PQRS Information

Year: 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007

PQRS Measure

#21Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Perioperative Care Group

The following codes apply for this PQRS measure:

Code	Modifier	POS	Description
CPT Codes
0236T	N/A	N/A	Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; abdominal aorta
15732	N/A	N/A	Muscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter muscle, sternocleidomastoid, levator scapulae)
15734	N/A	N/A	Muscle, myocutaneous, or fasciocutaneous flap; trunk
15736	N/A	N/A	Muscle, myocutaneous, or fasciocutaneous flap; upper extremity
15738	N/A	N/A	Muscle, myocutaneous, or fasciocutaneous flap; lower extremity
15830	N/A	N/A	Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy
15832	N/A	N/A	Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh
15833	N/A	N/A	Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg
15834	N/A	N/A	Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip
15835	N/A	N/A	Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock
15836	N/A	N/A	Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm
15837	N/A	N/A	Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand
19260	N/A	N/A	Excision of chest wall tumor including ribs
19271	N/A	N/A	Excision of chest wall tumor involving ribs, with plastic reconstruction; without mediastinal lymphadenectomy
19272	N/A	N/A	Excision of chest wall tumor involving ribs, with plastic reconstruction; with mediastinal lymphadenectomy
19300	N/A	N/A	Mastectomy for gynecomastia
19301	N/A	N/A	Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);
19302	N/A	N/A	Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy
19303	N/A	N/A	Mastectomy, simple, complete
19304	N/A	N/A	Mastectomy, subcutaneous
19305	N/A	N/A	Mastectomy, radical, including pectoral muscles, axillary lymph nodes
19306	N/A	N/A	Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)
19307	N/A	N/A	Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle
19316	N/A	N/A	Mastopexy
19318	N/A	N/A	Breast reduction
19324	N/A	N/A	Mammaplasty, augmentation; without prosthetic implant
19325	N/A	N/A	Breast augmentation with implant
19328	N/A	N/A	Removal of intact breast implant
19330	N/A	N/A	Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)
19340	N/A	N/A	Insertion of breast implant on same day of mastectomy (ie, immediate)
19342	N/A	N/A	Insertion or replacement of breast implant on separate day from mastectomy
19350	N/A	N/A	Nipple/areola reconstruction
19355	N/A	N/A	Correction of inverted nipples
19357	N/A	N/A	Tissue expander placement in breast reconstruction, including subsequent expansion(s)
19361	N/A	N/A	Breast reconstruction; with latissimus dorsi flap
19364	N/A	N/A	Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)
19366	N/A	N/A	Breast reconstruction with other technique
19367	N/A	N/A	Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap
19368	N/A	N/A	Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)
19369	N/A	N/A	Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap
19370	N/A	N/A	Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy
19371	N/A	N/A	Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents
19380	N/A	N/A	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)
21627	N/A	N/A	Sternal debridement
21632	N/A	N/A	Radical resection of sternum; with mediastinal lymphadenectomy
21740	N/A	N/A	Reconstructive repair of pectus excavatum or carinatum; open
21750	N/A	N/A	Closure of median sternotomy separation with or without debridement (separate procedure)
21805	N/A	N/A	Open treatment of rib fracture without fixation, each
21825	N/A	N/A	Open treatment of sternum fracture with or without skeletal fixation
22325	N/A	N/A	Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar
22524	N/A	N/A	Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device, 1 vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); lumbar
22551	N/A	N/A	Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2
22554	N/A	N/A	Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2
22558	N/A	N/A	Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar
22586	N/A	N/A	Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace
22600	N/A	N/A	Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment
22612	N/A	N/A	Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)
22630	N/A	N/A	Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar;
22800	N/A	N/A	Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments
22802	N/A	N/A	Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments
22804	N/A	N/A	Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments
23470	N/A	N/A	Arthroplasty, glenohumeral joint; hemiarthroplasty
23472	N/A	N/A	Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))
23473	N/A	N/A	Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component
23474	N/A	N/A	Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component
23616	N/A	N/A	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
24363	N/A	N/A	Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)
24370	N/A	N/A	Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component
24371	N/A	N/A	Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component
27080	N/A	N/A	Coccygectomy, primary
27125	N/A	N/A	Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)
27130	N/A	N/A	Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft
27132	N/A	N/A	Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft
27134	N/A	N/A	Revision of total hip arthroplasty; both components, with or without autograft or allograft
27137	N/A	N/A	Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft
27138	N/A	N/A	Revision of total hip arthroplasty; femoral component only, with or without allograft
27158	N/A	N/A	Osteotomy, pelvis, bilateral (eg, congenital malformation)
27202	N/A	N/A	Open treatment of coccygeal fracture
27235	N/A	N/A	Percutaneous skeletal fixation of femoral fracture, proximal end, neck
27236	N/A	N/A	Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement
27244	N/A	N/A	Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage
27245	N/A	N/A	Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage
27269	N/A	N/A	Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed
27280	N/A	N/A	Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed
27282	N/A	N/A	Arthrodesis, symphysis pubis (including obtaining graft)
27440	N/A	N/A	Arthroplasty, knee, tibial plateau;
27441	N/A	N/A	Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy
27442	N/A	N/A	Arthroplasty, femoral condyles or tibial plateau(s), knee;
27443	N/A	N/A	Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy
27445	N/A	N/A	Arthroplasty, knee, hinge prosthesis (eg, Walldius type)
27446	N/A	N/A	Arthroplasty, knee, condyle and plateau; medial OR lateral compartment
27447	N/A	N/A	Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)
27702	N/A	N/A	Arthroplasty, ankle; with implant (total ankle)
27703	N/A	N/A	Arthroplasty, ankle; revision, total ankle
27704	N/A	N/A	Removal of ankle implant
