CPTListCPT CodesCode Description Fee

10040 Acne Surgery (opening of multiple cyst, comedones...) 7510060 Incision and drainage (I&D) of skin abscess (hidradenitis, cyst, furuncle, paronychia) - simple or single 10010061 Incision and drainage (I&D) of skin abscess (hidradenitis, cyst, furuncle, paronychia) - complex or multiple 20010080 Incision and drainage (I&D) of pilonidal cyst; simple 15010081 Incision and drainage (I&D) of pilonidal cyst; complex 25010120 Incision and removal of foreign body, subcutaneous; simple 7510121 Incision and removal of foreign body, subcutaneous; complex 20010140 Incision and drainage (I&D) of hematoma or seroma 10010160 Puncture aspiration of abscess, hematoma, seroma 5010180 Incision and drainage (I&D) complex post-op infection 25011000 Debridement skin partial thickness for ecaema <10% 10011001 Debridement skin partial thickness for ecaema >10% 5011004 Debridement Necrotizing Fascitis perineum/genitalia11005 Debridement Necrotizing Fascitis abdominal wall (with or without closure)11006 Debridement Necrotizing Fascitis abdominal wall (with or without closure) and perineum/genitalia11008 Removal of prosthetic mesh associated with necrotizing fascitis of the abdominal wall11010 Debridement Associated with fracture; Skin/subcutaneous tissue11011 Debridement Associated with fracture; Skin/subcutaneous tissue/muscle11012 Debridement Associated with fracture; Skin/subcutaneous tissue/muscle/bone11040 Debridement skin partial thickness 15011041 Debridement skin full thickness 20011042 Debridement skin and subcutaneous tissue 25011043 Debridement skin and subcutaneous tissue and muscle 35011044 Debridement skin and subcutaneous tissue, muscle, & bone 50011055 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion11056 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); two to four lesions11057 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than four lesions11100 Biopsy of skin lesion (includes simple closure) 15011101 Biopsy of additional skin lesion 10011200 Excision of skin tags up to 15 7511201 Excision of additional skin tags for each additional 10 7511400 Excision of benign skin lesion to the trunk/arms/legs <0.5cm² (include scar revision - consider complex repair) 7511401 Excision of benign skin lesion to the trunk/arms/legs 0.6-1.0cm² 10011402 Excision of benign skin lesion to the trunk/arms/legs 1.1-2.0cm² 15011403 Excision of benign skin lesion to the trunk/arms/legs 2.1-3.0cm² 20011404 Excision of benign skin lesion to the trunk/arms/legs 3.1-4.0cm² 25011406 Excision of benign skin lesion to the trunk/arms/legs >4.0cm² 300

11420Excision of benign skin lesion to the scalp hands feet genitalia neck <0.5cm² benign (include scar revision - consider complex repair) 125

11421 Excision of benign skin lesion to the scalp hands feet genitalia neck 0.6-1.0cm² benign 15011422 Excision of benign skin lesion to the scalp hands feet genitalia neck 1.1-2.0cm² benign 20011423 Excision of benign skin lesion to the scalp hands feet genitalia neck 2.1-3.0cm² benign 25011424 Excision of benign skin lesion to the scalp hands feet genitalia neck 3.1-4.0cm² benign 30011426 Excision of benign skin lesion to the scalp hands feet genitalia neck >4.0cm² benign 400

11440Excision of benign skin lesion to the benign face ears eyes nose lips mucosa <0.5cm² benign (include scar revision - consider complex repair) 150

11441 Excision of benign skin lesion to the face ears eyes nose lips mucosa 0.6-1.0cm² benign 20011442 Excision of benign skin lesion to the face ears eyes nose lips mucosa 1.1-2.0cm² benign 25011443 Excision of benign skin lesion to the face ears eyes nose lips mucosa 2.1-3.0cm² benign 30011444 Excision of benign skin lesion to the face ears eyes nose lips mucosa 3.1-4.0cm² benign 40011446 Excision of benign skin lesion to the face ears eyes nose lips mucosa >4.0cm² benign 50011450 Excision of hidradenitis axillary simple 60011451 Excision of hidradenitis axillary complex repair 60011462 Excision of hidradenitis inguinal simple 75011463 Excision of hidradenitis inguinal complex repair 75011470 Excision of hidradinitis perianal, umbilical, perineal simple 75011471 Excision of hidradinitis perianal, umbilical, perineal complex 75011600 Excision of malignant skin lesion; trunk arms legs <0.5cm² 15011601 Excision of malignant skin lesion; trunk arms legs 0.6-1.0cm² 20011602 Excision of malignant skin lesion; trunk arms legs 1.1-2.0cm² 30011603 Excision of malignant skin lesion; malignant trunk arms legs 2.1-3.0cm² 40011604 Excision of malignant skin lesion; malignant trunk arms legs 3.1-4.0cm² 50011606 Excision of malignant skin lesion; malignant trunk arms legs >4.0cm² 60011620 Excision of malignant skin lesion; scalp hands feet genitalia neck <0.5cm² malignant 25011621 Excision of malignant skin lesion; scalp hands feet genitalia neck 0.6-1.0cm² malignant 30011622 Excision of malignant skin lesion; scalp hands feet genitalia neck 1.1-2.0cm² malignant 40011623 Excision of malignant skin lesion; scalp hands feet genitalia neck 2.1-3.0cm² malignant 50011624 Excision of malignant skin lesion; scalp hands feet genitalia neck 3.1-4.0cm² malignant 60011626 Excision of malignant skin lesion; scalp hands feet genitalia neck >4.0cm² malignant 800Page 1

CPTList11640 Excision of malignant skin lesion; face ears eyes nose lips mucosa <0.5cm² malignant 30011641 Excision of malignant skin lesion; face ears eyes nose lips mucosa 0.6-1.0cm² malignant 40011642 Excision of malignant skin lesion; face ears eyes nose lips mucosa 1.1-2.0cm² malignant 50011643 Excision of malignant skin lesion; face ears eyes nose lips mucosa 2.1-3.0cm² malignant 60011644 Excision of malignant skin lesion; face ears eyes nose lips mucosa 3.1-4.0cm² malignant 80011646 Excision of malignant skin lesion; face ears eyes nose lips mucosa >4.0cm² malignant 100011740 Evacuation of subungual hematoma 7511750 Removal of nail and matrix - partial or complete (eg. ingrown deformed); nail ablation 35011752 Removal of nail and matrix - partial or complete (eg. ingrown deformed); nail ablation with tip amputation 50011755 Biopsy of the nail unit11760 Repair of nail bed 50011762 Reconstruction of nail bed with graft 75011765 Wedge excision of nail fold (ingrown nail) 17511770 Excision of pilonidal cyst 75011771 Excision of pilonidal cyst extensive 100011772 Excision of pilonidal cyst complicated 120011920 Tattooing - up to 6.0 cm² 70011921 Tattooing - up to 6.1 - 20.0 cm² 140011922 Tattooing - each additional 20.0 cm² 70011950 Subcutaneous injection of collagen; 1cc or less 30011951 Subcutaneous injection of collagen; 1.1 - 5.0 cc 60011952 Subcutaneous injection of collagen; 5.1 - 10.0 cc 100011954 Subcutaneous injection of collagen; >10.0 cc 150011960 Insertion of tissue expander for other than breast reconstruction 150011970 Replace expander with permanent prothesis (includes exchange for breast reconstruction) 150011971 Removal tissue expander without insertion 30012001 Simple repair of wound(s) except face <2.5 cm 10012002 Simple repair of wound(s) except face 2.6 - 7.5 cm 20012004 Simple repair of wound(s) 7.6-12.5cm except face 30012005 Simple repair of wound(s) 12.6-20cm except face 40012006 Simple repair of wound(s) 20.1-30cm except face 50012007 Simple repair of wound(s) >30cm except face 60012011 Simple repair of wound(s) face <2.5 cm 20012013 Simple repair of wound(s) 2.6-5.0cm face 30012014 Simple repair of wound(s) 5.1-7.5cm face 40012015 Simple repair of wound(s) 7.6-12.5cm face 50012016 Simple repair of wound(s) 12.6-20cm face 60012017 Simple repair of wound(s) 20.1-30cm face 80012018 Simple repair of wound(s) >30cm face 100012020 Treatment of superficial wound dehiscence - simple closure 25012021 Treatment of superficial wound dehiscence - treated with packing 25012031 Layered closure of wound(s) - intermediate - scalp trunk ext. <2.5cm 20012032 Layered closure of wound(s) - intermediate - scalp trunk ext. 2.6-7.5cm 30012034 Layered closure of wound(s) - intermediate - scalp trunk ext. 7.6-12.5cm 40012035 Layered closure of wound(s) - intermediate - scalp trunk ext. 12.6-20cm 50012036 Layered closure of wound(s) - intermediate - scalp trunk ext. 20.1-30cm 60012037 Layered closure of wound(s) - intermediate - scalp trunk ext. >30cm12041 Layered closure of wound(s) - intermediate - <2.5cm neck hands feet genitals 25012042 Layered closure of wound(s) - intermediate - 2.6-7.5cm neck hands feet genitals 35012044 Layered closure of wound(s) - intermediate - 7.6-12.5cm neck hands feet genitals 45012045 Layered closure of wound(s) - intermediate - 12.6-20cm neck hands feet genitals 55012046 Layered closure of wound(s) - intermediate - 20.1-30cm neck hands feet genitals12047 Layered closure of wound(s) - intermediate - >30cm neck hands feet genitals12051 Layered closure of wound(s) - intermediate - <2.5cm face ears eyes nose lips 30012052 Layered closure of wound(s) - intermediate - 2.6-5.0cm face ears eyes nose lips 40012053 Layered closure of wound(s) - intermediate - 5.1-7.5cm face ears eyes nose lips 60012054 Layered closure of wound(s) - intermediate - 7.6-12.5cm face ears eyes nose lips 80012055 Layered closure of wound(s) - intermediate - 12.6-20cm face ears eyes nose lips 100012056 Layered closure of wound(s) - intermediate - 20.1-30cm face ears eyes nose lips 120012057 Layered closure of wound(s) - intermediate - >30cm face ears eyes nose lips13100 Repair of wound - complex - trunk 1.1-2.5cm 30013101 Repair of wound - complex - trunk 2.6-7.5cm 50013102 Repair of wound - complex - trunk; each additional 5 cm to 1310113120 Repair of wound - complex - scalp arms legs 1.1-2.5cm 40013121 Repair of wound - complex - scalp arms legs 2.6-7.5cm 60013122 Repair of wound - complex - scalp arms legs; each additional 5 cm to 1312113131 Repair of wound - complex - 1.1-2.5cm; face (forehead/cheeks/chin/mouth), neck, ax., hands, feet, genitals 50013132 Repair of wound - complex - 2.6-7.5cm; face (forehead/cheeks/chin/mouth), neck, ax., hands, feet, genitals 750

13133Repair of wound - complex - face (forehead/cheeks/chin/mouth), neck, ax., hands, feet, genitals; each additional 5 cm to 13132

13150 Repair of wound - complex - 0-1cm eyes ears nose lips 500Page 2

CPTList13151 Repair of wound - complex - 1.1-2.5cm eyes ears nose lips 75013152 Repair of wound - complex - 2.6-7.5cm eyes ears nose lips 100013153 Repair of wound - complex - eyes ears nose lips; each additional 5 cm to 1315313160 Secondary closure of surgical wound or dehiscence - complex 75013300 ******NO LONGER VALID - DELETED 2000 Repair of wound - complex - >7.5cm²14000 Skin tissue rearrangement - to 10cm² - trunk 50014001 Skin tissue rearrangement - to 10 - 30cm² - trunk 75014020 Skin tissue rearrangement - to 10cm² - scalp arms legs 70014021 Skin tissue rearrangement - to 10 - 30cm² - scalp arms legs 100014040 Skin tissue rearrangement - to 10cm² - face hands ax genitals feet 75014041 Skin tissue rearrangement - to 10 - 30cm² - face hands ax genitalia feet 120014060 Skin tissue rearrangement - to 10cm² - eye, nose ear lip 100014061 Skin tissue rearrangement - to 10 - 30cm² - eye, nose ear lip (for full thickness eye - see 67961) 150014300 Skin tissue rearrangement - unusual or > 30cm² (code includes lesion excision and add flap and defect for size) 200014350 Toe or finger filet flap

15000!Changed'99! Surg prep or creation of recipient site by excision of wound or eschar (not just for burns - osteomyelitis); 1st 100 cm² (soft tissue debridement) 750

15001Surg prep or creation of recipient site by excision of wound or eschar; each add. 100 cm² (not just for burns - osteomyelitis)(soft tissue debridement)

