Medicare Risk Adjustment Eligible CPT/HCPCS Codes

Code Set | Code | Descr |
---|---|---|
CPT | 00100 | Anesthesia for procedures on salivary glands, including biopsy |
CPT | 00102 | Anesthesia for procedures involving plastic repair of cleft lip |
CPT | 00103 | Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery) |
CPT | 00104 | Anesthesia for electroconvulsive therapy |
CPT | 00120 | Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specified |
CPT | 00124 | Anesthesia for procedures on external, middle, and inner ear including biopsy; otoscopy |
CPT | 00126 | Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy |
CPT | 00140 | Anesthesia for procedures on eye; not otherwise specified |
CPT | 00142 | Anesthesia for procedures on eye; lens surgery |
CPT | 00144 | Anesthesia for procedures on eye; corneal transplant |
CPT | 00145 | Anesthesia for procedures on eye; vitreoretinal surgery |
CPT | 00147 | Anesthesia for procedures on eye; iridectomy |
CPT | 00148 | Anesthesia for procedures on eye; ophthalmoscopy |
CPT | 00160 | Anesthesia for procedures on nose and accessory sinuses; not otherwise specified |
CPT | 00162 | Anesthesia for procedures on nose and accessory sinuses; radical surgery |
CPT | 00164 | Anesthesia for procedures on nose and accessory sinuses; biopsy, soft tissue |
CPT | 00170 | Anesthesia for intraoral procedures, including biopsy; not otherwise specified |
CPT | 00172 | Anesthesia for intraoral procedures, including biopsy; repair of cleft palate |
CPT | 00174 | Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor |
CPT | 00176 | Anesthesia for intraoral procedures, including biopsy; radical surgery |
CPT | 00190 | Anesthesia for procedures on facial bones or skull; not otherwise specified |
CPT | 00192 | Anesthesia for procedures on facial bones or skull; radical surgery (including prognathism) |
CPT | 00210 | Anesthesia for intracranial procedures; not otherwise specified |
CPT | 00211 | Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma |
CPT | 00212 | Anesthesia for intracranial procedures; subdural taps |
CPT | 00214 | Anesthesia for intracranial procedures; burr holes, including ventriculography |
CPT | 00215 | Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture, extradural (simple or compound) |
CPT | 00216 | Anesthesia for intracranial procedures; vascular procedures |
CPT | 00218 | Anesthesia for intracranial procedures; procedures in sitting position |
CPT | 00220 | Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures |
CPT | 00222 | Anesthesia for intracranial procedures; electrocoagulation of intracranial nerve |
CPT | 00300 | Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified |
CPT | 00320 | Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not otherwise specified, age 1 year or older |
CPT | 00322 | Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; needle biopsy of thyroid |
CPT | 00326 | Anesthesia for all procedures on the larynx and trachea in children younger than 1 year of age |
CPT | 00350 | Anesthesia for procedures on major vessels of neck; not otherwise specified |
CPT | 00352 | Anesthesia for procedures on major vessels of neck; simple ligation |
CPT | 00400 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified |
CPT | 00402 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps) |
CPT | 00404 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast |
CPT | 00406 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast with internal mammary node dissection |
CPT | 00410 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; electrical conversion of arrhythmias |
CPT | 00450 | Anesthesia for procedures on clavicle and scapula; not otherwise specified |
CPT | 00454 | Anesthesia for procedures on clavicle and scapula; biopsy of clavicle |
CPT | 00470 | Anesthesia for partial rib resection; not otherwise specified |
CPT | 00472 | Anesthesia for partial rib resection; thoracoplasty (any type) |
CPT | 00474 | Anesthesia for partial rib resection; radical procedures (eg, pectus excavatum) |
CPT | 00500 | Anesthesia for all procedures on esophagus |
CPT | 00520 | Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified |
CPT | 00522 | Anesthesia for closed chest procedures; needle biopsy of pleura |
CPT | 00524 | Anesthesia for closed chest procedures; pneumocentesis |
CPT | 00528 | Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy not utilizing 1 lung ventilation |
CPT | 00529 | Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy utilizing 1 lung ventilation |
CPT | 00530 | Anesthesia for permanent transvenous pacemaker insertion |
CPT | 00532 | Anesthesia for access to central venous circulation |
CPT | 00534 | Anesthesia for transvenous insertion or replacement of pacing cardioverter-defibrillator |
CPT | 00537 | Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation |
CPT | 00539 | Anesthesia for tracheobronchial reconstruction |
CPT | 00540 | Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); not otherwise specified |
CPT | 00541 | Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); utilizing 1 lung ventilation |
CPT | 00542 | Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); decortication |
CPT | 00546 | Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); pulmonary resection with thoracoplasty |
CPT | 00548 | Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); intrathoracic procedures on the trachea and bronchi |
CPT | 00550 | Anesthesia for sternal debridement |
CPT | 00560 | Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator |
CPT | 00561 | Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, younger than 1 year of age |
CPT | 00562 | Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, age 1 year or older, for all noncoronary bypass procedures (eg, valve procedures) or for re-operation for coronary bypass more than 1 month after original operation |
CPT | 00563 | Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator with hypothermic circulatory arrest |
CPT | 00566 | Anesthesia for direct coronary artery bypass grafting; without pump oxygenator |
CPT | 00567 | Anesthesia for direct coronary artery bypass grafting; with pump oxygenator |
CPT | 00580 | Anesthesia for heart transplant or heart/lung transplant |
CPT | 00600 | Anesthesia for procedures on cervical spine and cord; not otherwise specified |
CPT | 00604 | Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position |
CPT | 00620 | Anesthesia for procedures on thoracic spine and cord, not otherwise specified |
CPT | 00625 | Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing 1 lung ventilation |
CPT | 00626 | Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing 1 lung ventilation |
CPT | 00630 | Anesthesia for procedures in lumbar region; not otherwise specified |
CPT | 00632 | Anesthesia for procedures in lumbar region; lumbar sympathectomy |
CPT | 00635 | Anesthesia for procedures in lumbar region; diagnostic or therapeutic lumbar puncture |
CPT | 00640 | Anesthesia for manipulation of the spine or for closed procedures on the cervical, thoracic or lumbar spine |
CPT | 00670 | Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular procedures) |
CPT | 00700 | Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified |
CPT | 00702 | Anesthesia for procedures on upper anterior abdominal wall; percutaneous liver biopsy |
CPT | 00730 | Anesthesia for procedures on upper posterior abdominal wall |
CPT | 00731 | Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified |
CPT | 00732 | Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP) |
CPT | 00750 | Anesthesia for hernia repairs in upper abdomen; not otherwise specified |
CPT | 00752 | Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound dehiscence |
CPT | 00754 | Anesthesia for hernia repairs in upper abdomen; omphalocele |
CPT | 00756 | Anesthesia for hernia repairs in upper abdomen; transabdominal repair of diaphragmatic hernia |
CPT | 00770 | Anesthesia for all procedures on major abdominal blood vessels |
CPT | 00790 | Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified |
CPT | 00792 | Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; partial hepatectomy or management of liver hemorrhage (excluding liver biopsy) |
CPT | 00794 | Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy, partial or total (eg, Whipple procedure) |
CPT | 00796 | Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; liver transplant (recipient) |
CPT | 00797 | Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid obesity |
CPT | 00800 | Anesthesia for procedures on lower anterior abdominal wall; not otherwise specified |
CPT | 00802 | Anesthesia for procedures on lower anterior abdominal wall; panniculectomy |
CPT | 00811 | Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified |
CPT | 00812 | Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy |
CPT | 00813 | Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum |
CPT | 00820 | Anesthesia for procedures on lower posterior abdominal wall |
CPT | 00830 | Anesthesia for hernia repairs in lower abdomen; not otherwise specified |
CPT | 00832 | Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias |
CPT | 00834 | Anesthesia for hernia repairs in the lower abdomen not otherwise specified, younger than 1 year of age |
CPT | 00836 | Anesthesia for hernia repairs in the lower abdomen not otherwise specified, infants younger than 37 weeks gestational age at birth and younger than 50 weeks gestational age at time of surgery |
CPT | 00840 | Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified |
CPT | 00842 | Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; amniocentesis |
CPT | 00844 | Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; abdominoperineal resection |
CPT | 00846 | Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; radical hysterectomy |
CPT | 00848 | Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; pelvic exenteration |
CPT | 00851 | Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection |
CPT | 00860 | Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise specified |
CPT | 00862 | Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy |
CPT | 00864 | Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; total cystectomy |
CPT | 00865 | Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; radical prostatectomy (suprapubic, retropubic) |
CPT | 00866 | Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; adrenalectomy |
CPT | 00868 | Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal transplant (recipient) |
CPT | 00870 | Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; cystolithotomy |
CPT | 00872 | Anesthesia for lithotripsy, extracorporeal shock wave; with water bath |
CPT | 00873 | Anesthesia for lithotripsy, extracorporeal shock wave; without water bath |
CPT | 00880 | Anesthesia for procedures on major lower abdominal vessels; not otherwise specified |
CPT | 00882 | Anesthesia for procedures on major lower abdominal vessels; inferior vena cava ligation |
CPT | 00902 | Anesthesia for; anorectal procedure |
CPT | 00904 | Anesthesia for; radical perineal procedure |
CPT | 00906 | Anesthesia for; vulvectomy |
CPT | 00908 | Anesthesia for; perineal prostatectomy |
CPT | 00910 | Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified |
CPT | 00912 | Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bladder tumor(s) |
CPT | 00914 | Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of prostate |
CPT | 00916 | Anesthesia for transurethral procedures (including urethrocystoscopy); post-transurethral resection bleeding |
CPT | 00918 | Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus |
CPT | 00920 | Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise specified |
CPT | 00921 | Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilateral or bilateral |
CPT | 00922 | Anesthesia for procedures on male genitalia (including open urethral procedures); seminal vesicles |
CPT | 00924 | Anesthesia for procedures on male genitalia (including open urethral procedures); undescended testis, unilateral or bilateral |
CPT | 00926 | Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, inguinal |
CPT | 00928 | Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, abdominal |
CPT | 00930 | Anesthesia for procedures on male genitalia (including open urethral procedures); orchiopexy, unilateral or bilateral |
CPT | 00932 | Anesthesia for procedures on male genitalia (including open urethral procedures); complete amputation of penis |
CPT | 00934 | Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal lymphadenectomy |
CPT | 00936 | Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal and iliac lymphadenectomy |
CPT | 00938 | Anesthesia for procedures on male genitalia (including open urethral procedures); insertion of penile prosthesis (perineal approach) |
CPT | 00940 | Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not otherwise specified |
CPT | 00942 | Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpotomy, vaginectomy, colporrhaphy, and open urethral procedures |
CPT | 00944 | Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); vaginal hysterectomy |
CPT | 00948 | Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); cervical cerclage |
CPT | 00950 | Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); culdoscopy |
CPT | 00952 | Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography |
CPT | 01112 | Anesthesia for bone marrow aspiration and/or biopsy, anterior or posterior iliac crest |
CPT | 01120 | Anesthesia for procedures on bony pelvis |
CPT | 01130 | Anesthesia for body cast application or revision |
CPT | 01140 | Anesthesia for interpelviabdominal (hindquarter) amputation |
CPT | 01150 | Anesthesia for radical procedures for tumor of pelvis, except hindquarter amputation |
CPT | 01160 | Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint |
CPT | 01170 | Anesthesia for open procedures involving symphysis pubis or sacroiliac joint |
CPT | 01173 | Anesthesia for open repair of fracture disruption of pelvis or column fracture involving acetabulum |
CPT | 01200 | Anesthesia for all closed procedures involving hip joint |
CPT | 01202 | Anesthesia for arthroscopic procedures of hip joint |
CPT | 01210 | Anesthesia for open procedures involving hip joint; not otherwise specified |
CPT | 01212 | Anesthesia for open procedures involving hip joint; hip disarticulation |
CPT | 01214 | Anesthesia for open procedures involving hip joint; total hip arthroplasty |
CPT | 01215 | Anesthesia for open procedures involving hip joint; revision of total hip arthroplasty |
CPT | 01220 | Anesthesia for all closed procedures involving upper two-thirds of femur |
CPT | 01230 | Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified |
CPT | 01232 | Anesthesia for open procedures involving upper two-thirds of femur; amputation |
CPT | 01234 | Anesthesia for open procedures involving upper two-thirds of femur; radical resection |
CPT | 01250 | Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg |
CPT | 01260 | Anesthesia for all procedures involving veins of upper leg, including exploration |
CPT | 01270 | Anesthesia for procedures involving arteries of upper leg, including bypass graft; not otherwise specified |
CPT | 01272 | Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery ligation |
CPT | 01274 | Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery embolectomy |
CPT | 01320 | Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or popliteal area |
CPT | 01340 | Anesthesia for all closed procedures on lower one-third of femur |
CPT | 01360 | Anesthesia for all open procedures on lower one-third of femur |
CPT | 01380 | Anesthesia for all closed procedures on knee joint |
CPT | 01382 | Anesthesia for diagnostic arthroscopic procedures of knee joint |
CPT | 01390 | Anesthesia for all closed procedures on upper ends of tibia, fibula, and/or patella |
CPT | 01392 | Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella |
CPT | 01400 | Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified |
CPT | 01402 | Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty |
CPT | 01404 | Anesthesia for open or surgical arthroscopic procedures on knee joint; disarticulation at knee |
CPT | 01420 | Anesthesia for all cast applications, removal, or repair involving knee joint |
CPT | 01430 | Anesthesia for procedures on veins of knee and popliteal area; not otherwise specified |
CPT | 01432 | Anesthesia for procedures on veins of knee and popliteal area; arteriovenous fistula |
CPT | 01440 | Anesthesia for procedures on arteries of knee and popliteal area; not otherwise specified |
CPT | 01442 | Anesthesia for procedures on arteries of knee and popliteal area; popliteal thromboendarterectomy, with or without patch graft |
CPT | 01444 | Anesthesia for procedures on arteries of knee and popliteal area; popliteal excision and graft or repair for occlusion or aneurysm |
CPT | 01462 | Anesthesia for all closed procedures on lower leg, ankle, and foot |
CPT | 01464 | Anesthesia for arthroscopic procedures of ankle and/or foot |
CPT | 01470 | Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not otherwise specified |
CPT | 01472 | Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graft |
CPT | 01474 | Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gastrocnemius recession (eg, Strayer procedure) |
CPT | 01480 | Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified |
CPT | 01482 | Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection (including below knee amputation) |
CPT | 01484 | Anesthesia for open procedures on bones of lower leg, ankle, and foot; osteotomy or osteoplasty of tibia and/or fibula |
CPT | 01486 | Anesthesia for open procedures on bones of lower leg, ankle, and foot; total ankle replacement |
CPT | 01490 | Anesthesia for lower leg cast application, removal, or repair |
CPT | 01500 | Anesthesia for procedures on arteries of lower leg, including bypass graft; not otherwise specified |
CPT | 01502 | Anesthesia for procedures on arteries of lower leg, including bypass graft; embolectomy, direct or with catheter |
CPT | 01520 | Anesthesia for procedures on veins of lower leg; not otherwise specified |
CPT | 01522 | Anesthesia for procedures on veins of lower leg; venous thrombectomy, direct or with catheter |
CPT | 01610 | Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla |
CPT | 01620 | Anesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint |
CPT | 01622 | Anesthesia for diagnostic arthroscopic procedures of shoulder joint |
CPT | 01630 | Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified |
CPT | 01634 | Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation |
CPT | 01636 | Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation |
CPT | 01638 | Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement |
CPT | 01650 | Anesthesia for procedures on arteries of shoulder and axilla; not otherwise specified |
CPT | 01652 | Anesthesia for procedures on arteries of shoulder and axilla; axillary-brachial aneurysm |
CPT | 01654 | Anesthesia for procedures on arteries of shoulder and axilla; bypass graft |
CPT | 01656 | Anesthesia for procedures on arteries of shoulder and axilla; axillary-femoral bypass graft |
CPT | 01670 | Anesthesia for all procedures on veins of shoulder and axilla |
CPT | 01680 | Anesthesia for shoulder cast application, removal or repair, not otherwise specified |
CPT | 01710 | Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; not otherwise specified |
CPT | 01712 | Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenotomy, elbow to shoulder, open |
CPT | 01714 | Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenoplasty, elbow to shoulder |
CPT | 01716 | Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenodesis, rupture of long tendon of biceps |
CPT | 01730 | Anesthesia for all closed procedures on humerus and elbow |
CPT | 01732 | Anesthesia for diagnostic arthroscopic procedures of elbow joint |
CPT | 01740 | Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified |
CPT | 01742 | Anesthesia for open or surgical arthroscopic procedures of the elbow; osteotomy of humerus |
CPT | 01744 | Anesthesia for open or surgical arthroscopic procedures of the elbow; repair of nonunion or malunion of humerus |
CPT | 01756 | Anesthesia for open or surgical arthroscopic procedures of the elbow; radical procedures |
CPT | 01758 | Anesthesia for open or surgical arthroscopic procedures of the elbow; excision of cyst or tumor of humerus |
CPT | 01760 | Anesthesia for open or surgical arthroscopic procedures of the elbow; total elbow replacement |
CPT | 01770 | Anesthesia for procedures on arteries of upper arm and elbow; not otherwise specified |
CPT | 01772 | Anesthesia for procedures on arteries of upper arm and elbow; embolectomy |
CPT | 01780 | Anesthesia for procedures on veins of upper arm and elbow; not otherwise specified |
CPT | 01782 | Anesthesia for procedures on veins of upper arm and elbow; phleborrhaphy |
CPT | 01810 | Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand |
CPT | 01820 | Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones |
CPT | 01829 | Anesthesia for diagnostic arthroscopic procedures on the wrist |
CPT | 01830 | Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not otherwise specified |
CPT | 01832 | Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; total wrist replacement |
CPT | 01840 | Anesthesia for procedures on arteries of forearm, wrist, and hand; not otherwise specified |
CPT | 01842 | Anesthesia for procedures on arteries of forearm, wrist, and hand; embolectomy |
CPT | 01844 | Anesthesia for vascular shunt, or shunt revision, any type (eg, dialysis) |
CPT | 01850 | Anesthesia for procedures on veins of forearm, wrist, and hand; not otherwise specified |
CPT | 01852 | Anesthesia for procedures on veins of forearm, wrist, and hand; phleborrhaphy |
CPT | 01860 | Anesthesia for forearm, wrist, or hand cast application, removal, or repair |
CPT | 01916 | Anesthesia for diagnostic arteriography/venography |
CPT | 01920 | Anesthesia for cardiac catheterization including coronary angiography and ventriculography (not to include Swan-Ganz catheter) |
CPT | 01922 | Anesthesia for non-invasive imaging or radiation therapy |
CPT | 01924 | Anesthesia for therapeutic interventional radiological procedures involving the arterial system; not otherwise specified |
CPT | 01925 | Anesthesia for therapeutic interventional radiological procedures involving the arterial system; carotid or coronary |
CPT | 01926 | Anesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial, intracardiac, or aortic |
CPT | 01930 | Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); not otherwise specified |
CPT | 01931 | Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intrahepatic or portal circulation (eg, transvenous intrahepatic portosystemic shunt[s] [TIPS]) |
CPT | 01932 | Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intrathoracic or jugular |
CPT | 01933 | Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intracranial |
CPT | 01937 | Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; cervical or thoracic |
CPT | 01938 | Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral |
CPT | 01939 | Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic |
CPT | 01940 | Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral |
CPT | 01941 | Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; cervical or thoracic |
CPT | 01942 | Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral |
CPT | 01951 | Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; less than 4% total body surface area |
CPT | 01952 | Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; between 4% and 9% of total body surface area |
CPT | 01958 | Anesthesia for external cephalic version procedure |
CPT | 01960 | Anesthesia for vaginal delivery only |
CPT | 01961 | Anesthesia for cesarean delivery only |
CPT | 01962 | Anesthesia for urgent hysterectomy following delivery |
CPT | 01963 | Anesthesia for cesarean hysterectomy without any labor analgesia/anesthesia care |
CPT | 01965 | Anesthesia for incomplete or missed abortion procedures |
CPT | 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor) |
CPT | 01990 | Physiological support for harvesting of organ(s) from brain-dead patient |
CPT | 01991 | Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); other than the prone position |
CPT | 01992 | Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); prone position |
CPT | 01996 | Daily hospital management of epidural or subarachnoid continuous drug administration |
CPT | 01999 | Unlisted anesthesia procedure(s) |
CPT | 10021 | Fine needle aspiration biopsy, without imaging guidance; first lesion |
CPT | 10030 | Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous |
CPT | 10040 | Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules) |
CPT | 10060 | Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single |
CPT | 10061 | Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple |
CPT | 10080 | Incision and drainage of pilonidal cyst; simple |
CPT | 10081 | Incision and drainage of pilonidal cyst; complicated |
CPT | 10120 | Incision and removal of foreign body, subcutaneous tissues; simple |
CPT | 10121 | Incision and removal of foreign body, subcutaneous tissues; complicated |
CPT | 10140 | Incision and drainage of hematoma, seroma or fluid collection |
CPT | 10160 | Puncture aspiration of abscess, hematoma, bulla, or cyst |
CPT | 10180 | Incision and drainage, complex, postoperative wound infection |
CPT | 11000 | Debridement of extensive eczematous or infected skin; up to 10% of body surface |
CPT | 11004 | Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum |
CPT | 11005 | Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure |
CPT | 11006 | Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure |
CPT | 11010 | Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues |
CPT | 11011 | Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle |
CPT | 11012 | Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone |
CPT | 11042 | Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less |
CPT | 11043 | Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less |
CPT | 11044 | Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less |
CPT | 11055 | Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion |
CPT | 11056 | Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions |
CPT | 11057 | Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions |
CPT | 11200 | Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions |
CPT | 11300 | Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less |
CPT | 11301 | Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm |
CPT | 11302 | Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm |
CPT | 11303 | Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm |
CPT | 11305 | Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less |
CPT | 11306 | Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm |
CPT | 11307 | Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm |
CPT | 11308 | Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm |
CPT | 11310 | Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less |
CPT | 11311 | Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm |
CPT | 11312 | Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm |
CPT | 11313 | Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm |
CPT | 11400 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less |
CPT | 11401 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm |
CPT | 11402 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm |
CPT | 11403 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm |
CPT | 11404 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm |
CPT | 11406 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm |
CPT | 11420 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less |
CPT | 11421 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm |
CPT | 11422 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm |
CPT | 11423 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm |
CPT | 11424 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm |
CPT | 11426 | Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm |
CPT | 11440 | Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less |
CPT | 11441 | Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm |
CPT | 11442 | Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm |
CPT | 11443 | Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm |
CPT | 11444 | Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm |
CPT | 11446 | Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm |
CPT | 11450 | Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair |
CPT | 11451 | Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair |
CPT | 11462 | Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair |
CPT | 11463 | Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair |
CPT | 11470 | Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair |
CPT | 11471 | Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair |
CPT | 11600 | Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less |
CPT | 11601 | Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm |
CPT | 11602 | Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm |
CPT | 11603 | Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm |
CPT | 11604 | Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm |
CPT | 11606 | Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm |
CPT | 11620 | Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less |
CPT | 11621 | Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm |
CPT | 11622 | Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm |
CPT | 11623 | Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm |
CPT | 11624 | Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm |
CPT | 11626 | Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm |
CPT | 11640 | Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less |
CPT | 11641 | Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm |
CPT | 11642 | Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm |
CPT | 11643 | Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm |
CPT | 11644 | Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm |
CPT | 11646 | Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm |
CPT | 11719 | Trimming of nondystrophic nails, any number |
CPT | 11720 | Debridement of nail(s) by any method(s); 1 to 5 |
CPT | 11721 | Debridement of nail(s) by any method(s); 6 or more |
CPT | 11730 | Avulsion of nail plate, partial or complete, simple; single |
CPT | 11740 | Evacuation of subungual hematoma |
CPT | 11750 | Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal |
CPT | 11760 | Repair of nail bed |
CPT | 11762 | Reconstruction of nail bed with graft |
CPT | 11765 | Wedge excision of skin of nail fold (eg, for ingrown toenail) |
CPT | 11770 | Excision of pilonidal cyst or sinus; simple |
CPT | 11771 | Excision of pilonidal cyst or sinus; extensive |
CPT | 11772 | Excision of pilonidal cyst or sinus; complicated |
CPT | 11900 | Injection, intralesional; up to and including 7 lesions |
CPT | 11901 | Injection, intralesional; more than 7 lesions |
CPT | 11920 | Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less |
CPT | 11921 | Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm |
CPT | 11950 | Subcutaneous injection of filling material (eg, collagen); 1 cc or less |
CPT | 11951 | Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc |
CPT | 11952 | Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc |
CPT | 11954 | Subcutaneous injection of filling material (eg, collagen); over 10.0 cc |
CPT | 11960 | Insertion of tissue expander(s) for other than breast, including subsequent expansion |
CPT | 11970 | Replacement of tissue expander with permanent implant |
CPT | 11971 | Removal of tissue expander without insertion of implant |
CPT | 11976 | Removal, implantable contraceptive capsules |
CPT | 11980 | Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin) |
CPT | 11981 | Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable) |
CPT | 11982 | Removal, non-biodegradable drug delivery implant |
CPT | 11983 | Removal with reinsertion, non-biodegradable drug delivery implant |
CPT | 12001 | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less |
CPT | 12002 | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm |
CPT | 12004 | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm |
CPT | 12005 | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm |
CPT | 12006 | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm |
CPT | 12007 | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm |
CPT | 12011 | Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less |
CPT | 12013 | Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm |
CPT | 12014 | Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm |
CPT | 12015 | Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm |
CPT | 12016 | Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm |
CPT | 12017 | Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm |
CPT | 12018 | Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm |
CPT | 12020 | Treatment of superficial wound dehiscence; simple closure |
CPT | 12021 | Treatment of superficial wound dehiscence; with packing |
CPT | 12031 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less |
CPT | 12032 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm |
CPT | 12034 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm |
CPT | 12035 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm |
CPT | 12036 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm |
CPT | 12037 | Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm |
CPT | 12041 | Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less |
CPT | 12042 | Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm |
CPT | 12044 | Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm |
CPT | 12045 | Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm |
CPT | 12046 | Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm |
CPT | 12047 | Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm |
CPT | 12051 | Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less |
CPT | 12052 | Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm |
CPT | 12053 | Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm |
CPT | 12054 | Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm |
CPT | 12055 | Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm |
CPT | 12056 | Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm |
CPT | 12057 | Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm |
CPT | 13100 | Repair, complex, trunk; 1.1 cm to 2.5 cm |
CPT | 13101 | Repair, complex, trunk; 2.6 cm to 7.5 cm |
CPT | 13120 | Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm |
CPT | 13121 | Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm |
CPT | 13131 | Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm |
CPT | 13132 | Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm |
CPT | 13151 | Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm |
CPT | 13152 | Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm |
CPT | 13160 | Secondary closure of surgical wound or dehiscence, extensive or complicated |
CPT | 14000 | Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less |
CPT | 14001 | Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm |
CPT | 14020 | Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less |
CPT | 14021 | Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm |
CPT | 14040 | Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less |
CPT | 14041 | Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm |
CPT | 14060 | Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less |
CPT | 14061 | Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm |
CPT | 14301 | Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm |
CPT | 14350 | Filleted finger or toe flap, including preparation of recipient site |
CPT | 15002 | Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children |
CPT | 15011 | Harvest of skin for skin cell suspension autograft; first 25 sq cm or less |
CPT | 15015 | Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; first 480 sq cm or less |
CPT | 15017 | Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 480 sq cm or less |
CPT | 15004 | Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children |
CPT | 15040 | Harvest of skin for tissue cultured skin autograft, 100 sq cm or less |
CPT | 15050 | Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter |
CPT | 15100 | Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) |
CPT | 15110 | Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children |
CPT | 15115 | Epidermal 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 |
CPT | 15120 | Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) |
CPT | 15130 | Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children |
CPT | 15135 | Dermal 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 |
CPT | 15150 | Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less |
CPT | 15155 | Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less |
CPT | 15200 | Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less |
CPT | 15220 | Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less |
CPT | 15240 | Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less |
CPT | 15260 | Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less |
CPT | 15271 | Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
CPT | 15273 | Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children |
CPT | 15275 | Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
CPT | 15277 | Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children |
CPT | 15570 | Formation of direct or tubed pedicle, with or without transfer; trunk |
CPT | 15572 | Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs |
CPT | 15574 | Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet |
CPT | 15576 | Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral |
CPT | 15600 | Delay of flap or sectioning of flap (division and inset); at trunk |
CPT | 15610 | Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs |
CPT | 15620 | Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet |
CPT | 15630 | Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips |
CPT | 15650 | Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location |
CPT | 15730 | Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) |
CPT | 15731 | Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) |
CPT | 15733 | Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae) |
CPT | 15734 | Muscle, myocutaneous, or fasciocutaneous flap; trunk |
CPT | 15736 | Muscle, myocutaneous, or fasciocutaneous flap; upper extremity |
CPT | 15738 | Muscle, myocutaneous, or fasciocutaneous flap; lower extremity |
CPT | 15740 | Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel |
CPT | 15750 | Flap; neurovascular pedicle |
CPT | 15756 | Free muscle or myocutaneous flap with microvascular anastomosis |
CPT | 15757 | Free skin flap with microvascular anastomosis |
CPT | 15758 | Free fascial flap with microvascular anastomosis |
CPT | 15760 | Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area |
CPT | 15769 | Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) |
CPT | 15770 | Graft; derma-fat-fascia |
CPT | 15771 | Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate |
CPT | 15773 | Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate |
CPT | 15775 | Punch graft for hair transplant; 1 to 15 punch grafts |
CPT | 15776 | Punch graft for hair transplant; more than 15 punch grafts |
CPT | 15778 | Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma |
CPT | 15780 | Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis) |
CPT | 15781 | Dermabrasion; segmental, face |
CPT | 15782 | Dermabrasion; regional, other than face |
CPT | 15783 | Dermabrasion; superficial, any site (eg, tattoo removal) |
CPT | 15786 | Abrasion; single lesion (eg, keratosis, scar) |
CPT | 15788 | Chemical peel, facial; epidermal |
CPT | 15789 | Chemical peel, facial; dermal |
CPT | 15792 | Chemical peel, nonfacial; epidermal |
CPT | 15793 | Chemical peel, nonfacial; dermal |
CPT | 15820 | Blepharoplasty, lower eyelid; |
CPT | 15821 | Blepharoplasty, lower eyelid; with extensive herniated fat pad |
CPT | 15822 | Blepharoplasty, upper eyelid; |
CPT | 15823 | Blepharoplasty, upper eyelid; with excessive skin weighting down lid |
CPT | 15824 | Rhytidectomy; forehead |
CPT | 15825 | Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) |
CPT | 15826 | Rhytidectomy; glabellar frown lines |
CPT | 15828 | Rhytidectomy; cheek, chin, and neck |
CPT | 15829 | Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap |
CPT | 15830 | Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy |
CPT | 15832 | Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh |
CPT | 15833 | Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg |
CPT | 15834 | Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip |
CPT | 15835 | Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock |
CPT | 15836 | Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm |
CPT | 15837 | Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand |
CPT | 15838 | Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad |
CPT | 15839 | Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area |
CPT | 15840 | Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) |
CPT | 15841 | Graft for facial nerve paralysis; free muscle graft (including obtaining graft) |
CPT | 15842 | Graft for facial nerve paralysis; free muscle flap by microsurgical technique |
CPT | 15845 | Graft for facial nerve paralysis; regional muscle transfer |
CPT | 15851 | Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) |
CPT | 15852 | Dressing change (for other than burns) under anesthesia (other than local) |
CPT | 15860 | Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft |
CPT | 15876 | Suction assisted lipectomy; head and neck |
CPT | 15877 | Suction assisted lipectomy; trunk |
CPT | 15878 | Suction assisted lipectomy; upper extremity |
CPT | 15879 | Suction assisted lipectomy; lower extremity |
CPT | 15920 | Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture |
CPT | 15922 | Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure |
CPT | 15931 | Excision, sacral pressure ulcer, with primary suture; |
CPT | 15933 | Excision, sacral pressure ulcer, with primary suture; with ostectomy |
CPT | 15934 | Excision, sacral pressure ulcer, with skin flap closure; |
CPT | 15935 | Excision, sacral pressure ulcer, with skin flap closure; with ostectomy |
CPT | 15936 | Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; |
CPT | 15937 | Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy |
CPT | 15940 | Excision, ischial pressure ulcer, with primary suture; |
CPT | 15941 | Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) |
CPT | 15944 | Excision, ischial pressure ulcer, with skin flap closure; |
CPT | 15945 | Excision, ischial pressure ulcer, with skin flap closure; with ostectomy |
CPT | 15946 | Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure |
CPT | 15950 | Excision, trochanteric pressure ulcer, with primary suture; |
CPT | 15951 | Excision, trochanteric pressure ulcer, with primary suture; with ostectomy |
CPT | 15952 | Excision, trochanteric pressure ulcer, with skin flap closure; |
CPT | 15953 | Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy |
CPT | 15956 | Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; |
CPT | 15958 | Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy |
CPT | 15999 | Unlisted procedure, excision pressure ulcer |
CPT | 16000 | Initial treatment, first degree burn, when no more than local treatment is required |
CPT | 16020 | Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area) |
CPT | 16025 | Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area) |
CPT | 16030 | Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area) |
CPT | 16035 | Escharotomy; initial incision |
CPT | 17000 | Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion |
CPT | 17004 | Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions |
CPT | 17106 | Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm |
CPT | 17107 | Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm |
CPT | 17108 | Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm |
CPT | 17110 | Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions |
CPT | 17111 | Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions |
CPT | 17250 | Chemical cauterization of granulation tissue (ie, proud flesh) |
CPT | 17260 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less |
CPT | 17261 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm |
CPT | 17262 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm |
CPT | 17263 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm |
CPT | 17264 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm |
CPT | 17266 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm |
CPT | 17270 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less |
CPT | 17271 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm |
CPT | 17272 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm |
CPT | 17273 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm |
CPT | 17274 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm |
CPT | 17276 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm |
CPT | 17280 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less |
CPT | 17281 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm |
CPT | 17282 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm |
CPT | 17283 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm |
CPT | 17284 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm |
CPT | 17286 | Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm |
CPT | 17311 | Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, 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 |
CPT | 17313 | Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; first stage, up to 5 tissue blocks |
CPT | 17340 | Cryotherapy (CO2 slush, liquid N2) for acne |
CPT | 17360 | Chemical exfoliation for acne (eg, acne paste, acid) |
CPT | 17380 | Electrolysis epilation, each 30 minutes |
CPT | 17999 | Unlisted procedure, skin, mucous membrane and subcutaneous tissue |
CPT | 19000 | Puncture aspiration of cyst of breast; |
CPT | 19020 | Mastotomy with exploration or drainage of abscess, deep |
CPT | 19105 | Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma |
CPT | 19110 | Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct |
CPT | 19112 | Excision of lactiferous duct fistula |
CPT | 19120 | Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions |
CPT | 19125 | Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion |
CPT | 19296 | Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy |
CPT | 19298 | Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the time of or subsequent to) partial mastectomy, includes imaging guidance |
CPT | 19300 | Mastectomy for gynecomastia |
CPT | 19301 | Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); |
CPT | 19302 | Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy |
CPT | 19303 | Mastectomy, simple, complete |
CPT | 19305 | Mastectomy, radical, including pectoral muscles, axillary lymph nodes |
CPT | 19306 | Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation) |
CPT | 19307 | Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle |
CPT | 19316 | Mastopexy |
CPT | 19318 | Breast reduction |
CPT | 19325 | Breast augmentation with implant |
CPT | 19328 | Removal of intact breast implant |
CPT | 19330 | Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) |
CPT | 19340 | Insertion of breast implant on same day of mastectomy (ie, immediate) |
CPT | 19342 | Insertion or replacement of breast implant on separate day from mastectomy |
CPT | 19350 | Nipple/areola reconstruction |
CPT | 19355 | Correction of inverted nipples |
CPT | 19357 | Tissue expander placement in breast reconstruction, including subsequent expansion(s) |
CPT | 19361 | Breast reconstruction; with latissimus dorsi flap |
CPT | 19364 | Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap) |
CPT | 19367 | Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap |
CPT | 19368 | Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging) |
CPT | 19369 | Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap |
CPT | 19370 | Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy |
CPT | 19371 | Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents |
CPT | 19380 | Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction) |
CPT | 19396 | Preparation of moulage for custom breast implant |
CPT | 19499 | Unlisted procedure, breast |
CPT | 20100 | Exploration of penetrating wound (separate procedure); neck |
CPT | 20101 | Exploration of penetrating wound (separate procedure); chest |
CPT | 20102 | Exploration of penetrating wound (separate procedure); abdomen/flank/back |
CPT | 20103 | Exploration of penetrating wound (separate procedure); extremity |
CPT | 20150 | Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision |
CPT | 20500 | Injection of sinus tract; therapeutic (separate procedure) |
CPT | 20520 | Removal of foreign body in muscle or tendon sheath; simple |
CPT | 20525 | Removal of foreign body in muscle or tendon sheath; deep or complicated |
CPT | 20526 | Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel |
CPT | 20527 | Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture) |
CPT | 20550 | Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia") |
CPT | 20551 | Injection(s); single tendon origin/insertion |
CPT | 20552 | Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) |
CPT | 20553 | Injection(s); single or multiple trigger point(s), 3 or more muscles |
CPT | 20555 | Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure) |
CPT | 20560 | Needle insertion(s) without injection(s); 1 or 2 muscle(s) |
CPT | 20561 | Needle insertion(s) without injection(s); 3 or more muscles |
CPT | 20600 | Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance |
CPT | 20604 | Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting |
CPT | 20605 | Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance |
CPT | 20606 | Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting |
CPT | 20610 | Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance |
CPT | 20611 | Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting |
CPT | 20612 | Aspiration and/or injection of ganglion cyst(s) any location |
CPT | 20615 | Aspiration and injection for treatment of bone cyst |
CPT | 20650 | Insertion of wire or pin with application of skeletal traction, including removal (separate procedure) |
CPT | 20660 | Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) |
CPT | 20661 | Application of halo, including removal; cranial |
CPT | 20662 | Application of halo, including removal; pelvic |
CPT | 20663 | Application of halo, including removal; femoral |
CPT | 20664 | Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta) |
CPT | 20665 | Removal of tongs or halo applied by another individual |
CPT | 20670 | Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure) |
CPT | 20680 | Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) |
CPT | 20690 | Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system |
CPT | 20692 | Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type) |
CPT | 20693 | Adjustment or revision of external fixation system requiring anesthesia (eg, new pin[s] or wire[s] and/or new ring[s] or bar[s]) |
CPT | 20694 | Removal, under anesthesia, of external fixation system |
CPT | 20696 | Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s) |
CPT | 20697 | Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, removal and replacement) of strut, each |
CPT | 20802 | Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation |
CPT | 20805 | Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation |
CPT | 20808 | Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation |
CPT | 20816 | Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation |
CPT | 20822 | Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation |
CPT | 20824 | Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation |
CPT | 20827 | Replantation, thumb (includes distal tip to MP joint), complete amputation |
CPT | 20838 | Replantation, foot, complete amputation |
CPT | 20900 | Bone graft, any donor area; minor or small (eg, dowel or button) |
CPT | 20902 | Bone graft, any donor area; major or large |
CPT | 20910 | Cartilage graft; costochondral |
CPT | 20912 | Cartilage graft; nasal septum |
CPT | 20920 | Fascia lata graft; by stripper |
CPT | 20922 | Fascia lata graft; by incision and area exposure, complex or sheet |
CPT | 20924 | Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) |
CPT | 20950 | Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome |
CPT | 20955 | Bone graft with microvascular anastomosis; fibula |
CPT | 20956 | Bone graft with microvascular anastomosis; iliac crest |
CPT | 20957 | Bone graft with microvascular anastomosis; metatarsal |
CPT | 20962 | Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal |
CPT | 20969 | Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe |
CPT | 20970 | Free osteocutaneous flap with microvascular anastomosis; iliac crest |
CPT | 20972 | Free osteocutaneous flap with microvascular anastomosis; metatarsal |
CPT | 20973 | Free osteocutaneous flap with microvascular anastomosis; great toe with web space |
CPT | 20974 | Electrical stimulation to aid bone healing; noninvasive (nonoperative) |
CPT | 20975 | Electrical stimulation to aid bone healing; invasive (operative) |
CPT | 20979 | Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) |
CPT | 20982 | Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; radiofrequency |
CPT | 20983 | Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; cryoablation |
CPT | 20999 | Unlisted procedure, musculoskeletal system, general |
CPT | 21010 | Arthrotomy, temporomandibular joint |
CPT | 21011 | Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm |
CPT | 21012 | Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater |
CPT | 21013 | Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm |
CPT | 21014 | Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater |
CPT | 21015 | Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm |
CPT | 21016 | Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater |
CPT | 21025 | Excision of bone (eg, for osteomyelitis or bone abscess); mandible |
CPT | 21026 | Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) |
CPT | 21029 | Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) |
CPT | 21030 | Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage |
CPT | 21031 | Excision of torus mandibularis |
CPT | 21032 | Excision of maxillary torus palatinus |
CPT | 21034 | Excision of malignant tumor of maxilla or zygoma |
CPT | 21040 | Excision of benign tumor or cyst of mandible, by enucleation and/or curettage |
CPT | 21044 | Excision of malignant tumor of mandible; |
CPT | 21045 | Excision of malignant tumor of mandible; radical resection |
CPT | 21046 | Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s]) |
CPT | 21047 | Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesion[s]) |
CPT | 21048 | Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s]) |
CPT | 21049 | Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s]) |
CPT | 21050 | Condylectomy, temporomandibular joint (separate procedure) |
CPT | 21060 | Meniscectomy, partial or complete, temporomandibular joint (separate procedure) |
CPT | 21070 | Coronoidectomy (separate procedure) |
CPT | 21073 | Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care) |
CPT | 21076 | Impression and custom preparation; surgical obturator prosthesis |
CPT | 21077 | Impression and custom preparation; orbital prosthesis |
CPT | 21079 | Impression and custom preparation; interim obturator prosthesis |
CPT | 21080 | Impression and custom preparation; definitive obturator prosthesis |
CPT | 21081 | Impression and custom preparation; mandibular resection prosthesis |
CPT | 21082 | Impression and custom preparation; palatal augmentation prosthesis |
CPT | 21083 | Impression and custom preparation; palatal lift prosthesis |
CPT | 21084 | Impression and custom preparation; speech aid prosthesis |
CPT | 21085 | Impression and custom preparation; oral surgical splint |
CPT | 21086 | Impression and custom preparation; auricular prosthesis |
CPT | 21087 | Impression and custom preparation; nasal prosthesis |
CPT | 21088 | Impression and custom preparation; facial prosthesis |
CPT | 21089 | Unlisted maxillofacial prosthetic procedure |
CPT | 21100 | Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure) |
CPT | 21110 | Application of interdental fixation device for conditions other than fracture or dislocation, includes removal |
CPT | 21120 | Genioplasty; augmentation (autograft, allograft, prosthetic material) |
CPT | 21121 | Genioplasty; sliding osteotomy, single piece |
CPT | 21122 | Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin) |
CPT | 21123 | Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) |
CPT | 21125 | Augmentation, mandibular body or angle; prosthetic material |
CPT | 21127 | Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) |
CPT | 21137 | Reduction forehead; contouring only |
CPT | 21138 | Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft) |
CPT | 21139 | Reduction forehead; contouring and setback of anterior frontal sinus wall |
CPT | 21141 | Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft |
CPT | 21142 | Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft |
CPT | 21143 | Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft |
CPT | 21145 | Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts) |
CPT | 21146 | Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft) |
CPT | 21147 | Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted bilateral alveolar cleft or multiple osteotomies) |
CPT | 21150 | Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) |
CPT | 21151 | Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) |
CPT | 21154 | Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I |
CPT | 21155 | Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I |
CPT | 21159 | Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I |
CPT | 21160 | Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I |
CPT | 21172 | Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts) |
CPT | 21175 | Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts) |
CPT | 21179 | Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) |
CPT | 21180 | Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts) |
CPT | 21181 | Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial |
CPT | 21182 | Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm |
CPT | 21183 | Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 40 sq cm but less than 80 sq cm |
CPT | 21184 | Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 80 sq cm |
CPT | 21188 | Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) |
CPT | 21193 | Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft |
CPT | 21194 | Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft) |
CPT | 21195 | Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation |
CPT | 21196 | Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation |
CPT | 21198 | Osteotomy, mandible, segmental; |
CPT | 21199 | Osteotomy, mandible, segmental; with genioglossus advancement |
CPT | 21206 | Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) |
CPT | 21208 | Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) |
CPT | 21209 | Osteoplasty, facial bones; reduction |
CPT | 21210 | Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) |
CPT | 21215 | Graft, bone; mandible (includes obtaining graft) |
CPT | 21230 | Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) |
CPT | 21235 | Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) |
CPT | 21240 | Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) |
CPT | 21242 | Arthroplasty, temporomandibular joint, with allograft |
CPT | 21243 | Arthroplasty, temporomandibular joint, with prosthetic joint replacement |
CPT | 21244 | Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) |
CPT | 21245 | Reconstruction of mandible or maxilla, subperiosteal implant; partial |
CPT | 21246 | Reconstruction of mandible or maxilla, subperiosteal implant; complete |
CPT | 21247 | Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia) |
CPT | 21248 | Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial |
CPT | 21249 | Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete |
CPT | 21255 | Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) |
CPT | 21256 | Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia) |
CPT | 21260 | Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach |
CPT | 21261 | Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach |
CPT | 21263 | Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement |
CPT | 21267 | Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach |
CPT | 21268 | Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach |
CPT | 21270 | Malar augmentation, prosthetic material |
CPT | 21275 | Secondary revision of orbitocraniofacial reconstruction |
CPT | 21280 | Medial canthopexy (separate procedure) |
CPT | 21282 | Lateral canthopexy |
CPT | 21295 | Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach |
CPT | 21296 | Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach |
CPT | 21299 | Unlisted craniofacial and maxillofacial procedure |
CPT | 21315 | Closed treatment of nasal bone fracture with manipulation; without stabilization |
CPT | 21320 | Closed treatment of nasal bone fracture with manipulation; with stabilization |
CPT | 21325 | Open treatment of nasal fracture; uncomplicated |
CPT | 21330 | Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation |
CPT | 21335 | Open treatment of nasal fracture; with concomitant open treatment of fractured septum |
CPT | 21336 | Open treatment of nasal septal fracture, with or without stabilization |
CPT | 21337 | Closed treatment of nasal septal fracture, with or without stabilization |
CPT | 21338 | Open treatment of nasoethmoid fracture; without external fixation |
CPT | 21339 | Open treatment of nasoethmoid fracture; with external fixation |
CPT | 21340 | Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus |
CPT | 21343 | Open treatment of depressed frontal sinus fracture |
CPT | 21344 | Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches |
CPT | 21345 | Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint |
CPT | 21346 | Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation |
CPT | 21347 | Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches |
CPT | 21348 | Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft) |
CPT | 21355 | Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation |
CPT | 21356 | Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) |
CPT | 21360 | Open treatment of depressed malar fracture, including zygomatic arch and malar tripod |
CPT | 21365 | Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with internal fixation and multiple surgical approaches |
CPT | 21366 | Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft) |
CPT | 21385 | Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) |
CPT | 21386 | Open treatment of orbital floor blowout fracture; periorbital approach |
CPT | 21387 | Open treatment of orbital floor blowout fracture; combined approach |
CPT | 21390 | Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant |
CPT | 21395 | Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) |
CPT | 21400 | Closed treatment of fracture of orbit, except blowout; without manipulation |
CPT | 21401 | Closed treatment of fracture of orbit, except blowout; with manipulation |
CPT | 21406 | Open treatment of fracture of orbit, except blowout; without implant |
CPT | 21407 | Open treatment of fracture of orbit, except blowout; with implant |
CPT | 21408 | Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) |
CPT | 21421 | Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint |
CPT | 21422 | Open treatment of palatal or maxillary fracture (LeFort I type); |
CPT | 21423 | Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches |
CPT | 21431 | Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint |
CPT | 21432 | Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation |
CPT | 21433 | Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches |
CPT | 21435 | Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation) |
CPT | 21436 | Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft) |
CPT | 21440 | Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) |
CPT | 21445 | Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) |
CPT | 21450 | Closed treatment of mandibular fracture; without manipulation |
CPT | 21451 | Closed treatment of mandibular fracture; with manipulation |