27758	N/A	N/A	Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage
27759	N/A	N/A	Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage
27766	N/A	N/A	Open treatment of medial malleolus fracture, includes internal fixation, when performed
27769	N/A	N/A	Open treatment of posterior malleolus fracture, includes internal fixation, when performed
27792	N/A	N/A	Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed
27814	N/A	N/A	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
27880	N/A	N/A	Amputation, leg, through tibia and fibula;
27881	N/A	N/A	Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast
27882	N/A	N/A	Amputation, leg, through tibia and fibula; open, circular (guillotine)
27884	N/A	N/A	Amputation, leg, through tibia and fibula; secondary closure or scar revision
27886	N/A	N/A	Amputation, leg, through tibia and fibula; re-amputation
27888	N/A	N/A	Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves
28192	N/A	N/A	Removal of foreign body, foot; deep
28193	N/A	N/A	Removal of foreign body, foot; complicated
28293	N/A	N/A	Correction, hallux valgus (bunion), with or without sesamoidectomy; resection of joint with implant
28415	N/A	N/A	Open treatment of calcaneal fracture, includes internal fixation, when performed;
28420	N/A	N/A	Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)
28445	N/A	N/A	Open treatment of talus fracture, includes internal fixation, when performed
28465	N/A	N/A	Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each
28485	N/A	N/A	Open treatment of metatarsal fracture, includes internal fixation, when performed, each
28505	N/A	N/A	Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed
28525	N/A	N/A	Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each
28531	N/A	N/A	Open treatment of sesamoid fracture, with or without internal fixation
28555	N/A	N/A	Open treatment of tarsal bone dislocation, includes internal fixation, when performed
28585	N/A	N/A	Open treatment of talotarsal joint dislocation, includes internal fixation, when performed
28615	N/A	N/A	Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed
28645	N/A	N/A	Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed
28675	N/A	N/A	Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed
28705	N/A	N/A	Arthrodesis; pantalar
28715	N/A	N/A	Arthrodesis; triple
28725	N/A	N/A	Arthrodesis; subtalar
28730	N/A	N/A	Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse;
28735	N/A	N/A	Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)
28737	N/A	N/A	Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)
31400	N/A	N/A	Arytenoidectomy or arytenoidopexy, external approach
31420	N/A	N/A	Epiglottidectomy
31760	N/A	N/A	Tracheoplasty; intrathoracic
31766	N/A	N/A	Carinal reconstruction
31770	N/A	N/A	Bronchoplasty; graft repair
31775	N/A	N/A	Bronchoplasty; excision stenosis and anastomosis
31786	N/A	N/A	Excision of tracheal tumor or carcinoma; thoracic
31805	N/A	N/A	Suture of tracheal wound or injury; intrathoracic
32096	N/A	N/A	Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral
32097	N/A	N/A	Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral
32098	N/A	N/A	Thoracotomy, with biopsy(ies) of pleura
32100	N/A	N/A	Thoracotomy; with exploration
32110	N/A	N/A	Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear
32120	N/A	N/A	Thoracotomy; for postoperative complications
32124	N/A	N/A	Thoracotomy; with open intrapleural pneumonolysis
32140	N/A	N/A	Thoracotomy; with cyst(s) removal, includes pleural procedure when performed
32141	N/A	N/A	Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed
32150	N/A	N/A	Thoracotomy; with removal of intrapleural foreign body or fibrin deposit
32215	N/A	N/A	Pleural scarification for repeat pneumothorax
32220	N/A	N/A	Decortication, pulmonary (separate procedure); total
32225	N/A	N/A	Decortication, pulmonary (separate procedure); partial
32310	N/A	N/A	Pleurectomy, parietal (separate procedure)
32320	N/A	N/A	Decortication and parietal pleurectomy
32440	N/A	N/A	Removal of lung, pneumonectomy;
32442	N/A	N/A	Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy)
32445	N/A	N/A	Removal of lung, pneumonectomy; extrapleural
32480	N/A	N/A	Removal of lung, other than pneumonectomy; single lobe (lobectomy)
32482	N/A	N/A	Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy)
32484	N/A	N/A	Removal of lung, other than pneumonectomy; single segment (segmentectomy)
32486	N/A	N/A	Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy)
32488	N/A	N/A	Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy)
32491	N/A	N/A	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
32505	N/A	N/A	Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial
32506	N/A	N/A	Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure)
32507	N/A	N/A	Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure)
32800	N/A	N/A	Repair lung hernia through chest wall
32810	N/A	N/A	Closure of chest wall following open flap drainage for empyema (Clagett type procedure)
32815	N/A	N/A	Open closure of major bronchial fistula
32900	N/A	N/A	Resection of ribs, extrapleural, all stages
32905	N/A	N/A	Thoracoplasty, Schede type or extrapleural (all stages);
32906	N/A	N/A	Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula
32940	N/A	N/A	Pneumonolysis, extraperiosteal, including filling or packing procedures
33020	N/A	N/A	Pericardiotomy for removal of clot or foreign body (primary procedure)
33025	N/A	N/A	Creation of pericardial window or partial resection for drainage
33030	N/A	N/A	Pericardiectomy, subtotal or complete; without cardiopulmonary bypass
33031	N/A	N/A	Pericardiectomy, subtotal or complete; with cardiopulmonary bypass
33050	N/A	N/A	Resection of pericardial cyst or tumor
33120	N/A	N/A	Excision of intracardiac tumor, resection with cardiopulmonary bypass
33130	N/A	N/A	Resection of external cardiac tumor
33140	N/A	N/A	Transmyocardial laser revascularization, by thoracotomy; (separate procedure)
33141	N/A	N/A	Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure)
33202	N/A	N/A	Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach)
33250	N/A	N/A	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
33251	N/A	N/A	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
33256	N/A	N/A	Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass
33261	N/A	N/A	Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass
33300	N/A	N/A	Repair of cardiac wound; without bypass
33305	N/A	N/A	Repair of cardiac wound; with cardiopulmonary bypass
33310	N/A	N/A	Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass
33315	N/A	N/A	Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass
33320	N/A	N/A	Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass
33321	N/A	N/A	Suture repair of aorta or great vessels; with shunt bypass
33322	N/A	N/A	Suture repair of aorta or great vessels; with cardiopulmonary bypass
33332	N/A	N/A	Insertion of graft, aorta or great vessels; with shunt bypass
33335	N/A	N/A	Insertion of graft, aorta or great vessels; with cardiopulmonary bypass
