Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
28035 Release, tarsal tunnel (posterior tibial nerve decompression)
28080 Excision, interdigital (Morton) neuroma, single, each
PAS
1
1
PAS Description
Nerve Repair
Nerve Repair
Begin
Date
2/1/2004
2/1/2004
1
Nerve Repair
2/1/2004
1
Nerve Repair
2/1/2004
61886
62268
62269
62270
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode
array
Incision and subcutaneous placement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to two or
more electrode arrays
Percutaneous aspiration, spinal cord cyst or syrinx
Biopsy of spinal cord, percutaneous needle
Spinal puncture, lumbar, diagnostic
1
1
1
1
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
62272
62273
Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)
Injection, epidural, of blood or clot patch
1
1
Nerve Repair
Nerve Repair
2/1/2004
2/1/2004
62280
Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid
Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical
or thoracic
Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar,
sacral (caudal)
Aspiration or decompression procedure, percutaneous, of nucleus pulposus of intervertebral disk, any method, single or multiple levels, lumbar
(eg, manual or automated percutaneous diskectomy, percutaneous laser diskectomy)
Injection procedure for discography, each level; lumbar
Injection procedure for discography, each level; cervical or thoracic
Injection, single (not via indwelling catheter), not including neurolytic substances, with or without contrast (for either localization or epidurography),
of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, oth
Injection, single (not via indwelling catheter), not including neurolytic substances, with or without contrast (for either localization or epidurography),
of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, oth
Injection, including catheter placement, continuous infusion or intermittent bolus, not including neurolytic substances, with or without contrast (for
either localization or epidurography), of diagnostic or therapeutic substance(s) (including anesthetic,
Injection, including catheter placement, continuous infusion or intermittent bolus, not including neurolytic substances, with or without contrast (for
either localization or epidurography), of diagnostic or therapeutic substance(s) (including anesthetic,
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or
implantable reservior/infusion pump; without laminectomy
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated
intervertebral disc; one interspace, cervical
Percutaneous implantation of neurostimulator electrode array, epidural
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural
Revision or removal of spinal neurostimulator electrode percutaneous array(s) or plate/paddle(s)
Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling
Revision or removal of implanted spinal neurostimulator pulse generator or receiver
Removal of entire lumbosubarachnoid shunt system without replacement
Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; lumbar or sacral, single level
Injection, anesthetic agent and/or steroid,transforaminal epidural; cervical or thoracic, single level
Injection, anesthetic agent and/or steroid,transforaminal epidural; lumbar or sacral, single level
Percutaneous implantation of neurostimulator electrodes; cranial nerve
Percutaneous implantation of neurostimulator electrodes; peripheral nerve (excludes sacral nerve)
Percutaneous implantation of neurostimulator electrodes; autonomic nerve
Percutaneous implantation of neurostimulator electrodes; sacral nerve (transforaminal placement)
Percutaneous implantation of neurostimulator electrodes; neuromuscular
1
Nerve Repair
2/1/2004
1
Nerve Repair
2/1/2004
1
Nerve Repair
2/1/2004
1
1
1
Nerve Repair
Nerve Repair
Nerve Repair
2/1/2004
1/1/2007
1/1/2007
1
Nerve Repair
2/1/2004
1
Nerve Repair
2/1/2004
1
Nerve Repair
2/1/2004
1
Nerve Repair
2/1/2004
1
Nerve Repair
1/1/2007
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
1/1/2007
1/1/2007
1/1/2007
1/1/2007
1/1/2007
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
61790
61885
62281
62282
62287
62290
62291
62310
62311
62318
62319
62350
63020
63650
63655
63660
63685
63688
63746
64475
64479
64483
64553
64555
64560
64561
64565
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
64573
64575
64577
64580
64581
64585
64590
64595
64600
64605
64610
64612
64613
64614
64620
64622
64626
64630
64640
64650
64653
64680
64702
64704
64708
64712
64714
64716
64718
64719
64721
64722
64726
64732
64734
64736
64738
64740
64742
64744
64746
64761
64771
64772
64774
64776
64782
64784
64786
CPT Description
Incision for implantation of neurostimulator electrodes; cranial nerve
Incision for implantation of neurostimulator electrodes; peripheral nerve (excludes sacral nerve)
Incision for implantation of neurostimulator electrodes; autonomic nerve
Incision for implantation of neurostimulator electrodes; neuromuscular
Incision for implantation of neurostimulator electrodes; sacral nerve (transforaminal placement)
Revision or removal of peripheral neurostimulator electrodes
Insertion or replacement of peripheral neurostimulator pulse generator or receiver, direct or inductive coupling
Revision or removal of peripheral neurostimulator pulse generator or receiver
Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring
Chemodenervation of muscle(s); muscle(s) innervated by facial nerve (eg, for blepharospasm, hemifacial spasm)
Chemodenervation of muscle(s); cervical spinal muscle(s) (eg, for spasmodic torticollis)
Chemodenervation of muscle(s); extremity(s) and/or trunk muscle(s) (eg, for dystonia, cerebral palsy, multiple sclerosis)
Destruction by neurolytic agent, intercostal nerve
Destruction by neurolytic agent, paravertebral facet joint nerve; lumbar or sacral, single level
Destruction by neurolytic agent, paravertebral facet joint nerve; cervical or thoracic, single level
Destruction by neurolytic agent; pudendal nerve
Destruction by neurolytic agent; other peripheral nerve or branch
Chemodenervation of eccrine glands; both axillae
Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day
Destruction by neurolytic agent, celiac plexus, with or without radiologic monitoring
Neuroplasty; digital, one or both, same digit
Neuroplasty; nerve of hand or foot
Neuroplasty, major peripheral nerve, arm or leg; other than specified
Neuroplasty, major peripheral nerve, arm or leg; sciatic nerve
Neuroplasty, major peripheral nerve, arm or leg; lumbar plexus
Neuroplasty and/or transposition; cranial nerve (specify)
Neuroplasty and/or transposition; ulnar nerve at elbow
Neuroplasty and/or transposition; ulnar nerve at wrist
Neuroplasty and/or transposition; median nerve at carpal tunnel
Decompression; unspecified nerve(s) (specify)
Decompression; plantar digital nerve
Transection or avulsion of; supraorbital nerve
Transection or avulsion of; infraorbital nerve
Transection or avulsion of; mental nerve
Transection or avulsion of; inferior alveolar nerve by osteotomy
Transection or avulsion of; lingual nerve
Transection or avulsion of; facial nerve, differential or complete
Transection or avulsion of; greater occipital nerve
Transection or avulsion of; phrenic nerve
Transection or avulsion of; pudendal nerve
Transection or avulsion of other cranial nerve, extradural
Transection or avulsion of other spinal nerve, extradural
Excision of neuroma; cutaneous nerve, surgically identifiable
Excision of neuroma; digital nerve, one or both, same digit
Excision of neuroma; hand or foot, except digital nerve
Excision of neuroma; major peripheral nerve, except sciatic
Excision of neuroma; sciatic nerve
PAS
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
PAS Description
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2006
1/1/2006
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
64788
64790
64792
64795
64802
64804
64809
64818
64820
64821
64822
64823
64831
64834
64835
64836
64840
64856
64857
64858
64864
64865
64910
64911
64999
69720
69725
69740
69745
69955
69960
65220
65275
65280
65285
65286
65400
65410
65420
65426
65430
65800
65805
65810
65815
65875
65930
CPT Description
Excision of neurofibroma or neurolemmoma; cutaneous nerve
Excision of neurofibroma or neurolemmoma; major peripheral nerve
Excision of neurofibroma or neurolemmoma; extensive (including malignant type)
Biopsy of nerve
Sympathectomy, cervical
Sympathectomy, cervicothoracic
Sympathectomy, thoracolumbar
Sympathectomy, lumbar
Sympathectomy; digital arteries, each digit
Sympathectomy; radial artery
Sympathectomy; ulnar artery
Sympathectomy; superficial palmar arch
Suture of digital nerve, hand or foot; one nerve
Suture of one nerve, hand or foot; common sensory nerve
Suture of one nerve, hand or foot; median motor thenar
Suture of one nerve, hand or foot; ulnar motor
Suture of posterior tibial nerve
Suture of major peripheral nerve, arm or leg, except sciatic; including transposition
Suture of major peripheral nerve, arm or leg, except sciatic; without transposition
Suture of sciatic nerve
Suture of facial nerve; extracranial
Suture of facial nerve; infratemporal, with or without grafting
Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve
Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve
Unlisted procedure, nervous system
Decompression facial nerve, intratemporal; lateral to geniculate ganglion
Decompression facial nerve, intratemporal; including medial to geniculate ganglion
Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion
Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion
Total facial nerve decompression and/or repair (may include graft)
Decompression internal auditory canal
Removal of foreign body, external eye; corneal, without slit lamp
Repair of laceration; cornea, nonperforating, with or without removal foreign body
Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue
Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue
Repair of laceration; application of tissue glue, wounds of cornea and/or sclera
Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium
Biopsy of cornea
Excision or transposition of pterygium; without graft
Excision or transposition of pterygium; with graft
Scraping of cornea, diagnostic, for smear and/or culture
Paracentesis of anterior chamber of eye (separate procedure); with diagnostic aspiration of aqueous
Paracentesis of anterior chamber of eye (separate procedure); with therapeutic release of aqueous
Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or
without air injection
Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior
synechiae
Removal of blood clot, anterior segment of eye
PAS
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
PAS Description
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Nerve Repair
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2
2
Eye Therapeutic
Eye Therapeutic
2/1/2004
2/1/2004
2
2
Eye Therapeutic
Eye Therapeutic
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
66020
66030
66250
66825
66999
67005
67010
67015
67027
67030
67115
67120
67121
67346
67515
67700
68020
68040
68100
68110
68115
68135
68200
68399
68400
68420
68440
68500
68505
68510
68520
68525
68530
68540
68550
68705
68760
68770
68801
68810
68811
68815
68840
68899
92018
92019
31292
CPT Description
Injection, anterior chamber of eye (separate procedure); air or liquid
Injection, anterior chamber (separate procedure); medication
Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure
Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)
Unlisted procedure, anterior segment of eye
Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal
Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy
Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)
Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous
Discission of vitreous strands (without removal), pars plana approach
Release of encircling material (posterior segment)
Removal of implanted material, posterior segment; extraocular
Removal of implanted material, posterior segment; intraocular
Biopsy of extraocular muscle
Injection of medication or other substance into Tenon’s capsule
Blepharotomy, drainage of abscess, eyelid
Incision of conjunctiva, drainage of cyst
Expression of conjunctival follicles (eg, for trachoma)
Biopsy of conjunctiva
Excision of lesion, conjunctiva; up to 1 cm
Excision of lesion, conjunctiva; over 1 cm
Destruction of lesion, conjunctiva
Subconjunctival injection
Unlisted procedure, conjunctiva
Incision, drainage of lacrimal gland
Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)
Snip incision of lacrimal punctum
Excision of lacrimal gland (dacryoadenectomy), except for tumor; total
Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial
Biopsy of lacrimal gland
Excision of lacrimal sac (dacryocystectomy)
Biopsy of lacrimal sac
Removal of foreign body or dacryolith, lacrimal passages
Excision of lacrimal gland tumor; frontal approach
Excision of lacrimal gland tumor; involving osteotomy
Correction of everted punctum, cautery
Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery
Closure of lacrimal fistula (separate procedure)
Dilation of lacrimal punctum, with or without irrigation
Probing of nasolacrimal duct, with or without irrigation;
Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia
Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent
Probing of lacrimal canaliculi, with or without irrigation
Unlisted procedure, lacrimal system
Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or
other manipulation to facilitate diagnostic examination; complete
Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or
other manipulation to facilitate diagnostic examination; limited
Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression
PAS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
PAS Description
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Eye Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2006
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2
Eye Therapeutic
2/1/2004
2
3
Eye Therapeutic
Eye Repair
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
31293
31294
61332
61333
61334
65101
65103
65105
65125
65130
65135
65140
65150
65155
65175
65272
65435
65436
65710
65730
65750
65755
65760
65771
65870
66130
66150
66155
66160
66165
66170
66172
66180
66185
66220
66225
67036
67038
67039
67107
67108
67250
67255
67400
67405
CPT Description
PAS
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression
3
Nasal/sinus endoscopy, surgical; with optic nerve decompression
3
Exploration of orbit (transcranial approach); with biopsy
3
Exploration of orbit (transcranial approach); with removal of lesion
3
Exploration of orbit (transcranial approach); with removal of foreign body
3
Enucleation of eye; without implant
3
Enucleation of eye; with implant, muscles not attached to implant
3
Enucleation of eye; with implant, muscles attached to implant
3
Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)
3
Insertion of ocular implant secondary; after evisceration, in scleral shell
3
Insertion of ocular implant secondary; after enucleation, muscles not attached to implant
3
Insertion of ocular implant secondary; after enucleation, muscles attached to implant
3
Reinsertion of ocular implant; with or without conjunctival graft
3
Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant
3
Removal of ocular implant
3
Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization
3
Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage)
3
Removal of corneal epithelium; with application of chelating agent (eg, EDTA)
3
Keratoplasty (corneal transplant); lamellar
3
Keratoplasty (corneal transplant); penetrating (except in aphakia)
3
Keratoplasty (corneal transplant); penetrating (in aphakia)
3
Keratoplasty (corneal transplant); penetrating (in pseudophakia)
3
Keratomileusis
3
Radial keratotomy
3
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior
synechiae, except goniosynechiae
3
Excision of lesion, sclera
3
Fistulization of sclera for glaucoma; trephination with iridectomy
3
Fistulization of sclera for glaucoma; thermocauterization with iridectomy
3
Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy
3
Fistulization of sclera for glaucoma; iridencleisis or iridotasis
3
Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery
3
Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of
antifibrotic agents)
3
Aqueous shunt to extraocular reservoir (eg, Molteno, Schocket, Denver-Krupin)
3
Revision of aqueous shunt to extraocular reservoir
3
Repair of scleral staphyloma; without graft
3
Repair of scleral staphyloma; with graft
3
Vitrectomy, mechanical, pars plana approach;
3
Vitrectomy, mechanical, pars plana approach; with epiretinal membrane stripping
3
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation
3
Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), with or without implant, with
or without cryotherapy, photocoagulation, and drainage of subretinal fluid
3
Repair of retinal detachment; with vitrectomy, any method, with or without air or gas tamponade, focal endolaser photocoagulation, cryotherapy,
drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique
3
Scleral reinforcement (separate procedure); without graft
3
Scleral reinforcement (separate procedure); with graft
3
Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy
3
Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only
3
PAS Description
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Eye Repair
2/1/2004
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
67412
67413
67420
67450
67550
67560
67599
67830
67835
67909
68130
68745
68750
65920
66820
66821
66830
66840
66850
66852
66920
66930
66940
66982
66983
66984
66985
66986
65235
65450
65850
65855
65860
66500
66505
66600
66605
66625
66630
66635
66680
66682
66700
66710
CPT Description
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy
Orbital implant (implant outside muscle cone); insertion
Orbital implant (implant outside muscle cone); removal or revision
Unlisted procedure, orbit
Correction of trichiasis; incision of lid margin
Correction of trichiasis; incision of lid margin, with free mucous membrane graft
Reduction of overcorrection of ptosis
Excision of lesion, conjunctiva; with adjacent sclera
Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube
Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent
Removal of implanted material, anterior segment of eye
Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or
Wheeler knife)
Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (one or
more stages)
Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without
iridectomy (iridocapsulotomy, iridocapsulectomy)
Removal of lens material; aspiration technique, one or more stages
Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration
Removal of lens material; pars plana approach, with or without vitrectomy
Removal of lens material; intracapsular
Removal of lens material; intracapsular, for dislocated lens
Removal of lens material; extracapsular (other than 66840, 66850, 66852)
Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (eg, irrigation
and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routi
Intracapsular cataract extraction with insertion of intraocular lens prosthesis (one stage procedure)
Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (eg, irrigation
and aspiration or phacoemulsification)
Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal
Exchange of intraocular lens
Removal of foreign body, intraocular; from anterior chamber of eye or lens
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization
Trabeculotomy ab externo
Trabeculoplasty by laser surgery, one or more sessions (defined treatment series)
Severing adhesions of anterior segment, laser technique (separate procedure)
Iridotomy by stab incision (separate procedure); except transfixion
Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe
Iridectomy, with corneoscleral or corneal section; for removal of lesion
Iridectomy, with corneoscleral or corneal section; with cyclectomy
Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure)
Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure)
Iridectomy, with corneoscleral or corneal section; optical (separate procedure)
Repair of iris, ciliary body (as for iridodialysis)
Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)
Ciliary body destruction; diathermy
Ciliary body destruction; cyclophotocoagulation, transscleral
PAS
3
3
3
3
3
3
3
3
3
3
3
3
3
4
PAS Description
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Eye Repair
Lens Removal/Replace
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
4
Lens Removal/Replace
2/1/2004
4
Lens Removal/Replace
2/1/2004
4
4
4
4
4
4
4
Lens Removal/Replace
Lens Removal/Replace
Lens Removal/Replace
Lens Removal/Replace
Lens Removal/Replace
Lens Removal/Replace
Lens Removal/Replace
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
4
4
Lens Removal/Replace
Lens Removal/Replace
2/1/2004
2/1/2004
4
4
4
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
Lens Removal/Replace
Lens Removal/Replace
Lens Removal/Replace
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
66711
66720
66740
66761
66762
66770
67031
67040
67101
67105
67110
PAS Description
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Begin
Date
1/1/2005
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Eye Laser Therapeutic
Eye Laser Therapeutic
2/1/2004
2/1/2004
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
2/1/2004
2/1/2004
2/1/2004
67218
CPT Description
PAS
Ciliary body destruction; cyclophotocoagulation, endoscopic
5
Ciliary body destruction; cryotherapy
5
Ciliary body destruction; cyclodialysis
5
Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (one or more sessions)
5
Iridoplasty by photocoagulation (one or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle)
5
Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure)
5
Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (one or more stages)
5
Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation
5
Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without drainage of subretinal fluid
5
Repair of retinal detachment, one or more sessions; photocoagulation, with or without drainage of subretinal fluid
5
Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy)
5
Repair of retinal detachment; by scleral buckling or vitrectomy, on patient having previous ipsilateral retinal detachment repair(s) using scleral
buckling or vitrectomy techniques
5
Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, one or more sessions; cryotherapy, diathermy
5
Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, one or more sessions; photocoagulation (laser or
xenon arc)
5
Destruction of localized lesion of retina (eg, macular edema, tumors), one or more sessions; cryotherapy, diathermy
5
Destruction of localized lesion of retina (eg, macular edema, tumors), one or more sessions; photocoagulation
5
Destruction of localized lesion of retina (eg, maculopathy, choroidopathy, small tumors), one or more sessions; radiation by implantation of source
(includes removal of source)
5
Eye Laser Therapeutic
2/1/2004
67220
67221
Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), one or more sessions
Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion)
5
5
Eye Laser Therapeutic
Eye Laser Therapeutic
2/1/2004
2/1/2004
67227
67228
67299
65290
67311
67312
67314
67316
67318
67343
67345
67399
69505
69511
69530
69601
69602
69603
69604
69605
69610
69620
Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), one or more sessions; cryotherapy, diathermy
Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), one or more sessions; photocoagulation (laser or xenon arc)
Unlisted procedure, posterior segment
Repair of wound, extraocular muscle, tendon and/or Tenon’s capsule
Strabismus surgery, recession or resection procedure; one horizontal muscle
Strabismus surgery, recession or resection procedure; two horizontal muscles
Strabismus surgery, recession or resection procedure; one vertical muscle (excluding superior oblique)
Strabismus surgery, recession or resection procedure; two or more vertical muscles (excluding superior oblique)
Strabismus surgery, any procedure, superior oblique muscle
Release of extensive scar tissue without detaching extraocular muscle (separate procedure)
Chemodenervation of extraocular muscle
Unlisted procedure, ocular muscle
Mastoidectomy; modified radical
Mastoidectomy; radical
Petrous apicectomy including radical mastoidectomy
Revision mastoidectomy; resulting in complete mastoidectomy
Revision mastoidectomy; resulting in modified radical mastoidectomy
Revision mastoidectomy; resulting in radical mastoidectomy
Revision mastoidectomy; resulting in tympanoplasty
Revision mastoidectomy; with apicectomy
Tympanic membrane repair, with or without site preparation or perforation for closure, with or without patch
Myringoplasty (surgery confined to drumhead and donor area)
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain
reconstruction
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain
reconstruction (eg, postfenestration)
5
5
5
6
6
6
6
6
6
6
6
6
7
7
7
7
7
7
7
7
7
7
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Laser Therapeutic
Eye Muscle Repair
Eye Muscle Repair
Eye Muscle Repair
Eye Muscle Repair
Eye Muscle Repair
Eye Muscle Repair
Eye Muscle Repair
Eye Muscle Repair
Eye Muscle Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
7
Ear Repair
2/1/2004
7
Ear Repair
2/1/2004
67112
67141
67145
67208
67210
69631
69632
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain
69633 reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis, (PORP), total ossicular rep
7
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without
69635 ossicular chain reconstruction
7
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with
69636 ossicular chain reconstruction
7
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with
69637 ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis, (PORP), tota
7
PAS Description
Begin
Date
Ear Repair
2/1/2004
Ear Repair
2/1/2004
Ear Repair
2/1/2004
Ear Repair
2/1/2004
69641
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction
7
Ear Repair
2/1/2004
69642
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall,
without ossicular chain reconstruction
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall,
with ossicular chain reconstruction
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular
chain reconstruction
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular
chain reconstruction
Stapes mobilization
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out
Revision of stapedectomy or stapedotomy
Repair oval window fistula
Repair round window fistula
Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone
Revision fenestration operation
Cochlear device implantation, with or without mastoidectomy
Removal foreign body from external auditory canal; without general anesthesia
Removal foreign body from external auditory canal; with general anesthesia
Eustachian tube inflation, transnasal; with catheterization
Eustachian tube catheterization, transtympanic
Myringotomy including aspiration and/or eustachian tube inflation
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia
Ventilating tube removal requiring general anesthesia
Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia
Tympanostomy (requiring insertion of ventilating tube), general anesthesia
Middle ear exploration through postauricular or ear canal incision
Tympanolysis, transcanal
Transmastoid antrotomy (“simple” mastoidectomy)
Excision aural polyp
Excision aural glomus tumor; transcanal
Excision aural glomus tumor; transmastoid
Mastoid obliteration (separate procedure)
Tympanic neurectomy
Closure postauricular fistula, mastoid (separate procedure)
Removal or repair of electromagnetic bone conduction hearing device in temporal bone
7
Ear Repair
2/1/2004
7
Ear Repair
2/1/2004
7
Ear Repair
2/1/2004
7
Ear Repair
2/1/2004
7
7
7
7
7
7
7
7
7
7
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Repair
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
69643
69644
69645
69646
69650
69660
69661
69662
69666
69667
69710
69840
69930
69200
69205
69400
69405
69420
69421
69424
69433
69436
69440
69450
69501
69540
69550
69552
69670
69676
69700
69711
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; without
69714 mastoidectomy
Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; with
69715 mastoidectomy
Replacement (including removal of existing device), osseointegrated implant, temporal bone, with percutaneous attachment to external speech
69717 processor/cochlear stimulator; without mastoidectomy
Replacement (including removal of existing device), osseointegrated implant, temporal bone, with percutaneous attachment to external speech
69718 processor/cochlear stimulator; with mastoidectomy
69799 Unlisted procedure, middle ear
Labyrinthotomy, with or without cryosurgery including other nonexcisional destructive procedures or perfusion of vestibuloactive drugs (single or
69801 multiple perfusions); transcanal
69802 Labyrinthotomy, with or without cryosurgery or other nonexcisional destructive procedures or tack procedure; with mastoidectomy
69820 Fenestration semicircular canal
69905 Labyrinthectomy; transcanal
69910 Labyrinthectomy; with mastoidectomy
69915 Vestibular nerve section, translabyrinthine approach
69949 Unlisted procedure, inner ear
20912 Cartilage graft; nasal septum
30100 Biopsy, intranasal
30110 Excision, nasal polyp(s), simple
30115 Excision, nasal polyp(s), extensive
30117 Excision or destruction (eg, laser), intranasal lesion; internal approach
30118 Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy)
30130 Excision turbinate, partial or complete, any method
30140 Submucous resection turbinate, partial or complete, any method
30200 Injection into turbinate(s), therapeutic
30210 Displacement therapy (Proetz type)
30310 Removal foreign body, intranasal; requiring general anesthesia
30320 Removal foreign body, intranasal; by lateral rhinotomy
30560 Lysis intranasal synechia
30600 Repair fistula; oronasal
30801 Cautery and/or ablation, mucosa of turbinates, unilateral or bilateral, any method, (separate procedure); superficial
30802 Cauterization and/or ablation, mucosa of turbinates, unilateral or bilateral, any method, (separate procedure); intramural
30930 Fracture nasal turbinate(s), therapeutic
30999 Unlisted procedure, nose
31000 Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium)
31002 Lavage by cannulation; sphenoid sinus
31020 Sinusotomy, maxillary (antrotomy); intranasal
31040 Pterygomaxillary fossa surgery, any approach
31050 Sinusotomy, sphenoid, with or without biopsy;
31075 Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)
31080 Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)
31081 Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)
31084 Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision
31085 Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision
31086 Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision
31087 Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision
31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)
31238 Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage
Begin
Date
PAS
PAS Description
8
Ear Therapeutic
2/1/2004
8
Ear Therapeutic
2/1/2004
8
Ear Therapeutic
2/1/2004
8
8
Ear Therapeutic
Ear Therapeutic
2/1/2004
2/1/2004
8
8
8
8
8
8
8
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Ear Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
31240
31276
31287
31288
31290
31291
42260
42400
42405
42408
42409
42410
42415
42420
42425
42450
60200
60280
60281
21325
21330
21335
21338
21339
30220
30400
30410
30420
30430
30435
30450
30460
30462
30465
30520
30540
30545
30580
30620
30630
31030
31032
31051
31200
31201
31205
31239
31254
31255
CPT Description
