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PQRS Measure

#23Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
 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:

CPT Codes

CodeModifierPOSDescription
15734N/AN/AMuscle, myocutaneous, or fasciocutaneous flap; trunk
15830N/AN/AExcision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy
15832N/AN/AExcision, excessive skin and subcutaneous tissue (includes lipectomy); thigh
15833N/AN/AExcision, excessive skin and subcutaneous tissue (includes lipectomy); leg
15834N/AN/AExcision, excessive skin and subcutaneous tissue (includes lipectomy); hip
15835N/AN/AExcision, excessive skin and subcutaneous tissue (includes lipectomy); buttock
15836N/AN/AExcision, excessive skin and subcutaneous tissue (includes lipectomy); arm
15837N/AN/AExcision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand
19260N/AN/AExcision of chest wall tumor including ribs
19271N/AN/AExcision of chest wall tumor involving ribs, with plastic reconstruction; without mediastinal lymphadenectomy
19272N/AN/AExcision of chest wall tumor involving ribs, with plastic reconstruction; with mediastinal lymphadenectomy
19300N/AN/AMastectomy for gynecomastia
19305N/AN/AMastectomy, radical, including pectoral muscles, axillary lymph nodes
19306N/AN/AMastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)
19307N/AN/AMastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle
19316N/AN/AMastopexy
19318N/AN/ABreast reduction
19324N/AN/AMammaplasty, augmentation; without prosthetic implant
19361N/AN/ABreast reconstruction; with latissimus dorsi flap
19364N/AN/ABreast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)
19366N/AN/ABreast reconstruction with other technique
19367N/AN/ABreast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap
19368N/AN/ABreast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)
19369N/AN/ABreast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap
19380N/AN/ARevision 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)
21346N/AN/AOpen treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation
21347N/AN/AOpen treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches
21348N/AN/AOpen treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)
21422N/AN/AOpen treatment of palatal or maxillary fracture (LeFort I type);
21423N/AN/AOpen treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches
21432N/AN/AOpen treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation
21433N/AN/AOpen treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches
21435N/AN/AOpen treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation)
21436N/AN/AOpen treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)
21454N/AN/AOpen treatment of mandibular fracture with external fixation
21461N/AN/AOpen treatment of mandibular fracture; without interdental fixation
21462N/AN/AOpen treatment of mandibular fracture; with interdental fixation
21465N/AN/AOpen treatment of mandibular condylar fracture
21470N/AN/AOpen treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints
21627N/AN/ASternal debridement
21632N/AN/ARadical resection of sternum; with mediastinal lymphadenectomy
21740N/AN/AReconstructive repair of pectus excavatum or carinatum; open
21750N/AN/AClosure of median sternotomy separation with or without debridement (separate procedure)
21805N/AN/AOpen treatment of rib fracture without fixation, each
21825N/AN/AOpen treatment of sternum fracture with or without skeletal fixation
22558N/AN/AArthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar
22600N/AN/AArthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment
22612N/AN/AArthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)
22630N/AN/AArthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar;
27080N/AN/ACoccygectomy, primary
27125N/AN/AHemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)
27130N/AN/AArthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft
27132N/AN/AConversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft
27134N/AN/ARevision of total hip arthroplasty; both components, with or without autograft or allograft
27137N/AN/ARevision of total hip arthroplasty; acetabular component only, with or without autograft or allograft
27138N/AN/ARevision of total hip arthroplasty; femoral component only, with or without allograft
27158N/AN/AOsteotomy, pelvis, bilateral (eg, congenital malformation)
27202N/AN/AOpen treatment of coccygeal fracture
27215N/AN/AOpen treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral, for pelvic bone fracture patterns that do not disrupt the pelvic ring, includes internal fixation, when performed
27216N/AN/APercutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)
27217N/AN/AOpen treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis and/or ipsilateral superior/inferior rami)
27218N/AN/AOpen treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral ilium, sacroiliac joint and/or sacrum)
27235N/AN/APercutaneous skeletal fixation of femoral fracture, proximal end, neck
27236N/AN/AOpen treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement
27244N/AN/ATreatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage
27245N/AN/ATreatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage
27269N/AN/AOpen treatment of femoral fracture, proximal end, head, includes internal fixation, when performed
27280N/AN/AArthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed
27282N/AN/AArthrodesis, symphysis pubis (including obtaining graft)
27440N/AN/AArthroplasty, knee, tibial plateau;
27441N/AN/AArthroplasty, knee, tibial plateau; with debridement and partial synovectomy
27442N/AN/AArthroplasty, femoral condyles or tibial plateau(s), knee;
27443N/AN/AArthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy
27445N/AN/AArthroplasty, knee, hinge prosthesis (eg, Walldius type)
27446N/AN/AArthroplasty, knee, condyle and plateau; medial OR lateral compartment
27447N/AN/AArthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)
27880N/AN/AAmputation, leg, through tibia and fibula;
27881N/AN/AAmputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast
27882N/AN/AAmputation, leg, through tibia and fibula; open, circular (guillotine)
27884N/AN/AAmputation, leg, through tibia and fibula; secondary closure or scar revision
27886N/AN/AAmputation, leg, through tibia and fibula; re-amputation
27888N/AN/AAmputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves
31360N/AN/ALaryngectomy; total, without radical neck dissection
31365N/AN/ALaryngectomy; total, with radical neck dissection
31367N/AN/ALaryngectomy; subtotal supraglottic, without radical neck dissection
31368N/AN/ALaryngectomy; subtotal supraglottic, with radical neck dissection
31370N/AN/APartial laryngectomy (hemilaryngectomy); horizontal
31375N/AN/APartial laryngectomy (hemilaryngectomy); laterovertical
31380N/AN/APartial laryngectomy (hemilaryngectomy); anterovertical
31382N/AN/APartial laryngectomy (hemilaryngectomy); antero-latero-vertical
31390N/AN/APharyngolaryngectomy, with radical neck dissection; without reconstruction
