ICD-9-CM Volume 3

Main sections

(00) Procedures and interventions, not elsewhere classified

• Procedures and interventions, not elsewhere classified
• * Procedures on blood vessels
• ** Percutaneous angioplasty or atherectomy of precerebral vessel

  (01–05) Operations on the [nervous system]

• Incision and excision of skull, brain, and cerebral meninges
• * Craniotomy and craniectomy
• * Incision of brain and cerebral meninges
• ** Lobotomy and tractotomy
• * Other excision or destruction of brain and meninges
• ** Hemispherectomy
• Other operations on skull, brain, and cerebral meninges
• * Ventriculostomy
• Operations on spinal cord and spinal canal structures
• * Exploration and decompression of spinal canal structures
• ** Other exploration and decompression of spinal canal
• *** Laminectomy
• * Division of intraspinal nerve root
• ** Rhizotomy
• * Chordotomy
• * Diagnostic procedures on spinal cord and spinal canal structures
• ** Spinal tap
• Operations on cranial and other nerves
• * Incision, division, and excision of cranial and other nerves
• ** Gasserian ganglionectomy
• ** Other cranial or peripheral ganglionectomy
• * Injection into a nerve
• ** Injection of anesthetic into a nerve for analgesia
• Operations on sympathetic nerves or ganglia
• * Sympathectomy
• ** Sphenopalatine ganglionectomy
• ** Other sympathectomy and ganglionectomy

  (06–07) Operations on the [endocrine system]

• Operations on thyroid and parathyroid glands
• * Incision of thyroid field
• * Diagnostic procedures on thyroid and parathyroid glands
• * Unilateral thyroid lobectomy
• * Other partial thyroidectomy
• * Complete thyroidectomy
• * Substernal thyroidectomy
• * Excision of lingual thyroid
• * Excision of thyroglossal duct or tract
• * Parathyroidectomy
• * Other operations on thyroid and parathyroid
• Operations on other endocrine glands
• * Exploration of adrenal field
• * Diagnostic procedures on adrenal glands, pituitary gland, pineal gland, and thymus
• * Partial adrenalectomy
• * Bilateral adrenalectomy
• * Other operations on adrenal glands, nerves, and vessels
• * Operations on pineal gland
• * Hypophysectomy
• * Other operations on hypophysis
• * Thymectomy
• * Other operations on thymus

  (08–16) Operations on the eye">human eye">eye

• Operations on eyelids
• Operations on lacrimal system
• Operations on conjunctiva
• Operations on cornea
• * Corneal transplant
• * Other reconstructive and refractive surgery on cornea
• ** Keratomileusis
• ** Radial keratotomy
• Operations on iris, ciliary body, sclera, and anterior chamber
• Operations on lens
• * Cataract surgery
• * Phacoemulsification and aspiration of cataract
• Operations on retina, choroid, vitreous, and posterior chamber
• * Removal of foreign body from posterior segment of eye
• * Diagnostic procedures on retina, choroid, vitreous, and posterior chamber
• * Destruction of lesion of retina and choroid
• * Repair of retinal tear
• * Repair of retinal detachment with scleral buckling and implant
• * Other repair of retinal detachment
• * Removal of surgically implanted material from posterior segment of eye
• * Operations on vitreous
• * Other operations on retina, choroid, and posterior chamber
• Operations on extraocular muscles
• Operations on orbit and eyeball
• * Enucleation of the Eye

  (18–20) Operations on the [ear]

• Operations on external ear
• * Incision of external ear
• * Diagnostic procedures on external ear
• * Excision or destruction of lesion of external ear
• * Other excision of external ear
• * Suture of laceration of external ear
• * Surgical correction of prominent ear
• * Reconstruction of external auditory canal
• * Other plastic repair of external ear
• ** Construction of auricle of ear
• ** Reattachment of amputated ear
• ** Other plastic repair of external ear
• *** Otoplasty NOS
• * Other operations on external ear
• Reconstructive operations on middle ear
• * Stapes mobilization
• * Stapedectomy
• * Revision of stapedectomy
• * Other operations on ossicular chain
• * Myringoplasty
• * Other tympanoplasty
• * Revision of tympanoplasty
• * Other repair of middle ear
• Other operations on middle and inner ear
• * Myringotomy
• * Removal of tympanostomy tube
• * Incision of mastoid and middle ear
• * Diagnostic procedures on middle and inner ear
• * Mastoidectomy
• * Other excision of middle ear
• * of inner ear
• * Incision, excision, and destruction of inner ear
• * Operations on Eustachian tube
• * Other operations on inner and middle ear

  (21-29) Operations on the nose">Human nose">nose, mouth">human mouth">mouth and pharynx">human pharynx">pharynx