Nasal/sinus endoscopy, surgical; with concha bullosa resection
Nasal/sinus endoscopy, surgical with frontal sinus exploration, with or without removal of tissue from frontal sinus
Nasal/sinus endoscopy, surgical, with sphenoidotomy;
Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus
Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region
Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region
Repair of nasolabial fistula
Biopsy of salivary gland; needle
Biopsy of salivary gland; incisional
Excision of sublingual salivary cyst (ranula)
Marsupialization of sublingual salivary cyst (ranula)
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve
Excision of sublingual gland
Excision of cyst or adenoma of thyroid, or transection of isthmus
Excision of thyroglossal duct cyst or sinus;
Excision of thyroglossal duct cyst or sinus; recurrent
Open treatment of nasal fracture; uncomplicated
Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation
Open treatment of nasal fracture; with concomitant open treatment of fractured septum
Open treatment of nasoethmoid fracture; without external fixation
Open treatment of nasoethmoid fracture; with external fixation
Insertion, nasal septal prosthesis (button)
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip
Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip
Rhinoplasty, primary; including major septal repair
Rhinoplasty, secondary; minor revision (small amount of nasal tip work)
Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)
Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)
Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only
Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies
Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction)
Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft
Repair choanal atresia; intranasal
Repair choanal atresia; transpalatine
Repair fistula; oromaxillary (combine with 31030 if antrotomy is included)
Septal or other intranasal dermatoplasty (does not include obtaining graft)
Repair nasal septal perforations
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s)
Ethmoidectomy; intranasal, anterior
Ethmoidectomy; intranasal, total
Ethmoidectomy; extranasal, total
Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior)
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior)
PAS
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
PAS Description
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Nasal/Paranasal Therapeutic
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
31256
31267
40800
40801
41000
41005
41006
41007
41008
41009
41015
41016
41017
41018
42325
42326
42440
42500
42505
42507
42508
42509
42510
68320
68325
68326
68328
68330
68335
68340
68360
68362
68720
42700
42720
42725
42808
42820
42821
42825
42826
42830
42831
42835
42836
42999
31231
31233
31235
CPT Description
Nasal/sinus endoscopy, surgical, with maxillary antrostomy;
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus
Drainage of abscess, cyst, hematoma, vestibule of mouth; simple
Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated
Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual
Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial
Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid
Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space
Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space
Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space
Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual
Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental
Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular
Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space
Fistulization of sublingual salivary cyst (ranula);
Fistulization of sublingual salivary cyst (ranula); with prosthesis
Excision of submandibular (submaxillary) gland
Plastic repair of salivary duct, sialodochoplasty; primary or simple
Plastic repair of salivary duct, sialodochoplasty; secondary or complicated
Parotid duct diversion, bilateral (Wilke type procedure);
Parotid duct diversion, bilateral (Wilke type procedure); with excision of one submandibular gland
Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands
Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton’s) ducts
Conjunctivoplasty; with conjunctival graft or extensive rearrangement
Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft)
Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement
Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft)
Repair of symblepharon; conjunctivoplasty, without graft
Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft)
Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens
Conjunctival flap; bridge or partial (separate procedure)
Conjunctival flap; total (such as Gunderson thin flap or purse string flap)
Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)
Incision and drainage abscess; peritonsillar
Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach
Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach
Excision or destruction of lesion of pharynx, any method
Tonsillectomy and adenoidectomy; under age 12
Tonsillectomy and adenoidectomy; age 12 or over
Tonsillectomy, primary or secondary; under age 12
Tonsillectomy, primary or secondary; age 12 or over
Adenoidectomy, primary; under age 12
Adenoidectomy, primary; age 12 or over
Adenoidectomy, secondary; under age 12
Adenoidectomy, secondary; age 12 or over
Unlisted procedure, pharynx, adenoids, or tonsils
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)
Nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy (via inferior meatus or canine fossa puncture)
Nasal/sinus endoscopy, diagnostic with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)
PAS
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
11
11
11
11
11
12
12
12
PAS Description
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Rhino/Septoplasty
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Tonsil/Adenoid Therapeutic
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
31299
31300
31320
31505
31510
31511
31512
31513
31515
31520
31525
31526
31527
31528
31529
31530
31531
31535
31536
31540
31541
31545
31546
31560
31561
31570
31571
31575
31576
31577
31578
31579
31599
31612
31615
31622
31623
31624
31625
31628
31629
31630
31631
31635
31636
31638
CPT Description
Unlisted procedure, accessory sinuses
Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy
Laryngotomy (thyrotomy, laryngofissure); diagnostic
Laryngoscopy, indirect; diagnostic (separate procedure)
Laryngoscopy, indirect; with biopsy
Laryngoscopy, indirect; with removal of foreign body
Laryngoscopy, indirect; with removal of lesion
Laryngoscopy, indirect; with vocal cord injection
Laryngoscopy direct, with or without tracheoscopy; for aspiration
Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn
Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn
Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope
Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator
Laryngoscopy direct, with or without tracheoscopy; with dilation, initial
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent
Laryngoscopy, direct, operative, with foreign body removal;
Laryngoscopy, direct, operative, with foreign body removal; with operating microscope
Laryngoscopy, direct, operative, with biopsy;
Laryngoscopy, direct, operative, with biopsy; with operating microscope
Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;
Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope
Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord;
reconstruction with local tissue flap(s)
Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord;
reconstruction with graft(s) (includes obtaining autograft)
Laryngoscopy, direct, operative, with arytenoidectomy;
Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope
Laryngoscopy, direct, with injection into vocal cord(s), therapeutic;
Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope
Laryngoscopy, flexible fiberoptic; diagnostic
Laryngoscopy, flexible fiberoptic; with biopsy
Laryngoscopy, flexible fiberoptic; with removal of foreign body
Laryngoscopy, flexible fiberoptic; with removal of lesion
Laryngoscopy, flexible or rigid fiberoptic, with stroboscopy
Unlisted procedure, larynx
Tracheal puncture, percutaneous with transtracheal aspiration and/or injection
Tracheobronchoscopy through established tracheostomy incision
Bronchoscopy, rigid or flexible; diagnostic, with or without cell washing (separate procedure)
Bronchoscopy, rigid or flexible; with brushing or protected brushings
Bronchoscopy, rigid or flexible; with bronchial alveolar lavage
Bronchoscopy, rigid or flexible; with biopsy
Bronchoscopy, rigid or flexible; with transbronchial lung biopsy, with or without fluoroscopic guidance
Bronchoscopy, rigid or flexible; with transbronchial needle aspiration biopsy
Bronchoscopy, rigid or flexible; with tracheal/bronchial dilation or closed reduction of fracture
Bronchoscopy, rigid or flexible; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required)
Bronchoscopy, rigid or flexible; with removal of foreign body
Bronchoscopy, rigid or flexible; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial bronchus
Bronchoscopy, rigid or flexible; with revision of tracheal or bronchial stent inserted at previous session (includes tracheal/bronchial dilation as
required)
PAS
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
PAS Description
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
12
Nasal/Tracheal Endoscope
1/1/2005
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
Nasal/Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
1/1/2005
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2005
12
Nasal/ Tracheal Endoscope
1/1/2005
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
31640 Bronchoscopy, rigid or flexible; with excision of tumor
31641
31643
31645
31646
31656
31717
31720
31820
31825
32998
42800
42802
42804
42806
42810
42815
42890
42892
42950
42955
43030
43300
43305
92511
19260
19271
19272
21550
31580
31588
31590
31613
31614
32000
32002
32019
32095
32100
32405
32491
32601
32602
32604
32605
32606
Bronchoscopy, rigid or flexible; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)
Bronchoscopy, rigid or flexible; with placement of catheter(s) for intracavitary radioelement application
Bronchoscopy, rigid or flexible; with therapeutic aspiration of tracheobronchial tree, initial (eg, drainage of lung abscess)
Bronchoscopy, rigid or flexible; with therapeutic aspiration of tracheobronchial tree, subsequent
Bronchoscopy, rigid or flexible; with injection of contrast material for segmental bronchography (fiberscope only)
Catheterization with bronchial brush biopsy
Catheter aspiration (separate procedure); nasotracheal
Surgical closure tracheostomy or fistula; without plastic repair
Surgical closure tracheostomy or fistula; with plastic repair
Ablation therapy for reduction or eradication of one or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension,
percutaneous radiofrequency, unilateral
Biopsy; oropharynx
Biopsy; hypopharynx
Biopsy; nasopharynx, visible lesion, simple
Biopsy; nasopharynx, survey for unknown primary lesion
Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues
Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx
Limited pharyngectomy
Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls
Pharyngoplasty (plastic or reconstructive operation on pharynx)
Pharyngostomy (fistulization of pharynx, external for feeding)
Cricopharyngeal myotomy
Esophagoplasty, (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula
Esophagoplasty, (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula
Nasopharyngoscopy with endoscope (separate procedure)
Excision of chest wall tumor including ribs
Excision of chest wall tumor involving ribs, with plastic reconstruction; without mediastinal lymphadenectomy
Excision of chest wall tumor involving ribs, with plastic reconstruction; with mediastinal lymphadenectomy
Biopsy, soft tissue of neck or thorax
Laryngoplasty; for laryngeal web, two stage, with keel insertion and removal
Laryngoplasty, not otherwise specified (eg, for burns, reconstruction after partial laryngectomy)
Laryngeal reinnervation by neuromuscular pedicle
Tracheostoma revision; simple, without flap rotation
Tracheostoma revision; complex, with flap rotation
Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent
Thoracentesis with insertion of tube with or without water seal (eg, for pneumothorax) (separate procedure)
Insertion of indwelling tunneled pleural catheter with cuff
Thoracotomy, limited, for biopsy of lung or pleura
Thoracotomy, major; with exploration and biopsy
Biopsy, lung or mediastinum, percutaneous needle
Removal of lung, other than total pneumonectomy; excision-plication of emphysematous lung(s) (bullous or non-bullous) for lung volume
reduction, sternal split or transthoracic approach, with or without any pleural procedure
Thoracoscopy, diagnostic (separate procedure); lungs and pleural space, without biopsy
Thoracoscopy, diagnostic (separate procedure); lungs and pleural space, with biopsy
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy
Thoracoscopy, diagnostic (separate procedure); mediastinal space, without biopsy
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy
PAS
12
PAS Description
Nasal/ Tracheal Endoscope
Begin
Date
2/1/2004
12
12
12
12
12
12
12
12
12
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
1/1/2007
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Nasal/ Tracheal Endoscope
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2005
2/1/2004
2/1/2004
2/1/2004
13
13
13
13
13
13
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
32999 Unlisted procedure, lungs and pleura
13
39000 Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach
13
Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median
39010 sternotomy
13
39400 Mediastinoscopy, with or without biopsy
13
35480 Transluminal peripheral atherectomy, open; renal or other visceral artery
14
35481 Transluminal peripheral atherectomy, open; aortic
14
75962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and interpretation
14
75992 Transluminal atherectomy, peripheral artery, radiological supervision and interpretation
14
75994 Transluminal atherectomy, renal, radiological supervision and interpretation
14
93501 Right heart catheterization
14
93503 Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes
14
93505 Endomyocardial biopsy
14
93510 Left heart catheterization, retrograde, from the brachial artery, axillary artery or femoral artery; percutaneous
14
93511 Left heart catheterization, retrograde, from the brachial artery, axillary artery or femoral artery; by cutdown
14
93514 Left heart catheterization by left ventricular puncture
14
93524 Combined transseptal and retrograde left heart catheterization
14
93526 Combined right heart catheterization and retrograde left heart catheterization
14
Combined right heart catheterization and transseptal left heart catheterization through intact septum (with or without retrograde left heart
93527 catheterization)
14
93528 Combined right heart catheterization with left ventricular puncture (with or without retrograde left heart catheterization)
14
Combined right heart catheterization and left heart catheterization through existing septal opening (with or without retrograde left heart
14
93529 catheterization)
93530 Right heart catheterization, for congenital cardiac anomalies
14
93531 Combined right heart catheterization and retrograde left heart catheterization, for congenital cardiac anomalies
14
Combined right heart catheterization and transseptal left heart catheterization through intact septum with or without retrograde left heart
93532 catheterization, for congenital cardiac anomalies
14
Combined right heart catheterization and transseptal left heart catheterization through existing septal opening, with or without retrograde left heart
93533 catheterization, for congenital cardiac anomalies
14
Injection procedure during cardiac catheterization; for selective opacification of arterial conduits (eg, internal mammary), whether native or used
93539 for bypass
14
93540
93541
93542
93543
93544
93545
93662
33500
33501
33507
34501
34510
34520
34530
35180
35184
Injection procedure during cardiac catheterization; for selective opacification of aortocoronary venous bypass grafts, one or more coronary arteries
Injection procedure during cardiac catheterization; for pulmonary angiography
Injection procedure during cardiac catheterization; for selective right ventricular or right atrial angiography
Injection procedure during cardiac catheterization; for selective left ventricular or left atrial angiography
Injection procedure during cardiac catheterization; for aortography
Injection procedure during cardiac catheterization; for selective coronary angiography (injection of radiopaque material may be by hand)
Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in
addition to code for primary procedure)
Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass
Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass
Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation
Valvuloplasty, femoral vein
Venous valve transposition, any vein donor
Cross-over vein graft to venous system
Saphenopopliteal vein anastomosis
Repair, congenital arteriovenous fistula; head and neck
Repair, congenital arteriovenous fistula; extremities
PAS Description
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Begin
Date
2/1/2004
2/1/2004
Thoracic Diagnostic/Therapeutic
Thoracic Diagnostic/Therapeutic
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Vascular Diagnostic II
Vascular Diagnostic II
2/1/2004
2/1/2004
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
2/1/2004
2/1/2004
2/1/2004
Vascular Diagnostic II
2/1/2004
Vascular Diagnostic II
2/1/2004
Vascular Diagnostic II
2/1/2004
14
14
14
14
14
14
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
Vascular Diagnostic II
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
14
15
15
15
15
15
15
15
15
15
Vascular Diagnostic II
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
2/1/2004
2/1/2004
2/1/2004
1/1/2006
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
35188
35190
35206
35207
35226
35236
35256
35266
35286
35302
35303
35304
35305
35306
35501
35506
35508
35509
35511
35515
35516
35518
35521
35526
35531
35533
35536
35537
35538
35539
35540
35548
35549
35551
35556
35558
35560
35563
35565
35566
35571
35870
35879
35881
35901
35903
36261
36262
36800
CPT Description
Repair, acquired or traumatic arteriovenous fistula; head and neck
Repair, acquired or traumatic arteriovenous fistula; extremities
Repair blood vessel, direct; upper extremity
Repair blood vessel, direct; hand, finger
Repair blood vessel, direct; lower extremity
Repair blood vessel with vein graft; upper extremity
Repair blood vessel with vein graft; lower extremity
Repair blood vessel with graft other than vein; upper extremity
Repair blood vessel with graft other than vein; lower extremity
Thromboendarterectomy, including patch graft, if performed; superficial femoral artery
Thromboendarterectomy, including patch graft, if performed; popliteal artery
Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery
Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel
Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery
Bypass graft, with vein; carotid
Bypass graft, with vein; carotid-subclavian
Bypass graft, with vein; carotid-vertebral
Bypass graft, with vein; carotid-carotid
Bypass graft, with vein; subclavian-subclavian
Bypass graft, with vein; subclavian-vertebral
Bypass graft, with vein; subclavian-axillary
Bypass graft, with vein; axillary-axillary
Bypass graft, with vein; axillary-femoral
Bypass graft, with vein; aortosubclavian or carotid
Bypass graft, with vein; aortoceliac or aortomesenteric
Bypass graft, with vein; axillary-femoral-femoral
Bypass graft, with vein; splenorenal
Bypass graft, with vein; aortoiliac
Bypass graft, with vein; aortobi-iliac
Bypass graft, with vein; aortofemoral
Bypass graft, with vein; aortobifemoral
Bypass graft, with vein; aortoiliofemoral, unilateral
Bypass graft, with vein; aortoiliofemoral, bilateral
Bypass graft, with vein; aortofemoral-popliteal
Bypass graft, with vein; femoral-popliteal
Bypass graft, with vein; femoral-femoral
Bypass graft, with vein; aortorenal
Bypass graft, with vein; ilioiliac
Bypass graft, with vein; iliofemoral
Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels
Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels
Repair of graft-enteric fistula
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty
Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition
Excision of infected graft; neck
Excision of infected graft; extremity
Revision of implanted intra-arterial infusion pump
Removal of implanted intra-arterial infusion pump
Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein
PAS
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
PAS Description
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
1/1/2007
1/1/2007
1/1/2007
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
1/1/2007
1/1/2007
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
36810
36815
36818
36819
36820
36821
36825
36830
36832
36833
36835
36860
36861
36870
37184
37185
PAS Description
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Begin
Date
2/1/2004
2/1/2004
1/1/2005
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Vascular Repair
2/1/2004
Vascular Repair
1/1/2006
Vascular Repair
1/1/2006
15
Vascular Repair
1/1/2006
15
Vascular Repair
1/1/2006
15
Vascular Repair
1/1/2006
15
15
15
Vascular Repair
Vascular Repair
Vascular Repair
2/1/2004
2/1/2004
1/1/2007
15
Vascular Repair
2/1/2004
15
15
15
15
Vascular Repair
Vascular Repair
Vascular Repair
Vascular Repair
2/1/2004
1/1/2006
1/1/2006
1/1/2006
15
Vascular Repair
1/1/2006
15
Vascular Repair
1/1/2006
CPT Description
PAS
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)
15
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure
15
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition
15
Arteriovenous anastomosis, open; by upper arm basilic vein transposition
15
Arteriovenous anastomosis, open; by forearm vein transposition
15
Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure)
15
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft
15
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological
collagen, thermoplastic graft)
15
Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)
15
Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)
15
Insertion of Thomas shunt (separate procedure)
15
External cannula declotting (separate procedure); without balloon catheter
15
External cannula declotting (separate procedure); with balloon catheter
15
Thrombectomy, percutaneous, arteriovenous fistula, autogenous or nonautogenous graft (includes mechanical thrombus extraction and intra-graft
thrombolysis)
15
Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including fluroscopic guidance and
intraprocedural pharmacological thrombolytic injection(s); initial vessel
15
Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including fluroscopic guidance and
intraprocedural pharmacological thrombolytic injection(s); second and all subsequent vessel(s) within the same vascular family (List separately in
addition to code for primary mechanical thrombectomy procedure)
15
61642
Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, arterial or
arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injections, provided in conjunction with
another percutaneous intervention other than primary mechanical thrombectomy (List separately in addition to code for primary procedure)
Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic
guidance
Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic
guidance, repeat treatment on subsequent day during course of thrombolytic therapy
Transcatheter occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous,
any method, non-central nervous system, non-head or neck
Ligation or banding of angioaccess arteriovenous fistula
Stab phlebectomy of varicose veins, one extremity; 10-20 stab incisions
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation),
percutaneous, any method; central nervous system (intracranial, spinal cord)
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation),
percutaneous, any method; non-central nervous system, head or neck (extracranial, brachiocephalic branch)
Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous
Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed
Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel
Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular family (List separately in addition to code for
primary procedure)
Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular family (List separately in addition to code
for primary procedure)
33010
Pericardiocentesis; initial
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33202
Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach)
16
Vascular Diagnostic/ Therapeutic
1/1/2007
37186
37187
37188
37204
37607
37765
61624
61626
61630
61635
61640
61641
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
PAS Description
Begin
Date
33203
Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy)
16
Vascular Diagnostic/ Therapeutic
1/1/2007
33206
Insertion or replacement of permanent pacemaker with transvenous electrode(s); atrial
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33207
Insertion or replacement of permanent pacemaker with transvenous electrode(s); ventricular
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33208
Insertion or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33210
Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33212
Insertion or replacement of pacemaker pulse generator only; single chamber, atrial or ventricular
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33213
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33214
Insertion or replacement of pacemaker pulse generator only; dual chamber
Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed
pulse generator, testing of existing lead, insertion of new lead, insertion of new pulse generator)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33216
Insertion of a transvenous electrode; single chamber (one electrode), permanent pacemaker or single chamber pacing cardioverter-defibillator
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33217
Insertion of a transvenous electrode; dual chamber (two electrodes) permanent pacemaker or dual chamber pacing cardioverter-defibrillator
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33218
Repair of single transvenous electrode for a single chamber, permanent pacemaker or single chamber pacing cardioverter-defibrillator
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33220
Repair of two transvenous electrodes for a dual chamber permanent pacemaker or dual chamber pacing cardioverter-defibrillator
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33222
16
Vascular Diagnostic/ Therapeutic
2/1/2004
16
Vascular Diagnostic/ Therapeutic
1/1/2007
33225
Revision or relocation of skin pocket for pacemaker
Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or pacing
cardioverter-defibrillator pulse generator (including revision of pocket, removal, insertion, and/or replacement of generator)
Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of pacing cardioverter-defibrillator or
pacemaker pulse generator (including upgrade to dual chamber system)
Vascular Diagnostic/ Therapeutic
1/1/2007
33233
Removal of permanent pacemaker pulse generator
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33234
Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33235
Removal of transvenous pacemaker electrode(s); dual lead system
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33240
Insertion of single or dual chamber pacing cardioverter-defibrillator pulse generator
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33241
Subcutaneous removal of single or dual chamber pacing cardioverter-defibrillator pulse generator
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33243
Removal of single or dual chamber pacing cardioverter-defibrillator electrode(s); by thoracotomy
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33244
33249
Removal of single or dual chamber pacing cardioverter-defibrillator electrode(s); by transvenous extraction
Insertion or repositioning of electrode lead(s) for single or dual chamber pacing cardioverter-defibrillator and insertion of pulse generator
16
16
Vascular Diagnostic/ Therapeutic
Therapeutic
2/1/2004
1/1/2006
34101
Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision
16
Vascular Diagnostic/ Therapeutic
2/1/2004
34490
Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision
16
Vascular Diagnostic/ Therapeutic
2/1/2004
33224
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm,
35045 pseudoaneurysm, and associated occlusive disease, radial or ulnar artery
PAS
PAS Description
Begin
Date
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35450
Transluminal balloon angioplasty, open; renal or other visceral artery
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35452
Transluminal balloon angioplasty, open; aortic
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35454
Transluminal balloon angioplasty, open; iliac
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35456
Transluminal balloon angioplasty, open; femoral-popliteal
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35458
Transluminal balloon angioplasty, open; brachiocephalic trunk or branches, each vessel
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35459
Transluminal balloon angioplasty, open; tibioperoneal trunk and branches
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35460
Transluminal balloon angioplasty, open; venous
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35470
Transluminal balloon angioplasty, percutaneous; tibioperoneal trunk or branches, each vessel
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35471
Transluminal balloon angioplasty, percutaneous; renal or visceral artery
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35472
Transluminal balloon angioplasty, percutaneous; aortic
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35473
Transluminal balloon angioplasty, percutaneous; iliac
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35474
Transluminal balloon angioplasty, percutaneous; femoral-popliteal
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35475
Transluminal balloon angioplasty, percutaneous; brachiocephalic trunk or branches, each vessel
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35476
Transluminal balloon angioplasty, percutaneous; venous
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35482
Transluminal peripheral atherectomy, open; iliac
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35483
Transluminal peripheral atherectomy, open; femoral-popliteal
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35484
Transluminal peripheral atherectomy, open; brachiocephalic trunk or branches, each vessel
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35485
Transluminal peripheral atherectomy, open; tibioperoneal trunk and branches
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35490
Transluminal peripheral atherectomy, percutaneous; renal or other visceral artery
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35491
Transluminal peripheral atherectomy, percutaneous; aortic
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35492
Transluminal peripheral atherectomy, percutaneous; iliac
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35493
Transluminal peripheral atherectomy, percutaneous; femoral-popliteal
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35494
