Cpt Pcm Nhsn

2024 NHSN CPT Operative Procedure Code Mappings (updated 1/2024)
This document replaces prior documents listing operative procedure codes associated with the NHSN Surgical Site
Procedure Code
CPT Codes
Category
AAA 34830
AAA 34831
AAA 34832
AAA 35081
AAA 35082
AAA 35091
AAA 35092
AAA 35102
AAA 35103
AMP 23900
AMP 23920
AMP 24900
AMP 24920
AMP 24930
AMP 24931
AMP 25900
AMP 25905
AMP 25909
AMP 25920
AMP 25922
AMP 25924
AMP 25927
AMP 25929
AMP 25931
AMP 26235
AMP 26236
AMP 26910
AMP 26951
AMP 26952
AMP 27290
AMP 27295
AMP 27590
AMP 27591
AMP 27592
AMP 27598
AMP 27880
AMP 27881
AMP 27882
AMP 27884
AMP 27886
AMP 27888
AMP 27889
AMP 28124
AMP 28126
AMP 28160
AMP 28800
AMP 28805
AMP 28810
AMP 28820
AMP 28825
APPY 44900
APPY 44950
APPY 44955
APPY 44960
APPY 44970
APPY 44979
AVSD 36800
AVSD 36810
AVSD 36815
AVSD 36818
AVSD 36819
AVSD 36820
AVSD 36821
AVSD 36825
AVSD 36830
AVSD 36832
AVSD 36833
AVSD 36838
BILI 47010
BILI 47015
BILI 47100
BILI 47120
BILI 47122
BILI 47125
BILI 47130
BILI 47140
BILI 47141
BILI 47142
BILI 47300
BILI 47350
BILI 47360
BILI 47361
BILI 47362
BILI 47370
BILI 47371
BILI 47379
BILI 47380
BILI 47381
BILI 47400
BILI 47420
BILI 47425
BILI 47460
BILI 47700
BILI 47701
BILI 47711
BILI 47712
BILI 47715
BILI 47760
BILI 47765
BILI 47780
BILI 47785
BILI 47800
BILI 47802
BILI 47900
BILI 48000
BILI 48001
BILI 48020
BILI 48100
BILI 48105
BILI 48120
BILI 48140
BILI 48145
BILI 48146
BILI 48148
BILI 48150
BILI 48152
BILI 48153
BILI 48154
BILI 48155
BILI 48160
BILI 48500
BILI 48510
BILI 48520
BILI 48540
BILI 48545
BILI 48548
BILI 0585T
BILI 0586T
BRST 11970
BRST 19101
BRST 19105
BRST 19110
BRST 19112
BRST 19120
BRST 19125
BRST 19126
BRST 19300
BRST 19301
BRST 19302
BRST 19303
BRST 19305
BRST 19306
BRST 19307
BRST 19316
BRST 19318
BRST 19324
BRST 19325
BRST 19328
BRST 19330
BRST 19340
BRST 19342
BRST 19350
BRST 19355
BRST 19357
BRST 19361
BRST 19364
BRST 19366
BRST 19367
BRST 19368
BRST 19369
BRST 19370
BRST 19371
BRST 19380
CARD 32658
CARD 32659
CARD 32661
CARD 33020
CARD 33025
CARD 33030
CARD 33031
CARD 33050
CARD 33120
CARD 33130
CARD 33250
CARD 33251
CARD 33254
CARD 33255
CARD 33256
CARD 33257
CARD 33258
CARD 33259
CARD 33261
CARD 33265
CARD 33266
CARD 33267
CARD 33268
CARD 33269
CARD 33300
CARD 33305
CARD 33310
CARD 33315
CARD 33365
CARD 33366
CARD 33390
