second order, or more selective, branch (e.g., left adrenal vein, petrosal sinus)
36215Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family
36246Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family
36556Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older
36569Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older
36571Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older
36581Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access
36582Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access
36589Removal of tunneled central venous catheter, without subcutaneous port or pump
36590Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion
36821Arteriovenous anastomosis, open; direct, any site (e.g., Cimino type) (separate procedure)
36901Introduction 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
36902Introduction 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
37242Vascular 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)
37248Transluminal 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
37607Ligation or banding of angioaccess arteriovenous fistula
37609Ligation or biopsy, temporal artery
37761Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg
37765Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions
37766Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions
37785Ligation, division, and/or excision of varicose vein cluster(s), 1 leg
Digestive System
40810Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair
40812Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair
41110Excision of lesion of tongue without closure
41112Excision of lesion of tongue with closure; anterior two-thirds
41113Excision of lesion of tongue with closure; posterior one-third
41520Frenoplasty (surgical revision of frenum, e.g., with Z-plasty)
42104Excision, lesion of palate, uvula; without closure
42106Excision, lesion of palate, uvula; with simple primary closure
42140Uvullectomy, excision of uvula
42145Palatopharyngoplasty (e.g., uvulopalatopharyngoplasty, uvulopharyngoplasty)
42408Excision of sublingual salivary cyst (ranula)
42420Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve
42425Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve
42440Excision of submandibular (submaxillary) gland
42800Biopsy; oropharynx
42810Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues
42821Tonsillectomy and adenoidectomy; age 12 or over
42826Tonsillectomy, primary or secondary; age 12 or over
42831Adenoidectomy, primary; age 12 or over
43200Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
43202Esophagoscopy, flexible, transoral; with biopsy, single or multiple
43220Esophagoscopy, flexible, transoral; with transcendoscopic balloon dilation (less than 30 mm diameter)
43226Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire
43229Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)
43235Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
43236Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance
43239Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple
43247Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)
43248Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire
43249Esophagogastroduodenoscopy, flexible, transoral; with transcendoscopic balloon dilation of esophagus (less than 30 mm diameter)
43250Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps
43251Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
43254Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection
43255Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method
43270Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)
44388Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
44389Colonoscopy through stoma; with biopsy, single or multiple
44392Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps
44394Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
45172Excision of rectal tumor, transanal approach; including muscularis propria (i.e., full thickness)
45378Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
45379Colonoscopy, flexible; with removal of foreign body(s)
45380Colonoscopy, flexible; with biopsy, single or multiple
45381Colonoscopy, flexible; with directed submucosal injection(s), any substance
45384Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps
45385Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
45386Colonoscopy, flexible; with transendoscopic balloon dilation
45390Colonoscopy, flexible; with endoscopic mucosal resection
45398Colonoscopy, flexible; with band ligation(s) (e.g., hemorrhoids)
45990Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic
46080Sphincterotomy, anal, division of sphincter (separate procedure)
46200Fissurectomy, including sphincterotomy, when performed
46220Excision of single external papilla or tag, anus
46221Hemorrhoidectomy, internal, by rubber band ligation(s)
46250Hemorrhoidectomy, external, 2 or more columns/groups
46255Hemorrhoidectomy, internal and external, single column/group
46257Hemorrhoidectomy, internal and external, single column/group; with fissurectomy
46261Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy
46270Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous
46505Chemodenervation of internal anal sphincter
46612Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique
46910Destruction of lesion(s), anus (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation
46946Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups
47000Biopsy of liver, needle; percutaneous
49505Repair initial inguinal hernia, age 5 years or older; reducible
49550Repair initial femoral hernia, any age; reducible
49650Laparoscopy, surgical; repair initial inguinal hernia
49651Laparoscopy, surgical; repair recurrent inguinal hernia
Eye/Ocular Adnexa System
65400Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium
65420Excision or transposition of pterygium; without graft
65426Excision or transposition of pterygium; with graft
65435Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage)
65436Removal of corneal epithelium; with application of chelating agent (e.g., EDTA)
65710Keratoplasty (corneal transplant); anterior lamellar
65730Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia)
65750Keratoplasty (corneal transplant); penetrating (in aphakia)
65755Keratoplasty (corneal transplant); penetrating (in pseudophakia)
65756Keratoplasty (corneal transplant); endothelial
65772Corneal relaxing incision for correction of surgically induced astigmatism
65778Placement of amniotic membrane on the ocular surface; without sutures
65779Placement of amniotic membrane on the ocular surface; single layer, sutured
65780Ocular surface reconstruction; amniotic membrane transplantation, multiple layers
[[65800]]Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous
65815Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection
65850Trabeculotomy ab externo
[[65855]]Trabeculoplasty by laser surgery
65865Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae
65875Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae
65920Removal of implanted material, anterior segment of eye
66170Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery
66172Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents)
66185Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft
66250Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure
66682Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (e.g., McCannel suture)
66710Ciliary body destruction; cyclophotocoagulation, transscleral
66711Ciliary 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)