• Operations on nose
• * Control of epistaxis
• * Incision of nose
• * Diagnostic procedures on nose
• * Local excision or destruction of lesion of nose
• * Resection of nose
• * Submucous Resection of nasal septum
• * Turbinectomy
• * Reduction of nasal fracture
• * Repair and plastic operations on the nose
• ** Suture of laceration of nose
• ** Closure of nasal fistula
• ** Total nasal reconstruction
• ** Revision rhinoplasty
• ** Augmentation rhinoplasty
• ** Limited rhinoplasty
• ** Other rhinoplasty
• ** Other septoplasty
• ** Other repair and plastic operations on nose
• * Other operations on nose
• Operations on nasal sinuses
• Removal and restoration of teeth
• * Forceps extraction of tooth
• * Surgical removal of tooth
• * Restoration of tooth by filling
• * Restoration of tooth by inlay
• * Other dental restoration
• * Implantation of tooth
• * Prosthetic dental implant
• * Apicoectomy and root canal therapy
• Other operations on teeth, gums, and alveoli
• * Incision of gum or alveolar bone
• * Diagnostic procedures on teeth, gums, and alveoli
• * Gingivoplasty
• * Other operations on gum
• * Excision of dental lesion of jaw
• * Alveoloplasty
• * Exposure of tooth
• * Application of orthodontic appliance
• * Other orthodontic operation
• * Other dental operations
• Operations on tongue
• * Diagnostic procedures on tongue
• * Excision or of lesion or tissue of tongue
• * Partial glossectomy
• * Complete glossectomy
• * Radical glossectomy
• * Repair of tongue and glossoplasty
• * Other operations on tongue
• ** Lingual frenotomy
• ** Lingual frenectomy
• ** Lysis of adhesions of tongue
• ** Other glossotomy
• ** Other
• Operations on salivary glands and ducts
• Other operations on mouth and face
• * Drainage of face and floor of mouth
• * Incision of palate
• * Diagnostic procedures on oral cavity
• * Excision of lesion or tissue of bony palate
• * Excision of other parts of mouth
• ** Labial frenectomy
• ** Wide excision of lesion of lip
• ** Other excision of lesion or tissue of lip
• ** Other excision of mouth
• * Plastic repair of mouth
• * Palatoplasty
• * Operations on uvula
• * Other operations on mouth and face
• Operations on tonsils and adenoids
• * Tonsillectomy without adenoidectomy
• * Tonsillectomy with adenoidectomy
• * Adenoidectomy without tonsillectomy
• Operations on pharynx

  (30–34) Operations on the [respiratory system]

• Excision of larynx
• * Excision or destruction of lesion or tissue of larynx
• * Hemilaryngectomy
• * Other partial laryngectomy
• * Complete laryngectomy
• * Radical laryngectomy
• Other operations on larynx and trachea
• * Injection of larynx
• * Temporary tracheostomy
• * Permanent tracheostomy
• * Other incision of larynx or trachea
• * Diagnostic procedures on larynx and trachea
• * Local excision or destruction of lesion or tissue of trachea
• * Repair of larynx
• * Repair and plastic operations on trachea
• * Other operations on larynx and trachea
• Excision of lung and bronchus
• * Local excision or destruction of lesion or tissue of bronchus
• * Other excision of bronchus
• * Local excision or destruction of lesion or tissue of lung
• * Segmental resection of lung
• * Lobectomy of lung
• * Complete pneumonectomy
• * Radical dissection of thoracic structures
• * Other excision of lung
• Other operations on lung and bronchus
• * Incision of bronchus
• * Incision of lung
• * Diagnostic procedures on lung and bronchus
• ** Bronchoscopy through artificial stoma
• ** Fiber-optic bronchoscopy
• ** Other bronchoscopy
• ** Closed biopsy of bronchus
• ** Open biopsy of bronchus
• ** Closed biopsy of lung
• ** Closed endoscopic biopsy of lung
• ** Open biopsy of lung
• ** Other diagnostic procedures on lung and bronchus
• * Surgical collapse of lung
• * Repair and plastic operation on lung and bronchus
• * Lung transplant
• * Combined heart-lung transplantation
• * Other operations on lung and bronchus
• Operations on chest wall, pleura, mediastinum, and diaphragm
• * Incision of chest wall and pleura
• ** Exploratory thoracotomy
• * Incision of mediastinum
• * Diagnostic procedures on chest wall, pleura, mediastinum, and diaphragm
• ** Transpleural thoracoscopy
• ** Mediastinoscopy
• ** Biopsy of chest wall
• ** Pleural biopsy
• ** Closed biopsy of mediastinum
• ** Open mediastinal biopsy
• ** Biopsy of diaphragm
• ** Other diagnostic procedures on chest wall, pleura, and diaphragm
• ** Other diagnostic procedures on mediastinum
• * Excision or destruction of lesion or tissue of mediastinum
• * Excision or destruction of lesion of chest wall
• * Pleurectomy
• * Scarification of pleura
• * Repair of chest wall
• ** Repair of pectus deformity
• * Operations on diaphragm
• * Other operations on thorax
• ** Thoracentesis
• ** Injection into thoracic cavity
• *** Chemical pleurodesis

  (35–39) Operations on the [cardiovascular system]

Heart

• Operations on valves and septa of heart
• * Closed heart valvotomy
• * Open heart valvuloplasty without replacement
• * Replacement of heart valve
• * Operations on structures adjacent to heart valves
• * Production of septal defect in heart
• * Repair of atrial and ventricular septa with prosthesis
• * Repair of atrial and ventricular septa with tissue graft
• * Other and unspecified repair of atrial and ventricular septa
• * Total repair of certain congenital cardiac anomalies
• * Other operations on valves and septa of heart
• ** Creation of conduit between atrium and pulmonary artery
• *** Fontan procedure
• Operations on vessels of heart
• * Removal of coronary artery obstruction and insertion of stent
• * Bypass anastomosis for heart revascularization
• * Heart revascularization by arterial implant
• * Other heart revascularization
• * Other operations on vessels of heart
• Other operations on heart and pericardium
• * Pericardiocentesis
• * Cardiotomy and pericardiotomy
• * Diagnostic procedures on heart and pericardium
• * Pericardiectomy and excision of lesion of heart
• ** Pericardiectomy
• ** Excision of aneurysm of heart
• ** Excision or destruction of other lesion or tissue of heart, open approach
• *** Maze procedure
• ** Excision or destruction of other lesion or tissue of heart, other approach
• ** Partial ventriculectomy
• *** Ventricular reduction surgery
• * Repair of heart and pericardium
• * Heart replacement procedures
• ** Heart transplantation
• ** Implantation of total replacement heart system
• *** Artificial heart
• * Implantation of heart and circulatory assist system
• * Insertion, revision, replacement, and removal of pacemaker leads; insertion of temporary pacemaker system; or revision of cardiac device pocket
• * Insertion, replacement, removal, and revision of pacemaker device
• * Other operations on heart and pericardium