CARD 33391
CARD 33404
CARD 33405
CARD 33406
CARD 33410
CARD 33411
CARD 33412
CARD 33413
CARD 33414
CARD 33415
CARD 33416
CARD 33417
CARD 33420
CARD 33422
CARD 33425
CARD 33426
CARD 33427
CARD 33430
CARD 33440
CARD 33460
CARD 33463
CARD 33464
CARD 33465
CARD 33468
CARD 33471
CARD 33474
CARD 33475
CARD 33476
CARD 33478
CARD 33496
CARD 33542
CARD 33545
CARD 33548
CARD 33600
CARD 33602
CARD 33608
CARD 33610
CARD 33611
CARD 33612
CARD 33615
CARD 33617
CARD 33619
CARD 33641
CARD 33645
CARD 33647
CARD 33660
CARD 33665
CARD 33670
CARD 33675
CARD 33676
CARD 33677
CARD 33681
CARD 33684
CARD 33688
CARD 33692
CARD 33694
CARD 33697
CARD 33702
CARD 33710
CARD 33720
CARD 33732
CARD 33735
CARD 33736
CARD 33737
CARD 33770
CARD 33774
CARD 33776
CARD 33780
CARD 33782
CARD 33783
CARD 33786
CARD 33813
CARD 33814
CARD 33920
CARD 33975
CARD 33976
CARD 33977
CARD 33978
CARD 33979
CARD 33980
CARD 0051T
CARD 0052T
CARD 0053T
CBGB 33509
CBGB 33510
CBGB 33511
CBGB 33512
CBGB 33513
CBGB 33514
CBGB 33516
CBGB 35600
CBGC 33533
CBGC 33534
CBGC 33535
CBGC 33536
CEA 35301
CEA 35390
CHOL 47480
CHOL 47562
CHOL 47563
CHOL 47564
CHOL 47570
CHOL 47600
CHOL 47605
CHOL 47610
CHOL 47612
CHOL 47620
CHOL 47720
CHOL 47721
CHOL 47740
CHOL 47741
COLO 44025
COLO 44110
COLO 44111
COLO 44137
COLO 44140
COLO 44141
COLO 44143
COLO 44144
COLO 44145
COLO 44146
COLO 44147
COLO 44150
COLO 44151
COLO 44155
COLO 44156
COLO 44157
COLO 44158
COLO 44160
COLO 44188
COLO 44204
COLO 44205
COLO 44206
COLO 44207
COLO 44208
COLO 44210
COLO 44211
COLO 44212
COLO 44213
COLO 44227
COLO 44320
COLO 44322
COLO 44340
COLO 44345
COLO 44346
COLO 44604
COLO 44605
COLO 44620
COLO 44625
COLO 44626
CRAN 61105
CRAN 61107
CRAN 61108
CRAN 61120
CRAN 61140
CRAN 61150
CRAN 61151
CRAN 61154
CRAN 61156
CRAN 61210
CRAN 61250
CRAN 61253
CRAN 61304
CRAN 61305
CRAN 61312
CRAN 61313
CRAN 61314
CRAN 61315
CRAN 61320
CRAN 61321
CRAN 61322
CRAN 61323
CRAN 61330
CRAN 61333
CRAN 61340
CRAN 61343
CRAN 61345
CRAN 61458
CRAN 61460
CRAN 61510
CRAN 61512
CRAN 61514
CRAN 61516
CRAN 61518
CRAN 61519
CRAN 61520
CRAN 61521
CRAN 61522
CRAN 61524
CRAN 61526
CRAN 61530
CRAN 61531
CRAN 61533
CRAN 61534
CRAN 61535
CRAN 61536
CRAN 61537
CRAN 61538
CRAN 61539
CRAN 61540
CRAN 61541
CRAN 61543
CRAN 61544
CRAN 61545
CRAN 61546
CRAN 61548
CRAN 61566
CRAN 61567
CRAN 61570
CRAN 61571
CRAN 61575