66825Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)
66840Removal of lens material; aspiration technique, 1 or more stages
66850Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (e.g., phacoemulsification), with aspiration
66852Removal 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
66983Intracapsular 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
66985Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal
66986Exchange of intraocular lens
66987Extracapsular 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
66988Extracapsular 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
67005Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal
67010Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy
67025Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure)
67028Intravitreal injection of a pharmacologic agent (separate procedure)
[[67036]]Vitrectomy, mechanical, pars plana approach
67039Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation
67040Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation
67041Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (e.g., macular pucker)
67042Vitrectomy, 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)
67043Vitrectomy, 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
67101Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy
67105Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation
67107Repair 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
67108Repair 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
67110Repair of retinal detachment; by injection of air or other gas (e.g., pneumatic retinopexy)
67113Repair 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
67120Removal of implanted material, posterior segment; extraocular
67121Removal of implanted material, posterior segment; intraocular
67145Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation
67210Destruction of localized lesion of retina (e.g., macular edema, tumors), 1 or more sessions; photocoagulation
67218Destruction of localized lesion of retina (e.g., macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source)
67220Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photocoagulation (e.g., laser), 1 or more sessions
67221Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photodynamic therapy (includes intravenous infusion)
67228Treatment of extensive or progressive retinopathy (e.g., diabetic retinopathy), photocoagulation
67311Strabismus surgery, recession or resection procedure; 1 horizontal muscle
67312Strabismus surgery, recession or resection procedure; 2 horizontal muscles
67314Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique)
67316Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique)
67318Strabismus surgery, any procedure, superior oblique muscle
67345Chemodenervation of extraocular muscle
67400Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy
67412Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion
67414Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression
67420Orbitotomy with bone flap or window, lateral approach (e.g., Kroenlein); with removal of lesion
67445Orbitotomy with bone flap or window, lateral approach (e.g., Kroenlein); with removal of bone for decompression
67550Orbital implant (implant outside muscle cone); insertion
67560Orbital implant (implant outside muscle cone); removal or revision
67700Blepharotomy, drainage of abscess, eyelid
67800Excision of chalazion; single
67801Excision of chalazion; multiple, same lid
67805Excision of chalazion; multiple, different lids
67808Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple
67840Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure
67875Temporary closure of eyelids by suture (e.g., Frost suture)
67880Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy
67935Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness
67938Removal of embedded foreign body, eyelid
67971Reconstruction of eyelid, full thickness by transfer of tarsconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage
67973Reconstruction of eyelid, full thickness by transfer of tarsconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage
67975Reconstruction of eyelid, full thickness by transfer of tarsconjunctival flap from opposing eyelid; second stage
68100Biopsy of conjunctiva
68110Excision of lesion, conjunctiva; up to 1 cm
68115Excision of lesion, conjunctiva; over 1 cm
68135Destruction of lesion, conjunctiva
68320Conjunctivoplasty; with conjunctival graft or extensive rearrangement
68440Snip incision of lacrimal punctum
68700Plastic repair of canaliculi
68720Dacryocystorhinostomy (Fistulization of lacrimal sac to nasal cavity)
68750Conjunctivorhinostomy (Fistulization of conjunctiva to nasal cavity); with insertion of tube or stent
68811Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia
68815Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent
Female Genital System
56405Incision and drainage of vulva or perineal abscess
56420Incision and drainage of Bartholin's gland abscess
56440Marsupialization of Bartholin's gland cyst
56441Lysis of labial adhesions
56442Hymenotomy, simple incision
56501Destruction of lesion(s), vulva; simple (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)
56515Destruction of lesion(s), vulva; extensive (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)
56605Biopsy of vulva or perineum (separate procedure); 1 lesion
Female Genital System
56620Vulvectomy simple; partial
56700Partial hymenectomy or revision of hymenal ring
56740Excision of Bartholin's gland or cyst
56810Perineoplasty, repair of perineum, non-obstetrical (separate procedure)
56821Colposcopy of the vulva; with biopsy(s)
57000Colpotomy; with exploration
57061Destruction of vaginal lesion(s); simple (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)
57065Destruction of vaginal lesion(s); extensive (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)
57100Biopsy of vaginal mucosa; simple (separate procedure)
57105Biopsy of vaginal mucosa; extensive, requiring suture (including cysts)
57130Excision of vaginal septum
57135Excision of vaginal cyst or tumor
57240Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed
57250Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy
57260Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed
57268Repair of enterocele, vaginal approach (separate procedure)
57282Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus)
57283Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)
57287Removal or revision of sling for stress incontinence (e.g., fascia or synthetic)
57295Revision (including removal) of prosthetic vaginal graft; vaginal approach
57300Closure of rectovaginal fistula; vaginal or transanal approach
57410Pelvic examination under anesthesia (other than local)
57415Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)
57420Colposcopy of the entire vagina, with cervix if present
57421Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix
57425Laparoscopy, surgical, colpopexy (suspension of vaginal apex)
57452Colposcopy of the cervix including upper/adjacent vagina
57454Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage
57456Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage
57461Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix
57500Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure)
57505Endocervical curettage (not done as part of a dilation and curettage)
57510Cautery of cervix; electro or thermal
57511Cautery of cervix; cryocautery, initial or repeat