CPT | 21452 | Percutaneous treatment of mandibular fracture, with external fixation |
CPT | 21453 | Closed treatment of mandibular fracture with interdental fixation |
CPT | 21454 | Open treatment of mandibular fracture with external fixation |
CPT | 21461 | Open treatment of mandibular fracture; without interdental fixation |
CPT | 21462 | Open treatment of mandibular fracture; with interdental fixation |
CPT | 21465 | Open treatment of mandibular condylar fracture |
CPT | 21470 | Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints |
CPT | 21480 | Closed treatment of temporomandibular dislocation; initial or subsequent |
CPT | 21485 | Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent |
CPT | 21490 | Open treatment of temporomandibular dislocation |
CPT | 21497 | Interdental wiring, for condition other than fracture |
CPT | 21499 | Unlisted musculoskeletal procedure, head |
CPT | 21501 | Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; |
CPT | 21502 | Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy |
CPT | 21510 | Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax |
CPT | 21552 | Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater |
CPT | 21554 | Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater |
CPT | 21555 | Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm |
CPT | 21556 | Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm |
CPT | 21557 | Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm |
CPT | 21558 | Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater |
CPT | 21600 | Excision of rib, partial |
CPT | 21601 | Excision of chest wall tumor including rib(s) |
CPT | 21602 | Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy |
CPT | 21603 | Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy |
CPT | 21610 | Costotransversectomy (separate procedure) |
CPT | 21615 | Excision first and/or cervical rib; |
CPT | 21616 | Excision first and/or cervical rib; with sympathectomy |
CPT | 21620 | Ostectomy of sternum, partial |
CPT | 21627 | Sternal debridement |
CPT | 21630 | Radical resection of sternum |
CPT | 21685 | Hyoid myotomy and suspension |
CPT | 21700 | Division of scalenus anticus; without resection of cervical rib |
CPT | 21705 | Division of scalenus anticus; with resection of cervical rib |
CPT | 21720 | Division of sternocleidomastoid for torticollis, open operation; without cast application |
CPT | 21725 | Division of sternocleidomastoid for torticollis, open operation; with cast application |
CPT | 21740 | Reconstructive repair of pectus excavatum or carinatum; open |
CPT | 21742 | Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy |
CPT | 21743 | Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy |
CPT | 21750 | Closure of median sternotomy separation with or without debridement (separate procedure) |
CPT | 21811 | Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs |
CPT | 21812 | Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs |
CPT | 21813 | Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs |
CPT | 21820 | Closed treatment of sternum fracture |
CPT | 21825 | Open treatment of sternum fracture with or without skeletal fixation |
CPT | 21899 | Unlisted procedure, neck or thorax |
CPT | 21930 | Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm |
CPT | 21931 | Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater |
CPT | 21932 | Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm |
CPT | 21933 | Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater |
CPT | 21935 | Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm |
CPT | 21936 | Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater |
CPT | 22010 | Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic |
CPT | 22015 | Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral |
CPT | 22100 | Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical |
CPT | 22101 | Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic |
CPT | 22102 | Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar |
CPT | 22110 | Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical |
CPT | 22112 | Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic |
CPT | 22114 | Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar |
CPT | 22206 | Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic |
CPT | 22207 | Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar |
CPT | 22210 | Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical |
CPT | 22212 | Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic |
CPT | 22214 | Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar |
CPT | 22220 | Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical |
CPT | 22222 | Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic |
CPT | 22224 | Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar |
CPT | 22310 | Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing |
CPT | 22315 | Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction |
CPT | 22318 | Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting |
CPT | 22319 | Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting |
CPT | 22325 | Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar |
CPT | 22326 | Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical |
CPT | 22327 | Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic |
CPT | 22505 | Manipulation of spine requiring anesthesia, any region |
CPT | 22510 | Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic |
CPT | 22511 | Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral |
CPT | 22513 | Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic |
CPT | 22514 | Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar |
CPT | 22526 | Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level |
CPT | 22532 | Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic |
CPT | 22533 | Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar |
CPT | 22548 | Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process |
CPT | 22551 | Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 |
CPT | 22554 | Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 |
CPT | 22556 | Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic |
CPT | 22558 | Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar |
CPT | 22586 | Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace |
CPT | 22590 | Arthrodesis, posterior technique, craniocervical (occiput-C2) |
CPT | 22595 | Arthrodesis, posterior technique, atlas-axis (C1-C2) |
CPT | 22600 | Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment |
CPT | 22610 | Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) |
CPT | 22612 | Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) |
CPT | 22630 | Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; |
CPT | 22633 | Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar; |
CPT | 22800 | Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments |
CPT | 22802 | Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments |
CPT | 22804 | Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments |
CPT | 22808 | Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments |
CPT | 22810 | Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments |
CPT | 22812 | Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments |
CPT | 22818 | Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments |
CPT | 22819 | Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments |
CPT | 22830 | Exploration of spinal fusion |
CPT | 22836 | Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments |
CPT | 22837 | Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; 8 or more vertebral segments |
CPT | 22838 | Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed |
CPT | 22849 | Reinsertion of spinal fixation device |
CPT | 22850 | Removal of posterior nonsegmental instrumentation (eg, Harrington rod) |
CPT | 22852 | Removal of posterior segmental instrumentation |
CPT | 22855 | Removal of anterior instrumentation |
CPT | 22856 | Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); single interspace, cervical |
CPT | 22857 | Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar |
CPT | 22861 | Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical |
CPT | 22862 | Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar |
CPT | 22864 | Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical |
CPT | 22865 | Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar |
CPT | 22867 | Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level |
CPT | 22869 | Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level |
CPT | 22899 | Unlisted procedure, spine |
CPT | 22900 | Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm |
CPT | 22901 | Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater |
CPT | 22902 | Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm |
CPT | 22903 | Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater |
CPT | 22904 | Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm |
CPT | 22905 | Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater |
CPT | 22999 | Unlisted procedure, abdomen, musculoskeletal system |
CPT | 23000 | Removal of subdeltoid calcareous deposits, open |
CPT | 23020 | Capsular contracture release (eg, Sever type procedure) |
CPT | 23030 | Incision and drainage, shoulder area; deep abscess or hematoma |
CPT | 23031 | Incision and drainage, shoulder area; infected bursa |
CPT | 23035 | Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area |
CPT | 23040 | Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body |
CPT | 23044 | Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body |
CPT | 23071 | Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater |
CPT | 23073 | Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater |
CPT | 23075 | Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm |
CPT | 23076 | Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm |
CPT | 23077 | Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm |
CPT | 23078 | Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater |
CPT | 23100 | Arthrotomy, glenohumeral joint, including biopsy |
CPT | 23101 | Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage |
CPT | 23105 | Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy |
CPT | 23106 | Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy |
CPT | 23107 | Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body |
CPT | 23120 | Claviculectomy; partial |
CPT | 23125 | Claviculectomy; total |
CPT | 23130 | Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release |
CPT | 23140 | Excision or curettage of bone cyst or benign tumor of clavicle or scapula; |
CPT | 23145 | Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft) |
CPT | 23146 | Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft |
CPT | 23150 | Excision or curettage of bone cyst or benign tumor of proximal humerus; |
CPT | 23155 | Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) |
CPT | 23156 | Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft |
CPT | 23170 | Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle |
CPT | 23172 | Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula |
CPT | 23174 | Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck |
CPT | 23180 | Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle |
CPT | 23182 | Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula |
CPT | 23184 | Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus |
CPT | 23190 | Ostectomy of scapula, partial (eg, superior medial angle) |
CPT | 23195 | Resection, humeral head |
CPT | 23200 | Radical resection of tumor; clavicle |
CPT | 23210 | Radical resection of tumor; scapula |
CPT | 23220 | Radical resection of tumor, proximal humerus |
CPT | 23330 | Removal of foreign body, shoulder; subcutaneous |
CPT | 23333 | Removal of foreign body, shoulder; deep (subfascial or intramuscular) |
CPT | 23334 | Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component |
CPT | 23335 | Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder) |
CPT | 23395 | Muscle transfer, any type, shoulder or upper arm; single |
CPT | 23397 | Muscle transfer, any type, shoulder or upper arm; multiple |
CPT | 23400 | Scapulopexy (eg, Sprengels deformity or for paralysis) |
CPT | 23405 | Tenotomy, shoulder area; single tendon |
CPT | 23406 | Tenotomy, shoulder area; multiple tendons through same incision |
CPT | 23410 | Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute |
CPT | 23412 | Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic |
CPT | 23415 | Coracoacromial ligament release, with or without acromioplasty |
CPT | 23420 | Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) |
CPT | 23430 | Tenodesis of long tendon of biceps |
CPT | 23440 | Resection or transplantation of long tendon of biceps |
CPT | 23450 | Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation |
CPT | 23455 | Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) |
CPT | 23460 | Capsulorrhaphy, anterior, any type; with bone block |
CPT | 23462 | Capsulorrhaphy, anterior, any type; with coracoid process transfer |
CPT | 23465 | Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block |
CPT | 23466 | Capsulorrhaphy, glenohumeral joint, any type multidirectional instability |
CPT | 23470 | Arthroplasty, glenohumeral joint; hemiarthroplasty |
CPT | 23472 | Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) |
CPT | 23473 | Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component |
CPT | 23474 | Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component |
CPT | 23480 | Osteotomy, clavicle, with or without internal fixation; |
CPT | 23485 | Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation) |
CPT | 23490 | Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle |
CPT | 23491 | Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus |
CPT | 23500 | Closed treatment of clavicular fracture; without manipulation |
CPT | 23505 | Closed treatment of clavicular fracture; with manipulation |
CPT | 23515 | Open treatment of clavicular fracture, includes internal fixation, when performed |
CPT | 23520 | Closed treatment of sternoclavicular dislocation; without manipulation |
CPT | 23525 | Closed treatment of sternoclavicular dislocation; with manipulation |
CPT | 23530 | Open treatment of sternoclavicular dislocation, acute or chronic; |
CPT | 23532 | Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) |
CPT | 23540 | Closed treatment of acromioclavicular dislocation; without manipulation |
CPT | 23545 | Closed treatment of acromioclavicular dislocation; with manipulation |
CPT | 23550 | Open treatment of acromioclavicular dislocation, acute or chronic; |
CPT | 23552 | Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) |
CPT | 23570 | Closed treatment of scapular fracture; without manipulation |
CPT | 23575 | Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) |
CPT | 23585 | Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed |
CPT | 23600 | Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation |
CPT | 23605 | Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction |
CPT | 23615 | Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; |
CPT | 23616 | Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; with proximal humeral prosthetic replacement |
CPT | 23620 | Closed treatment of greater humeral tuberosity fracture; without manipulation |
CPT | 23625 | Closed treatment of greater humeral tuberosity fracture; with manipulation |
CPT | 23630 | Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed |
CPT | 23650 | Closed treatment of shoulder dislocation, with manipulation; without anesthesia |
CPT | 23655 | Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia |
CPT | 23660 | Open treatment of acute shoulder dislocation |
CPT | 23665 | Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation |
CPT | 23670 | Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed |
CPT | 23675 | Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation |
CPT | 23680 | Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed |
CPT | 23700 | Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) |
CPT | 23800 | Arthrodesis, glenohumeral joint; |
CPT | 23802 | Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) |
CPT | 23900 | Interthoracoscapular amputation (forequarter) |
CPT | 23920 | Disarticulation of shoulder; |
CPT | 23921 | Disarticulation of shoulder; secondary closure or scar revision |
CPT | 23929 | Unlisted procedure, shoulder |
CPT | 23930 | Incision and drainage, upper arm or elbow area; deep abscess or hematoma |
CPT | 23931 | Incision and drainage, upper arm or elbow area; bursa |
CPT | 23935 | Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow |
CPT | 24000 | Arthrotomy, elbow, including exploration, drainage, or removal of foreign body |
CPT | 24006 | Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) |
CPT | 24071 | Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater |
CPT | 24073 | Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater |
CPT | 24075 | Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm |
CPT | 24076 | Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm |
CPT | 24077 | Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm |
CPT | 24079 | Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater |
CPT | 24100 | Arthrotomy, elbow; with synovial biopsy only |
CPT | 24101 | Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body |
CPT | 24102 | Arthrotomy, elbow; with synovectomy |
CPT | 24105 | Excision, olecranon bursa |
CPT | 24110 | Excision or curettage of bone cyst or benign tumor, humerus; |
CPT | 24115 | Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) |
CPT | 24116 | Excision or curettage of bone cyst or benign tumor, humerus; with allograft |
CPT | 24120 | Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; |
CPT | 24125 | Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft) |
CPT | 24126 | Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft |
CPT | 24130 | Excision, radial head |
CPT | 24134 | Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus |
CPT | 24136 | Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck |
CPT | 24138 | Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process |
CPT | 24140 | Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus |
CPT | 24145 | Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck |
CPT | 24147 | Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process |
CPT | 24149 | Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) |
CPT | 24150 | Radical resection of tumor, shaft or distal humerus |
CPT | 24152 | Radical resection of tumor, radial head or neck |
CPT | 24155 | Resection of elbow joint (arthrectomy) |
CPT | 24160 | Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components |
CPT | 24164 | Removal of prosthesis, includes debridement and synovectomy when performed; radial head |
CPT | 24200 | Removal of foreign body, upper arm or elbow area; subcutaneous |
CPT | 24201 | Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular) |
CPT | 24300 | Manipulation, elbow, under anesthesia |
CPT | 24301 | Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) |
CPT | 24305 | Tendon lengthening, upper arm or elbow, each tendon |
CPT | 24310 | Tenotomy, open, elbow to shoulder, each tendon |
CPT | 24320 | Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure) |
CPT | 24330 | Flexor-plasty, elbow (eg, Steindler type advancement); |
CPT | 24331 | Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement |
CPT | 24332 | Tenolysis, triceps |
CPT | 24340 | Tenodesis of biceps tendon at elbow (separate procedure) |
CPT | 24341 | Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) |
CPT | 24342 | Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft |
CPT | 24343 | Repair lateral collateral ligament, elbow, with local tissue |
CPT | 24344 | Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) |
CPT | 24345 | Repair medial collateral ligament, elbow, with local tissue |
CPT | 24346 | Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) |
CPT | 24357 | Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous |
CPT | 24358 | Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open |
CPT | 24359 | Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment |
CPT | 24360 | Arthroplasty, elbow; with membrane (eg, fascial) |
CPT | 24361 | Arthroplasty, elbow; with distal humeral prosthetic replacement |
CPT | 24362 | Arthroplasty, elbow; with implant and fascia lata ligament reconstruction |
CPT | 24363 | Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) |
CPT | 24365 | Arthroplasty, radial head; |
CPT | 24366 | Arthroplasty, radial head; with implant |
CPT | 24370 | Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component |
CPT | 24371 | Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component |
CPT | 24400 | Osteotomy, humerus, with or without internal fixation |
CPT | 24410 | Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) |
CPT | 24420 | Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) |
CPT | 24430 | Repair of nonunion or malunion, humerus; without graft (eg, compression technique) |
CPT | 24435 | Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) |
CPT | 24470 | Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus) |
CPT | 24495 | Decompression fasciotomy, forearm, with brachial artery exploration |
CPT | 24498 | Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft |
CPT | 24500 | Closed treatment of humeral shaft fracture; without manipulation |
CPT | 24505 | Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction |
CPT | 24515 | Open treatment of humeral shaft fracture with plate/screws, with or without cerclage |
CPT | 24516 | Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws |
CPT | 24530 | Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation |
CPT | 24535 | Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction |
CPT | 24538 | Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension |
CPT | 24545 | Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension |
CPT | 24546 | Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension |
CPT | 24560 | Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation |
CPT | 24565 | Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation |
CPT | 24566 | Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation |
CPT | 24575 | Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed |
CPT | 24576 | Closed treatment of humeral condylar fracture, medial or lateral; without manipulation |
CPT | 24577 | Closed treatment of humeral condylar fracture, medial or lateral; with manipulation |
CPT | 24579 | Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed |
CPT | 24582 | Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation |
CPT | 24586 | Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); |
CPT | 24587 | Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty |
CPT | 24600 | Treatment of closed elbow dislocation; without anesthesia |
CPT | 24605 | Treatment of closed elbow dislocation; requiring anesthesia |
CPT | 24615 | Open treatment of acute or chronic elbow dislocation |
CPT | 24620 | Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation |
CPT | 24635 | Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed |
CPT | 24640 | Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation |
CPT | 24650 | Closed treatment of radial head or neck fracture; without manipulation |
CPT | 24655 | Closed treatment of radial head or neck fracture; with manipulation |
CPT | 24665 | Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; |
CPT | 24666 | Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement |
CPT | 24670 | Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); without manipulation |
CPT | 24675 | Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation |
CPT | 24685 | Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed |
CPT | 24800 | Arthrodesis, elbow joint; local |
CPT | 24802 | Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) |
CPT | 24900 | Amputation, arm through humerus; with primary closure |
CPT | 24920 | Amputation, arm through humerus; open, circular (guillotine) |
CPT | 24925 | Amputation, arm through humerus; secondary closure or scar revision |
CPT | 24930 | Amputation, arm through humerus; re-amputation |
CPT | 24931 | Amputation, arm through humerus; with implant |
CPT | 24935 | Stump elongation, upper extremity |
CPT | 24940 | Cineplasty, upper extremity, complete procedure |
CPT | 24999 | Unlisted procedure, humerus or elbow |
CPT | 25000 | Incision, extensor tendon sheath, wrist (eg, de Quervains disease) |
CPT | 25001 | Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) |
CPT | 25020 | Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve |
CPT | 25023 | Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve |
CPT | 25024 | Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve |
CPT | 25025 | Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve |
CPT | 25028 | Incision and drainage, forearm and/or wrist; deep abscess or hematoma |
CPT | 25031 | Incision and drainage, forearm and/or wrist; bursa |
CPT | 25035 | Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) |
CPT | 25040 | Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body |
CPT | 25071 | Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater |
CPT | 25073 | Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater |
CPT | 25075 | Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm |
CPT | 25076 | Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm |
CPT | 25077 | Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm |
CPT | 25078 | Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater |
CPT | 25085 | Capsulotomy, wrist (eg, contracture) |
CPT | 25100 | Arthrotomy, wrist joint; with biopsy |
CPT | 25101 | Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body |
CPT | 25105 | Arthrotomy, wrist joint; with synovectomy |
CPT | 25107 | Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex |
CPT | 25109 | Excision of tendon, forearm and/or wrist, flexor or extensor, each |
CPT | 25110 | Excision, lesion of tendon sheath, forearm and/or wrist |
CPT | 25111 | Excision of ganglion, wrist (dorsal or volar); primary |
CPT | 25112 | Excision of ganglion, wrist (dorsal or volar); recurrent |
CPT | 25115 | Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors |
CPT | 25116 | Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum |
CPT | 25118 | Synovectomy, extensor tendon sheath, wrist, single compartment; |
CPT | 25119 | Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna |
CPT | 25120 | Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); |
CPT | 25125 | Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft) |
CPT | 25126 | Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft |
CPT | 25130 | Excision or curettage of bone cyst or benign tumor of carpal bones; |
CPT | 25135 | Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) |
CPT | 25136 | Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft |
CPT | 25145 | Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist |
CPT | 25150 | Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna |
CPT | 25151 | Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius |
CPT | 25170 | Radical resection of tumor, radius or ulna |
CPT | 25210 | Carpectomy; 1 bone |
CPT | 25215 | Carpectomy; all bones of proximal row |
CPT | 25230 | Radial styloidectomy (separate procedure) |
CPT | 25240 | Excision distal ulna partial or complete (eg, Darrach type or matched resection) |
CPT | 25248 | Exploration with removal of deep foreign body, forearm or wrist |
CPT | 25250 | Removal of wrist prosthesis; (separate procedure) |
CPT | 25251 | Removal of wrist prosthesis; complicated, including total wrist |
CPT | 25259 | Manipulation, wrist, under anesthesia |
CPT | 25260 | Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle |
CPT | 25263 | Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle |
CPT | 25265 | Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle |
CPT | 25270 | Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle |
CPT | 25272 | Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle |
CPT | 25274 | Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle |
CPT | 25275 | Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation) |
CPT | 25280 | Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon |
CPT | 25290 | Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon |
CPT | 25295 | Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon |
CPT | 25300 | Tenodesis at wrist; flexors of fingers |
CPT | 25301 | Tenodesis at wrist; extensors of fingers |
CPT | 25310 | Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon |
CPT | 25312 | Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon |
CPT | 25315 | Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; |
CPT | 25316 | Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer |
CPT | 25320 | Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability |
CPT | 25332 | Arthroplasty, wrist, with or without interposition, with or without external or internal fixation |
CPT | 25335 | Centralization of wrist on ulna (eg, radial club hand) |
CPT | 25337 | Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue stabilization (eg, tendon transfer, tendon graft or weave, or tenodesis) with or without open reduction of distal radioulnar joint |
CPT | 25350 | Osteotomy, radius; distal third |
CPT | 25355 | Osteotomy, radius; middle or proximal third |
CPT | 25360 | Osteotomy; ulna |
CPT | 25365 | Osteotomy; radius AND ulna |
CPT | 25370 | Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna |
CPT | 25375 | Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna |
CPT | 25390 | Osteoplasty, radius OR ulna; shortening |
CPT | 25391 | Osteoplasty, radius OR ulna; lengthening with autograft |
CPT | 25392 | Osteoplasty, radius AND ulna; shortening (excluding 64876) |
CPT | 25393 | Osteoplasty, radius AND ulna; lengthening with autograft |
CPT | 25394 | Osteoplasty, carpal bone, shortening |
CPT | 25400 | Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) |
CPT | 25405 | Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) |
CPT | 25415 | Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) |
CPT | 25420 | Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) |
CPT | 25425 | Repair of defect with autograft; radius OR ulna |
CPT | 25426 | Repair of defect with autograft; radius AND ulna |
CPT | 25430 | Insertion of vascular pedicle into carpal bone (eg, Hori procedure) |
CPT | 25431 | Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone |
CPT | 25440 | Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation) |
CPT | 25441 | Arthroplasty with prosthetic replacement; distal radius |
CPT | 25442 | Arthroplasty with prosthetic replacement; distal ulna |
CPT | 25443 | Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) |
CPT | 25444 | Arthroplasty with prosthetic replacement; lunate |
CPT | 25445 | Arthroplasty with prosthetic replacement; trapezium |
CPT | 25446 | Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) |
CPT | 25447 | Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon) |
CPT | 25448 | Arthroplasty, intercarpal or carpometacarpal joints; suspension, including transfer or transplant of tendon, with interposition, when performed |
CPT | 25449 | Revision of arthroplasty, including removal of implant, wrist joint |
CPT | 25450 | Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna |
CPT | 25455 | Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna |
CPT | 25490 | Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius |
CPT | 25491 | Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna |
CPT | 25492 | Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna |
CPT | 25500 | Closed treatment of radial shaft fracture; without manipulation |
CPT | 25505 | Closed treatment of radial shaft fracture; with manipulation |
CPT | 25515 | Open treatment of radial shaft fracture, includes internal fixation, when performed |
CPT | 25520 | Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) |
CPT | 25525 | Open treatment of radial shaft fracture, includes internal fixation, when performed, and closed treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes percutaneous skeletal fixation, when performed |
CPT | 25526 | Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixation, when performed, includes repair of triangular fibrocartilage complex |
CPT | 25530 | Closed treatment of ulnar shaft fracture; without manipulation |
CPT | 25535 | Closed treatment of ulnar shaft fracture; with manipulation |
CPT | 25545 | Open treatment of ulnar shaft fracture, includes internal fixation, when performed |
CPT | 25560 | Closed treatment of radial and ulnar shaft fractures; without manipulation |
CPT | 25565 | Closed treatment of radial and ulnar shaft fractures; with manipulation |
CPT | 25574 | Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna |
CPT | 25575 | Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna |
CPT | 25600 | Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation |
CPT | 25605 | Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation |
CPT | 25606 | Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation |
CPT | 25607 | Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation |
CPT | 25608 | Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments |
CPT | 25609 | Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments |
CPT | 25622 | Closed treatment of carpal scaphoid (navicular) fracture; without manipulation |
CPT | 25624 | Closed treatment of carpal scaphoid (navicular) fracture; with manipulation |
CPT | 25628 | Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed |
CPT | 25630 | Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone |
CPT | 25635 | Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); with manipulation, each bone |
CPT | 25645 | Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone |
CPT | 25650 | Closed treatment of ulnar styloid fracture |
CPT | 25651 | Percutaneous skeletal fixation of ulnar styloid fracture |
CPT | 25652 | Open treatment of ulnar styloid fracture |
CPT | 25660 | Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation |
CPT | 25670 | Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones |
CPT | 25671 | Percutaneous skeletal fixation of distal radioulnar dislocation |
CPT | 25675 | Closed treatment of distal radioulnar dislocation with manipulation |
CPT | 25676 | Open treatment of distal radioulnar dislocation, acute or chronic |
CPT | 25680 | Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation |
CPT | 25685 | Open treatment of trans-scaphoperilunar type of fracture dislocation |
CPT | 25690 | Closed treatment of lunate dislocation, with manipulation |
CPT | 25695 | Open treatment of lunate dislocation |
CPT | 25800 | Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints) |
CPT | 25805 | Arthrodesis, wrist; with sliding graft |
CPT | 25810 | Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) |
CPT | 25820 | Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) |
CPT | 25825 | Arthrodesis, wrist; with autograft (includes obtaining graft) |
CPT | 25830 | Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure) |
CPT | 25900 | Amputation, forearm, through radius and ulna; |
CPT | 25905 | Amputation, forearm, through radius and ulna; open, circular (guillotine) |
CPT | 25907 | Amputation, forearm, through radius and ulna; secondary closure or scar revision |
CPT | 25909 | Amputation, forearm, through radius and ulna; re-amputation |
CPT | 25915 | Krukenberg procedure |
CPT | 25920 | Disarticulation through wrist; |
CPT | 25922 | Disarticulation through wrist; secondary closure or scar revision |
CPT | 25924 | Disarticulation through wrist; re-amputation |
CPT | 25927 | Transmetacarpal amputation; |
CPT | 25929 | Transmetacarpal amputation; secondary closure or scar revision |
CPT | 25931 | Transmetacarpal amputation; re-amputation |
CPT | 25999 | Unlisted procedure, forearm or wrist |
CPT | 26010 | Drainage of finger abscess; simple |
CPT | 26011 | Drainage of finger abscess; complicated (eg, felon) |
CPT | 26020 | Drainage of tendon sheath, digit and/or palm, each |
CPT | 26025 | Drainage of palmar bursa; single, bursa |
CPT | 26030 | Drainage of palmar bursa; multiple bursa |
CPT | 26034 | Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess) |
CPT | 26035 | Decompression fingers and/or hand, injection injury (eg, grease gun) |
CPT | 26037 | Decompressive fasciotomy, hand (excludes 26035) |
CPT | 26040 | Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous |
CPT | 26045 | Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial |
CPT | 26055 | Tendon sheath incision (eg, for trigger finger) |
CPT | 26060 | Tenotomy, percutaneous, single, each digit |
CPT | 26070 | Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint |
CPT | 26075 | Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each |
CPT | 26080 | Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each |
CPT | 26100 | Arthrotomy with biopsy; carpometacarpal joint, each |
CPT | 26105 | Arthrotomy with biopsy; metacarpophalangeal joint, each |
CPT | 26110 | Arthrotomy with biopsy; interphalangeal joint, each |
CPT | 26111 | Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater |
CPT | 26113 | Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater |
CPT | 26115 | Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm |
CPT | 26116 | Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm |
CPT | 26117 | Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm |
CPT | 26118 | Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater |
CPT | 26121 | Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) |
CPT | 26123 | Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); |
CPT | 26130 | Synovectomy, carpometacarpal joint |
CPT | 26135 | Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit |
CPT | 26140 | Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint |
CPT | 26145 | Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon |
CPT | 26160 | Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger |
CPT | 26170 | Excision of tendon, palm, flexor or extensor, single, each tendon |
CPT | 26180 | Excision of tendon, finger, flexor or extensor, each tendon |
CPT | 26185 | Sesamoidectomy, thumb or finger (separate procedure) |
CPT | 26200 | Excision or curettage of bone cyst or benign tumor of metacarpal; |
CPT | 26205 | Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) |
CPT | 26210 | Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; |
CPT | 26215 | Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft) |
CPT | 26230 | Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal |
CPT | 26235 | Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger |
CPT | 26236 | Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger |
CPT | 26250 | Radical resection of tumor, metacarpal |
CPT | 26260 | Radical resection of tumor, proximal or middle phalanx of finger |
CPT | 26262 | Radical resection of tumor, distal phalanx of finger |
CPT | 26320 | Removal of implant from finger or hand |
CPT | 26340 | Manipulation, finger joint, under anesthesia, each joint |
CPT | 26341 | Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord |
CPT | 26350 | Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon |
CPT | 26352 | Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon |
CPT | 26356 | Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon |
CPT | 26357 | Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon |
CPT | 26358 | Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon |
CPT | 26370 | Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon |
CPT | 26372 | Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon |
CPT | 26373 | Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon |
CPT | 26390 | Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod |
CPT | 26392 | Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod |
CPT | 26410 | Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon |
CPT | 26412 | Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon |
CPT | 26415 | Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod |
CPT | 26416 | Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod |
CPT | 26418 | Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon |
CPT | 26420 | Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon |
CPT | 26426 | Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger |
CPT | 26428 | Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger |
CPT | 26432 | Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) |
CPT | 26433 | Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger) |
CPT | 26434 | Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) |
CPT | 26437 | Realignment of extensor tendon, hand, each tendon |
CPT | 26440 | Tenolysis, flexor tendon; palm OR finger, each tendon |
CPT | 26442 | Tenolysis, flexor tendon; palm AND finger, each tendon |
CPT | 26445 | Tenolysis, extensor tendon, hand OR finger, each tendon |
CPT | 26449 | Tenolysis, complex, extensor tendon, finger, including forearm, each tendon |
CPT | 26450 | Tenotomy, flexor, palm, open, each tendon |
CPT | 26455 | Tenotomy, flexor, finger, open, each tendon |
CPT | 26460 | Tenotomy, extensor, hand or finger, open, each tendon |
CPT | 26471 | Tenodesis; of proximal interphalangeal joint, each joint |
CPT | 26474 | Tenodesis; of distal joint, each joint |
CPT | 26476 | Lengthening of tendon, extensor, hand or finger, each tendon |
CPT | 26477 | Shortening of tendon, extensor, hand or finger, each tendon |
CPT | 26478 | Lengthening of tendon, flexor, hand or finger, each tendon |
CPT | 26479 | Shortening of tendon, flexor, hand or finger, each tendon |
CPT | 26480 | Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon |
CPT | 26483 | Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon |
CPT | 26485 | Transfer or transplant of tendon, palmar; without free tendon graft, each tendon |
CPT | 26489 | Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon |
CPT | 26490 | Opponensplasty; superficialis tendon transfer type, each tendon |
CPT | 26492 | Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon |
CPT | 26494 | Opponensplasty; hypothenar muscle transfer |
CPT | 26496 | Opponensplasty; other methods |
CPT | 26497 | Transfer of tendon to restore intrinsic function; ring and small finger |
CPT | 26498 | Transfer of tendon to restore intrinsic function; all 4 fingers |
CPT | 26499 | Correction claw finger, other methods |
CPT | 26500 | Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) |
CPT | 26502 | Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure) |
CPT | 26508 | Release of thenar muscle(s) (eg, thumb contracture) |
CPT | 26510 | Cross intrinsic transfer, each tendon |
CPT | 26516 | Capsulodesis, metacarpophalangeal joint; single digit |
CPT | 26517 | Capsulodesis, metacarpophalangeal joint; 2 digits |
CPT | 26518 | Capsulodesis, metacarpophalangeal joint; 3 or 4 digits |
CPT | 26520 | Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint |
CPT | 26525 | Capsulectomy or capsulotomy; interphalangeal joint, each joint |
CPT | 26530 | Arthroplasty, metacarpophalangeal joint; each joint |
CPT | 26531 | Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint |
CPT | 26535 | Arthroplasty, interphalangeal joint; each joint |
CPT | 26536 | Arthroplasty, interphalangeal joint; with prosthetic implant, each joint |
CPT | 26540 | Repair of collateral ligament, metacarpophalangeal or interphalangeal joint |
CPT | 26541 | Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft) |
CPT | 26542 | Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement) |
CPT | 26545 | Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint |
CPT | 26546 | Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation) |
CPT | 26548 | Repair and reconstruction, finger, volar plate, interphalangeal joint |
CPT | 26550 | Pollicization of a digit |
CPT | 26551 | Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft |
CPT | 26553 | Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single |
CPT | 26554 | Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double |
CPT | 26555 | Transfer, finger to another position without microvascular anastomosis |
CPT | 26556 | Transfer, free toe joint, with microvascular anastomosis |
CPT | 26560 | Repair of syndactyly (web finger) each web space; with skin flaps |
CPT | 26561 | Repair of syndactyly (web finger) each web space; with skin flaps and grafts |
CPT | 26562 | Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails) |
CPT | 26565 | Osteotomy; metacarpal, each |
CPT | 26567 | Osteotomy; phalanx of finger, each |
CPT | 26568 | Osteoplasty, lengthening, metacarpal or phalanx |
CPT | 26580 | Repair cleft hand |
CPT | 26587 | Reconstruction of polydactylous digit, soft tissue and bone |
CPT | 26590 | Repair macrodactylia, each digit |
CPT | 26591 | Repair, intrinsic muscles of hand, each muscle |
CPT | 26593 | Release, intrinsic muscles of hand, each muscle |
CPT | 26596 | Excision of constricting ring of finger, with multiple Z-plasties |
CPT | 26600 | Closed treatment of metacarpal fracture, single; without manipulation, each bone |
CPT | 26605 | Closed treatment of metacarpal fracture, single; with manipulation, each bone |
CPT | 26607 | Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone |
CPT | 26608 | Percutaneous skeletal fixation of metacarpal fracture, each bone |
CPT | 26615 | Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone |
CPT | 26641 | Closed treatment of carpometacarpal dislocation, thumb, with manipulation |
CPT | 26645 | Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation |
CPT | 26650 | Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation |
CPT | 26665 | Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed |
CPT | 26670 | Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia |
CPT | 26675 | Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia |
CPT | 26676 | Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint |
CPT | 26685 | Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint |
CPT | 26686 | Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction |
CPT | 26700 | Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia |
CPT | 26705 | Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia |
CPT | 26706 | Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation |
CPT | 26715 | Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed |
CPT | 26720 | Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each |
CPT | 26725 | Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each |
CPT | 26727 | Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each |
CPT | 26735 | Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each |
CPT | 26740 | Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each |
CPT | 26742 | Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each |
CPT | 26746 | Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each |
CPT | 26750 | Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each |
CPT | 26755 | Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each |
CPT | 26756 | Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each |
CPT | 26765 | Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each |
CPT | 26770 | Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia |
CPT | 26775 | Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia |
CPT | 26776 | Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation |
CPT | 26785 | Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single |
CPT | 26820 | Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) |
CPT | 26841 | Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; |
CPT | 26842 | Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) |
CPT | 26843 | Arthrodesis, carpometacarpal joint, digit, other than thumb, each; |
CPT | 26844 | Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) |
CPT | 26850 | Arthrodesis, metacarpophalangeal joint, with or without internal fixation; |
CPT | 26852 | Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) |
CPT | 26860 | Arthrodesis, interphalangeal joint, with or without internal fixation; |
CPT | 26862 | Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) |
CPT | 26910 | Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer |
CPT | 26951 | Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure |
CPT | 26952 | Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) |
CPT | 26989 | Unlisted procedure, hands or fingers |
CPT | 26990 | Incision and drainage, pelvis or hip joint area; deep abscess or hematoma |
CPT | 26991 | Incision and drainage, pelvis or hip joint area; infected bursa |
CPT | 26992 | Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) |
CPT | 27000 | Tenotomy, adductor of hip, percutaneous (separate procedure) |
CPT | 27001 | Tenotomy, adductor of hip, open |
CPT | 27003 | Tenotomy, adductor, subcutaneous, open, with obturator neurectomy |
CPT | 27005 | Tenotomy, hip flexor(s), open (separate procedure) |
CPT | 27006 | Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) |
CPT | 27025 | Fasciotomy, hip or thigh, any type |
CPT | 27027 | Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral |
CPT | 27030 | Arthrotomy, hip, with drainage (eg, infection) |
CPT | 27033 | Arthrotomy, hip, including exploration or removal of loose or foreign body |
CPT | 27035 | Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves |
CPT | 27036 | Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus minimus, tensor fascia latae, rectus femoris, sartorius, iliopsoas) |
CPT | 27043 | Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater |
CPT | 27045 | Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater |
CPT | 27047 | Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm |
CPT | 27048 | Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm |
CPT | 27049 | Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm |
CPT | 27050 | Arthrotomy, with biopsy; sacroiliac joint |
CPT | 27052 | Arthrotomy, with biopsy; hip joint |
CPT | 27054 | Arthrotomy with synovectomy, hip joint |
CPT | 27057 | Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle) with debridement of nonviable muscle, unilateral |
CPT | 27059 | Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater |
CPT | 27060 | Excision; ischial bursa |
CPT | 27062 | Excision; trochanteric bursa or calcification |
CPT | 27065 | Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed |
CPT | 27066 | Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed |
CPT | 27067 | Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision |
CPT | 27070 | Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial |
CPT | 27071 | Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); deep (subfascial or intramuscular) |
CPT | 27075 | Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis |
CPT | 27076 | Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum |
CPT | 27077 | Radical resection of tumor; innominate bone, total |
CPT | 27078 | Radical resection of tumor; ischial tuberosity and greater trochanter of femur |
CPT | 27080 | Coccygectomy, primary |
CPT | 27086 | Removal of foreign body, pelvis or hip; subcutaneous tissue |
CPT | 27087 | Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) |
CPT | 27090 | Removal of hip prosthesis; (separate procedure) |
CPT | 27091 | Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer |
CPT | 27096 | Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed |
CPT | 27097 | Release or recession, hamstring, proximal |
CPT | 27098 | Transfer, adductor to ischium |
CPT | 27100 | Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) |
CPT | 27105 | Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) |
CPT | 27110 | Transfer iliopsoas; to greater trochanter of femur |
CPT | 27111 | Transfer iliopsoas; to femoral neck |
CPT | 27120 | Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type) |
CPT | 27122 | Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure) |
CPT | 27125 | Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) |
CPT | 27130 | Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft |
CPT | 27132 | Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft |
CPT | 27134 | Revision of total hip arthroplasty; both components, with or without autograft or allograft |
CPT | 27137 | Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft |
CPT | 27138 | Revision of total hip arthroplasty; femoral component only, with or without allograft |
CPT | 27140 | Osteotomy and transfer of greater trochanter of femur (separate procedure) |
CPT | 27146 | Osteotomy, iliac, acetabular or innominate bone; |
CPT | 27147 | Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip |
CPT | 27151 | Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy |
CPT | 27156 | Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip |
CPT | 27158 | Osteotomy, pelvis, bilateral (eg, congenital malformation) |
CPT | 27161 | Osteotomy, femoral neck (separate procedure) |
CPT | 27165 | Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast |
CPT | 27170 | Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) |
CPT | 27175 | Treatment of slipped femoral epiphysis; by traction, without reduction |
CPT | 27176 | Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ |
CPT | 27177 | Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) |
CPT | 27178 | Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning |
CPT | 27179 | Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) |
CPT | 27181 | Open treatment of slipped femoral epiphysis; osteotomy and internal fixation |
CPT | 27185 | Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur |
CPT | 27187 | Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur |
CPT | 27197 | Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; without manipulation |
CPT | 27198 | Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; with manipulation, requiring more than local anesthesia (ie, general anesthesia, moderate sedation, spinal/epidural) |
CPT | 27200 | Closed treatment of coccygeal fracture |
CPT | 27202 | Open treatment of coccygeal fracture |
CPT | 27215 | Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral, for pelvic bone fracture patterns that do not disrupt the pelvic ring, includes internal fixation, when performed |
CPT | 27216 | Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum) |
CPT | 27217 | Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis and/or ipsilateral superior/inferior rami) |
CPT | 27218 | Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral ilium, sacroiliac joint and/or sacrum) |
CPT | 27220 | Closed treatment of acetabulum (hip socket) fracture(s); without manipulation |
CPT | 27222 | Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction |
CPT | 27226 | Open treatment of posterior or anterior acetabular wall fracture, with internal fixation |
CPT | 27227 | Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation |
CPT | 27228 | Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse fracture with associated acetabular wall fracture, with internal fixation |
CPT | 27230 | Closed treatment of femoral fracture, proximal end, neck; without manipulation |
CPT | 27232 | Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction |
CPT | 27235 | Percutaneous skeletal fixation of femoral fracture, proximal end, neck |
CPT | 27236 | Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement |
CPT | 27238 | Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation |
CPT | 27240 | Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction |
CPT | 27244 | Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage |
CPT | 27245 | Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage |
CPT | 27246 | Closed treatment of greater trochanteric fracture, without manipulation |
CPT | 27248 | Open treatment of greater trochanteric fracture, includes internal fixation, when performed |
CPT | 27250 | Closed treatment of hip dislocation, traumatic; without anesthesia |
CPT | 27252 | Closed treatment of hip dislocation, traumatic; requiring anesthesia |
CPT | 27253 | Open treatment of hip dislocation, traumatic, without internal fixation |
CPT | 27254 | Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation |
CPT | 27256 | Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation |
CPT | 27257 | Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia |
CPT | 27258 | Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); |
CPT | 27259 | Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); with femoral shaft shortening |
CPT | 27265 | Closed treatment of post hip arthroplasty dislocation; without anesthesia |
CPT | 27266 | Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia |
CPT | 27267 | Closed treatment of femoral fracture, proximal end, head; without manipulation |
CPT | 27268 | Closed treatment of femoral fracture, proximal end, head; with manipulation |
CPT | 27269 | Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed |
CPT | 27275 | Manipulation, hip joint, requiring general anesthesia |
CPT | 27278 | Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s) (eg, bone allograft[s], synthetic device[s]), without placement of transfixation device |
CPT | 27279 | Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of transfixation device |
CPT | 27280 | Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed |
CPT | 27282 | Arthrodesis, symphysis pubis (including obtaining graft) |
CPT | 27284 | Arthrodesis, hip joint (including obtaining graft); |
CPT | 27286 | Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy |
CPT | 27290 | Interpelviabdominal amputation (hindquarter amputation) |
CPT | 27295 | Disarticulation of hip |
CPT | 27299 | Unlisted procedure, pelvis or hip joint |
CPT | 27301 | Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region |
CPT | 27303 | Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) |
CPT | 27305 | Fasciotomy, iliotibial (tenotomy), open |
CPT | 27306 | Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) |
CPT | 27307 | Tenotomy, percutaneous, adductor or hamstring; multiple tendons |
CPT | 27310 | Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection) |
CPT | 27325 | Neurectomy, hamstring muscle |
CPT | 27326 | Neurectomy, popliteal (gastrocnemius) |
CPT | 27327 | Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm |
CPT | 27328 | Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm |
CPT | 27329 | Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm |
CPT | 27330 | Arthrotomy, knee; with synovial biopsy only |
CPT | 27331 | Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies |
CPT | 27332 | Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral |
CPT | 27333 | Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral |
CPT | 27334 | Arthrotomy, with synovectomy, knee; anterior OR posterior |
CPT | 27335 | Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area |
CPT | 27337 | Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater |
CPT | 27339 | Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater |
CPT | 27340 | Excision, prepatellar bursa |
CPT | 27345 | Excision of synovial cyst of popliteal space (eg, Baker's cyst) |
CPT | 27347 | Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee |
CPT | 27350 | Patellectomy or hemipatellectomy |
CPT | 27355 | Excision or curettage of bone cyst or benign tumor of femur; |
CPT | 27356 | Excision or curettage of bone cyst or benign tumor of femur; with allograft |
CPT | 27357 | Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) |
CPT | 27360 | Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess) |
CPT | 27364 | Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater |
CPT | 27365 | Radical resection of tumor, femur or knee |
CPT | 27372 | Removal of foreign body, deep, thigh region or knee area |
CPT | 27380 | Suture of infrapatellar tendon; primary |
CPT | 27381 | Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft |
CPT | 27385 | Suture of quadriceps or hamstring muscle rupture; primary |
CPT | 27386 | Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft |
CPT | 27390 | Tenotomy, open, hamstring, knee to hip; single tendon |
CPT | 27391 | Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg |
CPT | 27392 | Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral |
CPT | 27393 | Lengthening of hamstring tendon; single tendon |
CPT | 27394 | Lengthening of hamstring tendon; multiple tendons, 1 leg |
CPT | 27395 | Lengthening of hamstring tendon; multiple tendons, bilateral |
CPT | 27396 | Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon |
CPT | 27397 | Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons |
CPT | 27400 | Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) |
CPT | 27403 | Arthrotomy with meniscus repair, knee |
CPT | 27405 | Repair, primary, torn ligament and/or capsule, knee; collateral |
CPT | 27407 | Repair, primary, torn ligament and/or capsule, knee; cruciate |
CPT | 27409 | Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments |
CPT | 27412 | Autologous chondrocyte implantation, knee |
CPT | 27415 | Osteochondral allograft, knee, open |
CPT | 27416 | Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograft[s]) |
CPT | 27418 | Anterior tibial tubercleplasty (eg, Maquet type procedure) |
CPT | 27420 | Reconstruction of dislocating patella; (eg, Hauser type procedure) |
CPT | 27422 | Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure) |
CPT | 27424 | Reconstruction of dislocating patella; with patellectomy |
CPT | 27425 | Lateral retinacular release, open |
CPT | 27427 | Ligamentous reconstruction (augmentation), knee; extra-articular |
CPT | 27428 | Ligamentous reconstruction (augmentation), knee; intra-articular (open) |
CPT | 27429 | Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular |
CPT | 27430 | Quadricepsplasty (eg, Bennett or Thompson type) |
CPT | 27435 | Capsulotomy, posterior capsular release, knee |
CPT | 27437 | Arthroplasty, patella; without prosthesis |
CPT | 27438 | Arthroplasty, patella; with prosthesis |
CPT | 27440 | Arthroplasty, knee, tibial plateau; |
CPT | 27441 | Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy |
CPT | 27442 | Arthroplasty, femoral condyles or tibial plateau(s), knee; |
CPT | 27443 | Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy |
CPT | 27445 | Arthroplasty, knee, hinge prosthesis (eg, Walldius type) |
CPT | 27446 | Arthroplasty, knee, condyle and plateau; medial OR lateral compartment |
CPT | 27447 | Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) |
CPT | 27448 | Osteotomy, femur, shaft or supracondylar; without fixation |
CPT | 27450 | Osteotomy, femur, shaft or supracondylar; with fixation |
CPT | 27454 | Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) |
CPT | 27455 | Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure |
CPT | 27457 | Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); after epiphyseal closure |
CPT | 27465 | Osteoplasty, femur; shortening (excluding 64876) |
CPT | 27466 | Osteoplasty, femur; lengthening |
CPT | 27468 | Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer |
CPT | 27470 | Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) |
CPT | 27472 | Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft) |
CPT | 27475 | Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur |
CPT | 27477 | Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal |
CPT | 27479 | Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula |
CPT | 27485 | Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) |
CPT | 27486 | Revision of total knee arthroplasty, with or without allograft; 1 component |
CPT | 27487 | Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component |
CPT | 27488 | Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee |
CPT | 27495 | Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur |
CPT | 27496 | Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); |
CPT | 27497 | Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve |
CPT | 27498 | Decompression fasciotomy, thigh and/or knee, multiple compartments; |
CPT | 27499 | Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve |
CPT | 27500 | Closed treatment of femoral shaft fracture, without manipulation |
CPT | 27501 | Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation |
CPT | 27502 | Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction |
CPT | 27503 | Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction |
CPT | 27506 | Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws |
CPT | 27507 | Open treatment of femoral shaft fracture with plate/screws, with or without cerclage |
CPT | 27508 | Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation |
CPT | 27509 | Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or transcondylar, with or without intercondylar extension, or distal femoral epiphyseal separation |
CPT | 27510 | Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation |
CPT | 27511 | Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed |
CPT | 27513 | Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed |
CPT | 27514 | Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed |
CPT | 27516 | Closed treatment of distal femoral epiphyseal separation; without manipulation |
CPT | 27517 | Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction |
CPT | 27519 | Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed |
CPT | 27520 | Closed treatment of patellar fracture, without manipulation |
CPT | 27524 | Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair |
CPT | 27530 | Closed treatment of tibial fracture, proximal (plateau); without manipulation |
CPT | 27532 | Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction |
CPT | 27535 | Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed |
CPT | 27536 | Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation |
CPT | 27538 | Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation |
CPT | 27540 | Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed |
CPT | 27550 | Closed treatment of knee dislocation; without anesthesia |
CPT | 27552 | Closed treatment of knee dislocation; requiring anesthesia |
CPT | 27556 | Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction |
CPT | 27557 | Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair |
CPT | 27558 | Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction |
CPT | 27560 | Closed treatment of patellar dislocation; without anesthesia |
CPT | 27562 | Closed treatment of patellar dislocation; requiring anesthesia |
CPT | 27566 | Open treatment of patellar dislocation, with or without partial or total patellectomy |
CPT | 27570 | Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) |
CPT | 27580 | Arthrodesis, knee, any technique |
CPT | 27590 | Amputation, thigh, through femur, any level; |
CPT | 27591 | Amputation, thigh, through femur, any level; immediate fitting technique including first cast |
CPT | 27592 | Amputation, thigh, through femur, any level; open, circular (guillotine) |
CPT | 27594 | Amputation, thigh, through femur, any level; secondary closure or scar revision |
CPT | 27596 | Amputation, thigh, through femur, any level; re-amputation |
CPT | 27598 | Disarticulation at knee |
CPT | 27599 | Unlisted procedure, femur or knee |
CPT | 27600 | Decompression fasciotomy, leg; anterior and/or lateral compartments only |
CPT | 27601 | Decompression fasciotomy, leg; posterior compartment(s) only |
CPT | 27602 | Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s) |
CPT | 27603 | Incision and drainage, leg or ankle; deep abscess or hematoma |
CPT | 27604 | Incision and drainage, leg or ankle; infected bursa |
CPT | 27605 | Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia |
CPT | 27606 | Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia |
CPT | 27607 | Incision (eg, osteomyelitis or bone abscess), leg or ankle |
CPT | 27610 | Arthrotomy, ankle, including exploration, drainage, or removal of foreign body |
CPT | 27612 | Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening |
CPT | 27615 | Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm |
CPT | 27616 | Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater |
CPT | 27618 | Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm |
CPT | 27619 | Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm |
CPT | 27620 | Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body |
CPT | 27625 | Arthrotomy, with synovectomy, ankle; |
CPT | 27626 | Arthrotomy, with synovectomy, ankle; including tenosynovectomy |
CPT | 27630 | Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle |
CPT | 27632 | Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater |
CPT | 27634 | Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater |
CPT | 27635 | Excision or curettage of bone cyst or benign tumor, tibia or fibula; |
CPT | 27637 | Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) |
CPT | 27638 | Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft |
CPT | 27640 | Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia |
CPT | 27641 | Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula |
CPT | 27645 | Radical resection of tumor; tibia |
CPT | 27646 | Radical resection of tumor; fibula |
CPT | 27647 | Radical resection of tumor; talus or calcaneus |
CPT | 27650 | Repair, primary, open or percutaneous, ruptured Achilles tendon; |
CPT | 27652 | Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft) |
CPT | 27654 | Repair, secondary, Achilles tendon, with or without graft |
CPT | 27656 | Repair, fascial defect of leg |
CPT | 27658 | Repair, flexor tendon, leg; primary, without graft, each tendon |
CPT | 27659 | Repair, flexor tendon, leg; secondary, with or without graft, each tendon |
CPT | 27664 | Repair, extensor tendon, leg; primary, without graft, each tendon |
CPT | 27665 | Repair, extensor tendon, leg; secondary, with or without graft, each tendon |
CPT | 27675 | Repair, dislocating peroneal tendons; without fibular osteotomy |
CPT | 27676 | Repair, dislocating peroneal tendons; with fibular osteotomy |
CPT | 27680 | Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon |
CPT | 27681 | Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incision[s]) |
CPT | 27685 | Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) |
CPT | 27686 | Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each |
CPT | 27687 | Gastrocnemius recession (eg, Strayer procedure) |
CPT | 27690 | Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot) |
CPT | 27691 | Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot) |
CPT | 27695 | Repair, primary, disrupted ligament, ankle; collateral |
CPT | 27696 | Repair, primary, disrupted ligament, ankle; both collateral ligaments |
CPT | 27698 | Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) |
CPT | 27700 | Arthroplasty, ankle; |
CPT | 27702 | Arthroplasty, ankle; with implant (total ankle) |
CPT | 27703 | Arthroplasty, ankle; revision, total ankle |
CPT | 27704 | Removal of ankle implant |
CPT | 27705 | Osteotomy; tibia |
CPT | 27707 | Osteotomy; fibula |
CPT | 27709 | Osteotomy; tibia and fibula |
CPT | 27712 | Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) |
CPT | 27715 | Osteoplasty, tibia and fibula, lengthening or shortening |
CPT | 27720 | Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) |
CPT | 27722 | Repair of nonunion or malunion, tibia; with sliding graft |
CPT | 27724 | Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) |
CPT | 27725 | Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method |
CPT | 27726 | Repair of fibula nonunion and/or malunion with internal fixation |
CPT | 27727 | Repair of congenital pseudarthrosis, tibia |
CPT | 27730 | Arrest, epiphyseal (epiphysiodesis), open; distal tibia |
CPT | 27732 | Arrest, epiphyseal (epiphysiodesis), open; distal fibula |
CPT | 27734 | Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula |
CPT | 27740 | Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; |
CPT | 27742 | Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur |
CPT | 27745 | Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia |
CPT | 27750 | Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation |
CPT | 27752 | Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction |
CPT | 27756 | Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) |
CPT | 27758 | Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage |
CPT | 27759 | Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage |
CPT | 27760 | Closed treatment of medial malleolus fracture; without manipulation |
CPT | 27762 | Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction |
CPT | 27766 | Open treatment of medial malleolus fracture, includes internal fixation, when performed |
CPT | 27767 | Closed treatment of posterior malleolus fracture; without manipulation |
CPT | 27768 | Closed treatment of posterior malleolus fracture; with manipulation |
CPT | 27769 | Open treatment of posterior malleolus fracture, includes internal fixation, when performed |
CPT | 27780 | Closed treatment of proximal fibula or shaft fracture; without manipulation |
CPT | 27781 | Closed treatment of proximal fibula or shaft fracture; with manipulation |
CPT | 27784 | Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed |
CPT | 27786 | Closed treatment of distal fibular fracture (lateral malleolus); without manipulation |
CPT | 27788 | Closed treatment of distal fibular fracture (lateral malleolus); with manipulation |
CPT | 27792 | Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed |
CPT | 27808 | Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation |
CPT | 27810 | Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation |
CPT | 27814 | Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed |
CPT | 27816 | Closed treatment of trimalleolar ankle fracture; without manipulation |
CPT | 27818 | Closed treatment of trimalleolar ankle fracture; with manipulation |
CPT | 27822 | Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip |
CPT | 27823 | Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip |
CPT | 27824 | Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation |
CPT | 27825 | Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation |
CPT | 27826 | Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only |
CPT | 27827 | Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only |
CPT | 27828 | Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula |
CPT | 27829 | Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed |
CPT | 27830 | Closed treatment of proximal tibiofibular joint dislocation; without anesthesia |
CPT | 27831 | Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia |
CPT | 27832 | Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula |
CPT | 27840 | Closed treatment of ankle dislocation; without anesthesia |
CPT | 27842 | Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation |
CPT | 27846 | Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation |
CPT | 27848 | Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation |
CPT | 27860 | Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) |
CPT | 27870 | Arthrodesis, ankle, open |
CPT | 27871 | Arthrodesis, tibiofibular joint, proximal or distal |
CPT | 27880 | Amputation, leg, through tibia and fibula; |
CPT | 27881 | Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast |
CPT | 27882 | Amputation, leg, through tibia and fibula; open, circular (guillotine) |
CPT | 27884 | Amputation, leg, through tibia and fibula; secondary closure or scar revision |
CPT | 27886 | Amputation, leg, through tibia and fibula; re-amputation |
CPT | 27888 | Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves |
CPT | 27889 | Ankle disarticulation |
CPT | 27892 | Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve |
CPT | 27893 | Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve |
CPT | 27894 | Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve |
CPT | 27899 | Unlisted procedure, leg or ankle |
CPT | 28001 | Incision and drainage, bursa, foot |
CPT | 28002 | Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space |
CPT | 28003 | Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas |
CPT | 28005 | Incision, bone cortex (eg, osteomyelitis or bone abscess), foot |
CPT | 28008 | Fasciotomy, foot and/or toe |
CPT | 28010 | Tenotomy, percutaneous, toe; single tendon |
CPT | 28011 | Tenotomy, percutaneous, toe; multiple tendons |
CPT | 28020 | Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint |
CPT | 28022 | Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint |
CPT | 28024 | Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint |
CPT | 28035 | Release, tarsal tunnel (posterior tibial nerve decompression) |
CPT | 28039 | Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater |
CPT | 28041 | Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater |
CPT | 28043 | Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm |
CPT | 28045 | Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm |
CPT | 28046 | Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm |
CPT | 28047 | Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater |
CPT | 28050 | Arthrotomy with biopsy; intertarsal or tarsometatarsal joint |
CPT | 28052 | Arthrotomy with biopsy; metatarsophalangeal joint |
CPT | 28054 | Arthrotomy with biopsy; interphalangeal joint |
CPT | 28055 | Neurectomy, intrinsic musculature of foot |
CPT | 28060 | Fasciectomy, plantar fascia; partial (separate procedure) |
CPT | 28062 | Fasciectomy, plantar fascia; radical (separate procedure) |
CPT | 28070 | Synovectomy; intertarsal or tarsometatarsal joint, each |
CPT | 28072 | Synovectomy; metatarsophalangeal joint, each |
CPT | 28080 | Excision, interdigital (Morton) neuroma, single, each |
CPT | 28086 | Synovectomy, tendon sheath, foot; flexor |
CPT | 28088 | Synovectomy, tendon sheath, foot; extensor |
CPT | 28090 | Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot |
CPT | 28092 | Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each |
CPT | 28100 | Excision or curettage of bone cyst or benign tumor, talus or calcaneus; |
CPT | 28102 | Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft) |
CPT | 28103 | Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft |
CPT | 28104 | Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; |
CPT | 28106 | Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft) |
CPT | 28107 | Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft |
CPT | 28108 | Excision or curettage of bone cyst or benign tumor, phalanges of foot |
CPT | 28110 | Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) |
CPT | 28111 | Ostectomy, complete excision; first metatarsal head |
CPT | 28112 | Ostectomy, complete excision; other metatarsal head (second, third or fourth) |
CPT | 28113 | Ostectomy, complete excision; fifth metatarsal head |
CPT | 28114 | Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure) |
CPT | 28116 | Ostectomy, excision of tarsal coalition |
CPT | 28118 | Ostectomy, calcaneus; |
CPT | 28119 | Ostectomy, calcaneus; for spur, with or without plantar fascial release |
CPT | 28120 | Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus |
CPT | 28122 | Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus |
CPT | 28124 | Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe |
CPT | 28126 | Resection, partial or complete, phalangeal base, each toe |
CPT | 28130 | Talectomy (astragalectomy) |
CPT | 28140 | Metatarsectomy |
CPT | 28150 | Phalangectomy, toe, each toe |
CPT | 28153 | Resection, condyle(s), distal end of phalanx, each toe |
CPT | 28160 | Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each |
CPT | 28171 | Radical resection of tumor; tarsal (except talus or calcaneus) |
CPT | 28173 | Radical resection of tumor; metatarsal |
CPT | 28175 | Radical resection of tumor; phalanx of toe |
CPT | 28190 | Removal of foreign body, foot; subcutaneous |
CPT | 28192 | Removal of foreign body, foot; deep |
CPT | 28193 | Removal of foreign body, foot; complicated |
CPT | 28200 | Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon |
CPT | 28202 | Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) |
CPT | 28208 | Repair, tendon, extensor, foot; primary or secondary, each tendon |
CPT | 28210 | Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) |
CPT | 28220 | Tenolysis, flexor, foot; single tendon |
CPT | 28222 | Tenolysis, flexor, foot; multiple tendons |
CPT | 28225 | Tenolysis, extensor, foot; single tendon |
CPT | 28226 | Tenolysis, extensor, foot; multiple tendons |
CPT | 28230 | Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure) |
CPT | 28232 | Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) |
CPT | 28234 | Tenotomy, open, extensor, foot or toe, each tendon |
CPT | 28238 | Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure) |
CPT | 28240 | Tenotomy, lengthening, or release, abductor hallucis muscle |
CPT | 28250 | Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) |
CPT | 28260 | Capsulotomy, midfoot; medial release only (separate procedure) |
CPT | 28261 | Capsulotomy, midfoot; with tendon lengthening |
CPT | 28262 | Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity) |
CPT | 28264 | Capsulotomy, midtarsal (eg, Heyman type procedure) |
CPT | 28270 | Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) |
CPT | 28272 | Capsulotomy; interphalangeal joint, each joint (separate procedure) |
CPT | 28280 | Syndactylization, toes (eg, webbing or Kelikian type procedure) |
CPT | 28285 | Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) |
CPT | 28286 | Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) |
CPT | 28288 | Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head |
CPT | 28289 | Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant |
CPT | 28291 | Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant |
CPT | 28292 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method |
CPT | 28295 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method |
CPT | 28296 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method |
CPT | 28297 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method |
CPT | 28298 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method |
CPT | 28299 | Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method |
CPT | 28300 | Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation |
CPT | 28302 | Osteotomy; talus |
CPT | 28304 | Osteotomy, tarsal bones, other than calcaneus or talus; |
CPT | 28305 | Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) |
CPT | 28306 | Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal |
CPT | 28307 | Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe) |
CPT | 28308 | Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each |
CPT | 28309 | Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure) |
CPT | 28310 | Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) |
CPT | 28312 | Osteotomy, shortening, angular or rotational correction; other phalanges, any toe |
CPT | 28313 | Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) |
CPT | 28315 | Sesamoidectomy, first toe (separate procedure) |
CPT | 28320 | Repair, nonunion or malunion; tarsal bones |
CPT | 28322 | Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) |
CPT | 28340 | Reconstruction, toe, macrodactyly; soft tissue resection |
CPT | 28341 | Reconstruction, toe, macrodactyly; requiring bone resection |
CPT | 28344 | Reconstruction, toe(s); polydactyly |
CPT | 28345 | Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web |
CPT | 28360 | Reconstruction, cleft foot |
CPT | 28400 | Closed treatment of calcaneal fracture; without manipulation |
CPT | 28405 | Closed treatment of calcaneal fracture; with manipulation |
CPT | 28406 | Percutaneous skeletal fixation of calcaneal fracture, with manipulation |
CPT | 28415 | Open treatment of calcaneal fracture, includes internal fixation, when performed; |
CPT | 28420 | Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) |
CPT | 28430 | Closed treatment of talus fracture; without manipulation |
CPT | 28435 | Closed treatment of talus fracture; with manipulation |
CPT | 28436 | Percutaneous skeletal fixation of talus fracture, with manipulation |
CPT | 28445 | Open treatment of talus fracture, includes internal fixation, when performed |
CPT | 28446 | Open osteochondral autograft, talus (includes obtaining graft[s]) |
CPT | 28450 | Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each |
CPT | 28455 | Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each |
CPT | 28456 | Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each |
CPT | 28465 | Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each |
CPT | 28470 | Closed treatment of metatarsal fracture; without manipulation, each |
CPT | 28475 | Closed treatment of metatarsal fracture; with manipulation, each |
CPT | 28476 | Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each |
CPT | 28485 | Open treatment of metatarsal fracture, includes internal fixation, when performed, each |
CPT | 28490 | Closed treatment of fracture great toe, phalanx or phalanges; without manipulation |
CPT | 28495 | Closed treatment of fracture great toe, phalanx or phalanges; with manipulation |
CPT | 28496 | Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation |
CPT | 28505 | Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed |
CPT | 28510 | Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each |
CPT | 28515 | Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each |
CPT | 28525 | Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each |
CPT | 28530 | Closed treatment of sesamoid fracture |
CPT | 28531 | Open treatment of sesamoid fracture, with or without internal fixation |
CPT | 28540 | Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia |
CPT | 28545 | Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia |
CPT | 28546 | Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation |
CPT | 28555 | Open treatment of tarsal bone dislocation, includes internal fixation, when performed |
CPT | 28570 | Closed treatment of talotarsal joint dislocation; without anesthesia |
CPT | 28575 | Closed treatment of talotarsal joint dislocation; requiring anesthesia |
CPT | 28576 | Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation |
CPT | 28585 | Open treatment of talotarsal joint dislocation, includes internal fixation, when performed |
CPT | 28600 | Closed treatment of tarsometatarsal joint dislocation; without anesthesia |
CPT | 28605 | Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia |
CPT | 28606 | Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation |
CPT | 28615 | Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed |
CPT | 28630 | Closed treatment of metatarsophalangeal joint dislocation; without anesthesia |
CPT | 28635 | Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia |
CPT | 28636 | Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation |
CPT | 28645 | Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed |
CPT | 28660 | Closed treatment of interphalangeal joint dislocation; without anesthesia |
CPT | 28665 | Closed treatment of interphalangeal joint dislocation; requiring anesthesia |
CPT | 28666 | Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation |
CPT | 28675 | Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed |
CPT | 28705 | Arthrodesis; pantalar |
CPT | 28715 | Arthrodesis; triple |
CPT | 28725 | Arthrodesis; subtalar |
CPT | 28730 | Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; |
CPT | 28735 | Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) |
CPT | 28737 | Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure) |
CPT | 28740 | Arthrodesis, midtarsal or tarsometatarsal, single joint |
CPT | 28750 | Arthrodesis, great toe; metatarsophalangeal joint |
CPT | 28755 | Arthrodesis, great toe; interphalangeal joint |
CPT | 28760 | Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure) |
CPT | 28800 | Amputation, foot; midtarsal (eg, Chopart type procedure) |
CPT | 28805 | Amputation, foot; transmetatarsal |
CPT | 28810 | Amputation, metatarsal, with toe, single |
CPT | 28820 | Amputation, toe; metatarsophalangeal joint |
CPT | 28825 | Amputation, toe; interphalangeal joint |
CPT | 28890 | Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring anesthesia other than local, including ultrasound guidance, involving the plantar fascia |
CPT | 28899 | Unlisted procedure, foot or toes |
CPT | 29000 | Application of halo type body cast (see 20661-20663 for insertion) |
CPT | 29010 | Application of Risser jacket, localizer, body; only |
CPT | 29015 | Application of Risser jacket, localizer, body; including head |
CPT | 29035 | Application of body cast, shoulder to hips; |
CPT | 29040 | Application of body cast, shoulder to hips; including head, Minerva type |
CPT | 29044 | Application of body cast, shoulder to hips; including 1 thigh |
CPT | 29046 | Application of body cast, shoulder to hips; including both thighs |
CPT | 29049 | Application, cast; figure-of-eight |
CPT | 29055 | Application, cast; shoulder spica |
CPT | 29058 | Application, cast; plaster Velpeau |
CPT | 29065 | Application, cast; shoulder to hand (long arm) |
CPT | 29075 | Application, cast; elbow to finger (short arm) |
CPT | 29085 | Application, cast; hand and lower forearm (gauntlet) |
CPT | 29086 | Application, cast; finger (eg, contracture) |
CPT | 29105 | Application of long arm splint (shoulder to hand) |
CPT | 29125 | Application of short arm splint (forearm to hand); static |
CPT | 29126 | Application of short arm splint (forearm to hand); dynamic |
CPT | 29130 | Application of finger splint; static |
CPT | 29131 | Application of finger splint; dynamic |
CPT | 29200 | Strapping; thorax |
CPT | 29240 | Strapping; shoulder (eg, Velpeau) |
CPT | 29260 | Strapping; elbow or wrist |
CPT | 29280 | Strapping; hand or finger |
CPT | 29305 | Application of hip spica cast; 1 leg |
CPT | 29325 | Application of hip spica cast; 1 and one-half spica or both legs |
CPT | 29345 | Application of long leg cast (thigh to toes); |
CPT | 29355 | Application of long leg cast (thigh to toes); walker or ambulatory type |
CPT | 29358 | Application of long leg cast brace |
CPT | 29365 | Application of cylinder cast (thigh to ankle) |
CPT | 29405 | Application of short leg cast (below knee to toes); |
CPT | 29425 | Application of short leg cast (below knee to toes); walking or ambulatory type |
CPT | 29435 | Application of patellar tendon bearing (PTB) cast |
CPT | 29440 | Adding walker to previously applied cast |
CPT | 29445 | Application of rigid total contact leg cast |
CPT | 29450 | Application of clubfoot cast with molding or manipulation, long or short leg |
CPT | 29505 | Application of long leg splint (thigh to ankle or toes) |
CPT | 29515 | Application of short leg splint (calf to foot) |
CPT | 29520 | Strapping; hip |
CPT | 29530 | Strapping; knee |
CPT | 29540 | Strapping; ankle and/or foot |
CPT | 29550 | Strapping; toes |
CPT | 29580 | Strapping; Unna boot |
CPT | 29581 | Application of multi-layer compression system; leg (below knee), including ankle and foot |
CPT | 29584 | Application of multi-layer compression system; upper arm, forearm, hand, and fingers |
CPT | 29700 | Removal or bivalving; gauntlet, boot or body cast |
CPT | 29705 | Removal or bivalving; full arm or full leg cast |
CPT | 29710 | Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. |
CPT | 29720 | Repair of spica, body cast or jacket |
CPT | 29730 | Windowing of cast |
CPT | 29740 | Wedging of cast (except clubfoot casts) |
CPT | 29750 | Wedging of clubfoot cast |
CPT | 29799 | Unlisted procedure, casting or strapping |
CPT | 29800 | Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) |
CPT | 29804 | Arthroscopy, temporomandibular joint, surgical |
CPT | 29805 | Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) |
CPT | 29806 | Arthroscopy, shoulder, surgical; capsulorrhaphy |
CPT | 29807 | Arthroscopy, shoulder, surgical; repair of SLAP lesion |
CPT | 29819 | Arthroscopy, shoulder, surgical; with removal of loose body or foreign body |
CPT | 29820 | Arthroscopy, shoulder, surgical; synovectomy, partial |
CPT | 29821 | Arthroscopy, shoulder, surgical; synovectomy, complete |
CPT | 29822 | Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, 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]) |
CPT | 29823 | Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, 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]) |
CPT | 29824 | Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) |
CPT | 29825 | Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation |
CPT | 29827 | Arthroscopy, shoulder, surgical; with rotator cuff repair |
CPT | 29828 | Arthroscopy, shoulder, surgical; biceps tenodesis |
CPT | 29830 | Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) |
CPT | 29834 | Arthroscopy, elbow, surgical; with removal of loose body or foreign body |
CPT | 29835 | Arthroscopy, elbow, surgical; synovectomy, partial |
CPT | 29836 | Arthroscopy, elbow, surgical; synovectomy, complete |
CPT | 29837 | Arthroscopy, elbow, surgical; debridement, limited |
CPT | 29838 | Arthroscopy, elbow, surgical; debridement, extensive |
CPT | 29840 | Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) |
CPT | 29843 | Arthroscopy, wrist, surgical; for infection, lavage and drainage |
CPT | 29844 | Arthroscopy, wrist, surgical; synovectomy, partial |
CPT | 29845 | Arthroscopy, wrist, surgical; synovectomy, complete |
CPT | 29846 | Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement |
CPT | 29847 | Arthroscopy, wrist, surgical; internal fixation for fracture or instability |
CPT | 29848 | Endoscopy, wrist, surgical, with release of transverse carpal ligament |
CPT | 29850 | Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) |
CPT | 29851 | Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) |
CPT | 29855 | Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) |
CPT | 29856 | Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) |
CPT | 29860 | Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) |
CPT | 29861 | Arthroscopy, hip, surgical; with removal of loose body or foreign body |
CPT | 29862 | Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum |
CPT | 29863 | Arthroscopy, hip, surgical; with synovectomy |
CPT | 29866 | Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft[s]) |
CPT | 29867 | Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) |
CPT | 29868 | Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral |
CPT | 29870 | Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) |
CPT | 29871 | Arthroscopy, knee, surgical; for infection, lavage and drainage |
CPT | 29873 | Arthroscopy, knee, surgical; with lateral release |
CPT | 29874 | Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) |
CPT | 29875 | Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) |
CPT | 29876 | Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) |
CPT | 29877 | Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) |
CPT | 29879 | Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture |
CPT | 29880 | Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed |
CPT | 29881 | Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed |
CPT | 29882 | Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) |
CPT | 29883 | Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) |
CPT | 29884 | Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) |
CPT | 29885 | Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) |
CPT | 29886 | Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion |
CPT | 29887 | Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation |
CPT | 29888 | Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction |
CPT | 29889 | Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction |
CPT | 29891 | Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect |
CPT | 29892 | Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) |
CPT | 29893 | Endoscopic plantar fasciotomy |
CPT | 29894 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body |
CPT | 29895 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial |
CPT | 29897 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited |
CPT | 29898 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive |
CPT | 29899 | Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis |
CPT | 29900 | Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy |
CPT | 29901 | Arthroscopy, metacarpophalangeal joint, surgical; with debridement |
CPT | 29902 | Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion) |
CPT | 29904 | Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body |
CPT | 29905 | Arthroscopy, subtalar joint, surgical; with synovectomy |
CPT | 29906 | Arthroscopy, subtalar joint, surgical; with debridement |
CPT | 29907 | Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis |
CPT | 29914 | Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) |
CPT | 29915 | Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) |
CPT | 29916 | Arthroscopy, hip, surgical; with labral repair |
CPT | 29999 | Unlisted procedure, arthroscopy |
CPT | 30000 | Drainage abscess or hematoma, nasal, internal approach |
CPT | 30020 | Drainage abscess or hematoma, nasal septum |
CPT | 30110 | Excision, nasal polyp(s), simple |
CPT | 30115 | Excision, nasal polyp(s), extensive |
CPT | 30117 | Excision or destruction (eg, laser), intranasal lesion; internal approach |
CPT | 30118 | Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) |
CPT | 30120 | Excision or surgical planing of skin of nose for rhinophyma |
CPT | 30124 | Excision dermoid cyst, nose; simple, skin, subcutaneous |
CPT | 30125 | Excision dermoid cyst, nose; complex, under bone or cartilage |
CPT | 30130 | Excision inferior turbinate, partial or complete, any method |
CPT | 30140 | Submucous resection inferior turbinate, partial or complete, any method |
CPT | 30150 | Rhinectomy; partial |
CPT | 30160 | Rhinectomy; total |
CPT | 30200 | Injection into turbinate(s), therapeutic |
CPT | 30210 | Displacement therapy (Proetz type) |
CPT | 30220 | Insertion, nasal septal prosthesis (button) |
CPT | 30300 | Removal foreign body, intranasal; office type procedure |
CPT | 30310 | Removal foreign body, intranasal; requiring general anesthesia |
CPT | 30320 | Removal foreign body, intranasal; by lateral rhinotomy |
CPT | 30400 | Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip |
CPT | 30410 | Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip |
CPT | 30420 | Rhinoplasty, primary; including major septal repair |
CPT | 30430 | Rhinoplasty, secondary; minor revision (small amount of nasal tip work) |
CPT | 30435 | Rhinoplasty, secondary; intermediate revision (bony work with osteotomies) |
CPT | 30450 | Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) |
CPT | 30460 | Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only |
CPT | 30462 | Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies |
CPT | 30465 | Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction) |
CPT | 30468 | Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) |
CPT | 30469 | Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling |
CPT | 30520 | Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft |
CPT | 30540 | Repair choanal atresia; intranasal |
CPT | 30545 | Repair choanal atresia; transpalatine |
CPT | 30560 | Lysis intranasal synechia |
CPT | 30580 | Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) |
CPT | 30600 | Repair fistula; oronasal |
CPT | 30620 | Septal or other intranasal dermatoplasty (does not include obtaining graft) |
CPT | 30630 | Repair nasal septal perforations |
CPT | 30801 | Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial |
CPT | 30802 | Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal) |
CPT | 30901 | Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method |
CPT | 30903 | Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method |
CPT | 30905 | Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial |
CPT | 30906 | Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent |
CPT | 30915 | Ligation arteries; ethmoidal |
CPT | 30920 | Ligation arteries; internal maxillary artery, transantral |
CPT | 30930 | Fracture nasal inferior turbinate(s), therapeutic |
CPT | 30999 | Unlisted procedure, nose |
CPT | 31000 | Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) |
CPT | 31002 | Lavage by cannulation; sphenoid sinus |
CPT | 31020 | Sinusotomy, maxillary (antrotomy); intranasal |
CPT | 31030 | Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps |
CPT | 31032 | Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps |
CPT | 31040 | Pterygomaxillary fossa surgery, any approach |
CPT | 31050 | Sinusotomy, sphenoid, with or without biopsy; |
CPT | 31051 | Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) |
CPT | 31070 | Sinusotomy frontal; external, simple (trephine operation) |
CPT | 31075 | Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) |
CPT | 31080 | Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) |
CPT | 31081 | Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) |
CPT | 31084 | Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision |
CPT | 31085 | Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision |
CPT | 31086 | Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision |
CPT | 31087 | Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision |
CPT | 31090 | Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) |
CPT | 31200 | Ethmoidectomy; intranasal, anterior |
CPT | 31201 | Ethmoidectomy; intranasal, total |
CPT | 31205 | Ethmoidectomy; extranasal, total |
CPT | 31225 | Maxillectomy; without orbital exenteration |
CPT | 31230 | Maxillectomy; with orbital exenteration (en bloc) |
CPT | 31231 | Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) |
CPT | 31233 | Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) |
CPT | 31235 | Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium) |
CPT | 31237 | Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) |
CPT | 31238 | Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage |
CPT | 31239 | Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy |
CPT | 31240 | Nasal/sinus endoscopy, surgical; with concha bullosa resection |
CPT | 31241 | Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery |
CPT | 31242 | Nasal/sinus endoscopy, surgical; with destruction by radiofrequency ablation, posterior nasal nerve |
CPT | 31243 | Nasal/sinus endoscopy, surgical; with destruction by cryoablation, posterior nasal nerve |
CPT | 31253 | Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed |
CPT | 31254 | Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior) |
CPT | 31255 | Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) |
CPT | 31256 | Nasal/sinus endoscopy, surgical, with maxillary antrostomy; |
CPT | 31257 | Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy |
CPT | 31259 | Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus |
CPT | 31267 | Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus |
CPT | 31276 | Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed |
CPT | 31287 | Nasal/sinus endoscopy, surgical, with sphenoidotomy; |
CPT | 31288 | Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus |
CPT | 31290 | Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region |
CPT | 31291 | Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region |
CPT | 31292 | Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall |
CPT | 31293 | Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall |
CPT | 31294 | Nasal/sinus endoscopy, surgical, with optic nerve decompression |
CPT | 31295 | Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa |
CPT | 31296 | Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium |
CPT | 31297 | Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium |
CPT | 31298 | Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia |
CPT | 31299 | Unlisted procedure, accessory sinuses |
CPT | 31300 | Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy |
CPT | 31360 | Laryngectomy; total, without radical neck dissection |
CPT | 31365 | Laryngectomy; total, with radical neck dissection |
CPT | 31367 | Laryngectomy; subtotal supraglottic, without radical neck dissection |
CPT | 31368 | Laryngectomy; subtotal supraglottic, with radical neck dissection |
CPT | 31370 | Partial laryngectomy (hemilaryngectomy); horizontal |
CPT | 31375 | Partial laryngectomy (hemilaryngectomy); laterovertical |
CPT | 31380 | Partial laryngectomy (hemilaryngectomy); anterovertical |
CPT | 31382 | Partial laryngectomy (hemilaryngectomy); antero-latero-vertical |
CPT | 31390 | Pharyngolaryngectomy, with radical neck dissection; without reconstruction |
CPT | 31395 | Pharyngolaryngectomy, with radical neck dissection; with reconstruction |
CPT | 31400 | Arytenoidectomy or arytenoidopexy, external approach |
CPT | 31420 | Epiglottidectomy |
CPT | 31500 | Intubation, endotracheal, emergency procedure |
CPT | 31502 | Tracheotomy tube change prior to establishment of fistula tract |
CPT | 31505 | Laryngoscopy, indirect; diagnostic (separate procedure) |
CPT | 31510 | Laryngoscopy, indirect; with biopsy |
CPT | 31511 | Laryngoscopy, indirect; with removal of foreign body |
CPT | 31512 | Laryngoscopy, indirect; with removal of lesion |
CPT | 31513 | Laryngoscopy, indirect; with vocal cord injection |
CPT | 31515 | Laryngoscopy direct, with or without tracheoscopy; for aspiration |
CPT | 31520 | Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn |
CPT | 31525 | Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn |
CPT | 31526 | Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope |
CPT | 31527 | Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator |
CPT | 31528 | Laryngoscopy direct, with or without tracheoscopy; with dilation, initial |
CPT | 31529 | Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent |
CPT | 31530 | Laryngoscopy, direct, operative, with foreign body removal; |
CPT | 31531 | Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope |
CPT | 31535 | Laryngoscopy, direct, operative, with biopsy; |
CPT | 31536 | Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope |
CPT | 31540 | Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; |
CPT | 31541 | Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope |
CPT | 31545 | Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) |
CPT | 31546 | Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with graft(s) (includes obtaining autograft) |
CPT | 31551 | Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age |
CPT | 31552 | Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older |
CPT | 31553 | Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age |
CPT | 31554 | Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older |
CPT | 31560 | Laryngoscopy, direct, operative, with arytenoidectomy; |
CPT | 31561 | Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope |
CPT | 31570 | Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; |
CPT | 31571 | Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope |
CPT | 31572 | Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral |
CPT | 31573 | Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral |
CPT | 31574 | Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral |
CPT | 31575 | Laryngoscopy, flexible; diagnostic |
CPT | 31576 | Laryngoscopy, flexible; with biopsy(ies) |
CPT | 31577 | Laryngoscopy, flexible; with removal of foreign body(s) |
CPT | 31578 | Laryngoscopy, flexible; with removal of lesion(s), non-laser |
CPT | 31579 | Laryngoscopy, flexible or rigid telescopic, with stroboscopy |
CPT | 31580 | Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion |
CPT | 31584 | Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed |
CPT | 31587 | Laryngoplasty, cricoid split, without graft placement |
CPT | 31590 | Laryngeal reinnervation by neuromuscular pedicle |
CPT | 31591 | Laryngoplasty, medialization, unilateral |
CPT | 31592 | Cricotracheal resection |
CPT | 31599 | Unlisted procedure, larynx |
CPT | 31600 | Tracheostomy, planned (separate procedure); |
CPT | 31601 | Tracheostomy, planned (separate procedure); younger than 2 years |
CPT | 31603 | Tracheostomy, emergency procedure; transtracheal |
CPT | 31605 | Tracheostomy, emergency procedure; cricothyroid membrane |
CPT | 31610 | Tracheostomy, fenestration procedure with skin flaps |
CPT | 31611 | Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis) |
CPT | 31612 | Tracheal puncture, percutaneous with transtracheal aspiration and/or injection |
CPT | 31613 | Tracheostoma revision; simple, without flap rotation |
CPT | 31614 | Tracheostoma revision; complex, with flap rotation |
CPT | 31615 | Tracheobronchoscopy through established tracheostomy incision |
CPT | 31622 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) |
CPT | 31623 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings |
CPT | 31624 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage |
CPT | 31625 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites |
CPT | 31626 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple |
CPT | 31628 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe |
CPT | 31629 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) |
CPT | 31630 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture |
CPT | 31631 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required) |
CPT | 31634 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessment of air leak, with administration of occlusive substance (eg, fibrin glue), if performed |
CPT | 31635 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body |
CPT | 31636 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial bronchus |
CPT | 31638 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or bronchial stent inserted at previous session (includes tracheal/bronchial dilation as required) |
CPT | 31640 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor |
CPT | 31641 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy) |
CPT | 31643 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application |
CPT | 31645 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial |
CPT | 31646 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay |
CPT | 31647 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), initial lobe |
CPT | 31648 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe |
CPT | 31660 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe |
CPT | 31661 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes |
CPT | 31717 | Catheterization with bronchial brush biopsy |
CPT | 31720 | Catheter aspiration (separate procedure); nasotracheal |
CPT | 31725 | Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside |
CPT | 31730 | Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy |
CPT | 31750 | Tracheoplasty; cervical |
CPT | 31755 | Tracheoplasty; tracheopharyngeal fistulization, each stage |
CPT | 31760 | Tracheoplasty; intrathoracic |
CPT | 31766 | Carinal reconstruction |
CPT | 31770 | Bronchoplasty; graft repair |
CPT | 31775 | Bronchoplasty; excision stenosis and anastomosis |
CPT | 31780 | Excision tracheal stenosis and anastomosis; cervical |
CPT | 31781 | Excision tracheal stenosis and anastomosis; cervicothoracic |
CPT | 31785 | Excision of tracheal tumor or carcinoma; cervical |
CPT | 31786 | Excision of tracheal tumor or carcinoma; thoracic |
CPT | 31800 | Suture of tracheal wound or injury; cervical |
CPT | 31805 | Suture of tracheal wound or injury; intrathoracic |
CPT | 31820 | Surgical closure tracheostomy or fistula; without plastic repair |
CPT | 31825 | Surgical closure tracheostomy or fistula; with plastic repair |
CPT | 31830 | Revision of tracheostomy scar |
CPT | 31899 | Unlisted procedure, trachea, bronchi |
CPT | 32035 | Thoracostomy; with rib resection for empyema |
CPT | 32036 | Thoracostomy; with open flap drainage for empyema |
CPT | 32096 | Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral |
CPT | 32097 | Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral |
CPT | 32098 | Thoracotomy, with biopsy(ies) of pleura |
CPT | 32100 | Thoracotomy; with exploration |
CPT | 32110 | Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear |
CPT | 32120 | Thoracotomy; for postoperative complications |
CPT | 32124 | Thoracotomy; with open intrapleural pneumonolysis |
CPT | 32140 | Thoracotomy; with cyst(s) removal, includes pleural procedure when performed |
CPT | 32141 | Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed |
CPT | 32150 | Thoracotomy; with removal of intrapleural foreign body or fibrin deposit |
CPT | 32151 | Thoracotomy; with removal of intrapulmonary foreign body |
CPT | 32160 | Thoracotomy; with cardiac massage |
CPT | 32200 | Pneumonostomy, with open drainage of abscess or cyst |
CPT | 32215 | Pleural scarification for repeat pneumothorax |
CPT | 32220 | Decortication, pulmonary (separate procedure); total |
CPT | 32225 | Decortication, pulmonary (separate procedure); partial |
CPT | 32310 | Pleurectomy, parietal (separate procedure) |
CPT | 32320 | Decortication and parietal pleurectomy |
CPT | 32440 | Removal of lung, pneumonectomy; |
CPT | 32442 | Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy) |
CPT | 32445 | Removal of lung, pneumonectomy; extrapleural |
CPT | 32480 | Removal of lung, other than pneumonectomy; single lobe (lobectomy) |
CPT | 32482 | Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy) |
CPT | 32484 | Removal of lung, other than pneumonectomy; single segment (segmentectomy) |
CPT | 32486 | Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy) |
CPT | 32488 | Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy) |
CPT | 32491 | Removal of lung, other than pneumonectomy; with resection-plication of emphysematous lung(s) (bullous or non-bullous) for lung volume reduction, sternal split or transthoracic approach, includes any pleural procedure, when performed |
CPT | 32503 | Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; without chest wall reconstruction(s) |
CPT | 32504 | Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; with chest wall reconstruction |
CPT | 32505 | Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial |
CPT | 32540 | Extrapleural enucleation of empyema (empyemectomy) |
CPT | 32550 | Insertion of indwelling tunneled pleural catheter with cuff |
CPT | 32551 | Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) |
CPT | 32552 | Removal of indwelling tunneled pleural catheter with cuff |
CPT | 32554 | Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance |
CPT | 32555 | Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance |
CPT | 32556 | Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance |
CPT | 32557 | Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance |
CPT | 32560 | Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax) |
CPT | 32561 | Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day |
CPT | 32562 | Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day |
CPT | 32601 | Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy |
CPT | 32604 | Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy |
CPT | 32606 | Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy |
CPT | 32607 | Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral |
CPT | 32608 | Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral |
CPT | 32609 | Thoracoscopy; with biopsy(ies) of pleura |
CPT | 32650 | Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical) |
CPT | 32651 | Thoracoscopy, surgical; with partial pulmonary decortication |
CPT | 32652 | Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis |
CPT | 32653 | Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit |
CPT | 32654 | Thoracoscopy, surgical; with control of traumatic hemorrhage |
CPT | 32655 | Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed |
CPT | 32656 | Thoracoscopy, surgical; with parietal pleurectomy |
CPT | 32658 | Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac |
CPT | 32659 | Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage |
CPT | 32661 | Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass |
CPT | 32662 | Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass |
CPT | 32663 | Thoracoscopy, surgical; with lobectomy (single lobe) |
CPT | 32664 | Thoracoscopy, surgical; with thoracic sympathectomy |
CPT | 32665 | Thoracoscopy, surgical; with esophagomyotomy (Heller type) |
CPT | 32666 | Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral |
CPT | 32669 | Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy) |
CPT | 32670 | Thoracoscopy, surgical; with removal of two lobes (bilobectomy) |
CPT | 32671 | Thoracoscopy, surgical; with removal of lung (pneumonectomy) |
CPT | 32672 | Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed |
CPT | 32673 | Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral |
CPT | 32701 | Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment |
CPT | 32800 | Repair lung hernia through chest wall |
CPT | 32810 | Closure of chest wall following open flap drainage for empyema (Clagett type procedure) |
CPT | 32815 | Open closure of major bronchial fistula |
CPT | 32820 | Major reconstruction, chest wall (posttraumatic) |
CPT | 32851 | Lung transplant, single; without cardiopulmonary bypass |
CPT | 32852 | Lung transplant, single; with cardiopulmonary bypass |
CPT | 32853 | Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass |
CPT | 32854 | Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass |
CPT | 32900 | Resection of ribs, extrapleural, all stages |
CPT | 32905 | Thoracoplasty, Schede type or extrapleural (all stages); |
CPT | 32906 | Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula |
CPT | 32940 | Pneumonolysis, extraperiosteal, including filling or packing procedures |
CPT | 32960 | Pneumothorax, therapeutic, intrapleural injection of air |
CPT | 32994 | Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation |
CPT | 32997 | Total lung lavage (unilateral) |
CPT | 32998 | Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency |
CPT | 32999 | Unlisted procedure, lungs and pleura |
CPT | 33016 | Pericardiocentesis, including imaging guidance, when performed |
CPT | 33017 | Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly |
CPT | 33018 | Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; birth through 5 years of age or any age with congenital cardiac anomaly |
CPT | 33019 | Pericardial drainage with insertion of indwelling catheter, percutaneous, including CT guidance |
CPT | 33020 | Pericardiotomy for removal of clot or foreign body (primary procedure) |
CPT | 33025 | Creation of pericardial window or partial resection for drainage |
CPT | 33030 | Pericardiectomy, subtotal or complete; without cardiopulmonary bypass |
CPT | 33031 | Pericardiectomy, subtotal or complete; with cardiopulmonary bypass |
CPT | 33050 | Resection of pericardial cyst or tumor |
CPT | 33120 | Excision of intracardiac tumor, resection with cardiopulmonary bypass |
CPT | 33130 | Resection of external cardiac tumor |
CPT | 33140 | Transmyocardial laser revascularization, by thoracotomy; (separate procedure) |
CPT | 33202 | Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach) |
CPT | 33203 | Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy) |
CPT | 33206 | Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial |
CPT | 33207 | Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular |
CPT | 33208 | Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular |
CPT | 33210 | Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) |
CPT | 33211 | Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) |
CPT | 33212 | Insertion of pacemaker pulse generator only; with existing single lead |
CPT | 33213 | Insertion of pacemaker pulse generator only; with existing dual leads |
CPT | 33214 | Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead, insertion of new lead, insertion of new pulse generator) |
CPT | 33215 | Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode |
CPT | 33216 | Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator |
CPT | 33217 | Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator |
CPT | 33218 | Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator |
CPT | 33220 | Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator |
CPT | 33221 | Insertion of pacemaker pulse generator only; with existing multiple leads |
CPT | 33222 | Relocation of skin pocket for pacemaker |
CPT | 33223 | Relocation of skin pocket for implantable defibrillator |
CPT | 33224 | Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of pocket, removal, insertion, and/or replacement of existing generator) |
CPT | 33226 | Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) |
CPT | 33227 | Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system |
CPT | 33228 | Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system |
CPT | 33229 | Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system |
CPT | 33230 | Insertion of implantable defibrillator pulse generator only; with existing dual leads |
CPT | 33231 | Insertion of implantable defibrillator pulse generator only; with existing multiple leads |
CPT | 33233 | Removal of permanent pacemaker pulse generator only |
CPT | 33234 | Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular |
CPT | 33235 | Removal of transvenous pacemaker electrode(s); dual lead system |
CPT | 33236 | Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular |
CPT | 33237 | Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system |
CPT | 33238 | Removal of permanent transvenous electrode(s) by thoracotomy |
CPT | 33240 | Insertion of implantable defibrillator pulse generator only; with existing single lead |
CPT | 33241 | Removal of implantable defibrillator pulse generator only |
CPT | 33243 | Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy |
CPT | 33244 | Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction |
CPT | 33249 | Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber |
CPT | 33250 | Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass |
CPT | 33251 | Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass |
CPT | 33254 | Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure) |
CPT | 33255 | Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass |
CPT | 33256 | Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass |
CPT | 33261 | Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass |
CPT | 33262 | Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system |
CPT | 33263 | Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system |
CPT | 33264 | Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system |
CPT | 33265 | Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass |
CPT | 33266 | Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass |
CPT | 33267 | Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) |
CPT | 33269 | Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) |
CPT | 33270 | Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters, when performed |
CPT | 33271 | Insertion of subcutaneous implantable defibrillator electrode |
CPT | 33272 | Removal of subcutaneous implantable defibrillator electrode |
CPT | 33273 | Repositioning of previously implanted subcutaneous implantable defibrillator electrode |
CPT | 33274 | Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed |
CPT | 33275 | Transcatheter removal of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography), when performed |
CPT | 33276 | Insertion of phrenic nerve stimulator system (pulse generator and stimulating lead[s]), including vessel catheterization, all imaging guidance, and pulse generator initial analysis with diagnostic mode activation, when performed |
CPT | 33277 | Insertion of phrenic nerve stimulator transvenous sensing lead (List separately in addition to code for primary procedure) |
CPT | 33278 | Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; system, including pulse generator and lead(s) |
CPT | 33279 | Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(s) only |
CPT | 33280 | Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator only |
CPT | 33281 | Repositioning of phrenic nerve stimulator transvenous lead(s) |
CPT | 33287 | Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator |
CPT | 33288 | Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(s) |
CPT | 33289 | Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed |
CPT | 33300 | Repair of cardiac wound; without bypass |
CPT | 33305 | Repair of cardiac wound; with cardiopulmonary bypass |
CPT | 33310 | Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass |
CPT | 33315 | Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass |
CPT | 33320 | Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass |
CPT | 33321 | Suture repair of aorta or great vessels; with shunt bypass |
CPT | 33322 | Suture repair of aorta or great vessels; with cardiopulmonary bypass |
CPT | 33330 | Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass |
CPT | 33335 | Insertion of graft, aorta or great vessels; with cardiopulmonary bypass |
CPT | 33340 | Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation |
CPT | 33361 | Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach |
CPT | 33362 | Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach |
CPT | 33363 | Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach |
CPT | 33364 | Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach |
CPT | 33365 | Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy) |
CPT | 33366 | Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy) |
CPT | 33390 | Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension) |
CPT | 33391 | Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty) |
CPT | 33404 | Construction of apical-aortic conduit |
CPT | 33405 | Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve |
CPT | 33406 | Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand) |
CPT | 33410 | Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve |
CPT | 33411 | Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus |
CPT | 33412 | Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure) |
CPT | 33413 | Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) |
CPT | 33414 | Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract |
CPT | 33415 | Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis |
CPT | 33416 | Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) |
CPT | 33417 | Aortoplasty (gusset) for supravalvular stenosis |
CPT | 33418 | Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis |
CPT | 33420 | Valvotomy, mitral valve; closed heart |
CPT | 33422 | Valvotomy, mitral valve; open heart, with cardiopulmonary bypass |
CPT | 33425 | Valvuloplasty, mitral valve, with cardiopulmonary bypass; |
CPT | 33426 | Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring |
CPT | 33427 | Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring |
CPT | 33430 | Replacement, mitral valve, with cardiopulmonary bypass |
CPT | 33440 | Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure) |
CPT | 33460 | Valvectomy, tricuspid valve, with cardiopulmonary bypass |
CPT | 33463 | Valvuloplasty, tricuspid valve; without ring insertion |
CPT | 33464 | Valvuloplasty, tricuspid valve; with ring insertion |
CPT | 33465 | Replacement, tricuspid valve, with cardiopulmonary bypass |
CPT | 33468 | Tricuspid valve repositioning and plication for Ebstein anomaly |
CPT | 33474 | Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass |
CPT | 33475 | Replacement, pulmonary valve |
CPT | 33476 | Right ventricular resection for infundibular stenosis, with or without commissurotomy |
CPT | 33477 | Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed |
CPT | 33478 | Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection |
CPT | 33496 | Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) |
CPT | 33500 | Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass |
CPT | 33501 | Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass |
CPT | 33502 | Repair of anomalous coronary artery from pulmonary artery origin; by ligation |
CPT | 33503 | Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass |
CPT | 33504 | Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass |
CPT | 33505 | Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure) |
CPT | 33506 | Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta |
CPT | 33507 | Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation |
CPT | 33510 | Coronary artery bypass, vein only; single coronary venous graft |
CPT | 33511 | Coronary artery bypass, vein only; 2 coronary venous grafts |
CPT | 33512 | Coronary artery bypass, vein only; 3 coronary venous grafts |
CPT | 33513 | Coronary artery bypass, vein only; 4 coronary venous grafts |
CPT | 33514 | Coronary artery bypass, vein only; 5 coronary venous grafts |
CPT | 33516 | Coronary artery bypass, vein only; 6 or more coronary venous grafts |
CPT | 33533 | Coronary artery bypass, using arterial graft(s); single arterial graft |
CPT | 33534 | Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts |
CPT | 33535 | Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts |
CPT | 33536 | Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts |
CPT | 33542 | Myocardial resection (eg, ventricular aneurysmectomy) |
CPT | 33545 | Repair of postinfarction ventricular septal defect, with or without myocardial resection |
CPT | 33548 | Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures) |
CPT | 33600 | Closure of atrioventricular valve (mitral or tricuspid) by suture or patch |
CPT | 33602 | Closure of semilunar valve (aortic or pulmonary) by suture or patch |
CPT | 33606 | Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure) |
CPT | 33608 | Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery |
CPT | 33610 | Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect |
CPT | 33611 | Repair of double outlet right ventricle with intraventricular tunnel repair; |
CPT | 33612 | Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction |
CPT | 33615 | Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure) |
CPT | 33617 | Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure |
CPT | 33619 | Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure) |
CPT | 33620 | Application of right and left pulmonary artery bands (eg, hybrid approach stage 1) |
CPT | 33621 | Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1) |