Transluminal peripheral atherectomy, percutaneous; brachiocephalic trunk or branches, each vessel
16
Vascular Diagnostic/ Therapeutic
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
PAS Description
Begin
Date
35495
Transluminal peripheral atherectomy, percutaneous; tibioperoneal trunk and branches
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35721
Exploration (not followed by surgical repair), with or without lysis of artery; femoral artery
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35741
Exploration (not followed by surgical repair), with or without lysis of artery; popliteal artery
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35761
Exploration (not followed by surgical repair), with or without lysis of artery; other vessels
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35875
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula);
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35876
16
Vascular Diagnostic/ Therapeutic
2/1/2004
35883
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, Dacron, ePTFE, bovine
pericardium)
16
Vascular Diagnostic/ Therapeutic
1/1/2007
35884
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft
16
Vascular Diagnostic/ Therapeutic
1/1/2007
36000
Introduction of needle or intracatheter, vein
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36140
Introduction of needle or intracatheter; extremity artery
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36145
Introduction of needle or intracatheter; arteriovenous shunt created for dialysis (cannula, fistula, or graft)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36245
Selective catheter placement, arterial system, each first order abdominal, pelvic, or lower extremity artery branch; within a vascular family
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36246
16
Vascular Diagnostic/ Therapeutic
2/1/2004
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36489
Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family
Placement of central venous catheter (subclavian, jugular, or other vein) (eg, for central venous pressure, hyperalimentation, hemodialysis, or
chemotherapy); percutaneous, age 2 years or under
Placement of central venous catheter (subclavian, jugular, or other vein) (eg, for central venous pressure, hyperalimentation, hemodialysis, or
chemotherapy); percutaneous, over age 2
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36493
Repositioning of previously placed central venous catheter under fluoroscopic guidance
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36500
Venous catheterization for selective organ blood sampling
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36555
Insertion of non-tunneled centrally inserted central venous catheter; under 5 years of age
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36556
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36557
Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; under 5 years of age
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36558
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36565
Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older
Insertion of tunneled centrally inserted central venous access device, requiring two catheters via two separate venous access sites; w/o
subcutaneous port or pump
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36568
Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; under 5 years of age
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36569
Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36488
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
36584
Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site
Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous
access
Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous
access
Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous
access
36589
PAS
PAS Description
Begin
Date
16
Vascular Diagnostic/ Therapeutic
2/1/2004
16
Vascular Diagnostic/ Therapeutic
2/1/2004
16
Vascular Diagnostic/ Therapeutic
2/1/2004
16
Vascular Diagnostic/ Therapeutic
2/1/2004
Removal of tunneled central venous catheter, without subcutaneous port or pump
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36598
Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluroscopy, image documentation and report
16
Vascular Diagnostic/ Therapeutic
1/1/2006
37200
Transcatheter biopsy
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37201
Transcatheter therapy, infusion for thrombolysis other than coronary
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37202
Transcatheter therapy, infusion other than for thrombolysis, any type (eg, spasmolytic, vasoconstrictive)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37203
Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37205
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37210
37215
37216
Transcatheter placement of an intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous; initial vessel
Uterine fibroid embolization (UFE, embolization of the uterine arteries to treat uterine fibroids, leiomyomata), percutaneous approach inclusive of
vascular access, vessel selection, embolization, and all radiological supervision and interpretation, intraprocedural roadmapping, and imaging
guidance necessary to complete the procedure
Transcatheter placement of intravascular stent(s), cervical cartoid artery, percutaneous; with distal embolic protection
Transcatheter placement of intravascular stent(s), cervical cartoid artery, percutaneous; without distal embolic protection
16
16
16
Vascular Diagnostic/ Therapeutic
Therapeutic
Therapeutic
1/1/2007
1/1/2005
1/1/2005
37500
Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37501
Unlisted vascular endoscopy procedure
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37609
Ligation or biopsy, temporal artery
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37618
Ligation, major artery (eg, post-traumatic, rupture); extremity
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37620
Interruption, partial or complete, of inferior vena cava by suture, ligation, plication, clip, extravascular, intravascular (umbrella device)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37650
Ligation of femoral vein
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37700
Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37718
Ligation, division, and stripping, short saphenous vein
16
Vascular Diagnostic/ Therapeutic
1/1/2006
37722
Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below
16
Vascular Diagnostic/ Therapeutic
1/1/2006
37760
Ligation of perforator veins, subfascial, radical (Linton type), with or without skin graft, open
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37780
Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
36575
36580
36581
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
PAS Description
Begin
Date
37785
Ligation, division, and/or excision of recurrent or secondary varicose veins (clusters), one leg
16
Vascular Diagnostic/ Therapeutic
2/1/2004
37799
Unlisted procedure, vascular surgery
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38221
Bone marrow; biopsy, needle or trocar
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38300
Drainage of lymph node abscess or lymphadenitis; simple
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38305
Drainage of lymph node abscess or lymphadenitis; extensive
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38308
Lymphangiotomy or other operations on lymphatic channels
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38500
Biopsy or excision of lymph node(s); open, superficial
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38505
Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38510
Biopsy or excision of lymph node(s); open, deep cervical node(s)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38520
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38525
Biopsy or excision of lymph node(s); open, deep axillary node(s)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38530
Biopsy or excision of lymph node(s); open, internal mammary node(s)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38542
Dissection, deep jugular node(s)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38550
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38555
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38740
Axillary lymphadenectomy; superficial
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38745
Axillary lymphadenectomy; complete
16
Vascular Diagnostic/ Therapeutic
2/1/2004
38760
Inguinofemoral lymphadenectomy, superficial, including Cloquet’s node (separate procedure)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
60699
Unlisted procedure, endocrine system
16
Vascular Diagnostic/ Therapeutic
2/1/2004
92980
16
Vascular Diagnostic/ Therapeutic
2/1/2004
92981
Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; single vessel
Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; each additional
vessel (List separately in addition to code for primary procedure)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
93602
Intra-atrial recording
16
Vascular Diagnostic/ Therapeutic
2/1/2004
93603
Right ventricular recording
16
Vascular Diagnostic/ Therapeutic
2/1/2004
93610
Intra-atrial pacing
16
Vascular Diagnostic/ Therapeutic
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
PAS Description
Begin
Date
93612
Intraventricular pacing
16
Vascular Diagnostic/ Therapeutic
2/1/2004
93618
Induction of arrhythmia by electrical pacing
Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording,
including insertion and repositioning of multiple electrode catheters, without induction or attempted inducti
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted
induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bund
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted
induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separatel
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of
arrhythmia
Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation
(induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implant
Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of
arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming
Excision of lesion, esophagus, with primary repair; cervical approach
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach
Esophagoscopy, rigid or flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
Esophagoscopy, rigid or flexible; with directed submucosal injection(s), any substance
Esophagoscopy, rigid or flexible; with biopsy, single or multiple
Esophagoscopy, rigid or flexible; with injection sclerosis of esophageal varices
Esophagoscopy, rigid or flexible; with band ligation of esophageal varices
Esophagoscopy, rigid or flexible; with removal of foreign body
Esophagoscopy, rigid or flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
Esophagoscopy, rigid or flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
Esophagoscopy, rigid or flexible; with insertion of plastic tube or stent
Esophagoscopy, rigid or flexible; with balloon dilation (less than 30 mm diameter)
Esophagoscopy, rigid or flexible; with insertion of guide wire followed by dilation over guide wire
Esophagoscopy, rigid or flexible; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma
coagulator)
Esophagoscopy, rigid or flexible; with ablation of tumor(s), polyp(s), or other lesion(s), not amenable to removal by hot biopsy forceps, bipolar
cautery or snare technique
Esophagoscopy, rigid or flexible; with endoscopic ultrasound examination
Esophagoscopy, rigid or flexible; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s)
Upper gastrointestinal endoscopy, simple primary examination (eg, with small diameter flexible endoscope) (separate procedure)
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or
without collection of specimen(s) by brushing or washing (separate procedure)
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed
submucosal injection(s), any substance
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy, single or
multiple
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with transendoscopic
intraluminal tube or catheter placement
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with transendoscopic
ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus,
stomach, and either the duodenum and/or jejunum as appropriate)
16
Vascular Diagnostic/ Therapeutic
2/1/2004
16
Vascular Diagnostic/ Therapeutic
2/1/2004
16
Vascular Diagnostic/ Therapeutic
2/1/2004
16
Vascular Diagnostic/ Therapeutic
2/1/2004
16
Vascular Diagnostic/ Therapeutic
2/1/2004
16
Vascular Diagnostic/ Therapeutic
2/1/2004
16
17
17
17
17
17
17
17
17
17
17
17
17
17
17
Vascular Diagnostic/ Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
17
Upper GI Diagnostic/Therapeutic
2/1/2004
17
17
17
17
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
17
Upper GI Diagnostic/Therapeutic
2/1/2004
17
Upper GI Diagnostic/Therapeutic
2/1/2004
17
Upper GI Diagnostic/Therapeutic
2/1/2004
17
Upper GI Diagnostic/Therapeutic
2/1/2004
17
Upper GI Diagnostic/Therapeutic
1/1/2006
93619
93620
93621
93624
93641
93642
43100
43130
43135
43200
43201
43202
43204
43205
43215
43216
43217
43219
43220
43226
43227
43228
43231
43232
43234
43235
43236
43239
43241
43242
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with injection sclerosis
43243 of esophageal and/or gastric varices
17
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with band ligation of
43244 esophageal and/or gastric varices
17
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with dilation of gastric
43245 outlet for obstruction (eg, balloon, guide wire, bougie)
17
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed
43246 placement of percutaneous gastrostomy tube
17
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of foreign
17
43247 body
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with insertion of guide
43248 wire followed by dilation of esophagus over guide wire
17
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with balloon dilation of
43249 esophagus (less than 30 mm diameter)
17
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of
43250 tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
17
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of
43251 tumor(s), polyp(s), or other lesion(s) by snare technique
17
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with control of
43255 bleeding, any method
17
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with delivery of thermal
43257 energy to the muscle of lower esophageal spincter and/or gastric cardia, for treatment of gastroesophageal reflux disease
17
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with ablation of
43258 tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
17
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with endoscopic
43259 ultrasound examination
17
43400 Ligation, direct, esophageal varices
17
43401 Transection of esophagus with repair, for esophageal varices
17
43450 Dilation of esophagus, by unguided sound or bougie, single or multiple passes
17
43453 Dilation of esophagus, over guide wire
17
43456 Dilation of esophagus, by balloon or dilator, retrograde
17
43458 Dilation of esophagus with balloon (30 mm diameter or larger) for achalasia
17
43499 Unlisted procedure, esophagus
17
43600 Biopsy of stomach; by capsule, tube, peroral (one or more specimens)
17
43610 Excision, local; ulcer or benign tumor of stomach
17
43611 Excision, local; malignant tumor of stomach
17
43647 Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum
17
43648 Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum
17
43750 Percutaneous placement of gastrostomy tube
17
43760 Change of gastrostomy tube
17
43881 Implantation or replacement of gastric neurostimulator electrodes, antrum, open
17
43882 Revision or removal of gastric neurostimulator electrodes, antrum, open
17
43999 Unlisted procedure, stomach
17
44100 Biopsy of intestine by capsule, tube, peroral (one or more specimens)
17
44110 Excision of one or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy
17
44111 Excision of one or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies
17
44312 Revision of ileostomy; simple (release of superficial scar) (separate procedure)
17
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, with or without collection of
17
44360 specimen(s) by brushing or washing (separate procedure)
PAS Description
Begin
Date
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
1/1/2005
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
1/1/2007
2/1/2004
2/1/2004
1/1/2007
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
44361 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple
17
44363 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body
17
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other
44364 lesion(s) by snare technique
17
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other
44365 lesion(s) by hot biopsy forceps or bipolar cautery
17
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar
44366 cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
17
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other
44369 lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
17
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy
44372 tube
17
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy
44373 tube to percutaneous jejunostomy tube
17
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of
44376 specimen(s) by brushing or washing (separate procedure)
17
44377 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple
17
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar
44378 cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
17
44380 Ileoscopy, through stoma; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
17
44382 Ileoscopy, through stoma; with biopsy, single or multiple
17
Endoscopic evaluation of small intestinal (abdominal or pelvic) pouch; diagnostic, with or without collection of specimen(s) by brushing or washing
44385 (separate procedure)
17
44386 Endoscopic evaluation of small intestinal (abdominal or pelvic) pouch; with biopsy, single or multiple
17
44389 Colonoscopy through stoma; with biopsy, single or multiple
17
44799 Unlisted procedure, intestine
17
91055 Gastric intubation, washings, and preparing slides for cytology (separate procedure)
17
93615 Esophageal recording of atrial electrogram with or without ventricular electrogram(s);
17
93616 Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing
17
44388 Colonoscopy through stoma; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
18
44390 Colonoscopy through stoma; with removal of foreign body
18
Colonoscopy through stoma; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma
44391 coagulator)
18
44392 Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
18
Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery
44393 or snare technique
18
44394 Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
18
44950 Appendectomy;
18
44955 (add on code) when done for indicated purpose at time of other major procedure (not as a separate procedure)
18
44970 Laparoscopy, surgical, appendectomy
18
45330 Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
18
45331 Sigmoidoscopy, flexible; with biopsy, single or multiple
18
45332 Sigmoidoscopy, flexible; with removal of foreign body
18
45333 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
18
45334
45335
45337
45338
Sigmoidoscopy, flexible; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance
Sigmoidoscopy, flexible; with decompression of volvulus, any method
Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
18
18
18
18
PAS Description
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Begin
Date
2/1/2004
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
2/1/2004
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
2/1/2004
2/1/2004
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Upper GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
2/1/2004
2/1/2004
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or
45339 snare technique
45355 Colonoscopy, rigid or flexible, transabdominal via colotomy, single or multiple
Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without
45378 colon decompression (separate procedure)
45379 Colonoscopy, flexible, proximal to splenic flexure; with removal of foreign body
45380 Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
45381 Colonoscopy, flexible, proximal to splenic flexure; with directed submucosal injection(s), any substance
Colonoscopy, flexible, proximal to splenic flexure; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe,
45382 stapler, plasma coagulator)
Colonoscopy, flexible, proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy
45383 forceps, bipolar cautery or snare technique
PAS
PAS Description
Begin
Date
18
18
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
2/1/2004
2/1/2004
18
18
18
18
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
18
Lower GI Diagnostic/Therapeutic
2/1/2004
18
Lower GI Diagnostic/Therapeutic
2/1/2004
45384
45385
49080
49081
49250
49402
49420
49435
49436
45000
45005
45020
45100
45108
45113
45123
45150
45160
45170
45190
45300
45303
45305
45307
45308
45309
Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
Peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagnostic or therapeutic); initial
Peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagnostic or therapeutic); subsequent
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)
Removal of peritoneal foreign body from peritoneal cavity
Insertion of intraperitoneal cannula or catheter for drainage or dialysis; temporary
Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site
Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter
Transrectal drainage of pelvic abscess
Incision and drainage of submucosal abscess, rectum
Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess
Biopsy of anorectal wall, anal approach (eg, congenital megacolon)
Anorectal myomectomy
Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy
Proctectomy, partial, without anastomosis, perineal approach
Division of stricture of rectum
Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach
Excision of rectal tumor, transanal approach
Destruction of rectal tumor (eg, electrodessication, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach
Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guidewire, bougie)
Proctosigmoidoscopy, rigid; with biopsy, single or multiple
Proctosigmoidoscopy, rigid; with removal of foreign body
Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery
Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique
18
18
18
18
18
18
18
18
18
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Lower GI Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
1/1/2007
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
45315
Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique
Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma
coagulator)
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or
snare technique (eg, laser)
Proctosigmoidoscopy, rigid; with decompression of volvulus
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation)
Colonoscopy, flexible, proximal to splenic flexure; with endoscopic ultrasound examination
19
Rectal Diagnostic/Therapeutic
2/1/2004
19
Rectal Diagnostic/Therapeutic
2/1/2004
19
19
19
19
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
1/1/2005
45317
45320
45321
45327
45391
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
45392
45395
45397
45400
45402
45499
45505
45562
45800
45820
45990
45999
46020
46040
46045
46050
46060
46080
46083
46200
46210
46211
46220
46221
46230
46250
46255
46257
46258
46260
46261
46262
46270
46275
46280
46285
46288
46320
46600
46604
46606
46608
46610
46611
46612
46614
Colonoscopy, flexible, proximal to splenic flexure; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)
Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy
Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic
reservoir (eg, J-pouch), with diverting enterostomy, when performed
Laparoscopy, surgical; proctopexy (for prolapse)
Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection
Unlisted laparoscopy procedure, rectum
Proctoplasty; for prolapse of mucous membrane
Exploration, repair, and presacral drainage for rectal injury;
Closure of rectovesical fistula;
Closure of rectourethral fistula;
Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic
Unlisted procedure, rectum
Placement of seton
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure)
Incision and drainage of intramural, intramuscular or submucosal abscess, transanal, under anesthesia
Incision and drainage, perianal abscess, superficial
Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton
Sphincterotomy, anal, division of sphincter (separate procedure)
Incision of thrombosed hemorrhoid, external
Fissurectomy, with or without sphincterotomy
Cryptectomy; single
Cryptectomy; multiple (separate procedure)
Papillectomy or excision of single tag, anus (separate procedure)
Hemorrhoidectomy, by simple ligature (eg, rubber band)
Excision of external hemorrhoid tags and/or multiple papillae
Hemorrhoidectomy, external, complete
Hemorrhoidectomy, internal and external, simple;
Hemorrhoidectomy, internal and external, simple; with fissurectomy
Hemorrhoidectomy, internal and external, simple; with fistulectomy, with or without fissurectomy
Hemorrhoidectomy, internal and external, complex or extensive;
Hemorrhoidectomy, internal and external, complex or extensive; with fissurectomy
Hemorrhoidectomy, internal and external, complex or extensive; with fistulectomy, with or without fissurectomy
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous
Surgical treatment of anal fistula (fistulectomy/fistulotomy); submuscular
Surgical treatment of anal fistula (fistulectomy/fistulotomy); complex or multiple, with or without placement of seton
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage
Closure of anal fistula with rectal advancement flap
Enucleation or excision of external thrombotic hemorrhoid
Anoscopy; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
Anoscopy; with dilation (eg, balloon, guidewire, bougie)
Anoscopy; with biopsy, single or multiple
Anoscopy; with removal of foreign body
Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery
Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique
Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique
Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
PAS
PAS Description
Begin
Date
19
19
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
1/1/2005
1/1/2006
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
1/1/2006
1/1/2006
1/1/2006
1/1/2006
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2006
2/1/2004
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
46615
46700
46705
46710
46712
46715
46716
46740
46750
46751
46753
46754
46760
46761
46762
46900
46910
46916
46917
46922
46924
46934
46935
46936
46937
46938
46940
46942
46945
46946
46947
46999
47000
47562
47563
47564
47570
47579
47630
48100
48102
48105
43260
43261
43262
Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
Anoplasty, plastic operation for stricture; adult
Anoplasty, plastic operation for stricture; infant
Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach
Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach
Repair of low imperforate anus; with anoperineal fistula (“cut-back” procedure)
Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula
Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach
Sphincteroplasty, anal, for incontinence or prolapse; adult
Sphincteroplasty, anal, for incontinence or prolapse; child
Graft (Thiersch operation) for rectal incontinence and/or prolapse
Removal of Thiersch wire or suture, anal canal
Sphincteroplasty, anal, for incontinence, adult; muscle transplant
Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)
Sphincteroplasty, anal, for incontinence, adult; implantation artificial sphincter
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery,
cryosurgery, chemosurgery)
Destruction of hemorrhoids, any method; internal
Destruction of hemorrhoids, any method; external
Destruction of hemorrhoids, any method; internal and external
Cryosurgery of rectal tumor; benign
Cryosurgery of rectal tumor; malignant
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent
Ligation of internal hemorrhoids; single procedure
Ligation of internal hemorrhoids; multiple procedures
Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling
Unlisted procedure, anus
Biopsy of liver, needle; percutaneous
Laparoscopy, surgical; cholecystectomy
Laparoscopy, surgical; cholecystectomy with cholangiography
Laparoscopy, surgical; cholecystectomy with exploration of common duct
Laparoscopy, surgical; cholecystoenterostomy
Unlisted laparoscopy procedure, biliary tract
Biliary duct stone extraction, percutaneous via T-tube tract, basket or snare (eg, Burhenne technique)
Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy)
Biopsy of pancreas, percutaneous needle
Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis
Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, with or without collection of specimen(s) by brushing or washing (separate
procedure)
Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy
PAS
PAS Description
Begin
Date
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
1/1/2006
1/1/2006
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
19
19
19
19
19
19
19
19
19
19
19
19
20
20
20
20
20
20
20
20
20
20
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Rectal Diagnostic/Therapeutic
Hepatic Diagnostic/Therapeutic
Hepatic Diagnostic/Therapeutic
Hepatic Diagnostic/Therapeutic
Hepatic Diagnostic/Therapeutic
Hepatic Diagnostic/Therapeutic
Hepatic Diagnostic/Therapeutic
Hepatic Diagnostic/Therapeutic
Hepatic Diagnostic/Therapeutic
Hepatic Diagnostic/Therapeutic
Hepatic Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2005
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
21
21
21
Hepatic Endoscopy
Hepatic Endoscopy
Hepatic Endoscopy
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
43263
43264
43265
43267
43268
43269
43271
43272
47400
47420
47425
47510
47511
47554
48548
48999
74330
49491
49492
49495
49496
49500
49501
49505
49507
49520
49521
49525
49540
49550
49553
49555
49557
49560
49561
49565
49566
49570
Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi (pancreatic duct or common bile duct)
Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde removal of calculus/calculi from biliary and/or pancreatic
ducts
Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde destruction, lithotripsy of calculus/calculi, any method
Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde insertion of nasobiliary or nasopancreatic drainage tube
Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde insertion of tube or stent into bile or pancreatic duct
Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde removal of foreign body and/or change of tube or stent
Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde balloon dilation of ampulla, biliary and/or pancreatic
duct(s)
Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot
biopsy forceps, bipolar cautery or snare technique
Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus
Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal
sphincterotomy or sphincteroplasty
Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal
sphincterotomy or sphincteroplasty
Introduction of percutaneous transhepatic catheter for biliary drainage
Introduction of percutaneous transhepatic stent for internal and external biliary drainage
Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi
Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)
Unlisted procedure, pancreas
Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation
Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with
or without hydrocelectomy; reducible
Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with
or without hydrocelectomy; incarcerated or strangulated
Repair initial inguinal hernia, full term infant under age 6 months, or preterm infant over 50 weeks postconception age and under age 6 months at
the time of surgery, with or without hydrocelectomy; reducible
Repair initial inguinal hernia, full term infant under age 6 months, or preterm infant over 50 weeks postconception age and under age 6 months at
the time of surgery, with or without hydrocelectomy; incarcerated or strangulated
Repair initial inguinal hernia, age 6 months to under 5 years, with or without hydrocelectomy; reducible
Repair initial inguinal hernia, age 6 months to under 5 years, with or without hydrocelectomy; incarcerated or strangulated
Repair initial inguinal hernia, age 5 years or over; reducible
Repair initial inguinal hernia, age 5 years or over; incarcerated or strangulated
Repair recurrent inguinal hernia, any age; reducible
Repair recurrent inguinal hernia, any age; incarcerated or strangulated
Repair inguinal hernia, sliding, any age
Repair lumbar hernia
Repair initial femoral hernia, any age; reducible
Repair initial femoral hernia, any age; incarcerated or strangulated
Repair recurrent femoral hernia; reducible
Repair recurrent femoral hernia; incarcerated or strangulated
Repair initial incisional or ventral hernia; reducible
Repair initial incisional or ventral hernia; incarcerated or strangulated
Repair recurrent incisional or ventral hernia; reducible
Repair recurrent incisional or ventral hernia; incarcerated or strangulated
Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure)
PAS
PAS Description
Begin
Date
21
Hepatic Endoscopy
2/1/2004
21
21
Hepatic Endoscopy
Hepatic Endoscopy
2/1/2004
2/1/2004
21
21
21
Hepatic Endoscopy
Hepatic Endoscopy
Hepatic Endoscopy
2/1/2004
2/1/2004
2/1/2004
21
Hepatic Endoscopy
2/1/2004
21
21
Hepatic Endoscopy
Hepatic Endoscopy
2/1/2004
2/1/2004
21
Hepatic Endoscopy
2/1/2004
21
21
21
21
21
21
21
Hepatic Endoscopy
Hepatic Endoscopy
Hepatic Endoscopy
Hepatic Endoscopy
Hepatic Endoscopy
Hepatic Endoscopy
Hepatic Endoscopy
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
22
Hernia Repair
2/1/2004
22
Hernia Repair
2/1/2004
22
Hernia Repair
2/1/2004
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
49572
49580
49582
49585
49587
49590
49600
49606
49610
49650
49651
49659
CPT Description
Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated
Repair umbilical hernia, under age 5 years; reducible
Repair umbilical hernia, under age 5 years; incarcerated or strangulated
Repair umbilical hernia, age 5 years or over; reducible
Repair umbilical hernia, age 5 years or over; incarcerated or strangulated
Repair spigelian hernia
Repair of small omphalocele, with primary closure
Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room
Repair of omphalocele (Gross type operation); first stage
Laparoscopy, surgical; repair initial inguinal hernia
Laparoscopy, surgical; repair recurrent inguinal hernia
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy
52007
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
with ureteral catheterization, with or without dilation of ureter
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
with biopsy
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
with fulguration and/or incision, with or without biopsy
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
with removal of foreign body or calculus
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material
Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion
Cystostomy, cystotomy with drainage
Cystotomy, with insertion of ureteral catheter or stent (separate procedure)
Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection
Transvesical ureterolithotomy
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus
Cystotomy; for simple excision of vesical neck (separate procedure)
Cystourethroscopy (separate procedure)
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with
brush biopsy of ureter and/or renal pelvis
52010
52204
52214
PAS
22
22
22
22
22
22
22
22
22
22
22
22
PAS Description
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Hernia Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
23
Cystoscope
2/1/2004
23
Cystoscope
2/1/2004
23
Cystoscope
2/1/2004
23
Cystoscope
2/1/2004
23
23
23
23
23
23
23
23
23
23
23
23
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
23
Cystoscope
2/1/2004
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service
Cystourethroscopy, with biopsy
23
23
Cystoscope
Cystoscope
2/1/2004
2/1/2004
23
Cystoscope
2/1/2004
52224
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without
biopsy
23
Cystoscope
2/1/2004
52234
52235
52240
52250
52260
52265
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)
Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration
Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia
23
23
23
23
23
23
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
50951
50953
50955
50957
50961
51020
51030
51040
51045
51050
51060
51065
51520
52000
52001
52005
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
52270
52275
52276
52277
52400
52402
53020
53025
53210
53215
53220
53240
53899
50080
Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting or basket extraction; up to 2 cm
24
Urological Therapeutic
2/1/2004
50081
Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting or basket extraction; over 2 cm
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of
radiologic service; with biopsy
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of
radiologic service; with fulguration and/or incision, with or without biopsy
24
Urological Therapeutic
2/1/2004
24
Urological Therapeutic
2/1/2004
24
Urological Therapeutic
2/1/2004
52281
52282
52283
52285
52290
52300
52301
52305
52310
52315
52320
52325
52327
52330
52332
52334
52341
52342
52343
52344
52345
52346
52351
52352
52354
52355
50555
50557
PAS
23
23
23
23
PAS Description
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
CPT Description
Cystourethroscopy, with internal urethrotomy; female
Cystourethroscopy, with internal urethrotomy; male
Cystourethroscopy with direct vision internal urethrotomy
Cystourethroscopy, with resection of external sphincter (sphincterotomy)
Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure
for cystography, male or female
Cystourethroscopy, with insertion of urethral stent
Cystourethroscopy, with steroid injection into stricture
Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal
urethrotomy, lysis of urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral
Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple
Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple
Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique)
Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus
Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde
Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)
Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)
Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)
Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)
Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)
Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor
Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal
folds
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts
Meatotomy, cutting of meatus (separate procedure); except infant
Meatotomy, cutting of meatus (separate procedure); infant
Urethrectomy, total, including cystostomy; female
Urethrectomy, total, including cystostomy; male
Excision or fulguration of carcinoma of urethra
Marsupialization of urethral diverticulum, male or female
Unlisted procedure, urinary system
23
23
23
Urological Therapeutic
Cystoscope
Cystoscope
2/1/2004
2/1/2004
2/1/2004
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
23
23
23
23
23
23
23
23
23
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
Cystoscope
2/1/2004
1/1/2005
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of
50561 radiologic service; with removal of foreign body or calculus
50688 Change of ureterostomy tube
50727 Revision of urinary-cutaneous anastomosis (any type urostomy);
50728 Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia
51600 Injection procedure for cystography or voiding urethrocystography
51705 Change of cystostomy tube; simple
51710 Change of cystostomy tube; complicated
53000 Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra
53010 Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same
53448 operative session including irrigation and debridement of infected tissue
53502 Urethrorrhaphy, suture of urethral wound or injury, female
53505 Urethrorrhaphy, suture of urethral wound or injury; penile
53510 Urethrorrhaphy, suture of urethral wound or injury; perineal
53515 Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous
53520 Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure)
53600 Dilation of urethral stricture by passage of sound or urethral dilator, male; initial
53601 Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent
53605 Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia
53620 Dilation of urethral stricture by passage of filiform and follower, male; initial
53621 Dilation of urethral stricture by passage of filiform and follower, male; subsequent
53660 Dilation of female urethra including suppository and/or instillation; initial
53661 Dilation of female urethra including suppository and/or instillation; subsequent
53665 Dilation of female urethra, general or conduction (spinal) anesthesia
50590 Lithotripsy, extracorporeal shock wave
50592 Ablation, one or more renal tumor(s), percutaneous, unilateral, radiofrequency
52317 Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm)
52318 Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm)
52353 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)
52450 Transurethral incision of prostate
52500 Transurethral resection of bladder neck (separate procedure)
52700 Transurethral drainage of prostatic abscess
53230 Excision of urethral diverticulum (separate procedure); female
54100 Biopsy of penis; (separate procedure)
54105 Biopsy of penis; deep structures
54231 Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine)
54500 Biopsy of testis, needle (separate procedure)
54505 Biopsy of testis, incisional (separate procedure)
54550 Exploration for undescended testis (inguinal or scrotal area)
54800 Biopsy of epididymis, needle
54865 Exploration of epididymis, with or without biopsy
55700 Biopsy, prostate; needle or punch, single or multiple, any approach
55705 Biopsy, prostate; incisional, any approach
37790 Penile venous occlusive procedure
50398 Change of nephrostomy or pyelostomy tube
50845 Cutaneous appendico-vesicostomy
51715 Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck
53400 Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)
PAS
PAS Description
Begin
Date
24
24
24
24
24
24
24
24
24
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
24
24
24
24
24
24
24
24
24
24
24
24
24
24
25
25
25
25
25
26
26
26
26
26
26
26
26
26
26
26
26
26
26
27
27
27
27
27
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Urological Therapeutic
Lithotripsy
Lithotripsy
Lithotripsy
Lithotripsy
Lithotripsy
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Male Genital Diagnostic
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2006
2/1/2004
2/1/2004
1/1/2006
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
53405
53410
53415
53420
53425
53430
53431
53440
53450
53460
54115
54220
54300
CPT Description
Urethroplasty; second stage (formation of urethra), including urinary diversion
Urethroplasty, one-stage reconstruction of male anterior urethra
Urethroplasty, transpubic or perineal, one stage, for reconstruction or repair of prostatic or membranous urethra
Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; first stage
Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; second stage
Urethroplasty, reconstruction of female urethra
Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure)
Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)
Urethromeatoplasty, with mucosal advancement
Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure)
Removal foreign body from deep penile tissue (eg, plastic implant)
Irrigation of corpora cavernosa for priapism
Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra
PAS
27
27
27
27
27
27
27
27
27
27
27
27
27
PAS Description
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
54304
54308
54312
54316
54318
54322
Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps
Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm
Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm
Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia
Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair)
One stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)
27
27
27
27
27
27
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
54324
One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap)
27
Genito-Urinary Repair
2/1/2004
54326
One stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra
One 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
One 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
One stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island
flap
Repair of hypospadias complications (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple
27
Genito-Urinary Repair
2/1/2004
27
Genito-Urinary Repair
2/1/2004
27
Genito-Urinary Repair
2/1/2004
27
27
Genito-Urinary Repair
Genito-Urinary Repair
2/1/2004
2/1/2004
27
Genito-Urinary Repair
2/1/2004
27
Genito-Urinary Repair
2/1/2004
27
27
27
27
27
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
27
27
27
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
2/1/2004
2/1/2004
2/1/2004
27
27
27
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
2/1/2004
2/1/2004
2/1/2004
54328
54332
54336
54340
54344
54348
54352
54380
54385
54390
54410
54411
54415
54416
54417
54520
54522
Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft
Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring extensive dissection and urethroplasty with flap, patch or tubed
graft (includes urinary diversion)
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 brought in as f
Plastic operation on penis for epispadias distal to external sphincter;
Plastic operation on penis for epispadias distal to external sphincter; with incontinence
Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder
Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative
session including irrigation and debridement of infected tissue
Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same
operative session, including irrigation and debridement of infected tissue
Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach
Orchiectomy, partial
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
54530
54620
54640
54650
54660
54900
54901
55400
55450
57250
57284
57287
57288
52510
52601
52606
52620
52630
52640
52647
52648
53850
53852
53853
54000
54001
54050
54055
54056
54057
54060
54065
54110
54111
54112
54150
54160
54161
54162
54163
54164
54200
54235
54360
54400
CPT Description
PAS
Orchiectomy, radical, for tumor; inguinal approach
27
Fixation of contralateral testis (separate procedure)
27
Orchiopexy, inguinal approach, with or without hernia repair
27
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)
27
Insertion of testicular prosthesis (separate procedure)
27
Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral
27
Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral
27
Vasovasostomy, vasovasorrhaphy
27
Ligation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure)
27
Posterior colporrhaphy, repair of cystocele with or without repair of urethrocele
27
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal prolapse)
27
Removal or revision of sling for stress incontinence (eg, fascia or synthetic)
27
Sling operation for stress incontinence (eg, fascia or synthetic)
27
Transurethral balloon dilation of the prostatic urethra
28
Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,
cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)
28
Transurethral fulguration for postoperative bleeding occurring after the usual follow-up time
28
Transurethral resection; of residual obstructive tissue after 90 days postoperative
28
Transurethral resection; of regrowth of obstructive tissue longer than one year postoperative
28
Transurethral resection; of postoperative bladder neck contracture
28
Non-contact laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy,
urethral calibration and/or dilation, and internal urethrotomy are included)
28
Contact laser vaporization with or without transurethral resection of prostate, including control of postoperative bleeding, complete (vasectomy,
meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)
28
Transurethral destruction of prostate tissue; by microwave thermotherapy
28
Transurethral destruction of prostate tissue; by radiofrequency thermotherapy
28
Transurethral destruction of prostate tissue; by water-induced thermotherapy
28
Slitting of prepuce, dorsal or lateral (separate procedure); newborn
28
Slitting of prepuce, dorsal or lateral (separate procedure); except newborn
28
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical
28
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation
28
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery
28
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery
28
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision
28
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery,
cryosurgery, chemosurgery)
28
Excision of penile plaque (Peyronie disease);
28
Excision of penile plaque (Peyronie disease); with graft to 5 cm in length
28
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length
28
Circumcision, using clamp or other device; newborn
28
Circumcision, surgical excision other than clamp, device or dorsal slit; newborn
28
Circumcision, surgical excision other than clamp, device or dorsal slit; except newborn
28
Lysis or excision of penile post-circumcision adhesions
28
Repair incomplete circumcision
28
Frenulotomy of the penis
28
Injection procedure for Peyronie disease;
28
Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)
28
Plastic operation on penis to correct angulation
28
Insertion of penile prosthesis; non-inflatable (semi-rigid)
28
PAS Description
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Genito-Urinary Repair
Male Genital Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Male Genital Therapeutic
2/1/2004
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
54401
54405
54420
54430
54435
54450
54512
54600
54670
54700
54830
54840
54860
54861
55040
55041
55060
55100
55110
55120
55150
55200
55250
55300
55500
55520
55530
55535
55540
55875
55876
55899
38120
38129
38570
38571
38572
38589
43280
43289
43644
43645
43651
43652
43653
43659
43770
43771
CPT Description
Insertion of penile prosthesis; inflatable (self-contained)
Insertion of multi-component inflatable penile prosthesis, including placement of pump, cylinders, and reservoir
Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral
Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral
Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism
Foreskin manipulation including lysis of preputial adhesions and stretching
Excision of extraparenchymal lesion of testis
Reduction of torsion of testis, surgical, with or without fixation of contralateral testis
Suture or repair of testicular injury
Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma)
Excision of local lesion of epididymis
Excision of spermatocele, with or without epididymectomy
Epididymectomy; unilateral
Epididymectomy; bilateral
Excision of hydrocele; unilateral
Excision of hydrocele; bilateral
Repair of tunica vaginalis hydrocele (Bottle type)
Drainage of scrotal wall abscess
Scrotal exploration
Removal of foreign body in scrotum
Resection of scrotum
Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure)
Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)
Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral
Excision of hydrocele of spermatic cord, unilateral (separate procedure)
Excision of lesion of spermatic cord (separate procedure)
Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure)
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach
Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair
Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or
multiple
Unlisted procedure, male genital system
Laparoscopy, surgical, splenectomy
Unlisted laparoscopy procedure, spleen
Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple
Unlisted laparoscopy procedure, lymphatic system
Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)
Unlisted laparoscopy procedure, esophagus
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150cm or less)
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption
Laparoscopy, surgical; transection of vagus nerves, truncal
Laparoscopy, surgical; transection of vagus nerves, selective or highly selective
Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)
Unlisted laparoscopy procedure, stomach
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneous port components)
Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only
PAS
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
PAS Description
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Male Genital Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
28
28
29
29
29
29
29
29
29
29
29
29
29
29
29
29
29
29
Male Genital Therapeutic
Male Genital Therapeutic
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2005
1/1/2005
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2006
1/1/2006
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
43772
43773
43774
44180
47370
47371
47379
47560
47561
50545
50546
50547
50548
50549
50945
50947
50948
50949
51990
51992
51999
54560
54690
54692
54699
55550
55559
58545
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 grams or less and/or removal of surface myomas
29
Laparoscopy
2/1/2004
58546
58550
58552
58553
58554
58578
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 grams
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less;
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s)
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams;
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s)
Unlisted laparoscopy procedure, uterus
29
29
29
29
29
29
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
49320
49321
49322
49323
49329
49421
49999
50541
50542
50543
50544
PAS
29
29
29
29
29
29
29
29
29
PAS Description
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Begin
Date
1/1/2006
1/1/2006
1/1/2006
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
CPT Description
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band component only
Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port components
Laparoscopy, surgical, enterolysis (freeing of intestional adhesion) (separate procedure)
Laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency
Laparoscopy, surgical, ablation of one or more liver tumor(s); cryosurgical
Unlisted laparoscopic procedure, liver
Laparoscopy, surgical; with guided transhepatic cholangiography, without biopsy
Laparoscopy, surgical; with guided transhepatic cholangiography with biopsy
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate
procedure)
Laparoscopy, surgical; with biopsy (single or multiple)
Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)
Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum
Insertion of intraperitoneal cannula or catheter for drainage or dialysis; permanent
Unlisted procedure, abdomen, peritoneum and omentum
Laparoscopy, surgical; ablation of renal cysts
Laparoscopy, surgical; ablation of renal mass lesion(s)
Laparoscopy, surgical; partial nephrectomy
Laparoscopy, surgical; pyeloplasty
Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota’s fascia and surrounding fatty tissue, removal of regional lymph nodes,
and adrenalectomy)
Laparoscopy, surgical; nephrectomy, including partial ureterectomy
Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor
Laparoscopy, surgical; nephrectomy with total ureterectomy
Unlisted laparoscopy procedure, renal
Laparoscopy, surgical; ureterolithotomy
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement
Unlisted laparoscopy procedure, ureter
Laparoscopy, surgical; urethral suspension for stressincontinence
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)
Unlisted laparoscopy procedure, bladder
Exploration for undescended testis with abdominal exploration
Laparoscopy, surgical; orchiectomy
Laparoscopy, surgical; orchiopexy for intra-abdominal testis
Unlisted laparoscopy procedure, testis
Laparoscopy, surgical, with ligation of spermatic veins for varicocele
Unlisted laparoscopy procedure, spermatic cord
29
29
29
29
29
29
29
29
29
29
29
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
29
29
29
29
29
29
29
29
29
29
29
29
29
29
29
29
29
29
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2006
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
58660
58661
58662
58670
58671
58672
58673
58679
58970
59150
59151
60650
60659
57531
57550
57555
57556
57558
58260
58262
58263
58267
58270
58275
58280
58285
58345
58350
58410
58600
58605
58611
58615
58700
58720
58740
58760
58770
58800
58820
58823
58920
CPT Description
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method
Laparoscopy, surgical; with fulguration of oviducts (with or without transection)
Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)
Laparoscopy, surgical; with fimbrioplasty
Laparoscopy, surgical; with salpingostomy (salpingoneostomy)
Unlisted laparoscopy procedure, oviduct, ovary
Follicle puncture for oocyte retrieval, any method
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy
Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or
dorsal
Unlisted laparoscopy procedure, endocrine system
Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of
tube(s), with or without removal of ovary(s)
Excision of cervical stump, vaginal approach;
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair
Excision of cervical stump, vaginal approach; with repair of enterocele
Dilation and curettage of cervical stump
Vaginal hysterectomy, for uterus 250 grams or less;
Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s)
Vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s), and/or ovary(s), with repair of enterocele
Vaginal hysterectomy, for uterus 250 grams or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without
endoscopic control
Vaginal hysterectomy, for uterus 250 grams or less; with repair of enterocele
Vaginal hysterectomy, with total or partial vaginectomy;
Vaginal hysterectomy, with total or partial colpectomy; with repair of enterocele
Vaginal hysterectomy, radical (Schauta type operation)
Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without
hysterosalpingography
Chromotubation of oviduct, including materials
Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral
sympathectomy
Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral
Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization
(separate procedure)
Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List
separately in addition to code for primary procedure)
Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach
Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)
Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)
Lysis of adhesions (salpingolysis, ovariolysis)
Fimbrioplasty
Salpingostomy (salpingoneostomy)
Drainage of ovarian cyst(s), unilateral or bilateral, (separate procedure); vaginal approach
Drainage of ovarian abscess; vaginal approach, open
Drainage of pelvic abscess, transvaginal or transrectal approach, percutaneous (eg, ovarian, pericolic)
Wedge resection or bisection of ovary, unilateral or bilateral
PAS
29
29
29
29
29
29
29
29
29
29
29
PAS Description
Oviduct Diagnostic/Therapeutic
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
29
29
Laparoscopy
Laparoscopy
2/1/2004
2/1/2004
30
30
30
30
30
30
30
30
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
2/1/2004
30
30
30
30
30
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
30
30
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
2/1/2004
2/1/2004
30
30
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
2/1/2004
2/1/2004
30
Oviduct Diagnostic/Therapeutic
2/1/2004
30
30
30
30
30
30
30
30
30
30
30
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
58925 Ovarian cystectomy, unilateral or bilateral
58940 Oophorectomy, partial or total, unilateral or bilateral;
Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node
58943 biopsies, peritoneal washings, peritoneal biopsies, diaphragmatic assessments, with or without salpingecto
Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with
58957 omentectomy, if performed
Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with
58958 omentectomy, if performed; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy
58999 Unlisted procedure, female genital system (nonobstetrical)
59120 Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach
59121 Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy
59136 Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus
59870 Uterine evacuation and curettage for hydatidiform mole
45560 Repair of rectocele (separate procedure)
56405 Incision and drainage of vulva or perineal abscess
56420 Incision and drainage of Bartholin’s gland abscess
56440 Marsupialization of Bartholin’s gland cyst
56441 Lysis of labial adhesions
56442 Hymenotomy, simple incision
56501 Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
56515 Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
56605 Biopsy of vulva or perineum (separate procedure); one lesion
56620 Vulvectomy simple; partial
56625 Vulvectomy simple; complete
56700 Partial hymenectomy or revision of hymenal ring
56740 Excision of Bartholin’s gland or cyst
56800 Plastic repair of introitus
56810 Perineoplasty, repair of perineum, non-obstetrical (separate procedure)
56820 Colposcopy of the vulva;
56821 Colposcopy of the vulva; with biopsy (s)
57000 Colpotomy; with exploration
57010 Colpotomy; with drainage of pelvic abscess
57020 Colpocentesis (separate procedure)
57022 Incision and drainage of vaginal hematoma; obstetrical/postpartum
57023 Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding)
57061 Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
57065 Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
57100 Biopsy of vaginal mucosa; simple (separate procedure)
57105 Biopsy of vaginal mucosa; extensive, requiring suture (including cysts)
57106 Vaginectomy, partial removal of vaginal wall;
57107 Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy
57109 and para-aortic lymph node sampling (biopsy)
57110 Vaginectomy, complete removal of vaginal wall;
57111 Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)
Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic
57112 lymphadenectomy and para-aortic lymph node sampling (biopsy)
57130 Excision of vaginal septum
57135 Excision of vaginal cyst or tumor
PAS
30
30
PAS Description
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Begin
Date
2/1/2004
2/1/2004
30
Oviduct Diagnostic/Therapeutic
2/1/2004
30
Oviduct Diagnostic/Therapeutic
1/1/2007
30
30
30
30
30
30
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
Oviduct Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
31
31
31
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
31
31
31
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
57150
57155
57160
57200
57210