57513Cautery of cervix; laser ablation
57520Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser
57522Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision
57530Trachelectomy (cervicectomy), amputation of cervix (separate procedure)
57700Cerclage of uterine cervix, non-obstetrical
57720Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach
57800Dilation of cervical canal, instrumental (separate procedure)
58100Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)
58120Dilation and curettage, diagnostic and/or therapeutic (non-obstetrical)
58353Endometrial ablation, thermal, without hysteroscopic guidance
58558Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C
58560Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)
58561Hysteroscopy, surgical; with removal of leiomyomata
58562Hysteroscopy, surgical; with removal of impacted foreign body
58563Hysteroscopy, surgical; with endometrial ablation (e.g., endometrial resection, electrosurgical ablation, thermoablation)
58565Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants
Hemic and Lymphatic Systems
38221Diagnostic bone marrow; biopsy(ies)
38222Diagnostic bone marrow; biopsy(ies) and aspiration(s)
38500Biopsy or excision of lymph node(s); open, superficial
38505Biopsy or excision of lymph node(s); by needle, superficial (e.g., cervical, inguinal, axillary)
38510Biopsy or excision of lymph node(s); open, deep cervical node(s)
38520Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad
38525Biopsy or excision of lymph node(s); open, deep axillary node(s)
38740Axillary lymphadenectomy; superficial
38760Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)
Integumentary System
10121Incision and removal of foreign body, subcutaneous tissues; complicated
10180Incision and drainage, complex, postoperative wound infection
11010Debridement 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
11012Debridement 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
11440Excision, 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
11441Excision, 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
11443Excision, 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
11444Excision, 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
11446Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm
11450Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair
11451Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair
11462Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair
11463Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair
11470Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair
11471Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair
11601Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm
11602Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm
11603Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm
11604Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm
11620Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less
11621Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
11622Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm
11623Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm
11624Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm
11640Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less
11641Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm
11642Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm
11643Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm
11644Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm
11750Excision of nail and nail matrix, partial or complete (e.g., ingrown or deformed nail), for permanent removal
11755Biopsy of nail unit (e.g., plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure)
11760Repair of nail bed
11770Excision of pilonidal cyst or sinus; simple
11772Excision of pilonidal cyst or sinus; complicated
12031Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less
12032Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm
12034Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm
12035Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm
12041Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less
12042Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm
12051Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
12052Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
13100Repair, complex, trunk; 1.1 cm to 2.5 cm
13101Repair, complex, trunk; 2.6 cm to 7.5 cm
13120Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm
13121Repair, 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
13132Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm
13151Repair, 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
14060Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq. cm or less
14301Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq. cm to 60.0 sq. cm
15100Split-thickness autograft, trunk, arms, legs; first 100 sq. cm or less, or 1% of body area of infants and children (except 15050)
15120Split-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)
15220Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq. cm or less
15240Full 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
15576Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral
15760Graft; composite (e.g., full thickness of external ear or nasal ala), including primary closure, donor area
15770Graft; derma-fat-fascia
17000Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (e.g., actinic keratoses); first lesion
17004Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (e.g., actinic keratoses), 15 or more lesions
17106Destruction of cutaneous vascular proliferative lesions (e.g., laser technique); less than 10 sq. cm
17107Destruction of cutaneous vascular proliferative lesions (e.g., laser technique); 10.0 to 50.0 sq. cm
17108Destruction of cutaneous vascular proliferative lesions (e.g., laser technique); over 50.0 sq. cm
17110Destruction (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
17111Destruction (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
17311Mohs 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
17313Mohs 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
19101Biopsy of breast; open, incisional
19110Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct
19112Excision of lactiferous duct fistula
19120Excision 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
19125Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion
21552Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater
21931Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater
Male Genital System
54001Slitting of prepuce, dorsal or lateral (separate procedure); except newborn
54055Destruction of lesion(s), penis (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation
54057Destruction of lesion(s), penis (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery
54060Destruction of lesion(s), penis (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision
54065Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
54161Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age
54100Biopsy of penis; (separate procedure)
54110Excision of penile plaque (Peyronie disease)
54 54150Circumcision, using clamp or other device with regional dorsal penile or ring block
54162Lysis or excision of penile post-circumcision adhesions
54163Repair incomplete circumcision
54164Frenulotomy of penis
54300Plastic operation of penis for straightening of chordee (e.g., hypospadias), with or without mobilization of urethra
54360Plastic operation on penis to correct angulation