  Vessels

• Incision, excision, and occlusion of vessels
• * Incision of vessel
• ** Thrombectomy
• * Endarterectomy
• * Diagnostic procedures on blood vessels
• * Resection of vessel with anastomosis
• * Resection of vessel with replacement
• * Ligation and stripping of varicose veins
• * Other excision of vessel
• * Interruption of the vena cava
• * Other surgical occlusion of vessels
• * Puncture of vessel
• ** Arterial catheterization
• ** Umbilical vein catheterization
• ** Venous catheterization, not elsewhere classified
• ** Venous cutdown
• ** Venous catheterization for renal dialysis
• ** Other puncture of artery
• ** Other puncture of vein
• Other operations on vessels
• * Systemic to pulmonary artery shunt
• * Intra-abdominal venous shunt
• ** transjugular intrahepatic portosystemic shunt
• * Other shunt or vascular bypass
• * Suture of vessel
• * Revision of vascular procedure
• * Other repair of vessels
• * Extracorporeal circulation and procedures auxiliary to heart surgery
• ** Extracorporeal circulation auxiliary to open heart surgery
• *** Cardiopulmonary bypass
• ** Hypothermia incidental to open heart surgery
• ** Cardioplegia
• ** Intraoperative cardiac pacemaker
• ** Extracorporeal membrane oxygenation
• ** Percutaneous cardiopulmonary bypass
• * Endovascular repair of vessel
• * Operations on carotid body and other vascular bodies
• * Other operations on vessels
• ** Insertion of non-drug-eluting peripheral vessel stent
• ** Freeing of vessel
• ** Injection of sclerosing agent into vein
• ** Insertion of vessel-to-vessel cannula
• ** Replacement of vessel-to-vessel cannula
• ** Hemodialysis
• *** Artificial kidney
• *** Hemodiafiltration
• *** Hemofiltration
• *** Renal dialysis
• ** Total body perfusion
• ** Other perfusionge, not otherwise specified
• ** Control of hemorrhage, not otherwise specified
• ** Other operations on vessels

  (40–41) Operations on the [hemic] and [lymphatic system]

• Operations on lymphatic system
• * Incision of lymphatic structures
• * Diagnostic procedures on lymphatic structures
• * Simple excision of lymphatic structure
• ** Excision of deep cervical lymph node
• ** Excision of internal mammary lymph node
• ** Excision of axillary lymph node
• ** Excision of inguinal lymph node
• ** Simple excision of other lymphatic structure
• *** Simple lymphadenectomy
• * Regional lymph node excision
• * Radical excision of cervical lymph nodes
• ** Radical neck dissection, not otherwise specified
• ** Radical neck dissection, unilateral
• ** Radical neck dissection, bilateral
• * Radical excision of other lymph nodes
• * Operations on thoracic duct
• * Other operations on lymphatic structures
• Operations on bone marrow and spleen
• * Bone marrow or hematopoietic stem cell transplant
• * Puncture of spleen
• * Splenotomy
• * Diagnostic procedures on bone marrow and spleen
• * Excision or destruction of lesion or tissue of spleen
• ** Marsupialization of splenic cyst
• ** Excision of lesion or tissue of spleen
• ** Partial splenectomy
• * Total splenectomy
• * Other operations on spleen and bone marrow

  (42–54) Operations on the [digestive system]

• Operations on esophagus
• * Excision of esophagus
• ** Esophagectomy, not otherwise specified
• Incision and excision of stomach
• * Gastrotomy
• * Gastrostomy
• ** Percutaneous gastrostomy
• * Pyloromyotomy
• * Local excision or destruction of lesion or tissue of stomach
• * Partial gastrectomy with anastomosis to esophagus
• * Partial gastrectomy with anastomosis to duodenum
• * Partial gastrectomy with anastomosis to jejunum
• * Other partial gastrectomy
• * Total gastrectomy
• Other operations on stomach
• * Vagotomy
• * Gastroenterostomy without gastrectomy
• ** High gastric bypass
• ** Percutaneous gastrojejunostomy
• ** Laparoscopic gastroenterostomy
• ** Other gastroenterostomy
• Incision, excision, and anastomosis of intestine
• * Diagnostic procedures on small intestine
• ** Transabdominal endoscopy of small intestine
• ** Endoscopy of small intestine through artificial stoma
• ** Other endoscopy of small intestine
• *** Esophagogastroduodenoscopy
• ** Closed biopsy of small intestine
• ** Open biopsy of small intestine
• ** Esophagogastroduodenoscopy with closed biopsy
• ** Other diagnostic procedures on small intestine
• * Diagnostic procedures on large intestine
• ** Colonoscopy
• * Partial excision of large intestine
• ** Right hemicolectomy
• * Total intra-abdominal colectomy
• Other operations on intestine
• * Colostomy
• * Ileostomy
• * Other enterostomy
• * Revision of intestinal stoma
• * Closure of intestinal stoma
• * Fixation of intestine
• * Other repair of intestine
• * Dilation and manipulation of intestine
• * Other operations on intestines
• ** Myotomy of sigmoid colon
• ** Myotomy of other parts of colon
• ** Revision of anastomosis of small intestine
• *** jejunoileal bypass
• ** Revision of anastomosis of large intestine
• ** Local perfusion of small intestine
• ** Local perfusion of large intestine
• ** Transplant of intestine
• ** Other
• Operations on appendix
• * Appendectomy
• Operations on rectum, rectosigmoid and perirectal tissue
• * Diagnostic procedures on rectum, rectosigmoid and perirectal tissue
• ** Transabdominal proctosigmoidoscopy
• ** Proctosigmoidoscopy through artificial stoma
• ** Rigid proctosigmoidoscopy
• ** Closed biopsy of rectum
• ** Open biopsy of rectum
• ** Biopsy of perirectal tissue
• ** Other diagnostic procedures on rectum, rectosigmoid and perirectal tissue
• Operations on anus
• * Incision or excision of perianal tissue
• * Incision or excision of anal fistula
• * Diagnostic procedures on anus and perianal tissue
• * Local excision or destruction of other lesion or tissue of anus
• * Procedures on hemorrhoids
• ** Excision of hemorrhoids
• *** Hemorrhoidectomy NOS
• * Division of anal sphincter
• ** Left lateral anal sphincterotomy
• ** Posterior anal sphincterotomy
• ** Other anal sphincterotomy
• * Excision of anus
• * Repair of anus
• * Other operations on anus
• Operations on liver
• * Hepatotomy
• * Diagnostic procedures on liver
• * Local excision or destruction of liver tissue or lesion
• ** Marsupialization of lesion of liver
• ** Partial hepatectomy
• ** Other destruction of lesion of liver
• * Lobectomy of liver
• * Total hepatectomy
• * Liver transplant
• * Repair of liver
• * Other operations on liver
• Operations on gallbladder and biliary tract
• * Cholecystotomy and cholecystostomy
• * Diagnostic procedures on biliary tract
• ** Endoscopic retrograde cholangiopancreatography
• * Cholecystectomy
• * Anastomosis of gallbladder or bile duct
• * Incision of bile duct for relief of obstruction
• * Other incision of bile duct
• * Local excision or destruction of lesion or tissue of biliary ducts and sphincter of Oddi
• * Repair of bile ducts
• * Other operations on biliary ducts and sphincter of Oddi
• * Other operations on biliary tract
• Operations on pancreas
• * Pancreatotomy
• * Diagnostic procedures on pancreas
• * Local excision or destruction of pancreas and pancreatic duct
• * Marsupialization of pancreatic cyst
• * Internal drainage of pancreatic cyst
• * Partial pancreatectomy
• * Total pancreatectomy
• * Radical pancreaticoduodenectomy
• * Transplant of pancreas
• * Other operations on pancreas
• ** Anastomosis of pancreas
• Repair of hernia
• * hernia repair
• Other operations on abdominal region
• * Laparotomy
• * Other operations of abdominal region
• ** Percutaneous abdominal drainage
• *** Paracentesis