15040 Harvest of skin for cultured skin autograft15050 Pinch skin graft up to 2 cm² 50015100 Split thickness skin graft (STSG) to 100cm² (or 1% TBSA in kids) trunk arms legs 75015101 Split thickness skin graft (STSG) each additional 100cm² 25015110 Epidermal autograft (autologous epidermis thin STSG) trunk/arms/legs; 1st 100 cm²15111 Epidermal autograft (autologous epidermis thin STSG) trunk/arms/legs; each add 100 cm²15115 Epidermal autograft (autologous epidermis thin STSG) all else (face/hands/feet…); 1st 100 cm²15116 Epidermal autograft (autologous epidermis thin STSG) all else (face/hands/feet…); each add 100 cm²15120 Split thickness skin graft (STSG) to 100cm² face eyes mouth ears genitals multiple digits 100015121 Split thickness skin graft (STSG) each additional 100cm² 50015130 Dermal autograft (autologous autogenous dermis graft) trunk/arms/legs; 1st 100 cm²15131 Dermal autograft (autologous autogenous dermis graft) trunk/arms/legs; each add 100 cm²15135 Dermal autograft (autologous autogenous dermis graft) all else (face/hands/feet…); 1st 100 cm²15136 Dermal autograft (autologous autogenous dermis graft) all else (face/hands/feet…); each add 100 cm²15150 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; 1st 25 cm²15151 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; each add 25 cm² to 7515152 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; each add 100 cm²15155 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; 1st 25 cm²15156 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; each add 25 cm² to 7515157 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; each add 100 cm²15170 Tissue derived or manufactured "neodermis" (Integra) trunk/arms/legs; 1st 100 cm²15171 Tissue derived or manufactured "neodermis" (Integra) trunk/arms/legs; each add 100 cm²15175 Tissue derived or manufactured "neodermis" (Integra) all else (face/hands/feet…); 1st 100 cm²15176 Tissue derived or manufactured "neodermis" (Integra) all else (face/hands/feet…); each add 100 cm²15200 Full thickness skin graft (FTSG) to 20cm² trunk: closure included 50015201 Full thickness skin graft (FTSG) each additional 20cm² to 15200 25015220 Full thickness skin graft (FTSG) to 20cm² scalp arms legs: closure included 75015221 Full thickness skin graft (FTSG) each additional 20cm² to 15220 25015240 Full thickness skin graft (FTSG) to 20cm² face, genitals, axil., hands, feet: closure included 100015241 Full thickness skin graft (FTSG) each additional 20cm² to 15240 50015260 Full thickness skin graft (FTSG) to 20cm² nose ears eyes: closure included 120015261 Full thickness skin graft (FTSG) each additional 20cm² to 15260 750

15300Allograft for temporary wound closure (cadaveric skin non-autologous human skin homograft) trunk/arms/legs; 1st 100 cm²

15301 Allograft for temporary wound closure (cadaveric skin non-autologous human skin homograft)15320 Allograft for temporary wound closure (cadaveric skin non-autologous human skin homograft)15321 Allograft for temporary wound closure (cadaveric skin non-autologous human skin homograft)15330 Acellular dermal allograft (allogenic dermis Alloderm) trunk/arms/legs; 1st 100 cm²15331 Acellular dermal allograft (allogenic dermis Alloderm) trunk/arms/legs; each add 100 cm²15335 Acellular dermal allograft (allogenic dermis Alloderm) all else (face/hands/feet…); 1st 100 cm²15336 Acellular dermal allograft (allogenic dermis Alloderm) all else (face/hands/feet…); each add 100 cm²15340 Tissue cultured ALLOgenic skin substitute (contains both dermis and epi Apligraf) trunk/arms/legs; 1st 25 cm²

15341 Tissue cultured ALLOgenic skin substitute (contains both dermis and epi Apligraf) trunk/arms/legs; each add 25 cm²15350 Application of allograft (cadaver skin/allograft/Alloderm); 1st 100 cm²15351 Application of allograft (cadaver skin/allograft/Alloderm); each additional 100 cm²15360 Tissue cultured ALLOgenic dermal substitute (Transcyte Dermagraft) trunk/arms/legs; 1st 100 cm²15361 Tissue cultured ALLOgenic dermal substitute (Transcyte Dermagraft) trunk/arms/legs; each add 100 cm²15365 Tissue cultured ALLOgenic dermal substitute (Transcyte Dermagraft) all else (face/hands/feet…); 1st 100 cm²

15366 Tissue cultured ALLOgenic dermal substitute (Transcyte Dermagraft) all else (face/hands/feet…); each add 100 cm²15400 Application of Xenograft (pigskin EZ Derm Mediskin) trunk/arms/legs (not hands/feet; see 420); 1st 100 cm²Page 3

CPTList15401

Application of Xenograft (pigskin EZ Derm Mediskin) trunk/arms/legs (not hands/feet; see 420); each add 100 cm² additional

15420 Application of Xenograft (pigskin EZ Derm Mediskin) all else (face, hands…); 1st 100 cm²15421 Application of Xenograft (pigskin EZ Derm Mediskin) all else (face, hands…); each add. 100 cm²15570 Formation of direct or tubed pedicle, with or without transfer; trunk 80015572 Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs 1000

15574Formation of direct or tubed pedicle, with or without transfer; cross finger flap, face, hands, feet, neck, axilla, genitalia (groin flap)(code skin graft sep.) 1200

15576 Formation of direct or tubed pedicle, with or without transfer; eyes, ears, nose, lips, or mucosa 150015600 Delay or sectioning of flap (divisionand inset); trunk 50015610 Delay or sectioning of flap (divisionand inset); scalp, arms, or legs 500

15620 Delay or sectioning of flap (divisionand inset); forehead, cheek, neck, axillae, genitalia, hands (cross finger), or feet 60015625 ******No longer valid - 2000 ********* use 15620.58 Delay or sectioning of flap (divisionand inset); crossfinger 50015630 Delay or sectioning of flap (divisionand inset); eyelids, ears, nose, or lips 75015650 Transfer, intermediate, of any pedicle flap (walking tube eg) any location15732 Muscle, myocutaneous, or fasciocutaneous flap; head and neck 275015734 Muscle, myocutaneous, or fasciocutaneous flap; trunk 225015736 Muscle, myocutaneous, or fasciocutaneous flap; upper extremity 250015738 Muscle, myocutaneous, or fasciocutaneous flap; lower extremity 250015740 Flap: island pedicle (any location) 150015750 Neurovascular pedicle island flap 150015755 - DELETED FOR 1997 - Free flap (15845 for CN VII muscle free flap)15756 Free flap; muscle with or without overlying skin (TRAM, myocutaneous...)15757 Free flap; skin (radial forearm or scapular with skin)15758 Free flap; fascial (TPL...)15760 Composite graft; including ala and ear 100015770 Composite graft; including dermal/fat/fascia 150015775 Hair transplant punch grafts; 1 to 1515776 Hair transplant punch grafts; more than 15 (for strip grafts, use 15220)15780 Dermabrasion total face 150015781 Dermabrasion segmantal face 100015782 Dermabrasion other than face 54515783 Dermabrasion; superficial (tattoo...) 35015786 Dermabrasion; single lesion (eg keratosis or scar) 7515787 Dermabrasion; each addition 4 lesions or less (eg keratosis or scar) 7515788 Chemical peel of face - epidermal (TCA...)15789 Chemical peel of face - dermal (Phenol) 140015792 Chemical peel, nonfacial - epidermal (TCA...) 25015793 Chemical peel, nonfacial - dermal (phenol...) 71015810 Salabrasion; 20cm² or less15811 Salabrasion; over 20cm²15819 Cervicoplasty 250015820 Blepharoplasty of lower eyelid 142515821 Blepharoplasty of lower eyelid; extensive fat 135515822 Blepharoplasty of upper eyelid 135015823 Blepharoplasty of upper eyelid with excessive skin or fat weighting down eyelids 148015824 Rhytidectomy of forehead; browlift (for brow ptosis use 67900) 220015825 Rhytidectomy of neck with platysmal tightening 174015826 Rhytidectomy of glabellar frown lines 132515828 Rhytidectomy of cheek, chin, and neck 450015829 Rhytidectomy of SMAS (for bilateral use -50 modifier) 450015831 Abdominoplasty 300015832 Thigh plasty 350015833 Excision of excess fat in the leg 200015834 Excision of excess fat in the hip 250015835 Excision of excess fat in the buttock 250015836 Excision of excess fat in the arm (brachioplasty) 200015837 Excision of excess fat in the forearm and hand 150015838 Excision of excess fat in the submental fat pad 100015839 Excision of excess fat in another area15840 Graft (fascia or tendon) for facial nerve palsy (CN VII paralysis) eg. TFL (includes obtaining graft) 300015841 Graft (muscle non microvascular) for facial nerve palsy (CN VII paralysis)15842 Graft (muscle free flap) for facial nerve palsy (CN VII paralysis) 750015845 Regional muscle transfer (eg temporalis) for facial nerve palsy (CN VII paralysis) 350015850 Removal of sutures under anesthesia - same surgeon 25015851 Removal of sutures under anesthesia - different surgeon 50015852 Dressing change under anesthesia (other than burns) 50015860 Fluorescein injection to test flap viability 25015876 Suction assisted lipectomy; head and neck 100015877 Suction assisted lipectomy; trunk 2000Page 4

CPTList15878 Suction assisted lipectomy; upper extremities 100015879 Suction assisted lipectomy; lower extremities 200015920 Excision of coccygeal pressure ulcer with 1° closure (decubitus sore) 75015922 Excision of coccygeal pressure ulcer with flap closure (decubitus sore) 100015931 Excision of sacral pressure ulcer with 1° closure (decubitus sore) 75015933 Excision of sacral pressure ulcer with ostectomy and 1° closure (decubitus sore) 120015934 Excision of sacral pressure ulcer with flap closure (decubitus sore) 100015935 Excision of sacral pressure ulcer with ostectomy and flap closure (decubitus sore) 1500

15936Excision of sacral pressure ulcer IN PREP FOR myocutaneous flap closure (ID flap with separate code) CHANGED'99 2000

15937 Excision of sacral pressure ulcer with ostectomy and myocutaneous flap closure (ID flap with separate code) 250015940 Excision of ischial pressure ulcer with 1° closure (decubitus sore) 100015941 Excision of ischial pressure ulcer with ostectomy and 1° closure (decubitus sore) 150015944 Excision of ischial pressure ulcer with flap closure (decubitus sore) 150015945 Excision of ischial pressure ulcer with myocutaneous flap closure (ID flap with separate code) 2000

15946Excision of ischial pressure ulcer IN PREP FOR myocutaneous flap closure (ID flap with separate code) CHANGED'99 2500

15950 Excision of trochanteric pressure ulcer with 1° closure (decubitus sore) 75015951 Excision of trochanteric pressure ulcer with ostectomy and 1° closure (decubitus sore) 100015952 Excision of trochanteric pressure ulcer with flap closure (decubitus sore) 150015953 Excision of trochanteric pressure ulcer with flap closure (decubitus sore) 1800

15956Excision of trochanteric pressure ulcer IN PREP FOR myocutaneous flap closure (ID flap with separate code) CHANGED'99 2000

15958 Excision of trochanteric pressure ulcer with ostectomy and myocutaneous flap closure (ID flap with separate code) 250015999 Excision of pressure ulcer (decubitus sore) other16010 Debridement of small burn under anesthesia16015 Debridement of large burn under anesthesia16020 Debridement of small burn no anesthesia16025 Debridement of medium burn under anesthesia16030 Debridement of large burn under anesthesia16035 Escharotomy17000 Destruction benign/premalignant by any means: first lesion17003 Destruction benign/premalignant by any means: 2 - 14 lesions17004 Destruction benign/premalignant by any means: 15 or more lesions17106 Destruction of cutaneous vascular proliferative lesions (laser...) less than 10cm²17107 Destruction of cutaneous vascular proliferative lesions (laser...) 10cm² to 50cm²17108 Destruction of cutaneous vascular proliferative lesions (laser...) greater than 50cm²17110 Destruction of warts up to 1417111 Destruction of warts 15 or more17250 Chemical cauterization of granulation tissue (Silver nitrate)17304 Mohs' chemosurgery; 1st stage up to 5 specimens17305 Mohs' chemosurgery; 2nd stage up to 5 specimens17306 Mohs' chemosurgery; 3rd stage up to 5 specimens17307 Mohs' chemosurgery; additional stages beyond 3 up to 5 specimens17310 Mohs' chemosurgery; any stage more than 5 specimens17360 Chemical exfoliation for acne17999 Tissue grafts - other (use for Platelet rich graft, plt - document need in op note)19000 Puncture aspiration of cyst of breast; first19001 Puncture aspiration of cyst of breast; each additional19020 Mastotomy with exploration or drainage of abscess, deep19030 Injection procedure for ductogram19100 Breast biopsy; Tru-cut needle (for fine needle aspiration, use 88170)19101 Biopsy of breast; incisional 50019110 Nipple exploration with or without excision of duct19112 Excision of lactiferous duct fistula19120 Excision of breast tumor; benign or malignant, ectopic, supernumery, axillary19125 Excision of breast lesion identified by wire (needle localization biopsy); single19126 Excision of breast lesion identified by wire (needle localization biopsy); each additional19140 Mastectomy for gynecomastia 200019160 Partial mastectomy19162 Partial mastectomy with axillary lymphadenectomy19180 Mastectomy, simple, complete (+/- prophylactic)19182 Mastectomy, subcutaneous (+/- prophylactic)19200 Radical mastectomy19240 Modified radical mastectomy with axillary lymphadenectomy19260 Excision of chest wall tumor including ribs19271 Excision of chest wall tumor including ribs with plastic reconstruction; without lymphadenectomy19272 Excision of chest wall tumor including ribs with plastic reconstruction; with lymphadenectomy19316 Mastopexy 250019318 Breast reduction (use -50 modifier for bilateral) 315019324 Breast augmentation mammaplasty without implant 1500Page 5