54450Foreskin manipulation including lysis of preputial adhesions and stretching
54512Excision of extraparenchymal lesion of testis
54530Orchiectomy, radical, for tumor; inguinal approach
54600Reduction of torsion of testis, surgical, with or without fixation of contralateral testis
54620Fixation of contralateral testis (separate procedure)
54640Orchiopexy, inguinal approach, with or without hernia repair
54700Incision and drainage of epididymis, testis and/or scrotal space (e.g., abscess or hematoma)
54830Excision of local lesion of epididymis
54840Excision of spermatocele, with or without epididymectomy
54860Epididymectomy; unilateral
55040Excision of hydrocele; unilateral
55041Excision of hydrocele; bilateral
55060Repair of tunica vaginalis hydrocele (Bottle type)
55100Drainage of scrotal wall abscess
55110Scrotal exploration
55120Removal of foreign body in scrotum
55500Excision of hydrocele of spermatic cord, unilateral (separate procedure)
55520Excision of lesion of spermatic cord (separate procedure)
55540Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair
Musculoskeletal System
20200Biopsy, muscle; superficial
20205Biopsy, muscle; deep
20220Biopsy, bone, trocar, or needle; superficial (e.g., ilium, sternum, spinous process, ribs)
20225Biopsy, bone, trocar, or needle; deep (e.g., vertebral body, femur)
20240Biopsy, bone, open; superficial (e.g., sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)
20245Biopsy, bone, open; deep (e.g., humeral shaft, ischium, femoral shaft)
20520Removal of foreign body in muscle or tendon sheath; simple
20525Removal of foreign body in muscle or tendon sheath; deep or complicated
20526Injection, therapeutic (e.g., local anesthetic, corticosteroid), carpal tunnel
20551Injection(s); single tendon origin/insertion
20600Arthrocentesis, aspiration and/or injection, small joint or bursa (e.g., fingers, toes); without ultrasound guidance
20604Arthrocentesis, aspiration and/or injection, small joint or bursa (e.g., fingers, toes); with ultrasound guidance, with permanent recording and reporting
20605Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance
20606Arthrocentesis, 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
20610Arthrocentesis, aspiration and/or injection, major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa); without ultrasound guidance
20611Arthrocentesis, aspiration and/or injection, major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting
20612Aspiration and/or injection of ganglion cyst(s) any location
20680Removal of implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod or plate)
20693Adjustment or revision of external fixation system requiring anesthesia (e.g., new pin[s] or wire[s] and/or new ring[s] or bar[s])
20694Removal, under anesthesia, of external fixation system
20912Cartilage graft; nasal septum
21011Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm
21012Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater
21013Excision, tumor, soft tissue of face and scalp, subfascial (e.g., subgaleal, intramuscular); less than 2 cm
21014Excision, tumor, soft tissue of face and scalp, subfascial (e.g., subgaleal, intramuscular); 2 cm or greater
21030Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage
21031Excision of torus mandibularis
21040Excision of benign tumor or cyst of mandible, by enucleation and/or curettage
21046Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (e.g., locally aggressive or destructive lesion[s])
21048Excision 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
21325Open treatment of nasal fracture; uncomplicated
21330Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation
21335Open treatment of nasal fracture; with concomitant open treatment of fractured septum
21336Open treatment of nasal septal fracture, with or without stabilization
21337Closed treatment of nasal septal fracture, with or without stabilization
21356Open treatment of depressed zygomatic arch fracture (e.g., Gillies approach)
21550Biopsy, soft tissue of neck or thorax
21555Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm
21556Excision, tumor, soft tissue of neck or anterior thorax, subfascial (e.g., intramuscular); less than 5 cm
21557Radical resection of tumor (e.g., sarcoma), soft tissue of neck or anterior thorax; less than 5 cm
21920Biopsy, soft tissue of back or flank; superficial
21930Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm
21932Excision, tumor, soft tissue of back or flank, subfascial (e.g., intramuscular); less than 5 cm
21933Excision, tumor, soft tissue of back or flank, subfascial (e.g., intramuscular); 5 cm or greater
22513Percutaneous 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
22514Percutaneous 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
22900Excision, tumor, soft tissue of abdominal wall, subfascial (e.g., intramuscular); less than 5 cm
22901Excision, tumor, soft tissue of abdominal wall, subfascial (e.g., intramuscular); 5 cm or greater
22902Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm
22903Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater
23071Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater
23075Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm
23076Excision, tumor, soft tissue of shoulder area, subfascial (e.g., intramuscular); less than 5 cm
23120Claviculectomy; partial
23140Excision or curettage of bone cyst or benign tumor of clavicle or scapula
23150Excision or curettage of bone cyst or benign tumor of proximal humerus
23405Tenotomy, shoulder area; single tendon
23415Coracoacromial ligament release, with or without acromioplasty
23430Tenodesis of long tendon of biceps
23440Resection or transplantation of long tendon of biceps
23480Osteotomy, clavicle, with or without internal fixation
23615Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed
23630Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed
23700Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)
24000Arthroscopy, elbow, including exploration, drainage, or removal of foreign body
24006Arthroscopy of the elbow, with capsular excision for capsular release (separate procedure)
24065Biopsy, soft tissue of upper arm or elbow area; superficial
24066Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)
24071Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater
24073Excision, tumor, soft tissue of upper arm or elbow area, subfascial (e.g., intramuscular); 5 cm or greater
24075Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm
24076Excision, tumor, soft tissue of upper arm or elbow area, subfascial (e.g., intramuscular); less than 5 cm
24101Arthroscopy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body
24102Arthroscopy, elbow; with synovectomy
24105Excision, olecranon bursa
24110Excision or curettage of bone cyst or benign tumor, humerus
24120Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process
24130Excision, radial head
24147Partial excision (craterization, saucerization, or diaphysectomy) bone (e.g., osteomyelitis), olecranon process
24200Removal of foreign body, upper arm or elbow area; subcutaneous
24201Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)
24300Manipulation, elbow, under anesthesia
24310Tenotomy, open, elbow to shoulder, each tendon
24340Tenodesis of biceps tendon at elbow (separate procedure)
24341Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)
24342Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft
24343Repair lateral collateral ligament, elbow, with local tissue
24357Tenotomy, elbow, lateral or medial (e.g., epicondylitis, tennis elbow, golfer's elbow); percutaneous