CPT | 33622 | Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ventricle with aortic outflow obstruction and aortic arch hypoplasia, creation of cavopulmonary anastomosis, and removal of right and left pulmonary bands (eg, hybrid approach stage 2, Norwood, bidirectional Glenn, pulmonary artery debanding) |
CPT | 33641 | Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch |
CPT | 33645 | Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage |
CPT | 33647 | Repair of atrial septal defect and ventricular septal defect, with direct or patch closure |
CPT | 33660 | Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair |
CPT | 33665 | Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair |
CPT | 33670 | Repair of complete atrioventricular canal, with or without prosthetic valve |
CPT | 33675 | Closure of multiple ventricular septal defects; |
CPT | 33676 | Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) |
CPT | 33677 | Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset |
CPT | 33681 | Closure of single ventricular septal defect, with or without patch; |
CPT | 33684 | Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic) |
CPT | 33688 | Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset |
CPT | 33690 | Banding of pulmonary artery |
CPT | 33692 | Complete repair tetralogy of Fallot without pulmonary atresia; |
CPT | 33694 | Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch |
CPT | 33697 | Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect |
CPT | 33702 | Repair sinus of Valsalva fistula, with cardiopulmonary bypass; |
CPT | 33710 | Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect |
CPT | 33720 | Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass |
CPT | 33724 | Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome) |
CPT | 33726 | Repair of pulmonary venous stenosis |
CPT | 33730 | Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types) |
CPT | 33732 | Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane |
CPT | 33735 | Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation) |
CPT | 33736 | Atrial septectomy or septostomy; open heart with cardiopulmonary bypass |
CPT | 33741 | Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, any method (eg, Rashkind, Sang-Park, balloon, cutting balloon, blade) |
CPT | 33745 | Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when performed, left and right heart diagnostic cardiac catheterization for congenital cardiac anomalies, and target zone angioplasty, when performed (eg, atrial septum, Fontan fenestration, right ventricular outflow tract, Mustard/Senning/Warden baffles); initial intracardiac shunt |
CPT | 33750 | Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) |
CPT | 33755 | Shunt; ascending aorta to pulmonary artery (Waterston type operation) |
CPT | 33762 | Shunt; descending aorta to pulmonary artery (Potts-Smith type operation) |
CPT | 33764 | Shunt; central, with prosthetic graft |
CPT | 33766 | Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure) |
CPT | 33767 | Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) |
CPT | 33770 | Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect |
CPT | 33771 | Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect |
CPT | 33774 | Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; |
CPT | 33775 | Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band |
CPT | 33776 | Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect |
CPT | 33777 | Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction |
CPT | 33778 | Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); |
CPT | 33779 | Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band |
CPT | 33780 | Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect |
CPT | 33781 | Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction |
CPT | 33782 | Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation |
CPT | 33783 | Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia |
CPT | 33786 | Total repair, truncus arteriosus (Rastelli type operation) |
CPT | 33788 | Reimplantation of an anomalous pulmonary artery |
CPT | 33800 | Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure) |
CPT | 33802 | Division of aberrant vessel (vascular ring); |
CPT | 33803 | Division of aberrant vessel (vascular ring); with reanastomosis |
CPT | 33814 | Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass |
CPT | 33820 | Repair of patent ductus arteriosus; by ligation |
CPT | 33822 | Repair of patent ductus arteriosus; by division, younger than 18 years |
CPT | 33824 | Repair of patent ductus arteriosus; by division, 18 years and older |
CPT | 33840 | Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis |
CPT | 33845 | Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft |
CPT | 33851 | Excision of coarctation of aorta, with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement |
CPT | 33852 | Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass |
CPT | 33853 | Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass |
CPT | 33858 | Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection |
CPT | 33859 | Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm) |
CPT | 33863 | Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall) |
CPT | 33864 | Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure) |
CPT | 33871 | Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation) |
CPT | 33875 | Descending thoracic aorta graft, with or without bypass |
CPT | 33877 | Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass |
CPT | 33880 | Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin |
CPT | 33881 | Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin |
CPT | 33883 | Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); initial extension |
CPT | 33886 | Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta |
CPT | 33889 | Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision, unilateral |
CPT | 33891 | Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision |
CPT | 33894 | Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches |
CPT | 33895 | Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches |
CPT | 33897 | Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta |
CPT | 33900 | Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral |
CPT | 33901 | Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral |
CPT | 33902 | Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral |
CPT | 33903 | Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral |
CPT | 33910 | Pulmonary artery embolectomy; with cardiopulmonary bypass |
CPT | 33915 | Pulmonary artery embolectomy; without cardiopulmonary bypass |
CPT | 33916 | Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass |
CPT | 33917 | Repair of pulmonary artery stenosis by reconstruction with patch or graft |
CPT | 33920 | Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery |
CPT | 33922 | Transection of pulmonary artery with cardiopulmonary bypass |
CPT | 33925 | Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass |
CPT | 33926 | Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass |
CPT | 33927 | Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy |
CPT | 33928 | Removal and replacement of total replacement heart system (artificial heart) |
CPT | 33935 | Heart-lung transplant with recipient cardiectomy-pneumonectomy |
CPT | 33945 | Heart transplant, with or without recipient cardiectomy |
CPT | 33946 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous |
CPT | 33947 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-arterial |
CPT | 33948 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-venous |
CPT | 33949 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial |
CPT | 33951 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed) |
CPT | 33952 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed) |
CPT | 33953 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age |
CPT | 33954 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, 6 years and older |
CPT | 33955 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age |
CPT | 33956 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older |
CPT | 33957 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed) |
CPT | 33958 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed) |
CPT | 33959 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age (includes fluoroscopic guidance, when performed) |
CPT | 33962 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, 6 years and older (includes fluoroscopic guidance, when performed) |
CPT | 33963 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age (includes fluoroscopic guidance, when performed) |
CPT | 33964 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition central cannula(e) by sternotomy or thoracotomy, 6 years and older (includes fluoroscopic guidance, when performed) |
CPT | 33965 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age |
CPT | 33966 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older |
CPT | 33967 | Insertion of intra-aortic balloon assist device, percutaneous |
CPT | 33968 | Removal of intra-aortic balloon assist device, percutaneous |
CPT | 33969 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age |
CPT | 33970 | Insertion of intra-aortic balloon assist device through the femoral artery, open approach |
CPT | 33971 | Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft |
CPT | 33973 | Insertion of intra-aortic balloon assist device through the ascending aorta |
CPT | 33974 | Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft |
CPT | 33975 | Insertion of ventricular assist device; extracorporeal, single ventricle |
CPT | 33976 | Insertion of ventricular assist device; extracorporeal, biventricular |
CPT | 33977 | Removal of ventricular assist device; extracorporeal, single ventricle |
CPT | 33978 | Removal of ventricular assist device; extracorporeal, biventricular |
CPT | 33979 | Insertion of ventricular assist device, implantable intracorporeal, single ventricle |
CPT | 33980 | Removal of ventricular assist device, implantable intracorporeal, single ventricle |
CPT | 33981 | Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump |
CPT | 33982 | Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass |
CPT | 33983 | Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass |
CPT | 33984 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older |
CPT | 33985 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age |
CPT | 33986 | Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older |
CPT | 33988 | Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS |
CPT | 33989 | Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS |
CPT | 33990 | Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only |
CPT | 33991 | Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture |
CPT | 33992 | Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion |
CPT | 33993 | Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion |
CPT | 33995 | Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only |
CPT | 33997 | Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion |
CPT | 33999 | Unlisted procedure, cardiac surgery |
CPT | 34001 | Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision |
CPT | 34051 | Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision |
CPT | 34101 | Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision |
CPT | 34111 | Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision |
CPT | 34151 | Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision |
CPT | 34201 | Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision |
CPT | 34203 | Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision |
CPT | 34401 | Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision |
CPT | 34421 | Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision |
CPT | 34451 | Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision |
CPT | 34471 | Thrombectomy, direct or with catheter; subclavian vein, by neck incision |
CPT | 34490 | Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision |
CPT | 34501 | Valvuloplasty, femoral vein |
CPT | 34502 | Reconstruction of vena cava, any method |
CPT | 34510 | Venous valve transposition, any vein donor |
CPT | 34520 | Cross-over vein graft to venous system |
CPT | 34530 | Saphenopopliteal vein anastomosis |
CPT | 34701 | Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer) |
CPT | 34702 | Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption) |
CPT | 34703 | Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer) |
CPT | 34704 | Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption) |
CPT | 34705 | Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer) |
CPT | 34706 | Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption) |
CPT | 34707 | Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting, when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation) |
CPT | 34708 | Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting, when performed, unilateral; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, traumatic disruption) |
CPT | 34710 | Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting, when performed; initial vessel treated |
CPT | 34712 | Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation |
CPT | 34718 | Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, including pre-procedure sizing and device selection, all ipsilateral selective iliac artery catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally in the internal iliac, external iliac, and common femoral artery(ies), and treatment zone angioplasty/stenting, when performed, for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, penetrating ulcer), unilateral |
CPT | 34830 | Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis |
CPT | 34831 | Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis |
CPT | 34832 | Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis |
CPT | 34839 | Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time |
CPT | 34841 | Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery) |
CPT | 34842 | Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) |
CPT | 34843 | Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) |
CPT | 34844 | Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) |
CPT | 34845 | Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery) |
CPT | 34846 | Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) |
CPT | 34847 | Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) |
CPT | 34848 | Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) |
CPT | 35001 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, carotid, subclavian artery, by neck incision |
CPT | 35002 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision |
CPT | 35005 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, vertebral artery |
CPT | 35011 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision |
CPT | 35013 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, axillary-brachial artery, by arm incision |
CPT | 35021 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, innominate, subclavian artery, by thoracic incision |
CPT | 35022 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision |
CPT | 35045 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, radial or ulnar artery |
CPT | 35081 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta |
CPT | 35082 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta |
CPT | 35091 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving visceral vessels (mesenteric, celiac, renal) |
CPT | 35092 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving visceral vessels (mesenteric, celiac, renal) |
CPT | 35102 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving iliac vessels (common, hypogastric, external) |
CPT | 35103 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypogastric, external) |
CPT | 35111 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, splenic artery |
CPT | 35112 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery |
CPT | 35121 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, hepatic, celiac, renal, or mesenteric artery |
CPT | 35122 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric artery |
CPT | 35131 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, iliac artery (common, hypogastric, external) |
CPT | 35132 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, iliac artery (common, hypogastric, external) |
CPT | 35141 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, common femoral artery (profunda femoris, superficial femoral) |
CPT | 35142 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial femoral) |
CPT | 35151 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, popliteal artery |
CPT | 35152 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery |
CPT | 35180 | Repair, congenital arteriovenous fistula; head and neck |
CPT | 35182 | Repair, congenital arteriovenous fistula; thorax and abdomen |
CPT | 35184 | Repair, congenital arteriovenous fistula; extremities |
CPT | 35188 | Repair, acquired or traumatic arteriovenous fistula; head and neck |
CPT | 35189 | Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen |
CPT | 35190 | Repair, acquired or traumatic arteriovenous fistula; extremities |
CPT | 35201 | Repair blood vessel, direct; neck |
CPT | 35206 | Repair blood vessel, direct; upper extremity |
CPT | 35207 | Repair blood vessel, direct; hand, finger |
CPT | 35211 | Repair blood vessel, direct; intrathoracic, with bypass |
CPT | 35216 | Repair blood vessel, direct; intrathoracic, without bypass |
CPT | 35221 | Repair blood vessel, direct; intra-abdominal |
CPT | 35226 | Repair blood vessel, direct; lower extremity |
CPT | 35231 | Repair blood vessel with vein graft; neck |
CPT | 35236 | Repair blood vessel with vein graft; upper extremity |
CPT | 35241 | Repair blood vessel with vein graft; intrathoracic, with bypass |
CPT | 35246 | Repair blood vessel with vein graft; intrathoracic, without bypass |
CPT | 35251 | Repair blood vessel with vein graft; intra-abdominal |
CPT | 35256 | Repair blood vessel with vein graft; lower extremity |
CPT | 35261 | Repair blood vessel with graft other than vein; neck |
CPT | 35266 | Repair blood vessel with graft other than vein; upper extremity |
CPT | 35271 | Repair blood vessel with graft other than vein; intrathoracic, with bypass |
CPT | 35276 | Repair blood vessel with graft other than vein; intrathoracic, without bypass |
CPT | 35281 | Repair blood vessel with graft other than vein; intra-abdominal |
CPT | 35286 | Repair blood vessel with graft other than vein; lower extremity |
CPT | 35301 | Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision |
CPT | 35302 | Thromboendarterectomy, including patch graft, if performed; superficial femoral artery |
CPT | 35303 | Thromboendarterectomy, including patch graft, if performed; popliteal artery |
CPT | 35304 | Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery |
CPT | 35305 | Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel |
CPT | 35311 | Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision |
CPT | 35321 | Thromboendarterectomy, including patch graft, if performed; axillary-brachial |
CPT | 35331 | Thromboendarterectomy, including patch graft, if performed; abdominal aorta |
CPT | 35341 | Thromboendarterectomy, including patch graft, if performed; mesenteric, celiac, or renal |
CPT | 35351 | Thromboendarterectomy, including patch graft, if performed; iliac |
CPT | 35355 | Thromboendarterectomy, including patch graft, if performed; iliofemoral |
CPT | 35361 | Thromboendarterectomy, including patch graft, if performed; combined aortoiliac |
CPT | 35363 | Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral |
CPT | 35371 | Thromboendarterectomy, including patch graft, if performed; common femoral |
CPT | 35372 | Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral |
CPT | 35501 | Bypass graft, with vein; common carotid-ipsilateral internal carotid |
CPT | 35506 | Bypass graft, with vein; carotid-subclavian or subclavian-carotid |
CPT | 35508 | Bypass graft, with vein; carotid-vertebral |
CPT | 35509 | Bypass graft, with vein; carotid-contralateral carotid |
CPT | 35510 | Bypass graft, with vein; carotid-brachial |
CPT | 35511 | Bypass graft, with vein; subclavian-subclavian |
CPT | 35512 | Bypass graft, with vein; subclavian-brachial |
CPT | 35515 | Bypass graft, with vein; subclavian-vertebral |
CPT | 35516 | Bypass graft, with vein; subclavian-axillary |
CPT | 35518 | Bypass graft, with vein; axillary-axillary |
CPT | 35521 | Bypass graft, with vein; axillary-femoral |
CPT | 35522 | Bypass graft, with vein; axillary-brachial |
CPT | 35523 | Bypass graft, with vein; brachial-ulnar or -radial |
CPT | 35525 | Bypass graft, with vein; brachial-brachial |
CPT | 35526 | Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid |
CPT | 35531 | Bypass graft, with vein; aortoceliac or aortomesenteric |
CPT | 35533 | Bypass graft, with vein; axillary-femoral-femoral |
CPT | 35535 | Bypass graft, with vein; hepatorenal |
CPT | 35536 | Bypass graft, with vein; splenorenal |
CPT | 35537 | Bypass graft, with vein; aortoiliac |
CPT | 35538 | Bypass graft, with vein; aortobi-iliac |
CPT | 35539 | Bypass graft, with vein; aortofemoral |
CPT | 35540 | Bypass graft, with vein; aortobifemoral |
CPT | 35556 | Bypass graft, with vein; femoral-popliteal |
CPT | 35558 | Bypass graft, with vein; femoral-femoral |
CPT | 35560 | Bypass graft, with vein; aortorenal |
CPT | 35563 | Bypass graft, with vein; ilioiliac |
CPT | 35565 | Bypass graft, with vein; iliofemoral |
CPT | 35566 | Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels |
CPT | 35570 | Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial |
CPT | 35571 | Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels |
CPT | 35583 | In-situ vein bypass; femoral-popliteal |
CPT | 35585 | In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery |
CPT | 35587 | In-situ vein bypass; popliteal-tibial, peroneal |
CPT | 35601 | Bypass graft, with other than vein; common carotid-ipsilateral internal carotid |
CPT | 35606 | Bypass graft, with other than vein; carotid-subclavian |
CPT | 35612 | Bypass graft, with other than vein; subclavian-subclavian |
CPT | 35616 | Bypass graft, with other than vein; subclavian-axillary |
CPT | 35621 | Bypass graft, with other than vein; axillary-femoral |
CPT | 35623 | Bypass graft, with other than vein; axillary-popliteal or -tibial |
CPT | 35626 | Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid |
CPT | 35631 | Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal |
CPT | 35632 | Bypass graft, with other than vein; ilio-celiac |
CPT | 35633 | Bypass graft, with other than vein; ilio-mesenteric |
CPT | 35634 | Bypass graft, with other than vein; iliorenal |
CPT | 35636 | Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis) |
CPT | 35637 | Bypass graft, with other than vein; aortoiliac |
CPT | 35638 | Bypass graft, with other than vein; aortobi-iliac |
CPT | 35642 | Bypass graft, with other than vein; carotid-vertebral |
CPT | 35645 | Bypass graft, with other than vein; subclavian-vertebral |
CPT | 35646 | Bypass graft, with other than vein; aortobifemoral |
CPT | 35647 | Bypass graft, with other than vein; aortofemoral |
CPT | 35650 | Bypass graft, with other than vein; axillary-axillary |
CPT | 35654 | Bypass graft, with other than vein; axillary-femoral-femoral |
CPT | 35656 | Bypass graft, with other than vein; femoral-popliteal |
CPT | 35661 | Bypass graft, with other than vein; femoral-femoral |
CPT | 35663 | Bypass graft, with other than vein; ilioiliac |
CPT | 35665 | Bypass graft, with other than vein; iliofemoral |
CPT | 35666 | Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery |
CPT | 35671 | Bypass graft, with other than vein; popliteal-tibial or -peroneal artery |
CPT | 35691 | Transposition and/or reimplantation; vertebral to carotid artery |
CPT | 35693 | Transposition and/or reimplantation; vertebral to subclavian artery |
CPT | 35694 | Transposition and/or reimplantation; subclavian to carotid artery |
CPT | 35695 | Transposition and/or reimplantation; carotid to subclavian artery |
CPT | 35701 | Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian) |
CPT | 35702 | Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar) |
CPT | 35703 | Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal) |
CPT | 35800 | Exploration for postoperative hemorrhage, thrombosis or infection; neck |
CPT | 35820 | Exploration for postoperative hemorrhage, thrombosis or infection; chest |
CPT | 35840 | Exploration for postoperative hemorrhage, thrombosis or infection; abdomen |
CPT | 35860 | Exploration for postoperative hemorrhage, thrombosis or infection; extremity |
CPT | 35870 | Repair of graft-enteric fistula |
CPT | 35875 | Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); |
CPT | 35876 | Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft |
CPT | 35879 | Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty |
CPT | 35881 | Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition |
CPT | 35883 | Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium) |
CPT | 35884 | Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft |
CPT | 35901 | Excision of infected graft; neck |
CPT | 35903 | Excision of infected graft; extremity |
CPT | 35905 | Excision of infected graft; thorax |
CPT | 35907 | Excision of infected graft; abdomen |
CPT | 36000 | Introduction of needle or intracatheter, vein |
CPT | 36002 | Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm |
CPT | 36010 | Introduction of catheter, superior or inferior vena cava |
CPT | 36011 | Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) |
CPT | 36012 | Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) |
CPT | 36013 | Introduction of catheter, right heart or main pulmonary artery |
CPT | 36014 | Selective catheter placement, left or right pulmonary artery |
CPT | 36015 | Selective catheter placement, segmental or subsegmental pulmonary artery |
CPT | 36100 | Introduction of needle or intracatheter, carotid or vertebral artery |
CPT | 36140 | Introduction of needle or intracatheter, upper or lower extremity artery |
CPT | 36160 | Introduction of needle or intracatheter, aortic, translumbar |
CPT | 36200 | Introduction of catheter, aorta |
CPT | 36215 | Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family |
CPT | 36216 | Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family |
CPT | 36217 | Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family |
CPT | 36221 | Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed |
CPT | 36222 | Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed |
CPT | 36223 | Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed |
CPT | 36224 | Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed |
CPT | 36225 | Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed |
CPT | 36226 | Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed |
CPT | 36245 | Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family |
CPT | 36246 | Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family |
CPT | 36247 | Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family |
CPT | 36251 | Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral |
CPT | 36252 | Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral |
CPT | 36253 | Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheterization, fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral |
CPT | 36254 | Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheterization, fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral |
CPT | 36260 | Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) |
CPT | 36261 | Revision of implanted intra-arterial infusion pump |
CPT | 36262 | Removal of implanted intra-arterial infusion pump |
CPT | 36299 | Unlisted procedure, vascular injection |
CPT | 36400 | Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein |
CPT | 36405 | Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein |
CPT | 36406 | Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein |
CPT | 36410 | Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture) |
CPT | 36430 | Transfusion, blood or blood components |
CPT | 36440 | Push transfusion, blood, 2 years or younger |
CPT | 36450 | Exchange transfusion, blood; newborn |
CPT | 36455 | Exchange transfusion, blood; other than newborn |
CPT | 36456 | Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn |
CPT | 36460 | Transfusion, intrauterine, fetal |
CPT | 36465 | Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein) |
CPT | 36466 | Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg |
CPT | 36468 | Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk |
CPT | 36470 | Injection of sclerosant; single incompetent vein (other than telangiectasia) |
CPT | 36471 | Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg |
CPT | 36473 | Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated |
CPT | 36475 | Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated |
CPT | 36478 | Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated |
CPT | 36481 | Percutaneous portal vein catheterization by any method |
CPT | 36482 | Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated |
CPT | 36500 | Venous catheterization for selective organ blood sampling |
CPT | 36510 | Catheterization of umbilical vein for diagnosis or therapy, newborn |
CPT | 36511 | Therapeutic apheresis; for white blood cells |
CPT | 36512 | Therapeutic apheresis; for red blood cells |
CPT | 36513 | Therapeutic apheresis; for platelets |
CPT | 36514 | Therapeutic apheresis; for plasma pheresis |
CPT | 36516 | Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion |
CPT | 36522 | Photopheresis, extracorporeal |
CPT | 36555 | Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age |
CPT | 36556 | Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older |
CPT | 36557 | Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age |
CPT | 36558 | Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older |
CPT | 36560 | Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age |
CPT | 36561 | Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older |
CPT | 36563 | Insertion of tunneled centrally inserted central venous access device with subcutaneous pump |
CPT | 36565 | Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) |
CPT | 36566 | Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) |
CPT | 36568 | Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age |
CPT | 36569 | Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older |
CPT | 36570 | Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age |
CPT | 36571 | Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older |
CPT | 36572 | Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age |
CPT | 36573 | Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older |
CPT | 36575 | Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site |
CPT | 36576 | Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site |
CPT | 36578 | Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site |
CPT | 36580 | Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access |
CPT | 36581 | Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access |
CPT | 36582 | Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access |
CPT | 36583 | Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access |
CPT | 36584 | Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement |
CPT | 36585 | Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access |
CPT | 36589 | Removal of tunneled central venous catheter, without subcutaneous port or pump |
CPT | 36590 | Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion |
CPT | 36591 | Collection of blood specimen from a completely implantable venous access device |
CPT | 36592 | Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified |
CPT | 36593 | Declotting by thrombolytic agent of implanted vascular access device or catheter |
CPT | 36595 | Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access |
CPT | 36596 | Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen |
CPT | 36597 | Repositioning of previously placed central venous catheter under fluoroscopic guidance |
CPT | 36600 | Arterial puncture, withdrawal of blood for diagnosis |
CPT | 36620 | Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous |
CPT | 36625 | Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown |
CPT | 36640 | Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown |
CPT | 36660 | Catheterization, umbilical artery, newborn, for diagnosis or therapy |
CPT | 36680 | Placement of needle for intraosseous infusion |
CPT | 36800 | Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein |
CPT | 36810 | Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) |
CPT | 36815 | Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure |
CPT | 36818 | Arteriovenous anastomosis, open; by upper arm cephalic vein transposition |
CPT | 36819 | Arteriovenous anastomosis, open; by upper arm basilic vein transposition |
CPT | 36820 | Arteriovenous anastomosis, open; by forearm vein transposition |
CPT | 36821 | Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) |
CPT | 36823 | Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) and repair of arteriotomy and venotomy sites |
CPT | 36825 | Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft |
CPT | 36830 | Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) |
CPT | 36831 | Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) |
CPT | 36832 | Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) |
CPT | 36833 | Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) |
CPT | 36835 | Insertion of Thomas shunt (separate procedure) |
CPT | 36836 | Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angioplasty, coil embolization) when performed, including all vascular access, imaging guidance and radiologic supervision and interpretation |
CPT | 36837 | Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angioplasty, coil embolization) when performed, including all vascular access, imaging guidance and radiologic supervision and interpretation |
CPT | 36838 | Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) |
CPT | 36860 | External cannula declotting (separate procedure); without balloon catheter |
CPT | 36861 | External cannula declotting (separate procedure); with balloon catheter |
CPT | 36902 | Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty |
CPT | 36903 | Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis segment |
CPT | 36904 | Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s); |
CPT | 36905 | Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s); with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty |
CPT | 36906 | Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s); with transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis circuit |
CPT | 37140 | Venous anastomosis, open; portocaval |
CPT | 37145 | Venous anastomosis, open; renoportal |
CPT | 37160 | Venous anastomosis, open; caval-mesenteric |
CPT | 37180 | Venous anastomosis, open; splenorenal, proximal |
CPT | 37181 | Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) |
CPT | 37182 | Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract formation/dilatation, stent placement and all associated imaging guidance and documentation) |
CPT | 37183 | Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation) |
CPT | 37184 | Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel |
CPT | 37187 | Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance |
CPT | 37188 | Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during course of thrombolytic therapy |
CPT | 37191 | Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed |
CPT | 37192 | Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed |
CPT | 37193 | Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed |
CPT | 37195 | Thrombolysis, cerebral, by intravenous infusion |
CPT | 37197 | Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed |
CPT | 37211 | Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day |
CPT | 37212 | Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day |
CPT | 37213 | Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed; |
CPT | 37214 | Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed; cessation of thrombolysis including removal of catheter and vessel closure by any method |
CPT | 37215 | Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal embolic protection |
CPT | 37216 | Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal embolic protection |
CPT | 37217 | Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angioplasty, when performed, and radiological supervision and interpretation |
CPT | 37218 | Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiological supervision and interpretation |
CPT | 37220 | Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty |
CPT | 37221 | Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed |
CPT | 37224 | Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty |
CPT | 37225 | Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed |
CPT | 37226 | Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed |
CPT | 37227 | Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed |
CPT | 37228 | Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty |
CPT | 37229 | Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed |
CPT | 37230 | Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed |
CPT | 37231 | Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed |
CPT | 37236 | Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery |
CPT | 37238 | Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein |
CPT | 37241 | Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles) |
CPT | 37242 | Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms) |
CPT | 37243 | Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction |
CPT | 37244 | Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation |
CPT | 37246 | Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery |
CPT | 37248 | Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein |
CPT | 37500 | Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) |
CPT | 37501 | Unlisted vascular endoscopy procedure |
CPT | 37565 | Ligation, internal jugular vein |
CPT | 37600 | Ligation; external carotid artery |
CPT | 37605 | Ligation; internal or common carotid artery |
CPT | 37606 | Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp |
CPT | 37607 | Ligation or banding of angioaccess arteriovenous fistula |
CPT | 37609 | Ligation or biopsy, temporal artery |
CPT | 37615 | Ligation, major artery (eg, post-traumatic, rupture); neck |
CPT | 37616 | Ligation, major artery (eg, post-traumatic, rupture); chest |
CPT | 37617 | Ligation, major artery (eg, post-traumatic, rupture); abdomen |
CPT | 37618 | Ligation, major artery (eg, post-traumatic, rupture); extremity |
CPT | 37619 | Ligation of inferior vena cava |
CPT | 37650 | Ligation of femoral vein |
CPT | 37660 | Ligation of common iliac vein |
CPT | 37700 | Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions |
CPT | 37718 | Ligation, division, and stripping, short saphenous vein |
CPT | 37722 | Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below |
CPT | 37735 | Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of deep fascia |
CPT | 37760 | Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg |
CPT | 37761 | Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg |
CPT | 37765 | Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions |
CPT | 37766 | Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions |
CPT | 37780 | Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) |
CPT | 37785 | Ligation, division, and/or excision of varicose vein cluster(s), 1 leg |
CPT | 37788 | Penile revascularization, artery, with or without vein graft |
CPT | 37790 | Penile venous occlusive procedure |
CPT | 37799 | Unlisted procedure, vascular surgery |
CPT | 38100 | Splenectomy; total (separate procedure) |
CPT | 38101 | Splenectomy; partial (separate procedure) |
CPT | 38115 | Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy |
CPT | 38120 | Laparoscopy, surgical, splenectomy |
CPT | 38129 | Unlisted laparoscopy procedure, spleen |
CPT | 38204 | Management of recipient hematopoietic progenitor cell donor search and cell acquisition |
CPT | 38205 | Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic |
CPT | 38206 | Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous |
CPT | 38207 | Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage |
CPT | 38208 | Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor |
CPT | 38209 | Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor |
CPT | 38210 | Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion |
CPT | 38211 | Transplant preparation of hematopoietic progenitor cells; tumor cell depletion |
CPT | 38212 | Transplant preparation of hematopoietic progenitor cells; red blood cell removal |
CPT | 38213 | Transplant preparation of hematopoietic progenitor cells; platelet depletion |
CPT | 38214 | Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion |
CPT | 38215 | Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer |
CPT | 38225 | Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day |
CPT | 38228 | Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous |
CPT | 38230 | Bone marrow harvesting for transplantation; allogeneic |
CPT | 38232 | Bone marrow harvesting for transplantation; autologous |
CPT | 38240 | Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor |
CPT | 38241 | Hematopoietic progenitor cell (HPC); autologous transplantation |
CPT | 38242 | Allogeneic lymphocyte infusions |
CPT | 38243 | Hematopoietic progenitor cell (HPC); HPC boost |
CPT | 38300 | Drainage of lymph node abscess or lymphadenitis; simple |
CPT | 38305 | Drainage of lymph node abscess or lymphadenitis; extensive |
CPT | 38308 | Lymphangiotomy or other operations on lymphatic channels |
CPT | 38380 | Suture and/or ligation of thoracic duct; cervical approach |
CPT | 38381 | Suture and/or ligation of thoracic duct; thoracic approach |
CPT | 38382 | Suture and/or ligation of thoracic duct; abdominal approach |
CPT | 38500 | Biopsy or excision of lymph node(s); open, superficial |
CPT | 38505 | Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) |
CPT | 38510 | Biopsy or excision of lymph node(s); open, deep cervical node(s) |
CPT | 38520 | Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad |
CPT | 38525 | Biopsy or excision of lymph node(s); open, deep axillary node(s) |
CPT | 38530 | Biopsy or excision of lymph node(s); open, internal mammary node(s) |
CPT | 38542 | Dissection, deep jugular node(s) |
CPT | 38550 | Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection |
CPT | 38555 | Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection |
CPT | 38562 | Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic |
CPT | 38564 | Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) |
CPT | 38570 | Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple |
CPT | 38571 | Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy |
CPT | 38572 | Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple |
CPT | 38573 | Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed |
CPT | 38589 | Unlisted laparoscopy procedure, lymphatic system |
CPT | 38700 | Suprahyoid lymphadenectomy |
CPT | 38720 | Cervical lymphadenectomy (complete) |
CPT | 38724 | Cervical lymphadenectomy (modified radical neck dissection) |
CPT | 38740 | Axillary lymphadenectomy; superficial |
CPT | 38745 | Axillary lymphadenectomy; complete |
CPT | 38760 | Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) |
CPT | 38765 | Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) |
CPT | 38770 | Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) |
CPT | 38780 | Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) |
CPT | 38794 | Cannulation, thoracic duct |
CPT | 38999 | Unlisted procedure, hemic or lymphatic system |
CPT | 39000 | Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach |
CPT | 39010 | Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy |
CPT | 39200 | Resection of mediastinal cyst |
CPT | 39220 | Resection of mediastinal tumor |
CPT | 39499 | Unlisted procedure, mediastinum |
CPT | 39501 | Repair, laceration of diaphragm, any approach |
CPT | 39503 | Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia |
CPT | 39540 | Repair, diaphragmatic hernia (other than neonatal), traumatic; acute |
CPT | 39541 | Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic |
CPT | 39545 | Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic |
CPT | 39560 | Resection, diaphragm; with simple repair (eg, primary suture) |
CPT | 39561 | Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) |
CPT | 39599 | Unlisted procedure, diaphragm |
CPT | 40500 | Vermilionectomy (lip shave), with mucosal advancement |
CPT | 40510 | Excision of lip; transverse wedge excision with primary closure |
CPT | 40520 | Excision of lip; V-excision with primary direct linear closure |
CPT | 40525 | Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) |
CPT | 40527 | Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) |
CPT | 40530 | Resection of lip, more than one-fourth, without reconstruction |
CPT | 40650 | Repair lip, full thickness; vermilion only |
CPT | 40652 | Repair lip, full thickness; up to half vertical height |
CPT | 40654 | Repair lip, full thickness; over one-half vertical height, or complex |
CPT | 40700 | Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral |
CPT | 40701 | Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure |
CPT | 40702 | Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages |
CPT | 40720 | Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure |
CPT | 40761 | Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle |
CPT | 40799 | Unlisted procedure, lips |
CPT | 40800 | Drainage of abscess, cyst, hematoma, vestibule of mouth; simple |
CPT | 40801 | Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated |
CPT | 40804 | Removal of embedded foreign body, vestibule of mouth; simple |
CPT | 40805 | Removal of embedded foreign body, vestibule of mouth; complicated |
CPT | 40806 | Incision of labial frenum (frenotomy) |
CPT | 40810 | Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair |
CPT | 40812 | Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair |
CPT | 40814 | Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair |
CPT | 40816 | Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle |
CPT | 40818 | Excision of mucosa of vestibule of mouth as donor graft |
CPT | 40819 | Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) |
CPT | 40820 | Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) |
CPT | 40830 | Closure of laceration, vestibule of mouth; 2.5 cm or less |
CPT | 40831 | Closure of laceration, vestibule of mouth; over 2.5 cm or complex |
CPT | 40840 | Vestibuloplasty; anterior |
CPT | 40842 | Vestibuloplasty; posterior, unilateral |
CPT | 40843 | Vestibuloplasty; posterior, bilateral |
CPT | 40844 | Vestibuloplasty; entire arch |
CPT | 40845 | Vestibuloplasty; complex (including ridge extension, muscle repositioning) |
CPT | 40899 | Unlisted procedure, vestibule of mouth |
CPT | 41000 | Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual |
CPT | 41005 | Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial |
CPT | 41006 | Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid |
CPT | 41007 | Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space |
CPT | 41008 | Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space |
CPT | 41009 | Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space |
CPT | 41010 | Incision of lingual frenum (frenotomy) |
CPT | 41015 | Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual |
CPT | 41016 | Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental |
CPT | 41017 | Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular |
CPT | 41018 | Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space |
CPT | 41110 | Excision of lesion of tongue without closure |
CPT | 41112 | Excision of lesion of tongue with closure; anterior two-thirds |
CPT | 41113 | Excision of lesion of tongue with closure; posterior one-third |
CPT | 41114 | Excision of lesion of tongue with closure; with local tongue flap |
CPT | 41115 | Excision of lingual frenum (frenectomy) |
CPT | 41116 | Excision, lesion of floor of mouth |
CPT | 41120 | Glossectomy; less than one-half tongue |
CPT | 41130 | Glossectomy; hemiglossectomy |
CPT | 41135 | Glossectomy; partial, with unilateral radical neck dissection |
CPT | 41140 | Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection |
CPT | 41145 | Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection |
CPT | 41150 | Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection |
CPT | 41153 | Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection |
CPT | 41155 | Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) |
CPT | 41250 | Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue |
CPT | 41251 | Repair of laceration 2.5 cm or less; posterior one-third of tongue |
CPT | 41252 | Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex |
CPT | 41510 | Suture of tongue to lip for micrognathia (Douglas type procedure) |
CPT | 41512 | Tongue base suspension, permanent suture technique |
CPT | 41520 | Frenoplasty (surgical revision of frenum, eg, with Z-plasty) |
CPT | 41530 | Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session |
CPT | 41599 | Unlisted procedure, tongue, floor of mouth |
CPT | 41800 | Drainage of abscess, cyst, hematoma from dentoalveolar structures |
CPT | 41805 | Removal of embedded foreign body from dentoalveolar structures; soft tissues |
CPT | 41806 | Removal of embedded foreign body from dentoalveolar structures; bone |
CPT | 41820 | Gingivectomy, excision gingiva, each quadrant |
CPT | 41821 | Operculectomy, excision pericoronal tissues |
CPT | 41822 | Excision of fibrous tuberosities, dentoalveolar structures |
CPT | 41823 | Excision of osseous tuberosities, dentoalveolar structures |
CPT | 41825 | Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair |
CPT | 41826 | Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair |
CPT | 41827 | Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair |
CPT | 41828 | Excision of hyperplastic alveolar mucosa, each quadrant (specify) |
CPT | 41830 | Alveolectomy, including curettage of osteitis or sequestrectomy |
CPT | 41850 | Destruction of lesion (except excision), dentoalveolar structures |
CPT | 41870 | Periodontal mucosal grafting |
CPT | 41872 | Gingivoplasty, each quadrant (specify) |
CPT | 41874 | Alveoloplasty, each quadrant (specify) |
CPT | 41899 | Unlisted procedure, dentoalveolar structures |
CPT | 42000 | Drainage of abscess of palate, uvula |
CPT | 42104 | Excision, lesion of palate, uvula; without closure |
CPT | 42106 | Excision, lesion of palate, uvula; with simple primary closure |
CPT | 42107 | Excision, lesion of palate, uvula; with local flap closure |
CPT | 42120 | Resection of palate or extensive resection of lesion |
CPT | 42140 | Uvulectomy, excision of uvula |
CPT | 42145 | Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) |
CPT | 42160 | Destruction of lesion, palate or uvula (thermal, cryo or chemical) |
CPT | 42180 | Repair, laceration of palate; up to 2 cm |
CPT | 42182 | Repair, laceration of palate; over 2 cm or complex |
CPT | 42200 | Palatoplasty for cleft palate, soft and/or hard palate only |
CPT | 42205 | Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only |
CPT | 42210 | Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) |
CPT | 42215 | Palatoplasty for cleft palate; major revision |
CPT | 42220 | Palatoplasty for cleft palate; secondary lengthening procedure |
CPT | 42225 | Palatoplasty for cleft palate; attachment pharyngeal flap |
CPT | 42226 | Lengthening of palate, and pharyngeal flap |
CPT | 42227 | Lengthening of palate, with island flap |
CPT | 42235 | Repair of anterior palate, including vomer flap |
CPT | 42260 | Repair of nasolabial fistula |
CPT | 42280 | Maxillary impression for palatal prosthesis |
CPT | 42281 | Insertion of pin-retained palatal prosthesis |
CPT | 42299 | Unlisted procedure, palate, uvula |
CPT | 42300 | Drainage of abscess; parotid, simple |
CPT | 42305 | Drainage of abscess; parotid, complicated |
CPT | 42310 | Drainage of abscess; submaxillary or sublingual, intraoral |
CPT | 42320 | Drainage of abscess; submaxillary, external |
CPT | 42330 | Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral |
CPT | 42335 | Sialolithotomy; submandibular (submaxillary), complicated, intraoral |
CPT | 42340 | Sialolithotomy; parotid, extraoral or complicated intraoral |
CPT | 42408 | Excision of sublingual salivary cyst (ranula) |
CPT | 42409 | Marsupialization of sublingual salivary cyst (ranula) |
CPT | 42410 | Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection |
CPT | 42415 | Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve |
CPT | 42420 | Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve |
CPT | 42425 | Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve |
CPT | 42426 | Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection |
CPT | 42440 | Excision of submandibular (submaxillary) gland |
CPT | 42450 | Excision of sublingual gland |
CPT | 42500 | Plastic repair of salivary duct, sialodochoplasty; primary or simple |
CPT | 42505 | Plastic repair of salivary duct, sialodochoplasty; secondary or complicated |
CPT | 42507 | Parotid duct diversion, bilateral (Wilke type procedure); |
CPT | 42509 | Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands |
CPT | 42510 | Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts |
CPT | 42600 | Closure salivary fistula |
CPT | 42650 | Dilation salivary duct |
CPT | 42660 | Dilation and catheterization of salivary duct, with or without injection |
CPT | 42665 | Ligation salivary duct, intraoral |
CPT | 42699 | Unlisted procedure, salivary glands or ducts |
CPT | 42700 | Incision and drainage abscess; peritonsillar |
CPT | 42720 | Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach |
CPT | 42725 | Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach |
CPT | 42808 | Excision or destruction of lesion of pharynx, any method |
CPT | 42809 | Removal of foreign body from pharynx |
CPT | 42810 | Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues |
CPT | 42815 | Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx |
CPT | 42820 | Tonsillectomy and adenoidectomy; younger than age 12 |
CPT | 42821 | Tonsillectomy and adenoidectomy; age 12 or over |
CPT | 42825 | Tonsillectomy, primary or secondary; younger than age 12 |
CPT | 42826 | Tonsillectomy, primary or secondary; age 12 or over |
CPT | 42830 | Adenoidectomy, primary; younger than age 12 |
CPT | 42831 | Adenoidectomy, primary; age 12 or over |
CPT | 42835 | Adenoidectomy, secondary; younger than age 12 |
CPT | 42836 | Adenoidectomy, secondary; age 12 or over |
CPT | 42842 | Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure |
CPT | 42844 | Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) |
CPT | 42845 | Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap |
CPT | 42860 | Excision of tonsil tags |
CPT | 42870 | Excision or destruction lingual tonsil, any method (separate procedure) |
CPT | 42890 | Limited pharyngectomy |
CPT | 42892 | Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls |
CPT | 42894 | Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis |
CPT | 42900 | Suture pharynx for wound or injury |
CPT | 42950 | Pharyngoplasty (plastic or reconstructive operation on pharynx) |
CPT | 42953 | Pharyngoesophageal repair |
CPT | 42955 | Pharyngostomy (fistulization of pharynx, external for feeding) |
CPT | 42960 | Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple |
CPT | 42961 | Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization |
CPT | 42962 | Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention |
CPT | 42970 | Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery |
CPT | 42971 | Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization |
CPT | 42972 | Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention |
CPT | 42975 | Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic |
CPT | 42999 | Unlisted procedure, pharynx, adenoids, or tonsils |
CPT | 43020 | Esophagotomy, cervical approach, with removal of foreign body |
CPT | 43030 | Cricopharyngeal myotomy |
CPT | 43045 | Esophagotomy, thoracic approach, with removal of foreign body |
CPT | 43100 | Excision of lesion, esophagus, with primary repair; cervical approach |
CPT | 43101 | Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach |
CPT | 43107 | Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) |
CPT | 43108 | Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) |
CPT | 43112 | Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) |
CPT | 43113 | Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) |
CPT | 43116 | Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction |
CPT | 43117 | Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor Lewis) |
CPT | 43118 | Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) |
CPT | 43121 | Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty |
CPT | 43122 | Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty |
CPT | 43123 | Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) |
CPT | 43124 | Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy |
CPT | 43130 | Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach |
CPT | 43135 | Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach |
CPT | 43180 | Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed |
CPT | 43191 | Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) |
CPT | 43192 | Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance |
CPT | 43194 | Esophagoscopy, rigid, transoral; with removal of foreign body(s) |
CPT | 43195 | Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) |
CPT | 43196 | Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire |
CPT | 43197 | Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
CPT | 43200 | Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
CPT | 43201 | Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance |
CPT | 43202 | Esophagoscopy, flexible, transoral; with biopsy, single or multiple |
CPT | 43204 | Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices |
CPT | 43205 | Esophagoscopy, flexible, transoral; with band ligation of esophageal varices |
CPT | 43206 | Esophagoscopy, flexible, transoral; with optical endomicroscopy |
CPT | 43210 | Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed |
CPT | 43211 | Esophagoscopy, flexible, transoral; with endoscopic mucosal resection |
CPT | 43212 | Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) |
CPT | 43213 | Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) |
CPT | 43214 | Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) |
CPT | 43215 | Esophagoscopy, flexible, transoral; with removal of foreign body(s) |
CPT | 43216 | Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
CPT | 43217 | Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
CPT | 43220 | Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) |
CPT | 43226 | Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire |
CPT | 43227 | Esophagoscopy, flexible, transoral; with control of bleeding, any method |
CPT | 43229 | Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) |
CPT | 43231 | Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination |
CPT | 43232 | Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) |
CPT | 43233 | Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) |
CPT | 43235 | Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
CPT | 43236 | Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance |
CPT | 43237 | Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures |
CPT | 43238 | Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures) |
CPT | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
CPT | 43240 | Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed) |
CPT | 43241 | Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter |
CPT | 43242 | Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis) |
CPT | 43243 | Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices |
CPT | 43244 | Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices |
CPT | 43245 | Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) |
CPT | 43246 | Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube |
CPT | 43247 | Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) |
CPT | 43248 | Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire |
CPT | 43249 | Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) |
CPT | 43250 | Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
CPT | 43251 | Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
CPT | 43252 | Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy |
CPT | 43253 | Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis) |
CPT | 43254 | Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection |
CPT | 43255 | Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method |
CPT | 43257 | Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease |
CPT | 43259 | Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis |
CPT | 43260 | Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
CPT | 43261 | Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple |
CPT | 43262 | Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy |
CPT | 43263 | Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi |
CPT | 43264 | Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) |
CPT | 43265 | Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) |
CPT | 43266 | Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) |
CPT | 43270 | Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) |
CPT | 43274 | Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent |
CPT | 43275 | Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) |
CPT | 43276 | Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged |
CPT | 43277 | Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct |
CPT | 43278 | Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed |
CPT | 43279 | Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed |
CPT | 43280 | Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) |
CPT | 43281 | Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh |
CPT | 43282 | Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh |
CPT | 43284 | Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed |
CPT | 43285 | Removal of esophageal sphincter augmentation device |
CPT | 43286 | Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy) |
CPT | 43287 | Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy) |
CPT | 43288 | Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy) |
CPT | 43289 | Unlisted laparoscopy procedure, esophagus |
CPT | 43290 | Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon |
CPT | 43291 | Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) |
CPT | 43300 | Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula |
CPT | 43305 | Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula |
CPT | 43310 | Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula |
CPT | 43312 | Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula |
CPT | 43313 | Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula |
CPT | 43314 | Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula |
CPT | 43320 | Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach |
CPT | 43325 | Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) |
CPT | 43327 | Esophagogastric fundoplasty partial or complete; laparotomy |
CPT | 43328 | Esophagogastric fundoplasty partial or complete; thoracotomy |
CPT | 43330 | Esophagomyotomy (Heller type); abdominal approach |
CPT | 43331 | Esophagomyotomy (Heller type); thoracic approach |
CPT | 43332 | Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis |
CPT | 43333 | Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis |
CPT | 43334 | Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis |
CPT | 43335 | Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis |
CPT | 43336 | Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis |
CPT | 43337 | Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis |
CPT | 43340 | Esophagojejunostomy (without total gastrectomy); abdominal approach |
CPT | 43341 | Esophagojejunostomy (without total gastrectomy); thoracic approach |
CPT | 43351 | Esophagostomy, fistulization of esophagus, external; thoracic approach |
CPT | 43352 | Esophagostomy, fistulization of esophagus, external; cervical approach |
CPT | 43360 | Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty |
CPT | 43361 | Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) |
CPT | 43400 | Ligation, direct, esophageal varices |
CPT | 43405 | Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation |
CPT | 43410 | Suture of esophageal wound or injury; cervical approach |