31395N/AN/APharyngolaryngectomy, with radical neck dissection; with reconstruction
31760N/AN/ATracheoplasty; intrathoracic
31766N/AN/ACarinal reconstruction
31770N/AN/ABronchoplasty; graft repair
31775N/AN/ABronchoplasty; excision stenosis and anastomosis
31786N/AN/AExcision of tracheal tumor or carcinoma; thoracic
31805N/AN/ASuture of tracheal wound or injury; intrathoracic
32096N/AN/AThoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral
32097N/AN/AThoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral
32098N/AN/AThoracotomy, with biopsy(ies) of pleura
32100N/AN/AThoracotomy; with exploration
32110N/AN/AThoracotomy; with control of traumatic hemorrhage and/or repair of lung tear
32120N/AN/AThoracotomy; for postoperative complications
32124N/AN/AThoracotomy; with open intrapleural pneumonolysis
32140N/AN/AThoracotomy; with cyst(s) removal, includes pleural procedure when performed
32141N/AN/AThoracotomy; with resection-plication of bullae, includes any pleural procedure when performed
32150N/AN/AThoracotomy; with removal of intrapleural foreign body or fibrin deposit
32215N/AN/APleural scarification for repeat pneumothorax
32220N/AN/ADecortication, pulmonary (separate procedure); total
32225N/AN/ADecortication, pulmonary (separate procedure); partial
32310N/AN/APleurectomy, parietal (separate procedure)
32320N/AN/ADecortication and parietal pleurectomy
32440N/AN/ARemoval of lung, pneumonectomy;
32442N/AN/ARemoval of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy)
32445N/AN/ARemoval of lung, pneumonectomy; extrapleural
32480N/AN/ARemoval of lung, other than pneumonectomy; single lobe (lobectomy)
32482N/AN/ARemoval of lung, other than pneumonectomy; 2 lobes (bilobectomy)
32484N/AN/ARemoval of lung, other than pneumonectomy; single segment (segmentectomy)
32486N/AN/ARemoval of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy)
32488N/AN/ARemoval of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy)
32491N/AN/ARemoval 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
32501N/AN/AResection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)
32505N/AN/AThoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial
32506N/AN/AThoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure)
32507N/AN/AThoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure)
32800N/AN/ARepair lung hernia through chest wall
32810N/AN/AClosure of chest wall following open flap drainage for empyema (Clagett type procedure)
32815N/AN/AOpen closure of major bronchial fistula
32900N/AN/AResection of ribs, extrapleural, all stages
32905N/AN/AThoracoplasty, Schede type or extrapleural (all stages);
32906N/AN/AThoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula
32940N/AN/APneumonolysis, extraperiosteal, including filling or packing procedures
33020N/AN/APericardiotomy for removal of clot or foreign body (primary procedure)
33025N/AN/ACreation of pericardial window or partial resection for drainage
33030N/AN/APericardiectomy, subtotal or complete; without cardiopulmonary bypass
33031N/AN/APericardiectomy, subtotal or complete; with cardiopulmonary bypass
33050N/AN/AResection of pericardial cyst or tumor
33300N/AN/ARepair of cardiac wound; without bypass
33310N/AN/ACardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass
33320N/AN/ASuture repair of aorta or great vessels; without shunt or cardiopulmonary bypass
33877N/AN/ARepair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass
33880N/AN/AEndovascular 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
33881N/AN/AEndovascular 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
33883N/AN/APlacement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); initial extension
33886N/AN/APlacement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta
33889N/AN/AOpen subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision, unilateral
33891N/AN/ABypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision
34051N/AN/AEmbolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision
34800N/AN/AEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aortic tube prosthesis
34802N/AN/AEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (1 docking limb)
34803N/AN/AEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (2 docking limbs)
34804N/AN/AEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using unibody bifurcated prosthesis
34805N/AN/AEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-uniiliac or aorto-unifemoral prosthesis
34812N/AN/AOpen femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)
34820N/AN/AOpen 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)
34825N/AN/APlacement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; initial vessel
34830N/AN/AOpen repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis
34831N/AN/AOpen repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis
34832N/AN/AOpen repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis
34833N/AN/AOpen 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)
34834N/AN/AOpen brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)
34900N/AN/AEndovascular repair of iliac artery (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using ilio-iliac tube endoprosthesis
35011N/AN/ADirect 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
35013N/AN/ADirect 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
35021N/AN/ADirect 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
35081N/AN/ADirect 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
35082N/AN/ADirect repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta
35091N/AN/ADirect 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)
35092N/AN/ADirect 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)
35102N/AN/ADirect 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)
35103N/AN/ADirect 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)
35131N/AN/ADirect 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)
35141N/AN/ADirect 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)
35142N/AN/ADirect 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)
35151N/AN/ADirect 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
35152N/AN/ADirect repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery
35206N/AN/ARepair blood vessel, direct; upper extremity
35211N/AN/ARepair blood vessel, direct; intrathoracic, with bypass
35216N/AN/ARepair blood vessel, direct; intrathoracic, without bypass
35241N/AN/ARepair blood vessel with vein graft; intrathoracic, with bypass
35246N/AN/ARepair blood vessel with vein graft; intrathoracic, without bypass
35266N/AN/ARepair blood vessel with graft other than vein; upper extremity
35271N/AN/ARepair blood vessel with graft other than vein; intrathoracic, with bypass
35276N/AN/ARepair blood vessel with graft other than vein; intrathoracic, without bypass
35301N/AN/AThromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision
35311N/AN/AThromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision
35363N/AN/AThromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral
35371N/AN/AThromboendarterectomy, including patch graft, if performed; common femoral