24358Tenotomy, elbow, lateral or medial (e.g., epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open
24366Arthroplasty, radial head; with implant
24515Open treatment of humeral shaft fracture with plate/screws, with or without cerclage
24516Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws
24586Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius)
24615Open treatment of acute or chronic elbow dislocation
24665Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed
24666Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement
25000Incision, extensor tendon sheath, wrist (e.g., deQuervains disease)
25071Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater
25073Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (e.g., intramuscular); 3 cm or greater
25075Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm
25076Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (e.g., intramuscular); less than 3 cm
25085Capsulotomy, wrist (e.g., contracture)
25105Arthrotomy, wrist joint; with synovectomy
25107Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex
25109Excision of tendon, forearm and/or wrist, flexor or extensor, each
25110Excision, lesion of tendon sheath, forearm and/or wrist
25111Excision of ganglion, wrist (dorsal or volar); primary
25112Excision of ganglion, wrist (dorsal or volar); recurrent
25115Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors
25118Synovectomy, extensor tendon sheath, wrist, single compartment
25120Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process)
25130Excision or curettage of bone cyst or benign tumor of carpal bones
25151Partial excision (craterization, saucerization, or diaphysectomy) of bone (e.g., for osteomyelitis); radius
25210Carpectomy; 1 bone
25215Carpectomy; all bones of proximal row
25230Radial styloidectomy (separate procedure)
25240Excision distal ulna partial or complete (e.g., Darrach type or matched resection)
25260Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle
25270Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle
25275Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (e.g., for extensor carpi ulnaris subluxation)
25280Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon
25290Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon
25295Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon
25350Osteotomy, radius; distal third
25445Arthroplasty with prosthetic replacement; trapezium
25545Open treatment of ulnar shaft fracture, includes internal fixation, when performed
25605Closed 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
25606Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation
25607Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation
25608Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments
25609Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments
25624Closed treatment of carpal scaphoid (navicular) fracture; with manipulation
25628Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed
25645Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone
25652Open treatment of ulnar styloid fracture
25810Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)
25825Arthrodesis, wrist; with autograft (includes obtaining graft)
26011Drainage of finger abscess; complicated (e.g., felon)
26020Drainage of tendon sheath, digit and/or palm, each
26045Fasciotomy, palmar (e.g., Dupuytren's contracture); open, partial
26055Tendon sheath incision (e.g., for trigger finger)
26070Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint
26075Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each
26080Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each
26105Arthrotomy with biopsy; metacarpophalangeal joint, each
26110Arthrotomy with biopsy; interphalangeal joint, each
26111Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater
26113Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (e.g., intramuscular); 1.5 cm or greater
26115Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm
26116Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (e.g., intramuscular); less than 1.5 cm
26121Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)
26123Fasciectomy, 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)
26160Excision of lesion of tendon sheath or joint capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger
26180Excision of tendon, finger, flexor or extensor, each tendon
26200Excision or curettage of bone cyst or benign tumor of metacarpal
26210Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger
26215Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft)
26236Partial excision (craterization, saucerization, or diaphysectomy) bone (e.g., osteomyelitis); distal phalanx of finger
26320Removal of implant from finger or hand
26350Repair 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
26356Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (e.g., no man's land); primary, without free graft, each tendon
26357Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (e.g., no man's land); secondary, without free graft, each tendon
26392Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod
26410Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon
26418Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon
26420Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon
26426Repair of extensor tendon, central slip, secondary (e.g., boutonniere deformity); using local tissue(s), including lateral band(s), each finger
26432Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (e.g., mallet finger)
26433Repair of extensor tendon, distal insertion, primary or secondary; without graft (e.g., mallet finger)
26437Realignment of extensor tendon, hand, each tendon
26440Tenolysis, flexor tendon; palm or finger, each tendon
26442Tenolysis, flexor tendon; palm and finger, each tendon
26445Tenolysis, extensor tendon, hand or finger, each tendon
26455Tenotomy, flexor, finger, open, each tendon
26480Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon
26500Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure)
26502Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)
26516Capsulodesis, metacarpophalangeal joint; single digit
26520Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint
26525Capsulectomy or capsulotomy; interphalangeal joint, each joint
26530Arthroplasty, metacarpophalangeal joint; each joint
26535Arthroplasty, interphalangeal joint; each joint
26540Repair of collateral ligament, metacarpophalangeal or interphalangeal joint
26541Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft)
26542Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (e.g., adductor advancement)
26567Osteotomy; phalanx of finger, each
26608Percutaneous skeletal fixation of metacarpal fracture, each bone
26615Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone
26650Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation
26665Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed
26676Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint
26715Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed
26727Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each
26735Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each
26742Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each
26746Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each
26756Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each
26765Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each
26841Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation
26842Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)