CPT | 43415 | Suture of esophageal wound or injury; transthoracic or transabdominal approach |
CPT | 43420 | Closure of esophagostomy or fistula; cervical approach |
CPT | 43425 | Closure of esophagostomy or fistula; transthoracic or transabdominal approach |
CPT | 43450 | Dilation of esophagus, by unguided sound or bougie, single or multiple passes |
CPT | 43453 | Dilation of esophagus, over guide wire |
CPT | 43460 | Esophagogastric tamponade, with balloon (Sengstaken type) |
CPT | 43496 | Free jejunum transfer with microvascular anastomosis |
CPT | 43497 | Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM]) |
CPT | 43499 | Unlisted procedure, esophagus |
CPT | 43500 | Gastrotomy; with exploration or foreign body removal |
CPT | 43501 | Gastrotomy; with suture repair of bleeding ulcer |
CPT | 43502 | Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) |
CPT | 43510 | Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) |
CPT | 43520 | Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) |
CPT | 43610 | Excision, local; ulcer or benign tumor of stomach |
CPT | 43611 | Excision, local; malignant tumor of stomach |
CPT | 43620 | Gastrectomy, total; with esophagoenterostomy |
CPT | 43621 | Gastrectomy, total; with Roux-en-Y reconstruction |
CPT | 43622 | Gastrectomy, total; with formation of intestinal pouch, any type |
CPT | 43631 | Gastrectomy, partial, distal; with gastroduodenostomy |
CPT | 43632 | Gastrectomy, partial, distal; with gastrojejunostomy |
CPT | 43633 | Gastrectomy, partial, distal; with Roux-en-Y reconstruction |
CPT | 43634 | Gastrectomy, partial, distal; with formation of intestinal pouch |
CPT | 43640 | Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective |
CPT | 43641 | Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) |
CPT | 43644 | Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) |
CPT | 43645 | Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption |
CPT | 43647 | Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum |
CPT | 43648 | Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum |
CPT | 43651 | Laparoscopy, surgical; transection of vagus nerves, truncal |
CPT | 43652 | Laparoscopy, surgical; transection of vagus nerves, selective or highly selective |
CPT | 43653 | Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) |
CPT | 43659 | Unlisted laparoscopy procedure, stomach |
CPT | 43752 | Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) |
CPT | 43753 | Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed |
CPT | 43754 | Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) |
CPT | 43755 | Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pentagastrin, calcium, secretin), includes drug administration |
CPT | 43756 | Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) |
CPT | 43757 | Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes drug administration |
CPT | 43761 | Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition |
CPT | 43762 | Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract |
CPT | 43763 | Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract |
CPT | 43770 | Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) |
CPT | 43771 | Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only |
CPT | 43772 | Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only |
CPT | 43773 | Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only |
CPT | 43774 | Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components |
CPT | 43775 | Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) |
CPT | 43800 | Pyloroplasty |
CPT | 43810 | Gastroduodenostomy |
CPT | 43820 | Gastrojejunostomy; without vagotomy |
CPT | 43825 | Gastrojejunostomy; with vagotomy, any type |
CPT | 43830 | Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) |
CPT | 43831 | Gastrostomy, open; neonatal, for feeding |
CPT | 43832 | Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) |
CPT | 43840 | Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury |
CPT | 43842 | Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty |
CPT | 43843 | Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty |
CPT | 43845 | Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch) |
CPT | 43846 | Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy |
CPT | 43847 | Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption |
CPT | 43848 | Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) |
CPT | 43860 | Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy |
CPT | 43865 | Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy |
CPT | 43870 | Closure of gastrostomy, surgical |
CPT | 43880 | Closure of gastrocolic fistula |
CPT | 43881 | Implantation or replacement of gastric neurostimulator electrodes, antrum, open |
CPT | 43882 | Revision or removal of gastric neurostimulator electrodes, antrum, open |
CPT | 43886 | Gastric restrictive procedure, open; revision of subcutaneous port component only |
CPT | 43887 | Gastric restrictive procedure, open; removal of subcutaneous port component only |
CPT | 43888 | Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only |
CPT | 43999 | Unlisted procedure, stomach |
CPT | 44005 | Enterolysis (freeing of intestinal adhesion) (separate procedure) |
CPT | 44010 | Duodenotomy, for exploration, biopsy(s), or foreign body removal |
CPT | 44020 | Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal |
CPT | 44021 | Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) |
CPT | 44025 | Colotomy, for exploration, biopsy(s), or foreign body removal |
CPT | 44050 | Reduction of volvulus, intussusception, internal hernia, by laparotomy |
CPT | 44055 | Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) |
CPT | 44110 | Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy |
CPT | 44111 | Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies |
CPT | 44120 | Enterectomy, resection of small intestine; single resection and anastomosis |
CPT | 44125 | Enterectomy, resection of small intestine; with enterostomy |
CPT | 44126 | Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering |
CPT | 44127 | Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering |
CPT | 44130 | Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) |
CPT | 44133 | Donor enterectomy (including cold preservation), open; partial, from living donor |
CPT | 44135 | Intestinal allotransplantation; from cadaver donor |
CPT | 44136 | Intestinal allotransplantation; from living donor |
CPT | 44137 | Removal of transplanted intestinal allograft, complete |
CPT | 44140 | Colectomy, partial; with anastomosis |
CPT | 44141 | Colectomy, partial; with skin level cecostomy or colostomy |
CPT | 44143 | Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) |
CPT | 44144 | Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula |
CPT | 44145 | Colectomy, partial; with coloproctostomy (low pelvic anastomosis) |
CPT | 44146 | Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy |
CPT | 44147 | Colectomy, partial; abdominal and transanal approach |
CPT | 44150 | Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy |
CPT | 44151 | Colectomy, total, abdominal, without proctectomy; with continent ileostomy |
CPT | 44155 | Colectomy, total, abdominal, with proctectomy; with ileostomy |
CPT | 44156 | Colectomy, total, abdominal, with proctectomy; with continent ileostomy |
CPT | 44157 | Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed |
CPT | 44158 | Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed |
CPT | 44160 | Colectomy, partial, with removal of terminal ileum with ileocolostomy |
CPT | 44180 | Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) |
CPT | 44186 | Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) |
CPT | 44187 | Laparoscopy, surgical; ileostomy or jejunostomy, non-tube |
CPT | 44188 | Laparoscopy, surgical, colostomy or skin level cecostomy |
CPT | 44202 | Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis |
CPT | 44204 | Laparoscopy, surgical; colectomy, partial, with anastomosis |
CPT | 44205 | Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy |
CPT | 44206 | Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) |
CPT | 44207 | Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) |
CPT | 44208 | Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy |
CPT | 44210 | Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy |
CPT | 44211 | Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed |
CPT | 44212 | Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy |
CPT | 44227 | Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis |
CPT | 44238 | Unlisted laparoscopy procedure, intestine (except rectum) |
CPT | 44300 | Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) |
CPT | 44310 | Ileostomy or jejunostomy, non-tube |
CPT | 44312 | Revision of ileostomy; simple (release of superficial scar) (separate procedure) |
CPT | 44314 | Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) |
CPT | 44316 | Continent ileostomy (Kock procedure) (separate procedure) |
CPT | 44320 | Colostomy or skin level cecostomy; |
CPT | 44322 | Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) |
CPT | 44340 | Revision of colostomy; simple (release of superficial scar) (separate procedure) |
CPT | 44345 | Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) |
CPT | 44346 | Revision of colostomy; with repair of paracolostomy hernia (separate procedure) |
CPT | 44360 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
CPT | 44361 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple |
CPT | 44363 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) |
CPT | 44364 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
CPT | 44365 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery |
CPT | 44366 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) |
CPT | 44369 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique |
CPT | 44370 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) |
CPT | 44372 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube |
CPT | 44373 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube |
CPT | 44376 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) |
CPT | 44377 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple |
CPT | 44378 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) |
CPT | 44379 | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) |
CPT | 44380 | Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
CPT | 44381 | Ileoscopy, through stoma; with transendoscopic balloon dilation |
CPT | 44382 | Ileoscopy, through stoma; with biopsy, single or multiple |
CPT | 44384 | Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) |
CPT | 44385 | Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
CPT | 44386 | Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple |
CPT | 44388 | Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
CPT | 44389 | Colonoscopy through stoma; with biopsy, single or multiple |
CPT | 44390 | Colonoscopy through stoma; with removal of foreign body(s) |
CPT | 44391 | Colonoscopy through stoma; with control of bleeding, any method |
CPT | 44392 | Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
CPT | 44394 | Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
CPT | 44401 | Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) |
CPT | 44402 | Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) |
CPT | 44403 | Colonoscopy through stoma; with endoscopic mucosal resection |
CPT | 44404 | Colonoscopy through stoma; with directed submucosal injection(s), any substance |
CPT | 44405 | Colonoscopy through stoma; with transendoscopic balloon dilation |
CPT | 44406 | Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures |
CPT | 44407 | Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures |
CPT | 44408 | Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed |
CPT | 44500 | Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) |
CPT | 44602 | Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation |
CPT | 44603 | Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations |
CPT | 44604 | Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy |
CPT | 44605 | Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy |
CPT | 44615 | Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction |
CPT | 44620 | Closure of enterostomy, large or small intestine; |
CPT | 44625 | Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal |
CPT | 44626 | Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) |
CPT | 44640 | Closure of intestinal cutaneous fistula |
CPT | 44650 | Closure of enteroenteric or enterocolic fistula |
CPT | 44660 | Closure of enterovesical fistula; without intestinal or bladder resection |
CPT | 44661 | Closure of enterovesical fistula; with intestine and/or bladder resection |
CPT | 44680 | Intestinal plication (separate procedure) |
CPT | 44700 | Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) |
CPT | 44799 | Unlisted procedure, small intestine |
CPT | 44800 | Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct |
CPT | 44820 | Excision of lesion of mesentery (separate procedure) |
CPT | 44850 | Suture of mesentery (separate procedure) |
CPT | 44899 | Unlisted procedure, Meckel's diverticulum and the mesentery |
CPT | 44900 | Incision and drainage of appendiceal abscess, open |
CPT | 44950 | Appendectomy; |
CPT | 44960 | Appendectomy; for ruptured appendix with abscess or generalized peritonitis |
CPT | 44970 | Laparoscopy, surgical, appendectomy |
CPT | 44979 | Unlisted laparoscopy procedure, appendix |
CPT | 45000 | Transrectal drainage of pelvic abscess |
CPT | 45005 | Incision and drainage of submucosal abscess, rectum |
CPT | 45020 | Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess |
CPT | 45108 | Anorectal myomectomy |
CPT | 45110 | Proctectomy; complete, combined abdominoperineal, with colostomy |
CPT | 45111 | Proctectomy; partial resection of rectum, transabdominal approach |
CPT | 45112 | Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) |
CPT | 45113 | Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy |
CPT | 45114 | Proctectomy, partial, with anastomosis; abdominal and transsacral approach |
CPT | 45116 | Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) |
CPT | 45119 | Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed |
CPT | 45120 | Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) |
CPT | 45121 | Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies |
CPT | 45123 | Proctectomy, partial, without anastomosis, perineal approach |
CPT | 45126 | Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), or any combination thereof |
CPT | 45130 | Excision of rectal procidentia, with anastomosis; perineal approach |
CPT | 45135 | Excision of rectal procidentia, with anastomosis; abdominal and perineal approach |
CPT | 45136 | Excision of ileoanal reservoir with ileostomy |
CPT | 45150 | Division of stricture of rectum |
CPT | 45160 | Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach |
CPT | 45171 | Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) |
CPT | 45172 | Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) |
CPT | 45190 | Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach |
CPT | 45300 | Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) |
CPT | 45303 | Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) |
CPT | 45305 | Proctosigmoidoscopy, rigid; with biopsy, single or multiple |
CPT | 45307 | Proctosigmoidoscopy, rigid; with removal of foreign body |
CPT | 45308 | Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery |
CPT | 45309 | Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique |
CPT | 45315 | Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique |
CPT | 45317 | Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) |
CPT | 45320 | Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) |
CPT | 45321 | Proctosigmoidoscopy, rigid; with decompression of volvulus |
CPT | 45327 | Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) |
CPT | 45330 | Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
CPT | 45331 | Sigmoidoscopy, flexible; with biopsy, single or multiple |
CPT | 45332 | Sigmoidoscopy, flexible; with removal of foreign body(s) |
CPT | 45333 | Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
CPT | 45334 | Sigmoidoscopy, flexible; with control of bleeding, any method |
CPT | 45335 | Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance |
CPT | 45337 | Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed |
CPT | 45338 | Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
CPT | 45340 | Sigmoidoscopy, flexible; with transendoscopic balloon dilation |
CPT | 45341 | Sigmoidoscopy, flexible; with endoscopic ultrasound examination |
CPT | 45342 | Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) |
CPT | 45346 | Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) |
CPT | 45347 | Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) |
CPT | 45349 | Sigmoidoscopy, flexible; with endoscopic mucosal resection |
CPT | 45350 | Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) |
CPT | 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
CPT | 45379 | Colonoscopy, flexible; with removal of foreign body(s) |
CPT | 45380 | Colonoscopy, flexible; with biopsy, single or multiple |
CPT | 45381 | Colonoscopy, flexible; with directed submucosal injection(s), any substance |
CPT | 45382 | Colonoscopy, flexible; with control of bleeding, any method |
CPT | 45384 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps |
CPT | 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique |
CPT | 45386 | Colonoscopy, flexible; with transendoscopic balloon dilation |
CPT | 45388 | Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) |
CPT | 45389 | Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) |
CPT | 45390 | Colonoscopy, flexible; with endoscopic mucosal resection |
CPT | 45391 | Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures |
CPT | 45392 | Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures |
CPT | 45393 | Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed |
CPT | 45395 | Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy |
CPT | 45397 | Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when performed |
CPT | 45398 | Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) |
CPT | 45399 | Unlisted procedure, colon |
CPT | 45400 | Laparoscopy, surgical; proctopexy (for prolapse) |
CPT | 45402 | Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection |
CPT | 45499 | Unlisted laparoscopy procedure, rectum |
CPT | 45500 | Proctoplasty; for stenosis |
CPT | 45505 | Proctoplasty; for prolapse of mucous membrane |
CPT | 45520 | Perirectal injection of sclerosing solution for prolapse |
CPT | 45540 | Proctopexy (eg, for prolapse); abdominal approach |
CPT | 45541 | Proctopexy (eg, for prolapse); perineal approach |
CPT | 45550 | Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach |
CPT | 45560 | Repair of rectocele (separate procedure) |
CPT | 45562 | Exploration, repair, and presacral drainage for rectal injury; |
CPT | 45563 | Exploration, repair, and presacral drainage for rectal injury; with colostomy |
CPT | 45800 | Closure of rectovesical fistula; |
CPT | 45805 | Closure of rectovesical fistula; with colostomy |
CPT | 45820 | Closure of rectourethral fistula; |
CPT | 45825 | Closure of rectourethral fistula; with colostomy |
CPT | 45900 | Reduction of procidentia (separate procedure) under anesthesia |
CPT | 45905 | Dilation of anal sphincter (separate procedure) under anesthesia other than local |
CPT | 45910 | Dilation of rectal stricture (separate procedure) under anesthesia other than local |
CPT | 45915 | Removal of fecal impaction or foreign body (separate procedure) under anesthesia |
CPT | 45990 | Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic |
CPT | 45999 | Unlisted procedure, rectum |
CPT | 46020 | Placement of seton |
CPT | 46030 | Removal of anal seton, other marker |
CPT | 46040 | Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) |
CPT | 46045 | Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia |
CPT | 46050 | Incision and drainage, perianal abscess, superficial |
CPT | 46060 | Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton |
CPT | 46070 | Incision, anal septum (infant) |
CPT | 46080 | Sphincterotomy, anal, division of sphincter (separate procedure) |
CPT | 46083 | Incision of thrombosed hemorrhoid, external |
CPT | 46200 | Fissurectomy, including sphincterotomy, when performed |
CPT | 46220 | Excision of single external papilla or tag, anus |
CPT | 46221 | Hemorrhoidectomy, internal, by rubber band ligation(s) |
CPT | 46230 | Excision of multiple external papillae or tags, anus |
CPT | 46250 | Hemorrhoidectomy, external, 2 or more columns/groups |
CPT | 46255 | Hemorrhoidectomy, internal and external, single column/group; |
CPT | 46257 | Hemorrhoidectomy, internal and external, single column/group; with fissurectomy |
CPT | 46258 | Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed |
CPT | 46260 | Hemorrhoidectomy, internal and external, 2 or more columns/groups; |
CPT | 46261 | Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy |
CPT | 46262 | Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed |
CPT | 46270 | Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous |
CPT | 46275 | Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric |
CPT | 46280 | Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed |
CPT | 46285 | Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage |
CPT | 46288 | Closure of anal fistula with rectal advancement flap |
CPT | 46320 | Excision of thrombosed hemorrhoid, external |
CPT | 46500 | Injection of sclerosing solution, hemorrhoids |
CPT | 46505 | Chemodenervation of internal anal sphincter |
CPT | 46600 | Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) |
CPT | 46601 | Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when performed |
CPT | 46604 | Anoscopy; with dilation (eg, balloon, guide wire, bougie) |
CPT | 46606 | Anoscopy; with biopsy, single or multiple |
CPT | 46607 | Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple |
CPT | 46608 | Anoscopy; with removal of foreign body |
CPT | 46610 | Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery |
CPT | 46611 | Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique |
CPT | 46612 | Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique |
CPT | 46614 | Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) |
CPT | 46615 | Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique |
CPT | 46700 | Anoplasty, plastic operation for stricture; adult |
CPT | 46705 | Anoplasty, plastic operation for stricture; infant |
CPT | 46706 | Repair of anal fistula with fibrin glue |
CPT | 46707 | Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS]) |
CPT | 46710 | Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach |
CPT | 46712 | Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach |
CPT | 46715 | Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) |
CPT | 46716 | Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula |
CPT | 46730 | Repair of high imperforate anus without fistula; perineal or sacroperineal approach |
CPT | 46735 | Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches |
CPT | 46740 | Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach |
CPT | 46742 | Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches |
CPT | 46744 | Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach |
CPT | 46746 | Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; |
CPT | 46748 | Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps |
CPT | 46750 | Sphincteroplasty, anal, for incontinence or prolapse; adult |
CPT | 46751 | Sphincteroplasty, anal, for incontinence or prolapse; child |
CPT | 46753 | Graft (Thiersch operation) for rectal incontinence and/or prolapse |
CPT | 46754 | Removal of Thiersch wire or suture, anal canal |
CPT | 46760 | Sphincteroplasty, anal, for incontinence, adult; muscle transplant |
CPT | 46761 | Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) |
CPT | 46900 | Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical |
CPT | 46910 | Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation |
CPT | 46916 | Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery |
CPT | 46917 | Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery |
CPT | 46922 | Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision |
CPT | 46924 | Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) |
CPT | 46930 | Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) |
CPT | 46940 | Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial |
CPT | 46942 | Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent |
CPT | 46945 | Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance |
CPT | 46946 | Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance |
CPT | 46947 | Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling |
CPT | 46948 | Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed |
CPT | 46999 | Unlisted procedure, anus |
CPT | 47010 | Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages |
CPT | 47015 | Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) |
CPT | 47120 | Hepatectomy, resection of liver; partial lobectomy |
CPT | 47122 | Hepatectomy, resection of liver; trisegmentectomy |
CPT | 47125 | Hepatectomy, resection of liver; total left lobectomy |
CPT | 47130 | Hepatectomy, resection of liver; total right lobectomy |
CPT | 47135 | Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age |
CPT | 47140 | Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) |
CPT | 47141 | Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) |
CPT | 47142 | Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) |
CPT | 47143 | Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; without trisegment or lobe split |
CPT | 47300 | Marsupialization of cyst or abscess of liver |
CPT | 47350 | Management of liver hemorrhage; simple suture of liver wound or injury |
CPT | 47360 | Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation |
CPT | 47361 | Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver |
CPT | 47362 | Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing |
CPT | 47370 | Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency |
CPT | 47371 | Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical |
CPT | 47379 | Unlisted laparoscopic procedure, liver |
CPT | 47380 | Ablation, open, of 1 or more liver tumor(s); radiofrequency |
CPT | 47381 | Ablation, open, of 1 or more liver tumor(s); cryosurgical |
CPT | 47382 | Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency |
CPT | 47383 | Ablation, 1 or more liver tumor(s), percutaneous, cryoablation |
CPT | 47399 | Unlisted procedure, liver |
CPT | 47400 | Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus |
CPT | 47420 | Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty |
CPT | 47425 | Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty |
CPT | 47460 | Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) |
CPT | 47480 | Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) |
CPT | 47490 | Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation |
CPT | 47533 | Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external |
CPT | 47534 | Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external |
CPT | 47535 | Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation |
CPT | 47536 | Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation |
CPT | 47537 | Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation |
CPT | 47538 | Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation; existing access |
CPT | 47539 | Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation; new access, without placement of separate biliary drainage catheter |
CPT | 47540 | Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation; new access, with placement of separate biliary drainage catheter (eg, external or internal-external) |
CPT | 47552 | Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) |
CPT | 47553 | Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple |
CPT | 47554 | Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi |
CPT | 47555 | Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent |
CPT | 47556 | Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent |
CPT | 47562 | Laparoscopy, surgical; cholecystectomy |
CPT | 47563 | Laparoscopy, surgical; cholecystectomy with cholangiography |
CPT | 47564 | Laparoscopy, surgical; cholecystectomy with exploration of common duct |
CPT | 47570 | Laparoscopy, surgical; cholecystoenterostomy |
CPT | 47579 | Unlisted laparoscopy procedure, biliary tract |
CPT | 47600 | Cholecystectomy; |
CPT | 47605 | Cholecystectomy; with cholangiography |
CPT | 47610 | Cholecystectomy with exploration of common duct; |
CPT | 47612 | Cholecystectomy with exploration of common duct; with choledochoenterostomy |
CPT | 47620 | Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography |
CPT | 47700 | Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography |
CPT | 47701 | Portoenterostomy (eg, Kasai procedure) |
CPT | 47711 | Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic |
CPT | 47712 | Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic |
CPT | 47715 | Excision of choledochal cyst |
CPT | 47720 | Cholecystoenterostomy; direct |
CPT | 47721 | Cholecystoenterostomy; with gastroenterostomy |
CPT | 47740 | Cholecystoenterostomy; Roux-en-Y |
CPT | 47741 | Cholecystoenterostomy; Roux-en-Y with gastroenterostomy |
CPT | 47760 | Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract |
CPT | 47765 | Anastomosis, of intrahepatic ducts and gastrointestinal tract |
CPT | 47780 | Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract |
CPT | 47785 | Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract |
CPT | 47800 | Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis |
CPT | 47801 | Placement of choledochal stent |
CPT | 47900 | Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) |
CPT | 47999 | Unlisted procedure, biliary tract |
CPT | 48000 | Placement of drains, peripancreatic, for acute pancreatitis; |
CPT | 48001 | Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy |
CPT | 48020 | Removal of pancreatic calculus |
CPT | 48105 | Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis |
CPT | 48120 | Excision of lesion of pancreas (eg, cyst, adenoma) |
CPT | 48140 | Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy |
CPT | 48145 | Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy |
CPT | 48146 | Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) |
CPT | 48148 | Excision of ampulla of Vater |
CPT | 48150 | Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy |
CPT | 48152 | Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy |
CPT | 48153 | Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy |
CPT | 48154 | Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy |
CPT | 48155 | Pancreatectomy, total |
CPT | 48160 | Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells |
CPT | 48500 | Marsupialization of pancreatic cyst |
CPT | 48510 | External drainage, pseudocyst of pancreas, open |
CPT | 48520 | Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct |
CPT | 48540 | Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y |
CPT | 48545 | Pancreatorrhaphy for injury |
CPT | 48547 | Duodenal exclusion with gastrojejunostomy for pancreatic injury |
CPT | 48548 | Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) |
CPT | 48554 | Transplantation of pancreatic allograft |
CPT | 48556 | Removal of transplanted pancreatic allograft |
CPT | 48999 | Unlisted procedure, pancreas |
CPT | 49000 | Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) |
CPT | 49002 | Reopening of recent laparotomy |
CPT | 49010 | Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) |
CPT | 49013 | Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration |
CPT | 49014 | Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed |
CPT | 49020 | Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open |
CPT | 49040 | Drainage of subdiaphragmatic or subphrenic abscess, open |
CPT | 49060 | Drainage of retroperitoneal abscess, open |
CPT | 49062 | Drainage of extraperitoneal lymphocele to peritoneal cavity, open |
CPT | 49082 | Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance |
CPT | 49083 | Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance |
CPT | 49084 | Peritoneal lavage, including imaging guidance, when performed |
CPT | 49185 | Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed |
CPT | 49186 | Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less |
CPT | 49187 | Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm |
CPT | 49188 | Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm |
CPT | 49189 | Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm |
CPT | 49190 | Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 30 cm |
CPT | 49215 | Excision of presacral or sacrococcygeal tumor |
CPT | 49250 | Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) |
CPT | 49255 | Omentectomy, epiploectomy, resection of omentum (separate procedure) |
CPT | 49320 | Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) |
CPT | 49321 | Laparoscopy, surgical; with biopsy (single or multiple) |
CPT | 49322 | Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) |
CPT | 49323 | Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity |
CPT | 49324 | Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter |
CPT | 49325 | Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed |
CPT | 49329 | Unlisted laparoscopy procedure, abdomen, peritoneum and omentum |
CPT | 49402 | Removal of peritoneal foreign body from peritoneal cavity |
CPT | 49405 | Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous |
CPT | 49406 | Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous |
CPT | 49407 | Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal |
CPT | 49418 | Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous |
CPT | 49419 | Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) |
CPT | 49421 | Insertion of tunneled intraperitoneal catheter for dialysis, open |
CPT | 49422 | Removal of tunneled intraperitoneal catheter |
CPT | 49423 | Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) |
CPT | 49425 | Insertion of peritoneal-venous shunt |
CPT | 49426 | Revision of peritoneal-venous shunt |
CPT | 49428 | Ligation of peritoneal-venous shunt |
CPT | 49429 | Removal of peritoneal-venous shunt |
CPT | 49436 | Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter |
CPT | 49440 | Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report |
CPT | 49441 | Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report |
CPT | 49442 | Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report |
CPT | 49446 | Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report |
CPT | 49450 | Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report |
CPT | 49451 | Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report |
CPT | 49452 | Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report |
CPT | 49460 | Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including contrast injection(s), if performed, image documentation and report |
CPT | 49491 | Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible |
CPT | 49492 | Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or strangulated |
CPT | 49495 | Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible |
CPT | 49496 | Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated |
CPT | 49500 | Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible |
CPT | 49501 | Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated |
CPT | 49505 | Repair initial inguinal hernia, age 5 years or older; reducible |
CPT | 49507 | Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated |
CPT | 49520 | Repair recurrent inguinal hernia, any age; reducible |
CPT | 49521 | Repair recurrent inguinal hernia, any age; incarcerated or strangulated |
CPT | 49525 | Repair inguinal hernia, sliding, any age |
CPT | 49540 | Repair lumbar hernia |
CPT | 49550 | Repair initial femoral hernia, any age; reducible |
CPT | 49553 | Repair initial femoral hernia, any age; incarcerated or strangulated |
CPT | 49555 | Repair recurrent femoral hernia; reducible |
CPT | 49557 | Repair recurrent femoral hernia; incarcerated or strangulated |
CPT | 49591 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible |
CPT | 49592 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated |
CPT | 49593 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible |
CPT | 49594 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated |
CPT | 49595 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible |
CPT | 49596 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated |
CPT | 49600 | Repair of small omphalocele, with primary closure |
CPT | 49605 | Repair of large omphalocele or gastroschisis; with or without prosthesis |
CPT | 49606 | Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room |
CPT | 49610 | Repair of omphalocele (Gross type operation); first stage |
CPT | 49611 | Repair of omphalocele (Gross type operation); second stage |
CPT | 49613 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible |
CPT | 49614 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated |
CPT | 49615 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible |
CPT | 49616 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated |
CPT | 49617 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible |
CPT | 49618 | Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated |
CPT | 49621 | Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible |
CPT | 49622 | Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated |
CPT | 49623 | Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure) |
CPT | 49650 | Laparoscopy, surgical; repair initial inguinal hernia |
CPT | 49651 | Laparoscopy, surgical; repair recurrent inguinal hernia |
CPT | 49659 | Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy |
CPT | 49900 | Suture, secondary, of abdominal wall for evisceration or dehiscence |
CPT | 49904 | Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) |
CPT | 49906 | Free omental flap with microvascular anastomosis |
CPT | 49999 | Unlisted procedure, abdomen, peritoneum and omentum |
CPT | 50010 | Renal exploration, not necessitating other specific procedures |
CPT | 50020 | Drainage of perirenal or renal abscess, open |
CPT | 50040 | Nephrostomy, nephrotomy with drainage |
CPT | 50045 | Nephrotomy, with exploration |
CPT | 50060 | Nephrolithotomy; removal of calculus |
CPT | 50065 | Nephrolithotomy; secondary surgical operation for calculus |
CPT | 50070 | Nephrolithotomy; complicated by congenital kidney abnormality |
CPT | 50075 | Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) |
CPT | 50080 | Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones) |
CPT | 50081 | Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy) |
CPT | 50100 | Transection or repositioning of aberrant renal vessels (separate procedure) |
CPT | 50120 | Pyelotomy; with exploration |
CPT | 50125 | Pyelotomy; with drainage, pyelostomy |
CPT | 50130 | Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) |
CPT | 50220 | Nephrectomy, including partial ureterectomy, any open approach including rib resection; |
CPT | 50225 | Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney |
CPT | 50230 | Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy |
CPT | 50234 | Nephrectomy with total ureterectomy and bladder cuff; through same incision |
CPT | 50236 | Nephrectomy with total ureterectomy and bladder cuff; through separate incision |
CPT | 50240 | Nephrectomy, partial |
CPT | 50250 | Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed |
CPT | 50280 | Excision or unroofing of cyst(s) of kidney |
CPT | 50290 | Excision of perinephric cyst |
CPT | 50320 | Donor nephrectomy (including cold preservation); open, from living donor |
CPT | 50340 | Recipient nephrectomy (separate procedure) |
CPT | 50360 | Renal allotransplantation, implantation of graft; without recipient nephrectomy |
CPT | 50365 | Renal allotransplantation, implantation of graft; with recipient nephrectomy |
CPT | 50370 | Removal of transplanted renal allograft |
CPT | 50380 | Renal autotransplantation, reimplantation of kidney |
CPT | 50382 | Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation |
CPT | 50384 | Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation |
CPT | 50385 | Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation |
CPT | 50386 | Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation |
CPT | 50387 | Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation |
CPT | 50389 | Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) |
CPT | 50390 | Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous |
CPT | 50391 | Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) |
CPT | 50396 | Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter |
CPT | 50400 | Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple |
CPT | 50405 | Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney, calycoplasty) |
CPT | 50432 | Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation |
CPT | 50433 | Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access |
CPT | 50434 | Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract |
CPT | 50435 | Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation |
CPT | 50436 | Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; |
CPT | 50437 | Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; including new access into the renal collecting system |
CPT | 50500 | Nephrorrhaphy, suture of kidney wound or injury |
CPT | 50520 | Closure of nephrocutaneous or pyelocutaneous fistula |
CPT | 50525 | Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach |
CPT | 50526 | Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach |
CPT | 50540 | Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) |
CPT | 50541 | Laparoscopy, surgical; ablation of renal cysts |
CPT | 50542 | Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed |
CPT | 50543 | Laparoscopy, surgical; partial nephrectomy |
CPT | 50544 | Laparoscopy, surgical; pyeloplasty |
CPT | 50545 | Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) |
CPT | 50546 | Laparoscopy, surgical; nephrectomy, including partial ureterectomy |
CPT | 50547 | Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor |
CPT | 50548 | Laparoscopy, surgical; nephrectomy with total ureterectomy |
CPT | 50549 | Unlisted laparoscopy procedure, renal |
CPT | 50551 | Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; |
CPT | 50553 | Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter |
CPT | 50555 | Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy |
CPT | 50557 | Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy |
CPT | 50561 | Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus |
CPT | 50562 | Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor |
CPT | 50570 | Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; |
CPT | 50572 | Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter |
CPT | 50574 | Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy |
CPT | 50575 | Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy, dilation of ureter and ureteral pelvic junction, incision of ureteral pelvic junction and insertion of endopyelotomy stent) |
CPT | 50576 | Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy |
CPT | 50580 | Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus |
CPT | 50590 | Lithotripsy, extracorporeal shock wave |
CPT | 50592 | Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency |
CPT | 50593 | Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy |
CPT | 50600 | Ureterotomy with exploration or drainage (separate procedure) |
CPT | 50605 | Ureterotomy for insertion of indwelling stent, all types |
CPT | 50610 | Ureterolithotomy; upper one-third of ureter |
CPT | 50620 | Ureterolithotomy; middle one-third of ureter |
CPT | 50630 | Ureterolithotomy; lower one-third of ureter |
CPT | 50650 | Ureterectomy, with bladder cuff (separate procedure) |
CPT | 50660 | Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach |
CPT | 50686 | Manometric studies through ureterostomy or indwelling ureteral catheter |
CPT | 50688 | Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit |
CPT | 50693 | Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract |
CPT | 50694 | Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter |
CPT | 50695 | Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter |
CPT | 50700 | Ureteroplasty, plastic operation on ureter (eg, stricture) |
CPT | 50715 | Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis |
CPT | 50722 | Ureterolysis for ovarian vein syndrome |
CPT | 50725 | Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava |
CPT | 50727 | Revision of urinary-cutaneous anastomosis (any type urostomy); |
CPT | 50728 | Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia |
CPT | 50740 | Ureteropyelostomy, anastomosis of ureter and renal pelvis |
CPT | 50750 | Ureterocalycostomy, anastomosis of ureter to renal calyx |
CPT | 50760 | Ureteroureterostomy |
CPT | 50770 | Transureteroureterostomy, anastomosis of ureter to contralateral ureter |
CPT | 50780 | Ureteroneocystostomy; anastomosis of single ureter to bladder |
CPT | 50782 | Ureteroneocystostomy; anastomosis of duplicated ureter to bladder |
CPT | 50783 | Ureteroneocystostomy; with extensive ureteral tailoring |
CPT | 50785 | Ureteroneocystostomy; with vesico-psoas hitch or bladder flap |
CPT | 50800 | Ureteroenterostomy, direct anastomosis of ureter to intestine |
CPT | 50810 | Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis |
CPT | 50815 | Ureterocolon conduit, including intestine anastomosis |
CPT | 50820 | Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) |
CPT | 50825 | Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) |
CPT | 50830 | Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) |
CPT | 50840 | Replacement of all or part of ureter by intestine segment, including intestine anastomosis |
CPT | 50845 | Cutaneous appendico-vesicostomy |
CPT | 50860 | Ureterostomy, transplantation of ureter to skin |
CPT | 50900 | Ureterorrhaphy, suture of ureter (separate procedure) |
CPT | 50920 | Closure of ureterocutaneous fistula |
CPT | 50930 | Closure of ureterovisceral fistula (including visceral repair) |
CPT | 50940 | Deligation of ureter |
CPT | 50945 | Laparoscopy, surgical; ureterolithotomy |
CPT | 50947 | Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement |
CPT | 50948 | Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement |
CPT | 50949 | Unlisted laparoscopy procedure, ureter |
CPT | 50951 | Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; |
CPT | 50953 | Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter |
CPT | 50955 | Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy |
CPT | 50957 | Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy |
CPT | 50961 | Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus |
CPT | 50970 | Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; |
CPT | 50972 | Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter |
CPT | 50974 | Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy |
CPT | 50976 | Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy |
CPT | 50980 | Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus |
CPT | 51020 | Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material |
CPT | 51040 | Cystostomy, cystotomy with drainage |
CPT | 51045 | Cystotomy, with insertion of ureteral catheter or stent (separate procedure) |
CPT | 51050 | Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection |
CPT | 51060 | Transvesical ureterolithotomy |
CPT | 51065 | Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus |
CPT | 51080 | Drainage of perivesical or prevesical space abscess |
CPT | 51100 | Aspiration of bladder; by needle |
CPT | 51101 | Aspiration of bladder; by trocar or intracatheter |
CPT | 51102 | Aspiration of bladder; with insertion of suprapubic catheter |
CPT | 51500 | Excision of urachal cyst or sinus, with or without umbilical hernia repair |
CPT | 51520 | Cystotomy; for simple excision of vesical neck (separate procedure) |
CPT | 51525 | Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) |
CPT | 51530 | Cystotomy; for excision of bladder tumor |
CPT | 51535 | Cystotomy for excision, incision, or repair of ureterocele |
CPT | 51550 | Cystectomy, partial; simple |
CPT | 51555 | Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) |
CPT | 51565 | Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) |
CPT | 51570 | Cystectomy, complete; (separate procedure) |
CPT | 51575 | Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes |
CPT | 51580 | Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; |
CPT | 51585 | Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes |
CPT | 51590 | Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; |
CPT | 51595 | Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes |
CPT | 51596 | Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder |
CPT | 51597 | Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereof |
CPT | 51700 | Bladder irrigation, simple, lavage and/or instillation |
CPT | 51701 | Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) |
CPT | 51702 | Insertion of temporary indwelling bladder catheter; simple (eg, Foley) |
CPT | 51703 | Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) |
CPT | 51705 | Change of cystostomy tube; simple |
CPT | 51710 | Change of cystostomy tube; complicated |
CPT | 51715 | Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck |
CPT | 51720 | Bladder instillation of anticarcinogenic agent (including retention time) |
CPT | 51721 | Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorectal cooling device, when performed |
CPT | 51725 | Simple cystometrogram (CMG) (eg, spinal manometer) |
CPT | 51726 | Complex cystometrogram (ie, calibrated electronic equipment); |
CPT | 51727 | Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique |
CPT | 51728 | Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique |
CPT | 51729 | Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile), any technique |
CPT | 51736 | Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) |
CPT | 51741 | Complex uroflowmetry (eg, calibrated electronic equipment) |
CPT | 51784 | Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique |
CPT | 51785 | Needle electromyography studies (EMG) of anal or urethral sphincter, any technique |
CPT | 51792 | Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) |
CPT | 51798 | Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging |
CPT | 51800 | Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical neck |
CPT | 51820 | Cystourethroplasty with unilateral or bilateral ureteroneocystostomy |
CPT | 51840 | Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple |
CPT | 51841 | Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) |
CPT | 51845 | Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) |
CPT | 51860 | Cystorrhaphy, suture of bladder wound, injury or rupture; simple |
CPT | 51865 | Cystorrhaphy, suture of bladder wound, injury or rupture; complicated |
CPT | 51880 | Closure of cystostomy (separate procedure) |
CPT | 51900 | Closure of vesicovaginal fistula, abdominal approach |
CPT | 51920 | Closure of vesicouterine fistula; |
CPT | 51925 | Closure of vesicouterine fistula; with hysterectomy |
CPT | 51940 | Closure, exstrophy of bladder |
CPT | 51960 | Enterocystoplasty, including intestinal anastomosis |
CPT | 51980 | Cutaneous vesicostomy |
CPT | 51990 | Laparoscopy, surgical; urethral suspension for stress incontinence |
CPT | 51992 | Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) |
CPT | 51999 | Unlisted laparoscopy procedure, bladder |
CPT | 52000 | Cystourethroscopy (separate procedure) |
CPT | 52001 | Cystourethroscopy with irrigation and evacuation of multiple obstructing clots |
CPT | 52005 | Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; |
CPT | 52007 | Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis |
CPT | 52010 | Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service |
CPT | 52204 | Cystourethroscopy, with biopsy(s) |
CPT | 52214 | Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands |
CPT | 52224 | Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy |
CPT | 52234 | Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) |
CPT | 52235 | Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) |
CPT | 52240 | Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) |
CPT | 52250 | Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration |
CPT | 52260 | Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia |
CPT | 52265 | Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia |
CPT | 52270 | Cystourethroscopy, with internal urethrotomy; female |
CPT | 52275 | Cystourethroscopy, with internal urethrotomy; male |
CPT | 52276 | Cystourethroscopy with direct vision internal urethrotomy |
CPT | 52277 | Cystourethroscopy, with resection of external sphincter (sphincterotomy) |
CPT | 52281 | Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female |
CPT | 52282 | Cystourethroscopy, with insertion of permanent urethral stent |
CPT | 52283 | Cystourethroscopy, with steroid injection into stricture |
CPT | 52284 | Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed |
CPT | 52285 | Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration of polyp(s) of urethra, bladder neck, and/or trigone |
CPT | 52287 | Cystourethroscopy, with injection(s) for chemodenervation of the bladder |
CPT | 52290 | Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral |
CPT | 52300 | Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral |
CPT | 52301 | Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral |
CPT | 52305 | Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple |
CPT | 52310 | Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple |
CPT | 52315 | Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated |
CPT | 52317 | Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) |
CPT | 52318 | Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) |
CPT | 52320 | Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus |
CPT | 52325 | Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) |
CPT | 52327 | Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material |
CPT | 52330 | Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus |
CPT | 52332 | Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) |
CPT | 52334 | Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde |
CPT | 52341 | Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) |
CPT | 52342 | Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) |
CPT | 52343 | Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) |
CPT | 52344 | Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) |
CPT | 52345 | Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) |
CPT | 52346 | Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) |
CPT | 52351 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic |
CPT | 52352 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) |
CPT | 52353 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) |
CPT | 52354 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion |
CPT | 52355 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor |
CPT | 52356 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) |
CPT | 52400 | Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds |
CPT | 52402 | Cystourethroscopy with transurethral resection or incision of ejaculatory ducts |
CPT | 52441 | Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant |
CPT | 52450 | Transurethral incision of prostate |
CPT | 52500 | Transurethral resection of bladder neck (separate procedure) |
CPT | 52601 | Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included) |
CPT | 52630 | Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included) |
CPT | 52640 | Transurethral resection; of postoperative bladder neck contracture |
CPT | 52647 | Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included if performed) |
CPT | 52648 | Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed) |
CPT | 52649 | Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed) |
CPT | 52700 | Transurethral drainage of prostatic abscess |
CPT | 53000 | Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra |
CPT | 53010 | Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external |
CPT | 53020 | Meatotomy, cutting of meatus (separate procedure); except infant |
CPT | 53025 | Meatotomy, cutting of meatus (separate procedure); infant |
CPT | 53040 | Drainage of deep periurethral abscess |
CPT | 53060 | Drainage of Skene's gland abscess or cyst |
CPT | 53080 | Drainage of perineal urinary extravasation; uncomplicated (separate procedure) |
CPT | 53085 | Drainage of perineal urinary extravasation; complicated |
CPT | 53210 | Urethrectomy, total, including cystostomy; female |
CPT | 53215 | Urethrectomy, total, including cystostomy; male |
CPT | 53220 | Excision or fulguration of carcinoma of urethra |
CPT | 53230 | Excision of urethral diverticulum (separate procedure); female |
CPT | 53235 | Excision of urethral diverticulum (separate procedure); male |
CPT | 53240 | Marsupialization of urethral diverticulum, male or female |
CPT | 53250 | Excision of bulbourethral gland (Cowper's gland) |
CPT | 53260 | Excision or fulguration; urethral polyp(s), distal urethra |
CPT | 53265 | Excision or fulguration; urethral caruncle |
CPT | 53270 | Excision or fulguration; Skene's glands |
CPT | 53275 | Excision or fulguration; urethral prolapse |
CPT | 53400 | Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) |
CPT | 53405 | Urethroplasty; second stage (formation of urethra), including urinary diversion |
CPT | 53410 | Urethroplasty, 1-stage reconstruction of male anterior urethra |
CPT | 53415 | Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra |
CPT | 53420 | Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage |
CPT | 53425 | Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage |
CPT | 53430 | Urethroplasty, reconstruction of female urethra |
CPT | 53431 | Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) |
CPT | 53440 | Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) |
CPT | 53442 | Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) |
CPT | 53444 | Insertion of tandem cuff (dual cuff) |
CPT | 53445 | Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff |
CPT | 53446 | Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff |
CPT | 53447 | Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session |
CPT | 53448 | Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement of infected tissue |
CPT | 53449 | Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff |
CPT | 53450 | Urethromeatoplasty, with mucosal advancement |
CPT | 53451 | Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance |
CPT | 53452 | Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance |
CPT | 53453 | Periurethral transperineal adjustable balloon continence device; removal, each balloon |
CPT | 53454 | Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume |
CPT | 53460 | Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) |
CPT | 53500 | Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) |
CPT | 53502 | Urethrorrhaphy, suture of urethral wound or injury, female |
CPT | 53505 | Urethrorrhaphy, suture of urethral wound or injury; penile |
CPT | 53510 | Urethrorrhaphy, suture of urethral wound or injury; perineal |
CPT | 53515 | Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous |
CPT | 53520 | Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) |
CPT | 53600 | Dilation of urethral stricture by passage of sound or urethral dilator, male; initial |
CPT | 53601 | Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent |
CPT | 53605 | Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia |
CPT | 53620 | Dilation of urethral stricture by passage of filiform and follower, male; initial |
CPT | 53621 | Dilation of urethral stricture by passage of filiform and follower, male; subsequent |
CPT | 53660 | Dilation of female urethra including suppository and/or instillation; initial |
CPT | 53661 | Dilation of female urethra including suppository and/or instillation; subsequent |
CPT | 53665 | Dilation of female urethra, general or conduction (spinal) anesthesia |
CPT | 53850 | Transurethral destruction of prostate tissue; by microwave thermotherapy |
CPT | 53852 | Transurethral destruction of prostate tissue; by radiofrequency thermotherapy |
CPT | 53854 | Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy |
CPT | 53855 | Insertion of a temporary prostatic urethral stent, including urethral measurement |
CPT | 53860 | Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence |
CPT | 53865 | Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate |
CPT | 53866 | Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate |
CPT | 53899 | Unlisted procedure, urinary system |
CPT | 54000 | Slitting of prepuce, dorsal or lateral (separate procedure); newborn |
CPT | 54001 | Slitting of prepuce, dorsal or lateral (separate procedure); except newborn |
CPT | 54015 | Incision and drainage of penis, deep |
CPT | 54050 | Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical |
CPT | 54055 | Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation |
CPT | 54056 | Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery |
CPT | 54057 | Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery |
CPT | 54060 | Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision |
CPT | 54065 | Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) |
CPT | 54110 | Excision of penile plaque (Peyronie disease); |
CPT | 54111 | Excision of penile plaque (Peyronie disease); with graft to 5 cm in length |
CPT | 54112 | Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length |
CPT | 54115 | Removal foreign body from deep penile tissue (eg, plastic implant) |
CPT | 54120 | Amputation of penis; partial |
CPT | 54125 | Amputation of penis; complete |
CPT | 54130 | Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy |
CPT | 54135 | Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes |
CPT | 54150 | Circumcision, using clamp or other device with regional dorsal penile or ring block |
CPT | 54160 | Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) |
CPT | 54161 | Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age |
CPT | 54162 | Lysis or excision of penile post-circumcision adhesions |
CPT | 54163 | Repair incomplete circumcision |
CPT | 54164 | Frenulotomy of penis |
CPT | 54200 | Injection procedure for Peyronie disease; |
CPT | 54205 | Injection procedure for Peyronie disease; with surgical exposure of plaque |
CPT | 54220 | Irrigation of corpora cavernosa for priapism |
CPT | 54231 | Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) |
CPT | 54235 | Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) |
CPT | 54240 | Penile plethysmography |
CPT | 54250 | Nocturnal penile tumescence and/or rigidity test |
CPT | 54300 | Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra |
CPT | 54304 | Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps |
CPT | 54308 | Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm |
CPT | 54312 | Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm |
CPT | 54316 | Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia |
CPT | 54318 | Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) |
CPT | 54322 | 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) |
CPT | 54324 | 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) |
CPT | 54326 | 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra |
CPT | 54328 | 1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap |
CPT | 54332 | 1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap |
CPT | 54336 | 1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap |
CPT | 54340 | Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple |
CPT | 54344 | Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft |
CPT | 54348 | Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when performed) |
CPT | 54352 | Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of local skin as grafts and island flaps and skin brought in as flaps or grafts |
CPT | 54360 | Plastic operation on penis to correct angulation |
CPT | 54380 | Plastic operation on penis for epispadias distal to external sphincter; |
CPT | 54385 | Plastic operation on penis for epispadias distal to external sphincter; with incontinence |
CPT | 54390 | Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder |
CPT | 54400 | Insertion of penile prosthesis; non-inflatable (semi-rigid) |
CPT | 54401 | Insertion of penile prosthesis; inflatable (self-contained) |
CPT | 54405 | Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir |
CPT | 54406 | Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis |
CPT | 54408 | Repair of component(s) of a multi-component, inflatable penile prosthesis |
CPT | 54410 | Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session |