CRAN 61576
CRAN 61580
CRAN 61581
CRAN 61582
CRAN 61583
CRAN 61584
CRAN 61585
CRAN 61586
CRAN 61590
CRAN 61591
CRAN 61592
CRAN 61595
CRAN 61598
CRAN 61600
CRAN 61601
CRAN 61605
CRAN 61606
CRAN 61607
CRAN 61608
CRAN 61615
CRAN 61616
CRAN 61618
CRAN 61619
CRAN 61680
CRAN 61682
CRAN 61684
CRAN 61686
CRAN 61690
CRAN 61692
CRAN 61697
CRAN 61698
CRAN 61700
CRAN 61702
CRAN 61703
CRAN 61705
CRAN 61708
CRAN 61710
CRAN 61711
CRAN 61720
CRAN 61735
CRAN 61736
CRAN 61737
CRAN 61750
CRAN 61751
CRAN 61760
CRAN 61770
CRAN 61850
CRAN 61860
CRAN 61863
CRAN 61867
CRAN 61870
CRAN 61880
CRAN 62000
CRAN 62005
CRAN 62010
CRAN 62100
CRAN 62120
CRAN 62121
CRAN 62161
CRAN 62163
CRAN 62164
CRAN 62165
CRAN 62200
CRAN 62201
CSEC 59100
CSEC 59510
CSEC 59514
CSEC 59515
CSEC 59618
CSEC 59620
CSEC 59622
CSEC 59857
FUSN 22532
FUSN 22533
FUSN 22548
FUSN 22551
FUSN 22554
FUSN 22556
FUSN 22558
FUSN 22586
FUSN 22590
FUSN 22595
FUSN 22600
FUSN 22610
FUSN 22612
FUSN 22630
FUSN 22633
FUSN 22800
FUSN 22802
FUSN 22804
FUSN 22808
FUSN 22810
FUSN 22812
FUSN 27280
FX 23615
FX 23616
FX 23630
FX 23670
FX 23680
FX 24515
FX 24516
FX 24545
FX 24546
FX 24575
FX 24579
FX 24586
FX 24587
FX 24635
FX 24665
FX 24666
FX 24685
FX 25337
FX 25515
FX 25525
FX 25526
FX 25545
FX 25574
FX 25575
FX 25607
FX 25608
FX 25609
FX 25652
FX 27177
FX 27178
FX 27179
FX 27181
FX 27244
FX 27245
FX 27248
FX 27254
FX 27269
FX 27506
FX 27507
FX 27511
FX 27513
FX 27514
FX 27519
FX 27535
FX 27536
FX 27540
FX 27758
FX 27759
FX 27766
FX 27769
FX 27784
FX 27792
FX 27814
FX 27822
FX 27823
FX 27826
FX 27827
FX 27828
FX 27829
GAST 43117
GAST 43118
GAST 43121
GAST 43122
GAST 43286
GAST 43287
GAST 43288
GAST 43320
GAST 43360
GAST 43500
GAST 43501
GAST 43502
GAST 43520
GAST 43605
GAST 43610
GAST 43611
GAST 43620
GAST 43621
GAST 43622
GAST 43631
GAST 43632
GAST 43633
GAST 43634
GAST 43640
GAST 43641
GAST 43644
GAST 43645
GAST 43770
GAST 43771
GAST 43772
GAST 43773
GAST 43774
GAST 43775
GAST 43800
GAST 43810
GAST 43820
GAST 43825
GAST 43840
GAST 43842
GAST 43843
GAST 43845
GAST 43847
GAST 43848
GAST 43860
GAST 43865
GAST 43870
GAST 43880
GAST 43886
GAST 43887
GAST 43888
HER 11008
HER 49491
HER 49492
HER 49495
HER 49496
HER 49500
HER 49501
HER 49505
HER 49507
HER 49520
HER 49521
HER 49525
HER 49550
HER 49553
HER 49555
HER 49557
HER 49591
HER 49592
HER 49593
HER 49594