33361	N/A	N/A	Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach
33362	N/A	N/A	Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach
33363	N/A	N/A	Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach
33364	N/A	N/A	Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach
33365	N/A	N/A	Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy)
33366	N/A	N/A	Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy)
33400	N/A	N/A	Valvuloplasty, aortic valve; open, with cardiopulmonary bypass
33401	N/A	N/A	Valvuloplasty, aortic valve; open, with inflow occlusion
33403	N/A	N/A	Valvuloplasty, aortic valve; using transventricular dilation, with cardiopulmonary bypass
33404	N/A	N/A	Construction of apical-aortic conduit
33405	N/A	N/A	Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve
33406	N/A	N/A	Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)
33410	N/A	N/A	Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve
33411	N/A	N/A	Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus
33413	N/A	N/A	Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure)
33416	N/A	N/A	Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy)
33422	N/A	N/A	Valvotomy, mitral valve; open heart, with cardiopulmonary bypass
33425	N/A	N/A	Valvuloplasty, mitral valve, with cardiopulmonary bypass;
33426	N/A	N/A	Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring
33427	N/A	N/A	Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring
33430	N/A	N/A	Replacement, mitral valve, with cardiopulmonary bypass
33460	N/A	N/A	Valvectomy, tricuspid valve, with cardiopulmonary bypass
33463	N/A	N/A	Valvuloplasty, tricuspid valve; without ring insertion
33464	N/A	N/A	Valvuloplasty, tricuspid valve; with ring insertion
33465	N/A	N/A	Replacement, tricuspid valve, with cardiopulmonary bypass
33475	N/A	N/A	Replacement, pulmonary valve
33496	N/A	N/A	Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure)
33510	N/A	N/A	Coronary artery bypass, vein only; single coronary venous graft
33511	N/A	N/A	Coronary artery bypass, vein only; 2 coronary venous grafts
33512	N/A	N/A	Coronary artery bypass, vein only; 3 coronary venous grafts
33513	N/A	N/A	Coronary artery bypass, vein only; 4 coronary venous grafts
33514	N/A	N/A	Coronary artery bypass, vein only; 5 coronary venous grafts
33516	N/A	N/A	Coronary artery bypass, vein only; 6 or more coronary venous grafts
33517	N/A	N/A	Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure)
33518	N/A	N/A	Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure)
33519	N/A	N/A	Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure)
33521	N/A	N/A	Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure)
33522	N/A	N/A	Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)
33523	N/A	N/A	Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure)
33530	N/A	N/A	Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure)
33533	N/A	N/A	Coronary artery bypass, using arterial graft(s); single arterial graft
33534	N/A	N/A	Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts
33535	N/A	N/A	Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts
33536	N/A	N/A	Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts
33542	N/A	N/A	Myocardial resection (eg, ventricular aneurysmectomy)
33545	N/A	N/A	Repair of postinfarction ventricular septal defect, with or without myocardial resection
33548	N/A	N/A	Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures)
33572	N/A	N/A	Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed in conjunction with coronary artery bypass graft procedure, each vessel (List separately in addition to primary procedure)
33877	N/A	N/A	Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass
33880	N/A	N/A	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
33881	N/A	N/A	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
33883	N/A	N/A	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
33886	N/A	N/A	Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta
33889	N/A	N/A	Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision, unilateral
33891	N/A	N/A	Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision
34051	N/A	N/A	Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision
34800	N/A	N/A	Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aortic tube prosthesis
34802	N/A	N/A	Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (1 docking limb)
34803	N/A	N/A	Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (2 docking limbs)
34804	N/A	N/A	Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using unibody bifurcated prosthesis
34805	N/A	N/A	Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-uniiliac or aorto-unifemoral prosthesis
34812	N/A	N/A	Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)
34820	N/A	N/A	Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List separately in addition to code for primary procedure)
34825	N/A	N/A	Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; initial vessel
34830	N/A	N/A	Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis
34831	N/A	N/A	Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis
34832	N/A	N/A	Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis
34833	N/A	N/A	Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal incision, unilateral (List separately in addition to code for primary procedure)
34834	N/A	N/A	Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)
34900	N/A	N/A	Endovascular repair of iliac artery (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using ilio-iliac tube endoprosthesis
35011	N/A	N/A	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
35013	N/A	N/A	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
35021	N/A	N/A	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
35081	N/A	N/A	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
35082	N/A	N/A	Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta
35091	N/A	N/A	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)
35092	N/A	N/A	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)
35102	N/A	N/A	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)
35103	N/A	N/A	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)
35131	N/A	N/A	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)
35141	N/A	N/A	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)
35142	N/A	N/A	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)
35151	N/A	N/A	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
35152	N/A	N/A	Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery
35206	N/A	N/A	Repair blood vessel, direct; upper extremity
35211	N/A	N/A	Repair blood vessel, direct; intrathoracic, with bypass
35216	N/A	N/A	Repair blood vessel, direct; intrathoracic, without bypass
35241	N/A	N/A	Repair blood vessel with vein graft; intrathoracic, with bypass
35246	N/A	N/A	Repair blood vessel with vein graft; intrathoracic, without bypass
35266	N/A	N/A	Repair blood vessel with graft other than vein; upper extremity
35271	N/A	N/A	Repair blood vessel with graft other than vein; intrathoracic, with bypass