35372N/AN/AThromboendarterectomy, including patch graft, if performed; deep (profunda) femoral
35460N/AN/ATransluminal balloon angioplasty, open; venous
35512N/AN/ABypass graft, with vein; subclavian-brachial
35521N/AN/ABypass graft, with vein; axillary-femoral
35522N/AN/ABypass graft, with vein; axillary-brachial
35523N/AN/ABypass graft, with vein; brachial-ulnar or -radial
35525N/AN/ABypass graft, with vein; brachial-brachial
35526N/AN/ABypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid
35533N/AN/ABypass graft, with vein; axillary-femoral-femoral
35537N/AN/ABypass graft, with vein; aortoiliac
35538N/AN/ABypass graft, with vein; aortobi-iliac
35539N/AN/ABypass graft, with vein; aortofemoral
35540N/AN/ABypass graft, with vein; aortobifemoral
35556N/AN/ABypass graft, with vein; femoral-popliteal
35558N/AN/ABypass graft, with vein; femoral-femoral
35565N/AN/ABypass graft, with vein; iliofemoral
35566N/AN/ABypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels
35570N/AN/ABypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial
35571N/AN/ABypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels
35572N/AN/AHarvest 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)
35583N/AN/AIn-situ vein bypass; femoral-popliteal
35585N/AN/AIn-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery
35587N/AN/AIn-situ vein bypass; popliteal-tibial, peroneal
35601N/AN/ABypass graft, with other than vein; common carotid-ipsilateral internal carotid
35606N/AN/ABypass graft, with other than vein; carotid-subclavian
35612N/AN/ABypass graft, with other than vein; subclavian-subclavian
35616N/AN/ABypass graft, with other than vein; subclavian-axillary
35621N/AN/ABypass graft, with other than vein; axillary-femoral
35623N/AN/ABypass graft, with other than vein; axillary-popliteal or -tibial
35626N/AN/ABypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid
35631N/AN/ABypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal
35632N/AN/ABypass graft, with other than vein; ilio-celiac
35633N/AN/ABypass graft, with other than vein; ilio-mesenteric
35634N/AN/ABypass graft, with other than vein; iliorenal
35636N/AN/ABypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)
35637N/AN/ABypass graft, with other than vein; aortoiliac
35638N/AN/ABypass graft, with other than vein; aortobi-iliac
35642N/AN/ABypass graft, with other than vein; carotid-vertebral
35645N/AN/ABypass graft, with other than vein; subclavian-vertebral
35646N/AN/ABypass graft, with other than vein; aortobifemoral
35647N/AN/ABypass graft, with other than vein; aortofemoral
35650N/AN/ABypass graft, with other than vein; axillary-axillary
35651N/AN/ABypass graft, with other than vein; aortofemoral-popliteal
35654N/AN/ABypass graft, with other than vein; axillary-femoral-femoral
35656N/AN/ABypass graft, with other than vein; femoral-popliteal
35661N/AN/ABypass graft, with other than vein; femoral-femoral
35663N/AN/ABypass graft, with other than vein; ilioiliac
35665N/AN/ABypass graft, with other than vein; iliofemoral
35666N/AN/ABypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery
35671N/AN/ABypass graft, with other than vein; popliteal-tibial or -peroneal artery
36830N/AN/ACreation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft)
37224N/AN/ARevascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty
37225N/AN/ARevascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed
37226N/AN/ARevascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed
37227N/AN/ARevascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed
37228N/AN/ARevascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty
37229N/AN/ARevascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed
37230N/AN/ARevascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed
37231N/AN/ARevascularization, 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
37616N/AN/ALigation, major artery (eg, post-traumatic, rupture); chest
37617N/AN/ALigation, major artery (eg, post-traumatic, rupture); abdomen
38100N/AN/ASplenectomy; total (separate procedure)
38101N/AN/ASplenectomy; partial (separate procedure)
38115N/AN/ARepair of ruptured spleen (splenorrhaphy) with or without partial splenectomy
38120N/AN/ALaparoscopy, surgical, splenectomy
38381N/AN/ASuture and/or ligation of thoracic duct; thoracic approach
38571N/AN/ALaparoscopy, surgical; with bilateral total pelvic lymphadenectomy
38572N/AN/ALaparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple
38700N/AN/ASuprahyoid lymphadenectomy
38720N/AN/ACervical lymphadenectomy (complete)
38724N/AN/ACervical lymphadenectomy (modified radical neck dissection)
38746N/AN/AThoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)
38747N/AN/AAbdominal 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)
38760N/AN/AInguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)
38765N/AN/AInguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)
38770N/AN/APelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)
38780N/AN/ARetroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure)
39000N/AN/AMediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach
39010N/AN/AMediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy
39200N/AN/AResection of mediastinal cyst
39220N/AN/AResection of mediastinal tumor
39501N/AN/ARepair, laceration of diaphragm, any approach
39540N/AN/ARepair, diaphragmatic hernia (other than neonatal), traumatic; acute
39541N/AN/ARepair, diaphragmatic hernia (other than neonatal), traumatic; chronic
39545N/AN/AImbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic
39560N/AN/AResection, diaphragm; with simple repair (eg, primary suture)
39561N/AN/AResection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)
41130N/AN/AGlossectomy; hemiglossectomy
41135N/AN/AGlossectomy; partial, with unilateral radical neck dissection
41140N/AN/AGlossectomy; complete or total, with or without tracheostomy, without radical neck dissection
41145N/AN/AGlossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection
41150N/AN/AGlossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection
41153N/AN/AGlossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection
41155N/AN/AGlossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type)
43020N/AN/AEsophagotomy, cervical approach, with removal of foreign body
43030N/AN/ACricopharyngeal myotomy
43045N/AN/AEsophagotomy, thoracic approach, with removal of foreign body
43100N/AN/AExcision of lesion, esophagus, with primary repair; cervical approach
43101N/AN/AExcision of lesion, esophagus, with primary repair; thoracic or abdominal approach
43107N/AN/ATotal or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal)
43108N/AN/ATotal or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es)
43112N/AN/ATotal or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)
43113N/AN/ATotal or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
43116N/AN/APartial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction
43117N/AN/APartial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor Lewis)