  (55–59) Operations on the [urinary system]

• Operations on kidney
• * Nephrotomy and nephrostomy
• ** Nephrostomy
• * Pyelotomy and pyelostomy
• * Diagnostic procedures on kidney
• * Local excision or destruction of lesion or tissue of kidney
• * Partial nephrectomy
• * Complete nephrectomy
• * Transplant of kidney
• * Nephropexy
• * Other repair of kidney
• * Other operations on kidney
• Operations on ureter
• * Transurethral removal of obstruction from ureter and renal pelvis
• * Ureteral meatotomy
• * Ureterotomy
• * Diagnostic procedures on ureter
• ** Ureteroscopy
• * Ureterectomy
• * Cutaneous uretero-ileostomy
• * Other external urinary diversion
• ** Formation of other cutaneous ureterostomy
• *** Ureterostomy NOS
• * Other anastomosis or bypass of ureter
• ** Urinary diversion to intestine
• *** Internal urinary diversion NOS
• * Repair of ureter
• * Other operations on ureter
• Operations on urinary bladder
• * Transurethral clearance of bladder
• * Cystotomy and cystostomy
• * Vesicostomy
• * Diagnostic procedures on bladder
• * Transurethral excision or destruction of bladder tissue
• * Other excision or destruction of bladder tissue
• * Partial cystectomy
• * Total cystectomy
• * Other repair of urinary bladder
• * Other operations on bladder
• Operations on urethra
• * Suture of laceration of kidney
• * Closure of nephrostomy and pyelostomy
• * Closure of other fistula of kidney
• * Reduction of of renal pedicle
• * Symphysiotomy for horseshoe kidney
• * Anastomosis of kidney
• * Correction of ureteropelvic junction
• * Other
• Other operations on urinary tract

  (60–64) Operations on the male genital organs">human male genital organs">male genital organs

• Operations on prostate and seminal vesicles
• * Incision of prostate
• * Diagnostic procedures on prostate and seminal vesicles
• * Transurethral prostatectomy
• ** Transurethral guided laser induced prostatectomy
• ** Other transurethral prostatectomy
• *** Transurethral resection of prostate
• * Suprapubic prostatectomy
• * Retropubic prostatectomy
• * Radical prostatectomy
• * Other prostatectomy
• * Operations on seminal vesicles
• * Incision or excision of periprostatic tissue
• * Other operations on prostate
• Operations on scrotum and tunica vaginalis
• Operations on testes
• Operations on spermatic cord, epididymis, and vas deferens
• * Vasectomy and ligation of vas deferens
• ** Vasectomy
• * Repair of vas deferens and epididymis
• ** Reconstruction of surgically divided vas deferens
• Operations on penis
• * Circumcision
• * Diagnostic procedures on the penis
• * Local excision or destruction of lesion of penis
• * Amputation of penis
• * Repair and plastic operation on penis
• * Operations for sex transformation, not elsewhere classified
• * Other operations on male genital organs
• ** Dorsal or lateral slit of prepuce
• ** Incision of penis
• ** Division of penile adhesions
• ** Fitting of external prosthesis of penis
• *** Penlie prosthesis NOS
• ** Insertion or replacement of non-inflatable penlie prosthesis
• ** Removal of internal prosthesis of penis
• ** Insertion or replacement of inflatable penlie prosthesis
• ** Other operations on penis
• ** Other

  (65–71) Operations on the female genital organs">human female genital organs">female genital organs