35276	N/A	N/A	Repair blood vessel with graft other than vein; intrathoracic, without bypass
35301	N/A	N/A	Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision
35311	N/A	N/A	Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision
35363	N/A	N/A	Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral
35371	N/A	N/A	Thromboendarterectomy, including patch graft, if performed; common femoral
35372	N/A	N/A	Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral
35460	N/A	N/A	Transluminal balloon angioplasty, open; venous
35512	N/A	N/A	Bypass graft, with vein; subclavian-brachial
35521	N/A	N/A	Bypass graft, with vein; axillary-femoral
35522	N/A	N/A	Bypass graft, with vein; axillary-brachial
35523	N/A	N/A	Bypass graft, with vein; brachial-ulnar or -radial
35525	N/A	N/A	Bypass graft, with vein; brachial-brachial
35526	N/A	N/A	Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid
35533	N/A	N/A	Bypass graft, with vein; axillary-femoral-femoral
35537	N/A	N/A	Bypass graft, with vein; aortoiliac
35538	N/A	N/A	Bypass graft, with vein; aortobi-iliac
35539	N/A	N/A	Bypass graft, with vein; aortofemoral
35540	N/A	N/A	Bypass graft, with vein; aortobifemoral
35556	N/A	N/A	Bypass graft, with vein; femoral-popliteal
35558	N/A	N/A	Bypass graft, with vein; femoral-femoral
35565	N/A	N/A	Bypass graft, with vein; iliofemoral
35566	N/A	N/A	Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels
35570	N/A	N/A	Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial
35571	N/A	N/A	Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels
35572	N/A	N/A	Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure)
35583	N/A	N/A	In-situ vein bypass; femoral-popliteal
35585	N/A	N/A	In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery
35587	N/A	N/A	In-situ vein bypass; popliteal-tibial, peroneal
35601	N/A	N/A	Bypass graft, with other than vein; common carotid-ipsilateral internal carotid
35606	N/A	N/A	Bypass graft, with other than vein; carotid-subclavian
35612	N/A	N/A	Bypass graft, with other than vein; subclavian-subclavian
35616	N/A	N/A	Bypass graft, with other than vein; subclavian-axillary
35621	N/A	N/A	Bypass graft, with other than vein; axillary-femoral
35623	N/A	N/A	Bypass graft, with other than vein; axillary-popliteal or -tibial
35626	N/A	N/A	Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid
35631	N/A	N/A	Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal
35632	N/A	N/A	Bypass graft, with other than vein; ilio-celiac
35633	N/A	N/A	Bypass graft, with other than vein; ilio-mesenteric
35634	N/A	N/A	Bypass graft, with other than vein; iliorenal
35636	N/A	N/A	Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)
35637	N/A	N/A	Bypass graft, with other than vein; aortoiliac
35638	N/A	N/A	Bypass graft, with other than vein; aortobi-iliac
35642	N/A	N/A	Bypass graft, with other than vein; carotid-vertebral
35645	N/A	N/A	Bypass graft, with other than vein; subclavian-vertebral
35646	N/A	N/A	Bypass graft, with other than vein; aortobifemoral
35647	N/A	N/A	Bypass graft, with other than vein; aortofemoral
35650	N/A	N/A	Bypass graft, with other than vein; axillary-axillary
35654	N/A	N/A	Bypass graft, with other than vein; axillary-femoral-femoral
35656	N/A	N/A	Bypass graft, with other than vein; femoral-popliteal
35661	N/A	N/A	Bypass graft, with other than vein; femoral-femoral
35663	N/A	N/A	Bypass graft, with other than vein; ilioiliac
35665	N/A	N/A	Bypass graft, with other than vein; iliofemoral
35666	N/A	N/A	Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery
35671	N/A	N/A	Bypass graft, with other than vein; popliteal-tibial or -peroneal artery
36830	N/A	N/A	Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft)
37224	N/A	N/A	Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty
37225	N/A	N/A	Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed
37226	N/A	N/A	Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed
37227	N/A	N/A	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
37228	N/A	N/A	Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty
37229	N/A	N/A	Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed
37230	N/A	N/A	Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed
37231	N/A	N/A	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
37616	N/A	N/A	Ligation, major artery (eg, post-traumatic, rupture); chest
37617	N/A	N/A	Ligation, major artery (eg, post-traumatic, rupture); abdomen
38100	N/A	N/A	Splenectomy; total (separate procedure)
38101	N/A	N/A	Splenectomy; partial (separate procedure)
38115	N/A	N/A	Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy
38120	N/A	N/A	Laparoscopy, surgical, splenectomy
38381	N/A	N/A	Suture and/or ligation of thoracic duct; thoracic approach
38571	N/A	N/A	Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
38572	N/A	N/A	Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple
38700	N/A	N/A	Suprahyoid lymphadenectomy
38720	N/A	N/A	Cervical lymphadenectomy (complete)
38724	N/A	N/A	Cervical lymphadenectomy (modified radical neck dissection)
38740	N/A	N/A	Axillary lymphadenectomy; superficial
38745	N/A	N/A	Axillary lymphadenectomy; complete
38746	N/A	N/A	Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)
38747	N/A	N/A	Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure)
38760	N/A	N/A	Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)
38765	N/A	N/A	Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)
38770	N/A	N/A	Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)
38780	N/A	N/A	Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure)
39000	N/A	N/A	Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach
39010	N/A	N/A	Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy
39200	N/A	N/A	Resection of mediastinal cyst
39220	N/A	N/A	Resection of mediastinal tumor
39501	N/A	N/A	Repair, laceration of diaphragm, any approach
39540	N/A	N/A	Repair, diaphragmatic hernia (other than neonatal), traumatic; acute
39541	N/A	N/A	Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic
39545	N/A	N/A	Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic
39560	N/A	N/A	Resection, diaphragm; with simple repair (eg, primary suture)
39561	N/A	N/A	Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)
43020	N/A	N/A	Esophagotomy, cervical approach, with removal of foreign body
43030	N/A	N/A	Cricopharyngeal myotomy
43045	N/A	N/A	Esophagotomy, thoracic approach, with removal of foreign body
43100	N/A	N/A	Excision of lesion, esophagus, with primary repair; cervical approach
43101	N/A	N/A	Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach
43107	N/A	N/A	Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal)
43108	N/A	N/A	Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es)
43112	N/A	N/A	Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)
43113	N/A	N/A	Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
43116	N/A	N/A	Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction
43117	N/A	N/A	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)
43118	N/A	N/A	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)