43118N/AN/APartial 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)
43121N/AN/APartial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty
43122N/AN/APartial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty
43123N/AN/APartial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
43124N/AN/ATotal or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy
43130N/AN/ADiverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach
43135N/AN/ADiverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach
43279N/AN/ALaparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed
43280N/AN/ALaparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)
43281N/AN/ALaparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh
43282N/AN/ALaparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh
43300N/AN/AEsophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula
43305N/AN/AEsophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula
43310N/AN/AEsophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula
43312N/AN/AEsophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula
43313N/AN/AEsophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula
43314N/AN/AEsophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula
43320N/AN/AEsophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach
43325N/AN/AEsophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)
43327N/AN/AEsophagogastric fundoplasty partial or complete; laparotomy
43328N/AN/AEsophagogastric fundoplasty partial or complete; thoracotomy
43330N/AN/AEsophagomyotomy (Heller type); abdominal approach
43331N/AN/AEsophagomyotomy (Heller type); thoracic approach
43332N/AN/ARepair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis
43333N/AN/ARepair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis
43334N/AN/ARepair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis
43335N/AN/ARepair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis
43336N/AN/ARepair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis
43337N/AN/ARepair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis
43340N/AN/AEsophagojejunostomy (without total gastrectomy); abdominal approach
43341N/AN/AEsophagojejunostomy (without total gastrectomy); thoracic approach
43350N/AN/AEsophagostomy, fistulization of esophagus, external; abdominal approach
43351N/AN/AEsophagostomy, fistulization of esophagus, external; thoracic approach
43352N/AN/AEsophagostomy, fistulization of esophagus, external; cervical approach
43360N/AN/AGastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty
43361N/AN/AGastrointestinal 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)
43400N/AN/ALigation, direct, esophageal varices
43401N/AN/ATransection of esophagus with repair, for esophageal varices
43405N/AN/ALigation or stapling at gastroesophageal junction for pre-existing esophageal perforation
43410N/AN/ASuture of esophageal wound or injury; cervical approach
43415N/AN/ASuture of esophageal wound or injury; transthoracic or transabdominal approach
43420N/AN/AClosure of esophagostomy or fistula; cervical approach
43425N/AN/AClosure of esophagostomy or fistula; transthoracic or transabdominal approach
43496N/AN/AFree jejunum transfer with microvascular anastomosis
43500N/AN/AGastrotomy; with exploration or foreign body removal
43501N/AN/AGastrotomy; with suture repair of bleeding ulcer
43502N/AN/AGastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)
43510N/AN/AGastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)
43520N/AN/APyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)
43605N/AN/ABiopsy of stomach, by laparotomy
43610N/AN/AExcision, local; ulcer or benign tumor of stomach
43611N/AN/AExcision, local; malignant tumor of stomach
43620N/AN/AGastrectomy, total; with esophagoenterostomy
43621N/AN/AGastrectomy, total; with Roux-en-Y reconstruction
43622N/AN/AGastrectomy, total; with formation of intestinal pouch, any type
43631N/AN/AGastrectomy, partial, distal; with gastroduodenostomy
43632N/AN/AGastrectomy, partial, distal; with gastrojejunostomy
43633N/AN/AGastrectomy, partial, distal; with Roux-en-Y reconstruction
43634N/AN/AGastrectomy, partial, distal; with formation of intestinal pouch
43640N/AN/AVagotomy including pyloroplasty, with or without gastrostomy; truncal or selective
43641N/AN/AVagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)
43644N/AN/ALaparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)
43645N/AN/ALaparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption
43651N/AN/ALaparoscopy, surgical; transection of vagus nerves, truncal
43652N/AN/ALaparoscopy, surgical; transection of vagus nerves, selective or highly selective
43653N/AN/ALaparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)
43770N/AN/ALaparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)
43771N/AN/ALaparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only
43772N/AN/ALaparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only
43773N/AN/ALaparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only
43774N/AN/ALaparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components
43800N/AN/APyloroplasty
43810N/AN/AGastroduodenostomy
43820N/AN/AGastrojejunostomy; without vagotomy
43825N/AN/AGastrojejunostomy; with vagotomy, any type
43830N/AN/AGastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)
43832N/AN/AGastrostomy, open; with construction of gastric tube (eg, Janeway procedure)
43840N/AN/AGastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury
43842N/AN/AGastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty
43843N/AN/AGastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty
43845N/AN/AGastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)
43846N/AN/AGastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy
43847N/AN/AGastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption
43848N/AN/ARevision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)
43850N/AN/ARevision of gastroduodenal anastomosis (gastroduodenostomy) with reconstruction; without vagotomy
43855N/AN/ARevision of gastroduodenal anastomosis (gastroduodenostomy) with reconstruction; with vagotomy
43860N/AN/ARevision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy
43865N/AN/ARevision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy
43870N/AN/AClosure of gastrostomy, surgical
43880N/AN/AClosure of gastrocolic fistula
43886N/AN/AGastric restrictive procedure, open; revision of subcutaneous port component only
43887N/AN/AGastric restrictive procedure, open; removal of subcutaneous port component only
43888N/AN/AGastric restrictive procedure, open; removal and replacement of subcutaneous port component only
44005N/AN/AEnterolysis (freeing of intestinal adhesion) (separate procedure)
44010N/AN/ADuodenotomy, for exploration, biopsy(s), or foreign body removal
44020N/AN/AEnterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal
44021N/AN/AEnterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)
44025N/AN/AColotomy, for exploration, biopsy(s), or foreign body removal
44050N/AN/AReduction of volvulus, intussusception, internal hernia, by laparotomy