CPTList19325 Breast augmentation mammaplasty with implant 250019328 Removal of intact mammary implant 50019330 Removal of implant material (broken implant) 100019340 Immediate breast reconstruction with implant 200019342 Delayed breast reconstruction with implant 200019350 Nipple - areola reconstruction (includes flaps and FTSG) 75019355 Correction of inverted nipples 75019357 Breast reconstruction (immediate or delayed) with tissue expander (including expansion) (see 11970 for exchange) 200019361 Breast reconstruction with latissimus dorsi flap with or without implant 350019364 Breast reconstruction with free flap (NOW ALL INCLUSIVE (shaping, flap, vessels...) CHANGED'99 750019366 Breast reconstruction with other technique 500019367 Unipedical TRAM including donor closure (transverse)19368 Supercharged TRAM (transverse)19369 Bipedical TRAM (transverse)19370 Open periprosthetic capsulotomy 70019371 Periprosthetic capsulectomy 100019380 Revision of reconstructed breast 1819396 Preparation of moulage for custom implant20000 Incision of soft tissue abscess; superficial (I&D) 15020005 Incision of soft tissue abscess; deep or complicated 30020100 Exploration of penetrating neck trauma20101 Exploration of penetrating chest wound20102 Exploration of penetrating trunk wound20103 Exploration of penetrating extremity wound20200 Biopsy, muscle, superficial20205 Biopsy, muscle, deep20220 Biopsy, bone; superficial with trocar or needle (sacrum, sternum, ribs...)20225 Biopsy, bone; deep with trocar or needle (femur, humerus...)20240 Biopsy, bone; superficial excisional (sacrum, sternum, ribs...)20245 Biopsy, bone; deep excisional (femur, humerus...)20520 Removal of foreign body in muscle or tendon sheath - simple 25020525 Removal of foreign body in muscle or tendon sheath - complex 50020550 Injection of trigger points, trigger fingers, ligaments (tennis elbow), ganglion cysts, tendon sheath, steroid20600 Arthrocentesis, aspiration and/or injection small joint, bursa or ganglion cyst (eg. finger or toes), steroid 5020650 Insertion of wire or pin with application of skeletal traction, in cluding removal (separate procedure)20670 Removal pin or wire - buried but superficial 20020680 Removal pin or plate - deep (sternal wire) 55020693 Adjustment or revision of external fixation system requiring anesthesia (eg. new pins...)20694 Removal of external fixation device under anesthesia20802 Replantation of arm at the level of the humerus; complete amputation 900020804 Replantation of arm at the level of the humerus; incomplete amputation20805 Replantation of forearm at the level of the radius/ulna; complete amputation (incomplete report each repair) 900020808 Replantation of the hand at wrist; complete (if incomplete, report individual structure repair - tendon, bone...) 8000

20816 Replantation of a digit - except thumb MCP to insertion of sublimus tendon; complete (incomplete report each repair) 2800

20822Replantation of a digit - except thumb distal to insertion of sublimus tendon; complete (incomplete report each repair) 2000

20824 Replantation thumb - CMC to MCP; complete (incomplete report each repair) 350020827 Replantation thumb - distal to MCP; complete (incomplete report each repair - tendon, bone...) 350020838 Replantation foot; complete (20832-20834 have been deleted - report individual repairs instead of replant)20900 Removal of bone graft for any small area 40020902 Removal of bone graft for major or large 80020910 Removal of cartilage graft; rib (microtia reconstruction) 80020912 Removal of cartilage graft; nasal septum 50020920 Removal of fascia lata graft (TFL) with stripper (eg. for CN VII) 25020922 Removal of fascia lata graft (TFL) with incision (eg. for CN VII) 50020924 Removal of tendon graft from a distance 25020926 Removal of other tissue graft (dermal fat graft, paratenon, dermis) - (use for Platelet rich harvest - plt) 25020950 Insertion and monitoring of compartment pressures 20020955 Free bone flap; fibula (free flap) 850020956 Bone free flap; iliac crest20957 Bone free flap; metatarsal20960 Bone free flap; other - DELETED FOR 1997 - use 20962 850020962 Bone free flap; other20969 Osteocutaneous free flap; other20970 Osteocutaneous free flap; iliac crest 850020971 Osteocutaneous free flap; rib - DELETED FOR 1997 - use 20969 850020972 Osteocutaneous free flap; metatarsal 850020973 Osteocutaneous free flap; Great toe with web space 850021015 Radical resection of tumor (eg. malignant neoplasm), soft tissue of face or scalp21025 Excision/debridement of bone (eg. for osteomyelitis); mandible 1200Page 6

CPTList21026 Excision/debridement of bone (eg. for osteomyelitis); facial bones 140021029 Removal by contouring of facial bone (eg. fibrous dysplasia)21030 Excision of benign tumor of facial bone other than mandible 180021031 Excision of torus mandibularis (exostosis)21032 Excision of torus platinus of the maxilla21034 Excision of malignant tumor of facial bone other than the mandible 225021040 Excision of benign cyst or tumor of the mandible21041 Excision of benign cyst or tumor of the mandible; complex21044 Excision of malignant tumor of the mandible21045 Radical excision of tumor of the mandible21050 Condylectomy, TMJ21060 Meniscectomy, partial or complete TMJ21070 Coronoidectomy21100 Apply halo appliance for maxillofacial fixation21110 IMF for other than trauma21116 TMJ injection for arthrogram21120 Genioplasty with implant; autograft, allograft, prosthetic 150021121 Genioplasty sliding osteotomy - single piece 200021122 Genioplasty sliding osteotomy - multiple pieces for asymmetry 250021123 Genioplasty sliding osteotomy with interpositional bone graft 300021125 Augmentation of mandible body or angle with prosthesis 250021127 Augmentation of mandible with bone 350021137 Reduction of forehead; contuoring only 237021138 Reduction of forehead; contuoring and graft 307521139 Reduction of forehead; with set back 335021141 Reconstruction of the midface, LeFort I; single piece without bone (eg. for long face)21142 Reconstruction of the midface, LeFort I; two pieces without bone (eg. for long face)21143 Reconstruction of the midface, LeFort I; three or more pieces without bone (eg. for long face)21145 Reconstruction of the midface, LeFort I; single piece with bone (eg. for long face)21146 Reconstruction of the midface, LeFort I; two pieces with bone (eg. for long face)21147 Reconstruction of the midface, LeFort I; three or more pieces with bone (eg. for long face)21150 Reconstruction of the midface, LeFort II; single piece without bone (eg. anterior intrusion Treacher-Collins)21151 Reconstruction of the midface, LeFort II; above with bone graft21154 Reconstruction of the midface, LeFort III; with bone and without LeFort I21155 Reconstruction of the midface, LeFort III; with LeFort I21159 Reconstruction of the midface, LeFort III; frontalorbital advance (mono bloc) without LeFort I21160 Reconstruction of the midface, LeFort III; frontalorbital advance (mono bloc) with LeFort I21172 Fronto-orbital advancement with or without bone grafts (includes getting grafts) (for craniotomy 61556)21175 Fronto-orbital advancement (as above, but bifrontal)21179 Reconstruct entire or majority of forehead with allograft or implants21180 Reconstruct entire or majority of forehead with autograft (includes getting graft)21181 Reconstruction by contouring of benign tumor of cranial bones (eg. fibrous dysplasia) 200021182 Reconstruct cranial bone after extripation of benign tumor - <40cm² bone graft 350021183 Reconstruct cranial bone after extripation of benign tumor - 40-80cm² bone graft 400021184 Reconstruct cranial bone after extripation of benign tumor - >800cm² bone graft 450021188 Reconstruction of midface with osteotomies other than LeFort's21193 Reconstruction of mandibular rami, horizontal, vertical, "C", "L", osteotomy; without bone graft21194 Reconstruction of mandibular rami, horizontal, vertical, "C", "L", osteotomy; with bone graft (includes getting)21195 Reconstruction of mandibular rami/body sagittal split; without internal rigid fixation21196 Reconstruction of mandibular rami/body sagittal split; with internal rigid fixation21198 Mandibular osteotomies; segmental21206 Maxillary osteotomies; Wassmund or Schuchard21208 Osteoplasty, facial bones; augmentation (auto, allo, prosth) 216021209 Reduction of facial bones 350021210 Bone graft to the nose, maxilla, and/or malar bone graft (non-cleft) (includes obtaining the graft) 280021215 Bone graft to the mandible (includes obtaining the graft) 350021230 Rib cartilage graft to the nose, chin, face, ear (includes obtaining the graft) 250021235 Ear cartilage graft to nose (includes harvest) 167021240 Arthroplasty TMJ with or without autograft (includes getting graft)21242 Arthroplasty TMJ with allograft21243 Arthroplasty TMJ with prosthesis21244 Reconstruction of mandible with bone plate21245 Reconstruction of mandible with subperiosteal implant; partial21246 Reconstruction of mandible with subperiosteal implant; complete21247 Reconstruction of mandible - condyle with graft21248 Reconstruction of maxilla with endosteal implant; partial21249 Reconstruction of maxilla with endosteal implant; complete21255 Reconstruction of Zygoma with bone graft (includes getting)21256 Reconstruction of orbit with osteotomies and bone graft (eg. micro-ophthalmia)21260 Periorbital osteotomies for hypertelorism extracranial approach with bone graft21261 Periorbital osteotomies for hypertelorism extracranial and intracranial approach with bone graftPage 7

CPTList21263 Periorbital osteotomies for hypertelorism extracranial approach with bone graft with forehead advance21267 Orbital repositioning with bone graft; unilateral extracranial21268 Orbital repositioning with bone graft; unilateral extracranial and intracranial21270 Malar augmentation with prosthesis (with bone see 21210) 200021275 Secondary revision of orbitalcranialfacial reconstruction21280 Medial canthopexy (for canthoplasty see 67950)21282 Lateral canthopexy21295 Revision of masseter muscle and bone (eg. for benign masseteric hypertrophy); extraoral approach21296 Revision of masseter muscle and bone (eg. for benign masseteric hypertrophy); intraoral approach21299 Other unlisted craniofacial procedure21300 Closed treatment of skull fracture21310 Treatment of nasal fracture without manipulation 15021315 Closed treatment of nasal fracture without splint 25021320 Closed treatment of nasal fracture with splint 50021325 Open treatment of nasal fracture - uncomplicated 75021330 Open treatment of nasal fracture - complicated with internal/external fixation (ORIF nose) 150021335 Open treatment of nasal fracture - above with septum 250021336 Open treatment of nasal septal fracture with or without stabilzation21337 Closed treatment of nasal septal fracture with or without stabilzation 25021338 Open treatment of nasoethmoidal (NOE) fracture without external fixation 200021339 Open treatment of nasoethmoidal (NOE) fracture with external fixation 250021340 Percutaneous treatment of NOE including canthal ligament repair and/or nasolacrimal apparatus 300021343 Open treatment of depressed frontal sinus fracture 200021344 Open treatment of depressed frontal sinus fracture - complex (posterior wall, comminuted, mult. approach)21345 Closed treatment of LeFort II (nasomaxillary fracture) with IMF 200021346 Open treatment (ORIF) of LeFort II (nasomaxillary fracture) with IMF and wire or plates 250021347 Open treatment of LeFort II (ORIF) (nasomaxillary fracture) with IMF and wire or plates from multiple approaches 300021348 Open treatment of LeFort II (ORIF) (nasomaxillary fracture) with bone graft21355 Percutaneous treatment of Zygomatic arch with manipulation 100021356 Open treatment of Zygomatic arch (eg Gilles approach)21360 Open treatment of Zygomatic arch or tripod (ZMC complex) 180021365 Open treatment (ORIF) of Zygomatic arch or tripod (ZMC complex) - complex 2500