43121	N/A	N/A	Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty
43122	N/A	N/A	Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty
43123	N/A	N/A	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)
43124	N/A	N/A	Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy
43130	N/A	N/A	Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach
43135	N/A	N/A	Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach
43279	N/A	N/A	Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed
43280	N/A	N/A	Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)
43281	N/A	N/A	Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh
43282	N/A	N/A	Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh
43300	N/A	N/A	Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula
43305	N/A	N/A	Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula
43310	N/A	N/A	Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula
43312	N/A	N/A	Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula
43313	N/A	N/A	Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula
43314	N/A	N/A	Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula
43320	N/A	N/A	Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach
43325	N/A	N/A	Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)
43327	N/A	N/A	Esophagogastric fundoplasty partial or complete; laparotomy
43328	N/A	N/A	Esophagogastric fundoplasty partial or complete; thoracotomy
43330	N/A	N/A	Esophagomyotomy (Heller type); abdominal approach
43331	N/A	N/A	Esophagomyotomy (Heller type); thoracic approach
43332	N/A	N/A	Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis
43333	N/A	N/A	Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis
43334	N/A	N/A	Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis
43335	N/A	N/A	Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis
43336	N/A	N/A	Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis
43337	N/A	N/A	Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis
43340	N/A	N/A	Esophagojejunostomy (without total gastrectomy); abdominal approach
43341	N/A	N/A	Esophagojejunostomy (without total gastrectomy); thoracic approach
43350	N/A	N/A	Esophagostomy, fistulization of esophagus, external; abdominal approach
43351	N/A	N/A	Esophagostomy, fistulization of esophagus, external; thoracic approach
43352	N/A	N/A	Esophagostomy, fistulization of esophagus, external; cervical approach
43360	N/A	N/A	Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty
43361	N/A	N/A	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)
43400	N/A	N/A	Ligation, direct, esophageal varices
43401	N/A	N/A	Transection of esophagus with repair, for esophageal varices
43405	N/A	N/A	Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation
43410	N/A	N/A	Suture of esophageal wound or injury; cervical approach
43415	N/A	N/A	Suture of esophageal wound or injury; transthoracic or transabdominal approach
43420	N/A	N/A	Closure of esophagostomy or fistula; cervical approach
43425	N/A	N/A	Closure of esophagostomy or fistula; transthoracic or transabdominal approach
43496	N/A	N/A	Free jejunum transfer with microvascular anastomosis
43500	N/A	N/A	Gastrotomy; with exploration or foreign body removal
43501	N/A	N/A	Gastrotomy; with suture repair of bleeding ulcer
43502	N/A	N/A	Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)
43510	N/A	N/A	Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)
43520	N/A	N/A	Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)
43605	N/A	N/A	Biopsy of stomach, by laparotomy
43610	N/A	N/A	Excision, local; ulcer or benign tumor of stomach
43611	N/A	N/A	Excision, local; malignant tumor of stomach
43620	N/A	N/A	Gastrectomy, total; with esophagoenterostomy
43621	N/A	N/A	Gastrectomy, total; with Roux-en-Y reconstruction
43622	N/A	N/A	Gastrectomy, total; with formation of intestinal pouch, any type
43631	N/A	N/A	Gastrectomy, partial, distal; with gastroduodenostomy
43632	N/A	N/A	Gastrectomy, partial, distal; with gastrojejunostomy
43633	N/A	N/A	Gastrectomy, partial, distal; with Roux-en-Y reconstruction
43634	N/A	N/A	Gastrectomy, partial, distal; with formation of intestinal pouch
43640	N/A	N/A	Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective
43641	N/A	N/A	Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)
43644	N/A	N/A	Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)
43645	N/A	N/A	Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption
43651	N/A	N/A	Laparoscopy, surgical; transection of vagus nerves, truncal
43652	N/A	N/A	Laparoscopy, surgical; transection of vagus nerves, selective or highly selective
43653	N/A	N/A	Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)
43770	N/A	N/A	Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)
43771	N/A	N/A	Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only
43772	N/A	N/A	Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only
43773	N/A	N/A	Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only
43774	N/A	N/A	Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components
43775	N/A	N/A	Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)
43800	N/A	N/A	Pyloroplasty
43810	N/A	N/A	Gastroduodenostomy
43820	N/A	N/A	Gastrojejunostomy; without vagotomy
43825	N/A	N/A	Gastrojejunostomy; with vagotomy, any type
43830	N/A	N/A	Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)
43832	N/A	N/A	Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)
43840	N/A	N/A	Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury
43843	N/A	N/A	Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty
43845	N/A	N/A	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)
43846	N/A	N/A	Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy
43847	N/A	N/A	Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption
43848	N/A	N/A	Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)
43850	N/A	N/A	Revision of gastroduodenal anastomosis (gastroduodenostomy) with reconstruction; without vagotomy
43855	N/A	N/A	Revision of gastroduodenal anastomosis (gastroduodenostomy) with reconstruction; with vagotomy
43860	N/A	N/A	Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy
43865	N/A	N/A	Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy
43870	N/A	N/A	Closure of gastrostomy, surgical
43880	N/A	N/A	Closure of gastrocolic fistula
43886	N/A	N/A	Gastric restrictive procedure, open; revision of subcutaneous port component only
43887	N/A	N/A	Gastric restrictive procedure, open; removal of subcutaneous port component only
43888	N/A	N/A	Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only
44005	N/A	N/A	Enterolysis (freeing of intestinal adhesion) (separate procedure)
44010	N/A	N/A	Duodenotomy, for exploration, biopsy(s), or foreign body removal
44020	N/A	N/A	Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal
44021	N/A	N/A	Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)
44050	N/A	N/A	Reduction of volvulus, intussusception, internal hernia, by laparotomy
44055	N/A	N/A	Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure)