• Operations on ovary
• * Oophorotomy
• * Diagnostic procedures on ovaries
• * Local excision or destruction of ovarian lesion or tissue
• * Unilateral oophorectomy
• * Unilateral salpingo-oophorectomy
• * Bilateral oophorectomy
• * Bilateral salpingo-oophorectomy
• * Repair of ovary
• * Lysis of adhesions of ovary and fallopian tube
• * Other operations on ovary
• Operations on fallopian tubes
• * Salpingotomy and salpingostomy
• * Diagnostic procedures on fallopian tubes
• * Bilateral endoscopic destruction or of fallopian tubes
• * Other bilateral destruction or of fallopian tubes
• * Total unilateral salpingectomy
• * Total bilateral salpingectomy
• * Other salpingectomy
• * Repair of fallopian tube
• * Insufflation of fallopian tube
• * Other operations on fallopian tubes
• Operations on cervix
• * Dilation of cervical canal, excludes Dilation and curettage
• * Diagnostic procedures on cervix
• * Conization of cervix excluding electrical/cryo
• * Other excision or destruction of lesion or tissue of cervix
• Other incision and excision of uterus
• * Hysterotomy
• * Diagnostic procedures on uterus and supporting structures
• ** Hysteroscopy
• * Excision or destruction of lesion or tissue of uterus
• * Subtotal abdominal hysterectomy
• * Total abdominal hysterectomy
• * Vaginal hysterectomy
• * Radical abdominal hysterectomy
• * Radical vaginal hysterectomy
• * Pelvic exenteration
• * Other and unspecified hysterectomy
• Other operations on uterus and supporting structures
• * Dilation and curettage of uterus
• * Excision or destruction of lesion or tissue of uterus and supporting structures
• * Repair of uterine supporting structures
• * Paracervical uterine denervation
• * Uterine repair
• * Aspiration curettage of uterus
• * Menstrual extraction or regulation
• * Insertion of intrauterine contraceptive device
• * Other operations on uterus, cervix, and supporting structures
• Operations on vagina and rectouterine pouch
• * Culdocentesis
• * Incision of vagina and rectouterine pouch
• ** Hymenotomy
• ** Culdotomy
• ** Lysis of intraluminal adhesions of vagina
• ** Other vaginotomy
• * Diagnostic procedures on vagina and rectouterine pouch
• * Local excision or destruction of vagina and rectouterine pouch
• * Obliteration and total excision of vagina
• ** Vaginectomy
• * Repair of cystocele and rectocele
• * Vaginal construction and reconstruction
• * Other repair of vagina
• * Obliteration of vaginal vault
• * Other operations on vagina and rectouterine pouch
• Operations on vulva and perineum
• * Incision of vulva and perineum
• * Diagnostic procedures on vulva
• * Operations on Bartholin's gland
• * Other local excision or destruction of vulva and perineum
• * Operations on clitoris
• * Radical vulvectomy
• * Other vulvectomy
• * Repair of vulva and perineum
• * Other operations on vulva
• * Other operations on female genital organs

  (72–75) [Obstetrical] procedures

• Forceps, vacuum, and breech delivery
• Other procedures inducing or assisting delivery
• * Artificial rupture of membranes
• ** Induction of labor by artificial rupture of membranes
• ** Other artificial rupture of membranes
• *** Amniotomy
• * Other surgical induction of labor
• * Internal and combined version and extraction
• * Failed forceps
• * Medical induction of labor
• * Manually assisted delivery
• * Episiotomy
• * Operations on fetus to facilitate delivery
• * Other operations assisting delivery
• * External version
• * Replacement of prolapsed umbilical cord
• * Incision of cervix to assist delivery
• * Pubiotomy to assist delivery
• ** Obstetrical symphysiotomy
• * Other
• Cesarean section and removal of fetus
• Other obstetric operations
• * Intra-amniotic injection for abortion
• * Diagnostic amniocentesis
• * Intrauterine transfusion
• * Other intrauterine operations on fetus and amnion
• ** Amnioscopy
• *** Fetoscopy
• *** Laparoamnioscopy
• ** Fetal EKG
• ** Fetal blood sampling and biopsy
• *** Chorionic villus sampling
• ** Other fetal monitoring
• ** Other diagnostic procedures on fetus and amnion
• ** Correction of fetal defect
• ** Amnioinfusion
• ** Fetal pulse oximetry
• * Manual removal of retained placenta
• * Repair of current obstetric laceration of uterus
• * Repair of other current obstetric laceration
• * Manual exploration of uterine cavity, postpartum
• * Obstetric tamponade of uterus or vagina
• * Other obstetric operations

  (76–84) Operations on the [musculoskeletal system]