26850Arthrodesis, metacarpophalangeal joint, with or without internal fixation
26860Arthrodesis, interphalangeal joint, with or without internal fixation
26862Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)
26910Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer
26951Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure
26952Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood)
27043Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater
27045Excision, tumor, soft tissue of pelvis and hip area, subfascial (e.g., intramuscular); 5 cm or greater
27047Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm
27048Excision, tumor, soft tissue of pelvis and hip area, subfascial (e.g., intramuscular); less than 5 cm
27062Excision; trochanteric bursa or calcification
27093Injection procedure for hip arthrography; without anesthesia
27095Injection procedure for hip arthrography; with anesthesia
27310Arthrotomy, knee, with exploration, drainage, or removal of foreign body (e.g., infection)
27323Biopsy, soft tissue of thigh or knee area; superficial
27324Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular)
27327Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm
27328Excision, tumor, soft tissue of thigh or knee area, subfascial (e.g., intramuscular); less than 5 cm
27329Radical resection of tumor (e.g., sarcoma), soft tissue of thigh or knee area; less than 5 cm
27331Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies
27332Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial or lateral
27334Arthrotomy, with synovectomy, knee; anterior or posterior
27335Arthrotomy, with synovectomy, knee; anterior and posterior including popliteal area
27337Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater
27339Excision, tumor, soft tissue of thigh or knee area, subfascial (e.g., intramuscular); 5 cm or greater
27340Excision, prepatellar bursa
27345Excision of synovial cyst of popliteal space (e.g., Baker's cyst)
27347Excision of lesion of meniscus or capsule (e.g., cyst, ganglion), knee
27372Removal of foreign body, deep, thigh region or knee area
27403Arthrotomy with meniscus repair, knee
27407Repair, primary, torn ligament and/or capsule, knee; cruciate
27418Anterior tibial tubercleplasty (e.g., Maquet type procedure)
27570Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)
27606Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia
27613Biopsy, soft tissue of leg or ankle area; superficial
27614Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular)
27618Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm
27619Excision, tumor, soft tissue of leg or ankle area, subfascial (e.g., intramuscular); less than 5 cm
27620Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body
27626Arthrotomy, with synovectomy, ankle; including tenosynovectomy
27632Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater
27634Excision, tumor, soft tissue of leg or ankle area, subfascial (e.g., intramuscular); 5 cm or greater
27638Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft
27640Partial excision (craterization, saucerization, or diaphysectomy), bone (e.g., osteomyelitis); tibia
27658Repair, flexor tendon, leg; primary, without graft, each tendon
27659Repair, flexor tendon, leg; secondary, with or without graft, each tendon
27665Repair, extensor tendon, leg; secondary, with or without graft, each tendon
27680Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon
27685Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)
27690Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)
27696Repair, primary, disrupted ligament, ankle; both collateral ligaments
27705Osteotomy; tibia
27720Repair of nonunion or malunion, tibia; without graft, (e.g., compression technique)
27756Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (e.g., pins or screws)
27788Closed treatment of distal fibular fracture (lateral malleolus); with manipulation
28005Incision, bone cortex (e.g., osteomyelitis or bone abscess), foot
28010Tenotomy, percutaneous, toe; single tendon
28011Tenotomy, percutaneous, toe; multiple tendons
28020Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint
28022Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint
28035Release, tarsal tunnel (posterior tibial nerve decompression)
28039Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater
28041Excision, tumor, soft tissue of foot or toe, subfascial (e.g., intramuscular); 1.5 cm or greater
28043Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm
28045Excision, tumor, soft tissue of foot or toe, subfascial (e.g., intramuscular); less than 1.5 cm
28047Radical resection of tumor (e.g., sarcoma), soft tissue of foot or toe; 3 cm or greater
28055Neurectomy, intrinsic musculature of foot
28060Fasciectomy, plantar fascia; partial (separate procedure)
28080Excision, interdigital (Morton) neuroma, single, each
28086Synovectomy, tendon sheath, foot; flexor
28088Synovectomy, tendon sheath, foot; extensor
28090Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (e.g., cyst or ganglion); foot
28092Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (e.g., cyst or ganglion); toe(s), each
28100Excision or curettage of bone cyst or benign tumor, talus or calcaneus
28103Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft
28104Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus
28108Excision or curettage of bone cyst or benign tumor, phalanges of foot
28110Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)
28111Ostectomy, complete excision; first metatarsal head
28112Ostectomy, complete excision; other metatarsal head (second, third or fourth)
28113Ostectomy, complete excision; fifth metatarsal head
28118Ostectomy, calcaneus
28119Ostectomy, calcaneus; for spur, with or without plantar fascial release
28120Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (e.g., osteomyelitis or bossing); talus or calcaneus
28122Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus
28124Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (e.g., osteomyelitis or bossing); phalanx of toe
28126Resection, partial or complete, phalangeal base, each toe
28153Resection, condyle(s), distal end of phalanx, each toe
28160Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each
28190Removal of foreign body, foot; subcutaneous
28192Removal of foreign body, foot; deep
28193Removal of foreign body, foot; complicated
28200Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon
28208Repair, tendon, extensor, foot; primary or secondary, each tendon
28225Tenolysis, extensor, foot; single tendon
28232Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)
28234Tenotomy, open, extensor, foot or toe, each tendon
28238Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)
28250Division of plantar fascia and muscle (e.g., Steindler stripping) (separate procedure)
28272Capsulotomy; interphalangeal joint, each joint (separate procedure)
28280Syndactylization, toes (e.g., webbing or Kelikian type procedure)
28285Correction, hammer toe (e.g., interphalangeal fusion, partial or total phalangectomy)
28286Correction, cock-up fifth toe, with plastic skin closure (e.g., Ruiz-Mora type procedure)
28288Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head
28289Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant
28291Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant
28292Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method
28295Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method
28296Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method