21366 Open treatment (ORIF) of Zygomatic arch or tripod (ZMC complex) - complex with bone graft (includes getting bone)21385 Open treatment of orbital blowout fracture (floor) transantral approach21386 Open treatment of orbital blowout fracture (floor) periorbital approach 250021387 Open treatment of orbital blowout fracture (floor) combined approach 250021390 Open treatment of orbital blowout fracture (floor) periorbital approach with alloplastic implant 250021395 Open treatment of orbital blowout fracture (floor) periorbital approach with bone graft 350021400 Closed treatment of orbital fracture (non-blowout) - no manipulation 20021401 Closed treatment of orbital fracture (non-blowout) - with manipulation 100021406 Open treatment of orbital fracture (non-blowout) 200021407 Closed treatment of orbital fracture (non-blowout) with implant 250021408 Closed treatment of orbital fracture (non-blowout) with bone graft21421 Closed treatment of maxillary fracture - LeFort I with IMF alone 180021422 Open treatment of maxillary fracture - LeFort I 250021423 Open treatment of maxillary fracture - LeFort I - complex with multiple approaches21431 Closed treatment of Craniofacial dissocation fracture (LeFort III) with IMF alone 250021432 Open treatment of Craniofacial dissocation fracture (LeFort III) with IMF or plates (ORIF) 250021433 Open treatment of Craniofacial dissocation fracture (LeFort III) with IMF or plates (ORIF) and multiple approaches 300021435 Open treatment of Craniofacial dissocation fracture (LeFort III) - above with external fixation as well 400021436 Open treatment of Craniofacial dissocation fracture (LeFort III) with IMF or plates (ORIF) with bone graft21440 Closed treatment of mandibular or maxillary alveolar ridge fracture 180021445 Open treatment of mandibular or maxillary alveolar ridge fracture 220021450 Closed treatment of mandibular fracture without manipulation21451 Closed treatment of mandibular fracture with manipulation21452 Closed treatment of mandibular fracture with manipulation with external fixation21453 Closed treatment of mandibular fracture with manipulation with IMF21454 Open treatment of mandibular fracture with manipulation with external fixation21461 Open treatment of mandibular fracture with manipulation without IMF21462 Open treatment of mandibular fracture with manipulation with IMF21465 Open treatment of mandibular condyle fracture21470 Open treatment of mandibular condyle fracture - complex ORIF...21480 Closed treatment of TMJ dislocation21485 Closed treatment of TMJ dislocation - complicated requiring IMF...21490 Open treatment of TMJ dislocation21493 Closed treatment of Hyoid fracture21494 Closed treatment of Hyoid fracture - with manipulation21495 Open treatment of Hyoid fracture21497 IMF for condition other than fracture21499 Unlisted musculoskeletal procedure of the head - otherPage 8

CPTList21600 Rib resection, partial21620 Sternal debridement - partial (eg for osteomyelitis or dehisence)21627 Sternal debridement (eg for osteomyelitis or dehisence)21630 Radical sternectomy (eg for osteomyelitis or dehisence)21632 Radical sternectomy with lymphadenectomy21700 Division of scalenus anticus; without resection of cervical rib21705 Division of scalenus anticus; with resection of cervical rib21720 Division of sternocleidomastoid for torticollis without cast application21725 Division of sternocleidomastoid for torticollis with cast application21740 Reconstruction of pectus excavatum or carinatum21750 Closure of sternotomy separation with or without debradement22100 Debridement of vertebral spinous process, single vertebral segment; cervical (osteomyelitis)22101 Debridement of vertebral spinous process, single vertebral segment; thoracic (osteomyelitis)22102 Debridement of vertebral spinous process, single vertebral segment; lumbar (osteomyelitis)23180 Debridement of clavicle for osteomyelitis23182 Debridement of scapula for osteomyelitis23184 Debridement of humerus, proximal for osteomyelitis24134 Debridement of humerus, shaft or distal for osteomyelitis24136 Debridement of radial head or neck for osteomyelitis24138 Debridement of olecranon for osteomyelitis24341 Repair of tendon/muscle of the arm or elbow24342 Repair or reinsertion of biceps or triceps tendon24350 Lateral or medial fasciotomy of elbow (tennis elbow) 1024351 Lateral or medial fasciotomy of elbow (tennis elbow) plus detachment of ext origin 1124352 Lateral or medial fasciotomy of elbow (tennis elbow) plus resection of annular ligment 1324354 Lateral or medial fasciotomy of elbow (tennis elbow) plus stripping 1324356 Lateral or medial fasciotomy of elbow (tennis elbow) plus partial ostectomy (epicondylectomy) 1524495 Decompression fasciotomy, forearm, with brachial arter exploration24665 Open treatment radial head or neck fracture24666 Above with implant24670 Closed treatment of ulnar fracture proximal without manipulation24675 Closed treatment of ulnar fracture proximal with manipulation24685 Open treatment of ulnar fracture proximal with or without ex fix25000 Tendon sheath incision, at radial styloid (deQuervain's disease, tendonitis, FCR) 75025020 Decompression fasciotomy, forearm and/or wrist; flexor or extensor compartment 75025023 Decompression fasciotomy, forearm and/or wrist; above with muscle debridement 85025028 Incision and drainage I&D forearm and/or wrist deep hematoma or abscess 50025031 Incision and drainage I&D forearm and/or wrist deep infected bursa 25025035 Incision and drainage I&D forearm and/or wrist of bone; osteomyelitis 70025040 Exploration of radiocarpal joint (arthrotomy) with removal of foreign body 75025065 Superficial biopsy of forearm soft tissue 17525066 Deep biopsy of forearm soft tissue 40025075 Subcutaneous excision of forearm/wrist tumor 40025076 Deep excision of forearm/wrist tumor 70025077 Radical excision of forearm/wrist tumor 160025085 Capsulotomy of wrist for contracture 75025100 Biopsy of wrist joint 70025101 Exploration of wrist joint (arthrotomy) with removal of foreign body 80025105 Exploration of wrist joint (arthrotomy) for synovectomy 110025107 Exploration of wrist joint (arthrotomy) for TFCC repair (triangular) 95025110 Excision of lesion of tendon sheath, forearm and/or wrist 50025111 Excision of ganglion; wrist 60025112 Excision of recurrent ganglion wrist 80025115 Radical synovectomy of wrist flexors 140025116 Radical synovectomy of wrist extensors 140025118 Synovectomy of extensor tendon sheath, wrist, single compartment 140025119 Synovectomy of extensor tendon sheath, wrist, single compartment with excision distal ulna 140025120 Removal bone cyst (excision or curettage) of distal radius or ulna 110025125 Removal bone cyst (excision or curettage) of distal radius or ulna with AUTOGRAFT reconstruction 140025126 Removal bone cyst (excision or curettage) of distal radius or ulna with ALLOGRAFT reconstruction 140025130 Removal bone tumor (excision or curettage) carpal bones 70025135 Removal bone tumor (excision or curettage) carpal bones with AUTOGRAFT reconstruction 100025136 Removal bone tumor (excision or curettage) carpal bones with ALLOGRAFT reconstruction 85025145 Sequestrectomy forearm or wrist (eg. for osteomyelitis) 160025150 Partial excision of ulnal for osteomyelitis 90025151 Partial excision of radius for osteomyelitis 100025170 Radical resection for cancer or tumor of radius or ulna 200025210 Carpectomy (one bone) (eg. for osteomyelitis) 100025215 Proximal row carpectomy 140025230 Radial styloidectomy 75025240 Partial resection of distal ulna (Darrach) arthroplasty (for implant 25442; for getting fascia 20920, 20922) 750Page 9

CPTList25246 Injection for arthrogram25248 Exploration with removal of deep forearm/wrist foreign body25250 Removal of wrist prosthesis25251 Removal of wrist prosthesis; complicated25260 Repair flexor tendon at wrist/forearm 1° 100025263 Repair flexor tendon at wrist/forearm 2° 100025265 Repair flexor tendon at wrist/forearm 2° with graft 140025270 Repair extensor tendon at wrist/forearm 1° 70025272 Repair extensor tendon at wrist/forearm 2° 75025274 Repair extensor tendon at wrist/forearm 2° with graft 110025280 Shorten or lengthen forearm/wrist flexor/extensor tendon; each tendon 100025290 Tenotomy forearm/wrist flexor/extensor tendon; each tendon 60025295 Tenolysis forearm/wrist flexor/extensor tendon; each tendon25300 Tenodesis flexors at wrist 130025301 Tenodesis extensors at wrist 120025310 Tendon transfer at wrist no graft (flexor or extensor) 135025312 Tendon transfer at wrist with graft (flexor or extensor) 165025315 Flexor tendon slide at origin for cerebral palsy or Volkmann's contracture (forearm/wrist)25316 Flexor tendon slide at origin for cerebral palsy or Volkmann's contracture (forearm/wrist) with tendon transfer25320 Repair or revise wrist including synovectomy/capsulodesis, ligament repair, tendon interpo... (capsulorrhaphy) 200025332 Arthroplasty of wrist with/without interposition, with/without int./ext. fixation 195025335 Centralization of wrist on ulna (eg. radial club hand)25337 Secondary reconstruction of distal ulna/DRUJ by soft tissue stabilization (code harvest separately)25350 Osteotomy, radius; distal third25355 Osteotomy, radius; middle or proximal third25360 Osteotomy, ulna25365 Osteotomy; radius and ulna25370 Multiple osteotomies; radius OR ulna25390 Osteoplasty; radius or ulna; shortening25391 Osteoplasty; radius or ulna; lengthening with autograft25392 Osteoplasty; radius AND ulna; shortening25393 Osteoplasty; radius AND ulna; lengthening with autograft25400 Repair of nonunion or malunion of the radius OR ulna without graft (eg. compression)25405 Repair of nonunion or malunion of the radius OR ulna with bone graft (includes harvest)25415 Repair of nonunion or malunion of the radius AND ulna without graft (eg. compression)25420 Repair of nonunion or malunion of the radius AND ulna with bone graft (includes harvest)25425 Repair of defect with autograft radius OR ulna (includes harvest)25426 Repair of defect with autograft radius AND ulna (includes harvest)25440 Repair of nonunion of the scaphoid with or without radial styloidectomy (includes harvest and fixation)25441 Arthroplasty with prosthetic replacement; distal radius25442 Arthroplasty with prosthetic replacement; distal ulna25443 Arthroplasty with prosthetic replacement; scaphoid25444 Arthroplasty with prosthetic replacement; lunate25445 Arthroplasty with prosthetic replacement; trapezium25446 Total wrist arthroplasty25447 Interposition arthroplasty, IP, MCP, or CMC25449 Revision of arthroplasty, including removal of implant, wrist joint25450 Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna25455 Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna25490 Prophylactic treatment (nailing, pinning plating or wiring with/without MMA; radius25491 Prophylactic treatment (nailing, pinning plating or wiring with/without MMA; ulna25492 Prophylactic treatment (nailing, pinning plating or wiring with/without MMA; radius AND ulna25500 Closed treatment of radial shaft fracture without manipulation25505 Closed treatment of radial shaft fracture with manipulation25515 Open treatment of radial shaft fracture with/without inter/ext fixation25520 Closed treatment of radial shaft fracture sislocation of distal radio-ulnar joint (Galeazzi fx/dislocation)25525 Open treatment of Galeazzi fracture25526 Open treatment of Galeazzi fracture with treatment of TFCC25530 Closed treatment of ulnar shaft fracture without manipulation25535 Closed treatment of ulnar shaft fracture with manipulation25545 Open treatment of ulnar shaft fracture with/without int/ext fixation25560 Closed treatment of radial/ulnar shaft fracture without manipulation25565 Closed treatment of radial/ulnar shaft fracture with manipulation25574 Open treatment of radial and ulnar shaft fracture with/without int/ext fixation on radius OR ulna25575 Open treatment of radial and ulnar shaft fracture with/without int/ext fixation on radius AND ulna25600 Closed treatment of a distal radius and/or ulnar fracture without manipulation25605 Closed treatment of a distal radius and/or ulnar fracture with manipulation (closed reduction)25611 Percutaneous pinning of a distal radius and/or ulnar fracture25620 Open treatment of distal radius and/or ulnar fracture with or without internal or external fixation25622 Closed treatment of a scaphoid fracture without manipulation25624 Closed treatment of a scaphoid fracture with manipulationPage 10

CPTList25628 Open reduction with or without internal or external fixation of a scaphoid fracture25630 Closed treatment of a carpal bone fracture except the scaphoid without manipulation25635 Closed treatment of a carpal bone fracture except the scaphoid with manipulation25645 Open reduction with or without internal or external fixation of a carpal bone fracture except the scaphoid fracture25650 Closed treatment of ulnar styloid fracture25660 Closed treatment of radiocarpal or intercarpal dislocation, one or more bones, with manipulation25670 Open treatment of radiocarpal or intercarpal dislocation , one or more bones25675 Open treatment of distal radioulnar dislocation with manipulation25680 Close treatment of trans-scaphoperilunar dislocation, with manipulation25685 Open treatment of trans-scaphoperilunar dislocation25690 Closed treatment of lunate dislocation with manipulation25695 Open treatment of lunate dislocation25735 Multiple osteotomies; radius AND ulna25800 Arthrodesis of wrist radio/ulnocarpal without bone graft25805 Arthrodesis of wrist radio/ulnocarpal with sliding graft25810 Arthrodesis of wrist radio/ulnocarpal with bone graft25820 Arthrodesis intercarpal without bone graft25825 Arthrodesis intercarpal with bone graft (includes getting the bone)25830 Distal radioulnar joint arthrodesis and segmental resection of ulna (Sauve-Kapandji) +/- bone25900 Amputation of radius and ulna with 1° closure25905 Amputation of radius and ulna - guillotine left open25907 Amputation of radius and ulna with 2° closure25909 Amputation of radius and ulna - re-amputation25915 Krukenberg procedure25920 Disarticulation through the wrist (amputation at the wrist)25922 Disarticulation through the wrist (amputation at the wrist) with secondary closure25924 Disarticulation through the wrist (amputation at the wrist) reamputation after above25927 Transmetacarpal amputation of the hand25929 Transmetacarpal amputation of the hand with secondary clousre25931 Transmetacarpal amputation of the hand with reamputation25999 Other unlisted surgery of the forearm or wrist26010 Drainage of finger abscess: simple 7526011 Drainage of finger abscess: complex (felon) 10026020 Drainage of tendon sheath abscess one digit or palm (suppurative flexor tenosynovitis) 70026025 Drainage of palmar bursa; single, ulnar or radial 75026030 Drainage of palmar bursa; multipleor complicated 125026034 Incision and deep drainage including bone of hand or finger 80026035 Decompression of the hand/fingers after injection injury 200026037 Decompressive fasciotomy of the hand 120026040 Dupuytrens contracture closed (fasciotomy) 40026045 Dupuytrens contracture open, partial (fasciotomy) 70026055 Relaese of trigger finger 50026060 Tenotomy, percutaneous single, each digit 35026070 Arthotomy for removal of foreign body or infection (explore CMC joint) 70026075 Arthotomy for removal of foreign body or infection (explore MCP joint) 70026080 Arthotomy for removal of foreign body or infection (explore IP joint) 60026100 Synovial biopsy of CMC joint 70026105 Synovial biopsy of MCP joint 70026110 Synovial biopsy of IP joint 60026115 Excision of tumor or vascular malformation; subcutaneous; hand or finger 40026116 Excision of tumor or vascular malformation; deep; hand or finger 75026117 Radical resection of soft tissue tumor of the hand or fingers 150026121 Fasciectomy, palm only; with/without Z-plasty or skin grafts (includes harvest) (Dupuytren's Contracture) 225026123 Fasciectomy, palm and single digit (Dupuytren's Contracture) (includes harvest of skin) 200026125 Fasciectomy, palm and each additional digit (Dupuytren's Contracture) (includes harvest of skin) 75026130 CMC synovectomy 100026135 MCP synovectomy 90026140 IP synovectomy 90026145 Tendon sheath synovectomy (tenosynovectomy) radical flexor, palm or finger; each digit 125026160 Excision of lesion of tendon sheath or capsule (eg. cyst, mucous cyst, or ganglion; hand or finger 50026170 Excision of flexor tendon in the palm, each 60026180 Excision of flexor tendon in the finger, each 70026185 Sesamoidectomy thumb/finger26200 Excision or curetteage of bone cyst or benign tumor of the metacarpal 800