57296
57300
57400
57410
57420
57421
57452
57454
57455
57456
57460
57461
57500
57505
57510
57511
57513
57520
57522
57530
57700
57720
57800
58100
58110
58140
58145
58146
58353
58356
58540
58541
58542
58543
58544
58548
58555
58558
58559
58560
CPT Description
Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease
Insertion of uterine tandems and/or vaginal ovoids for clinical brachytherapy
Fitting and insertion of pessary or other intravaginal support device
Colporrhaphy, suture of injury of vagina (nonobstetrical)
Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)
Revision (including removal) of prosthetic vaginal graft; vaginal approach
Closure of rectovaginal fistula; vaginal or transanal approach
Dilation of vagina under anesthesia
Pelvic examination under anesthesia
Colposcopy of the entire vagina, with cervix if present;
Colposcopy of the entire vagina, with cervix if present; with biopsy(s)
Colposcopy of the cervix including upper/adjacent vagina;
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix
Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix
Biopsy, single or multiple, or local excision of lesion, with or without fulguration (separate procedure)
Endocervical curettage (not done as part of a dilation and curettage)
Cautery of cervix; electro or thermal
Cauterization of cervix; cryocautery, initial or repeat
Cauterization of cervix; laser ablation
Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser
Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision
Trachelectomy (cervicectomy), amputation of cervix (separate procedure)
Cerclage of uterine cervix, nonobstetrical
Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach
Dilation of cervical canal, instrumental (separate procedure)
Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure)
Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams less and/or removal of surface
myomas; abdominal approach
Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams less and/or removal of surface
myomas; vaginal approach
Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250
grams, abdominal approach
Endometrial ablation, thermal, without hysteroscopic guidance
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed
Hysteroplasty, repair of uterine anomaly (Strassman type)
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with
removal of tube(s) and ovary(s), if performed
Hysteroscopy, diagnostic (separate procedure)
Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C
Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method)
Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)
PAS
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
PAS Description
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2006
31
GYN Diagnostic/Therapeutic
2/1/2004
31
GYN Diagnostic/Therapeutic
2/1/2004
31
31
31
31
31
31
31
31
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
2/1/2004
2/1/2004
1/1/2005
2/1/2004
1/1/2007
1/1/2007
1/1/2007
1/1/2007
31
31
31
31
31
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
58561
58562
58563
58565
58579
59320
59325
59871
58120
59160
59812
59820
59821
59830
59840
59841
59850
59851
12031
12032
12034
12035
12036
12037
12041
12042
12044
12045
12046
12047
12051
12052
12053
12054
12055
12056
12057
15756
15758
21086
21088
23410
23412
24332
24341
24342
24343
CPT Description
Hysteroscopy, surgical; with removal of leiomyomata
Hysteroscopy, surgical; with removal of impacted foreign body
Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)
Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants
Unlisted hysteroscopy procedure, uterus
Cerclage of cervix, during pregnancy; vaginal
Cerclage of cervix, during pregnancy; abdominal
Removal of cerclage suture under anesthesia (other than local)
Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)
Currettage, postpartum
Treatment of incomplete abortion, any trimester, completed surgically
Treatment of missed abortion, completed surgically; first trimester
Treatment of missed abortion, completed surgically; second trimester
Treatment of septic abortion, completed surgically
Induced abortion, by dilation and curettage
Induced abortion, by dilation and evacuation
Induced abortion, by one or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, deliver of fetus and
secundines;
Induced abortion, by one or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, deliver of fetus and
secundines; with dilation and curettage and/or evacuation
Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less
Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm
Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm
Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm
Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm
Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm
Layer closure of wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less
Layer closure of wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm
Layer closure of wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm
Layer closure of wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm
Layer closure of wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm
Layer closure of wounds of neck, hands, feet and/or external genitalia; over 30.0 cm
Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm
Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm
Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm
Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm
Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm
Free muscle or myocutaneous flap with microvascular anastomosis
Free fascial flap with microvascular anastomosis
Impression and custom preparation; auricular prosthesis
Impression and custom preparation; facial prosthesis
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic
Tenolysis, triceps
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft
Repair lateral collateral ligament, elbow, with local tissue
PAS
31
31
31
31
31
31
31
31
32
32
32
32
32
32
32
32
PAS Description
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
GYN Diagnostic/Therapeutic
Dilation and Curettage
Dilation and Curettage
Dilation and Curettage
Dilation and Curettage
Dilation and Curettage
Dilation and Curettage
Dilation and Curettage
Dilation and Curettage
Begin
Date
2/1/2004
2/1/2004
2/1/2004
1/1/2005
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
32
Dilation and Curettage
2/1/2004
32
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
33
Dilation and Curettage
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
24344
24345
24346
25118
25119
25263
25265
25272
25274
25275
25280
25300
25301
25310
25312
25315
25316
26121
26123
26130
26135
26140
26145
26350
26352
26356
26357
26358
26370
26372
26373
26390
26392
26412
26415
26416
26418
26420
26426
26428
26434
26440
26442
26445
26449
CPT Description
PAS
Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)
33
Repair medial collateral ligament, elbow, with local tissue
33
Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)
33
Synovectomy, extensor tendon sheath, wrist, single compartment;
33
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna
33
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle
33
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle
33
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle
33
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle
33
Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)
33
Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon
33
Tenodesis at wrist; flexors of fingers
33
Tenodesis at wrist; extensors of fingers
33
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon
33
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon
33
Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;
33
Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer
33
Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)
33
Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue
rearrangement, or skin grafting (includes obtaining graft);
33
Synovectomy, carpometacarpal joint
33
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit
33
Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint
33
Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon
33
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man’s land); primary or secondary without free graft, each
tendon
33
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man’s land); secondary with free graft (includes obtaining
graft), each tendon
33
Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man’s land); primary, each tendon
33
Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man’s land); secondary, each tendon
33
Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man’s land); secondary with free graft (includes obtaining
graft), each tendon
33
Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon
33
Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon
33
Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon
33
Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod
33
Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod
33
Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon
33
Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod
33
Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod
33
Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon
33
Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon
33
Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger
33
Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger
33
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft)
33
Tenolysis, flexor tendon; palm OR finger, each tendon
33
Tenolysis, flexor tendon; palm AND finger, each tendon
33
Tenolysis, extensor tendon, hand OR finger; each tendon
33
Tenolysis, complex, extensor tendon, finger, including forearm, each tendon
33
PAS Description
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Soft Tissue Repair
2/1/2004
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
2/1/2004
2/1/2004
2/1/2004
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
26471
26474
26480
26483
26485
26489
26490
26492
26494
26496
26497
26498
26499
26502
26510
26540
26541
26542
26587
26593
27097
27098
27100
27105
27110
27111
27393
27394
27395
27396
27397
27400
27405
27407
27409
27430
27650
27652
27654
27656
27658
27665
27676
27685
27686
27687
27690
27691
CPT Description
PAS
Tenodesis; of proximal interphalangeal joint, each joint
33
Tenodesis; of distal joint, each joint
33
Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon
33
Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon
33
Transfer or transplant of tendon, palmar; without free tendon graft, each tendon
33
Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon
33
Opponensplasty; superficialis tendon transfer type, each tendon
33
Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon
33
Opponensplasty; hypothenar muscle transfer
33
Opponensplasty; other methods
33
Transfer of tendon to restore intrinsic function; ring and small finger
33
Transfer of tendon to restore intrinsic function; all four fingers
33
Correction claw finger, other methods
33
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)
33
Cross intrinsic transfer, each tendon
33
Repair of collateral ligament, metacarpophalangeal or interphalangeal joint
33
Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft)
33
Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)
33
Reconstruction of polydactylous digit, soft tissue and bone
33
Release, intrinsic muscles of hand, each muscle
33
Release or recession, hamstring, proximal
33
Transfer, adductor to ischium
33
Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)
33
Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)
33
Transfer iliopsoas; to greater trochanter of femur
33
Transfer iliopsoas; to femoral neck
33
Lengthening of hamstring tendon; single tendon
33
Lengthening of hamstring tendon; multiple tendons, one leg
33
Lengthening of hamstring tendon; multiple tendons, bilateral
33
Transplant, hamstring tendon to patella; single tendon
33
Transplant, hamstring tendon to patella; multiple tendons
33
Transfer, tendon or muscle, hamstrings to femur (eg, Egger’s type procedure)
33
Repair, primary, torn ligament and/or capsule, knee; collateral
33
Repair, primary, torn ligament and/or capsule, knee; cruciate
33
Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments
33
Quadricepsplasty (eg, Bennett or Thompson type)
33
Repair, primary, open or percutaneous, ruptured Achilles tendon;
33
Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)
33
Repair, secondary, Achilles tendon, with or without graft
33
Repair, fascial defect of leg
33
Repair, flexor tendon, leg; primary, without graft, each tendon
33
Repair, extensor tendon, leg; secondary, with or without graft, each tendon
33
Repair for dislocating peroneal tendons; with fibular osteotomy
33
Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)
33
Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each
33
Gastrocnemius recession (eg, Strayer procedure)
33
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)
33
Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space,
flexor digitorum longus, flexor hallicus longus, or peroneal tendon to midfoot or hindfoot)
33
PAS Description
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Soft Tissue Repair
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List in addition to code for primary
27692 procedure)
33
28086 Synovectomy, tendon sheath, foot; flexor
33
28088 Synovectomy, tendon sheath, foot; extensor
33
28110 Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)
33
28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)
33
28289 Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint
33
28290 Correction, hallux valgus (bunion), with or without sesamoidectomy; simple exostectomy (eg, Silver type procedure)
33
28292 Correction, hallux valgus (bunion), with or without sesamoidectomy; Keller, McBride or Mayo type procedure
33
28293 Correction, hallux valgus (bunion), with or without sesamoidectomy; resection of joint with implant
33
28294 Correction, hallux valgus (bunion), with or without sesamoidectomy; with tendon transplants (eg, Joplin type procedure)
33
Correction, hallux valgus (bunion), with or without sesamoidectomy; with metatarsal osteotomy (eg, Mitchell, Chevron, or concentric type
28296 procedures)
33
28297 Correction, hallux valgus (bunion), with or without sesamoidectomy; Lapidus type procedure
33
28298 Correction, hallux valgus (bunion), with or without sesamoidectomy; by phalanx osteotomy
33
28299 Correction, hallux valgus (bunion), with or without sesamoidectomy; by double osteotomy
33
20220 Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)
34
20225 Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)
34
20240 Biopsy, bone, excisional; superficial (eg, ilium, sternum, spinous process, ribs, trochanter of femur)
34
20245 Biopsy, bone, excisional; deep (eg, humerus, ischium, femur)
34
20250 Biopsy, vertebral body, open; thoracic
34
34
20251 Biopsy, vertebral body, open; lumbar or cervical
20550 Injection(s); tendon sheath, ligament
34
20552 Injection(s); single or multiple trigger point(s), one or two muscle(s)
34
20600 Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes)
34
Arthrocentesis, aspiration and/or injection; intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon
20605 bursa)
34
20610 Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
34
20615 Aspiration and injection for treatment of bone cyst
34
20650 Insertion of wire or pin with application of skeletal traction, including removal (separate procedure)
34
20670 Removal of implant; superficial, (eg, buried wire, pin or rod) (separate procedure)
34
20680 Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)
34
20693 Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))
34
20694 Removal, under anesthesia, of external fixation system
34
20975 Electrical stimulation to aid bone healing; invasive (operative)
34
20999 Unlisted procedure, musculoskeletal system, general
34
21010 Arthrotomy, temporomandibular joint
34
21026 Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s)
34
21029 Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia)
34
21030 Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage
34
21031 Excision of torus mandibularis
34
21032 Excision of maxillary torus palatinus
34
21034 Excision of malignant tumor of maxilla or zygoma
34
21045 Excision of malignant tumor of mandible; radical resection
34
21089 Unlisted maxillofacial prosthetic procedure
34
21193 Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft
34
21194 Reconstruction of mandibular rami, horizontal, vertical, “C”, or “L” osteotomy; with bone graft (includes obtaining graft)
34
21195 Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation
34
21196 Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation
34
PAS Description
Begin
Date
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Soft Tissue Repair
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
21206
21299
21315
21320
21337
21340
21345
21355
21360
21401
21421
21431
21440
21451
21453
21480
CPT Description
Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)
Unlisted craniofacial and maxillofacial procedure
Closed treatment of nasal bone fracture; without stabilization
Closed treatment of nasal bone fracture; with stabilization
Closed treatment of nasal septal fracture, with or without stabilization
Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the
nasolacrimal apparatus
Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint
Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation
Open treatment of depressed malar fracture, including zygomatic arch and malar tripod
Closed treatment of fracture of orbit, except “blowout”; with manipulation
Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint
Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint
Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)
Closed treatment of mandibular fracture; with manipulation
Closed treatment of mandibular fracture with interdental fixation
Closed treatment of temporomandibular dislocation; initial or subsequent
21485
21499
21510
21800
21820
21899
22305
22310
22505
22855
23035
23040
23044
23077
23101
23105
23106
23107
23140
23430
23450
23500
23505
23520
23525
23540
23545
23570
23575
23600
23605
Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent
Unlisted musculoskeletal procedure, head
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax
Closed treatment of rib fracture, uncomplicated, each
Closed treatment of sternum fracture
Unlisted procedure, neck or thorax
Closed treatment of vertebral process fracture(s)
Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing
Manipulation of spine requiring anesthesia, any region
Removal of anterior instrumentation
Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body
Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body
Radical resection of tumor, soft tissue of shoulder area
Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage
Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy
Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body
Excision or curettage of bone cyst or benign tumor of clavicle or scapula;
Tenodesis of long tendon of biceps
Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation
Closed treatment of clavicular fracture; without manipulation
Closed treatment of clavicular fracture; with manipulation
Closed treatment of sternoclavicular dislocation; without manipulation
Closed treatment of sternoclavicular dislocation; with manipulation
Closed treatment of acromioclavicular dislocation; without manipulation
Closed treatment of acromioclavicular dislocation; with manipulation
Closed treatment of scapular fracture; without manipulation
Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement)
Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation
Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction
PAS
34
34
34
34
34
PAS Description
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
34
34
34
34
34
34
34
34
34
34
34
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
23620
23625
23655
23665
23675
23929
23935
24000
24006
24100
24101
24102
24110
24120
24160
24164
24301
24400
24410
24500
24505
24530
24535
24560
24565
24576
24577
24600
24605
24620
24640
24650
24655
24670
24675
24925
24999
25028
25031
25035
25040
25085
25100
25101
25105
25107
25110
CPT Description
Closed treatment of greater humeral tuberosity fracture; without manipulation
Closed treatment of greater humeral tuberosity fracture; with manipulation
Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia
Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation
Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation
Unlisted procedure, shoulder
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow
Arthrotomy, elbow, including exploration, drainage, or removal of foreign body
Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure)
Arthrotomy, elbow; with synovial biopsy only
Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body
Arthrotomy, elbow; with synovectomy
Excision or curettage of bone cyst or benign tumor, humerus;
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process;
Implant removal; elbow joint
Implant removal; radial head
Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320 24330 - 24331)
Osteotomy, humerus, with or without internal fixation
Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)
Closed treatment of humeral shaft fracture; without manipulation
Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction
Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation
Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without
skin or skeletal traction
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation
Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation
Closed treatment of humeral condylar fracture, medial or lateral; with manipulation
Treatment of closed elbow dislocation; without anesthesia
Treatment of closed elbow dislocation; requiring anesthesia
Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with
manipulation
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation
Closed treatment of radial head or neck fracture; without manipulation
Closed treatment of radial head or neck fracture; with manipulation
Closed treatment of ulnar fracture, proximal end (olecranon process); without manipulation
Closed treatment of ulnar fracture, proximal end (olecranon process); with manipulation
Amputation, arm through humerus; secondary closure or scar revision
Unlisted procedure, humerus or elbow
Incision and drainage, forearm and/or wrist; deep abscess or hematoma
Incision and drainage, forearm and/or wrist; bursa
Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess)
Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body
Capsulotomy, wrist (eg, contracture)
Arthrotomy, wrist joint; with biopsy
Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body
Arthrotomy, wrist joint; with synovectomy
Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex
Excision, lesion of tendon sheath, forearm and/or wrist
PAS
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
PAS Description
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
34
34
34
34
34
34
34
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis);
25115 flexors
Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis);
25116 extensors, with or without transposition of dorsal retinaculum
25248 Exploration with removal of deep foreign body, forearm or wrist
25260 Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle
25270 Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle
25295 Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon
25360 Osteotomy; ulna
25365 Osteotomy; radius AND ulna
25400 Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)
25415 Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique)
25445 Arthroplasty with prosthetic replacement; trapezium
25500 Closed treatment of radial shaft fracture; without manipulation
25505 Closed treatment of radial shaft fracture; with manipulation
25520 Closed treatment of radial shaft fracture, and closed treatment of dislocation of distal radio-ulnar joint (Galeazzi fracture/dislocation)
25530 Closed treatment of ulnar shaft fracture; without manipulation
25535 Closed treatment of ulnar shaft fracture; with manipulation
25560 Closed treatment of radial and ulnar shaft fractures; without manipulation
25565 Closed treatment of radial and ulnar shaft fractures; with manipulation
Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, with or without fracture of ulnar styloid; without
25600 manipulation
Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, with or without fracture of ulnar styloid; with
25605 manipulation
25622 Closed treatment of carpal scaphoid (navicular) fracture; without manipulation
25624 Closed treatment of carpal scaphoid (navicular) fracture; with manipulation
25630 Closed treatment of carpal bone fracture (excluding carpal scaphoid (navicular)); without manipulation, each bone
25635 Closed treatment of carpal bone fracture (excluding carpal scaphoid (navicular)); with manipulation, each bone
25650 Closed treatment of ulnar styloid fracture
25660 Closed treatment of radiocarpal or intercarpal dislocation, one or more bones, with manipulation
25675 Closed treatment of distal radioulnar dislocation with manipulation
25680 Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation
25690 Closed treatment of lunate dislocation, with manipulation
25820 Arthrodesis, wrist, limited; without bone graft (eg, intercarpal or radiocarpal)
25907 Amputation, forearm, through radius and ulna; secondary closure or scar revision
25922 Disarticulation through wrist; secondary closure or scar revision
25999 Unlisted procedure, forearm or wrist
26020 Drainage of tendon sheath, digit and/or palm, each
26025 Drainage of palmar bursa; single, bursa
26030 Drainage of palmar bursa; multiple bursa
26034 Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess)
26035 Decompression fingers and/or hand, injection injury (eg, grease gun)
26070 Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint
26075 Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each
26080 Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each
26100 Arthrotomy with biopsy; carpometacarpal joint, each
26105 Arthrotomy with biopsy; metacarpophalangeal joint, each
26110 Arthrotomy with biopsy; interphalangeal joint, each
26170 Excision of tendon, palm, flexor, single (separate procedure), each
PAS
PAS Description
Begin
Date
34
Bone Therapeutic
2/1/2004
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
34
Bone Therapeutic
2/1/2004
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
26180
26185
26200
26210
26215
26230
26235
26236
26250
26260
26261
26262
26320
26340
26410
26432
26433
26437
26608
26641
26645
26670
26675
26700
26705
26706
26720
26725
26727
26740
26742
26750
26755
26775
26910
26951
CPT Description
Excision of tendon, finger, flexor (separate procedure), each tendon
Sesamoidectomy, thumb or finger (separate procedure)
Excision or curettage of bone cyst or benign tumor of metacarpal;
Excision or curettage of bone cyst or benign tumor of proximal, middle or distal phalanx of finger;
Excision or curettage of bone cyst or benign tumor of proximal, middle or distal phalanx of finger; with autograft (includes obtaining graft)
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger
Radical resection, metacarpal (eg, tumor);
Radical resection, proximal or middle phalanx of finger (eg, tumor);
Radical resection, proximal or middle phalanx of finger (eg, tumor); with autograft (includes obtaining graft)
Radical resection, distal phalanx of finger (eg, tumor)
Removal of implant from finger or hand
Manipulation, finger joint, under anesthesia, each joint
Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon
Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger)
Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger)
Realignment of extensor tendon, hand, each tendon
Percutaneous skeletal fixation of metacarpal fracture, each bone
Closed treatment of carpometacarpal dislocation, thumb, with manipulation
Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation
Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia
Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia
Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia
Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia
Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation
Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each
Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal
traction, each
Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each
Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each
Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each
Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each
Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each
Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia
Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer
Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure
26952
26989
26990
26991
26992
27050
27060
27062
27066
27086
27087
Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood)
Unlisted procedure, hands or fingers
Incision and drainage, pelvis or hip joint area; deep abscess or hematoma
Incision and drainage, pelvis or hip joint area; infected bursa
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess)
Arthrotomy, with biopsy; sacroiliac joint
Excision; ischial bursa
Excision; trochanteric bursa or calcification
Excision of bone cyst or benign tumor; deep, with or without autograft
Removal of foreign body, pelvis or hip; subcutaneous tissue
Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular)
PAS
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
PAS Description
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
34
34
34
34
34
34
34
34
34
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
34
34
34
34
34
34
34
34
34
34
34
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
27193
27194
27200
27220
27230
27238
27246
27252
27256
27257
27275
27299
27303
27310
27330
27332
27333
27345
27403
27500
27501
27502
27503
27508
27510
27516
27517
27520
27530
27532
27538
27550
27552
27560
27562
27594
27599
27604
27607
27610
27612
27620
27625
27626
27630
27659
CPT Description
PAS
Closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation; without manipulation
34
Closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation; with manipulation, requiring more than local anesthesia
34
Closed treatment of coccygeal fracture
34
Closed treatment of acetabulum (hip socket) fracture(s); without manipulation
34
Closed treatment of femoral fracture, proximal end, neck; without manipulation
34
Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; without manipulation
34
Closed treatment of greater trochanteric fracture, without manipulation
34
Closed treatment of hip dislocation, traumatic; requiring anesthesia
34
Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without
anesthesia, without manipulation
34
Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation,
requiring anesthesia
34
Manipulation, hip joint, requiring general anesthesia
34
Unlisted procedure, pelvis or hip joint
34
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)
34
Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)
34
Arthrotomy, knee; with synovial biopsy only
34
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral
34
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral
34
Excision of synovial cyst of popliteal space (eg, Baker’s cyst)
34
Arthrotomy with meniscus repair, knee
34
Closed treatment of femoral shaft fracture, without manipulation
34
Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation
34
Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction
34
Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin
or skeletal traction
34
Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation
34
Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation
34
Closed treatment of distal femoral epiphyseal separation; without manipulation
34
Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction
34
Closed treatment of patellar fracture, without manipulation
34
Closed treatment of tibial fracture, proximal (plateau); without manipulation
34
Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction
34
Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation
34
Closed treatment of knee dislocation; without anesthesia
34
Closed treatment of knee dislocation; requiring anesthesia
34
Closed treatment of patellar dislocation; without anesthesia
34
Closed treatment of patellar dislocation; requiring anesthesia
34
Amputation, thigh, through femur, any level; secondary closure or scar revision
34
Unlisted procedure, femur or knee
34
Incision and drainage, leg or ankle; infected bursa
34
Incision (eg, osteomyelitis or bone abscess), leg or ankle
34
Arthrotomy, ankle, including exploration, drainage, or removal of foreign body
34
Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening
34
Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body
34
Arthrotomy, ankle, with synovectomy;
34
Arthrotomy, ankle, with synovectomy; including tenosynovectomy
34
Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle
34
Repair, flexor tendon, leg; secondary, with or without graft, each tendon
34
PAS Description
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Bone Therapeutic
2/1/2004
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
27664
27675
27704
27709
27750
27752
27760
27762
27780
27781
27786
27788
27808
27810
27816
27818
27824
27825
27831
27842
27860
27884
27899
28005
28020
28022
28024
28050
28052
28054
28092
28100
28104
28120
28122
28124
28126
28130
28140
28150
28153
28160
28171
28173
28175
28200
CPT Description
Repair, extensor tendon, leg; primary, without graft, each tendon
Repair, dislocating peroneal tendons; without fibular osteotomy
Removal of ankle implant
Osteotomy; tibia and fibula
Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation
Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction
Closed treatment of medial malleolus fracture; without manipulation
Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction
Closed treatment of proximal fibula or shaft fracture; without manipulation
Closed treatment of proximal fibula or shaft fracture; with manipulation
Closed treatment of distal fibular fracture (lateral malleolus); without manipulation
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation
Closed treatment of bimalleolar ankle fracture, (including Potts); without manipulation
Closed treatment of bimalleolar ankle fracture, (including Potts); with manipulation
Closed treatment of trimalleolar ankle fracture; without manipulation
Closed treatment of trimalleolar ankle fracture; with manipulation
Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without
manipulation
Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal
traction and/or requiring manipulation
Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia
Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus)
Amputation, leg, through tibia and fibula; secondary closure or scar revision
Unlisted procedure, leg or ankle
Incision, bone cortex (eg, osteomyelitis or bone abscess), foot
Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint
Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint
Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint
Arthrotomy with biopsy; intertarsal or tarsometatarsal joint
Arthrotomy with biopsy; metatarsophalangeal joint
Arthrotomy with biopsy; interphalangeal joint
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each
Excision or curettage of bone cyst or benign tumor, talus or calcaneus;
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus;
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone,
except talus or calcaneus
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe
Resection, partial or complete, phalangeal base, each toe
Talectomy (astragalectomy)
Metatarsectomy
Phalangectomy, toe, each toe
Resection, condyle(s), distal end of phalanx, each toe
Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each
Radical resection of tumor, bone; tarsal (except talus or calcaneus)
Radical resection of tumor, bone; metatarsal
Radical resection of tumor, bone; phalanx of toe
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon
PAS
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
PAS Description
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
34
Bone Therapeutic
2/1/2004
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
34
34
34
34
34
34
34
34
34
34
34
34
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
28208
28210
28220
28222
28225
28226
28270
28272
28280
28286
28310
28312
28313
28315
28340
28341
28400
28405
28430
28435
28450
28455
28470
28475
28490
28495
28510
28515
28530
28545
28575
28605
28635
28665
28750
28755
28810
28820
28825
28899
29874
31585
31586
41830
42120
42900
69805
69806
23100
CPT Description
Repair, tendon, extensor, foot; primary or secondary, each tendon
Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)
Tenolysis, flexor, foot; single tendon
Tenolysis, flexor, foot; multiple tendons
Tenolysis, extensor, foot; single tendon
Tenolysis, extensor, foot; multiple tendons
Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)
Capsulotomy; interphalangeal joint, each joint (separate procedure)
Syndactylization, toes (eg, webbing or Kelikian type procedure)
Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)
Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)
Osteotomy, shortening, angular or rotational correction; other phalanges, any toe
Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)
Sesamoidectomy, first toe (separate procedure)
Reconstruction, toe, macrodactyly; soft tissue resection
Reconstruction, toe, macrodactyly; requiring bone resection
Closed treatment of calcaneal fracture; without manipulation
Closed treatment of calcaneal fracture; with manipulation
Closed treatment of talus fracture; without manipulation
Closed treatment of talus fracture; with manipulation
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each
Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each
Closed treatment of metatarsal fracture; without manipulation, each
Closed treatment of metatarsal fracture; with manipulation, each
Closed treatment of fracture great toe, phalanx or phalanges; without manipulation
Closed treatment of fracture great toe, phalanx or phalanges; with manipulation
Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each
Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each
Closed treatment of sesamoid fracture
Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia
Closed treatment of talotarsal joint dislocation; requiring anesthesia
Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia
Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia
Closed treatment of interphalangeal joint dislocation; requiring anesthesia
Arthrodesis, great toe; metatarsophalangeal joint
Arthrodesis, great toe; interphalangeal joint
Amputation, metatarsal, with toe, single
Amputation, toe; metatarsophalangeal joint
Amputation, toe; interphalangeal joint
Unlisted procedure, foot or toes
Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)
Treatment of closed laryngeal fracture; without manipulation
Treatment of closed laryngeal fracture; with closed manipulative reduction
Alveolectomy, including curettage of osteitis or sequestrectomy
Resection of palate or extensive resection of lesion
Suture pharynx for wound or injury
Endolymphatic sac operation; without shunt
Endolymphatic sac operation; with shunt
Arthrotomy, glenohumeral joint, including biopsy
PAS
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
34
35
PAS Description
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Bone Therapeutic
Arthroscopy
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
23130
23460
23462
23465
23466
27052
27331
27334
27335
29800
29804
29805
29806
29807
29819
29820
29821
29822
29824
29825
29826
29827
29830
29834
29835
29836
29837
29838
29840
29843
29844
29845
29846
29847
29848
PAS Description
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
29851
CPT Description
PAS
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release
35
Capsulorrhaphy, anterior, any type; with bone block
35
Capsulorrhaphy, anterior, any type; with coracoid process transfer
35
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block
35
Capsulorrhaphy, glenohumeral joint, any type multi-directional instability
35
Arthrotomy, with biopsy; hip joint
35
Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies
35
Arthrotomy, with synovectomy, knee; anterior OR posterior
35
Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area
35
Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure)
35
Arthroscopy, temporomandibular joint, surgical
35
Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)
35
Arthroscopy, shoulder, surgical; capsulorrhaphy
35
Arthroscopy, shoulder, surgical; repair of slap lesion
35
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body
35
Arthroscopy, shoulder, surgical; synovectomy, partial
35
Arthroscopy, shoulder, surgical; synovectomy, complete
35
Arthroscopy, shoulder, surgical; debridement, limited
35
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)
35
Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation
35
Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial release
35
Arthroscopy, shoulder, surgical; with rotator cuff repair
35
Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure)
35
Arthroscopy, elbow, surgical; with removal of loose body or foreign body
35
Arthroscopy, elbow, surgical; synovectomy, partial
35
Arthroscopy, elbow, surgical; synovectomy, complete
35
Arthroscopy, elbow, surgical; debridement, limited
35
Arthroscopy, elbow, surgical; debridement, extensive
35
Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)
35
Arthroscopy, wrist, surgical; for infection, lavage and drainage
35
Arthroscopy, wrist, surgical; synovectomy, partial
35
Arthroscopy, wrist, surgical; synovectomy, complete
35
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement
35
Arthroscopy, wrist, surgical; internal fixation for fracture or instability
35
Endoscopy, wrist, surgical, with release of transverse carpal ligament
35
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or
external fixation (includes arthroscopy)
35
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or
external fixation (includes arthroscopy)
35
29855
Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation (includes arthroscopy)
29856
29860
29861
29862
29863
29866
29867
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal or external fixation (includes arthroscopy)
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)
Arthroscopy, hip, surgical; with removal of loose body or foreign body
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum
Arthroscopy, hip, surgical; with synovectomy
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft)
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)
29850
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Arthroscopy
2/1/2004
Arthroscopy
2/1/2004
35
Arthroscopy
2/1/2004
35
35
35
35
35
35
35
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2005
1/1/2005
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
29868
29870
29871
29873
29875
29876
29877
29879
29880
29881
29882
29883
29884
CPT Description
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)
Arthroscopy, knee, surgical; for infection, lavage and drainage
Arthroscopy, knee, surgical; with lateral release
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)
Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (eg, medial or lateral)
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)
Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving)
Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving)
Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)
Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)
Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of
base of lesion)
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction
Arthroscopy, ankle, surgical; excision of osteochondral defect of talus and/or tibia, including drilling of the defect
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal
fixation (includes arthroscopy)
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis
Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy
Arthroscopy, metacarpophalangeal joint, surgical; with debridement
Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesion)
Unlisted procedure, arthroscopy
Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision
Application of a uniplane (pins or wires in one plane), unilateral, external fixation system
Application of a multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)
Bone graft, any donor area; minor or small (eg, dowel or button)
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)
Excision of bone (eg, for osteomyelitis or bone abscess); mandible
Excision of benign tumor or cyst of mandible by enucleation and/or curettage
PAS
35
35
35
35
35
35
35
35
35
35
35
35
35
PAS Description
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Begin
Date
1/1/2005
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
35
35
35
35
35
35
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Arthroscopy
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
21047
21048
Excision of malignant tumor of mandible;
Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion(s))
Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive
lesion(s))
Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion(s))
35
35
35
35
35
35
35
35
35
36
36
36
36
36
36
36
36
36
36
36
36
Bone Repair
Bone Repair
2/1/2004
2/1/2004
21049
21050
21060
21070
21100
Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion(s))
Condylectomy, temporomandibular joint (separate procedure)
Meniscectomy, partial or complete, temporomandibular joint (separate procedure)
Coronoidectomy (separate procedure)
Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure)
36
36
36
36
36
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
29885
29886
29887
29888
29889
29891
29892
29894
29895
29897
29899
29900
29901
29902
29999
20150
20690
20692
20900
20924
21025
21040
21041
21044
21046
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
21110
21120
21121
21122
21123
21125
21127
21137
21138
21139
21141
21142
21143
21199
21208
21209
21210
21215
21230
21235
21240
21242
21243
21244
21245
21246
21248
21249
21260
21261
21263
21270
21275
21295
21296
21336
21356
21406
21407
21445
21452
21454
21461
21462
21465
21470
21490
21497
CPT Description
PAS
Application of interdental fixation device for conditions other than fracture or dislocation, includes removal
36
Genioplasty; augmentation (autograft, allograft, prosthetic material)
36
Genioplasty; sliding osteotomy, single piece
36
Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin)
36
Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)
36
Augmentation, mandibular body or angle; prosthetic material
36
Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)
36
Reduction forehead; contouring only
36
Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)
36
Reduction forehead; contouring and setback of anterior frontal sinus wall
36
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft
36
Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft
36
Reconstruction midface, LeFort I; three pieces, segment movement in any direction, without bone graft
36
Osteotomy, mandible, segmental; with genioglossus advancement
36
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)
36
Osteoplasty, facial bones; reduction
36
Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)
36
Graft, bone; mandible (includes obtaining graft)
36
Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)
36
Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)
36
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)
36
Arthroplasty, temporomandibular joint, with allograft
36
Arthroplasty, temporomandibular joint, with prosthetic joint replacement
36
Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate)
36
Reconstruction of mandible or maxilla, subperiosteal implant; partial
36
Reconstruction of mandible or maxilla, subperiosteal implant; complete
36
Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial
36
Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete
36
Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach
36
Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach
36
Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement
36
Malar augmentation, prosthetic material
36
Secondary revision of orbitocraniofacial reconstruction
36
Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach
36
Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach
36
Open treatment of nasal septal fracture, with or without stabilization
36
Open treatment of depressed zygomatic arch fracture (eg, Gilles approach)
36
Open treatment of fracture of orbit, except “blowout”; without implant
36
Open treatment of fracture of orbit, except “blowout”; with implant
36
Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)
36
Percutaneous treatment of mandibular fracture, with external fixation
36
Open treatment of mandibular fracture with external fixation
36
Open treatment of mandibular fracture; without interdental fixation
36
Open treatment of mandibular fracture; with interdental fixation
36
Open treatment of mandibular condylar fracture
36
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of
dentures or splints
36
Open treatment of temporomandibular dislocation
36
Interdental wiring, for condition other than fracture
36
PAS Description
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
21502
21600
21610
21742
21743
21805
21825
22318
22319
22520
22521
22523
22524
22525
22526
22527
22554
22804
22808
22818
22819
22841
22843
22844
22845
22846
22847
22848
22851
22857
22862
22865
23020
23120
23145
23146
23150
23155
CPT Description
Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy
Excision of rib, partial
Costotransversectomy (separate procedure)
Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy
Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy
Open treatment of rib fracture without fixation, each
Open treatment of sternum fracture with or without skeletal fixation
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement
of internal fixation; without grafting
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement
of internal fixation; with grafting
Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; thoracic
Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; lumbar
Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical
device, one vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); thoracic
Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical
device, one vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); lumbar
Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical
device, one vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); each additional thoracic or lumbar vertebral body (List separately
in addition to code for primary procedure)
Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level
Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; one or more additional levels
Arthrodesis, anterior interbody technique, including minimal disectomy to prepare interspace (other than for decompression); cervical below C2
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2
segments
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more
segments
Internal spinal fixation by wiring of spinous processes
Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminal wires); 7 to 12 vertebral segments
Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminal wires); 13 or more vertebral segments
Anterior instrumentation; 2 to 3 vertebral segments
Anterior instrumentation; 4 to 7 vertebral segments
Anterior instrumentation; 8 or more vertebral segments
Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum
Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), threaded bone dowel(s), methylmethacrylate) to vertebral defect or
interspace
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), lumbar,
single interspace
Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace
Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace
Capsular contracture release (eg, Sever type procedure)
Claviculectomy; partial
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft
Excision or curettage of bone cyst or benign tumor of proximal humerus;
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)
PAS
36
36
36
36
36
36
36
PAS Description
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
36
Bone Repair
2/1/2004
36
36
36
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
36
Bone Repair
1/1/2006
36
Bone Repair
1/1/2006
36
36
36
Bone Repair
Bone Repair
Bone Repair
1/1/2006
1/1/2007
1/1/2007
36
36
36
Bone Repair
Bone Repair
Bone Repair
1/1/2007
2/1/2004
2/1/2004
36
Bone Repair
2/1/2004
36
36
36
36
36
36
36
36
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
36
Bone Repair
2/1/2004
36
36
36
36
36
36
36
36
36
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
1/1/2007
1/1/2007
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
23156
23170
23172
23174
23180
23182
23184
23190
23415
23420
23455
23515
23530
23532
23550
23552
23615
23630
23660
24115
24116
24125
24126
24130
24134
24136
24138
24140
24145
24147
24149
24305
24320
24330
24331
24340
24360
24361
24362
24365
24420
24430
24435
24470
24495
24498
24515
24538
CPT Description
Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft
Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle
Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula
Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus
Ostectomy of scapula, partial (eg, superior medial angle)
Coracoacromial ligament release, with or without acromioplasty
Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)
Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)
Open treatment of clavicular fracture, with or without internal or external fixation
Open treatment of sternoclavicular dislocation, acute or chronic;
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)
Open treatment of acromioclavicular dislocation, acute or chronic;
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)
Open treatment of proximal humeral (surgical or anatomical neck) fracture, with or without internal or external fixation, with or without repair of
tuberosity(-ies);
Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation
Open treatment of acute shoulder dislocation
Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft)
Excision or curettage of bone cyst or benign tumor, humerus; with allograft
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft)
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft
Excision, radial head
Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus
Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck
Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process
Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)
Tendon lengthening, upper arm or elbow, each tendon
Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)
Flexor-plasty, elbow (eg, Steindler type advancement);
Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement
Tenodesis of biceps tendon at elbow (separate procedure)
Arthroplasty, elbow; with membrane (eg, fascial)
Arthroplasty, elbow; with distal humeral prosthetic replacement
Arthroplasty, elbow; with implant and fascia lata ligament reconstruction
Arthroplasty, radial head;
Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)
Repair of nonunion or malunion, humerus; without graft (eg, compression technique)
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)
Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)
Decompression fasciotomy, forearm, with brachial artery exploration
Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension
PAS
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
PAS Description
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
24546
24566
24579
24582
24665
24685
24935
25109
25120
25125
25126
25130
25135
25136
25145
25150
25151
25170
25210
25215
25230
25240
25250
25251
25320
25332
25335
25337
25350
25355
25370
25375
25390
25394
25425
25426
25430
25431
25440
25515
25525
25545
25574
25575
25606
CPT Description
PAS
Open treatment of humeral supracondylar or transcondylar fracture, with or without internal or external fixation; with intercondylar extension
36
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation
36
Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation
36
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation
36
Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;
36
Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation
36
Stump elongation, upper extremity
36
Excision of tendon, forearm and/or wrist, flexor or extensor, each
36
Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process);
36
Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft
(includes obtaining graft)
36
Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft
36
Excision or curettage of bone cyst or benign tumor of carpal bones;
36
Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft)
36
Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft
36
Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist
36
Partial excision (craterization, saucerization or diaphysectomy) of bone (eg, for osteomyelitis); ulna
36
Partial excision (craterization, saucerization or diaphysectomy) of bone (eg, for osteomyelitis); radius
36
Radical resection for tumor, radius or ulna
36
Carpectomy; one bone
36
Carpectomy; all bones of proximal row
36
Radial styloidectomy (separate procedure)
36
Excision distal ulna partial or complete (eg, Darrach type or matched resection)
36
Removal of wrist prosthesis; (separate procedure)
36
Removal of wrist prosthesis; complicated, including total wrist
36
Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy
and open reduction) for carpal instability
36
Arthroplasty, wrist, with or without interposition, with or without external or internal fixation
36
Centralization of wrist on ulna (eg, radial club hand)
36
Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue stabilization (eg, tendon transfer, tendon
graft or weave, or tenodesis) with or without open reduction of distal radioulnar joint
36
Osteotomy, radius; distal third
36
Osteotomy, radius; middle or proximal third
36
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna
36
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna
36
Osteoplasty, radius OR ulna; shortening
36
Osteoplasty, carpal bone, shortening
36
Repair of defect with autograft; radius OR ulna
36
Repair of defect with autograft; radius AND ulna
36
Insertion of vascular pedicle into carpal bone (eg, Hori procedure)
36
Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone
36
Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation)
36
Open treatment of radial shaft fracture, with or without internal or external fixation
36
Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of dislocation of distal radio-ulnar joint (Galeazzi
fracture/dislocation), with or without percutaneous skeletal fixation
36
Open treatment of ulnar shaft fracture, with or without internal or external fixation
36
Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius or ulna
36
Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna
36
Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation
36
PAS Description
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
25607
25608
25609
25628
25645
25651
25652
25670
25671
25676
25685
25695
25800
25805
25810
25825
25830
26040
26045
26205
26516
26517
26518
26525
26530
26531
26535
26536
26545
26546
26548
26565
26567
26568
26580
26590
26591
26596
26615
26650
26665
26676
26685
26686
26715
26735
26746
26756
CPT Description
Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments
Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation
Open treatment of carpal bone fracture (other than carpal scaphoid (navicular)), each bone
Percutaneous skeletal fixation of ulnar styloid fracture
Open treatment of ulnar styloid fracture
Open treatment of radiocarpal or intercarpal dislocation, one or more bones
Percutaneous skeletal fixation of distal radioulnar dislocation
Open treatment of distal radioulnar dislocation, acute or chronic
Open treatment of trans-scaphoperilunar type of fracture dislocation
Open treatment of lunate dislocation
Arthrodesis, wrist, complete; without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints)
Arthrodesis, wrist, complete; with sliding graft
Arthrodesis, wrist, complete; with iliac or other autograft (includes obtaining graft)
Arthrodesis, wrist, limited; with autograft (includes obtaining graft)
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure)
Fasciotomy, palmar (eg, Dupuytren’s contracture); percutaneous
Fasciotomy, palmar (eg, Dupuytrens contracture); open, partial
Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft)
Capsulodesis, metacarpophalangeal joint; single digit
Capsulodesis, metacarpophalangeal joint; two digits
Capsulodesis, metacarpophalangeal joint; three or four digits
Capsulectomy or capsulotomy; interphalangeal joint, each joint
Arthroplasty, metacarpophalangeal joint; each joint
Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint
Arthroplasty, interphalangeal joint; each joint
Arthroplasty, interphalangeal joint; with prosthetic implant, each joint
Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint
Repair non-union, metacarpal or phalanx, (includes obtaining bone graft with or without external or internal fixation)
Repair and reconstruction, finger, volar plate, interphalangeal joint
Osteotomy; metacarpal, each
Osteotomy; phalanx of finger, each
Osteoplasty, lengthening, metacarpal or phalanx
Repair cleft hand
Repair macrodactylia, each digit
Repair, intrinsic muscles of hand, each muscle
Excision of constricting ring of finger, with multiple Z-plasties
Open treatment of metacarpal fracture, single, with or without internal or external fixation, each bone
Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation, with or without external fixation
Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with or without internal or external fixation
Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint
Open treatment of carpometacarpal dislocation, other than thumb; with or without internal or external fixation, each joint
Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple or delayed reduction
Open treatment of metacarpophalangeal dislocation, single, with or without internal or external fixation
Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with or without internal or external fixation, each
Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, with or without internal or external fixation, each
Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each
PAS
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
PAS Description
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Begin
Date
1/1/2007
1/1/2007
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
26765
26776
26785
26820
26841
26842
26843
26844
26850
26852
26860
26862
27065
27067
27070
27080
27146
27202
27280
27282
27325
27326
27350
27355
27356
27357
27358
27360
27418
27420
CPT Description
Open treatment of distal phalangeal fracture, finger or thumb, with or without internal or external fixation, each
Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation
Open treatment of interphalangeal joint dislocation, with or without internal or external fixation, single
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation;
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)
Arthrodesis, carpometacarpal joint, digit, other than thumb, each;
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)
Arthrodesis, metacarpophalangeal joint, with or without internal fixation;
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)
Arthrodesis, interphalangeal joint, with or without internal fixation;
Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)
Excision of bone cyst or benign tumor; superficial (wing of ilium, symphysis pubis, or greater trochanter of femur) with or without autograft
Excision of bone cyst or benign tumor; with autograft requiring separate incision
Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, symphysis pubis, or greater
trochanter of femur)
Coccygectomy, primary
Osteotomy, iliac, acetabular or innominate bone;
Open treatment of coccygeal fracture
Arthrodesis, sacroiliac joint (including obtaining graft)
Arthrodesis, symphysis pubis (including obtaining graft)
Neurectomy, hamstring muscle
Neurectomy, popliteal (gastrocnemius)
Patellectomy or hemipatellectomy
Excision or curettage of bone cyst or benign tumor of femur;
Excision or curettage of bone cyst or benign tumor of femur; with allograft
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft)
Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure)
Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess)
Anterior tibial tubercleplasty (eg, Maquet type procedure)
Reconstruction of dislocating patella; (eg, Hauser type procedure)
27422
27424
27425
27427
27428
27429
27435
27437
27440
27441
27442
27443
27535
27536
27635
27637
27638
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure)
Reconstruction of dislocating patella; with patellectomy
Lateral retinacular release open
Ligamentous reconstruction (augmentation), knee; extra-articular
Ligamentous reconstruction (augmentation), knee; intra-articular (open)
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular
Capsulotomy, posterior capsular release, knee
Arthroplasty, patella; without prosthesis
Arthroplasty, knee, tibial plateau;
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy
Arthroplasty, femoral condyles or tibial plateau(s), knee;
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy
Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal or external fixation
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation
Excision or curettage of bone cyst or benign tumor, tibia or fibula;
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft)
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft
PAS
36
36
36
36
36
36
36
36
36
36
36
36
36
36
PAS Description
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
27640
27641
27645
27647
27700
27705
27707
27730
27732
27734
27740
27742
27745
27766
27792
27814
28106
28107
28108
28111
28112
28113
CPT Description
PAS
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis or exostosis); tibia
36
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis or exostosis); fibula
36
Radical resection of tumor, bone; tibia
36
Radical resection of tumor, bone; talus or calcaneus
36
Arthroplasty, ankle;
36
Osteotomy; tibia
36
Osteotomy; fibula
36
Arrest, epiphyseal (epiphysiodesis), open; distal tibia
36
Arrest, epiphyseal (epiphysiodesis), open; distal fibula
36
Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula
36
Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula;
36
Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur
36
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia
36
Open treatment of medial malleolus fracture, with or without internal or external fixation
36
Open treatment of distal fibular fracture (lateral malleolus), with or without internal or external fixation
36
Open treatment of bimalleolar ankle fracture, with or without internal or external fixation
36
Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral malleolus; without fixation of
posterior lip
36
Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral malleolus; with fixation of posterior
lip
36
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal or external fixation; of
fibula only
36
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal or external fixation; of
tibia only
36
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal or external fixation; of
both tibia and fibula
36
Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or external fixation
36
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation
36
Arthrodesis, ankle, open
36
Arthrodesis, tibiofibular joint, proximal or distal
36
Ankle disarticulation
36
Neurectomy, intrinsic musculature of foot
36
Fasciectomy, plantar fascia; radical (separate procedure)
36
Synovectomy; intertarsal or tarsometatarsal joint, each
36
Synovectomy; metatarsophalangeal joint, each
36
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft)
36
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft
36
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining
graft)
36
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft
36
Excision or curettage of bone cyst or benign tumor, phalanges of foot
36
Ostectomy, complete excision; first metatarsal head
36
Ostectomy, complete excision; other metatarsal head (second, third or fourth)
36
Ostectomy, complete excision; fifth metatarsal head
36
28114
28116
28118
28119
Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure)
Ostectomy, excision of tarsal coalition
Ostectomy, calcaneus;
Ostectomy, calcaneus; for spur, with or without plantar fascial release
27822
27823
27826
27827
27828
27829
27848
27870
27871
27889
28055
28062
28070
28072
28102
28103
36
36
36
36
PAS Description
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
Bone Repair
2/1/2004
Bone Repair
2/1/2004
Bone Repair
2/1/2004
Bone Repair
2/1/2004
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Bone Repair
Bone Repair
Bone Repair
Bone Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
28202
28238
28250
28260
28261
28262
28264
28288
28300
28302
28304
28305
28306
28307
28308
28309
28320
28322
28344
28345
28360
28406
28415
28420
28436
28456
28465
28476
28485
28496
28505
28525
28531
28546
28555
28576
28585
28606
28615
28636
28645
28666
28675
28705
28715
28725
28730
28735
CPT Description
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)
Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)
Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure)
Capsulotomy, midfoot; medial release only (separate procedure)
Capsulotomy, midfoot; with tendon lengthening
Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity)
Capsulotomy, midtarsal (eg, Heyman type procedure)
Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head
Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
Osteotomy; talus
Osteotomy, tarsal bones, other than calcaneus or talus;
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe)
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure)
Repair, nonunion or malunion; tarsal bones
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)
Reconstruction, toe(s); polydactyly
Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web
Reconstruction, cleft foot
Percutaneous skeletal fixation of calcaneal fracture, with manipulation
Open treatment of calcaneal fracture, with or without internal or external fixation;
Open treatment of calcaneal fracture, with or without internal or external fixation; with primary iliac or other autogenous bone graft (includes
obtaining graft)
Percutaneous skeletal fixation of talus fracture, with manipulation
Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each
Open treatment of tarsal bone fracture (except talus and calcaneus), with or without internal or external fixation, each
Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each
Open treatment of metatarsal fracture, with or without internal or external fixation, each
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation
Open treatment of fracture great toe, phalanx or phalanges, with or without internal or external fixation
Open treatment of fracture, phalanx or phalanges, other than great toe, with or without internal or external fixation, each
Open treatment of sesamoid fracture, with or without internal fixation
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation
Open treatment of tarsal bone dislocation, with or without internal or external fixation
Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation
Open treatment of talotarsal joint dislocation, with or without internal or external fixation
Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation
Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation
Open treatment of metatarsophalangeal joint dislocation, with or without internal or external fixation
Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation
Open treatment of interphalangeal joint dislocation, with or without internal or external fixation
Arthrodesis; pantalar
Arthrodesis; triple
Arthrodesis; subtalar
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse;
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)
PAS
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
36
PAS Description
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Bone Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
28737
28740
28760
41874
42842
11010
11011
11012
11981
11982
11983
20000
20005
20100
20101
20102
20103
20200
20205
20206
20520
20525
21015
21501
21555
21556
21700
21720
21725
21920
21925
21930
22900
23000
23065
23066
23075
23076
23405
23406
23700
24065
24066
24075
24076
24105
24300
CPT Description
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)
Arthrodesis, midtarsal or tarsometatarsal, single joint
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure)
Alveoloplasty, each quadrant (specify)
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure
Debridement including removal of foreign material associated with open fracture(s) and/or dislocation(s); skin and subcutaneous tissues
Debridement including removal of foreign material associated with open fracture(s) and/or dislocation(s); skin, subcutaneous tissue, muscle
fascia, and muscle
Debridement including removal of foreign material associated with open fracture(s) and/or dislocation(s); skin, subcutaneous tissue, muscle
fascia, muscle, and bone
Insertion, non-biodegradable drug delivery implant
Removal, non-biodegradable drug delivery implant
Removal with reinsertion, non-biodegradable drug delivery implant
Incision of soft tissue abscess (eg, secondary to osteomyelitis); superficial
Incision of soft tissue abscess (eg, secondary to osteomyelitis); deep or complicated
Exploration of penetrating wound (separate procedure); neck
Exploration of penetrating wound (separate procedure); chest
Exploration of penetrating wound (separate procedure); abdomen/flank/back
Exploration of penetrating wound (separate procedure); extremity
Biopsy, muscle; superficial
Biopsy, muscle; deep
Biopsy, muscle, percutaneous needle
Removal of foreign body in muscle or tendon sheath; simple
Removal of foreign body in muscle or tendon sheath; deep or complicated
Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp
Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax;
Excision tumor, soft tissue of neck or thorax; subcutaneous
Excision tumor, soft tissue of neck or thorax; deep, subfascial, intramuscular
Division of scalenus anticus; without resection of cervical rib
Division of sternocleidomastoid for torticollis, open operation; without cast application
Division of sternocleidomastoid for torticollis, open operation; with cast application
Biopsy, soft tissue of back or flank; superficial
Biopsy, soft tissue of back or flank; deep
Excision, tumor, soft tissue of back or flank
Excision, abdominal wall tumor, subfascial (eg, desmoid)
Removal of subdeltoid calcareous deposits, open
Biopsy, soft tissue of shoulder area; superficial
Biopsy, soft tissue of shoulder area; deep
Excision, soft tissue tumor, shoulder area; subcutaneous
Excision, soft tissue tumor, shoulder area; deep, subfascial or intramuscular
Tenotomy, shoulder area; single tendon
Tenotomy, shoulder area; multiple tendons through same incision
Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)
Biopsy, soft tissue of upper arm or elbow area; superficial
Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)
Excision, tumor, soft tissue of upper arm or elbow area; subcutaneous
Excision, tumor, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)
Excision, olecranon bursa
Manipulation, elbow, under anesthesia
PAS
36
36
36
36
36
37
PAS Description
Bone Repair
Bone Repair
Bone Repair
Oral Surgery
Bone Repair
Soft Tissue Therapy
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
37
Soft Tissue Therapy
2/1/2004
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
24310
24350
24351
24352
24354
24356
25000
25001
25020
25023
25024
25025
25065
25066
25075
25076
25077
25111
25112
25259
25290
26037
26055
26060
26115
26116
26117
26160
26450
26455
26460
27000
27001
27003
27036
27040
27041
27305
27306
27307
27323
27324
27340
27347
27390
27391
27392
27496
CPT Description
Tenotomy, open, elbow to shoulder, each tendon
Fasciotomy, lateral or medial (eg, “tennis elbow” or epicondylitis);
Fasciotomy, lateral or medial (eg, “tennis elbow” or epicondylitis); with extensor origin detachment
Fasciotomy, lateral or medial (eg, “tennis elbow” or epicondylitis); with annular ligament resection
Fasciotomy, lateral or medial (eg, “tennis elbow” or epicondylitis); with stripping
Fasciotomy, lateral or medial (eg, “tennis elbow” or epicondylitis); with partial ostectomy
Incision, extensor tendon sheath, wrist (eg, deQuervains disease)
Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve
Biopsy, soft tissue of forearm and/or wrist; superficial
Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular)
Excision, tumor, soft tissue of forearm and/or wrist area; subcutaneous
Excision, tumor, soft tissue of forearm and/or wrist area; deep (subfascial or intramuscular)
Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area
Excision of ganglion, wrist (dorsal or volar); primary
Excision of ganglion, wrist (dorsal or volar); recurrent
Manipulation, wrist, under anesthesia
Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon
Decompressive fasciotomy, hand (excludes 26035)
Tendon sheath incision (eg, for trigger finger)
Tenotomy, percutaneous, single, each digit
Excision, tumor or vascular malformation, soft tissue of hand or finger; subcutaneous
Excision, tumor or vascular malformation, soft tissue of hand or finger; deep (subfascial or intramuscular)
Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger
Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger
Tenotomy, flexor, palm, open, each tendon
Tenotomy, flexor, finger, open, each tendon
Tenotomy, extensor, hand or finger, open, each tendon
Tenotomy, adductor of hip, percutaneous (separate procedure)
Tenotomy, adductor of hip, open
Tenotomy, adductor, subcutaneous, open, with obturator neurectomy
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus
minimus, tensor fascia latae, rectus femoris, sartorius, iliopsoas)
Biopsy, soft tissue of pelvis and hip area; superficial
Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular
Fasciotomy, iliotibial (tenotomy), open
Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)
Tenotomy, percutaneous, adductor or hamstring; multiple tendons
Biopsy, soft tissue of thigh or knee area; superficial
Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular)
Excision, prepatellar bursa
Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee
Tenotomy, open, hamstring, knee to hip; single tendon
Tenotomy, open, hamstring, knee to hip; multiple tendons, one leg
Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral
Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or adductor);
PAS
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
PAS Description
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
37
37
37
37
37
37
37
37
37
37
37
37
37
37
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
2/1/2004
1/1/2006
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or
27497 nerve
37
27498 Decompression fasciotomy, thigh and/or knee, multiple compartments;
37
27499 Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve
37
27570 Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)
37
27600 Decompression fasciotomy, leg; anterior and/or lateral compartments only
37
27601 Decompression fasciotomy, leg; posterior compartment(s) only
37
27602 Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)
37
27605 Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia
37
27606 Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia
37
27613 Biopsy, soft tissue of leg or ankle area; superficial
37
27614 Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular)
37
27680 Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon
37
27681 Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incision(s))
37
27695 Repair, primary, disrupted ligament, ankle; collateral
37
27696 Repair, primary, disrupted ligament, ankle; both collateral ligaments
37
27698 Repair, secondary disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)
37
27892 Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve
37
27893 Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve
37
27894 Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve
37
28008 Fasciotomy, foot and/or toe
37
28010 Tenotomy, percutaneous, toe; single tendon
37
28011 Tenotomy, percutaneous, toe; multiple tendons
37
28045 Excision, tumor, foot; deep, subfascial, intramuscular
37
28046 Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot
37
28060 Fasciectomy, plantar fascia; partial (separate procedure)
37
28090 Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot
37
28230 Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure)
37
28232 Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)
37
28234 Tenotomy, open, extensor, foot or toe, each tendon
37
28240 Tenotomy, lengthening, or release, abductor hallucis muscle
37
29823 Arthroscopy, shoulder, surgical; debridement, extensive
37
29893 Endoscopic plantar fasciotomy
37
29898 Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive
37
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated
63030 intervertebral disc; one interspace, lumbar (including open or endoscopically-assisted approach)
37
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated
63035 intervertebral disc; each additional interspace, cervical or lumbar
37
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s), (eg,
63046 spinal or lateral recess stenosis)), single vertebral segment; thoracic
37
63075 Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace
37
Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List
63076 separately in addition to code for primary procedure)
37
63077 Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace
37
Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List
63078 separately in addition to code for primary procedure)
37
69145 Excision soft tissue lesion, external auditory canal
37
19020 Mastotomy with exploration or drainage of abscess, deep
38
19100 Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure)
38
PAS Description
Begin
Date
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
Soft Tissue Therapy
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Soft Tissue Therapy
1/1/2007
Soft Tissue Therapy
1/1/2007
Soft Tissue Therapy
Soft Tissue Therapy
1/1/2007
2/1/2004
Soft Tissue Therapy
Soft Tissue Therapy
2/1/2004
2/1/2004
Soft Tissue Therapy
Soft Tissue Therapy
Breast Diagnostic
Breast Diagnostic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
19101
19102
19103
19105
19110
19112
19120
19125
19290
19296
19298
19328
19330
19396
19499
76095
76096
11970
11971
19300
19301
19302
19303
19304
19316
19318
19324
19325
19340
19342
19350
19355
19357
19364
19366
19370
19371
19380
10040
10060
10061
10080
CPT Description
Biopsy of breast; open, incisional
Biopsy of breast; percutaneous, needle core, using imaging guidance
Biopsy of breast; percutaneous, automated vacuum assisted or rotating biopsy device, using imaging guidance
Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma
Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct
Excision of lactiferous duct fistula
Excision of cyst, fibroadenoma, or other benign or malignant tumor aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19140),
open, male or female, one or more lesions
Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion
Preoperative placement of needle localization wire, breast;
Placement of radiotherapy afterloading balloon catheter into the breast for interstitial radioelement application following partial mastectomy,
includes imaging guidance; on date separate from partial mastectomy.
Placement of radiotherapy afterloading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement
application following (at the time of or subsequent to) partial mastectomy, includes imaging guidance
Removal of intact mammary implant
Removal of mammary implant material
Preparation of moulage for custom breast implant
Unlisted procedure, breast
Stereotactic localization guidance for breast biopsy or needle placement (eg, for wire localization or for injection), each lesion, radiological
supervision and interpretation
Mammographic guidance for needle placement, breast, (eg, for wire localization or for injection), each lesion, radiological supervision and
interpretation
Replacement of tissue expander with permanent prosthesis
Removal of tissue expander(s) without insertion of prosthesis
Mastectomy for gynecomastia
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy
Mastectomy, simple, complete
Mastectomy, subcutaneous
Mastopexy
Reduction mammaplasty
Mammaplasty, augmentation; without prosthetic implant
Mammaplasty, augmentation; with prosthetic implant
Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction
Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction
Nipple/areola reconstruction
Correction of inverted nipples
Breast reconstruction, immediate or delayed, with tissue expander, including subsequent expansion
Breast reconstruction with free flap
Breast reconstruction with other technique
Open periprosthetic capsulotomy, breast
Periprosthetic capsulectomy, breast
Revision of reconstructed breast
Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia);
simple or single
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia);
complicated or multiple
Incision and drainage of pilonidal cyst; simple
PAS
38
38
38
38
38
38
PAS Description
Breast Diagnostic
Breast Diagnostic
Breast Diagnostic
Breast Diagnostic
Breast Diagnostic
Breast Diagnostic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
38
38
38
Breast Diagnostic
Breast Diagnostic
Breast Diagnostic
2/1/2004
2/1/2004
2/1/2004
38
Breast Diagnostic
1/1/2005
38
38
38
38
38
Breast Diagnostic
Breast Diagnostic
Breast Diagnostic
Breast Diagnostic
Breast Diagnostic
1/1/2005
2/1/2004
2/1/2004
2/1/2004
2/1/2004
38
Breast Diagnostic
2/1/2004
38
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
40
Breast Diagnostic
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Breast Repair
Skin Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
1/1/2007
1/1/2007
1/1/2007
1/1/2007
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
40
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
10081
10120
10121
10140
10160
10180
11000
11004
11005
11006
11040
11041
11042
11043
11044
11100
11200
11300
11301
11302
11303
11305
11306
11307
11308
11310
11311
11312
11313
11400
11401
11402
11403
11404
11406
11420
11421
11422
11423
11424
CPT Description
Incision and drainage of pilonidal cyst; complicated
Incision and removal of foreign body, subcutaneous tissues; simple
Incision and removal of foreign body, subcutaneous tissues; complicated
Incision and drainage of hematoma, seroma or fluid collection
Puncture aspiration of abscess, hematoma, bulla, or cyst
Incision and drainage, complex, postoperative wound infection
Debridement of extensive eczematous or infected skin; up to 10% of body surface
Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum
Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure
Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infecction; external genitalia, perineum and abdominal
wall, with or without fascial closure
Debridement; skin, partial thickness
Debridement; skin, full thickness
Debridement; skin, and subcutaneous tissue
Debridement; skin, subcutaneous tissue, and muscle
Debridement; skin, subcutaneous tissue, muscle, and bone
Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed (separate procedure); single
lesion
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm
Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less
Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm
Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm
Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm
Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less
Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm
Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm
Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or
less
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0
cm
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0
cm
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0
cm
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0
cm
PAS
40
40
40
40
40
40
40
40
PAS Description
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2005
40
Skin Diagnostic/Therapeutic
1/1/2005
40
40
40
40
40
40
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
1/1/2005
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0
11426 cm
40
Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5
11440 cm or less
40
Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6
11441 to 1.0 cm
40
Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1
11442 to 2.0 cm
40
Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1
40
11443 to 3.0 cm
Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1
11444 to 4.0 cm
40
Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter
11446 over 4.0 cm
40
11450 Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair
40
11451 Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair
40
11462 Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair
40
11463 Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair
40
11470 Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair
40
11471 Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair
40
11600 Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less
40
11601 Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm
40
11602 Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm
40
11603 Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm
40
40
11604 Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm
11606 Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm
40
11620 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less
40
11621 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
40
11622 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm
40
11623 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm
40
11624 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm
40
11626 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm
40
11640 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less
40
11641 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm
40
11642 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm
40
11643 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm
40
11644 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm
40
11646 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm
40
11730 Avulsion of nail plate, partial or complete, simple; single
40
11740 Evacuation of subungual hematoma
40
11750 Excision of nail and nail matrix, partial or complete, (eg, ingrown or deformed nail) for permanent removal;
40
11752
11755
11765
11770
11771
11772
15780
Excision of nail and nail matrix, partial or complete, (eg, ingrown or deformed nail) for permanent removal; with amputation of tuft of distal phalanx
Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure)
Wedge excision of skin of nail fold (eg, for ingrown toenail)
Excision of pilonidal cyst or sinus; simple
Excision of pilonidal cyst or sinus; extensive
Excision of pilonidal cyst or sinus; complicated
Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis)
40
40
40
40
40
40
40
PAS Description
Begin
Date
Skin Diagnostic/Therapeutic
2/1/2004
Skin Diagnostic/Therapeutic
2/1/2004
Skin Diagnostic/Therapeutic
2/1/2004
Skin Diagnostic/Therapeutic
2/1/2004
Skin Diagnostic/Therapeutic
2/1/2004
Skin Diagnostic/Therapeutic
2/1/2004
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
15781
15782
15783
15786
15788
15789
15792
15793
15810
15811
15838
15850
15851
15852
15920
15931
15933
15940
15941
15950
15951
15999
16035
17000
17003
17004
17106
17107
17108
17110
17111
17250
17260
17261
17262
17263
17264
17266
CPT Description
Dermabrasion; segmental, face
Dermabrasion; regional, other than face
Dermabrasion; superficial, any site, (eg, tattoo removal)
Abrasion; single lesion (eg, keratosis, scar)
Chemical peel, facial; epidermal
Chemical peel, facial; dermal
Chemical peel, nonfacial; epidermal
Chemical peel, nonfacial; dermal
Salabrasion; 20 sq cm or less
Salabrasion; over 20 sq cm
Excision, excessive skin and subcutaneous tissue (including lipectomy); submental fat pad
Removal of sutures under anesthesia (other than local), same surgeon
Removal of sutures under anesthesia (other than local), other surgeon
Dressing change (for other than burns) under anesthesia (other than local)
Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture
Excision, sacral pressure ulcer, with primary suture;
Excision, sacral pressure ulcer, with primary suture; with ostectomy
Excision, ischial pressure ulcer, with primary suture;
Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy)
Excision, trochanteric pressure ulcer, with primary suture;
Excision, trochanteric pressure ulcer, with primary suture; with ostectomy
Unlisted procedure, excision pressure ulcer
Escharotomy; initial incision
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), all benign or premalignant lesions (eg, actinic
keratoses) other than skin tags or cutaneous vascular proliferative lesions; first lesion
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), all benign or premalignant lesions (eg, actinic
keratoses) other than skin tags or cutaneous vascular proliferative lesions; second through 14 lesions, each
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), all benign or premalignant lesions (eg, actinic
keratoses) other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 - 50.0 sq cm
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of flat warts, molluscum contagiosum, or milia;
up to 14 lesions
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of flat warts, molluscum contagiosum, or milia;
15 or more lesions
Chemical cauterization of granulation tissue (proud flesh, sinus or fistula)
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion
diameter 0.5 cm or less
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion
diameter 0.6 to 1.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion
diameter 1.1 to 2.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion
diameter 2.1 to 3.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion
diameter 3.1 to 4.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion
diameter over 4.0 cm
PAS
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
PAS Description
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
40
40
40
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