28297Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method
28298Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method
28299Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method
28306Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal
28310Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)
28312Osteotomy, shortening, angular or rotational correction; other phalanges, any toe
28313Reconstruction, angular deformity of toe, soft tissue procedures only (e.g., overlapping second toe, fifth toe, curly toes)
28315Sesamoidectomy, first toe (separate procedure)
28322Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)
28475Closed treatment of metatarsal fracture; with manipulation, each
28476Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each
28496Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation
28515Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each
28525Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each
28645Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed
28666Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation
28675Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed
28755Arthrodesis, great toe; interphalangeal joint
28760Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (e.g., Jones type procedure)
28810Amputation, metatarsal, with toe, single
28825Amputation, toe; interphalangeal joint
29800Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure)
29804Arthroscopy, temporomandibular joint, surgical
29805Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)
29806Arthroscopy, shoulder, surgical; Capsulorrhaphy
29807Arthroscopy, shoulder, surgical; repair of SLAP lesion
29819Arthroscopy, shoulder, surgical; with removal of loose body or foreign body
29820Arthroscopy, shoulder, surgical; synovectomy, partial
29821Arthroscopy, shoulder, surgical; synovectomy, complete
29822Arthroscopy, 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])
29823Arthroscopy, 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])
29824Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)
29825Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation
29827Arthroscopy, shoulder, surgical; with rotator cuff repair
29828Arthroscopy, shoulder, surgical; biceps tenodesis
29830Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure)
29834Arthroscopy, elbow, surgical; with removal of loose body or foreign body
29835Arthroscopy, elbow, surgical; synovectomy, partial
29836Arthroscopy, elbow, surgical; synovectomy, complete
29837Arthroscopy, elbow, surgical; debridement, limited
29838Arthroscopy, elbow, surgical; debridement, extensive
29840Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)
29844Arthroscopy, wrist, surgical; synovectomy, partial
29845Arthroscopy, wrist, surgical; synovectomy, complete
29846Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement
29847Arthroscopy, wrist, surgical; internal fixation for fracture or instability
29848Endoscopy, wrist, surgical, with release of transverse carpal ligament
29860Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)
29861Arthroscopy, hip, surgical; with removal of loose body or foreign body
29862Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum
29863Arthroscopy, hip, surgical; with synovectomy
29870Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)
29873Arthroscopy, knee, surgical; with lateral release
29874Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation)
29875Arthroscopy, knee, surgical; synovectomy, limited (e.g., plica or shelf resection) (separate procedure)
29876Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral)
29877Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)
29879Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture
29880Arthroscopy, 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
29881Arthroscopy, 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
29882Arthroscopy, knee, surgical; with meniscus repair (medial or lateral)
29883Arthroscopy, knee, surgical; with meniscus repair (medial and lateral)
29884Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)
29885Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion)
29886Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion
29887Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation
29888Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction
29889Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction
29891Arthroscopy, ankle, surgical; excision of osteochondral defect of talus and/or tibia, including drilling of the defect
29892Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)
29893Endoscopic plantar fasciotomy
29894Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body
29895Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial
29897Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited
29898Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive
29899Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis
29900Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy
29901Arthroscopy, metacarpophalangeal joint, surgical; with debridement
29902Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesion)
29906Arthroscopy, subtalar joint, surgical; with debridement
29914Arthroscopy, hip, surgical; with femoroplasty (i.e., treatment of cam lesion)
29915Arthroscopy, hip, surgical; with acetabuloplasty (i.e., treatment of pincer lesion)
29916Arthroscopy, hip, surgical; with labral repair
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent and arthrography
29895Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial
29897Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited
29898Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive
29899Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis
29900Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy
29901Arthroscopy, metacarpophalangeal joint, surgical; with debridement
29902Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesion)
29906Arthroscopy, subtalar joint, surgical; with debridement
29914Arthroscopy, hip, surgical; with femoroplasty (i.e., treatment of cam lesion)
29915Arthroscopy, hip, surgical; with acetabuloplasty (i.e., treatment of pincer lesion)
29916Arthroscopy, hip, surgical; with labral repair
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent and arthrography
Nervous System
62281Injection/infusion of neurolytic substance (e.g., alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic
63661Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed
63663Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed
64425Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves
64530Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring
64561Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed
64581Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement)
64585Revision or removal of peripheral neurostimulator electrode array
64600Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch
64610Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring
64642Chemodenervation of one extremity; 1-4 muscle(s)
64644Chemodenervation of one extremity; 5 or more muscles
64646Chemodenervation of trunk muscle(s); 1-5 muscle(s)
64647Chemodenervation of trunk muscle(s); 6 or more muscles
64702Neuroplasty; digital, 1 or both, same digit
64718Neuroplasty and/or transposition; ulnar nerve at elbow
64719Neuroplasty and/or transposition; ulnar nerve at wrist
64721Neuroplasty and/or transposition; median nerve at carpal tunnel
64774Excision of neuroma; cutaneous nerve, surgically identifiable