• Operations on facial bones and joints
• * Incision of facial bone without division
• * Diagnostic procedures on facial bones and joints
• * Local excision or destruction of lesion of facial bone
• * Partial ostectomy of facial bone
• * Excision and reconstruction of facial bones
• * Temporomandibular arthroplasty
• * Other facial bone repair and orthognathic surgery
• ** Augmentation genioplasty
• *** Mentoplasty NOS
• * Reduction of facial fracture
• * Other operations on facial bones and joints
• Incision, excision, and division of other bones
• * Sequestrectomy
• * Other incision of bone without division
• * Wedge osteotomy
• * Other division of bone
• * Biopsy of bone
• * Excision and repair of bunion and other toe deformities
• * Local excision of lesion or tissue of bone
• * Excision of bone for graft
• * Other partial ostectomy
• * Total ostectomy
• Other operations on bones, except facial bones
• * Bone graft
• * Application of external fixator device
• * Limb shortening procedures
• * Limb lengthening procedures
• * Other repair or plastic operations on bone
• * Internal fixation of bone without fracture reduction
• * Removal of implanted devices from bone
• * Osteoclasis
• * Diagnostic procedures on bone, not elsewhere classified
• * Insertion of bone growth stimulator
• Reduction of fracture and dislocation
• * Closed reduction of fracture without internal fixation
• * Closed reduction of fracture with internal fixation
• * Open reduction of fracture without internal fixation
• * Open reduction of fracture with internal fixation
• * Closed reduction of separated epiphysis
• * Open reduction of separated epiphysis
• * Debridement of open fracture site
• * Closed reduction of dislocation
• * Open reduction of dislocation
• * Unspecified operation on bone injury
• Incision and excision of joint structures
• * Arthroscopy
• * Excision or destruction of intervertebral disc
• ** Excision of intervertebral disc
• *** Diskectomy
• Repair and plastic operations on joint structures
• * Spinal fusion
• * Arthrodesis and arthroereisis of foot and ankle
• * Arthrodesis of other joint
• * Refusion of spine
• * Other repair of joint of lower extremity
• * Joint replacement of lower extremity
• ** Total hip replacement
• ** Partial hip replacement
• ** Revision of hip replacement, not otherwise specified
• ** Total knee replacement
• ** Revision of knee replacement, not otherwise specified
• ** Total ankle replacement
• ** Replacement of joint of foot and toe
• ** Revision of joint replacement of lower extremity, not elsewhere classified
• * Other procedures on spine
• * Arthroplasty and repair of hand, fingers and wrist
• * Arthroplasty and repair of shoulder and elbow
• ** Total shoulder replacement
• ** Partial shoulder replacement
• ** Repair of recurrent dislocation of shoulder
• ** Other repair of shoulder
• ** Total elbow replacement
• ** Other repair of elbow
• * Other operations on joint structures
• Operations on muscle, tendon, and fascia of hand
• * Incision of muscle, tendon, fascia, and bursa of hand
• * Division of muscle, tendon, and fascia of hand
• * Excision of lesion of muscle, tendon, and fascia of hand
• * Other excision of soft tissue of hand
• * Suture of muscle, tendon, and fascia of hand
• * Transplantation of muscle and tendon of hand
• * Reconstruction of thumb
• * Plastic operation on hand with graft or implant
• * Other plastic operations on hand
• * Other operations on muscle, tendon, and fascia of hand
• Operations on muscle, tendon, fascia, and bursa, except hand
• * Incision of muscle, tendon, fascia, and bursa
• ** Exploration of tendon sheath
• ** Myotomy
• ** Bursotomy
• ** Other incision of soft tissue
• * Division of muscle, tendon, and fascia
• ** Achillotenotomy
• ** Adductor tenotomy of hip
• ** Other tenotomy
• ** Fasciotomy
• ** Other division of soft tissue
• * Diagnostic procedures on muscle, tendon, fascia, and bursa, including that of hand
• * Excision of lesion of muscle, tendon, fascia, and bursa
• * Other excision of muscle, tendon, and fascia
• * Bursectomy
• * Suture of muscle, tendon, and fascia
• * Reconstruction of muscle and tendon
• * Other plastic operations on muscle, tendon, and fascia
• * Other operations on muscle, tendon, fascia, and bursa
• Other procedures on musculoskeletal system
• * Amputation of upper limb
• * Amputation of lower limb
• ** Lower limb amputation, not otherwise specified
• ** Amputation of toe
• ** Amputation through foot
• ** Disarticulation of ankle
• ** Amputation of ankle through malleoli of tibia and fibula
• ** Other amputation below knee
• ** Disarticulation of knee
• ** Amputation above knee
• ** Disarticulation of hip
• ** Abdominopelvic amputation
• *** Hemipelvectomy
• * Reattachment of extremity
• * Revision of amputation stump
• * Implantation or fitting of prosthetic limb device
• * Implantation of other musculoskeletal devices and substances
• ** Insertion of interbody spinal fusion device
• ** Insertion of recombinant bone morphogenetic protein
• ** Implantation of internal limb lengthening device with kinetic distraction
• ** Implantation of other internal limb lengthening device
• ** Insertion of bone void filler
• ** Insertion of spacer
• ** Removal of spacer
• ** Implantation of interspinous process decompression device
• ** Insertion of other spinal devices
• * Replacement of spinal disc
• * Adjunct codes for external fixator devices
• * Other operations on musculoskeletal system

  (85–86) Operations on the [integumentary system]

• Operations on the breast
• * Mastotomy
• * Diagnostic procedures on breast
• * Excision or destruction of breast tissue
• ** Local excision of lesion of breast
• *** Lumpectomy
• * Reduction mammoplasty and subcutaneous mammectomy
• * Mastectomy
• * Augmentation mammoplasty
• * Mastopexy
• * Total reconstruction of breast
• * Other repair and plastic operations on breast
• * Other operations on the breast
• Operations on skin and subcutaneous tissue
• * Incision of skin and subcutaneous tissue
• ** Aspiration of skin and subcutaneous tissue
• ** Injection or tattooing of skin lesion or defect
• ** Incision of pilonidal sinus or cyst
• ** Other incision with drainage of skin and subcutaneous tissue
• ** Incision with removal of foreign body or device from skin and subcutaneous tissue
• ** Insertion of totally implantable infusion pump
• ** Insertion of totally implantable vascular access device
• ** Other incision of skin and subcutaneous tissue
• *** Escharotomy
• * Diagnostic procedures on skin and subcutaneous tissue
• * Excision or destruction of lesion or tissue of skin and subcutaneous tissue
• * Other local excision or destruction of lesion or tissue of skin and subcutaneous tissue
• * Radical excision of skin lesion
• * Suture or other closure of skin and subcutaneous tissue
• * Free skin graft
• ** Free skin graft, not otherwise specified
• ** Full-thickness skin graft to hand
• ** Other skin graft to hand
• ** Full-thickness skin graft to other sites
• ** Hair transplant
• ** Heterograft to skin
• ** Homograft to skin
• * Pedicle grafts or flaps
• * Other repair and reconstruction of skin and subcutaneous tissue
• * Other operations on skin and subcutaneous tissue

  (87–99) Miscellaneous diagnostic">medical diagnosis">diagnostic and therapeutic procedures