40
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
2/1/2004
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet,
17270 genitalia; lesion diameter 0.5 cm or less
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet,
17271 genitalia; lesion diameter 0.6 to 1.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet,
17272 genitalia; lesion diameter 1.1 to 2.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet,
17273 genitalia; lesion diameter 2.1 to 3.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet,
17274 genitalia; lesion diameter 3.1 to 4.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet,
17276 genitalia; lesion diameter over 4.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips,
17280 mucous membrane; lesion diameter 0.5 cm or less
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips,
17281 mucous membrane; lesion diameter 0.6 to 1.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips,
17282 mucous membrane; lesion diameter 1.1 to 2.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips,
17283 mucous membrane; lesion diameter 2.1 to 3.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips,
17284 mucous membrane; lesion diameter 3.1 to 4.0 cm
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips,
17286 mucous membrane; lesion diameter over 4.0 cm
Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens,
microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin,
toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or
17311 vessels; first stage, up to 5 tissue blocks
Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens,
microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin,
toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or
17312 vessels; each additional stage after the first stage, up to 5 tissue blocks
Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens,
microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin,
17313 toluidine blue), of the trunk arms or legs; first stage, up to 5 tissue blocks
Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens,
microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin,
17314 toluidine blue), of the trunk arms or legs; each additional stage after the first stage, up to 5 tissue blocks
Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens,
microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin,
17315 toluidine blue), each additional block after the first 5 tissue blocks, any stage
17340 Cryotherapy (CO2 slush, liquid N2) for acne
17360 Chemical exfoliation for acne (eg, acne paste, acid)
17380 Electrolysis epilation, each 1/2 hour
17999 Unlisted procedure, skin, mucous membrane and subcutaneous tissue
Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of
20950 muscle compartment syndrome
23030 Incision and drainage, shoulder area; deep abscess or hematoma
23031 Incision and drainage, shoulder area; infected bursa
PAS
PAS Description
Begin
Date
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
2/1/2004
40
Skin Diagnostic/Therapeutic
1/1/2007
40
Skin Diagnostic/Therapeutic
1/1/2007
40
Skin Diagnostic/Therapeutic
1/1/2007
40
Skin Diagnostic/Therapeutic
1/1/2007
40
40
40
40
40
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
40
40
40
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
23330
23331
23930
23931
24200
24201
26010
26011
27047
27048
27301
27327
27328
27372
27603
27618
27619
28001
28002
28003
28043
28190
28192
28193
30120
30124
33282
33284
36260
36420
36425
36560
36561
36563
36566
36570
36571
36576
36578
36582
CPT Description
Removal of foreign body, shoulder; subcutaneous
Removal of foreign body, shoulder; deep (eg, Neer hemiarthroplasty removal)
Incision and drainage, upper arm or elbow area; deep abscess or hematoma
Incision and drainage, upper arm or elbow area; bursa
Removal of foreign body, upper arm or elbow area; subcutaneous
Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)
Drainage of finger abscess; simple
Drainage of finger abscess; complicated (eg, felon)
Excision, tumor, pelvis and hip area; subcutaneous tissue
Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular
Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region
Excision, tumor, thigh or knee area; subcutaneous
Excision, tumor, thigh or knee area; deep, subfascial, or intramuscular
Removal of foreign body, deep, thigh region or knee area
Incision and drainage, leg or ankle; deep abscess or hematoma
Excision, tumor, leg or ankle area; subcutaneous tissue
Excision, tumor, leg or ankle area; deep (subfascial or intramuscular)
Incision and drainage, bursa, foot
Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space
Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas
Excision, tumor, foot; subcutaneous tissue
Removal of foreign body, foot; subcutaneous
Removal of foreign body, foot; deep
Removal of foreign body, foot; complicated
Excision or surgical planing of skin of nose for rhinophyma
Excision dermoid cyst, nose; simple, skin, subcutaneous
Implantation of patient-activated cardiac event recorder
Removal of an implantable, patient-activated cardiac event recorder
Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver)
Venipuncture, cutdown; under age 1 year
Venipuncture, cutdown; age 1 or over
Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; under 5 years of age
Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older
Insertion of tunneled centrally inserted central venous access device with subcutaneous pump
Insertion of tunneled centrally inserted central venous access device, requiring two catheters via two separate venous access sites; with
subcutaneous port(s)
Insertion of peripherally inserted central venous access device, with subcutaneous port; under 5 years of age
Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older
Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site
Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site
Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access
36583
36585
36590
40490
40500
40510
40520
Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access
Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access
Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion
Biopsy of lip
Vermilionectomy (lip shave), with mucosal advancement
Excision of lip; transverse wedge excision with primary closure
Excision of lip; V-excision with primary direct linear closure
PAS
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
PAS Description
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
40
40
40
40
40
40
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
40
40
40
40
40
40
40
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
40525
40527
40530
40804
40805
40806
40808
40810
40812
40814
40816
40818
40819
40820
40830
40831
41010
41100
41105
41108
41110
41112
41113
41114
41115
41116
41120
41520
41599
42000
42100
42104
42106
42107
42140
42160
42809
51080
67800
67801
67805
67808
67810
67840
67850
67875
67938
67999
69000
CPT Description
Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan)
Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander)
Resection of lip, more than one-fourth, without reconstruction
Removal of embedded foreign body, vestibule of mouth; simple
Removal of embedded foreign body, vestibule of mouth; complicated
Incision of labial frenum (frenotomy)
Biopsy, vestibule of mouth
Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair
Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair
Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair
Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle
Excision of mucosa of vestibule of mouth as donor graft
Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)
Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical)
Closure of laceration, vestibule of mouth; 2.5 cm or less
Closure of laceration, vestibule of mouth; over 2.5 cm or complex
Incision of lingual frenum (frenotomy)
Biopsy of tongue; anterior two-thirds
Biopsy of tongue; posterior one-third
Biopsy of floor of mouth
Excision of lesion of tongue without closure
Excision of lesion of tongue with closure; anterior two-thirds
Excision of lesion of tongue with closure; posterior one-third
Excision of lesion of tongue with closure; with local tongue flap
Excision of lingual frenum (frenectomy)
Excision, lesion of floor of mouth
Glossectomy; less than one-half tongue
Frenoplasty (surgical revision of frenum, eg, with Z-plasty)
Unlisted procedure, tongue, floor of mouth
Drainage of abscess of palate, uvula
Biopsy of palate, uvula
Excision, lesion of palate, uvula; without closure
Excision, lesion of palate, uvula; with simple primary closure
Excision, lesion of palate, uvula; with local flap closure
Uvulectomy, excision of uvula
Destruction of lesion, palate or uvula (thermal, cryo or chemical)
Removal of foreign body from pharynx
Drainage of perivesical or prevesical space abscess
Excision of chalazion; single
Excision of chalazion; multiple, same lid
Excision of chalazion; multiple, different lids
Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple
Biopsy of eyelid
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure
Destruction of lesion of lid margin (up to 1 cm)
Temporary closure of eyelids by suture (eg, Frost suture)
Removal of embedded foreign body, eyelid
Unlisted procedure, eyelids
Drainage external ear, abscess or hematoma; simple
PAS
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
PAS Description
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
69005
69020
69100
69105
69110
69140
69220
69222
69399
11760
11762
CPT Description
Drainage external ear, abscess or hematoma; complicated
Drainage external auditory canal, abscess
Biopsy external ear
Biopsy external auditory canal
Excision external ear; partial, simple repair
Excision exostosis(es), external auditory canal
Debridement, mastoidectomy cavity, simple (eg, routine cleaning)
Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)
Unlisted procedure, external ear
Repair of nail bed
Reconstruction of nail bed with graft
PAS
40
40
40
40
40
40
40
40
40
41
41
PAS Description
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Diagnostic/Therapeutic
Skin Repair
Skin Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
11920
Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less
41
Skin Repair
2/1/2004
11921
11950
11951
11952
11954
11960
13100
13101
13120
13121
13131
13132
13150
13151
13152
13160
14000
14001
14020
14021
14040
Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm
Subcutaneous injection of filling material (eg, collagen); 1 cc or less
Subcutaneous injection of “filling” material (eg, collagen); 1.1 to 5.0 cc
Subcutaneous injection of “filling” material (eg, collagen); 5.1 to 10.0 cc
Subcutaneous injection of “filling” material (eg, collagen); over 10.0 cc
Insertion of tissue expander(s) for other than breast, including subsequent expansion
Repair, complex, trunk; 1.1 cm to 2.5 cm
Repair, complex, trunk; 2.6 cm to 7.5 cm
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm
Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm
Repair, complex, eyelids, nose, ears and/or lips; 1.0 cm or less
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm
Secondary closure of surgical wound or dehiscence, extensive or complicated
Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less
Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm
Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less
Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq
cm
Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less
Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm
Adjacent tissue transfer or rearrangement, more than 30 sq cm, unusual or complicated, any area
Filleted finger or toe flap, including preparation of recipient site
Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional
release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children
Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional
release of scar contracture, trunk, arms, legs; each additional 100 sq cm or each additional 1% of body area of infants and children
Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional
release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of
body area of infants and children
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
41
41
41
41
41
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
41
Skin Repair
1/1/2007
41
Skin Repair
1/1/2007
41
Skin Repair
1/1/2007
14041
14060
14061
14300
14350
15002
15003
15004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional
release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 sq cm
15005 or each additional 1% of body area of infants and children
41
15040 Harvest of skin for tissue cultured skin autograft, 100 sq cm or less
41
15050 Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter
41
15100 Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children (except 15050)
41
15110 Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children
41
Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional one percent of body area of infants and children, or part
15111 thereof (List separately in addition to code for primary procedure)
41
Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or one
15115 percent of body area of infants and children
41
Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or
15116 each additional one percent of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)
41
Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or less, or one
15120 percent of body area of infants and children (except 15050)
41
15130 Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children
41
Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional one percent of body area of infants and children, or part thereof
15131 (List separately in addition to code for primary procedure)
41
Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or one
15135 percent of body area of infants and children
41
Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each
15136 additional one percent of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)
41
15150 Tissue cultured epidermal autograft, trunk, arms, legs; first 25 sq cm or less
41
15151
15152
15155
15156
15157
15170
15171
15175
15176
15200
15220
15240
15260
15300
Tissue cultured epidermal autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)
Tissue cultured epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional one percent of body area of infants and
children, or part thereof (List separately in addition to code for primary procedure)
Tissue cultured epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or
less
Tissue cultured epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; additional 1 sq cm
to 75 sq cm (List separately in addition to code for primary procedure)
Tissue cultured epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional
100 sq cm, or each additional one percent of body area of infants and children, or part thereof (List separately in addition to code for primary
procedure)
Acellular dermal replacement, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children
Acellular dermal replacement, trunk, arms, legs; each additional 100 sq cm, or each additional one percent of body area of infants and children, or
part thereof (List separately in addition to code for primary procedure)
Acellular dermal replacement, face scalp eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or
one percent of body area of infants and children
Acellular dermal replacement, face scalp eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq
cm, or each additional one percent of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)
Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less
Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less
Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm
or less
Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less
Allograft skin for temporary wound closure, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children
PAS Description
Begin
Date
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
1/1/2007
1/1/2006
2/1/2004
2/1/2004
1/1/2006
Skin Repair
1/1/2006
Skin Repair
1/1/2006
Skin Repair
1/1/2006
Skin Repair
Skin Repair
2/1/2004
1/1/2006
Skin Repair
1/1/2006
Skin Repair
1/1/2006
Skin Repair
Skin Repair
1/1/2006
1/1/2006
41
Skin Repair
1/1/2006
41
Skin Repair
1/1/2006
41
Skin Repair
1/1/2006
41
Skin Repair
1/1/2006
41
41
Skin Repair
Skin Repair
1/1/2006
1/1/2006
41
Skin Repair
1/1/2006
41
Skin Repair
1/1/2006
41
41
41
Skin Repair
Skin Repair
Skin Repair
1/1/2006
2/1/2004
2/1/2004
41
41
41
Skin Repair
Skin Repair
Skin Repair
2/1/2004
2/1/2004
1/1/2006
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
PAS
Allograft skin for temporary wound closure, trunk, arms, legs; each additional 100 sq cm, or each additional one percent of body area of infants
15301 and children, or part thereof (List separately in addition to code for primary procedure)
41
Allograft skin for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq
15320 cm or less, or one percent of body area of infants and children
41
Allograft skin for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each
additional 100 sq cm, or each additional one percent of body area of infants and children, or part thereof (List separately in addition to code for
15321 primary procedure)
41
15330 Acellular dermal allograft, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children
41
Acellular dermal allograft, trunk, arms, legs; each additional 100 sq cm, or each additional one percent of body area of infants and children, or part
15331 thereof (List separately in addition to code for primary procedure)
41
Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or
15335 one percent of body area of infants and children
41
15336
15340
15341
15360
15361
15365
15366
15400
15420
15421
15430
15431
15570
15572
15574
15576
15600
15610
15620
15630
15650
15731
15732
15734
15736
15738
Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or
each additional one percent of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)
Tissue cultured allogeneic skin substitute; first 25 sq cm or less
Tissue cultured allogeneic skin substitute; each additional 25 sq cm
Tissue cultured allogeneic dermal substitute; trunk, arms, legs; first 100 sq cm or less, or one percent of body area in infants and children
Tissue cultured allogeneic dermal substitute; trunk, arms, legs; each additional 100 sq cm, or each additional one percent of body area of infants
and children, or part thereof (List separately in addition to code for primary procedure)
Tissue cultured allogeneic dermal substitute, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100
sq cm or less, or one percent of body area of infants and children
Tissue cultured allogeneic dermal substitute, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each
additional 100 sq cm, or each additional one percent of body area of infants and children, or part thereof (List separately in addition to code for
primary procedure)
Xenograft, skin (dermal), for temporary wound closure; trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and
children
Xenograft skin (dermal), for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;
first 100 sq cm or less, or one percent of body area of infants and children
Xenograft, skin (dermal), for temporary wound closure; trunk, arms, legs; each additional 100 sq cm, or each additional one percent of body area
of infants and children, or part thereof (List separately in addition to code for primary procedure)
Acellular xenograft implant; first 100 sq cm or less, or one percent of body area of infants and children
Acellular xenograft implant; each additional 100 sq cm, or each additional one percent of body area of infants and children, or part thereof (List
separately in addition to code for primary procedure)
Formation of direct or tubed pedicle, with or without transfer; trunk
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs
Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet
Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral
Delay of flap or sectioning of flap (division and inset); at trunk
Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs
Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet
Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips
Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, “Walking” tube), any location
Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap)
Muscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter muscle, sternocleidomastoid, levator scapulae)
Muscle, myocutaneous, or fasciocutaneous flap; trunk
Muscle, myocutaneous, or fasciocutaneous flap; upper extremity
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity
PAS Description
Begin
Date
Skin Repair
1/1/2006
Skin Repair
1/1/2006
Skin Repair
Skin Repair
1/1/2006
1/1/2006
Skin Repair
1/1/2006
Skin Repair
1/1/2006
41
41
41
Skin Repair
Skin Repair
Skin Repair
1/1/2006
1/1/2006
1/1/2006
41
Skin Repair
1/1/2006
41
Skin Repair
1/1/2006
41
Skin Repair
1/1/2006
41
Skin Repair
1/1/2006
41
Skin Repair
2/1/2004
41
Skin Repair
1/1/2006
41
41
Skin Repair
Skin Repair
1/1/2006
1/1/2006
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
1/1/2006
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
15740
15750
15757
15760
15770
15775
15776
15819
15820
15821
15822
15823
15824
15825
15826
15828
15829
15830
15847
15832
15833
15834
15835
15836
15837
15839
15840
15841
15842
15845
15876
15877
15878
15879
15922
15934
15935
15936
15937
15944
15945
15946
15952
15953
15956
15958
20500
20910
CPT Description
Flap; island pedicle
Flap; neurovascular pedicle
Free skin flap with microvascular anastomosis
Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area
Graft; derma-fat-fascia
Punch graft for hair transplant; 1 to 15 punch grafts
Punch graft for hair transplant; more than 15 punch grafts
Cervicoplasty
Blepharoplasty, lower eyelid;
Blepharoplasty, lower eyelid; with extensive herniated fat pad
Blepharoplasty, upper eyelid;
Blepharoplasty, upper eyelid; with excessive skin weighting down lid
Rhytidectomy; forehead
Rhytidectomy; neck with platysmal tightening (platysmal flap, “P-flap”)
Rhytidectomy; glabellar frown lines
Rhytidectomy; cheek, chin, and neck
Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap
Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy
Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and
fascial plication)
Excision, excessive skin and subcutaneous tissue (including lipectomy); thigh
Excision, excessive skin and subcutaneous tissue (including lipectomy); leg
Excision, excessive skin and subcutaneous tissue (including lipectomy); hip
Excision, excessive skin and subcutaneous tissue (including lipectomy); buttock
Excision, excessive skin and subcutaneous tissue (including lipectomy); arm
Excision, excessive skin and subcutaneous tissue (including lipectomy); forearm or hand
Excision, excessive skin and subcutaneous tissue (including lipectomy); other area
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)
Graft for facial nerve paralysis; free muscle graft (including obtaining graft)
Graft for facial nerve paralysis; free muscle flap by microsurgical technique
Graft for facial nerve paralysis; regional muscle transfer
Suction assisted lipectomy; head and neck
Suction assisted lipectomy; trunk
Suction assisted lipectomy; upper extremity
Suction assisted lipectomy; lower extremity
Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure
Excision, sacral pressure ulcer, with skin flap closure;
Excision, sacral pressure ulcer, with skin flap closure; with ostectomy
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy
Excision, ischial pressure ulcer, with skin flap closure;
Excision, ischial pressure ulcer, with skin flap closure; with ostectomy
Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure
Excision, trochanteric pressure ulcer, with skin flap closure;
Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy
Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;
Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy
Injection of sinus tract; therapeutic (separate procedure)
Cartilage graft; costochondral
PAS
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
PAS Description
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/1/2007
1/1/2007
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
20920
20922
20926
21280
21282
23921
25929
26561
26562
31830
33223
37735
40650
40652
40654
40700
40701
40702
40720
40761
42180
42182
42200
42205
42210
42215
42220
42225
42226
42227
42235
42280
42281
44340
65270
67715
67820
67825
67880
67882
67900
67901
67902
67903
67904
67906
67908
67911
CPT Description
Fascia lata graft; by stripper
Fascia lata graft; by incision and area exposure, complex or sheet
Tissue grafts, other (eg, paratenon, fat, dermis)
Medial canthopexy (separate procedure)
Lateral canthopexy
Disarticulation of shoulder; secondary closure or scar revision
Transmetacarpal amputation; secondary closure or scar revision
Repair of syndactyly (web finger) each web space; with skin flaps and grafts
Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails)
Revision of tracheostomy scar
Revision of skin pocket for single or dual chamber pacing cardioverter-defibrillator
Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of
communicating veins of lower leg, with excision of deep fascia
Repair lip, full thickness; vermilion only
Repair lip, full thickness; up to half vertical height
Repair lip, full thickness; over one-half vertical height, or complex
Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral
Plastic repair of cleft lip/nasal deformity; primary bilateral, one stage procedure
Plastic repair of cleft lip/nasal deformity; primary bilateral, one of two stages
Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure
Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle
Repair, laceration of palate; up to 2 cm
Repair, laceration of palate; over 2 cm or complex
Palatoplasty for cleft palate, soft and/or hard palate only
Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only
Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft)
Palatoplasty for cleft palate; major revision
Palatoplasty for cleft palate; secondary lengthening procedure
Palatoplasty for cleft palate; attachment pharyngeal flap
Lengthening of palate, and pharyngeal flap
Lengthening of palate, with island flap
Repair of anterior palate, including vomer flap
Maxillary impression for palatal prosthesis
Insertion of pin-retained palatal prosthesis
Revision of colostomy; simple (release of superficial scar) (separate procedure)
Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure
Canthotomy (separate procedure)
Correction of trichiasis; epilation, by forceps only
Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery)
Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy;
Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate
Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)
Repair of blepharoptosis; frontalis muscle technique with suture or other material
Repair of blepharoptosis; frontalis muscle technique with fascial sling (includes obtaining fascia)
Repair of blepharoptosis; (tarso)levator resection or advancement, internal approach
Repair of blepharoptosis; (tarso)levator resection or advancement, external approach
Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia)
Repair of blepharoptosis; conjunctivo-tarso-Muller’s muscle-levator resection (eg, Fasanella-Servat type)
Correction of lid retraction
PAS
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
PAS Description
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS
67914
67915
67916
67917
67921
67922
67923
67924
67930
67935
67950
67961
67966
67971
67973
67974
67975
68700
69120
69150
69210
69300
69310
69320
50200
50391
50392
50393
50395
50551
50553
50562
50570
50572
50574
50575
50576
CPT Description
Repair of ectropion; suture
Repair of ectropion; thermocauterization
Repair of ectropion; blepharoplasty, excision tarsal wedge
Repair of ectropion; blepharoplasty, extensive (eg, Kuhnt-Szymanowski or tarsal strip operations)
Repair of entropion; suture
Repair of entropion; thermocauterization
Repair of entropion; blepharoplasty, excision tarsal wedge
Repair of entropion; blepharoplasty, extensive (eg, Wheeler operation)
Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness
Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness
Canthoplasty (reconstruction of canthus)
Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle
flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin
Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle
flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin
PAS
41
41
41
41
41
41
41
41
41
41
41
PAS Description
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Begin
Date
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
41
Skin Repair
2/1/2004
41
Skin Repair
2/1/2004
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, one stage or first stage
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, one stage or first stage
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, one stage or first stage
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage
Plastic repair of canaliculi
Excision external ear; complete amputation
Radical excision external auditory canal lesion; without neck dissection
Removal impacted cerumen (separate procedure), one or both ears
Otoplasty, protruding ear, with or without size reduction
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure)
Reconstruction external auditory canal for congenital atresia, single stage
Renal biopsy; percutaneous, by trocar or needle
Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg,
anticarcinogenic or antifungal agent)
Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous
Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous
Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract, percutaneous
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of
radiologic service;
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of
radiologic service; with ureteral catheterization, with or without dilation of ureter
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of
radiologic service; with resection of tumor
41
41
41
41
41
41
41
41
41
41
41
42
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Skin Repair
Urological Diagnostic
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
42
42
42
42
Urological Diagnostic
Urological Diagnostic
Urological Diagnostic
Urological Diagnostic
1/1/2005
2/1/2004
2/1/2004
2/1/2004
42
Urological Diagnostic
2/1/2004
42
Urological Diagnostic
2/1/2004
42
Urological Diagnostic
2/1/2004
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
with ureteral catheterization, with or without dilation of ureter
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
with biopsy
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
with endopyelotomy (includes cystoscopy, ureteroscopy, dilation of ureter and ureteral pelvic junction, inci
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
with fulguration and/or incision, with or without biopsy
42
Urological Diagnostic
2/1/2004
42
Urological Diagnostic
2/1/2004
42
Urological Diagnostic
2/1/2004
42
Urological Diagnostic
2/1/2004
42
Urological Diagnostic
2/1/2004
Products of Ambulatory Surgery
2007 Procedure Codes
CPT
/HCPCS CPT Description
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
50580 with removal of foreign body or calculus
61793 Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator), one or more sessions
67025 Injection of vitreous substitute, pars plana or limbal approach, (fluid-gas exchange), with or without aspiration (separate procedure)
PAS
42
44
45
PAS Description
Urological Diagnostic
Stereotactic Rad Ther of Brain
Eye Implant/Therapeutic (HIV)
Begin
Date
2/1/2004
2/1/2004
2/1/2004