CPT | 54411 | Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue |
CPT | 54415 | Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis |
CPT | 54416 | Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session |
CPT | 54417 | Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue |
CPT | 54420 | Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral |
CPT | 54430 | Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral |
CPT | 54435 | Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism |
CPT | 54437 | Repair of traumatic corporeal tear(s) |
CPT | 54440 | Plastic operation of penis for injury |
CPT | 54450 | Foreskin manipulation including lysis of preputial adhesions and stretching |
CPT | 54512 | Excision of extraparenchymal lesion of testis |
CPT | 54520 | Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach |
CPT | 54522 | Orchiectomy, partial |
CPT | 54530 | Orchiectomy, radical, for tumor; inguinal approach |
CPT | 54535 | Orchiectomy, radical, for tumor; with abdominal exploration |
CPT | 54550 | Exploration for undescended testis (inguinal or scrotal area) |
CPT | 54560 | Exploration for undescended testis with abdominal exploration |
CPT | 54600 | Reduction of torsion of testis, surgical, with or without fixation of contralateral testis |
CPT | 54620 | Fixation of contralateral testis (separate procedure) |
CPT | 54640 | Orchiopexy, inguinal or scrotal approach |
CPT | 54650 | Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) |
CPT | 54660 | Insertion of testicular prosthesis (separate procedure) |
CPT | 54670 | Suture or repair of testicular injury |
CPT | 54680 | Transplantation of testis(es) to thigh (because of scrotal destruction) |
CPT | 54690 | Laparoscopy, surgical; orchiectomy |
CPT | 54692 | Laparoscopy, surgical; orchiopexy for intra-abdominal testis |
CPT | 54699 | Unlisted laparoscopy procedure, testis |
CPT | 54700 | Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) |
CPT | 54830 | Excision of local lesion of epididymis |
CPT | 54840 | Excision of spermatocele, with or without epididymectomy |
CPT | 54860 | Epididymectomy; unilateral |
CPT | 54861 | Epididymectomy; bilateral |
CPT | 54865 | Exploration of epididymis, with or without biopsy |
CPT | 54900 | Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral |
CPT | 54901 | Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral |
CPT | 55000 | Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication |
CPT | 55040 | Excision of hydrocele; unilateral |
CPT | 55041 | Excision of hydrocele; bilateral |
CPT | 55060 | Repair of tunica vaginalis hydrocele (Bottle type) |
CPT | 55100 | Drainage of scrotal wall abscess |
CPT | 55110 | Scrotal exploration |
CPT | 55120 | Removal of foreign body in scrotum |
CPT | 55150 | Resection of scrotum |
CPT | 55175 | Scrotoplasty; simple |
CPT | 55180 | Scrotoplasty; complicated |
CPT | 55200 | Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) |
CPT | 55250 | Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) |
CPT | 55300 | Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral |
CPT | 55400 | Vasovasostomy, vasovasorrhaphy |
CPT | 55500 | Excision of hydrocele of spermatic cord, unilateral (separate procedure) |
CPT | 55520 | Excision of lesion of spermatic cord (separate procedure) |
CPT | 55530 | Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) |
CPT | 55535 | Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach |
CPT | 55540 | Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair |
CPT | 55550 | Laparoscopy, surgical, with ligation of spermatic veins for varicocele |
CPT | 55559 | Unlisted laparoscopy procedure, spermatic cord |
CPT | 55600 | Vesiculotomy; |
CPT | 55605 | Vesiculotomy; complicated |
CPT | 55650 | Vesiculectomy, any approach |
CPT | 55680 | Excision of Mullerian duct cyst |
CPT | 55720 | Prostatotomy, external drainage of prostatic abscess, any approach; simple |
CPT | 55725 | Prostatotomy, external drainage of prostatic abscess, any approach; complicated |
CPT | 55801 | Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) |
CPT | 55810 | Prostatectomy, perineal radical; |
CPT | 55812 | Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) |
CPT | 55815 | Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes |
CPT | 55821 | Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages |
CPT | 55831 | Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal |
CPT | 55840 | Prostatectomy, retropubic radical, with or without nerve sparing; |
CPT | 55842 | Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) |
CPT | 55845 | Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes |
CPT | 55865 | Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes |
CPT | 55866 | Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed |
CPT | 55867 | Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robotic assistance, when performed |
CPT | 55870 | Electroejaculation |
CPT | 55873 | Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) |
CPT | 55875 | Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy |
CPT | 55880 | Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance |
CPT | 55881 | Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; |
CPT | 55882 | Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound transducer for delivery of thermal ultrasound, including suprapubic tube placement and placement of an endorectal cooling device, when performed |
CPT | 55899 | Unlisted procedure, male genital system |
CPT | 55970 | Intersex surgery; male to female |
CPT | 55980 | Intersex surgery; female to male |
CPT | 56405 | Incision and drainage of vulva or perineal abscess |
CPT | 56420 | Incision and drainage of Bartholin's gland abscess |
CPT | 56440 | Marsupialization of Bartholin's gland cyst |
CPT | 56441 | Lysis of labial adhesions |
CPT | 56442 | Hymenotomy, simple incision |
CPT | 56501 | Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) |
CPT | 56515 | Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) |
CPT | 56620 | Vulvectomy simple; partial |
CPT | 56625 | Vulvectomy simple; complete |
CPT | 56630 | Vulvectomy, radical, partial; |
CPT | 56631 | Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy |
CPT | 56632 | Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy |
CPT | 56633 | Vulvectomy, radical, complete; |
CPT | 56634 | Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy |
CPT | 56637 | Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy |
CPT | 56640 | Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy |
CPT | 56700 | Partial hymenectomy or revision of hymenal ring |
CPT | 56740 | Excision of Bartholin's gland or cyst |
CPT | 56800 | Plastic repair of introitus |
CPT | 56805 | Clitoroplasty for intersex state |
CPT | 56810 | Perineoplasty, repair of perineum, nonobstetrical (separate procedure) |
CPT | 56820 | Colposcopy of the vulva; |
CPT | 56821 | Colposcopy of the vulva; with biopsy(s) |
CPT | 57000 | Colpotomy; with exploration |
CPT | 57010 | Colpotomy; with drainage of pelvic abscess |
CPT | 57020 | Colpocentesis (separate procedure) |
CPT | 57022 | Incision and drainage of vaginal hematoma; obstetrical/postpartum |
CPT | 57023 | Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) |
CPT | 57061 | Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) |
CPT | 57065 | Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) |
CPT | 57106 | Vaginectomy, partial removal of vaginal wall; |
CPT | 57107 | Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) |
CPT | 57109 | Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) |
CPT | 57110 | Vaginectomy, complete removal of vaginal wall; |
CPT | 57111 | Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) |
CPT | 57120 | Colpocleisis (Le Fort type) |
CPT | 57130 | Excision of vaginal septum |
CPT | 57135 | Excision of vaginal cyst or tumor |
CPT | 57150 | Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease |
CPT | 57155 | Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy |
CPT | 57156 | Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy |
CPT | 57160 | Fitting and insertion of pessary or other intravaginal support device |
CPT | 57170 | Diaphragm or cervical cap fitting with instructions |
CPT | 57180 | Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) |
CPT | 57200 | Colporrhaphy, suture of injury of vagina (nonobstetrical) |
CPT | 57210 | Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) |
CPT | 57220 | Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) |
CPT | 57230 | Plastic repair of urethrocele |
CPT | 57240 | Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed |
CPT | 57250 | Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy |
CPT | 57260 | Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; |
CPT | 57265 | Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair |
CPT | 57268 | Repair of enterocele, vaginal approach (separate procedure) |
CPT | 57270 | Repair of enterocele, abdominal approach (separate procedure) |
CPT | 57280 | Colpopexy, abdominal approach |
CPT | 57282 | Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) |
CPT | 57283 | Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) |
CPT | 57284 | Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach |
CPT | 57285 | Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach |
CPT | 57287 | Removal or revision of sling for stress incontinence (eg, fascia or synthetic) |
CPT | 57288 | Sling operation for stress incontinence (eg, fascia or synthetic) |
CPT | 57289 | Pereyra procedure, including anterior colporrhaphy |
CPT | 57291 | Construction of artificial vagina; without graft |
CPT | 57292 | Construction of artificial vagina; with graft |
CPT | 57295 | Revision (including removal) of prosthetic vaginal graft; vaginal approach |
CPT | 57296 | Revision (including removal) of prosthetic vaginal graft; open abdominal approach |
CPT | 57300 | Closure of rectovaginal fistula; vaginal or transanal approach |
CPT | 57305 | Closure of rectovaginal fistula; abdominal approach |
CPT | 57307 | Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy |
CPT | 57308 | Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication |
CPT | 57310 | Closure of urethrovaginal fistula; |
CPT | 57311 | Closure of urethrovaginal fistula; with bulbocavernosus transplant |
CPT | 57320 | Closure of vesicovaginal fistula; vaginal approach |
CPT | 57330 | Closure of vesicovaginal fistula; transvesical and vaginal approach |
CPT | 57335 | Vaginoplasty for intersex state |
CPT | 57400 | Dilation of vagina under anesthesia (other than local) |
CPT | 57410 | Pelvic examination under anesthesia (other than local) |
CPT | 57415 | Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) |
CPT | 57420 | Colposcopy of the entire vagina, with cervix if present; |
CPT | 57423 | Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach |
CPT | 57425 | Laparoscopy, surgical, colpopexy (suspension of vaginal apex) |
CPT | 57426 | Revision (including removal) of prosthetic vaginal graft, laparoscopic approach |
CPT | 57452 | Colposcopy of the cervix including upper/adjacent vagina; |
CPT | 57456 | Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage |
CPT | 57461 | Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix |
CPT | 57505 | Endocervical curettage (not done as part of a dilation and curettage) |
CPT | 57510 | Cautery of cervix; electro or thermal |
CPT | 57511 | Cautery of cervix; cryocautery, initial or repeat |
CPT | 57513 | Cautery of cervix; laser ablation |
CPT | 57520 | Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser |
CPT | 57522 | Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision |
CPT | 57530 | Trachelectomy (cervicectomy), amputation of cervix (separate procedure) |
CPT | 57531 | Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) |
CPT | 57540 | Excision of cervical stump, abdominal approach; |
CPT | 57545 | Excision of cervical stump, abdominal approach; with pelvic floor repair |
CPT | 57550 | Excision of cervical stump, vaginal approach; |
CPT | 57555 | Excision of cervical stump, vaginal approach; with anterior and/or posterior repair |
CPT | 57556 | Excision of cervical stump, vaginal approach; with repair of enterocele |
CPT | 57558 | Dilation and curettage of cervical stump |
CPT | 57700 | Cerclage of uterine cervix, nonobstetrical |
CPT | 57720 | Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach |
CPT | 57800 | Dilation of cervical canal, instrumental (separate procedure) |
CPT | 58120 | Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) |
CPT | 58140 | Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach |
CPT | 58145 | Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach |
CPT | 58146 | Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach |
CPT | 58150 | Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); |
CPT | 58152 | Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) |
CPT | 58180 | Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) |
CPT | 58200 | Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) |
CPT | 58210 | Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) |
CPT | 58240 | Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ureteral transplantations, and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereof |
CPT | 58260 | Vaginal hysterectomy, for uterus 250 g or less; |
CPT | 58262 | Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) |
CPT | 58263 | Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele |
CPT | 58267 | Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control |
CPT | 58270 | Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele |
CPT | 58275 | Vaginal hysterectomy, with total or partial vaginectomy; |
CPT | 58280 | Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele |
CPT | 58285 | Vaginal hysterectomy, radical (Schauta type operation) |
CPT | 58290 | Vaginal hysterectomy, for uterus greater than 250 g; |
CPT | 58291 | Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) |
CPT | 58292 | Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele |
CPT | 58294 | Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele |
CPT | 58300 | Insertion of intrauterine device (IUD) |
CPT | 58301 | Removal of intrauterine device (IUD) |
CPT | 58321 | Artificial insemination; intra-cervical |
CPT | 58322 | Artificial insemination; intra-uterine |
CPT | 58323 | Sperm washing for artificial insemination |
CPT | 58345 | Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography |
CPT | 58346 | Insertion of Heyman capsules for clinical brachytherapy |
CPT | 58353 | Endometrial ablation, thermal, without hysteroscopic guidance |
CPT | 58356 | Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed |
CPT | 58400 | Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) |
CPT | 58410 | Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy |
CPT | 58520 | Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) |
CPT | 58540 | Hysteroplasty, repair of uterine anomaly (Strassman type) |
CPT | 58541 | Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; |
CPT | 58542 | Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) |
CPT | 58543 | Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; |
CPT | 58544 | Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) |
CPT | 58545 | Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas |
CPT | 58546 | Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g |
CPT | 58548 | Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed |
CPT | 58550 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; |
CPT | 58552 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) |
CPT | 58553 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; |
CPT | 58554 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) |
CPT | 58555 | Hysteroscopy, diagnostic (separate procedure) |
CPT | 58558 | Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C |
CPT | 58559 | Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) |
CPT | 58560 | Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) |
CPT | 58561 | Hysteroscopy, surgical; with removal of leiomyomata |
CPT | 58562 | Hysteroscopy, surgical; with removal of impacted foreign body |
CPT | 58563 | Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) |
CPT | 58565 | Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants |
CPT | 58570 | Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; |
CPT | 58571 | Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) |
CPT | 58572 | Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; |
CPT | 58573 | Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) |
CPT | 58575 | Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed |
CPT | 58578 | Unlisted laparoscopy procedure, uterus |
CPT | 58579 | Unlisted hysteroscopy procedure, uterus |
CPT | 58580 | Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency |
CPT | 58600 | Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral |
CPT | 58605 | Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) |
CPT | 58615 | Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach |
CPT | 58660 | Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) |
CPT | 58661 | Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) |
CPT | 58662 | Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method |
CPT | 58670 | Laparoscopy, surgical; with fulguration of oviducts (with or without transection) |
CPT | 58671 | Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) |
CPT | 58672 | Laparoscopy, surgical; with fimbrioplasty |
CPT | 58673 | Laparoscopy, surgical; with salpingostomy (salpingoneostomy) |
CPT | 58674 | Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency |
CPT | 58679 | Unlisted laparoscopy procedure, oviduct, ovary |
CPT | 58700 | Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) |
CPT | 58720 | Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) |
CPT | 58740 | Lysis of adhesions (salpingolysis, ovariolysis) |
CPT | 58750 | Tubotubal anastomosis |
CPT | 58752 | Tubouterine implantation |
CPT | 58760 | Fimbrioplasty |
CPT | 58770 | Salpingostomy (salpingoneostomy) |
CPT | 58800 | Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach |
CPT | 58805 | Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach |
CPT | 58820 | Drainage of ovarian abscess; vaginal approach, open |
CPT | 58822 | Drainage of ovarian abscess; abdominal approach |
CPT | 58825 | Transposition, ovary(s) |
CPT | 58920 | Wedge resection or bisection of ovary, unilateral or bilateral |
CPT | 58925 | Ovarian cystectomy, unilateral or bilateral |
CPT | 58940 | Oophorectomy, partial or total, unilateral or bilateral; |
CPT | 58943 | Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies, diaphragmatic assessments, with or without salpingectomy(s), with or without omentectomy |
CPT | 58950 | Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; |
CPT | 58951 | Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphadenectomy |
CPT | 58952 | Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction, intra-abdominal or retroperitoneal tumors) |
CPT | 58953 | Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; |
CPT | 58954 | Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy |
CPT | 58956 | Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy |
CPT | 58958 | Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy and limited para-aortic lymphadenectomy |
CPT | 58960 | Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diaphragmatic assessment with pelvic and limited para-aortic lymphadenectomy |
CPT | 58970 | Follicle puncture for oocyte retrieval, any method |
CPT | 58974 | Embryo transfer, intrauterine |
CPT | 58976 | Gamete, zygote, or embryo intrafallopian transfer, any method |
CPT | 58999 | Unlisted procedure, female genital system (nonobstetrical) |
CPT | 59000 | Amniocentesis; diagnostic |
CPT | 59001 | Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) |
CPT | 59012 | Cordocentesis (intrauterine), any method |
CPT | 59015 | Chorionic villus sampling, any method |
CPT | 59020 | Fetal contraction stress test |
CPT | 59025 | Fetal non-stress test |
CPT | 59030 | Fetal scalp blood sampling |
CPT | 59050 | Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation |
CPT | 59051 | Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only |
CPT | 59070 | Transabdominal amnioinfusion, including ultrasound guidance |
CPT | 59072 | Fetal umbilical cord occlusion, including ultrasound guidance |
CPT | 59074 | Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance |
CPT | 59076 | Fetal shunt placement, including ultrasound guidance |
CPT | 59100 | Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) |
CPT | 59120 | Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach |
CPT | 59121 | Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy |
CPT | 59130 | Surgical treatment of ectopic pregnancy; abdominal pregnancy |
CPT | 59136 | Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus |
CPT | 59140 | Surgical treatment of ectopic pregnancy; cervical, with evacuation |
CPT | 59150 | Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy |
CPT | 59151 | Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy |
CPT | 59160 | Curettage, postpartum |
CPT | 59200 | Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) |
CPT | 59300 | Episiotomy or vaginal repair, by other than attending |
CPT | 59320 | Cerclage of cervix, during pregnancy; vaginal |
CPT | 59325 | Cerclage of cervix, during pregnancy; abdominal |
CPT | 59350 | Hysterorrhaphy of ruptured uterus |
CPT | 59400 | Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care |
CPT | 59409 | Vaginal delivery only (with or without episiotomy and/or forceps); |
CPT | 59410 | Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care |
CPT | 59412 | External cephalic version, with or without tocolysis |
CPT | 59414 | Delivery of placenta (separate procedure) |
CPT | 59425 | Antepartum care only; 4-6 visits |
CPT | 59426 | Antepartum care only; 7 or more visits |
CPT | 59430 | Postpartum care only (separate procedure) |
CPT | 59510 | Routine obstetric care including antepartum care, cesarean delivery, and postpartum care |
CPT | 59514 | Cesarean delivery only; |
CPT | 59515 | Cesarean delivery only; including postpartum care |
CPT | 59610 | Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery |
CPT | 59612 | Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); |
CPT | 59614 | Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care |
CPT | 59618 | Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery |
CPT | 59620 | Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; |
CPT | 59622 | Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care |
CPT | 59820 | Treatment of missed abortion, completed surgically; first trimester |
CPT | 59821 | Treatment of missed abortion, completed surgically; second trimester |
CPT | 59830 | Treatment of septic abortion, completed surgically |
CPT | 59870 | Uterine evacuation and curettage for hydatidiform mole |
CPT | 59871 | Removal of cerclage suture under anesthesia (other than local) |
CPT | 59897 | Unlisted fetal invasive procedure, including ultrasound guidance, when performed |
CPT | 59898 | Unlisted laparoscopy procedure, maternity care and delivery |
CPT | 59899 | Unlisted procedure, maternity care and delivery |
CPT | 60000 | Incision and drainage of thyroglossal duct cyst, infected |
CPT | 60200 | Excision of cyst or adenoma of thyroid, or transection of isthmus |
CPT | 60210 | Partial thyroid lobectomy, unilateral; with or without isthmusectomy |
CPT | 60212 | Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy |
CPT | 60220 | Total thyroid lobectomy, unilateral; with or without isthmusectomy |
CPT | 60225 | Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy |
CPT | 60240 | Thyroidectomy, total or complete |
CPT | 60252 | Thyroidectomy, total or subtotal for malignancy; with limited neck dissection |
CPT | 60254 | Thyroidectomy, total or subtotal for malignancy; with radical neck dissection |
CPT | 60260 | Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid |
CPT | 60270 | Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach |
CPT | 60271 | Thyroidectomy, including substernal thyroid; cervical approach |
CPT | 60280 | Excision of thyroglossal duct cyst or sinus; |
CPT | 60281 | Excision of thyroglossal duct cyst or sinus; recurrent |
CPT | 60300 | Aspiration and/or injection, thyroid cyst |
CPT | 60500 | Parathyroidectomy or exploration of parathyroid(s); |
CPT | 60502 | Parathyroidectomy or exploration of parathyroid(s); re-exploration |
CPT | 60505 | Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach |
CPT | 60520 | Thymectomy, partial or total; transcervical approach (separate procedure) |
CPT | 60521 | Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) |
CPT | 60522 | Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) |
CPT | 60540 | Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); |
CPT | 60545 | Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor |
CPT | 60600 | Excision of carotid body tumor; without excision of carotid artery |
CPT | 60605 | Excision of carotid body tumor; with excision of carotid artery |
CPT | 60650 | Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal |
CPT | 60659 | Unlisted laparoscopy procedure, endocrine system |
CPT | 60660 | Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency |
CPT | 60661 | Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) |
CPT | 60699 | Unlisted procedure, endocrine system |
CPT | 61000 | Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial |
CPT | 61001 | Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps |
CPT | 61020 | Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection |
CPT | 61026 | Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment |
CPT | 61050 | Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) |
CPT | 61055 | Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment |
CPT | 61070 | Puncture of shunt tubing or reservoir for aspiration or injection procedure |
CPT | 61107 | Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device |
CPT | 61108 | Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma |
CPT | 61140 | Burr hole(s) or trephine; with biopsy of brain or intracranial lesion |
CPT | 61150 | Burr hole(s) or trephine; with drainage of brain abscess or cyst |
CPT | 61151 | Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst |
CPT | 61154 | Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural |
CPT | 61156 | Burr hole(s); with aspiration of hematoma or cyst, intracerebral |
CPT | 61210 | Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) |
CPT | 61215 | Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter |
CPT | 61250 | Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery |
CPT | 61304 | Craniectomy or craniotomy, exploratory; supratentorial |
CPT | 61305 | Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) |
CPT | 61312 | Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural |
CPT | 61313 | Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral |
CPT | 61314 | Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural |
CPT | 61315 | Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar |
CPT | 61320 | Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial |
CPT | 61321 | Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial |
CPT | 61322 | Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy |
CPT | 61323 | Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy |
CPT | 61330 | Decompression of orbit only, transcranial approach |
CPT | 61333 | Exploration of orbit (transcranial approach), with removal of lesion |
CPT | 61340 | Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) |
CPT | 61343 | Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) |
CPT | 61345 | Other cranial decompression, posterior fossa |
CPT | 61450 | Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion |
CPT | 61458 | Craniectomy, suboccipital; for exploration or decompression of cranial nerves |
CPT | 61460 | Craniectomy, suboccipital; for section of 1 or more cranial nerves |
CPT | 61500 | Craniectomy; with excision of tumor or other bone lesion of skull |
CPT | 61501 | Craniectomy; for osteomyelitis |
CPT | 61510 | Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma |
CPT | 61512 | Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial |
CPT | 61514 | Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial |
CPT | 61516 | Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial |
CPT | 61518 | Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull |
CPT | 61519 | Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma |
CPT | 61520 | Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor |
CPT | 61521 | Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull |
CPT | 61522 | Craniectomy, infratentorial or posterior fossa; for excision of brain abscess |
CPT | 61524 | Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst |
CPT | 61526 | Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; |
CPT | 61530 | Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy |
CPT | 61531 | Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring |
CPT | 61533 | Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring |
CPT | 61534 | Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery |
CPT | 61535 | Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) |
CPT | 61536 | Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) |
CPT | 61537 | Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery |
CPT | 61538 | Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery |
CPT | 61539 | Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery |
CPT | 61540 | Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery |
CPT | 61541 | Craniotomy with elevation of bone flap; for transection of corpus callosum |
CPT | 61543 | Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy |
CPT | 61544 | Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus |
CPT | 61545 | Craniotomy with elevation of bone flap; for excision of craniopharyngioma |
CPT | 61546 | Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach |
CPT | 61548 | Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic |
CPT | 61550 | Craniectomy for craniosynostosis; single cranial suture |
CPT | 61552 | Craniectomy for craniosynostosis; multiple cranial sutures |
CPT | 61556 | Craniotomy for craniosynostosis; frontal or parietal bone flap |
CPT | 61557 | Craniotomy for craniosynostosis; bifrontal bone flap |
CPT | 61558 | Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts |
CPT | 61559 | Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining grafts) |
CPT | 61563 | Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression |
CPT | 61564 | Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression |
CPT | 61566 | Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy |
CPT | 61567 | Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery |
CPT | 61570 | Craniectomy or craniotomy; with excision of foreign body from brain |
CPT | 61571 | Craniectomy or craniotomy; with treatment of penetrating wound of brain |
CPT | 61575 | Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; |
CPT | 61576 | Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) |
CPT | 61580 | Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration |
CPT | 61581 | Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy |
CPT | 61582 | Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa |
CPT | 61583 | Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa |
CPT | 61584 | Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration |
CPT | 61585 | Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration |
CPT | 61586 | Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft |
CPT | 61590 | Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parotidectomy, craniotomy, decompression and/or mobilization of the facial nerve and/or petrous carotid artery |
CPT | 61591 | Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resection of sigmoid sinus, with or without decompression and/or mobilization of contents of auditory canal or petrous carotid artery |
CPT | 61592 | Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural elevation of temporal lobe |
CPT | 61595 | Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization |
CPT | 61596 | Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid artery |
CPT | 61597 | Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompression of vertebral artery, with or without mobilization |
CPT | 61598 | Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus |
CPT | 61600 | Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural |
CPT | 61601 | Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft |
CPT | 61605 | Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural |
CPT | 61606 | Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft |
CPT | 61607 | Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural |
CPT | 61608 | Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft |
CPT | 61613 | Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus |
CPT | 61615 | Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural |
CPT | 61616 | Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, with or without graft |
CPT | 61618 | Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lata, adipose tissue, homologous or synthetic grafts) |
CPT | 61619 | Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneous flap (including galea, temporalis, frontalis or occipitalis muscle) |
CPT | 61623 | Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon, concomitant neurological monitoring, and radiologic supervision and interpretation of all angiography required for balloon occlusion and to exclude vascular injury post occlusion |
CPT | 61624 | Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; central nervous system (intracranial, spinal cord) |
CPT | 61626 | Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; non-central nervous system, head or neck (extracranial, brachiocephalic branch) |
CPT | 61630 | Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous |
CPT | 61635 | Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed |
CPT | 61640 | Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel |
CPT | 61645 | Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and intraprocedural pharmacological thrombolytic injection(s) |
CPT | 61650 | Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial vascular territory |
CPT | 61680 | Surgery of intracranial arteriovenous malformation; supratentorial, simple |
CPT | 61682 | Surgery of intracranial arteriovenous malformation; supratentorial, complex |
CPT | 61684 | Surgery of intracranial arteriovenous malformation; infratentorial, simple |
CPT | 61686 | Surgery of intracranial arteriovenous malformation; infratentorial, complex |
CPT | 61690 | Surgery of intracranial arteriovenous malformation; dural, simple |
CPT | 61692 | Surgery of intracranial arteriovenous malformation; dural, complex |
CPT | 61697 | Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation |
CPT | 61698 | Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation |
CPT | 61700 | Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation |
CPT | 61702 | Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation |
CPT | 61703 | Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) |
CPT | 61705 | Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery |
CPT | 61708 | Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis |
CPT | 61710 | Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter |
CPT | 61711 | Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries |
CPT | 61715 | Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed |
CPT | 61720 | Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus |
CPT | 61735 | Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus |
CPT | 61736 | Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion |
CPT | 61737 | Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesion(s) |
CPT | 61751 | Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance |
CPT | 61760 | Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring |
CPT | 61770 | Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source |
CPT | 61790 | Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion |
CPT | 61791 | Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract |
CPT | 61796 | Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion |
CPT | 61798 | Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion |
CPT | 61850 | Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical |
CPT | 61860 | Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical |
CPT | 61863 | Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), without use of intraoperative microelectrode recording; first array |
CPT | 61867 | Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), with use of intraoperative microelectrode recording; first array |
CPT | 61880 | Revision or removal of intracranial neurostimulator electrodes |
CPT | 61885 | Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array |
CPT | 61886 | Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays |
CPT | 61888 | Revision or removal of cranial neurostimulator pulse generator or receiver |
CPT | 61889 | Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or cortical strip electrode array(s) |
CPT | 61891 | Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) |
CPT | 61892 | Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed |
CPT | 62000 | Elevation of depressed skull fracture; simple, extradural |
CPT | 62005 | Elevation of depressed skull fracture; compound or comminuted, extradural |
CPT | 62010 | Elevation of depressed skull fracture; with repair of dura and/or debridement of brain |
CPT | 62100 | Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea |
CPT | 62115 | Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty |
CPT | 62117 | Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) |
CPT | 62120 | Repair of encephalocele, skull vault, including cranioplasty |
CPT | 62121 | Craniotomy for repair of encephalocele, skull base |
CPT | 62140 | Cranioplasty for skull defect; up to 5 cm diameter |
CPT | 62141 | Cranioplasty for skull defect; larger than 5 cm diameter |
CPT | 62142 | Removal of bone flap or prosthetic plate of skull |
CPT | 62143 | Replacement of bone flap or prosthetic plate of skull |
CPT | 62145 | Cranioplasty for skull defect with reparative brain surgery |
CPT | 62146 | Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter |
CPT | 62147 | Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter |
CPT | 62161 | Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) |
CPT | 62162 | Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage |
CPT | 62164 | Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage |
CPT | 62165 | Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach |
CPT | 62180 | Ventriculocisternostomy (Torkildsen type operation) |
CPT | 62190 | Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular |
CPT | 62192 | Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus |
CPT | 62194 | Replacement or irrigation, subarachnoid/subdural catheter |
CPT | 62200 | Ventriculocisternostomy, third ventricle; |
CPT | 62201 | Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method |
CPT | 62220 | Creation of shunt; ventriculo-atrial, -jugular, -auricular |
CPT | 62223 | Creation of shunt; ventriculo-peritoneal, -pleural, other terminus |
CPT | 62225 | Replacement or irrigation, ventricular catheter |
CPT | 62230 | Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system |
CPT | 62252 | Reprogramming of programmable cerebrospinal shunt |
CPT | 62256 | Removal of complete cerebrospinal fluid shunt system; without replacement |
CPT | 62258 | Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation |
CPT | 62263 | Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 2 or more days |
CPT | 62264 | Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day |
CPT | 62268 | Percutaneous aspiration, spinal cord cyst or syrinx |
CPT | 62272 | Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); |
CPT | 62273 | Injection, epidural, of blood or clot patch |
CPT | 62280 | Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid |
CPT | 62281 | Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic |
CPT | 62282 | Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) |
CPT | 62287 | Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar |
CPT | 62292 | Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar |
CPT | 62294 | Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal |
CPT | 62320 | Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance |
CPT | 62321 | Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT) |
CPT | 62322 | Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance |
CPT | 62323 | Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT) |
CPT | 62324 | Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance |
CPT | 62325 | Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT) |
CPT | 62326 | Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance |
CPT | 62327 | Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT) |
CPT | 62329 | Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance |
CPT | 62350 | Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without laminectomy |
CPT | 62351 | Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminectomy |
CPT | 62355 | Removal of previously implanted intrathecal or epidural catheter |
CPT | 62360 | Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir |
CPT | 62361 | Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump |
CPT | 62362 | Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming |
CPT | 62365 | Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion |
CPT | 62367 | Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming or refill |
CPT | 62368 | Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming |
CPT | 62369 | Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill |
CPT | 62370 | Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill (requiring skill of a physician or other qualified health care professional) |
CPT | 62380 | Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar |
CPT | 63001 | Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical |
CPT | 63003 | Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic |
CPT | 63005 | Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except for spondylolisthesis |
CPT | 63011 | Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral |
CPT | 63012 | Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) |
CPT | 63015 | Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical |
CPT | 63016 | Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic |
CPT | 63017 | Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar |
CPT | 63020 | Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical |
CPT | 63030 | Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar |
CPT | 63040 | Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervical |
CPT | 63042 | Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar |
CPT | 63045 | Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; cervical |
CPT | 63046 | Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; thoracic |
CPT | 63047 | Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar |
CPT | 63050 | Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; |
CPT | 63051 | Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and non-segmental fixation devices [eg, wire, suture, mini-plates], when performed) |
CPT | 63055 | Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic |
CPT | 63056 | Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal approach) (eg, far lateral herniated intervertebral disc) |
CPT | 63064 | Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment |
CPT | 63075 | Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace |
CPT | 63077 | Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace |
CPT | 63081 | Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment |
CPT | 63085 | Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment |
CPT | 63087 | Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single segment |
CPT | 63090 | Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral; single segment |
CPT | 63101 | Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic, single segment |
CPT | 63102 | Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); lumbar, single segment |
CPT | 63170 | Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar |
CPT | 63172 | Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space |
CPT | 63173 | Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space |
CPT | 63185 | Laminectomy with rhizotomy; 1 or 2 segments |
CPT | 63190 | Laminectomy with rhizotomy; more than 2 segments |
CPT | 63191 | Laminectomy with section of spinal accessory nerve |
CPT | 63197 | Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic |
CPT | 63200 | Laminectomy, with release of tethered spinal cord, lumbar |
CPT | 63250 | Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical |
CPT | 63251 | Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic |
CPT | 63252 | Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar |
CPT | 63265 | Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical |
CPT | 63266 | Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic |
CPT | 63267 | Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar |
CPT | 63268 | Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral |
CPT | 63270 | Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical |
CPT | 63271 | Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic |
CPT | 63272 | Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar |
CPT | 63273 | Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral |
CPT | 63275 | Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical |
CPT | 63276 | Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic |
CPT | 63277 | Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar |
CPT | 63278 | Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral |
CPT | 63280 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical |
CPT | 63281 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic |
CPT | 63282 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar |
CPT | 63283 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral |
CPT | 63285 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical |
CPT | 63286 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic |
CPT | 63287 | Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar |
CPT | 63290 | Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level |
CPT | 63300 | Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical |
CPT | 63301 | Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach |
CPT | 63302 | Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach |
CPT | 63303 | Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach |
CPT | 63304 | Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical |
CPT | 63305 | Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach |
CPT | 63306 | Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach |
CPT | 63307 | Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach |
CPT | 63600 | Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) |
CPT | 63610 | Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery |
CPT | 63620 | Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion |
CPT | 63650 | Percutaneous implantation of neurostimulator electrode array, epidural |
CPT | 63655 | Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural |
CPT | 63661 | Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed |
CPT | 63662 | Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed |
CPT | 63663 | Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed |
CPT | 63664 | Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed |
CPT | 63685 | Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver |
CPT | 63688 | Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array |
CPT | 63700 | Repair of meningocele; less than 5 cm diameter |
CPT | 63702 | Repair of meningocele; larger than 5 cm diameter |
CPT | 63704 | Repair of myelomeningocele; less than 5 cm diameter |
CPT | 63706 | Repair of myelomeningocele; larger than 5 cm diameter |
CPT | 63707 | Repair of dural/cerebrospinal fluid leak, not requiring laminectomy |
CPT | 63709 | Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy |
CPT | 63710 | Dural graft, spinal |
CPT | 63740 | Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy |
CPT | 63741 | Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy |
CPT | 63744 | Replacement, irrigation or revision of lumbosubarachnoid shunt |
CPT | 63746 | Removal of entire lumbosubarachnoid shunt system without replacement |
CPT | 64400 | Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) |
CPT | 64405 | Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve |
CPT | 64408 | Injection(s), anesthetic agent(s) and/or steroid; vagus nerve |
CPT | 64415 | Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed |
CPT | 64416 | Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed |
CPT | 64417 | Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed |
CPT | 64418 | Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve |
CPT | 64420 | Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level |
CPT | 64425 | Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves |
CPT | 64430 | Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve |
CPT | 64435 | Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve |
CPT | 64445 | Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed |
CPT | 64446 | Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed |
CPT | 64447 | Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed |
CPT | 64448 | Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed |
CPT | 64449 | Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) |
CPT | 64450 | Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch |
CPT | 64451 | Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) |
CPT | 64454 | Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed |
CPT | 64455 | Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) |
CPT | 64466 | Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed |
CPT | 64467 | Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed |
CPT | 64468 | Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed |
CPT | 64469 | Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed |
CPT | 64473 | Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed |
CPT | 64474 | Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed |
CPT | 64479 | Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level |
CPT | 64483 | Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level |
CPT | 64486 | Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) |
CPT | 64487 | Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) |
CPT | 64488 | Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) |
CPT | 64489 | Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) |
CPT | 64490 | Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level |
CPT | 64493 | Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level |
CPT | 64505 | Injection, anesthetic agent; sphenopalatine ganglion |
CPT | 64510 | Injection, anesthetic agent; stellate ganglion (cervical sympathetic) |
CPT | 64517 | Injection, anesthetic agent; superior hypogastric plexus |
CPT | 64520 | Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) |
CPT | 64530 | Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring |
CPT | 64553 | Percutaneous implantation of neurostimulator electrode array; cranial nerve |
CPT | 64555 | Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) |
CPT | 64561 | Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed |
CPT | 64566 | Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming |
CPT | 64568 | Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator |
CPT | 64569 | Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator |
CPT | 64570 | Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator |
CPT | 64575 | Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) |
CPT | 64580 | Open implantation of neurostimulator electrode array; neuromuscular |
CPT | 64581 | Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) |
CPT | 64582 | Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array |
CPT | 64583 | Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator |
CPT | 64584 | Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array |
CPT | 64585 | Revision or removal of peripheral neurostimulator electrode array |
CPT | 64590 | Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver |
CPT | 64595 | Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array |
CPT | 64596 | Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array |
CPT | 64598 | Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator |
CPT | 64600 | Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch |
CPT | 64605 | Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale |
CPT | 64610 | Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring |
CPT | 64611 | Chemodenervation of parotid and submandibular salivary glands, bilateral |
CPT | 64612 | Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) |
CPT | 64615 | Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) |
CPT | 64616 | Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) |
CPT | 64617 | Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed |
CPT | 64620 | Destruction by neurolytic agent, intercostal nerve |
CPT | 64624 | Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed |
CPT | 64625 | Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) |
CPT | 64628 | Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral |
CPT | 64630 | Destruction by neurolytic agent; pudendal nerve |
CPT | 64632 | Destruction by neurolytic agent; plantar common digital nerve |
CPT | 64633 | Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint |
CPT | 64635 | Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint |
CPT | 64640 | Destruction by neurolytic agent; other peripheral nerve or branch |
CPT | 64642 | Chemodenervation of one extremity; 1-4 muscle(s) |
CPT | 64644 | Chemodenervation of one extremity; 5 or more muscles |
CPT | 64646 | Chemodenervation of trunk muscle(s); 1-5 muscle(s) |
CPT | 64647 | Chemodenervation of trunk muscle(s); 6 or more muscles |
CPT | 64650 | Chemodenervation of eccrine glands; both axillae |
CPT | 64653 | Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day |
CPT | 64680 | Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus |
CPT | 64681 | Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus |
CPT | 64702 | Neuroplasty; digital, 1 or both, same digit |
CPT | 64704 | Neuroplasty; nerve of hand or foot |
CPT | 64708 | Neuroplasty, major peripheral nerve, arm or leg, open; other than specified |
CPT | 64712 | Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve |
CPT | 64713 | Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus |
CPT | 64714 | Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus |
CPT | 64716 | Neuroplasty and/or transposition; cranial nerve (specify) |
CPT | 64718 | Neuroplasty and/or transposition; ulnar nerve at elbow |
CPT | 64719 | Neuroplasty and/or transposition; ulnar nerve at wrist |
CPT | 64721 | Neuroplasty and/or transposition; median nerve at carpal tunnel |
CPT | 64722 | Decompression; unspecified nerve(s) (specify) |
CPT | 64726 | Decompression; plantar digital nerve |
CPT | 64732 | Transection or avulsion of; supraorbital nerve |
CPT | 64734 | Transection or avulsion of; infraorbital nerve |
CPT | 64736 | Transection or avulsion of; mental nerve |
CPT | 64738 | Transection or avulsion of; inferior alveolar nerve by osteotomy |
CPT | 64740 | Transection or avulsion of; lingual nerve |
CPT | 64742 | Transection or avulsion of; facial nerve, differential or complete |
CPT | 64744 | Transection or avulsion of; greater occipital nerve |
CPT | 64746 | Transection or avulsion of; phrenic nerve |
CPT | 64755 | Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) |
CPT | 64760 | Transection or avulsion of; vagus nerve (vagotomy), abdominal |
CPT | 64763 | Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy |
CPT | 64766 | Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy |
CPT | 64771 | Transection or avulsion of other cranial nerve, extradural |
CPT | 64772 | Transection or avulsion of other spinal nerve, extradural |
CPT | 64774 | Excision of neuroma; cutaneous nerve, surgically identifiable |
CPT | 64776 | Excision of neuroma; digital nerve, 1 or both, same digit |
CPT | 64782 | Excision of neuroma; hand or foot, except digital nerve |
CPT | 64784 | Excision of neuroma; major peripheral nerve, except sciatic |
CPT | 64786 | Excision of neuroma; sciatic nerve |
CPT | 64788 | Excision of neurofibroma or neurolemmoma; cutaneous nerve |
CPT | 64790 | Excision of neurofibroma or neurolemmoma; major peripheral nerve |
CPT | 64792 | Excision of neurofibroma or neurolemmoma; extensive (including malignant type) |
CPT | 64802 | Sympathectomy, cervical |
CPT | 64804 | Sympathectomy, cervicothoracic |
CPT | 64809 | Sympathectomy, thoracolumbar |
CPT | 64818 | Sympathectomy, lumbar |
CPT | 64820 | Sympathectomy; digital arteries, each digit |
CPT | 64821 | Sympathectomy; radial artery |
CPT | 64822 | Sympathectomy; ulnar artery |
CPT | 64823 | Sympathectomy; superficial palmar arch |
CPT | 64831 | Suture of digital nerve, hand or foot; 1 nerve |
CPT | 64834 | Suture of 1 nerve; hand or foot, common sensory nerve |
CPT | 64835 | Suture of 1 nerve; median motor thenar |
CPT | 64836 | Suture of 1 nerve; ulnar motor |
CPT | 64840 | Suture of posterior tibial nerve |
CPT | 64856 | Suture of major peripheral nerve, arm or leg, except sciatic; including transposition |
CPT | 64857 | Suture of major peripheral nerve, arm or leg, except sciatic; without transposition |
CPT | 64858 | Suture of sciatic nerve |
CPT | 64861 | Suture of; brachial plexus |
CPT | 64862 | Suture of; lumbar plexus |
CPT | 64864 | Suture of facial nerve; extracranial |
CPT | 64865 | Suture of facial nerve; infratemporal, with or without grafting |
CPT | 64866 | Anastomosis; facial-spinal accessory |
CPT | 64868 | Anastomosis; facial-hypoglossal |
CPT | 64885 | Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length |
CPT | 64886 | Nerve graft (includes obtaining graft), head or neck; more than 4 cm length |
CPT | 64890 | Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length |
CPT | 64891 | Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length |
CPT | 64892 | Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length |
CPT | 64893 | Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length |
CPT | 64895 | Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length |
CPT | 64896 | Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length |
CPT | 64897 | Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length |
CPT | 64898 | Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length |
CPT | 64905 | Nerve pedicle transfer; first stage |
CPT | 64907 | Nerve pedicle transfer; second stage |
CPT | 64910 | Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve |
CPT | 64911 | Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve |
CPT | 64912 | Nerve repair; with nerve allograft, each nerve, first strand (cable) |
CPT | 64999 | Unlisted procedure, nervous system |
CPT | 65091 | Evisceration of ocular contents; without implant |
CPT | 65093 | Evisceration of ocular contents; with implant |
CPT | 65101 | Enucleation of eye; without implant |
CPT | 65103 | Enucleation of eye; with implant, muscles not attached to implant |
CPT | 65105 | Enucleation of eye; with implant, muscles attached to implant |
CPT | 65110 | Exenteration of orbit (does not include skin graft), removal of orbital contents; only |
CPT | 65112 | Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone |
CPT | 65114 | Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap |
CPT | 65125 | Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) |
CPT | 65130 | Insertion of ocular implant secondary; after evisceration, in scleral shell |
CPT | 65135 | Insertion of ocular implant secondary; after enucleation, muscles not attached to implant |
CPT | 65140 | Insertion of ocular implant secondary; after enucleation, muscles attached to implant |
CPT | 65150 | Reinsertion of ocular implant; with or without conjunctival graft |
CPT | 65155 | Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant |
CPT | 65175 | Removal of ocular implant |
CPT | 65205 | Removal of foreign body, external eye; conjunctival superficial |
CPT | 65210 | Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating |
CPT | 65220 | Removal of foreign body, external eye; corneal, without slit lamp |
CPT | 65222 | Removal of foreign body, external eye; corneal, with slit lamp |
CPT | 65235 | Removal of foreign body, intraocular; from anterior chamber of eye or lens |
CPT | 65260 | Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route |
CPT | 65265 | Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction |
CPT | 65270 | Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure |
CPT | 65272 | Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization |
CPT | 65273 | Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization |
CPT | 65275 | Repair of laceration; cornea, nonperforating, with or without removal foreign body |
CPT | 65280 | Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue |
CPT | 65285 | Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue |
CPT | 65286 | Repair of laceration; application of tissue glue, wounds of cornea and/or sclera |
CPT | 65290 | Repair of wound, extraocular muscle, tendon and/or Tenon's capsule |
CPT | 65400 | Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium |
CPT | 65420 | Excision or transposition of pterygium; without graft |
CPT | 65426 | Excision or transposition of pterygium; with graft |
CPT | 65430 | Scraping of cornea, diagnostic, for smear and/or culture |
CPT | 65435 | Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) |
CPT | 65436 | Removal of corneal epithelium; with application of chelating agent (eg, EDTA) |
CPT | 65450 | Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization |
CPT | 65600 | Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) |
CPT | 65710 | Keratoplasty (corneal transplant); anterior lamellar |
CPT | 65730 | Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) |
CPT | 65750 | Keratoplasty (corneal transplant); penetrating (in aphakia) |
CPT | 65755 | Keratoplasty (corneal transplant); penetrating (in pseudophakia) |
CPT | 65756 | Keratoplasty (corneal transplant); endothelial |
CPT | 65760 | Keratomileusis |
CPT | 65765 | Keratophakia |
CPT | 65767 | Epikeratoplasty |
CPT | 65770 | Keratoprosthesis |
CPT | 65771 | Radial keratotomy |
CPT | 65772 | Corneal relaxing incision for correction of surgically induced astigmatism |
CPT | 65775 | Corneal wedge resection for correction of surgically induced astigmatism |
CPT | 65778 | Placement of amniotic membrane on the ocular surface; without sutures |
CPT | 65779 | Placement of amniotic membrane on the ocular surface; single layer, sutured |
CPT | 65780 | Ocular surface reconstruction; amniotic membrane transplantation, multiple layers |
CPT | 65781 | Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) |
CPT | 65782 | Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) |
CPT | 65785 | Implantation of intrastromal corneal ring segments |
CPT | 65800 | Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous |
CPT | 65810 | Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection |
CPT | 65815 | Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection |
CPT | 65820 | Goniotomy |
CPT | 65850 | Trabeculotomy ab externo |
CPT | 65855 | Trabeculoplasty by laser surgery |
CPT | 65860 | Severing adhesions of anterior segment, laser technique (separate procedure) |
CPT | 65865 | Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae |
CPT | 65870 | Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae |
CPT | 65875 | Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae |
CPT | 65880 | Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions |
CPT | 65900 | Removal of epithelial downgrowth, anterior chamber of eye |
CPT | 65920 | Removal of implanted material, anterior segment of eye |
CPT | 65930 | Removal of blood clot, anterior segment of eye |
CPT | 66020 | Injection, anterior chamber of eye (separate procedure); air or liquid |
CPT | 66030 | Injection, anterior chamber of eye (separate procedure); medication |
CPT | 66130 | Excision of lesion, sclera |
CPT | 66150 | Fistulization of sclera for glaucoma; trephination with iridectomy |
CPT | 66155 | Fistulization of sclera for glaucoma; thermocauterization with iridectomy |
CPT | 66160 | Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy |
CPT | 66170 | Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery |
CPT | 66172 | Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) |
CPT | 66174 | Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent |
CPT | 66175 | Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent |
CPT | 66179 | Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft |
CPT | 66180 | Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft |
CPT | 66183 | Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach |
CPT | 66184 | Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft |
CPT | 66185 | Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft |
CPT | 66225 | Repair of scleral staphyloma with graft |
CPT | 66250 | Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure |
CPT | 66500 | Iridotomy by stab incision (separate procedure); except transfixion |
CPT | 66505 | Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe |
CPT | 66600 | Iridectomy, with corneoscleral or corneal section; for removal of lesion |
CPT | 66605 | Iridectomy, with corneoscleral or corneal section; with cyclectomy |
CPT | 66625 | Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) |
CPT | 66630 | Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) |
CPT | 66635 | Iridectomy, with corneoscleral or corneal section; optical (separate procedure) |
CPT | 66680 | Repair of iris, ciliary body (as for iridodialysis) |
CPT | 66682 | Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) |
CPT | 66683 | Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed |
CPT | 66700 | Ciliary body destruction; diathermy |
CPT | 66710 | Ciliary body destruction; cyclophotocoagulation, transscleral |
CPT | 66711 | Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens |
CPT | 66720 | Ciliary body destruction; cryotherapy |
CPT | 66740 | Ciliary body destruction; cyclodialysis |
CPT | 66761 | Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) |
CPT | 66762 | Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) |
CPT | 66770 | Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) |
CPT | 66820 | Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) |
CPT | 66821 | Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) |
CPT | 66825 | Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) |
CPT | 66830 | Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) |
CPT | 66840 | Removal of lens material; aspiration technique, 1 or more stages |
CPT | 66850 | Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration |
CPT | 66852 | Removal of lens material; pars plana approach, with or without vitrectomy |
CPT | 66920 | Removal of lens material; intracapsular |
CPT | 66930 | Removal of lens material; intracapsular, for dislocated lens |
CPT | 66940 | Removal of lens material; extracapsular (other than 66840, 66850, 66852) |
CPT | 66982 | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; without endoscopic cyclophotocoagulation |
CPT | 66983 | Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) |
CPT | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation |
CPT | 66985 | Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal |
CPT | 66986 | Exchange of intraocular lens |
CPT | 66987 | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; with endoscopic cyclophotocoagulation |
CPT | 66988 | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic cyclophotocoagulation |
CPT | 66989 | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more |
CPT | 66991 | Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more |
CPT | 66999 | Unlisted procedure, anterior segment of eye |
CPT | 67005 | Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal |
CPT | 67010 | Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy |
CPT | 67015 | Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) |
CPT | 67025 | Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) |
CPT | 67027 | Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous |
CPT | 67028 | Intravitreal injection of a pharmacologic agent (separate procedure) |
CPT | 67030 | Discission of vitreous strands (without removal), pars plana approach |
CPT | 67031 | Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) |
CPT | 67036 | Vitrectomy, mechanical, pars plana approach; |
CPT | 67039 | Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation |
CPT | 67040 | Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation |
CPT | 67041 | Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) |
CPT | 67042 | Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) |
CPT | 67043 | Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and laser photocoagulation |
CPT | 67101 | Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy |
CPT | 67105 | Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation |
CPT | 67107 | Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid |
CPT | 67108 | Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique |
CPT | 67110 | Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) |
CPT | 67113 | Repair of complex retinal detachment (eg, 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 |
CPT | 67115 | Release of encircling material (posterior segment) |
CPT | 67120 | Removal of implanted material, posterior segment; extraocular |
CPT | 67121 | Removal of implanted material, posterior segment; intraocular |
CPT | 67141 | Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy |
CPT | 67145 | Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation |
CPT | 67208 | Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy |
CPT | 67210 | Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation |
CPT | 67218 | Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) |
CPT | 67220 | Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions |
CPT | 67221 | Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) |
CPT | 67227 | Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy |
CPT | 67228 | Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation |
CPT | 67229 | Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity), photocoagulation or cryotherapy |
CPT | 67250 | Scleral reinforcement (separate procedure); without graft |
CPT | 67255 | Scleral reinforcement (separate procedure); with graft |
CPT | 67299 | Unlisted procedure, posterior segment |
CPT | 67311 | Strabismus surgery, recession or resection procedure; 1 horizontal muscle |
CPT | 67312 | Strabismus surgery, recession or resection procedure; 2 horizontal muscles |
CPT | 67314 | Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) |
CPT | 67316 | Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) |
CPT | 67318 | Strabismus surgery, any procedure, superior oblique muscle |
CPT | 67343 | Release of extensive scar tissue without detaching extraocular muscle (separate procedure) |
CPT | 67345 | Chemodenervation of extraocular muscle |
CPT | 67399 | Unlisted procedure, extraocular muscle |
CPT | 67400 | Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy |
CPT | 67405 | Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only |
CPT | 67412 | Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion |
CPT | 67413 | Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body |
CPT | 67414 | Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression |
CPT | 67415 | Fine needle aspiration of orbital contents |
CPT | 67420 | Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion |
CPT | 67430 | Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body |
CPT | 67440 | Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage |
CPT | 67445 | Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression |
CPT | 67450 | Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy |
CPT | 67500 | Retrobulbar injection; medication (separate procedure, does not include supply of medication) |
CPT | 67505 | Retrobulbar injection; alcohol |
CPT | 67515 | Injection of medication or other substance into Tenon's capsule |
CPT | 67516 | Suprachoroidal space injection of pharmacologic agent (separate procedure) |
CPT | 67550 | Orbital implant (implant outside muscle cone); insertion |
CPT | 67560 | Orbital implant (implant outside muscle cone); removal or revision |
CPT | 67570 | Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) |
CPT | 67599 | Unlisted procedure, orbit |
CPT | 67700 | Blepharotomy, drainage of abscess, eyelid |
CPT | 67710 | Severing of tarsorrhaphy |
CPT | 67715 | Canthotomy (separate procedure) |
CPT | 67800 | Excision of chalazion; single |
CPT | 67801 | Excision of chalazion; multiple, same lid |
CPT | 67805 | Excision of chalazion; multiple, different lids |
CPT | 67808 | Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple |
CPT | 67820 | Correction of trichiasis; epilation, by forceps only |
CPT | 67825 | Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) |
CPT | 67830 | Correction of trichiasis; incision of lid margin |
CPT | 67835 | Correction of trichiasis; incision of lid margin, with free mucous membrane graft |
CPT | 67840 | Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure |
CPT | 67850 | Destruction of lesion of lid margin (up to 1 cm) |
CPT | 67875 | Temporary closure of eyelids by suture (eg, Frost suture) |
CPT | 67880 | Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; |
CPT | 67882 | Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate |
CPT | 67900 | Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) |
CPT | 67901 | Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) |
CPT | 67902 | Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) |
CPT | 67903 | Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach |
CPT | 67904 | Repair of blepharoptosis; (tarso) levator resection or advancement, external approach |
CPT | 67906 | Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) |
CPT | 67908 | Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) |
CPT | 67909 | Reduction of overcorrection of ptosis |
CPT | 67911 | Correction of lid retraction |
CPT | 67912 | Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) |
CPT | 67914 | Repair of ectropion; suture |
CPT | 67915 | Repair of ectropion; thermocauterization |
CPT | 67916 | Repair of ectropion; excision tarsal wedge |
CPT | 67917 | Repair of ectropion; extensive (eg, tarsal strip operations) |
CPT | 67921 | Repair of entropion; suture |
CPT | 67922 | Repair of entropion; thermocauterization |
CPT | 67923 | Repair of entropion; excision tarsal wedge |
CPT | 67924 | Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) |
CPT | 67930 | Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness |
CPT | 67935 | Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness |
CPT | 67938 | Removal of embedded foreign body, eyelid |
CPT | 67950 | Canthoplasty (reconstruction of canthus) |
CPT | 67961 | Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin |
CPT | 67966 | Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin |
CPT | 67971 | Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage |
CPT | 67973 | Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage |
CPT | 67974 | Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage |
CPT | 67975 | Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage |
CPT | 67999 | Unlisted procedure, eyelids |
CPT | 68020 | Incision of conjunctiva, drainage of cyst |
CPT | 68040 | Expression of conjunctival follicles (eg, for trachoma) |
CPT | 68110 | Excision of lesion, conjunctiva; up to 1 cm |
CPT | 68115 | Excision of lesion, conjunctiva; over 1 cm |
CPT | 68130 | Excision of lesion, conjunctiva; with adjacent sclera |
CPT | 68135 | Destruction of lesion, conjunctiva |
CPT | 68200 | Subconjunctival injection |
CPT | 68320 | Conjunctivoplasty; with conjunctival graft or extensive rearrangement |
CPT | 68325 | Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) |
CPT | 68326 | Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement |
CPT | 68328 | Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) |
CPT | 68330 | Repair of symblepharon; conjunctivoplasty, without graft |
CPT | 68335 | Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) |
CPT | 68340 | Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens |
CPT | 68360 | Conjunctival flap; bridge or partial (separate procedure) |
CPT | 68362 | Conjunctival flap; total (such as Gunderson thin flap or purse string flap) |
CPT | 68371 | Harvesting conjunctival allograft, living donor |
CPT | 68399 | Unlisted procedure, conjunctiva |
CPT | 68400 | Incision, drainage of lacrimal gland |
CPT | 68420 | Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) |
CPT | 68440 | Snip incision of lacrimal punctum |
CPT | 68500 | Excision of lacrimal gland (dacryoadenectomy), except for tumor; total |
CPT | 68505 | Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial |
CPT | 68520 | Excision of lacrimal sac (dacryocystectomy) |
CPT | 68530 | Removal of foreign body or dacryolith, lacrimal passages |
CPT | 68540 | Excision of lacrimal gland tumor; frontal approach |
CPT | 68550 | Excision of lacrimal gland tumor; involving osteotomy |
CPT | 68700 | Plastic repair of canaliculi |
CPT | 68705 | Correction of everted punctum, cautery |
CPT | 68720 | Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) |
CPT | 68745 | Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube |
CPT | 68750 | Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent |
CPT | 68760 | Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery |
CPT | 68761 | Closure of the lacrimal punctum; by plug, each |
CPT | 68770 | Closure of lacrimal fistula (separate procedure) |
CPT | 68801 | Dilation of lacrimal punctum, with or without irrigation |
CPT | 68810 | Probing of nasolacrimal duct, with or without irrigation; |
CPT | 68811 | Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia |
CPT | 68815 | Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent |
CPT | 68816 | Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation |
CPT | 68840 | Probing of lacrimal canaliculi, with or without irrigation |
CPT | 68841 | Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each |
CPT | 68899 | Unlisted procedure, lacrimal system |
CPT | 69000 | Drainage external ear, abscess or hematoma; simple |
CPT | 69005 | Drainage external ear, abscess or hematoma; complicated |
CPT | 69020 | Drainage external auditory canal, abscess |
CPT | 69090 | Ear piercing |
CPT | 69110 | Excision external ear; partial, simple repair |
CPT | 69120 | Excision external ear; complete amputation |
CPT | 69140 | Excision exostosis(es), external auditory canal |
CPT | 69145 | Excision soft tissue lesion, external auditory canal |
CPT | 69150 | Radical excision external auditory canal lesion; without neck dissection |
CPT | 69155 | Radical excision external auditory canal lesion; with neck dissection |
CPT | 69200 | Removal foreign body from external auditory canal; without general anesthesia |
CPT | 69205 | Removal foreign body from external auditory canal; with general anesthesia |
CPT | 69209 | Removal impacted cerumen using irrigation/lavage, unilateral |
CPT | 69210 | Removal impacted cerumen requiring instrumentation, unilateral |
CPT | 69220 | Debridement, mastoidectomy cavity, simple (eg, routine cleaning) |
CPT | 69222 | Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) |
CPT | 69300 | Otoplasty, protruding ear, with or without size reduction |
CPT | 69310 | Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) |
CPT | 69320 | Reconstruction external auditory canal for congenital atresia, single stage |
CPT | 69399 | Unlisted procedure, external ear |
CPT | 69420 | Myringotomy including aspiration and/or eustachian tube inflation |
CPT | 69421 | Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia |
CPT | 69424 | Ventilating tube removal requiring general anesthesia |
CPT | 69433 | Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia |
CPT | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
CPT | 69440 | Middle ear exploration through postauricular or ear canal incision |
CPT | 69450 | Tympanolysis, transcanal |
CPT | 69501 | Transmastoid antrotomy (simple mastoidectomy) |
CPT | 69502 | Mastoidectomy; complete |
CPT | 69505 | Mastoidectomy; modified radical |
CPT | 69511 | Mastoidectomy; radical |
CPT | 69530 | Petrous apicectomy including radical mastoidectomy |
CPT | 69535 | Resection temporal bone, external approach |
CPT | 69540 | Excision aural polyp |
CPT | 69550 | Excision aural glomus tumor; transcanal |
CPT | 69552 | Excision aural glomus tumor; transmastoid |
CPT | 69554 | Excision aural glomus tumor; extended (extratemporal) |
CPT | 69601 | Revision mastoidectomy; resulting in complete mastoidectomy |
CPT | 69602 | Revision mastoidectomy; resulting in modified radical mastoidectomy |
CPT | 69603 | Revision mastoidectomy; resulting in radical mastoidectomy |
CPT | 69604 | Revision mastoidectomy; resulting in tympanoplasty |
CPT | 69610 | Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch |
CPT | 69620 | Myringoplasty (surgery confined to drumhead and donor area) |
CPT | 69631 | Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction |
CPT | 69632 | Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) |
CPT | 69633 | Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP]) |
CPT | 69635 | Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction |
CPT | 69636 | Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction |
CPT | 69637 | Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP]) |
CPT | 69641 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction |
CPT | 69642 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction |
CPT | 69643 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction |
CPT | 69644 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction |
CPT | 69645 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction |
CPT | 69646 | Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction |
CPT | 69650 | Stapes mobilization |
CPT | 69660 | Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; |
CPT | 69661 | Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out |
CPT | 69662 | Revision of stapedectomy or stapedotomy |
CPT | 69666 | Repair oval window fistula |
CPT | 69667 | Repair round window fistula |
CPT | 69670 | Mastoid obliteration (separate procedure) |
CPT | 69676 | Tympanic neurectomy |
CPT | 69700 | Closure postauricular fistula, mastoid (separate procedure) |
CPT | 69705 | Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral |
CPT | 69706 | Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral |
CPT | 69710 | Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone |
CPT | 69711 | Removal or repair of electromagnetic bone conduction hearing device in temporal bone |
CPT | 69714 | Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor |
CPT | 69716 | Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex |
CPT | 69717 | Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor |
CPT | 69719 | Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area of bone deep to the outer cranial cortex |
CPT | 69720 | Decompression facial nerve, intratemporal; lateral to geniculate ganglion |
CPT | 69725 | Decompression facial nerve, intratemporal; including medial to geniculate ganglion |
CPT | 69726 | Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor |
CPT | 69727 | Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area of bone deep to the outer cranial cortex |
CPT | 69728 | Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm surface area of bone deep to the outer cranial cortex |
CPT | 69729 | Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq mm surface area of bone deep to the outer cranial cortex |
CPT | 69730 | Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm surface area of bone deep to the outer cranial cortex |
CPT | 69740 | Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion |
CPT | 69745 | Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion |
CPT | 69799 | Unlisted procedure, middle ear |
CPT | 69801 | Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal |
CPT | 69805 | Endolymphatic sac operation; without shunt |
CPT | 69806 | Endolymphatic sac operation; with shunt |
CPT | 69905 | Labyrinthectomy; transcanal |
CPT | 69910 | Labyrinthectomy; with mastoidectomy |
CPT | 69915 | Vestibular nerve section, translabyrinthine approach |
CPT | 69930 | Cochlear device implantation, with or without mastoidectomy |
CPT | 69949 | Unlisted procedure, inner ear |
CPT | 69950 | Vestibular nerve section, transcranial approach |
CPT | 69955 | Total facial nerve decompression and/or repair (may include graft) |
CPT | 69960 | Decompression internal auditory canal |
CPT | 69970 | Removal of tumor, temporal bone |
CPT | 69979 | Unlisted procedure, temporal bone, middle fossa approach |
CPT | 77261 | Therapeutic radiology treatment planning; simple |
CPT | 77262 | Therapeutic radiology treatment planning; intermediate |
CPT | 77263 | Therapeutic radiology treatment planning; complex |
CPT | 77280 | Therapeutic radiology simulation-aided field setting; simple |
CPT | 77285 | Therapeutic radiology simulation-aided field setting; intermediate |
CPT | 77290 | Therapeutic radiology simulation-aided field setting; complex |
CPT | 77295 | 3-dimensional radiotherapy plan, including dose-volume histograms |
CPT | 77299 | Unlisted procedure, therapeutic radiology clinical treatment planning |
CPT | 77300 | Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician |
CPT | 77301 | Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications |
CPT | 77306 | Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s) |
CPT | 77307 | Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s) |
CPT | 77316 | Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) |
CPT | 77317 | Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) |
CPT | 77318 | Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) |
CPT | 77321 | Special teletherapy port plan, particles, hemibody, total body |
CPT | 77331 | Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician |
CPT | 77371 | Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based |
CPT | 77372 | Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based |
CPT | 77373 | Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions |
CPT | 77385 | Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple |
CPT | 77386 | Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex |
CPT | 77399 | Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services |
CPT | 77401 | Radiation treatment delivery, superficial and/or ortho voltage, per day |
CPT | 77402 | Radiation treatment delivery, >=1 MeV; simple |
CPT | 77407 | Radiation treatment delivery, >=1 MeV; intermediate |
CPT | 77412 | Radiation treatment delivery, >=1 MeV; complex |
CPT | 77417 | Therapeutic radiology port image(s) |
CPT | 77423 | High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s) |
CPT | 77424 | Intraoperative radiation treatment delivery, x-ray, single treatment session |
CPT | 77425 | Intraoperative radiation treatment delivery, electrons, single treatment session |
CPT | 77427 | Radiation treatment management, 5 treatments |
CPT | 77431 | Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only |
CPT | 77432 | Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of 1 session) |
CPT | 77435 | Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions |
CPT | 77469 | Intraoperative radiation treatment management |
CPT | 77470 | Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation) |
CPT | 77499 | Unlisted procedure, therapeutic radiology treatment management |
CPT | 77520 | Proton treatment delivery; simple, without compensation |
CPT | 77522 | Proton treatment delivery; simple, with compensation |
CPT | 77523 | Proton treatment delivery; intermediate |
CPT | 77525 | Proton treatment delivery; complex |
CPT | 77600 | Hyperthermia, externally generated; superficial (ie, heating to a depth of 4 cm or less) |
CPT | 77605 | Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) |
CPT | 77610 | Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators |
CPT | 77615 | Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators |
CPT | 77620 | Hyperthermia generated by intracavitary probe(s) |
CPT | 77750 | Infusion or instillation of radioelement solution (includes 3-month follow-up care) |
CPT | 77761 | Intracavitary radiation source application; simple |
CPT | 77762 | Intracavitary radiation source application; intermediate |
CPT | 77763 | Intracavitary radiation source application; complex |
CPT | 77767 | Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel |
CPT | 77768 | Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions |
CPT | 77770 | Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel |
CPT | 77771 | Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels |
CPT | 77772 | Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels |
CPT | 77778 | Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed |
CPT | 77789 | Surface application of low dose rate radionuclide source |
CPT | 77790 | Supervision, handling, loading of radiation source |
CPT | 77799 | Unlisted procedure, clinical brachytherapy |
CPT | 79005 | Radiopharmaceutical therapy, by oral administration |
CPT | 79101 | Radiopharmaceutical therapy, by intravenous administration |
CPT | 79200 | Radiopharmaceutical therapy, by intracavitary administration |
CPT | 79300 | Radiopharmaceutical therapy, by interstitial radioactive colloid administration |
CPT | 79403 | Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion |
CPT | 79440 | Radiopharmaceutical therapy, by intra-articular administration |
CPT | 79445 | Radiopharmaceutical therapy, by intra-arterial particulate administration |
CPT | 79999 | Radiopharmaceutical therapy, unlisted procedure |
CPT | 90791 | Psychiatric diagnostic evaluation |
CPT | 90792 | Psychiatric diagnostic evaluation with medical services |
CPT | 90832 | Psychotherapy, 30 minutes with patient |
CPT | 90834 | Psychotherapy, 45 minutes with patient |
CPT | 90837 | Psychotherapy, 60 minutes with patient |
CPT | 90839 | Psychotherapy for crisis; first 60 minutes |
CPT | 90845 | Psychoanalysis |
CPT | 90846 | Family psychotherapy (without the patient present), 50 minutes |
CPT | 90847 | Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes |
CPT | 90849 | Multiple-family group psychotherapy |
CPT | 90853 | Group psychotherapy (other than of a multiple-family group) |
CPT | 90865 | Narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview) |
CPT | 90867 | Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management |
CPT | 90868 | Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent delivery and management, per session |
CPT | 90869 | Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent motor threshold re-determination with delivery and management |
CPT | 90870 | Electroconvulsive therapy (includes necessary monitoring) |
CPT | 90875 | Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); 30 minutes |
CPT | 90876 | Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); 45 minutes |
CPT | 90880 | Hypnotherapy |
CPT | 90912 | Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient |
CPT | 90935 | Hemodialysis procedure with single evaluation by a physician or other qualified health care professional |
CPT | 90937 | Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription |
CPT | 90940 | Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method |
CPT | 90945 | Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional |
CPT | 90947 | Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified health care professional, with or without substantial revision of dialysis prescription |
CPT | 90951 | End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month |
CPT | 90952 | End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month |
CPT | 90953 | End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month |
CPT | 90954 | End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month |
CPT | 90955 | End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month |
CPT | 90956 | End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month |
CPT | 90957 | End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month |
CPT | 90958 | End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month |
CPT | 90959 | End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month |
CPT | 90960 | End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month |
CPT | 90961 | End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month |
CPT | 90962 | End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month |
CPT | 90963 | End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents |
CPT | 90964 | End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents |
CPT | 90965 | End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents |
CPT | 90966 | End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older |
CPT | 90967 | End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age |
CPT | 90968 | End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 2-11 years of age |
CPT | 90969 | End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age |
CPT | 90970 | End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older |
CPT | 90989 | Dialysis training, patient, including helper where applicable, any mode, completed course |
CPT | 90993 | Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session |
CPT | 90997 | Hemoperfusion (eg, with activated charcoal or resin) |
CPT | 90999 | Unlisted dialysis procedure, inpatient or outpatient |
CPT | 91113 | Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report |
CPT | 92002 | Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient |
CPT | 92004 | Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits |
CPT | 92012 | Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient |
CPT | 92014 | Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits |
CPT | 92015 | Determination of refractive state |
CPT | 92018 | Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; complete |
CPT | 92019 | Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited |
CPT | 92020 | Gonioscopy (separate procedure) |
CPT | 92025 | Computerized corneal topography, unilateral or bilateral, with interpretation and report |
CPT | 92060 | Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) |
CPT | 92065 | Orthoptic training; performed by a physician or other qualified health care professional |
CPT | 92066 | Orthoptic training; under supervision of a physician or other qualified health care professional |
CPT | 92071 | Fitting of contact lens for treatment of ocular surface disease |
CPT | 92072 | Fitting of contact lens for management of keratoconus, initial fitting |
CPT | 92081 | Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent) |
CPT | 92082 | Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshold screening program, Humphrey suprathreshold automatic diagnostic test, Octopus program 33) |
CPT | 92083 | Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2) |
CPT | 92100 | Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment of acute elevation of intraocular pressure) |
CPT | 92132 | Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), anterior segment, with interpretation and report, unilateral or bilateral |
CPT | 92133 | Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve |
CPT | 92134 | Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina |
CPT | 92136 | Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation |
CPT | 92137 | Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography |
CPT | 92145 | Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report |
CPT | 92201 | Ophthalmoscopy, extended; with retinal drawing and scleral depression of peripheral retinal disease (eg, for retinal tear, retinal detachment, retinal tumor) with interpretation and report, unilateral or bilateral |
CPT | 92202 | Ophthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateral |
CPT | 92227 | Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral |
CPT | 92228 | Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral |
CPT | 92229 | Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral |
CPT | 92230 | Fluorescein angioscopy with interpretation and report |
CPT | 92235 | Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral |
CPT | 92240 | Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral |
CPT | 92242 | Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral |
CPT | 92250 | Fundus photography with interpretation and report |
CPT | 92260 | Ophthalmodynamometry |
CPT | 92265 | Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report |
CPT | 92270 | Electro-oculography with interpretation and report |
CPT | 92273 | Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) |
CPT | 92274 | Electroretinography (ERG), with interpretation and report; multifocal (mfERG) |
CPT | 92283 | Color vision examination, extended, eg, anomaloscope or equivalent |
CPT | 92284 | Diagnostic dark adaptation examination with interpretation and report |
CPT | 92285 | External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) |
CPT | 92286 | Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis |
CPT | 92287 | Anterior segment imaging with interpretation and report; with fluorescein angiography |
CPT | 92502 | Otolaryngologic examination under general anesthesia |
CPT | 92504 | Binocular microscopy (separate diagnostic procedure) |
CPT | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual |
CPT | 92508 | Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals |
CPT | 92517 | Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) |
CPT | 92518 | Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) |
CPT | 92519 | Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) |
CPT | 92521 | Evaluation of speech fluency (eg, stuttering, cluttering) |
CPT | 92522 | Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); |
CPT | 92523 | Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) |
CPT | 92524 | Behavioral and qualitative analysis of voice and resonance |
CPT | 92526 | Treatment of swallowing dysfunction and/or oral function for feeding |
CPT | 92550 | Tympanometry and reflex threshold measurements |
CPT | 92551 | Screening test, pure tone, air only |
CPT | 92552 | Pure tone audiometry (threshold); air only |
CPT | 92553 | Pure tone audiometry (threshold); air and bone |
CPT | 92555 | Speech audiometry threshold; |
CPT | 92556 | Speech audiometry threshold; with speech recognition |
CPT | 92557 | Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) |
CPT | 92558 | Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysis |
CPT | 92562 | Loudness balance test, alternate binaural or monaural |
CPT | 92563 | Tone decay test |
CPT | 92565 | Stenger test, pure tone |
CPT | 92567 | Tympanometry (impedance testing) |
CPT | 92568 | Acoustic reflex testing, threshold |
CPT | 92570 | Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing |
CPT | 92571 | Filtered speech test |
CPT | 92572 | Staggered spondaic word test |
CPT | 92575 | Sensorineural acuity level test |
CPT | 92576 | Synthetic sentence identification test |
CPT | 92577 | Stenger test, speech |
CPT | 92579 | Visual reinforcement audiometry (VRA) |
CPT | 92582 | Conditioning play audiometry |
CPT | 92583 | Select picture audiometry |
CPT | 92584 | Electrocochleography |
CPT | 92587 | Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpretation and report |
CPT | 92588 | Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report |
CPT | 92590 | Hearing aid examination and selection; monaural |
CPT | 92591 | Hearing aid examination and selection; binaural |
CPT | 92592 | Hearing aid check; monaural |
CPT | 92593 | Hearing aid check; binaural |
CPT | 92594 | Electroacoustic evaluation for hearing aid; monaural |
CPT | 92595 | Electroacoustic evaluation for hearing aid; binaural |
CPT | 92601 | Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming |
CPT | 92602 | Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming |
CPT | 92603 | Diagnostic analysis of cochlear implant, age 7 years or older; with programming |
CPT | 92604 | Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming |
CPT | 92605 | Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour |
CPT | 92606 | Therapeutic service(s) for the use of non-speech-generating device, including programming and modification |
CPT | 92607 | Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour |
CPT | 92609 | Therapeutic services for the use of speech-generating device, including programming and modification |
CPT | 92620 | Evaluation of central auditory function, with report; initial 60 minutes |
CPT | 92625 | Assessment of tinnitus (includes pitch, loudness matching, and masking) |
CPT | 92626 | Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour |
CPT | 92630 | Auditory rehabilitation; prelingual hearing loss |
CPT | 92633 | Auditory rehabilitation; postlingual hearing loss |
CPT | 92640 | Diagnostic analysis with programming of auditory brainstem implant, per hour |
CPT | 92650 | Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis |
CPT | 92651 | Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report |
CPT | 92652 | Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report |
CPT | 92653 | Auditory evoked potentials; neurodiagnostic, with interpretation and report |
CPT | 92700 | Unlisted otorhinolaryngological service or procedure |
CPT | 92920 | Percutaneous transluminal coronary angioplasty; single major coronary artery or branch |
CPT | 92924 | Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; single major coronary artery or branch |
CPT | 92928 | Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch |
CPT | 92933 | Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch |
CPT | 92937 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel |
CPT | 92941 | Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel |
CPT | 92943 | Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; single vessel |
CPT | 92950 | Cardiopulmonary resuscitation (eg, in cardiac arrest) |
CPT | 92953 | Temporary transcutaneous pacing |
CPT | 92960 | Cardioversion, elective, electrical conversion of arrhythmia; external |
CPT | 92961 | Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) |
CPT | 92970 | Cardioassist-method of circulatory assist; internal |
CPT | 92971 | Cardioassist-method of circulatory assist; external |
CPT | 92972 | Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) |
CPT | 92975 | Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography |
CPT | 92977 | Thrombolysis, coronary; by intravenous infusion |
CPT | 92986 | Percutaneous balloon valvuloplasty; aortic valve |
CPT | 92987 | Percutaneous balloon valvuloplasty; mitral valve |
CPT | 92990 | Percutaneous balloon valvuloplasty; pulmonary valve |
CPT | 92997 | Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel |
CPT | 93260 | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; implantable subcutaneous lead defibrillator system |
CPT | 93261 | Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system |
CPT | 93264 | Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads of pulmonary artery pressure recordings, interpretation(s), trend analysis, and report(s) by a physician or other qualified health care professional |
CPT | 93279 | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; single lead pacemaker system or leadless pacemaker system in one cardiac chamber |
CPT | 93280 | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; dual lead pacemaker system |
CPT | 93281 | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; multiple lead pacemaker system |
CPT | 93282 | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; single lead transvenous implantable defibrillator system |
CPT | 93283 | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; dual lead transvenous implantable defibrillator system |
CPT | 93284 | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; multiple lead transvenous implantable defibrillator system |
CPT | 93285 | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; subcutaneous cardiac rhythm monitor system |
CPT | 93286 | Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system |
CPT | 93287 | Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead implantable defibrillator system |
CPT | 93288 | Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead pacemaker system, or leadless pacemaker system |
CPT | 93289 | Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead transvenous implantable defibrillator system, including analysis of heart rhythm derived data elements |
CPT | 93290 | Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors |
CPT | 93291 | Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; subcutaneous cardiac rhythm monitor system, including heart rhythm derived data analysis |
CPT | 93292 | Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; wearable defibrillator system |
CPT | 93303 | Transthoracic echocardiography for congenital cardiac anomalies; complete |
CPT | 93304 | Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study |
CPT | 93306 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography |
CPT | 93307 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography |
CPT | 93308 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study |
CPT | 93312 | Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report |
CPT | 93313 | Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only |
CPT | 93314 | Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only |
CPT | 93315 | Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report |
CPT | 93316 | Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only |
CPT | 93317 | Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only |
CPT | 93318 | Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis |
CPT | 93350 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; |
CPT | 93351 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional |
CPT | 93451 | Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed |
CPT | 93452 | Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed |
CPT | 93453 | Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed |
CPT | 93454 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; |
CPT | 93455 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography |
CPT | 93456 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization |
CPT | 93457 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization |
CPT | 93458 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed |
CPT | 93459 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography |
CPT | 93460 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed |
CPT | 93461 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography |
CPT | 93503 | Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes |
CPT | 93580 | Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant |
CPT | 93581 | Percutaneous transcatheter closure of a congenital ventricular septal defect with implant |
CPT | 93582 | Percutaneous transcatheter closure of patent ductus arteriosus |
CPT | 93583 | Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed |
CPT | 93590 | Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve |
CPT | 93591 | Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve |
CPT | 93593 | Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections |
CPT | 93594 | Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections |
CPT | 93595 | Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections |
CPT | 93596 | Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections |
CPT | 93597 | Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections |
CPT | 93650 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement |
CPT | 93653 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry |
CPT | 93654 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed |
CPT | 93656 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed |
CPT | 93797 | Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session) |
CPT | 93798 | Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session) |
CPT | 94002 | Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day |
CPT | 94003 | Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day |
CPT | 94004 | Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility, per day |
CPT | 94005 | Home ventilator management care plan oversight of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living) requiring review of status, review of laboratories and other studies and revision of orders and respiratory care plan (as appropriate), within a calendar month, 30 minutes or more |
CPT | 94610 | Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube |
CPT | 94625 | Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) |
CPT | 94626 | Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) |
CPT | 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device |
CPT | 94642 | Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis |
CPT | 94644 | Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour |
CPT | 94660 | Continuous positive airway pressure ventilation (CPAP), initiation and management |
CPT | 94662 | Continuous negative pressure ventilation (CNP), initiation and management |
CPT | 94664 | Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device |
CPT | 94667 | Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation |
CPT | 94668 | Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent |
CPT | 94669 | Mechanical chest wall oscillation to facilitate lung function, per session |
CPT | 95115 | Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection |
CPT | 95117 | Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections |
CPT | 95120 | Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; single injection |
CPT | 95125 | Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 2 or more injections |
CPT | 95130 | Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; single stinging insect venom |
CPT | 95131 | Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 2 stinging insect venoms |
CPT | 95132 | Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 3 stinging insect venoms |
CPT | 95133 | Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 4 stinging insect venoms |
CPT | 95134 | Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 5 stinging insect venoms |
CPT | 95144 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single dose vial(s) (specify number of vials) |
CPT | 95145 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); single stinging insect venom |
CPT | 95146 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 2 single stinging insect venoms |
CPT | 95147 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 3 single stinging insect venoms |
CPT | 95148 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 single stinging insect venoms |
CPT | 95149 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 5 single stinging insect venoms |
CPT | 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses) |
CPT | 95170 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole body extract of biting insect or other arthropod (specify number of doses) |
CPT | 95180 | Rapid desensitization procedure, each hour (eg, insulin, penicillin, equine serum) |
CPT | 95199 | Unlisted allergy/clinical immunologic service or procedure |
CPT | 95836 | Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days |
CPT | 95919 | Quantitative pupillometry with physician or other qualified health care professional interpretation and report, unilateral or bilateral |
CPT | 95976 | Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with simple cranial nerve neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional |
CPT | 95977 | Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with complex cranial nerve neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional |
CPT | 95983 | Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with brain neurostimulator pulse generator/transmitter programming, first 15 minutes face-to-face time with physician or other qualified health care professional |
CPT | 95991 | Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requiring skill of a physician or other qualified health care professional |
CPT | 95992 | Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day |
CPT | 96004 | Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyography during walking or other functional activities, and dynamic fine wire electromyography, with written report |
CPT | 96020 | Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or other qualified health care professional (ie, psychologist), with review of test results and report |
CPT | 96105 | Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour |
CPT | 96110 | Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument |
CPT | 96112 | Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour |
CPT | 96116 | Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour |
CPT | 96125 | Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report |
CPT | 96127 | Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument |
CPT | 96130 | Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour |
CPT | 96132 | Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour |
CPT | 96136 | Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes |
CPT | 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
CPT | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
CPT | 96369 | Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s) |
CPT | 96372 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular |
CPT | 96373 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial |
CPT | 96374 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug |
CPT | 96379 | Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion |
CPT | 96401 | Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic |
CPT | 96402 | Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic |
CPT | 96405 | Chemotherapy administration; intralesional, up to and including 7 lesions |
CPT | 96406 | Chemotherapy administration; intralesional, more than 7 lesions |
CPT | 96409 | Chemotherapy administration; intravenous, push technique, single or initial substance/drug |
CPT | 96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug |
CPT | 96416 | Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump |
CPT | 96420 | Chemotherapy administration, intra-arterial; push technique |
CPT | 96422 | Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour |
CPT | 96425 | Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump |
CPT | 96440 | Chemotherapy administration into pleural cavity, requiring and including thoracentesis |
CPT | 96446 | Chemotherapy administration into the peritoneal cavity via implanted port or catheter |
CPT | 96450 | Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture |
CPT | 96521 | Refilling and maintenance of portable pump |
CPT | 96522 | Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) |
CPT | 96523 | Irrigation of implanted venous access device for drug delivery systems |
CPT | 96542 | Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents |
CPT | 96549 | Unlisted chemotherapy procedure |
CPT | 96567 | Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day |
CPT | 96573 | Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day |
CPT | 96574 | Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day |
CPT | 96900 | Actinotherapy (ultraviolet light) |
CPT | 96910 | Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B |
CPT | 96912 | Photochemotherapy; psoralens and ultraviolet A (PUVA) |
CPT | 96913 | Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and dressings) |
CPT | 96920 | Excimer laser treatment for psoriasis; total area less than 250 sq cm |
CPT | 96921 | Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm |
CPT | 96922 | Excimer laser treatment for psoriasis; over 500 sq cm |
CPT | 96999 | Unlisted special dermatological service or procedure |
CPT | 97010 | Application of a modality to 1 or more areas; hot or cold packs |
CPT | 97012 | Application of a modality to 1 or more areas; traction, mechanical |
CPT | 97014 | Application of a modality to 1 or more areas; electrical stimulation (unattended) |
CPT | 97016 | Application of a modality to 1 or more areas; vasopneumatic devices |
CPT | 97018 | Application of a modality to 1 or more areas; paraffin bath |
CPT | 97022 | Application of a modality to 1 or more areas; whirlpool |
CPT | 97024 | Application of a modality to 1 or more areas; diathermy (eg, microwave) |
CPT | 97026 | Application of a modality to 1 or more areas; infrared |
CPT | 97028 | Application of a modality to 1 or more areas; ultraviolet |
CPT | 97032 | Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes |
CPT | 97033 | Application of a modality to 1 or more areas; iontophoresis, each 15 minutes |
CPT | 97034 | Application of a modality to 1 or more areas; contrast baths, each 15 minutes |
CPT | 97035 | Application of a modality to 1 or more areas; ultrasound, each 15 minutes |
CPT | 97036 | Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes |
CPT | 97037 | Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction |
CPT | 97039 | Unlisted modality (specify type and time if constant attendance) |
CPT | 97110 | Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility |
CPT | 97112 | Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities |
CPT | 97113 | Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises |
CPT | 97116 | Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) |
CPT | 97124 | Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) |
CPT | 97129 | Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes |
CPT | 97139 | Unlisted therapeutic procedure (specify) |
CPT | 97140 | Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes |
CPT | 97150 | Therapeutic procedure(s), group (2 or more individuals) |
CPT | 97151 | Behavior identification assessment, administered by a physician or other qualified health care professional, each 15 minutes of the physician's or other qualified health care professional's time face-to-face with patient and/or guardian(s)/caregiver(s) administering assessments and discussing findings and recommendations, and non-face-to-face analyzing past data, scoring/interpreting the assessment, and preparing the report/treatment plan |
CPT | 97153 | Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes |
CPT | 97154 | Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with two or more patients, each 15 minutes |
CPT | 97155 | Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes |
CPT | 97156 | Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with guardian(s)/caregiver(s), each 15 minutes |
CPT | 97157 | Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of guardians/caregivers, each 15 minutes |
CPT | 97158 | Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, face-to-face with multiple patients, each 15 minutes |
CPT | 97161 | Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family. |
CPT | 97162 | Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family. |
CPT | 97163 | Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family. |
CPT | 97164 | Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family. |
CPT | 97165 | Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family. |
CPT | 97166 | Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family. |
CPT | 97167 | Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family. |
CPT | 97168 | Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family. |
CPT | 97530 | Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes |
CPT | 97533 | Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes |
CPT | 97535 | Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes |
CPT | 97537 | Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contact, each 15 minutes |
CPT | 97542 | Wheelchair management (eg, assessment, fitting, training), each 15 minutes |
CPT | 97545 | Work hardening/conditioning; initial 2 hours |
CPT | 97597 | Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less |
CPT | 97602 | Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session |
CPT | 97605 | Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters |
CPT | 97606 | Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters |
CPT | 97607 | Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters |
CPT | 97608 | Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters |
CPT | 97610 | Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day |
CPT | 97750 | Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes |
CPT | 97755 | Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with written report, each 15 minutes |
CPT | 97760 | Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes |
CPT | 97761 | Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes |
CPT | 97763 | Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes |
CPT | 97799 | Unlisted physical medicine/rehabilitation service or procedure |
CPT | 97802 | Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes |
CPT | 97803 | Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes |
CPT | 97804 | Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes |
CPT | 98925 | Osteopathic manipulative treatment (OMT); 1-2 body regions involved |
CPT | 98926 | Osteopathic manipulative treatment (OMT); 3-4 body regions involved |
CPT | 98927 | Osteopathic manipulative treatment (OMT); 5-6 body regions involved |
CPT | 98928 | Osteopathic manipulative treatment (OMT); 7-8 body regions involved |
CPT | 98929 | Osteopathic manipulative treatment (OMT); 9-10 body regions involved |
CPT | 98940 | Chiropractic manipulative treatment (CMT); spinal, 1-2 regions |
CPT | 98941 | Chiropractic manipulative treatment (CMT); spinal, 3-4 regions |
CPT | 98942 | Chiropractic manipulative treatment (CMT); spinal, 5 regions |
CPT | 98943 | Chiropractic manipulative treatment (CMT); extraspinal, 1 or more regions |
CPT | 99024 | Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure |
CPT | 99050 | Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday), in addition to basic service |
CPT | 99051 | Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service |
CPT | 99053 | Service(s) provided between 10:00 PM and 8:00 AM at 24-hour facility, in addition to basic service |
CPT | 99056 | Service(s) typically provided in the office, provided out of the office at request of patient, in addition to basic service |
CPT | 99058 | Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service |
CPT | 99060 | Service(s) provided on an emergency basis, out of the office, which disrupts other scheduled office services, in addition to basic service |
CPT | 99175 | Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison |
CPT | 99183 | Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session |
CPT | 99184 | Initiation of selective head or total body hypothermia in the critically ill neonate, includes appropriate patient selection by review of clinical, imaging and laboratory data, confirmation of esophageal temperature probe location, evaluation of amplitude EEG, supervision of controlled hypothermia, and assessment of patient tolerance of cooling |
CPT | 99195 | Phlebotomy, therapeutic (separate procedure) |
CPT | 99202 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded. |
CPT | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. |
CPT | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded. |
CPT | 99205 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. |
CPT | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded. |
CPT | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. |
CPT | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. |
CPT | 99215 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. |
CPT | 99221 | Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. |
CPT | 99222 | Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded. |
CPT | 99223 | Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded. |
CPT | 99231 | Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded. |
CPT | 99232 | Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded. |
CPT | 99233 | Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded. |
CPT | 99234 | Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded. |
CPT | 99235 | Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 70 minutes must be met or exceeded. |
CPT | 99236 | Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 85 minutes must be met or exceeded. |
CPT | 99242 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. |
CPT | 99243 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. |
CPT | 99244 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. |
CPT | 99245 | Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded. |
CPT | 99252 | Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded. |
CPT | 99253 | Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded. |
CPT | 99254 | Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. |
CPT | 99255 | Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 80 minutes must be met or exceeded. |
CPT | 99281 | Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional |
CPT | 99282 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making |
CPT | 99283 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making |
CPT | 99284 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making |
CPT | 99285 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making |
CPT | 99288 | Physician or other qualified health care professional direction of emergency medical systems (EMS) emergency care, advanced life support |
CPT | 99291 | Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes |
CPT | 99304 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded. |
CPT | 99305 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded. |
CPT | 99306 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded. |
CPT | 99307 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded. |
CPT | 99308 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. |
CPT | 99309 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. |
CPT | 99310 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded. |
CPT | 99341 | Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded. |
CPT | 99342 | Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. |
CPT | 99344 | Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. |
CPT | 99345 | Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded. |
CPT | 99347 | Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. |
CPT | 99348 | Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. |
CPT | 99349 | Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. |
CPT | 99350 | Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. |
CPT | 99358 | Prolonged evaluation and management service before and/or after direct patient care; first hour |
CPT | 99381 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year) |
CPT | 99382 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; early childhood (age 1 through 4 years) |
CPT | 99383 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; late childhood (age 5 through 11 years) |
CPT | 99384 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years) |
CPT | 99385 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years |
CPT | 99386 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years |
CPT | 99387 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older |
CPT | 99391 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year) |
CPT | 99392 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) |
CPT | 99393 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) |
CPT | 99394 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) |
CPT | 99395 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years |
CPT | 99396 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years |
CPT | 99397 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older |
CPT | 99424 | Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. |
CPT | 99426 | Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes of clinical staff time directed by physician or other qualified health care professional, per calendar month. |
CPT | 99455 | Work related or medical disability examination by the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis, assessment of capabilities and stability, and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report. |
CPT | 99456 | Work related or medical disability examination by other than the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis, assessment of capabilities and stability, and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report. |
CPT | 99460 | Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant |
CPT | 99461 | Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing center |
CPT | 99462 | Subsequent hospital care, per day, for evaluation and management of normal newborn |
CPT | 99463 | Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same date |
CPT | 99464 | Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn |
CPT | 99465 | Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output |
CPT | 99466 | Critical care face-to-face services, during an interfacility transport of critically ill or critically injured pediatric patient, 24 months of age or younger; first 30-74 minutes of hands-on care during transport |