44055N/AN/ACorrection of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure)
44110N/AN/AExcision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy
44111N/AN/AExcision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies
44120N/AN/AEnterectomy, resection of small intestine; single resection and anastomosis
44121N/AN/AEnterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)
44125N/AN/AEnterectomy, resection of small intestine; with enterostomy
44126N/AN/AEnterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering
44127N/AN/AEnterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering
44130N/AN/AEnteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)
44140N/AN/AColectomy, partial; with anastomosis
44141N/AN/AColectomy, partial; with skin level cecostomy or colostomy
44143N/AN/AColectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)
44144N/AN/AColectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula
44145N/AN/AColectomy, partial; with coloproctostomy (low pelvic anastomosis)
44146N/AN/AColectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy
44147N/AN/AColectomy, partial; abdominal and transanal approach
44150N/AN/AColectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy
44151N/AN/AColectomy, total, abdominal, without proctectomy; with continent ileostomy
44155N/AN/AColectomy, total, abdominal, with proctectomy; with ileostomy
44156N/AN/AColectomy, total, abdominal, with proctectomy; with continent ileostomy
44157N/AN/AColectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed
44158N/AN/AColectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed
44160N/AN/AColectomy, partial, with removal of terminal ileum with ileocolostomy
44180N/AN/ALaparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)
44186N/AN/ALaparoscopy, surgical; jejunostomy (eg, for decompression or feeding)
44187N/AN/ALaparoscopy, surgical; ileostomy or jejunostomy, non-tube
44188N/AN/ALaparoscopy, surgical, colostomy or skin level cecostomy
44202N/AN/ALaparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis
44204N/AN/ALaparoscopy, surgical; colectomy, partial, with anastomosis
44205N/AN/ALaparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy
44206N/AN/ALaparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)
44207N/AN/ALaparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)
44208N/AN/ALaparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy
44210N/AN/ALaparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy
44211N/AN/ALaparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed
44212N/AN/ALaparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy
44227N/AN/ALaparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis
44300N/AN/APlacement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure)
44310N/AN/AIleostomy or jejunostomy, non-tube
44312N/AN/ARevision of ileostomy; simple (release of superficial scar) (separate procedure)
44314N/AN/ARevision of ileostomy; complicated (reconstruction in-depth) (separate procedure)
44316N/AN/AContinent ileostomy (Kock procedure) (separate procedure)
44320N/AN/AColostomy or skin level cecostomy;
44322N/AN/AColostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure)
44340N/AN/ARevision of colostomy; simple (release of superficial scar) (separate procedure)
44345N/AN/ARevision of colostomy; complicated (reconstruction in-depth) (separate procedure)
44346N/AN/ARevision of colostomy; with repair of paracolostomy hernia (separate procedure)
44602N/AN/ASuture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation
44603N/AN/ASuture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations
44604N/AN/ASuture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy
44605N/AN/ASuture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy
44615N/AN/AIntestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction
44620N/AN/AClosure of enterostomy, large or small intestine;
44625N/AN/AClosure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal
44626N/AN/AClosure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure)
44640N/AN/AClosure of intestinal cutaneous fistula
44650N/AN/AClosure of enteroenteric or enterocolic fistula
44660N/AN/AClosure of enterovesical fistula; without intestinal or bladder resection
44661N/AN/AClosure of enterovesical fistula; with intestine and/or bladder resection
44680N/AN/AIntestinal plication (separate procedure)
44700N/AN/AExclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum)
44800N/AN/AExcision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct
44820N/AN/AExcision of lesion of mesentery (separate procedure)
44850N/AN/ASuture of mesentery (separate procedure)
44900N/AN/AIncision and drainage of appendiceal abscess, open
44950N/AN/AAppendectomy;
44955N/AN/AAppendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)
44960N/AN/AAppendectomy; for ruptured appendix with abscess or generalized peritonitis
44970N/AN/ALaparoscopy, surgical, appendectomy
45000N/AN/ATransrectal drainage of pelvic abscess
45020N/AN/AIncision and drainage of deep supralevator, pelvirectal, or retrorectal abscess
45100N/AN/ABiopsy of anorectal wall, anal approach (eg, congenital megacolon)
45108N/AN/AAnorectal myomectomy
45110N/AN/AProctectomy; complete, combined abdominoperineal, with colostomy
45111N/AN/AProctectomy; partial resection of rectum, transabdominal approach
45112N/AN/AProctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)
45113N/AN/AProctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy
45114N/AN/AProctectomy, partial, with anastomosis; abdominal and transsacral approach
45116N/AN/AProctectomy, partial, with anastomosis; transsacral approach only (Kraske type)
45119N/AN/AProctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed
45120N/AN/AProctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation)
45121N/AN/AProctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies
45123N/AN/AProctectomy, partial, without anastomosis, perineal approach
45126N/AN/APelvic 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
45130N/AN/AExcision of rectal procidentia, with anastomosis; perineal approach
45135N/AN/AExcision of rectal procidentia, with anastomosis; abdominal and perineal approach
45136N/AN/AExcision of ileoanal reservoir with ileostomy
45150N/AN/ADivision of stricture of rectum
45160N/AN/AExcision of rectal tumor by proctotomy, transsacral or transcoccygeal approach
45171N/AN/AExcision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)
45172N/AN/AExcision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)
45190N/AN/ADestruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach
45395N/AN/ALaparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy
45397N/AN/ALaparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when performed
45400N/AN/ALaparoscopy, surgical; proctopexy (for prolapse)
45402N/AN/ALaparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection
45500N/AN/AProctoplasty; for stenosis
45505N/AN/AProctoplasty; for prolapse of mucous membrane
45540N/AN/AProctopexy (eg, for prolapse); abdominal approach