26205 Excision or curetteage of bone cyst or benign tumor of the metacarpal with autograft replacement (includes harvest) 100026210 Excision or curetteage of bone cyst or benign tumor of the finger 75026215 Excision or curetteage of bone cyst or benign tumor of the finger with autograft replacement (includes harvest) 90026230 Partial excision of metacarpal (eg. for osteomyelitis) 75026235 Partial excision of proximal or middle phalanx bone (eg. for osteomyelitis) 70026236 Partial excision of distal phalanx bone (eg. for osteomyelitis) 700Page 11

CPTList26250 Radical resection of metacarpal tumor 140026255 Radical resection of metacarpal tumor - autograft reconstruction 180026260 Radical resection of proximal or middle phalanx tumor 150026261 Radical resection of proximal or middle tumor - autograft reconstruction 175026262 Radical resection of distal phalanx tumor 140026320 Removal implant from hand or finger 40026350 Flexor tendon repair NOT in Zone 2; primary 90026352 Flexor tendon repair NOT in Zone 2; secondary with graft (includes harvest) 110026356 Flexor tendon repair IN Zone 2 (No man's land); primary 120026357 Flexor tendon repair IN Zone 2 (No man's land); secondary 130026358 Flexor tendon repair IN Zone 2 (No man's land); secondary with graft (includes harvest) 140026370 Profundus tendon repair with intact sublimus; primary 100026372 Profundus tendon repair with intact sublimus; secondary with graft 130026373 Profundus tendon repair with intact sublimus; secondary without graft 110026390 Flexor tendon excision with Hunter rod placement 110026392 Removal of rod and grafting (includes harvest) 150026410 Repair of extensor tendon primary or secondary without graft (dorsum of hand) 60026412 Repair of extensor tendon primary or secondary with graft (dorsum of hand) 90026415 Excision of extensor tendon with Hunter rod insertion 110026416 Extensor tendon Hunter rod removal and graft insertion (includes harvest) 150026418 Repair of extensor tendon primary or secondary without graft (finger) 70026420 Repair of extensor tendon primary or secondary with graft (finger) 90026426 Repair of central slip for Boutonniere deformity with local tissue 100026428 Repair of central slip for Boutonniere deformity with graft (includes harvest) 120026432 Mallet finger with or without pin closed 50026433 Mallet finger open repair 75026434 Mallet finger with graft 100026437 Extensor tendon realignment, hand 80026440 Tenolysis flexor tendon in hand OR fingers 70026442 Tenolysis flexor tendon in hand AND fingers 80026445 Tenolysis extensor tendon hand or finger - simple 70026449 Tenolysis extensor tendon hand or finger including dorsum of arm - complex 110026450 Tenotomy flexor palm each 50026455 Tenotomy flexor finger each 70026460 Tenotomy extensor hand or finger each 50026471 Tenodesis for PIP joint stabilization 90026474 Tenodesis for DIP joint stabilization 70026476 Extensor tendon lenghtening; hand or finger single 70026477 Extensor tendon shortening; hand or finger single 80026478 Flexor tendon lenghtening; hand or finger single 70026479 Flexor tendon shortening; hand or finger single 80026480 Tendon transfer dorsum of hand; CMC area without graft 125026483 Tendon transfer dorsum of hand; CMC area with graft 160026485 Tendon transfer palm 140026489 Tendon transfer palm with graft 170026490 Opponensplasty; sublimus tendon transfer type 140026492 Opponensplasty; sublimus tendon transfer type with graft 170026494 Opponensplasty; hypothenar muscle transfer 160026496 Opponensplasty other method 140026497 Tendon transfer to restore intrinsic function ring and little (Zancolli...)26498 Tendon transfer to restore intrinsic function to all fingers26499 Correction of claw finger other than tendon transfer26500 Tendon pulley reconstruction with local tissues 80026502 Tendon pulley reconstruction with graft (includes harvest) 110026504 Tendon pulley reconstruction with tendon prosthesis 110026508 Thenar muscle release for contracture 110026510 Cross intrinsic transfer 110026516 Capsulodesis for MP stabilization; single 100026517 Capsulodesis for MP stabilization; two 120026518 Capsulodesis for MP stabilization; 3 - 4 150026520 MCP capsulotomy or capsulectomy for joint contracture 100026525 IP capsulotomy or capsulectomy for joint contracture 90026530 MCP arthroplasty no implant; each 110026531 MCP arthroplasty with implant; each 140026535 IP arthroplasty no implant 110026536 IP arthroplasty with implant 140026540 Primary repair MCP or IP collateral ligament 100026541 Primary repair MCP or IP collateral ligament with tendon or fascial graft 120026542 Primary repair MCP collateral ligament with local tissue 100026545 Repair IP joint collateral ligament 80026546 Repair of nonunion of the metacarpal or phalanx, including bone graftPage 12

CPTList26548 Reconstruct volar plate of IP joint 100026550 Pollicization 225026551 Toe-To-Hand transfer; great toe "wrap-around" with bone graft 280026553 Toe-To-Hand transfer; other than great toe; single26554 Toe-To-Hand transfer; other than great toe; double26555 Positional change of finger other than the thumb (ray transfer) 150026556 Free toe joint transfer26560 Syndactyly repair with flaps 140026561 Syndactyly repair with flaps and grafts 160026562 Syndactyly repair complex (bone, nail...) 210026565 Osteotomy for correction of deformity; metacarpal 110026567 Osteotomy for correction of deformity; phalanx 100026568 Osteoplasty for lenghtening of metacarpal or phalanx 120026580 Repair of cleft hand 280026585 Repair of bifid digit 120026587 Reconstruction of supernumerary digit - soft tissue and bone (soft tissue only - 11200) 90026590 Repair macrodactylia 110026591 Repair of intrinsic muscles of the hand 90026593 Release of intrinsic muscles of the hand 80026596 Reconstruction of constriction band (ring) syndrome of finger with multiple Z-plasties26597 Release of scar contracture with skin grafts or flaps in the finger or hand26600 Closed treatment of metacarpal fracture without manipulation26605 Closed treatment of metacarpal fracture with manipulation 35026607 Closed treatment of metacarpal fracture with manipulation and internal or external fixation 75026608 Percutaneous fixation of metacarpal fracture (K-wire) 100026615 Open treatment of metacarpal fracture with or without internal or external fixation 100026641 Closed treatment of CMC dislocation of the thumb 25026645 Closed treatment of a Bennett fracture of the thumb 50026650 Percutaneous fixation of a Bennett fracture with or without external fixation (K-wire) 80026665 Open treatment of a Bennett fracture with or without internal or external fixation 150026670 Closed treatment of CMC dislocation other than the thumb- no anesthesia 25026675 Closed treatment of CMC dislocation other than the thumb- with anesthesia 35026676 Percutaneous pin fixation of other than thumb CMC dislocation 50026685 Open treatment of other than thumb CMC dislocation - without internal or external fixation 85026686 Open treatment of other than thumb CMC dislocation; complex, multiple or delayed reduction 110026700 Closed treatment of MCP dislocation; no anesthesia 25026705 Closed treatment of MCP dislocation; with anesthesia 30026706 Closed treatment of MCP dislocation; with percutaneous pin fixation 50026715 Open treatment of MCP dislocation 95026720 Closed treatment of phalangeal shaft fracture (proximal or middle) no manipulation 20026725 Closed treatment of phalangeal shaft fracture (proximal or middle) with manipulation 30026727 Closed treatment of phalangeal shaft fracture (proximal or middle) with manipulation and percutaneous pin 40026735 Open treatment of phalangeal shaft fracture with or without internal or external fixation 80026740 Closed treatment of joint articular fracture; closed - no manipulation (including DIP) 35026742 Closed treatment of joint articular fracture; closed - with manipulation (including DIP) 50026746 Open treatment of joint articular fracture with or without int. ext. fixation (including DIP) 80026750 Closed treatment of distal phalynx fracture 10026755 Closed treatment of distal phalynx fracture with manipulation 15026756 Closed treatment of distal phalynx fracture with percutaneous pin fixation 22526765 Open treatment of distal phalynx fracture 50026770 Closed treatment of IP dislocation without anesthesia 12526775 Closed treatment of IP dislocation with anesthesia 20026776 Closed treatment of IP dislocation with K-wire percutaneous pin fixation 22526785 Open treatment of IP dislocation 40026820 Fusion of thumb in opposition with graft (includes harvest) 160026841 CMC arthrodesis of the thumb with/without int/ext fixation 110026842 CMC arthrodesis of the thumb with/without int/ext fixation; with bone graft 140026843 CMC arthrodesis of other than thumb with/without int/ext fixation 110026844 CMC arthrodesis of other than thumb with/without int/ext fixation; with bone graft 140026850 MCP arthrodesis with/without internal or external fixation 100026852 MCP arthrodesis with/without internal or external fixation; with bone graft (includes harvest) 125026860 IP arthrodesis with/without internal or external fixation; first 80026861 IP arthrodesis with/without internal or external fixation; each additional 25026862 IP arthrodesis with/without internal or external fixation; with bone graft (includes harvest); first 90026863 IP arthrodesis with/without internal or external fixation; with bone graft (includes harvest); each additional 40026910 Ray amputation with or without bone transfer (for repositioning see 26550 or 26555) 110026951 Amputation of any finger (1° or 2°) with direct closure (includes neurectomies) 75026952 Amputation of any finger (1° or 2°) with local advancement flap (V-Y, hood) 95026989 Other, unlisted procedure of the hand27070 Debridement of pelvis or hip; superficial (wind of ilium, symphysis pubis, treter trochanter of femur) for osteomyelitis27071 Debridement of pelvis or hip; deep (subfascial or intramuscular) for osteomyelitisPage 13