CPT | 99468 | Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger |
CPT | 99469 | Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger |
CPT | 99471 | Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age |
CPT | 99472 | Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age |
CPT | 99475 | Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age |
CPT | 99476 | Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age |
CPT | 99477 | Initial hospital care, per day, for the evaluation and management of the neonate, 28 days of age or younger, who requires intensive observation, frequent interventions, and other intensive care services |
CPT | 99478 | Subsequent intensive care, per day, for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1500 grams) |
CPT | 99479 | Subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant (present body weight of 1500-2500 grams) |
CPT | 99480 | Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams) |
CPT | 99483 | Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in the office or other outpatient, home or domiciliary or rest home, with all of the following required elements: Cognition-focused evaluation including a pertinent history and examination, Medical decision making of moderate or high complexity, Functional assessment (eg, basic and instrumental activities of daily living), including decision-making capacity, Use of standardized instruments for staging of dementia (eg, functional assessment staging test [FAST], clinical dementia rating [CDR]), Medication reconciliation and review for high-risk medications, Evaluation for neuropsychiatric and behavioral symptoms, including depression, including use of standardized screening instrument(s), Evaluation of safety (eg, home), including motor vehicle operation, Identification of caregiver(s), caregiver knowledge, caregiver needs, social supports, and the willingness of caregiver to take on caregiving tasks, Development, updating or revision, or review of an Advance Care Plan, Creation of a written care plan, including initial plans to address any neuropsychiatric symptoms, neuro-cognitive symptoms, functional limitations, and referral to community resources as needed (eg, rehabilitation services, adult day programs, support groups) shared with the patient and/or caregiver with initial education and support. Typically, 60 minutes of total time is spent on the date of the encounter. |
CPT | 99484 | Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team. |
CPT | 99487 | Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored, moderate or high complexity medical decision making; first 60 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month. |
CPT | 99490 | Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month. |
CPT | 99491 | Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. |
CPT | 99492 | Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional, initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan, review by the psychiatric consultant with modifications of the plan if recommended, entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant, and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies. |
CPT | 99493 | Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: tracking patient follow-up and progress using the registry, with appropriate documentation, participation in weekly caseload consultation with the psychiatric consultant, ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers, additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant, provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies, monitoring of patient outcomes using validated rating scales, and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment. |
CPT | 99495 | Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge |
CPT | 99496 | Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge |
CPT | 99499 | Unlisted evaluation and management service |
CPT | 99500 | Home visit for prenatal monitoring and assessment to include fetal heart rate, non-stress test, uterine monitoring, and gestational diabetes monitoring |
CPT | 99501 | Home visit for postnatal assessment and follow-up care |
CPT | 99502 | Home visit for newborn care and assessment |
CPT | 99503 | Home visit for respiratory therapy care (eg, bronchodilator, oxygen therapy, respiratory assessment, apnea evaluation) |
CPT | 99504 | Home visit for mechanical ventilation care |
CPT | 99505 | Home visit for stoma care and maintenance including colostomy and cystostomy |
CPT | 99506 | Home visit for intramuscular injections |
CPT | 99507 | Home visit for care and maintenance of catheter(s) (eg, urinary, drainage, and enteral) |
CPT | 99509 | Home visit for assistance with activities of daily living and personal care |
CPT | 99510 | Home visit for individual, family, or marriage counseling |
CPT | 99511 | Home visit for fecal impaction management and enema administration |
CPT | 99512 | Home visit for hemodialysis |
CPT | 99600 | Unlisted home visit service or procedure |
CPT | 99601 | Home infusion/specialty drug administration, per visit (up to 2 hours); |
CPT | 0071T | Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of tissue |
CPT | 0072T | Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue |
CPT | 0075T | Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel |
CPT | 0100T | Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intraocular retinal electrode array, with vitrectomy |
CPT | 0101T | Extracorporeal shock wave involving musculoskeletal system, not otherwise specified |
CPT | 0102T | Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral humeral epicondyle |
CPT | 0184T | Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness) |
CPT | 0200T | Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, when performed |
CPT | 0201T | Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when performed |
CPT | 0202T | Posterior vertebral joint(s) arthroplasty (eg, facet joint[s] replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, including fluoroscopy, single level, lumbar spine |
CPT | 0207T | Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral |
CPT | 0208T | Pure tone audiometry (threshold), automated; air only |
CPT | 0209T | Pure tone audiometry (threshold), automated; air and bone |
CPT | 0210T | Speech audiometry threshold, automated; |
CPT | 0211T | Speech audiometry threshold, automated; with speech recognition |
CPT | 0212T | Comprehensive audiometry threshold evaluation and speech recognition (0209T, 0211T combined), automated |
CPT | 0213T | Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; single level |
CPT | 0216T | Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; single level |
CPT | 0219T | Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical |
CPT | 0220T | Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic |
CPT | 0221T | Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar |
CPT | 0234T | Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; renal artery |
CPT | 0235T | Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; visceral artery (except renal), each vessel |
CPT | 0236T | Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; abdominal aorta |
CPT | 0237T | Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel |
CPT | 0238T | Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel |
CPT | 0253T | Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space |
CPT | 0263T | Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure including unilateral or bilateral bone marrow harvest |
CPT | 0264T | Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure excluding bone marrow harvest |
CPT | 0265T | Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; unilateral or bilateral bone marrow harvest only for intramuscular autologous bone marrow cell therapy |
CPT | 0266T | Implantation or replacement of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programming, and repositioning, when performed) |
CPT | 0267T | Implantation or replacement of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed) |
CPT | 0268T | Implantation or replacement of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed) |
CPT | 0269T | Revision or removal of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programming, and repositioning, when performed) |
CPT | 0270T | Revision or removal of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed) |
CPT | 0271T | Revision or removal of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed) |
CPT | 0274T | Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral; cervical or thoracic |
CPT | 0275T | Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral; lumbar |
CPT | 0278T | Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes) |
CPT | 0308T | Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis |
CPT | 0335T | Insertion of sinus tarsi implant |
CPT | 0338T | Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural roadmapping and radiological supervision and interpretation, including pressure gradient measurements, flush aortogram and diagnostic renal angiography when performed; unilateral |
CPT | 0339T | Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural roadmapping and radiological supervision and interpretation, including pressure gradient measurements, flush aortogram and diagnostic renal angiography when performed; bilateral |
CPT | 0342T | Therapeutic apheresis with selective HDL delipidation and plasma reinfusion |
CPT | 0345T | Transcatheter mitral valve repair percutaneous approach via the coronary sinus |
CPT | 0351T | Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; real-time intraoperative |
CPT | 0352T | Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; interpretation and report, real-time or referred |
CPT | 0353T | Optical coherence tomography of breast, surgical cavity; real-time intraoperative |
CPT | 0354T | Optical coherence tomography of breast, surgical cavity; interpretation and report, real-time or referred |
CPT | 0394T | High dose rate electronic brachytherapy, skin surface application, per fraction, includes basic dosimetry, when performed |
CPT | 0395T | High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic dosimetry, when performed |
CPT | 0402T | Collagen cross-linking of cornea, including removal of the corneal epithelium, when performed, and intraoperative pachymetry, when performed |
CPT | 0403T | Preventive behavior change, intensive program of prevention of diabetes using a standardized diabetes prevention program curriculum, provided to individuals in a group setting, minimum 60 minutes, per day |
CPT | 0408T | Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator with transvenous electrodes |
CPT | 0409T | Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator only |
CPT | 0410T | Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; atrial electrode only |
CPT | 0411T | Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; ventricular electrode only |
CPT | 0412T | Removal of permanent cardiac contractility modulation system; pulse generator only |
CPT | 0413T | Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular) |
CPT | 0414T | Removal and replacement of permanent cardiac contractility modulation system pulse generator only |
CPT | 0415T | Repositioning of previously implanted cardiac contractility modulation transvenous electrode (atrial or ventricular lead) |
CPT | 0416T | Relocation of skin pocket for implanted cardiac contractility modulation pulse generator |
CPT | 0417T | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including review and report, implantable cardiac contractility modulation system |
CPT | 0418T | Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter, implantable cardiac contractility modulation system |
CPT | 0419T | Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater than 50 neurofibromas |
CPT | 0420T | Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities, extensive, greater than 100 neurofibromas |
CPT | 0421T | Transurethral waterjet ablation of prostate, including control of post-operative bleeding, including ultrasound guidance, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included when performed) |
CPT | 0440T | Ablation, percutaneous, cryoablation, includes imaging guidance; upper extremity distal/peripheral nerve |
CPT | 0441T | Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve |
CPT | 0442T | Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve) |
CPT | 0444T | Initial placement of a drug-eluting ocular insert under one or more eyelids, including fitting, training, and insertion, unilateral or bilateral |
CPT | 0445T | Subsequent placement of a drug-eluting ocular insert under one or more eyelids, including re-training, and removal of existing insert, unilateral or bilateral |
CPT | 0446T | Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation and patient training |
CPT | 0447T | Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision |
CPT | 0448T | Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor, including system activation |
CPT | 0449T | Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device |
CPT | 0464T | Visual evoked potential, testing for glaucoma, with interpretation and report |
CPT | 0469T | Retinal polarization scan, ocular screening with on-site automated results, bilateral |
CPT | 0472T | Device evaluation, interrogation, and initial programming of intraocular retinal electrode array (eg, retinal prosthesis), in person, with iterative adjustment of the implantable device to test functionality, select optimal permanent programmed values with analysis, including visual training, with review and report by a qualified health care professional |
CPT | 0473T | Device evaluation and interrogation of intraocular retinal electrode array (eg, retinal prosthesis), in person, including reprogramming and visual training, when performed, with review and report by a qualified health care professional |
CPT | 0474T | Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space |
CPT | 0479T | Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children |
CPT | 0483T | Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed |
CPT | 0484T | Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical) |
CPT | 0485T | Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral |
CPT | 0486T | Optical coherence tomography (OCT) of middle ear, with interpretation and report; bilateral |
CPT | 0489T | Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting, isolation and preparation of harvested cells including incubation with cell dissociation enzymes, removal of non-viable cells and debris, determination of concentration and dilution of regenerative cells |
CPT | 0490T | Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands |
CPT | 0505T | Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultrasound guidance for vascular access when performed, all catheterization(s) and intraprocedural roadmapping and imaging guidance necessary to complete the intervention, all associated radiological supervision and interpretation, when performed, with crossing of the occlusive lesion in an extraluminal fashion |
CPT | 0509T | Electroretinography (ERG) with interpretation and report, pattern (PERG) |
CPT | 0510T | Removal of sinus tarsi implant |
CPT | 0511T | Removal and reinsertion of sinus tarsi implant |
CPT | 0512T | Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound |
CPT | 0515T | Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (includes electrode and generator [transmitter and battery]) |
CPT | 0516T | Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; electrode only |
CPT | 0517T | Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; both components of pulse generator (battery and transmitter) only |
CPT | 0518T | Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; battery component only |
CPT | 0519T | Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; both components (battery and transmitter) |
CPT | 0520T | Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only |
CPT | 0521T | Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording, and disconnection per patient encounter, wireless cardiac stimulator for left ventricular pacing |
CPT | 0522T | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including review and report, wireless cardiac stimulator for left ventricular pacing |
CPT | 0524T | Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or percutaneous, including all vascular access, catheter manipulation, diagnostic imaging, imaging guidance and monitoring |
CPT | 0525T | Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; complete system (electrode and implantable monitor) |
CPT | 0526T | Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; electrode only |
CPT | 0527T | Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; implantable monitor only |
CPT | 0528T | Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values, with analysis, review, and report |
CPT | 0529T | Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis, review, and report |
CPT | 0530T | Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; complete system (electrode and implantable monitor) |
CPT | 0531T | Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; electrode only |
CPT | 0532T | Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; implantable monitor only |
CPT | 0543T | Transapical mitral valve repair, including transthoracic echocardiography, when performed, with placement of artificial chordae tendineae |
CPT | 0544T | Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture |
CPT | 0545T | Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach |
CPT | 0552T | Low-level laser therapy, dynamic photonic and dynamic thermokinetic energies, provided by a physician or other qualified health care professional |
CPT | 0563T | Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilateral |
CPT | 0565T | Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; tissue harvesting and cellular implant creation |
CPT | 0566T | Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; injection of cellular implant into knee joint including ultrasound guidance, unilateral |
CPT | 0569T | Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis |
CPT | 0571T | Insertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters), when performed |
CPT | 0572T | Insertion of substernal implantable defibrillator electrode |
CPT | 0573T | Removal of substernal implantable defibrillator electrode |
CPT | 0574T | Repositioning of previously implanted substernal implantable defibrillator-pacing electrode |
CPT | 0575T | Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode, with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional |
CPT | 0576T | Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode, with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter |
CPT | 0577T | Electrophysiologic evaluation of implantable cardioverter-defibrillator system with substernal electrode (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters) |
CPT | 0580T | Removal of substernal implantable defibrillator pulse generator only |
CPT | 0581T | Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral |
CPT | 0582T | Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative imaging and needle guidance |
CPT | 0583T | Tympanostomy (requiring insertion of ventilating tube), using an automated tube delivery system, iontophoresis local anesthesia |
CPT | 0584T | Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; percutaneous |
CPT | 0585T | Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; laparoscopic |
CPT | 0586T | Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; open |
CPT | 0587T | Percutaneous implantation or replacement of integrated single device neurostimulation system for bladder dysfunction including electrode array and receiver or pulse generator, including analysis, programming, and imaging guidance when performed, posterior tibial nerve |
CPT | 0588T | Revision or removal of percutaneously placed integrated single device neurostimulation system for bladder dysfunction including electrode array and receiver or pulse generator, including analysis, programming, and imaging guidance when performed, posterior tibial nerve |
CPT | 0589T | Electronic analysis with simple programming of implanted integrated neurostimulation system for bladder dysfunction (eg, electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/off cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection algorithms, closed-loop parameters, and passive parameters, when performed by physician or other qualified health care professional, posterior tibial nerve, 1-3 parameters |
CPT | 0590T | Electronic analysis with complex programming of implanted integrated neurostimulation system for bladder dysfunction (eg, electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/off cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection algorithms, closed-loop parameters, and passive parameters, when performed by physician or other qualified health care professional, posterior tibial nerve, 4 or more parameters |
CPT | 0594T | Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including intraoperative imaging, initial and subsequent alignment assessments, computations of adjustment schedules, and management of the intramedullary lengthening device |
CPT | 0596T | Temporary female intraurethral valve-pump (ie, voiding prosthesis); initial insertion, including urethral measurement |
CPT | 0597T | Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement |
CPT | 0600T | Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed, percutaneous |
CPT | 0601T | Ablation, irreversible electroporation; 1 or more tumors per organ, including fluoroscopic and ultrasound guidance, when performed, open |
CPT | 0613T | Percutaneous transcatheter implantation of interatrial septal shunt device, including right and left heart catheterization, intracardiac echocardiography, and imaging guidance by the proceduralist, when performed |
CPT | 0614T | Removal and replacement of substernal implantable defibrillator pulse generator |
CPT | 0619T | Cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery, including transrectal ultrasound and fluoroscopy, when performed |
CPT | 0620T | Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultrasound guidance for vascular access when performed, all catheterization(s) and intraprocedural roadmapping and imaging guidance necessary to complete the intervention, all associated radiological supervision and interpretation, when performed |
CPT | 0621T | Trabeculostomy ab interno by laser; |
CPT | 0622T | Trabeculostomy ab interno by laser; with use of ophthalmic endoscope |
CPT | 0627T | Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level |
CPT | 0629T | Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level |
CPT | 0632T | Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart catheterization, pulmonary artery angiography, and all imaging guidance |
CPT | 0639T | Wireless skin sensor thermal anisotropy measurement(s) and assessment of flow in cerebrospinal fluid shunt, including ultrasound guidance, when performed |
CPT | 0643T | Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed, arterial approach |
CPT | 0644T | Transcatheter removal or debulking of intracardiac mass (eg, vegetations, thrombus) via suction (eg, vacuum, aspiration) device, percutaneous approach, with intraoperative reinfusion of aspirated blood, including imaging guidance, when performed |
CPT | 0645T | Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart catheterization, venous angiography, coronary sinus angiography, imaging guidance, and supervision and interpretation, when performed |
CPT | 0646T | Transcatheter tricuspid valve implantation (TTVI)/replacement with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertion, and selective right ventricular or right atrial angiography, when performed |
CPT | 0647T | Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report |
CPT | 0654T | Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter |
CPT | 0655T | Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR-fused images or other enhanced ultrasound imaging |
CPT | 0656T | Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments |
CPT | 0657T | Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments |
CPT | 0660T | Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach |
CPT | 0661T | Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant |
CPT | 0671T | Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more |
CPT | 0672T | Endovaginal cryogen-cooled, monopolar radiofrequency remodeling of the tissues surrounding the female bladder neck and proximal urethra for urinary incontinence |
CPT | 0673T | Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance |
CPT | 0674T | Laparoscopic insertion of new or replacement of permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including an implantable pulse generator and diaphragmatic lead(s) |
CPT | 0675T | Laparoscopic insertion of new or replacement of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse generator; first lead |
CPT | 0677T | Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse generator; first repositioned lead |
CPT | 0679T | Laparoscopic removal of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function |
CPT | 0680T | Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing lead(s) |
CPT | 0681T | Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing dual leads |
CPT | 0682T | Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function |
CPT | 0683T | Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function |
CPT | 0684T | Peri-procedural device evaluation (in-person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review, and report by a physician or other qualified health care professional, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function |
CPT | 0685T | Interrogation device evaluation (in-person) with analysis, review and report by a physician or other qualified health care professional, including connection, recording and disconnection per patient encounter, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function |
CPT | 0686T | Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance |
CPT | 0687T | Treatment of amblyopia using an online digital program; device supply, educational set-up, and initial session |
CPT | 0688T | Treatment of amblyopia using an online digital program; assessment of patient performance and program data by physician or other qualified health care professional, with report, per calendar month |
CPT | 0692T | Therapeutic ultrafiltration |
CPT | 0704T | Remote treatment of amblyopia using an eye tracking device; device supply with initial set-up and patient education on use of equipment |
CPT | 0706T | Remote treatment of amblyopia using an eye tracking device; interpretation and report by physician or other qualified health care professional, per calendar month |
CPT | 0707T | Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), including imaging guidance and arthroscopic assistance for joint visualization |
CPT | 0708T | Intradermal cancer immunotherapy; preparation and initial injection |
CPT | 0714T | Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume less than 50 mL |
CPT | 0718T | Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilateral |
CPT | 0719T | Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment |
CPT | 0720T | Percutaneous electrical nerve field stimulation, cranial nerves, without implantation |
CPT | 0725T | Vestibular device implantation, unilateral |
CPT | 0726T | Removal of implanted vestibular device, unilateral |
CPT | 0727T | Removal and replacement of implanted vestibular device, unilateral |
CPT | 0728T | Diagnostic analysis of vestibular implant, unilateral; with initial programming |
CPT | 0729T | Diagnostic analysis of vestibular implant, unilateral; with subsequent programming |
CPT | 0730T | Trabeculotomy by laser, including optical coherence tomography (OCT) guidance |
CPT | 0732T | Immunotherapy administration with electroporation, intramuscular |
CPT | 0734T | Remote real-time, motion capture-based neurorehabilitative therapy ordered by a physician or other qualified health care professional; treatment management services by a physician or other qualified health care professional, per calendar month |
CPT | 0737T | Xenograft implantation into the articular surface |
CPT | 0739T | Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and intraprocedural temperature monitoring, thermal dosimetry, bladder irrigation, and magnetic field nanoparticle activation |
CPT | 0744T | Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium), when performed |
CPT | 0747T | Cardiac focal ablation utilizing radiation therapy for arrhythmia; delivery of radiation therapy, arrhythmia |
CPT | 0748T | Injections of stem cell product into perianal perifistular soft tissue, including fistula preparation (eg, removal of setons, fistula curettage, closure of internal openings) |
CPT | 0766T | Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, with identification and mapping of the treatment location, including noninvasive electroneurographic localization (nerve conduction localization), when performed; first nerve |
CPT | 0776T | Therapeutic induction of intra-brain hypothermia, including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head, including monitoring (eg, vital signs and sport concussion assessment tool 5 [SCAT5]), 30 minutes of treatment |
CPT | 0780T | Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract |
CPT | 0781T | Bronchoscopy, rigid or flexible, with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves, including fluoroscopic guidance when performed; bilateral mainstem bronchi |
CPT | 0782T | Bronchoscopy, rigid or flexible, with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves, including fluoroscopic guidance when performed; unilateral mainstem bronchus |
CPT | 0784T | Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging guidance, when performed |
CPT | 0785T | Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator |
CPT | 0786T | Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed |
CPT | 0787T | Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator |
CPT | 0788T | Electronic analysis with simple programming of implanted integrated neurostimulation system (eg, electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/off cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection algorithms, closed-loop parameters, and passive parameters, when performed by physician or other qualified health care professional, spinal cord or sacral nerve, 1-3 parameters |
CPT | 0789T | Electronic analysis with complex programming of implanted integrated neurostimulation system (eg, electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/off cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection algorithms, closed-loop parameters, and passive parameters, when performed by physician or other qualified health care professional, spinal cord or sacral nerve, 4 or more parameters |
CPT | 0790T | Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed |
CPT | 0793T | Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries, including right heart catheterization, pulmonary artery angiography, and all imaging guidance |
CPT | 0795T | Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; complete system (ie, right atrial and right ventricular pacemaker components) |
CPT | 0796T | Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; right atrial pacemaker component (when an existing right ventricular single leadless pacemaker exists to create a dual-chamber leadless pacemaker system) |
CPT | 0797T | Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; right ventricular pacemaker component (when part of a dual-chamber leadless pacemaker system) |
CPT | 0798T | Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography), when performed; complete system (ie, right atrial and right ventricular pacemaker components) |
CPT | 0799T | Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography), when performed; right atrial pacemaker component |
CPT | 0800T | Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography), when performed; right ventricular pacemaker component (when part of a dual-chamber leadless pacemaker system) |
CPT | 0801T | Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; dual-chamber system (ie, right atrial and right ventricular pacemaker components) |
CPT | 0802T | Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; right atrial pacemaker component |
CPT | 0803T | Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; right ventricular pacemaker component (when part of a dual-chamber leadless pacemaker system) |
CPT | 0804T | Programming device evaluation (in person) with iterative adjustment of implantable device to test the function of device and to select optimal permanent programmed values, with analysis, review, and report, by a physician or other qualified health care professional, leadless pacemaker system in dual cardiac chambers |
CPT | 0805T | Transcatheter superior and inferior vena cava prosthetic valve implantation (ie, caval valve implantation [CAVI]); percutaneous femoral vein approach |
CPT | 0806T | Transcatheter superior and inferior vena cava prosthetic valve implantation (ie, caval valve implantation [CAVI]); open femoral vein approach |
CPT | 0810T | Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies |
CPT | 0813T | Esophagogastroduodenoscopy, flexible, transoral, with volume adjustment of intragastric bariatric balloon |
CPT | 0814T | Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur, including imaging guidance, unilateral |
CPT | 0816T | Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, programming, and imaging guidance, when performed, posterior tibial nerve; subcutaneous |
CPT | 0817T | Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, programming, and imaging guidance, when performed, posterior tibial nerve; subfascial |
CPT | 0818T | Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subcutaneous |
CPT | 0819T | Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subfascial |
CPT | 0820T | Continuous in-person monitoring and intervention (eg, psychotherapy, crisis intervention), as needed, during psychedelic medication therapy; first physician or other qualified health care professional, each hour |
CPT | 0823T | Transcatheter insertion of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculography, femoral venography, cavography) and device evaluation (eg, interrogation or programming), when performed |
CPT | 0824T | Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculography, femoral venography, cavography), when performed |
CPT | 0825T | Transcatheter removal and replacement of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculography, femoral venography, cavography) and device evaluation (eg, interrogation or programming), when performed |
CPT | 0826T | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional, leadless pacemaker system in single-cardiac chamber |
CPT | 0861T | Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter) |
CPT | 0862T | Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only |
CPT | 0863T | Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; transmitter component only |
CPT | 0864T | Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy |
CPT | 0867T | Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume greater or equal to 50 mL |
CPT | 0869T | Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including intraoperative imaging guidance, when performed |
CPT | 0870T | Implantation of subcutaneous peritoneal ascites pump system, percutaneous, including pump-pocket creation, insertion of tunneled indwelling bladder and peritoneal catheters with pump connections, including all imaging and initial programming, when performed |
CPT | 0871T | Replacement of a subcutaneous peritoneal ascites pump, including reconnection between pump and indwelling bladder and peritoneal catheters, including initial programming and imaging, when performed |
CPT | 0872T | Replacement of indwelling bladder and peritoneal catheters, including tunneling of catheter(s) and connection with previously implanted peritoneal ascites pump, including imaging and programming, when performed |
CPT | 0873T | Revision of a subcutaneously implanted peritoneal ascites pump system, any component (ascites pump, associated peritoneal catheter, associated bladder catheter), including imaging and programming, when performed |
CPT | 0874T | Removal of a peritoneal ascites pump system, including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters |
CPT | 0875T | Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional |
CPT | 0884T | Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for esophageal stricture, including fluoroscopic guidance, when performed |
CPT | 0885T | Colonoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for colonic stricture, including fluoroscopic guidance, when performed |
CPT | 0886T | Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for colonic stricture, including fluoroscopic guidance, when performed |
CPT | 0888T | Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance |
CPT | 0890T | Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including target assessment, initial motor threshold determination, neuronavigation, delivery and management, initial treatment day |
CPT | 0891T | Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including neuronavigation, delivery and management, subsequent treatment day |
CPT | 0892T | Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including neuronavigation, delivery and management, subsequent motor threshold redetermination with delivery and management, per treatment day |
CPT | 0908T | Open implantation of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed |
CPT | 0909T | Replacement of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed |
CPT | 0910T | Removal of integrated neurostimulation system, vagus nerve |
CPT | 0913T | Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery balloon (eg, drug-coated, drug-eluting), including mechanical dilation by nondrug-delivery balloon angioplasty, endoluminal imaging using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) when performed, imaging supervision, interpretation, and report, single major coronary artery or branch |
CPT | 0915T | Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse generator and dual transvenous electrodes/leads (pacing and defibrillation) |
CPT | 0916T | Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse generator only |
CPT | 0917T | Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; single transvenous lead (pacing or defibrillation) only |
CPT | 0918T | Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; dual transvenous leads (pacing and defibrillation) only |
CPT | 0919T | Removal of a permanent cardiac contractility modulation-defibrillation system component(s); pulse generator only |
CPT | 0920T | Removal of a permanent cardiac contractility modulation-defibrillation system component(s); single transvenous pacing lead only |
CPT | 0921T | Removal of a permanent cardiac contractility modulation-defibrillation system component(s); single transvenous defibrillation lead only |
CPT | 0922T | Removal of a permanent cardiac contractility modulation-defibrillation system component(s); dual (pacing and defibrillation) transvenous leads only |
CPT | 0923T | Removal and replacement of permanent cardiac contractility modulation-defibrillation pulse generator only |
CPT | 0924T | Repositioning of previously implanted cardiac contractility modulation-defibrillation transvenous electrode(s)/lead(s), including fluoroscopic guidance and programming of sensing and therapeutic parameters |
CPT | 0925T | Relocation of skin pocket for implanted cardiac contractility modulation-defibrillation pulse generator |
CPT | 0926T | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including review and report, implantable cardiac contractility modulation-defibrillation system |
CPT | 0927T | Interrogation device evaluation (in person) with analysis, review, and report, including connection, recording, and disconnection, per patient encounter, implantable cardiac contractility modulation-defibrillation system |
CPT | 0933T | Transcatheter implantation of wireless left atrial pressure sensor for long-term left atrial pressure monitoring, including sensor calibration and deployment, right heart catheterization, transseptal puncture, imaging guidance, and radiological supervision and interpretation |
CPT | 0935T | Cystourethroscopy with renal pelvic sympathetic denervation, radiofrequency ablation, retrograde ureteral approach, including insertion of guide wire, selective placement of ureteral sheath(s) and multiple conformable electrodes, contrast injection(s), and fluoroscopy, bilateral |
CPT | 0936T | Photobiomodulation therapy of retina, single session |
CPT | 0941T | Cystourethroscopy, flexible; with insertion and expansion of prostatic urethral scaffold using integrated cystoscopic visualization |
CPT | 0942T | Cystourethroscopy, flexible; with removal and replacement of prostatic urethral scaffold |
CPT | 0943T | Cystourethroscopy, flexible; with removal of prostatic urethral scaffold |
CPT | 0947T | Magnetic resonance image guided low intensity focused ultrasound (MRgFUS), stereotactic blood-brain barrier disruption using microbubble resonators to increase the concentration of blood-based biomarkers of target, intracranial, including stereotactic navigation and frame placement, when performed |
HCPCS | C1062 | Intravertebral body fracture augmentation with implant (e.g., metal, polymer) |
HCPCS | C1832 | Autograft suspension, including cell processing and application, and all system components |
HCPCS | C5271 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
HCPCS | C5273 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children |
HCPCS | C5275 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
HCPCS | C5277 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children |
HCPCS | C7500 | Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-delivery device(s) |
HCPCS | C7503 | Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed |
HCPCS | C7504 | Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance |
HCPCS | C7505 | Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance |
HCPCS | C7506 | Arthrodesis, interphalangeal joints, with or without internal fixation |
HCPCS | C7507 | Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (e.g., kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance |
HCPCS | C7508 | Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (e.g., kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance |
HCPCS | C7509 | Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed |
HCPCS | C7510 | Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed |
HCPCS | C7511 | Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed |
HCPCS | C7512 | Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed |
HCPCS | C7513 | Dialysis circuit, introduction of needle(s) and/or catheter(s), 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 and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty of central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report |
HCPCS | C7514 | Dialysis circuit, introduction of needle(s) and/or catheter(s), 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 and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with all angioplasty in the central dialysis segment, and transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report |
HCPCS | C7515 | Dialysis circuit, introduction of needle(s) and/or catheter(s), 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 and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with dialysis circuit permanent endovascular embolization or occlusion of main circuit or any accessory veins, including all required imaging, radiological supervision and interpretation, image documentation and report |
HCPCS | C7516 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report |
HCPCS | C7517 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation |
HCPCS | C7518 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging, supervision, interpretation and report |
HCPCS | C7519 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress |
HCPCS | C7520 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) includes intraprocedural injection(s) for bypass graft angiography with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation |
HCPCS | C7521 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report |
HCPCS | C7522 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheterization, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress |
HCPCS | C7523 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report |
HCPCS | C7524 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress |
HCPCS | C7525 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report |
HCPCS | C7526 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress |
HCPCS | C7527 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report |
HCPCS | C7528 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress |
HCPCS | C7529 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress |
HCPCS | C7530 | Dialysis circuit, introduction of needle(s) and/or catheter(s), 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 and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty and all angioplasty in the central dialysis segment, with transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging, radiological supervision and interpretation, documentation and report |
HCPCS | C7531 | Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation |
HCPCS | C7532 | Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation |
HCPCS | C7533 | Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy |
HCPCS | C7534 | Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation |
HCPCS | C7535 | Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation |
HCPCS | C7537 | Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable debribrillator or pacemake pulse generator (e.g., for upgrade to dual chamber system) |
HCPCS | C7538 | Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defribrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) |
HCPCS | C7539 | Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) |
HCPCS | C7540 | Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) |
HCPCS | C7543 | Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) |
HCPCS | C7544 | Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) |
HCPCS | C7545 | Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or gallbladder, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, including diagnostic cholangiography(ies) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation |
HCPCS | C7546 | Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guidance and all associated radiological supervision and interpretation |
HCPCS | C7547 | Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation |
HCPCS | C7548 | Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation |
HCPCS | C7549 | Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation |
HCPCS | C7551 | Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle |
HCPCS | C7552 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, initial vessel |
HCPCS | C7553 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed |
HCPCS | C7555 | Thyroidectomy, total or complete with parathyroid autotransplantation |
HCPCS | C7556 | Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance, when performed |
HCPCS | C7557 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention |
HCPCS | C7560 | Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) |
HCPCS | C7562 | Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed with intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention |
HCPCS | C7563 | Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, initial artery and all additional arteries |
HCPCS | C7564 | Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vessel(s)) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation |
HCPCS | C7900 | Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 15-29 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service |
HCPCS | C7901 | Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service |
HCPCS | C7903 | Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service |
HCPCS | C8003 | Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imaging guidance (e.g., fluoroscopy) |
HCPCS | C8005 | Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with computed tomography acquisition(s) and 3d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (e.g., aspiration[s]/biopsy[ies]) of all mediastinal and/or hilar lymph node stations or structures, and therapeutic intervention(s) |
HCPCS | C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch |
HCPCS | C9602 | Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch |
HCPCS | C9604 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel |
HCPCS | C9606 | Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel |
HCPCS | C9607 | Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel |
HCPCS | C9727 | Insertion of implants into the soft palate; minimum of three implants |
HCPCS | C9734 | Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance |
HCPCS | C9739 | Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants |
HCPCS | C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants |
HCPCS | C9751 | Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (e.g., aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s) |
HCPCS | C9757 | Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar |
HCPCS | C9758 | Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study |
HCPCS | C9759 | Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when performed |
HCPCS | C9760 | Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study |
HCPCS | C9761 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter) |
HCPCS | C9764 | Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed |
HCPCS | C9765 | Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed |
HCPCS | C9766 | Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed |
HCPCS | C9767 | Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed |
HCPCS | C9772 | Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed |
HCPCS | C9773 | Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed |
HCPCS | C9774 | Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed |
HCPCS | C9775 | Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel (s), when performed |
HCPCS | C9778 | Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) |
HCPCS | C9779 | Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed |
HCPCS | C9780 | Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance |
HCPCS | C9781 | Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed |
HCPCS | C9782 | Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study |
HCPCS | C9783 | Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study |
HCPCS | C9784 | Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components |
HCPCS | C9785 | Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components |
HCPCS | C9789 | Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed |
HCPCS | C9792 | Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study) |
HCPCS | C9796 | Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis]) |
HCPCS | C9797 | Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction |
HCPCS | C9901 | Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components |
HCPCS | G0017 | Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); first 60 minutes |
HCPCS | G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
HCPCS | G0129 | Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more) |
HCPCS | G0137 | Intensive outpatient services; weekly bundle, minimum of 9 services over a 7 contiguous day period, which can include individual and group therapy with physicians or psychologists (or other mental health professionals to the extent authorized under state law); occupational therapy requiring the skills of a qualified occupational therapist; services of social workers, trained psychiatric nurses, and other staff trained to work with psychiatric patients; individualized activity therapies that are not primarily recreational or diversionary; family counseling (the primary purpose of which is treatment of the individual's condition); patient training and education (to the extent that training and educational activities are closely and clearly related to individual's care and treatment); diagnostic services; and such other items and services (excluding meals and transportation) that are reasonable and necessary for the diagnosis or active treatment of the individual's condition, reasonably expected to improve or maintain the individual's condition and functional level and to prevent relapse or hospitalization, and furnished pursuant to such guidelines relating to frequency and duration of services in accordance with a physician certification and plan of treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
HCPCS | G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
HCPCS | G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
HCPCS | G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes |
HCPCS | G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes |
HCPCS | G0159 | Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes |
HCPCS | G0160 | Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes |
HCPCS | G0161 | Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes |
HCPCS | G0186 | Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) |
HCPCS | G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
HCPCS | G0246 | Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
HCPCS | G0248 | Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results |
HCPCS | G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests |
HCPCS | G0250 | Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |
HCPCS | G0257 | Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility |
HCPCS | G0259 | Injection procedure for sacroiliac joint; arthrography |
HCPCS | G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
HCPCS | G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
HCPCS | G0276 | Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial |
HCPCS | G0339 | Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment |
HCPCS | G0340 | Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment |
HCPCS | G0341 | Percutaneous islet cell transplant, includes portal vein catheterization and infusion |
HCPCS | G0342 | Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion |
HCPCS | G0343 | Laparotomy for islet cell transplant, includes portal vein catheterization and infusion |
HCPCS | G0372 | Physician service required to establish and document the need for a power mobility device |
HCPCS | G0378 | Hospital observation service, per hour |
HCPCS | G0379 | Direct admission of patient for hospital observation care |
HCPCS | G0380 | Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
HCPCS | G0381 | Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
HCPCS | G0382 | Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
HCPCS | G0383 | Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
HCPCS | G0384 | Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
HCPCS | G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
HCPCS | G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
HCPCS | G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
HCPCS | G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
HCPCS | G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
HCPCS | G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth |
HCPCS | G0409 | Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf) |
HCPCS | G0412 | Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed |
HCPCS | G0413 | Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum) |
HCPCS | G0414 | Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami) |
HCPCS | G0415 | Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum) |
HCPCS | G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
HCPCS | G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
HCPCS | G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth |
HCPCS | G0429 | Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) |
HCPCS | G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
HCPCS | G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
HCPCS | G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
HCPCS | G0447 | Face-to-face behavioral counseling for obesity, 15 minutes |
HCPCS | G0448 | Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing |
HCPCS | G0455 | Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen |
HCPCS | G0458 | Low dose rate (ldr) prostate brachytherapy services, composite rate |
HCPCS | G0459 | Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy |
HCPCS | G0460 | Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment |
HCPCS | G0463 | Hospital outpatient clinic visit for assessment and management of a patient |
HCPCS | G0465 | Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressings, phlebotomy, centrifugation or mixing, and all other preparatory procedures, per treatment) |
HCPCS | G0466 | Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
HCPCS | G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
HCPCS | G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
HCPCS | G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
HCPCS | G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
HCPCS | G0473 | Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
HCPCS | G0491 | Dialysis procedure at a medicare certified esrd facility for acute kidney injury without esrd |
HCPCS | G0492 | Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without esrd |
HCPCS | G0498 | Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion |
HCPCS | G0508 | Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth |
HCPCS | G0509 | Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth |
HCPCS | G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
HCPCS | G0512 | Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month |
HCPCS | G0516 | Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) |
HCPCS | G0517 | Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) |
HCPCS | G0518 | Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) |
HCPCS | G0533 | Medication assisted treatment, buprenorphine (injectable) administered on a weekly basis; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
HCPCS | G0563 | Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions |
HCPCS | G0564 | Creation of subcutaneous pocket with insertion of 365 day implantable interstitial glucose sensor, including system activation and patient training |
HCPCS | G0565 | Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 365 day implantable sensor, including system activation |
HCPCS | G2000 | Blinded administration of convulsive therapy procedure, either electroconvulsive therapy (ect, current covered gold standard) or magnetic seizure therapy (mst, non-covered experimental therapy), performed in an approved ide-based clinical trial, per treatment session |
HCPCS | G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
HCPCS | G2011 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
HCPCS | G2020 | Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the sip component of the pcf model (do not bill with chronic care management codes) |
HCPCS | G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
HCPCS | G2068 | Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
HCPCS | G2069 | Medication assisted treatment, buprenorphine (injectable) administered on a monthly basis; bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
HCPCS | G2073 | Medication assisted treatment, naltrexone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
HCPCS | G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
HCPCS | G2075 | Medication assisted treatment, medication not otherwise specified; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
HCPCS | G2082 | Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self-administration, includes 2 hours post-administration observation |
HCPCS | G2083 | Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, includes 2 hours post-administration observation |
HCPCS | G2086 | Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month |
HCPCS | G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month |
HCPCS | G2172 | All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project |
HCPCS | G2214 | Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional |
HCPCS | G2250 | Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment |
HCPCS | G2251 | Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion |
HCPCS | G2252 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion |
HCPCS | G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
HCPCS | G6003 | Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev |
HCPCS | G6004 | Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev |
HCPCS | G6005 | Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 11-19 mev |
HCPCS | G6006 | Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 20 mev or greater |
HCPCS | G6007 | Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5 mev |
HCPCS | G6008 | Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10 mev |
HCPCS | G6009 | Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19 mev |
HCPCS | G6010 | Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 20 mev or greater |
HCPCS | G6011 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev |
HCPCS | G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev |
HCPCS | G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev |
HCPCS | G6014 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater |
HCPCS | G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session |
HCPCS | G6016 | Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session |
HCPCS | G9481 | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9482 | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9483 | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9484 | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9485 | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 60 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9486 | Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9487 | Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9488 | Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9489 | Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved coms innovation center demonstration project, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9679 | This code is for onsite acute care treatment of a nursing facility resident with pneumonia; may only be billed once per day per beneficiary |
HCPCS | G9680 | This code is for onsite acute care treatment of a nursing facility resident with chf; may only be billed once per day per beneficiary |
HCPCS | G9681 | This code is for onsite acute care treatment of a resident with copd or asthma; may only be billed once per day per beneficiary |
HCPCS | G9682 | This code is for the onsite acute care treatment a nursing facility resident with a skin infection; may only be billed once per day per beneficiary |
HCPCS | G9683 | Facility service(s) for the onsite acute care treatment of a nursing facility resident with fluid or electrolyte disorder. (may only be billed once per day per beneficiary). this service is for a demonstration project |
HCPCS | G9684 | This code is for the onsite acute care treatment of a nursing facility resident for a uti; may only be billed once per day per beneficiary |
HCPCS | G9685 | Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project |
HCPCS | G9978 | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9979 | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9980 | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9981 | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9982 | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 60 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9983 | Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9984 | Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9985 | Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | G9986 | Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
HCPCS | M0075 | Cellular therapy |
HCPCS | M0076 | Prolotherapy |
HCPCS | M0100 | Intragastric hypothermia using gastric freezing |
HCPCS | M0300 | Iv chelation therapy (chemical endarterectomy) |
HCPCS | M0301 | Fabric wrapping of abdominal aneurysm |
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