64776Excision of neuroma; digital nerve, 1 or both, same digit
64782Excision of neuroma; hand or foot, except digital nerve
64784Excision of neuroma; major peripheral nerve, except sciatic
64788Excision of neurofibroma or neurolemmoma; cutaneous nerve
64795Biopsy of nerve
64831Suture of digital nerve, hand or foot; 1 nerve
64835Suture of 1 nerve; median motor thenar
Respiratory System
21320Closed treatment of nasal bone fracture with manipulation; with stabilization
30000Drainage abscess or hematoma, nasal, internal approach
30020Drainage abscess or hematoma, nasal septum
30100Biopsy, intranasal
30110Excision, nasal polyp(s), simple
30115Excision, nasal polyp(s), extensive
30118Excision or destruction (e.g., laser), intranasal lesion; external approach (lateral rhinotomy)
30130Excision inferior turbinate, partial or complete, any method
30140Submucous resection inferior turbinate, partial or complete, any method
30220Insertion, nasal septal prosthesis (button)
30310Removal foreign body, intranasal; requiring general anesthesia
[[30520]]Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft
30580Repair fistula; oromaxillary (combine with 31030 if antrotomy is included)
30630Repair nasal septal perforations
30801Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (e.g., electrocautery, radiofrequency ablation, or tissue volume reduction); superficial
30802Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (e.g., electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (i.e., submucosal)
30930Fracture nasal inferior turbinate(s), therapeutic
31020Sinusotomy, maxillary (antrotomy); intranasal
31030Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps
31032Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps
31200Ethmoidectomy; intranasal, anterior
31205Ethmoidectomy; extranasal, total
31525Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn
[[31526]]Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope
31528Laryngoscopy direct, with or without tracheoscopy; with dilation, initial
31529Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent
31530Laryngoscopy, direct, operative, with foreign body removal
31535Laryngoscopy, direct, operative, with biopsy
31536Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope
31540Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis
31541Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope
31545Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)
31570Laryngoscopy, direct, with injection into vocal cord(s), therapeutic
31571Laryngoscopy, 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
31576Laryngoscopy, flexible; with biopsy(ies)
31578Laryngoscopy, flexible; with removal of lesion(s), non-laser
31591Laryngoplasty, medialization, unilateral
31611Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (e.g., voice button, Blom-Singer prosthesis)
31622Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)
31623Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings
31624Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage
31625Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites
31628Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe
31652Bronchoscopy, 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
32408Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed
32555Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance
32557Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance
Urinary System
50430Injection 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
50435Exchange 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
50575Renal 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)
50590Lithotripsy, extracorporeal shock wave
50688Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit
51102Aspiration of bladder; with insertion of suprapubic catheter
[[51702]]Insertion of temporary indwelling bladder catheter; simple (e.g., Foley)
51710Change of cystostomy tube; complicated
51715Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck
51720Bladder installation of anticarcinogenic agent (including retention time)
51726Complex cystometrogram (i.e., calibrated electronic equipment)
51728Complex cystometrogram (i.e., calibrated electronic equipment); with voiding pressure studies (i.e., bladder voiding pressure), any technique
51729Complex 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)
52001Cystourethroscopy with irrigation and evacuation of multiple obstructing clots
[[52005]]Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service
52007Cystourethroscopy, 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)
52214Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands
52224Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of minor (less than 0.5 cm) lesion(s) with or without biopsy
52234Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; small bladder tumor(s) (0.5 up to 2.0 cm)
52235Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; medium bladder tumor(s) (2.0 to 5.0 cm)
52260Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia
52265Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia
52275Cystourethroscopy, with internal urethrotomy; male
52276Cystourethroscopy with direct vision internal urethrotomy
52281Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female
52282Cystourethroscopy, with insertion of permanent urethral stent
52283Cystourethroscopy, with steroid injection into stricture
52285Cystourethroscopy 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
52287Cystourethroscopy, with injection(s) for Chemodenervation of the bladder
52300Cystourethroscopy; 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
52315Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated
52317Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm)
52320Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus
52325Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (e.g., ultrasonic or electro-hydraulic technique)
52327Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material
52330Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus
52332Cystourethroscopy, with insertion of indwelling ureteral stent (e.g., Gibbons or double-J type)
52341Cystourethroscopy; with treatment of ureteral stricture (e.g., balloon dilation, laser, electrocautery, and incision)
52344Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (e.g., balloon dilation, laser, electrocautery, and incision)
52351Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic
52352Cystourethroscopy, 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)
52354Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion
52356Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (e.g., Gibbons or double-J type)
52450Transurethral incision of prostate
52500Transurethral resection of bladder neck (separate procedure)
52630Transurethral 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)
52640Transurethral resection; of postoperative bladder neck contracture
53020Meatotomy, cutting of meatus (separate procedure); except infant
53230Excision of urethral diverticulum (separate procedure); female
53260Excision or fulguration; urethral polyp(s), distal urethra
53265Excision or fulguration; urethral caruncle
53270Excision or fulguration; Skene's glands
53440Sling operation for correction of male urinary incontinence (e.g., fascia or synthetic)
53445Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff
53450Urethromeatoplasty, with mucosal advancement
53605Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia
53665Dilation of female urethra, general or conduction (spinal) anesthesia