CPTList27122 Reconstruction of acetabulum with femoral head resection (Girdlestone procedure)27301 Incision and drainage of deep abscess or hematoma (superficial see 10040-10160)27303 Incision, deep with opening of bone cortex; femur or knee (eg. osteomyelitis)27360 Debridement of femur, proximal tibia or proximal fibula for osteomyelitis27590 Amputation thigh; any level (primary AKA)27591 Amputation thigh; any level; with I-POP, immediate cast27592 Amputation thigh; any level; open (guillotine)27594 Amputation thigh; any level; secondary closure27596 Amputation thigh; any level; re-amputation27598 Disarticulation at knee (amputation) primary BKA27600 Decompression fasciotomy, leg; anterior and or lateral compartments only27601 Decompression fasciotomy, leg; posterior compartment(s) only27602 Decompression fasciotomy, leg; posterior AND anterior compartments27603 Incision and drainage, leg or ankle; deep abscess or hematoma27604 Incision and drainage, leg or ankle; infected bursa27607 Incision and drainage, leg or ankle; opening bony cortex (eg. osteomyelitis)27640 Partial excision tibia (craterization, saucerization, or diaphysectomy)of bone (eg. osteomyelitis)27641 Partial excision fibula (craterization, saucerization, or diaphysectomy)of bone (eg. osteomyelitis)27880 Amputation leg tibia fibula (primary BKA)27881 Amputation leg tibia fibula (primary BKA) with I-POP (immediate cast)27882 Amputation leg tibia fibula (primary BKA) open27884 Amputation leg tibia fibula secondary closure BKA27886 Amputation leg tibia fibula re-amputation BKA27888 Amputation at ankle (Syme)27889 Ankle disarticulation27892 Decompression fasciotomy of lower leg anteriolateral compartment with muscle debridement (without see 27600)27893 Decompression fasciotomy of lower leg posterior compartment with muscle debridement (without see 27601)27894 Decompression fasciotomy of lower leg post. AND ant. compartment with muscle debridement (without see 27602)27899 Unlisted procedure of the leg or ankle28001 Incision and drainage, infected bursa, foot (superficial see 10040-10160)28002 Deep dissection below fascia for deep infection foot single space28003 Deep dissection below fascia for deep infection foot multiple spaces28005 Deep dissection below fascia for deep infection foot with bone cortex28008 Fasciotomy, foot and or toe28060 Fasciectomy plantal fascia; partial28062 Fasciectomy plantal fascia; complete or radical28120 Debridement of talus or calcaneus for osteomyelitis28122 Debridement of tarsal or metatarsal for osteomyelitis28124 Debridement of phananx of toe for osteomyelitis28340 Reconstruction, toe, macrodactyly; soft tissue resection28341 Reconstruction, toe, macrodactyly; bony resection28344 Reconstruction of toes; polydactyly28345 Reconstruction of toes; syndactyly with skin grafts eack toe28805 Transmetatarsal (TMA) amputation of the foot28810 Metatarsal ray amputation, single28820 Amputation of toe at the MTJ28825 Amputation of toe at the IP joints (for distal tuft use 11752)28899 Other unlisted procedure on the foot or toes29065 Long arm cast29075 Short arm cast29085 Hand or wrist cast29105 Long arm splint29125 Short arm splint - static29126 Short arm splint - dynamic29130 Finger splint - static29131 Finger splint - dynamic29280 Straping of hand or finger (Buddy tape...)29345 Long leg cast29355 Walking long leg cast29358 Long leg cast/brace29365 Long leg cylinder cast29405 Short leg cast29425 Walking short leg cast29435 Patellar tendon baring cast29440 Adding a walker to a previously applied cast29450 Rigid total contact leg cast29505 Long leg splint29515 Short leg splint29580 Unna boot29590 Foot strapping - Denis-Browne29700 Removal of body cast (code only if applied by another service)Page 14

CPTList29705 Removal of long leg or arm cast (code only if applied by another service)29710 Removal of shoulder or hip spica (code only if applied by another service)29715 Removal of turnbuckle jacket (code only if applied by another service)29720 Repair of cast done by another doctor29730 Windowing of cast done by another doctor29740 Wedging of cast29750 Wedging of cast for clubfoot29840 Wrist arthroscopy29848 Endoscopy, wrist, surgical, with release of transverse carpal ligament30000 Drainage of abscess or hematoma, nasal, internal approach (external see 10060, 10140) 17530020 Drainage of abscess or hematoma, nasal septum 20030100 Biopsy, intranasal30110 Removal of nasal polyps; simple30115 Removal of nasal polyps; extensive30117 Excision or destruction of intranasal lesion; internal approach30118 Excision or destruction of intranasal lesion; external approach (lateral rhinotomy)30120 Excision or surgical planing of skin of nose for rhinophyma 160030124 Excision of dermoid cyst, nose; simple, skin, subcutaneous tissue 25030125 Excision of dermoid cyst, nose; complex under bone or cartilage 120030130 Excision of turbinate; partial or complete 85030140 Excision of turbinate; submucosal 79830150 Partial rhinectomy; partial (for reconstruction see 13150-2, 14060-300, 15120-1, 15260-1, 15760, 20900-12) 85030160 Partial rhinectomy; complete (for reconstruction see 13150-2, 14060-300, 15120-1, 15260-1, 15760, 20900-12) 195030400 Closed primary rhinoplasty, lateral and alar cart. and/or elevation of nasal tip 200030410 Open rhinoplasty 250030420 Open rhinoplasty including septoplasty 350030430 Secondary rhinoplasty; minor revision 150030435 Secondary rhinoplasty; intermediate with bony work, osteotomies 250030450 Secondary rhinoplasty; with bony & tip work 350030460 Secondary repair (rhinoplasty) for cleft lip nose - collumella lengthening; tip only30462 Secondary repair (rhinoplasty) for cleft lip nose - collumella lengthening; tip, osteotomies and septum30520 Submucosal resection (SMR) with or without replacement... 80030560 Lysis of intranasal synechia 12530580 Repair of oromaxillary (combine with 31030 if antrotomy in included) 140030600 Repair of oronasal fistula (combine with 31030 if antrotomy in included) 140030620 Septal or other intranasal dermatoplasty (does not include obtaining graft)30630 Repair of nasal septal perforations 140030801 Cauterization and/or ablation, mucosa of turginates, unilateral or bilateral any method; superficial30802 Cauterization and/or ablation, mucosa of turginates, unilateral or bilateral any method; intramural30901 Control nasal hemorrahage, anterior packing or cautery; simple30903 Control of nasal hemorrhage, anterior; complex30905 Control of nasal hemorrhage, posterior; initial30906 Control of nasal hemorrhage, posterior; subsequent30915 Ligation of arteries; ethmoidal30920 Ligation of arteries; internal maxillary, transantral30930 Fracture nasal trubinates (therapeutic)30999 Unlisted procedure, nose31070 Sinusotomy frontal; external simple (trephine operation)31075 Sinusotomy frontal; transorbital unilateral for mucocele or osteoma31080 Obliterate frontal sinus without bony flap brow incision31081 Obliterate frontal sinus without bony flap coronal incision31084 Obliterate frontal sinus with bony flap brow incision31085 Obliterate frontal sinus with bony flap coronal incision31086 Sinusotomy nonobliterate frontal with osteoplastic flap, brow incision31087 Sinusotomy nonobliterate frontal with osteoplastic flap, coronal incision31090 Sinusotomy combined 3 or more sinuses31200 Ethmoidectomy; intranasal anterior31201 Ethmoidectomy; intranasal total31205 Ethmoidectomy; extranasal total31225 Maxillectomy without orbital exoneration 300031230 Maxillectomy with orbital exoneration (for orbital exenteration only see 65110) 400031234 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy, or debridement (separate procedure)31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior)31255 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total31256 Nasal/sinus endoscopy, surgical; with maxillary antrostomy31267 Nasal/sinus endoscopy, surgical; with maxillary antrostomy and removal of tissue31276 Nasal/sinus endoscopy, surgical; with frontal sinus exploration; with or without tissue removal31299 Unlisted procedure of accessory sinuses31300 Laryngotomy (thyrotomy, laryngofissure; with removal of tumor or laryngocele, cordectomy31320 Laryngotomy - diagnostic31360 Laryngectomy; total, without radical neck dissection Page 15

CPTList31367 Laryngectomy; subtotal supraglottic, without radical neck dissection31368 Laryngectomy; subtotal supraglottic, with radical neck dissection (for partial; refer to CPT book)31500 Endotracheal intubation; emergency procedure31502 Tracheotomy tue change prior to extablishment of fistula tract31505 Laryngoscopy, indirect (separate procedure) diagnostic31510 Laryngoscopy, indirect; with biopsy31511 Laryngoscopy, indirect; with removal of foreign body31512 Laryngoscopy, indirect; with removal of lesion31513 Laryngoscopy, indirect; with vocal cord injection31515 LARYNGOSCOPY FOR ASPIRATION31520 Laryngoscopy, direct newborn31525 Laryngoscopy, direct except newborn31526 Laryngoscopy, direct microscope31527 Laryngoscopy, direct insertion obterator31528 Laryngoscopy, direct first dilatiaion31529 Laryngoscopy, direct subsequent dilatiaion31530 Laryngoscopy, direct with foreign body removal31531 Laryngoscopy, direct with with microscope31535 Laryngoscopy, direct with biopsy31536 Laryngoscopy, direct with with scope31540 Laryngoscopy, direct with tumor - vocal cords31541 Laryngoscopy, direct with tumor - scope31560 Laryngoscopy, direct with arytenoidectomy31561 Laryngoscopy, direct with arytenoidectomy with scope31570 Laryngoscopy, direct with vocal cords31571 Laryngoscopy, direct with vocal cords with scope31575 Laryngoscopy, flexible31576 Laryngoscopy, flexible with biopsy31577 Laryngoscopy, flexible with foreign body removal31578 Laryngoscopy, flexible with lesion removal31595 Division of recurrent laryngeal nerve, therapeutic; unilateral31599 Unlistied laryngeal surgery31600 Tracheostomy; planned31601 Tracheostomy under 2 years31603 Tracheostomy emergency31605 Cricothyroidotomy31610 Tracheostomy; fenestration with flaps34501 Valvuloplasty of femoral vein34510 Venous valve transposition of any vein donor34520 Cross over vein graft to venous system34530 Saphenopopliteal vein anastomosos35011 Direct repair of aneurysm (false or true); brachial35045 Direct repair of aneurysm (false or true); radial or ulnar artery35184 Repair of congenital arterior venous fistula; extremities35190 Repair of traumatic/aquired arterior venous fistula; extremities 300035206 Repair of blood vessel; direct upper extremity 120035207 Repair of blood vessel; direct finger 100035226 Repair of blood vessel; direct leg 200035236 Repair of blood vessel; arm with vein graft35256 Repair of blood vessel; leg with vein graft35266 Repair of blood vessel; arm with gortex35286 Repair of blood vessel; leg with gortex35556 Arterial bypass graft; femoral to popliteal35566 Arterial bypass graft; femoral to distal35571 Popliteal distal bypass with vein graft35583 In-Situ vein arterial bypass graft; fem-pop35585 In-Situ vein arterial bypass graft; fem-distal35587 In-Situ vein arterial bypass graft; pop-distal35650 Axillary-axillary bypass graft with gortex35666 Fem-distal bypass graft with gortex35671 Pop-distal bypass graft with gortex35761 Exploratin of other vessels (use if dissected but unable to use for free flap or for check for injury)35800 Exploration for postoperative hemorrhage, thrombisis or infection; neck35860 Exploration for postoperative hemorrhage, thrombisis or infection; extremity35875 Thrombectomy or arterial or venous graft35876 Thrombectomy of vascular graft with revision of graft36140 Introduction of needle in extermity artery for angiogram; arteriogram36468 Injection of spider veins; sclerotherapy telangiectasia; limb or trunk 13336469 Injection of spider veins; sclerotherapy telangiectasia; face 15036470 Injection of sclerosing agent single vericose vein36471 Injection of sclerosing agent multiple vericose veins; same legPage 16

CPTList37700 High ligation of saphenous vein37720 High ligation of saphenous vein or short saphenous vein with stripping37730 High ligation of saphenous vein AND short saphenous vein with stripping37735 Vein stripping and VSD ulcer excision and skin grafting37760 Ligation of perforating veins (Linton procedure)37780 Ligation of short saphenous vein at pop junction37785 Revision of recurrent varicose veins37788 Revascularization of penis37799 Unlisted vascular procedure38500 Biopsy or excision of lymph node(s); superficial38505 Biopsy or excision of lymph node(s); by needle38510 Biopsy or excision of lymph node(s); deep cervical38520 Biopsy or excision of lymph node(s); cervical and scalene38525 Biopsy or excision of lymph node(s); deep axillary38530 Biopsy or excision of lymph node(s); internal mammary38542 Biopsy or excision of lymph node(s); deep jugular38550 Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection38555 Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection38562 Excision of pelvic and periarotic lymphnodes for staging38564 Excision of retroperitoneal lymphnodes38700 Radical lymphadenectomy; suprahyoid38720 Radical lymphadenectomy; complete38724 Radical lymphadenectomy; modified radical neck dissection38740 Radical lymphadenectomy; axillary superficial38745 Radical lymphadenectomy; axillary complete38760 Radical lymphadenectomy; groin dissection including Cloquet's38765 Radical lymphadenectomy; groin dissection including pelvic dissection38770 Radical lymphadenectomy; pelvic lymphnodes38780 Radical lymphadenectomy; retroperitoneal38999 Unlistied lymphnode procedure40490 Biopsy of lip 7540500 Vermilionectomy with mucosal advance (lip shave) 100040510 Wedge excision of lip; transverse 80040520 Wedge excision of lip; V-excision 100040525 Excision of lip; reconstruction with local flap (eg Estlander or fan) 175040527 Excision of lip; reconstruction with cross lip flap (Abbe) 150040530 Resection of > 25% of the lip without reconstruction 75040650 Repair of lip, full thickness; vermilion only 40040652 Repair of lip, full thickness; less than half of vertical height 50040654 Repair of lip, full thickness; over half of vertical height40700 Repair of cleft lip/nasal deformity; primary, unilateral, partial or complete 200040701 Repair of cleft lip/nasal deformity; primary, bilateral first one of two stages 250040702 Repair of cleft lip/nasal deformity; primary, bilateral second procedure 180040720 Repair of cleft lip/nasal deformity; secondary lip repair by recreation of defect and reclosure 200040761 Repair of cleft lip/nasal deformity; secondary lip repair with abbe flap 150040799 Unlisted procedure of the lips40800 Drainage of abscess, cyst, hematoma, vestibule of mouth; simple40801 Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated40804 Removal of embedded foreign body, vestibule of mouth; simple40805 Removal of embedded foreign body, vestibule of mouth; complicated40806 Incision of labial frenum (frenotomy)40808 Biopsy, vestibule of mouth40810 Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair40812 Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair40814 Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair40816 Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle40818 Excision of mucosa of vestibule of mouth as donor graft40819 Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)40820 Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical)40830 Closure of laceration, vestibule of mouth; 2.5 cm or less40831 Closure of laceration, vestibule of mouth; over 2.5 cm or complex40840 Vestibuloplasty; anterior40842 Vestibuloplasty; posterior, unilateral40843 Vestibuloplasty; posterior, bilateral40844 Vestibuloplasty; entire arch40845 Vestibuloplasty; complex (including ridge extension, muscle repositioning)40899 Unlisted procedure, vestibule of mouth41000 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual41005 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial

41006Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohy Page 17

CPTList41007 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space41008 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space41009 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space41010 Incision of lingual frenum (frenotomy)41015 Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual41016 Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental41017 Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular41018 Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space41100 Biopsy of tongue; anterior two-thirds 20041105 Biopsy of tongue; posterior one-third 20041108 Biopsy of floor of mouth 20041110 Excision of lesion of tongue without closure 20041112 Excision of lesion of tongue with closure; anterior two-thirds 25041113 Excision of lesion of tongue with closure; posterior one-third41114 Excision of lesion of tongue with closure; with local tongue flap 90041115 Excision of lingual frenum (frenectomy)41116 Excision, lesion of floor of mouth 20041120 Glossectomy; less than one-half tongue 120041130 Glossectomy; hemiglossectomy 150041135 Glossectomy; partial, with unilateral radical neck dissection 300041140 Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection 300041145 Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection

41150Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection 3000

41153 Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection 4000

41155 Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection 450041250 Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue 15041251 Repair of laceration 2.5 cm or less; posterior one-third of tongue 20041252 Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex 40041500 Fixation of tongue, mechanical, other than suture (eg, K-wire) 50041510 Suture of tongue to lip for micrognathia (Douglas type procedure) 120041520 Frenoplasty (surgical revision of frenum, eg, with Z-plasty)41599 Unlisted procedure, tongue, floor of mouth41800 Drainage of abscess, cyst, hematoma from dentoalveolar structures41805 Removal of embedded foreign body from dentoalveolar structures; soft tissues41806 Removal of embedded foreign body from dentoalveolar structures; bone41820 Gingivectomy, excision gingiva, each quadrant41821 Operculectomy, excision pericoronal tissues41822 Excision of fibrous tuberosities, dentoalveolar structures41823 Excision of osseous tuberosities, dentoalveolar structures41825 Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair41826 Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair41827 Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair41828 Excision of hyperplastic alveolar mucosa, each quadrant (specify)41830 Alveolectomy, including curettage of osteitis or sequestrectomy41850 Destruction of lesion (except excision), dentoalveolar structures41870 Periodontal mucosal grafting41872 Gingivoplasty, each quadrant (specify)41874 Alveoloplasty, each quadrant (specify)41899 Unlisted procedure, dentoalveolar structures42000 Drainage of abscess of palate, uvula42100 Biopsy of palate, uvula 10042104 Excision, lesion of palate, uvula; without closure 12542106 Excision, lesion of palate, uvula; with simple primary closure 20042107 Excision, lesion of palate, uvula; with local flap closure 150042120 Resection of palate or extensive resection of lesion42140 Uvulectomy, excision of uvula42145 Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)42160 Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)42180 Repair, laceration of palate; up to 2 cm42182 Repair, laceration of palate; over 2 cm or complex42200 Palatoplasty for cleft palate, soft and/or hard palate only 200042205 Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only 280042210 Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft (includes obtaining graft) 300042215 Palatoplasty for cleft palate; major revision 200042220 Palatoplasty for cleft palate; secondary lengthening procedure 200042225 Palatoplasty for cleft palate; attachment pharyngeal flap 200042226 Lengthening of palate, and pharyngeal flap 220042227 Lengthening of palate, with island flap 220042235 Repair of anterior palate, including vomer flap 800Page 18

CPTList42260 Repair of nasolabial fistula 80042280 Maxillary impression for palatal prosthesis 10042281 Insertion of pin-retained palatal prosthesis42299 Unlisted procedure, palate, uvula42300 Drainage of abscess; parotid, simple 25042305 Drainage of abscess; parotid, complicated 40042310 Drainage of abscess; submaxillary or sublingual, intraoral 20042320 Drainage of abscess; submaxillary, external 42542325 Fistulization of sublingual salivary cyst (ranula); 12542326 Fistulization of sublingual salivary cyst (ranula); with prosthesis 17542330 Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral42335 Sialolithotomy; submandibular (submaxillary), complicated, intraoral42340 Sialolithotomy; parotid, extraoral or complicated intraoral42400 Biopsy of salivary gland; needle 14042405 Biopsy of salivary gland; incisional 30042408 Excision of sublingual salivary cyst (ranula) 40042409 Marsupialization of sublingual salivary cyst (ranula) 40042410 Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection 90042415 Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve 200042420 Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve 270042425 Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve 180042426 Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection 400042440 Excision of submandibular (submaxillary) gland 150042450 Excision of sublingual gland 100042500 Plastic repair of salivary duct, sialodochoplasty; primary or simple 100042550 Injection procedure for sialography42600 Closure salivary fistula42700 Incision and drainage abscess; peritonsillar42720 Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach42725 Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach42800 Biopsy; oropharynx42802 Biopsy; hypopharynx42804 Biopsy; nasopharynx, visible lesion, simple42806 Biopsy; nasopharynx, survey for unknown primary lesion42808 Excision or destruction of lesion of pharynx, any method42809 Removal of foreign body from pharynx42810 Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues42815 Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx42842 Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure42844 Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)42845 Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap42870 Excision or destruction lingual tonsil, any method (separate procedure)42890 Limited pharyngectomy42892 Resection of lateral pharyngeal wall/pyriform sinus, direct closure by advancement of lat/post pharyngeal walls42894 Resection of pharyngeal wall requiring closure with myocutaneous flap42900 Suture pharynx for wound or injury42950 Pharyngoplasty (plastic or reconstructive operation on pharynx)42953 Pharyngoesophageal repair42960 Control oropharyngeal hemorrhage, primary or secondary (eg, posttonsillectomy); simple

42961Control oropharyngeal hemorrhage, primary or secondary (eg, posttonsillectomy); complicated, requiring hospitalization

42962Control oropharyngeal hemorrhage, primary or secondary (eg, posttonsillectomy); with secondary surgical intervention

42970Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cauterization

42971Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization

42972Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention

42999 Unlisted procedure, pharynx, adenoids, or tonsils

43107Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal)

43108Total or near total esophagectomy, without thoracotomy; with colon interposition or small bowel reconstruction, including bowel mobilization, preparation and anastomosis(es)

43112Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty

43113Total or near total esophagectomy, with thoracotomy; with colon interposition or small bowel reconstruction, including bowel mobilization, preparation, and anastomosis(es)

43116Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction

43496 Free jejunum transfer with microvascular anastomosisPage 19

CPTList43760 Change of gastrostomy tube44005 Enterolysis (freeing of intestinal adhesion) (separate procedure)46040 Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure)46045 Incision and drainage of intramural, intramuscular or submucosal abscess, transanal, under anesthesia46050 Incision and drainage, perianal abscess, superficial

46060Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton

46750 Sphincteroplasty, anal, for incontinence or prolapse; adult46751 Sphincteroplasty, anal, for incontinence or prolapse; child46753 Graft (Thiersch operation) for rectal incontinence and/or prolapse46760 Sphincteroplasty, anal, for incontinence, adult; muscle transplant46761 Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)46762 Sphincteroplasty, anal, for incontinence, adult; implantation artificial sphincter

46900Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical

46910Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation

46916Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery

46917Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery

46922Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision

46924Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive, any method

49215 Excision of presacral or sacrococcygeal tumor49560 Repair initial incisional hernia; reducible49561 Repair initial incisional hernia; incarcerated or strangulated49565 Repair recurrent incisional hernia; reducible49566 Repair recurrent incisional hernia; incarcerated or strangulated

49568Implantation of mesh or other prosthesis for incisional hernia repair (list separately in addition to code for the incisional hernia repair)

49570 Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure)49572 Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated49585 Repair umbilical hernia, age 5 years or over; reducible49587 Repair umbilical hernia, age 5 years or over; incarcerated or strangulated49900 Suture, secondary, of abdominal wall for evisceration or dehiscence49904 Omental flap, extra-abdominal, for chest wall and sternal reconstruction (omentum, sternum)

49905Omental flap (for use intra-abdominally (see 49904 for sternum)) (list separately in addition to code for primary procedure)

49906 Free omental flap with microvascular anastomosis54115 Removal foreign body from deep penile tissue (eg, plastic implant)54120 Amputation of penis; partial54125 Amputation of penis; complete54152 Circumcision, using clamp or other device; except newborn54160 Circumcision, surgical excision other than clamp, device or dorsal slit; newborn54161 Circumcision, surgical excision other than clamp, device or dorsal slit; except newborn54300 Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra

54304Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps

54308 Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm54312 Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm

54316Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia

54318 Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair)

54322One stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)

54324One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap)

54326One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra

54328One stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap

54332One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap

54336One stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap

54340 Repair of hypospadias complications (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple

54344Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft

Page 20

CPTList54348

Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring extensive dissection and urethroplasty with flap, patch or tubed graft (includes urinary diversion)

54352

Repair of hypospadias cripple requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of local skin as grafts and island flaps and skin

54360 Plastic operation on penis to correct angulation54380 Plastic operation on penis for epispadias distal to external sphincter;54385 Plastic operation on penis for epispadias distal to external sphincter; with incontinence54390 Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder54400 Insertion of penile prosthesis; non-inflatable (semi-rigid)54401 Insertion of penile prosthesis; inflatable (self-contained)54402 Removal or replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis54405 Insertion of inflatable (multi-component) penile prosthesis, including placement of pump, cylinders, and/or reservoir

54407Removal, repair, or replacement of inflatable (multi-component) penile prosthesis, including pump and/or reservoir and/or cylinders

54409Surgical correction of hydraulic abnormality of inflatable (multi-component) prosthesis including pump and/or reservoir and/or cylinders

54440 Plastic operation of penis for injury54450 Foreskin manipulation including lysis of preputial adhesions and stretching55175 Scrotoplasty; simple55180 Scrotoplasty; complicated55970 Sex change male to female55980 Sex female to male56800 Plastic repair of introitus56805 Clitoroplasty for intersex state57291 Construction of artificial vagina; without graft57292 Construction of artificial vagina; with graft57335 Vaginoplasty for intersex state57400 Dilation of vagina under anesthesia57410 Pelvic examination under anesthesia60000 Incision and drainage of thyroglossal cyst, infected61330 Decompression of orbit only, transcranial approach61332 Exploration of orbit (transcranial approach); with biopsy61333 Exploration of orbit (transcranial approach); with removal of lesion61334 Exploration of orbit (transcranial approach); with removal of foreign body61501 Debridement of skull for osteomyelitis61550 Craniectomy for craniosynostosis; single cranial suture61552 Craniectomy for craniosynostosis; multiple cranial sutures61556 Craniotomy for craniosynostosis; frontal or parietal bone flap61557 Craniotomy for craniosynostosis; bifrontal bone flap61558 Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts

61559Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining grafts)

61571 Craniectomy or craniotomy; with treatment of penetrating wound of brain61586 Skull base surgery approach to anterior cranial fossa, bicoronal, transzygomatic, and/or LeFort I osteotomy61619 Secondary repair of the dura for CSF leak using a local or regional flap62115 Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty62116 Reduction of craniomegalic skull (eg, treated hydrocephalus); with simple cranioplasty

62117Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts)

62120 Repair of encephalocele, skull vault, including cranioplasty62140 Cranioplasty for skull defect; up to 5 cm diameter62141 Cranioplasty for skull defect; larger than 5 cm diameter62142 Removal of bone flap or prosthetic plate of skull62143 Replacement of bone flap or prosthetic plate of skull62146 Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter62147 Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter63700 Repair of meningocele; less than 5 cm diameter63702 Repair of meningocele; larger than 5 cm diameter63704 Repair of myelomeningocele; less than 5 cm diameter63706 Repair of myelomeningocele; larger than 5 cm diameter64400 Injection, anesthetic agent; trigeminal nerve, any division or branch64402 Injection, anesthetic agent; facial nerve64412 Injection, anesthetic agent; spinal accessory nerve64413 Injection, anesthetic agent; cervical plexus64415 Injection, anesthetic agent; brachial plexus64417 Injection, anesthetic agent; axillary nerve64421 Injection, anesthetic agent; intercostal nerves, multiple, regional block64425 Injection, anesthetic agent; ilioinguinal, iliohypogastric nerves64450 Injection, anesthetic agent; other peripheral nerve or branch64600 Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branchPage 21

CPTList64605 Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale

64610Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring

64612Destruction by neurolytic agent (chemodenervation of muscle endplate); muscles enervated by facial nerve (eg, for blepharospasm, hemifacial spasm)