44100	N/A	N/A	Biopsy of intestine by capsule, tube, peroral (1 or more specimens)
44120	N/A	N/A	Enterectomy, resection of small intestine; single resection and anastomosis
44125	N/A	N/A	Enterectomy, resection of small intestine; with enterostomy
44126	N/A	N/A	Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering
44127	N/A	N/A	Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering
44130	N/A	N/A	Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)
44132	N/A	N/A	Donor enterectomy (including cold preservation), open; from cadaver donor
44133	N/A	N/A	Donor enterectomy (including cold preservation), open; partial, from living donor
44135	N/A	N/A	Intestinal allotransplantation; from cadaver donor
44136	N/A	N/A	Intestinal allotransplantation; from living donor
44140	N/A	N/A	Colectomy, partial; with anastomosis
44141	N/A	N/A	Colectomy, partial; with skin level cecostomy or colostomy
44143	N/A	N/A	Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)
44144	N/A	N/A	Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula
44145	N/A	N/A	Colectomy, partial; with coloproctostomy (low pelvic anastomosis)
44146	N/A	N/A	Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy
44147	N/A	N/A	Colectomy, partial; abdominal and transanal approach
44150	N/A	N/A	Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy
44151	N/A	N/A	Colectomy, total, abdominal, without proctectomy; with continent ileostomy
44155	N/A	N/A	Colectomy, total, abdominal, with proctectomy; with ileostomy
44156	N/A	N/A	Colectomy, total, abdominal, with proctectomy; with continent ileostomy
44157	N/A	N/A	Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed
44158	N/A	N/A	Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed
44160	N/A	N/A	Colectomy, partial, with removal of terminal ileum with ileocolostomy
44180	N/A	N/A	Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)
44186	N/A	N/A	Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)
44187	N/A	N/A	Laparoscopy, surgical; ileostomy or jejunostomy, non-tube
44188	N/A	N/A	Laparoscopy, surgical, colostomy or skin level cecostomy
44202	N/A	N/A	Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis
44204	N/A	N/A	Laparoscopy, surgical; colectomy, partial, with anastomosis
44205	N/A	N/A	Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy
44206	N/A	N/A	Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)
44207	N/A	N/A	Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)
44208	N/A	N/A	Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy
44210	N/A	N/A	Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy
44211	N/A	N/A	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
44212	N/A	N/A	Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy
44227	N/A	N/A	Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis
44300	N/A	N/A	Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure)
44310	N/A	N/A	Ileostomy or jejunostomy, non-tube
44312	N/A	N/A	Revision of ileostomy; simple (release of superficial scar) (separate procedure)
44314	N/A	N/A	Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure)
44316	N/A	N/A	Continent ileostomy (Kock procedure) (separate procedure)
44320	N/A	N/A	Colostomy or skin level cecostomy;
44322	N/A	N/A	Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure)
44340	N/A	N/A	Revision of colostomy; simple (release of superficial scar) (separate procedure)
44345	N/A	N/A	Revision of colostomy; complicated (reconstruction in-depth) (separate procedure)
44346	N/A	N/A	Revision of colostomy; with repair of paracolostomy hernia (separate procedure)
44602	N/A	N/A	Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation
44603	N/A	N/A	Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations
44604	N/A	N/A	Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy
44605	N/A	N/A	Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy
44615	N/A	N/A	Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction
44620	N/A	N/A	Closure of enterostomy, large or small intestine;
44625	N/A	N/A	Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal
44626	N/A	N/A	Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure)
44640	N/A	N/A	Closure of intestinal cutaneous fistula
44650	N/A	N/A	Closure of enteroenteric or enterocolic fistula
44660	N/A	N/A	Closure of enterovesical fistula; without intestinal or bladder resection
44661	N/A	N/A	Closure of enterovesical fistula; with intestine and/or bladder resection
44680	N/A	N/A	Intestinal plication (separate procedure)
44700	N/A	N/A	Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum)
44800	N/A	N/A	Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct
44820	N/A	N/A	Excision of lesion of mesentery (separate procedure)
44850	N/A	N/A	Suture of mesentery (separate procedure)
44900	N/A	N/A	Incision and drainage of appendiceal abscess, open
44950	N/A	N/A	Appendectomy;
44955	N/A	N/A	Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)
44960	N/A	N/A	Appendectomy; for ruptured appendix with abscess or generalized peritonitis
44970	N/A	N/A	Laparoscopy, surgical, appendectomy
45000	N/A	N/A	Transrectal drainage of pelvic abscess
45020	N/A	N/A	Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess
45110	N/A	N/A	Proctectomy; complete, combined abdominoperineal, with colostomy
45111	N/A	N/A	Proctectomy; partial resection of rectum, transabdominal approach
45112	N/A	N/A	Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)
45113	N/A	N/A	Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy
45114	N/A	N/A	Proctectomy, partial, with anastomosis; abdominal and transsacral approach
45116	N/A	N/A	Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)
45119	N/A	N/A	Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed
45120	N/A	N/A	Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation)
45121	N/A	N/A	Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies
45123	N/A	N/A	Proctectomy, partial, without anastomosis, perineal approach
45126	N/A	N/A	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
45130	N/A	N/A	Excision of rectal procidentia, with anastomosis; perineal approach
45135	N/A	N/A	Excision of rectal procidentia, with anastomosis; abdominal and perineal approach
45136	N/A	N/A	Excision of ileoanal reservoir with ileostomy
45150	N/A	N/A	Division of stricture of rectum
45160	N/A	N/A	Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach
45171	N/A	N/A	Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)
45172	N/A	N/A	Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)
45395	N/A	N/A	Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy
45397	N/A	N/A	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
45400	N/A	N/A	Laparoscopy, surgical; proctopexy (for prolapse)
45402	N/A	N/A	Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection
45540	N/A	N/A	Proctopexy (eg, for prolapse); abdominal approach
45541	N/A	N/A	Proctopexy (eg, for prolapse); perineal approach
45550	N/A	N/A	Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach
45560	N/A	N/A	Repair of rectocele (separate procedure)