45541N/AN/AProctopexy (eg, for prolapse); perineal approach
45550N/AN/AProctopexy (eg, for prolapse); with sigmoid resection, abdominal approach
45560N/AN/ARepair of rectocele (separate procedure)
45562N/AN/AExploration, repair, and presacral drainage for rectal injury;
45563N/AN/AExploration, repair, and presacral drainage for rectal injury; with colostomy
45800N/AN/AClosure of rectovesical fistula;
45805N/AN/AClosure of rectovesical fistula; with colostomy
45820N/AN/AClosure of rectourethral fistula;
45825N/AN/AClosure of rectourethral fistula; with colostomy
46715N/AN/ARepair of low imperforate anus; with anoperineal fistula (cut-back procedure)
46716N/AN/ARepair of low imperforate anus; with transposition of anoperineal or anovestibular fistula
46730N/AN/ARepair of high imperforate anus without fistula; perineal or sacroperineal approach
46735N/AN/ARepair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches
46740N/AN/ARepair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach
46742N/AN/ARepair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches
46744N/AN/ARepair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach
46746N/AN/ARepair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach;
46748N/AN/ARepair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps
46750N/AN/ASphincteroplasty, anal, for incontinence or prolapse; adult
46751N/AN/ASphincteroplasty, anal, for incontinence or prolapse; child
46753N/AN/AGraft (Thiersch operation) for rectal incontinence and/or prolapse
46754N/AN/ARemoval of Thiersch wire or suture, anal canal
46760N/AN/ASphincteroplasty, anal, for incontinence, adult; muscle transplant
46761N/AN/ASphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)
46762N/AN/Aimplantation artificial sphincter
47010N/AN/AHepatotomy, for open drainage of abscess or cyst, 1 or 2 stages
47015N/AN/ALaparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)
47100N/AN/ABiopsy of liver, wedge
47120N/AN/AHepatectomy, resection of liver; partial lobectomy
47122N/AN/AHepatectomy, resection of liver; trisegmentectomy
47125N/AN/AHepatectomy, resection of liver; total left lobectomy
47130N/AN/AHepatectomy, resection of liver; total right lobectomy
47135N/AN/ALiver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age
47136N/AN/ALiver allotransplantation; heterotopic, partial or whole, from cadaver or living donor, any age
47140N/AN/ADonor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)
47141N/AN/ADonor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)
47142N/AN/ADonor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)
47300N/AN/AMarsupialization of cyst or abscess of liver
47350N/AN/AManagement of liver hemorrhage; simple suture of liver wound or injury
47360N/AN/AManagement of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation
47361N/AN/AManagement of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver
47362N/AN/AManagement of liver hemorrhage; re-exploration of hepatic wound for removal of packing
47370N/AN/ALaparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency
47371N/AN/ALaparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical
47380N/AN/AAblation, open, of 1 or more liver tumor(s); radiofrequency
47381N/AN/AAblation, open, of 1 or more liver tumor(s); cryosurgical
47382N/AN/AAblation, 1 or more liver tumor(s), percutaneous, radiofrequency
47400N/AN/AHepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus
47420N/AN/ACholedochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty
47425N/AN/ACholedochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty
47460N/AN/ATransduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure)
47480N/AN/ACholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure)
47500N/AN/AInjection procedure for percutaneous transhepatic cholangiography
47505N/AN/AInjection procedure for cholangiography through an existing catheter (eg, percutaneous transhepatic or T-tube)
47560N/AN/ALaparoscopy, surgical; with guided transhepatic cholangiography, without biopsy
47561N/AN/ALaparoscopy, surgical; with guided transhepatic cholangiography with biopsy
47562N/AN/ALaparoscopy, surgical; cholecystectomy
47563N/AN/ALaparoscopy, surgical; cholecystectomy with cholangiography
47564N/AN/ALaparoscopy, surgical; cholecystectomy with exploration of common duct
47570N/AN/ALaparoscopy, surgical; cholecystoenterostomy
47600N/AN/ACholecystectomy;
47605N/AN/ACholecystectomy; with cholangiography
47610N/AN/ACholecystectomy with exploration of common duct;
47612N/AN/ACholecystectomy with exploration of common duct; with choledochoenterostomy
47620N/AN/ACholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography
47630N/AN/ABiliary duct stone extraction, percutaneous via T-tube tract, basket, or snare (eg, Burhenne technique)
47700N/AN/AExploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography
47701N/AN/APortoenterostomy (eg, Kasai procedure)
47711N/AN/AExcision of bile duct tumor, with or without primary repair of bile duct; extrahepatic
47712N/AN/AExcision of bile duct tumor, with or without primary repair of bile duct; intrahepatic
47715N/AN/AExcision of choledochal cyst
47720N/AN/ACholecystoenterostomy; direct
47721N/AN/ACholecystoenterostomy; with gastroenterostomy
47740N/AN/ACholecystoenterostomy; Roux-en-Y
47741N/AN/ACholecystoenterostomy; Roux-en-Y with gastroenterostomy
47760N/AN/AAnastomosis, of extrahepatic biliary ducts and gastrointestinal tract
47765N/AN/AAnastomosis, of intrahepatic ducts and gastrointestinal tract
47780N/AN/AAnastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract
47785N/AN/AAnastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract
47800N/AN/AReconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis
47801N/AN/APlacement of choledochal stent
47802N/AN/AU-tube hepaticoenterostomy
47900N/AN/ASuture of extrahepatic biliary duct for pre-existing injury (separate procedure)
48000N/AN/APlacement of drains, peripancreatic, for acute pancreatitis;
48001N/AN/APlacement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy
48020N/AN/ARemoval of pancreatic calculus
48100N/AN/ABiopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy)
48102N/AN/ABiopsy of pancreas, percutaneous needle
48105N/AN/AResection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis
48120N/AN/AExcision of lesion of pancreas (eg, cyst, adenoma)
48140N/AN/APancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy
48145N/AN/APancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy
48146N/AN/APancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)
48148N/AN/AExcision of ampulla of Vater
48150N/AN/APancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy
48152N/AN/APancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy
48153N/AN/APancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy
48154N/AN/APancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy
48155N/AN/APancreatectomy, total
48160N/AN/APancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells
48500N/AN/AMarsupialization of pancreatic cyst
48510N/AN/AExternal drainage, pseudocyst of pancreas, open