Diagnostic radiology

• Diagnostic radiology
• * Soft tissue x-ray of thorax
• * Other x-ray of thorax
• * X-ray of urinary system
• ** Computerized axial tomography of kidney
• *** CAT scan of kidney
• ** Other nephrotomogram
• ** Intravenous pyelogram
• *** Diuretic infusion pyelogram
• ** Retrograde pyelogram
• ** Percutaneous pyelogram
• ** Retrograde cystourethrogram
• ** Other cystogram
• ** Ileal conduitogram
• ** Other x-ray of the urinary system
• *** KUB x-ray
• Other diagnostic radiology and related techniques
• * Soft tissue x-ray of abdomen
• * Other x-ray of abdomen
• * Skeletal x-ray of extremities and pelvis
• * Other x-ray
• * Arteriography using contrast material
• * Angiocardiography using contrast material
• * Phlebography
• * Diagnostic ultrasound
• * Thermography
• * Other diagnostic imaging
• ** Diagnostic imaging, not elsewhere classified
• ** Magnetic resonance imaging of brain and brain stem
• ** Magnetic resonance imaging of chest and myocardium
• ** Magnetic resonance imaging of spinal canal
• ** Magnetic resonance imaging of musculoskeletal
• ** Magnetic resonance imaging of pelvis, prostate, and bladder
• ** Other intraoperative magnetic resonance imaging
• ** Magnetic resonance imaging of other and unspecified sites
• ** Bone mineral density studies

  [Interview], [evaluation], consultation">consultation (doctor)">consultation, and examination">Medical examination">examination

• Interview, evaluation, consultation, and examination
• * Diagnostic interview, consultation, and evaluation
• * Anatomic and physiologic measurements and manual examinations—nervous system and sense organs
• ** Electroencephalogram
• * Anatomic and physiologic measurements and manual examinations -- genitourinary system
• ** Urinary manometry
• ** Cystometrogram
• ** Urethral sphincter electromyogram
• ** Uroflowmetry
• ** Urethral pressure profile
• ** Gynecological examination
• ** Other nonoperative genitourinary system measurements
• * Other anatomic and physiologic measurements and manual examinations
• * Cardiac stress tests, pacemaker and defibrillator checks
• * Other nonoperative cardiac and vascular diagnostic procedures
• * Circulatory monitoring
• * General physical examination
• * Autopsy
• Microscopic examination
• * fourth-digit codes:
• * 1 bacterial smear
• * 2 culture
• * 3 culture and sensitivity
• * 4 parasitology
• * 5 toxicology
• * 6 cell block and Papanicolaou smear
• * 9 other microscopic examination
• * specimen from nervous system and of spinal fluid
• * specimen from endocrine gland, not elsewhere classified
• * specimen from eye
• * specimen from ear, nose, throat, and larynx
• * specimen from trachea, bronchus, pleura, lung, and other thoracic specimen, and of sputum
• * blood
• * specimen from spleen and of bone marrow
• * specimen from lymph node and of lymph
• * specimen from upper gastrointestinal tract and of vomitus
• * specimen from lower gastrointestinal tract and of stool
• * specimen from liver, biliary tract, and pancreas
• * peritoneal and retroperitoneal specimen
• * specimen from kidney, ureter, perirenal and periureteral tissue
• * specimen from bladder, urethra, prostate, seminal vesicle, perivesical tissue, and of urine and semen
• * specimen from female genital tract
• * specimen from musculoskeletal system and of joint fluid
• * specimen from skin and other integument
• * specimen from operative wound
• * specimen from other site
• * specimen from unspecified site

  [Nuclear medicine]

• Nuclear medicine
• * Radioisotope scan and function study
• * Other radioisotope scan
• * Therapeutic radiology and nuclear medicine
• * Stereotactic radiosurgery

  [Physical therapy], [respiratory therapy], rehabilitation">Physical therapy">rehabilitation, and related procedures

• Physical therapy, respiratory therapy, rehabilitation, and related procedures
• * Diagnostic physical therapy
• * Physical therapy exercises
• * Other physical therapy musculoskeletal manipulations
• * Other physical therapy therapeutic procedures
• ** Assisted exercise in pool
• ** Whirlpool treatment
• ** Other hydrotherapy
• ** Diathermy
• ** Other heat therapy
• ** Cardiac retraining
• ** Prenatal training
• ** Combined physical therapy without mention of the components
• ** Other physical therapy
• * Skeletal traction and other traction
• * Other immobilization, pressure, and attention to wound
• ** Application of neck support
• *** Application of cervical collar
• *** Application of Minerva jacket
• * Osteopathic manipulative treatment
• * Speech and reading rehabilitation and rehabilitation of the blind
• * Other rehabilitation therapy
• ** Recreation therapy
• ** Educational therapy
• ** Occupational therapy
• ** Music therapy
• ** Vocational rehabilitation
• ** Rehabilitation, not elsewhere classified
• * Respiratory therapy

  Procedures related to the psyche">Psyche (psychology)">psyche

• Procedures related to the psyche
• * Psychologic evaluation and testing
• ** Administration of intelligence test
• *** Administration of Stanford-Binet
• *** Administration of Wechsler Adult Intelligence Scale
• *** Administration of Wechsler Intelligence Scale for Children
• ** Administration of psychologic test
• *** Administration of Bender Visual-Motor Gestalt Test
• *** Administration of Benton Visual Retention Test
• *** Administration of Minnesota Multiphasic Personality Inventory
• *** Administration of Wechsler Memory Scale
• ** Character analysis
• ** Other psychologic evaluation and testing
• ** Psychologic mental status determination, not otherwise specified
• * Psychiatric interviews, consultations, and evaluations
• ** Psychiatric mental status determination
• ** Routine psychiatric visit, not otherwise specified
• ** Psychiatric commitment evaluation
• ** Other psychiatric interview and evaluation
• * Psychiatric somatotherapy
• ** Narcoanalysis
• ** Lithium therapy
• ** Neuroleptic therapy
• ** Chemical shock therapy
• ** Other psychiatric drug therapy
• ** Subconvulsive electroshock therapy
• ** Other electroshock therapy
• *** Electroconvulsive therapy
• ** Other psychiatric somatotherapy
• * Individual psychotherapy
• ** Psychoanalysis
• ** Hypnotherapy
• ** Behavior therapy
• *** Aversion therapy
• *** Behavior modification
• *** Desensitization therapy
• *** Extinction therapy
• *** Relaxation training
• *** Token economy
• ** Other individual psychotherapy
• ** Biofeedback
• * Other psychotherapy and counselling
• ** Group therapy for psychosexual dysfunction
• ** Family therapy
• ** Psychodrama
• ** Other group therapy
• ** Drug addiction counselling
• ** Alcoholism counselling
• ** Other counselling
• * Referral for psychologic rehabilitation
• * Alcohol and drug rehabilitation and detoxification