45562	N/A	N/A	Exploration, repair, and presacral drainage for rectal injury;
45563	N/A	N/A	Exploration, repair, and presacral drainage for rectal injury; with colostomy
45800	N/A	N/A	Closure of rectovesical fistula;
45805	N/A	N/A	Closure of rectovesical fistula; with colostomy
45820	N/A	N/A	Closure of rectourethral fistula;
45825	N/A	N/A	Closure of rectourethral fistula; with colostomy
47100	N/A	N/A	Biopsy of liver, wedge
47120	N/A	N/A	Hepatectomy, resection of liver; partial lobectomy
47122	N/A	N/A	Hepatectomy, resection of liver; trisegmentectomy
47125	N/A	N/A	Hepatectomy, resection of liver; total left lobectomy
47130	N/A	N/A	Hepatectomy, resection of liver; total right lobectomy
47140	N/A	N/A	Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)
47141	N/A	N/A	Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)
47142	N/A	N/A	Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)
47350	N/A	N/A	Management of liver hemorrhage; simple suture of liver wound or injury
47370	N/A	N/A	Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency
47371	N/A	N/A	Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical
47380	N/A	N/A	Ablation, open, of 1 or more liver tumor(s); radiofrequency
47381	N/A	N/A	Ablation, open, of 1 or more liver tumor(s); cryosurgical
47400	N/A	N/A	Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus
47420	N/A	N/A	Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty
47425	N/A	N/A	Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty
47460	N/A	N/A	Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure)
47480	N/A	N/A	Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure)
47560	N/A	N/A	Laparoscopy, surgical; with guided transhepatic cholangiography, without biopsy
47561	N/A	N/A	Laparoscopy, surgical; with guided transhepatic cholangiography with biopsy
47562	N/A	N/A	Laparoscopy, surgical; cholecystectomy
47563	N/A	N/A	Laparoscopy, surgical; cholecystectomy with cholangiography
47564	N/A	N/A	Laparoscopy, surgical; cholecystectomy with exploration of common duct
47570	N/A	N/A	Laparoscopy, surgical; cholecystoenterostomy
47600	N/A	N/A	Cholecystectomy;
47605	N/A	N/A	Cholecystectomy; with cholangiography
47610	N/A	N/A	Cholecystectomy with exploration of common duct;
47612	N/A	N/A	Cholecystectomy with exploration of common duct; with choledochoenterostomy
47620	N/A	N/A	Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography
47630	N/A	N/A	Biliary duct stone extraction, percutaneous via T-tube tract, basket, or snare (eg, Burhenne technique)
47700	N/A	N/A	Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography
47701	N/A	N/A	Portoenterostomy (eg, Kasai procedure)
47711	N/A	N/A	Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic
47712	N/A	N/A	Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic
47715	N/A	N/A	Excision of choledochal cyst
47720	N/A	N/A	Cholecystoenterostomy; direct
47721	N/A	N/A	Cholecystoenterostomy; with gastroenterostomy
47740	N/A	N/A	Cholecystoenterostomy; Roux-en-Y
47741	N/A	N/A	Cholecystoenterostomy; Roux-en-Y with gastroenterostomy
47760	N/A	N/A	Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract
47765	N/A	N/A	Anastomosis, of intrahepatic ducts and gastrointestinal tract
47780	N/A	N/A	Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract
47785	N/A	N/A	Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract
47800	N/A	N/A	Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis
47801	N/A	N/A	Placement of choledochal stent
47802	N/A	N/A	U-tube hepaticoenterostomy
47900	N/A	N/A	Suture of extrahepatic biliary duct for pre-existing injury (separate procedure)
48000	N/A	N/A	Placement of drains, peripancreatic, for acute pancreatitis;
48001	N/A	N/A	Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy
48020	N/A	N/A	Removal of pancreatic calculus
48100	N/A	N/A	Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy)
48102	N/A	N/A	Biopsy of pancreas, percutaneous needle
48105	N/A	N/A	Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis
48120	N/A	N/A	Excision of lesion of pancreas (eg, cyst, adenoma)
48140	N/A	N/A	Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy
48145	N/A	N/A	Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy
48146	N/A	N/A	Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)
48148	N/A	N/A	Excision of ampulla of Vater
48150	N/A	N/A	Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy
48152	N/A	N/A	Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy
48153	N/A	N/A	Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy
48154	N/A	N/A	Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy
48155	N/A	N/A	Pancreatectomy, total
48500	N/A	N/A	Marsupialization of pancreatic cyst
48510	N/A	N/A	External drainage, pseudocyst of pancreas, open
48520	N/A	N/A	Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct
48540	N/A	N/A	Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y
48545	N/A	N/A	Pancreatorrhaphy for injury
48547	N/A	N/A	Duodenal exclusion with gastrojejunostomy for pancreatic injury
48548	N/A	N/A	Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)
48554	N/A	N/A	Transplantation of pancreatic allograft
48556	N/A	N/A	Removal of transplanted pancreatic allograft
49000	N/A	N/A	Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)
49002	N/A	N/A	Reopening of recent laparotomy
49010	N/A	N/A	Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)
49020	N/A	N/A	Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open
49040	N/A	N/A	Drainage of subdiaphragmatic or subphrenic abscess, open
49060	N/A	N/A	Drainage of retroperitoneal abscess, open
49203	N/A	N/A	Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less
49204	N/A	N/A	Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter
49205	N/A	N/A	Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diameter
49215	N/A	N/A	Excision of presacral or sacrococcygeal tumor
49220	N/A	N/A	Staging laparotomy for Hodgkins disease or lymphoma (includes splenectomy, needle or open biopsies of both liver lobes, possibly also removal of abdominal nodes, abdominal node and/or bone marrow biopsies, ovarian repositioning)
49250	N/A	N/A	Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)
49320	N/A	N/A	Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
49321	N/A	N/A	Laparoscopy, surgical; with biopsy (single or multiple)
49322	N/A	N/A	Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)
49323	N/A	N/A	Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity
49505	N/A	N/A	Repair initial inguinal hernia, age 5 years or older; reducible
49507	N/A	N/A	Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated
49568	N/A	N/A	Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair)
50320	N/A	N/A	Donor nephrectomy (including cold preservation); open, from living donor
50340	N/A	N/A	Recipient nephrectomy (separate procedure)
50360	N/A	N/A	Renal allotransplantation, implantation of graft; without recipient nephrectomy
50365	N/A	N/A	Renal allotransplantation, implantation of graft; with recipient nephrectomy
50370	N/A	N/A	Removal of transplanted renal allograft