64613Destruction by neurolytic agent (chemodenervation of muscle endplate); cervical spinal muscles (eg, for spasmodic torticollis)

64640 Destruction by neurolytic agent; other peripheral nerve or branch64702 Neuroplasty; digital, one or both, same digit (digital neurolysis) 70064704 Neuroplasty; nerve of hand or foot (neurolysis, nerve exploration) 90064708 Neuroplasty, major peripheral nerve, arm or leg; other than specified (neurolysis) 200064713 Neuroplasty, major peripheral nerve, arm or leg; brachial plexus (neurolysis)64716 Neuroplasty and/or transposition; cranial nerve (specify) (neurolysis)64718 Neuroplasty, decompression, and/or transposition; ulnar nerve at elbow (cubital tunnel) 180064719 Neuroplasty, decompression, and/or transposition; ulnar nerve at wrist (Guyon's canal) 75064721 Neuroplasty and/or transposition; median nerve at carpal tunnel release (CTR, CTS) 75064722 Decompression; unspecified nerve(s) (specify)64726 Decompression; plantar digital nerve

64727Internal neurolysis, requiring use of operating microscope (list separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis)

64732 Transection or avulsion of; supraorbital nerve64734 Transection or avulsion of; infraorbital nerve64736 Transection or avulsion of; mental nerve64738 Transection or avulsion of; inferior alveolar nerve by osteotomy64740 Transection or avulsion of; lingual nerve64742 Transection or avulsion of; lingual nerve64771 Transection or avulsion of other cranial nerve, extradural64772 Transection or avulsion of other spinal nerve, extradural64774 Excision of neuroma; cutaneous nerve, surgically identifiable 55064776 Excision of neuroma; digital nerve, one or both, same digit 55064778 Excision of neuroma; digital nerve, each additional digit (list separately by this number) 25064782 Excision of neuroma; hand or foot, except digital nerve 80064783 Excision of neuroma; hand or foot, each additional nerve, except same digit (list separately by this number) 40064784 Excision of neuroma; major peripheral nerve, except sciatic 120064787 Implantation of nerve end into bone or muscle (list separately in addition to neuroma excision) 80064788 Excision of neurofibroma or neurolemmoma; cutaneous nerve64790 Excision of neurofibroma or neurolemmoma; major peripheral nerve64792 Excision of neurofibroma or neurolemmoma; extensive (including malignant type)64795 Nerve Biopsy64820 Digital sympathectomy - each digit - with magnification

64830*****Deleted 1999 - use 69990****** Microdissection and/or microrepair of nerve (list separately in addition to code for nerve repair) 800

64831 Repair of digital nerve, hand or foot; one nerve 60064832 Repair of digital nerve, hand or foot; each additional digital nerve 30064834 Repair of one nerve, hand or foot; common sensory nerve 100064835 Repair of one nerve, hand or foot; median motor thenar 120064836 Repair of one nerve, hand or foot; ulnar motor 120064837 Repair of each additional nerve, hand or foot 80064840 Repair of posterior tibial nerve64856 Repair of major peripheral nerve, arm or leg, except sciatic; including transposition 150064857 Repair of major peripheral nerve, arm or leg, except sciatic; without transposition 150064859 Suture of each additional major peripheral nerve 60064861 Repair of; brachial plexus64864 Repair of facial nerve; extracranial (35 is for tumor only) 180064865 Repair of facial nerve; infratemporal, with or without grafting64866 Anastomosis; facial-spinal accessory (facial nerve jump or cross nerve graft)64868 Anastomosis; facial-hypoglossal (facial nerve jump or cross nerve graft) 400064870 Anastomosis; facial-phrenic (facial nerve jump or cross nerve graft)64872 Repair of nerve; requiring secondary or delayed Repair (list separately in addition to code for primary neurorrhaphy) 800

64874Repair of nerve; requiring extensive mobilization, or transposition of nerve (list separately in addition to code for nerve Repair) 800

64876 Repair of nerve; requiring shortening of bone of extremity (list separately in addition to code for nerve Repair)64885 Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length 250064886 Nerve graft (includes obtaining graft), head or neck; more than 4 cm in length 300064890 Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length 200064891 Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length 225064892 Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length 200064893 Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length 225064895 Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length 250064896 Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length 280064897 Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length 2500Page 22

CPTList64898 Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length 280064901 Nerve graft, each additional nerve; single strand 25064902 Nerve graft, each additional nerve; multiple strands (cable) 50064905 Nerve pedicle transfer; first stage64907 Nerve pedicle transfer; second stage64999 Unlisted procedure, nervous system65205 Removal of foreign body, external eye; conjunctival superficial67445 Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression67450 Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy67550 Orbital implant (implant outside muscle cone); insertion67560 Orbital implant (implant outside muscle cone); removal or revision67700 Blepharotomy, drainage of abscess, eyelid67710 Severing of tarsorrhaphy67715 Canthotomy (separate procedure)67800 Excision of chalazion; single67801 Excision of chalazion; multiple, same lid67805 Excision of chalazion; multiple, different lids67808 Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple67810 Biopsy of eyelid67820 Correction of trichiasis; epilation, by forceps only67825 Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery)67830 Correction of trichiasis; incision of lid margin67835 Correction of trichiasis; incision of lid margin, with free mucous membrane graft67840 Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure67850 Destruction of lesion of lid margin (up to 1 cm)67875 Temporary closure of eyelids by suture (eg, Frost suture)67880 Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy;67882 Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate67900 Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)67901 Repair of blepharoptosis; frontalis muscle technique with suture or other material67902 Repair of blepharoptosis; frontalis muscle technique with fascial sling (includes obtaining fascia)67903 Repair of blepharoptosis; (tarso)levator resection or advancement, internal approach67904 Repair of blepharoptosis; (tarso)levator resection or advancement, external approach67906 Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia)67908 Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type)67909 Reduction of overcorrection of ptosis67911 Correction of lid retraction67912 Correction of lagophthalmos, with implantation of upper eyelid load (gold wt)67914 Repair of ectropion; suture67915 Repair of ectropion; thermocauterization67916 Repair of ectropion; excision tarsal wedge67917 Repair of ectropion; extensive (eg, Kuhnt-Szymanowski or tarsal strip operations)67921 Repair of entropion; suture67922 Repair of entropion; thermocauterization67923 Repair of entropion; excision tarsal wedge67924 Repair of entropion; extensive (eg, Wheeler operation)

67930Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness

67935 Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness67938 Removal of embedded foreign body, eyelid67950 Canthoplasty (reconstruction of canthus)

67961Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin

67966Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin

67971Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, one stage or first stage

67973Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, one stage or first stage

67974Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, one stage or first stage

67975 Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage67999 Unlisted procedure, eyelids68020 Incision of conjunctiva, drainage of cyst68040 Expression of conjunctival follicles, eg, for trachoma68100 Biopsy of conjunctiva68110 Excision of lesion, conjunctiva; up to 1 cm68115 Excision of lesion, conjunctiva; over 1 cm Page 23

CPTList68130 Excision of lesion, conjunctiva; with adjacent sclera68135 Destruction of lesion, conjunctiva68200 Subconjunctival injection68320 Conjunctivoplasty; with conjunctival graft or extensive rearrangement68325 Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft)68326 Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement68328 Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft)68330 Repair of symblepharon; conjunctivoplasty, without graft68335 Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft)68340 Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens68360 Conjunctival flap; bridge or partial (separate procedure)68362 Conjunctival flap; total (such as Gunderson thin flap or purse string flap)68399 Unlisted procedure, conjunctiva68400 Incision, drainage of lacrimal gland68420 Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)68440 Snip incision of lacrimal punctum68500 Excision of lacrimal gland (dacryoadenectomy), except for tumor; total68700 Plastic repair of canaliculi68720 Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) DCR68810 Probing of nasolacrimal duct, with or without irrigation;68811 Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia68815 Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent68840 Probing of lacrimal canaliculi, with or without irrigation68850 Injection of contrast medium for dacryocystography68899 Unlisted procedure, lacrimal system69000 Drainage external ear, abscess or hematoma; simple69005 Drainage external ear, abscess or hematoma; complicated69090 Ear piercing69100 Biopsy external ear69105 Biopsy external auditory canal69110 Excision external ear; partial, simple repair69120 Excision external ear; complete amputation69300 Otoplasty, protruding ear, with or without size reduction 200069720 Decompression facial nerve, intratemporal; lateral to geniculate ganglion69725 Decompression facial nerve, intratemporal; including medial to geniculate ganglion69740 Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion69745 Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion69955 Total facial nerve decompression and/or repair (may include graft)69990 Use of operating microscope (in addition to primary code)75710 Angiography, extremity, unilateral, radiological supervision and interpretation75716 Angiography, extremity, bilateral, radiological supervision and interpretation90782 Therapeutic or diagnositic injection (subcutaneous or intramuscular): specify material (trigger, steroid, kenalog)97605 NPWT Negative pressure wound treatment (VAC dressing) </=50cm²97606 NPWT Negative pressure wound treatment (VAC dressing) >50cm²99201 New Patient: Office and Outpatient Services: problem focused H&P : straightforward decision: 10min99202 New Patient: Office and Outpatient Services: expanded focused H&P : straightforward decision: 20min99203 New Patient: Office and Outpatient Services: detailed H&P : low complexity decision: 30min99204 New Patient: Office and Outpatient Services: comprehensive H&P : moderate complexity decision: 45min99205 New Patient: Office and Outpatient Services: comprehensive H&P : high complexity decision: 60min99211 Established Patient: Office and Outpatient Services: supervision only : straightforward decision: 5min99212 Established Patient: Office and Outpatient Services: problem focused H&P : straightforward decision: 10min99213 Established Patient: Office and Outpatient Services: expanded focused H&P : low complexity decision: 15min99214 Established Patient: Office and Outpatient Services: detailed H&P : moderate complexity decision: 25min99215 Established Patient: Office and Outpatient Services: comprehensive H&P : high complexity decision: 40min99217 Hospital Observation Services: discharge planning99218 Hospital Observation Services: low severity problem99219 Hospital Observation Services: moderate severity problem99220 Hospital Observation Services: high severity problem99221 Initial hospital care per day: low severity problem: 30min (H&P...)99222 Initial hospital care per day: moderate severity problem: 50min (H&P...)99223 Initial hospital care per day: high severity problem: 70min (H&P...)99231 Subsequent Hospital Care: Improving: 15min99232 Subsequent Hospital Care: Inadequate response: 25min99233 Subsequent Hospital Care: unstable: 25min99234 Inpatient care for 23 obs (with no procedure) Level 199235 Inpatient care for 23 obs (with no procedure) Level 299236 Inpatient care for 23 obs (with no procedure) Level 399238 Discharge services, discussion of outpatient treatment plans...99241 Office/Outpatient/ER/Observation Consultations: Problem focused: Straight forward decision: 15min99242 Office/Outpatient/ER/Observation Consultations: expanded focused H&P : straightforward decision: 30min99243 Office/Outpatient/ER/Observation Consultations: detailed H&P : low complexity decision: 40minPage 24

CPTList99244 Office/Outpatient/ER/Observation Consultations: comprehensive H&P : moderate complexity decision: 60min99245 Office/Outpatient/ER/Observation Consultations: comprehensive H&P : high complexity decision: 80min99251 Initial Inpatient Consult: problem focused H&P : straightforward decision (also decision to do surg): 20min99252 Initial Inpatient Consult: expanded focused H&P : straightforward decision (also decision to do surg): 40min99253 Initial Inpatient Consult: detailed H&P : low complexity decision (also decision to do surg): 55min99254 Initial Inpatient Consult: comprehensive H&P : moderate complexity decision (also decision to do surg): 80min99255 Initial Inpatient Consult: comprehensive H&P : high complexity decision (also decision to do surg): 110min99261 **NOTE: DELETED FOR 2006 use 99231 - Follow-up Inpatient Consult: Stable/recovering/improving: 10min

99262**NOTE: DELETED FOR 2006 use 99232 - Follow-up Inpatient Consult: inadequate response/minor complication: 20min

99263**NOTE: DELETED FOR 2006 use 99233 - Follow-up Inpatient Consult: unstable/significant complication/new problem: 30min

99281 Emergency Department Services: Problem focused: Straight forward decision99282 Emergency Department Services: expanded focused H&P : low complexity decision99283 Emergency Department Services: expanded focused H&P : moderate complexity decision99284 Emergency Department Services: detailed H&P: moderate complexity decision99285 Emergency Department Services: comprehensive H&P : high complexity decision99291 Critical Care Services Per Day: First hour99292 Critical Care Services Per Day: each additional 30min99311 Skilled nursing home visit - Focused 3699312 Skilled nursing home visit - Expanded 5999313 Skilled nursing home visit - Detailed 6999354 Outpatient Prolonged Services Per Day: beyond usual care First Hour99355 Outpatient Prolonged Services Per Day: beyond usual care each additional 30min99356 Inpatient Prolonged Services Per Day: beyond usual care First Hour99357 Inpatient Prolonged Services Per Day: beyond usual care each additional 30min99358 Nonpatient Contact Prolonged Services Per Day: beyond usual care First Hour (phone...)99359 Nonpatient Contact Prolonged Services Per Day: beyond usual care each additional 30min (phone)

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