  [Ophthalmologic] and [otologic] diagnosis and treatment

• Ophthalmologic and otologic diagnosis and treatment
• * General and subjective eye examination
• ** Limited eye examination
• ** Comprehensive eye examination
• ** Extended ophthalmologic work-up
• ** Eye examination under anesthesia
• ** Visual field study
• ** Color vision study
• ** Dark adaptation study
• ** Eye examination, not otherwise specified
• * Examinations of form and structure of eye
• ** Fundus photography
• ** Fluorescein angiography or angioscopy of eye
• ** Ultrasound study of eye
• ** X-ray study of eye
• ** Ocular motility study
• ** P32 and other tracer studies of eye
• * Objective functional tests of eye
• ** Electroretinogram
• ** Electro-oculogram
• ** Visual evoked potential
• ** Electronystagmogram
• ** Electromyogram of eye
• ** Tonography, provocative tests, and other glaucoma testing
• * Special vision services
• * Nonoperative procedures related to hearing
• ** Audiometry
• ** Clinical test of hearing
• ** Audiological evaluation
• ** Clinical vestibular function tests
• ** Rotation tests
• ** Other nonoperative procedures related to hearing

  Nonoperative [intubation] and [irrigation]

• Nonoperative intubation and irrigation
• * Nonoperative intubation of gastrointestinal and respiratory tracts
• ** Insertion of nasopharyngeal airway
• ** Insertion of oropharyngeal airway
• ** Insertion of esophageal obturator airway
• ** Insertion of endotracheal tube
• ** Other intubation of respiratory tract
• ** Insertion of Sengstaken tube
• *** Esophageal tamponade
• ** Insertion of other gastric tube
• ** Insertion of intestinal tube
• *** Miller-Abbott tube
• ** Insertion of rectal tube
• * Other nonoperative insertion
• * Nonoperative and manipulation
• * Nonoperative alimentary tract irrigation, cleaning, and local
• ** Gastric cooling
• ** Gastric freezing
• ** Gastric lavage
• ** Other irrigation of gastric tube
• ** Gastric gavage
• ** Irrigation of gastrostomy or enterostomy
• ** Proctoclysis
• ** Removal of impacted feces
• * Nonoperative irrigation, cleaning, and local of other digestive and genitourinary organs
• ** Irrigation of cholecystostomy and other biliary tube
• ** Irrigation of pancreatic tube
• ** Digestive tract instillation, except gastric gavage
• ** Vaginal douche
• ** Irrigation of nephrostomy and pyelostomy
• ** Irrigation of ureterostomy and ureteral catheter
• ** Irrigation of cystostomy
• ** Irrigation of other indwelling urinary catheter
• ** Other genitourinary instillation
• * Other nonoperative irrigation and cleaning
• * Enteral infusion of concentrated nutritional substances
• * Other continuous invasive mechanical ventilation

  Replacement and removal of [therapeutic appliances]/nonoperative removal of foreign body or [calculus]

• Replacement and removal of therapeutic appliances
• * Nonoperative replacement of gastrointestinal appliance
• * Nonoperative replacement of musculoskeletal and integumentary system appliance
• * Other nonoperative replacement
• * Nonoperative removal of therapeutic device from head and neck
• * Nonoperative removal of therapeutic device from thorax
• * Nonoperative removal of therapeutic device from digestive system
• * Nonoperative removal of therapeutic device from urinary system
• * Nonoperative removal of therapeutic device from genital system
• * Other nonoperative removal of therapeutic device
• Nonoperative removal of foreign body or calculus
• * Removal of intraluminal foreign body from digestive system without incision
• * Removal of intraluminal foreign body from other sites without incision
• * Removal of other foreign body without incision
• * Extracorporeal shockwave lithotripsy

  Other nonoperative procedures

• Other nonoperative procedures
• * Transfusion of blood and blood components
• * Injection or infusion of therapeutic or prophylactic substance
• * Injection or infusion of other therapeutic or prophylactic substance
• ** Injection or infusion of platelet inhibitor
• ** Injection of antibiotic
• ** Injection of other anti-infective
• ** Injection of steroid
• ** Injection of other hormone
• ** Injection or infusion of cancer chemotherapeutic substance
• ** Injection of tranquilizer
• ** Iontophoresis
• ** Injection or infusion of biological response modifier as an antineoplastic agent
• ** Injection or infusion of other therapeutic or prophylactic substance
• * Prophylactic vaccination and inoculation against certain bacterial diseases
• * Prophylactic vaccination and inoculation against certain viral diseases
• * Other vaccination and inoculation
• * Conversion of cardiac rhythm
• ** Cardiopulmonary resuscitation, not otherwise specified
• ** Atrial cardioversion
• ** Other electric countershock of heart
• ** Closed chest cardiac massage
• ** Carotid sinus stimulation
• ** Other conversion of cardiac rhythm
• * Therapeutic apheresis or other injection, administration, or infusion of other therapeutic or prophylactic substance
• * Miscellaneous physical procedures
• ** Hypothermia
• ** Ultraviolet light therapy
• ** Other phototherapy
• ** Isolation
• ** Hyperthermia for treatment of cancer
• ** Non-invasive placement of bone growth stimulator
• ** Therapeutic photopheresis
• * Other miscellaneous procedures