48511N/AN/AExternal drainage, pseudocyst of pancreas; percutaneous
48520N/AN/AInternal anastomosis of pancreatic cyst to gastrointestinal tract; direct
48540N/AN/AInternal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y
48545N/AN/APancreatorrhaphy for injury
48547N/AN/ADuodenal exclusion with gastrojejunostomy for pancreatic injury
48548N/AN/APancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)
48554N/AN/ATransplantation of pancreatic allograft
48556N/AN/ARemoval of transplanted pancreatic allograft
49000N/AN/AExploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)
49002N/AN/AReopening of recent laparotomy
49010N/AN/AExploration, retroperitoneal area with or without biopsy(s) (separate procedure)
49020N/AN/ADrainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open
49021N/AN/ADrainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess; percutaneous
49040N/AN/ADrainage of subdiaphragmatic or subphrenic abscess, open
49041N/AN/ADrainage of subdiaphragmatic or subphrenic abscess; percutaneous
49060N/AN/ADrainage of retroperitoneal abscess, open
49203N/AN/AExcision 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
49204N/AN/AExcision 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
49205N/AN/AExcision 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
49215N/AN/AExcision of presacral or sacrococcygeal tumor
49220N/AN/AStaging 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)
49250N/AN/AUmbilectomy, omphalectomy, excision of umbilicus (separate procedure)
49255N/AN/AOmentectomy, epiploectomy, resection of omentum (separate procedure)
49320N/AN/ALaparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
49321N/AN/ALaparoscopy, surgical; with biopsy (single or multiple)
49322N/AN/ALaparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)
49323N/AN/ALaparoscopy, surgical; with drainage of lymphocele to peritoneal cavity
49505N/AN/ARepair initial inguinal hernia, age 5 years or older; reducible
49507N/AN/ARepair initial inguinal hernia, age 5 years or older; incarcerated or strangulated
49560N/AN/ARepair initial incisional or ventral hernia; reducible
49561N/AN/ARepair initial incisional or ventral hernia; incarcerated or strangulated
49565N/AN/ARepair recurrent incisional or ventral hernia; reducible
49566N/AN/ARepair recurrent incisional or ventral hernia; incarcerated or strangulated
49568N/AN/AImplantation 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)
49570N/AN/ARepair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure)
50020N/AN/ADrainage of perirenal or renal abscess, open
50220N/AN/ANephrectomy, including partial ureterectomy, any open approach including rib resection;
50225N/AN/ANephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney
50230N/AN/ANephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy
50234N/AN/ANephrectomy with total ureterectomy and bladder cuff; through same incision
50236N/AN/ANephrectomy with total ureterectomy and bladder cuff; through separate incision
50240N/AN/ANephrectomy, partial
50320N/AN/ADonor nephrectomy (including cold preservation); open, from living donor
50340N/AN/ARecipient nephrectomy (separate procedure)
50360N/AN/ARenal allotransplantation, implantation of graft; without recipient nephrectomy
50365N/AN/ARenal allotransplantation, implantation of graft; with recipient nephrectomy
50370N/AN/ARemoval of transplanted renal allograft
50380N/AN/ARenal autotransplantation, reimplantation of kidney
50543N/AN/ALaparoscopy, surgical; partial nephrectomy
50545N/AN/ALaparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy)
50546N/AN/ALaparoscopy, surgical; nephrectomy, including partial ureterectomy
50547N/AN/ALaparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor
50548N/AN/ALaparoscopy, surgical; nephrectomy with total ureterectomy
50715N/AN/AUreterolysis, with or without repositioning of ureter for retroperitoneal fibrosis
50722N/AN/AUreterolysis for ovarian vein syndrome
50725N/AN/AUreterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava
50727N/AN/ARevision of urinary-cutaneous anastomosis (any type urostomy);
50728N/AN/ARevision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia
50760N/AN/AUreteroureterostomy
50770N/AN/ATransureteroureterostomy, anastomosis of ureter to contralateral ureter
50780N/AN/AUreteroneocystostomy; anastomosis of single ureter to bladder
50782N/AN/AUreteroneocystostomy; anastomosis of duplicated ureter to bladder
50783N/AN/AUreteroneocystostomy; with extensive ureteral tailoring
50785N/AN/AUreteroneocystostomy; with vesico-psoas hitch or bladder flap
50800N/AN/AUreteroenterostomy, direct anastomosis of ureter to intestine
50810N/AN/AUreterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis
50815N/AN/AUreterocolon conduit, including intestine anastomosis
50820N/AN/AUreteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)
50947N/AN/ALaparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement
50948N/AN/ALaparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement
51550N/AN/ACystectomy, partial; simple
51555N/AN/ACystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)
51565N/AN/ACystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)
51570N/AN/ACystectomy, complete; (separate procedure)
51575N/AN/ACystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes
51580N/AN/ACystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;
51585N/AN/ACystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes
51590N/AN/ACystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;
51595N/AN/ACystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes
51596N/AN/ACystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder
51597N/AN/APelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereof
51800N/AN/ACystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical neck
51820N/AN/ACystourethroplasty with unilateral or bilateral ureteroneocystostomy
51900N/AN/AClosure of vesicovaginal fistula, abdominal approach
51920N/AN/AClosure of vesicouterine fistula;
51925N/AN/AClosure of vesicouterine fistula; with hysterectomy
51960N/AN/AEnterocystoplasty, including intestinal anastomosis
55810N/AN/AProstatectomy, perineal radical;
55812N/AN/AProstatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)
55815N/AN/AProstatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes
55821N/AN/AProstatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages
55831N/AN/AProstatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal
55840N/AN/AProstatectomy, retropubic radical, with or without nerve sparing;
55842N/AN/AProstatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)
55845N/AN/AProstatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes
55866N/AN/ALaparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed
56630N/AN/AVulvectomy, radical, partial;
56631N/AN/AVulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy
56632N/AN/AVulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy
56633N/AN/AVulvectomy, radical, complete;
56634N/AN/AVulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy
56637N/AN/AVulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy
56640N/AN/AVulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy
57267N/AN/AInsertion 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)
58150N/AN/ATotal abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);
58152N/AN/ATotal 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)
58180N/AN/ASupracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s)
58200N/AN/ATotal 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)
58210N/AN/ARadical 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)
58240N/AN/APelvic 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
58260N/AN/AVaginal hysterectomy, for uterus 250 g or less;
58262N/AN/AVaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)
58263N/AN/AVaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele
58267N/AN/AVaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control
58270N/AN/AVaginal hysterectomy, for uterus 250 g or less; with repair of enterocele
58275N/AN/AVaginal hysterectomy, with total or partial vaginectomy;
58280N/AN/AVaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele
58285N/AN/AVaginal hysterectomy, radical (Schauta type operation)
58290N/AN/AVaginal hysterectomy, for uterus greater than 250 g;
58291N/AN/AVaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
58292N/AN/AVaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele
58293N/AN/AVaginal hysterectomy, for uterus greater than 250 g; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control
58294N/AN/AVaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele
58951N/AN/AResection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphadenectomy
58953N/AN/ABilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;
58954N/AN/ABilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy
58956N/AN/ABilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy
60200N/AN/AExcision of cyst or adenoma of thyroid, or transection of isthmus
60210N/AN/APartial thyroid lobectomy, unilateral; with or without isthmusectomy
60212N/AN/APartial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
60220N/AN/ATotal thyroid lobectomy, unilateral; with or without isthmusectomy
60225N/AN/ATotal thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
60240N/AN/AThyroidectomy, total or complete
60252N/AN/AThyroidectomy, total or subtotal for malignancy; with limited neck dissection
60254N/AN/AThyroidectomy, total or subtotal for malignancy; with radical neck dissection
60260N/AN/AThyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid
60270N/AN/AThyroidectomy, including substernal thyroid; sternal split or transthoracic approach
60271N/AN/AThyroidectomy, including substernal thyroid; cervical approach
60280N/AN/AExcision of thyroglossal duct cyst or sinus;
60281N/AN/AExcision of thyroglossal duct cyst or sinus; recurrent
60500N/AN/AParathyroidectomy or exploration of parathyroid(s);
60502N/AN/AParathyroidectomy or exploration of parathyroid(s); re-exploration
60505N/AN/AParathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach
60520N/AN/AThymectomy, partial or total; transcervical approach (separate procedure)
60521N/AN/AThymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure)
60522N/AN/AThymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure)
60540N/AN/AAdrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure);
60545N/AN/AAdrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor
60600N/AN/AExcision of carotid body tumor; without excision of carotid artery
60605N/AN/AExcision of carotid body tumor; with excision of carotid artery
60650N/AN/ALaparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal
61312N/AN/ACraniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural
61313N/AN/ACraniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral
61315N/AN/ACraniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar
61510N/AN/ACraniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma
61512N/AN/ACraniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial
61518N/AN/ACraniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull
61520N/AN/ACraniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor
61526N/AN/ACraniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor;
61530N/AN/ACraniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy
61548N/AN/AHypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic
61591N/AN/AInfratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resection of sigmoid sinus, with or without decompression and/or mobilization of contents of auditory canal or petrous carotid artery
61595N/AN/ATranstemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization
61596N/AN/ATranscochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid artery
61598N/AN/ATranspetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus
61606N/AN/AResection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft
61616N/AN/AResection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, with or without graft
61618N/AN/ASecondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lata, adipose tissue, homologous or synthetic grafts)
61619N/AN/ASecondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneous flap (including galea, temporalis, frontalis or occipitalis muscle)
61697N/AN/ASurgery of complex intracranial aneurysm, intracranial approach; carotid circulation
61700N/AN/ASurgery of simple intracranial aneurysm, intracranial approach; carotid circulation
62230N/AN/AReplacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system
63015N/AN/ALaminectomy 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
63020N/AN/ALaminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical
63047N/AN/ALaminectomy, 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
63056N/AN/ATranspedicular 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)
63081N/AN/AVertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment
63267N/AN/ALaminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar
63276N/AN/ALaminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic
64746N/AN/ATransection or avulsion of; phrenic nerve
69720N/AN/ADecompression facial nerve, intratemporal; lateral to geniculate ganglion
69955N/AN/ATotal facial nerve decompression and/or repair (may include graft)
69960N/AN/ADecompression internal auditory canal
69970N/AN/ARemoval of tumor, temporal bone
0236TN/AN/ATransluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; abdominal aorta
4044FN/AN/ADocumentation that an order was given for venous thromboembolism (VTE) prophylaxis to be given within 24 hours prior to incision time or 24 hours after surgery end time (PERI 2)
4044F8PN/ADocumentation that an order was given for venous thromboembolism (VTE) prophylaxis to be given within 24 hours prior to incision time or 24 hours after surgery end time (PERI 2)
4044F1PN/ADocumentation that an order was given for venous thromboembolism (VTE) prophylaxis to be given within 24 hours prior to incision time or 24 hours after surgery end time (PERI 2)
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.

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