50380	N/A	N/A	Renal autotransplantation, reimplantation of kidney
57267	N/A	N/A	Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure)
58150	N/A	N/A	Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);
58152	N/A	N/A	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)
58180	N/A	N/A	Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s)
58200	N/A	N/A	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)
58210	N/A	N/A	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)
58240	N/A	N/A	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
58260	N/A	N/A	Vaginal hysterectomy, for uterus 250 g or less;
58262	N/A	N/A	Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)
58263	N/A	N/A	Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele
58267	N/A	N/A	Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control
58270	N/A	N/A	Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele
58275	N/A	N/A	Vaginal hysterectomy, with total or partial vaginectomy;
58280	N/A	N/A	Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele
58285	N/A	N/A	Vaginal hysterectomy, radical (Schauta type operation)
58290	N/A	N/A	Vaginal hysterectomy, for uterus greater than 250 g;
58291	N/A	N/A	Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
58292	N/A	N/A	Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele
58293	N/A	N/A	Vaginal hysterectomy, for uterus greater than 250 g; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control
58294	N/A	N/A	Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele
58951	N/A	N/A	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
58953	N/A	N/A	Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;
58954	N/A	N/A	Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy
58956	N/A	N/A	Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy
60200	N/A	N/A	Excision of cyst or adenoma of thyroid, or transection of isthmus
60210	N/A	N/A	Partial thyroid lobectomy, unilateral; with or without isthmusectomy
60212	N/A	N/A	Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
60220	N/A	N/A	Total thyroid lobectomy, unilateral; with or without isthmusectomy
60225	N/A	N/A	Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
60240	N/A	N/A	Thyroidectomy, total or complete
60252	N/A	N/A	Thyroidectomy, total or subtotal for malignancy; with limited neck dissection
60254	N/A	N/A	Thyroidectomy, total or subtotal for malignancy; with radical neck dissection
60260	N/A	N/A	Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid
60270	N/A	N/A	Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach
60271	N/A	N/A	Thyroidectomy, including substernal thyroid; cervical approach
60280	N/A	N/A	Excision of thyroglossal duct cyst or sinus;
60281	N/A	N/A	Excision of thyroglossal duct cyst or sinus; recurrent
60500	N/A	N/A	Parathyroidectomy or exploration of parathyroid(s);
60502	N/A	N/A	Parathyroidectomy or exploration of parathyroid(s); re-exploration
60505	N/A	N/A	Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach
60520	N/A	N/A	Thymectomy, partial or total; transcervical approach (separate procedure)
60521	N/A	N/A	Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure)
60522	N/A	N/A	Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure)
60540	N/A	N/A	Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure);
60545	N/A	N/A	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
60600	N/A	N/A	Excision of carotid body tumor; without excision of carotid artery
60605	N/A	N/A	Excision of carotid body tumor; with excision of carotid artery
60650	N/A	N/A	Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal
61154	N/A	N/A	Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural
61312	N/A	N/A	Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural
61313	N/A	N/A	Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral
61315	N/A	N/A	Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar
61510	N/A	N/A	Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma
61512	N/A	N/A	Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial
61518	N/A	N/A	Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull
61548	N/A	N/A	Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic
61697	N/A	N/A	Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation
61700	N/A	N/A	Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation
61750	N/A	N/A	Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion;
61751	N/A	N/A	Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance
61867	N/A	N/A	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
62223	N/A	N/A	Creation of shunt; ventriculo-peritoneal, -pleural, other terminus
62230	N/A	N/A	Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system
63015	N/A	N/A	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
63020	N/A	N/A	Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical
63030	N/A	N/A	Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar
63042	N/A	N/A	Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar
63045	N/A	N/A	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
63047	N/A	N/A	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
63056	N/A	N/A	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)
63075	N/A	N/A	Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace
63081	N/A	N/A	Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment
63267	N/A	N/A	Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar
63276	N/A	N/A	Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic
64746	N/A	N/A	Transection or avulsion of; phrenic nerve
HCPCS Codes
Code	Modifier	POS	Description
G9197	N/A	N/A	Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
G9198	N/A	N/A	Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented, reason not given
G9196	N/A	N/A	Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for antimicrobial prophylaxis (e.g., patients enrolled in clinical trials, patients with documented infection prior to surgical procedure of interest, patients who were receiving antibiotics more than 24 hours prior to surgery [except colon surgery patients taking oral prophylactic antibiotics], patients who were receiving antibiotics within 24 hours prior to arrival [except colon surgery patients taking oral prophylactic antibiotics], other medical reason(s))
G9197	N/A	N/A	Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
G9198	N/A	N/A	Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented, reason not given

Legend:
ClaimThis measure can be submitted via claim. Use the 'Data Collection' pdf associated with the measure.
GroupThis measure can be submitted through one or more groups. Click on the group name to view the group information.
RegistryThis measure can be submitted through registry.
EHRThis measure can be submitted via Electronic Health Record (EHR).
GPRO/ACOThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.

More information on these alternative reporting mechanisms is available at:
http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.

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