HER 49595
HER 49596
HER 49600
HER 49605
HER 49606
HER 49610
HER 49611
HER 49613
HER 49614
HER 49615
HER 49616
HER 49617
HER 49618
HER 49621
HER 49622
HER 49650
HER 49651
HER 49659
HPRO 27125
HPRO 27130
HPRO 27132
HPRO 27134
HPRO 27137
HPRO 27138
HPRO 27236
HTP 33935
HTP 33945
HYST 58150
HYST 58152
HYST 58180
HYST 58200
HYST 58210
HYST 58240
HYST 58541
HYST 58542
HYST 58543
HYST 58544
HYST 58548
HYST 58550
HYST 58552
HYST 58553
HYST 58554
HYST 58570
HYST 58571
HYST 58572
HYST 58573
HYST 58575
HYST 58951
HYST 58953
HYST 58954
HYST 58956
HYST 59525
KPRO 27438
KPRO 27440
KPRO 27441
KPRO 27442
KPRO 27443
KPRO 27445
KPRO 27446
KPRO 27447
KPRO 27486
KPRO 27487
KTP 50340
KTP 50360
KTP 50365
KTP 50380
LAM 22220
LAM 22222
LAM 22224
LAM 22856
LAM 22857
LAM 22861
LAM 22862
LAM 22867
LAM 62287
LAM 62351
LAM 62380
LAM 63001
LAM 63003
LAM 63005
LAM 63011
LAM 63012
LAM 63015
LAM 63016
LAM 63017
LAM 63020
LAM 63030
LAM 63035
LAM 63040
LAM 63042
LAM 63045
LAM 63046
LAM 63047
LAM 63048
LAM 63050
LAM 63051
LAM 63055
LAM 63056
LAM 63064
LAM 63075
LAM 63077
LAM 63081
LAM 63082
LAM 63085
LAM 63086
LAM 63087
LAM 63088
LAM 63090
LAM 63091
LAM 63101
LAM 63102
LAM 63103
LAM 63170
LAM 63172
LAM 63173
LAM 63180
LAM 63182
LAM 63185
LAM 63190
LAM 63191
LAM 63197
LAM 63200
LAM 63250
LAM 63251
LAM 63252
LAM 63265
LAM 63266
LAM 63267
LAM 63268
LAM 63270
LAM 63271
LAM 63272
LAM 63273
LAM 63275
LAM 63276
LAM 63277
LAM 63278
LAM 63280
LAM 63281
LAM 63282
LAM 63283
LAM 63285
LAM 63286
LAM 63287
LAM 63290
LAM 63709
LAM 63740
LAM 0202T
LAM 0219T
LAM 0220T
LAM 0221T
LTP 47135
NECK 31300
NECK 31360
NECK 31365
NECK 31367
NECK 31368
NECK 31370
NECK 31375
NECK 31380
NECK 31382
NECK 31390
NECK 31395
NECK 31400
NECK 31420
NECK 31551
NECK 31552
NECK 31553
NECK 31554
NECK 31560
NECK 31561
NECK 31580
NECK 31584
NECK 31587
NECK 31590
NECK 31591
NECK 31592
NECK 31599
NECK 38308
NECK 38542
NECK 38720
NECK 38724
NECK 41135
NECK 41140
NECK 41145
NECK 41155
NECK 42420
NECK 42425
NECK 42426
NECK 60280
NECK 60281
NECK 69150
NECK 69155
NECK 60000
NEPH 50010
NEPH 50020
NEPH 50040
NEPH 50045
NEPH 50060
NEPH 50065
NEPH 50070
NEPH 50075
NEPH 50120
NEPH 50125
NEPH 50130
NEPH 50135
NEPH 50205
NEPH 50220
NEPH 50225
NEPH 50230
NEPH 50234
NEPH 50236
NEPH 50240
NEPH 50250
NEPH 50280
NEPH 50290
NEPH 50320
NEPH 50400
NEPH 50405
NEPH 50541
NEPH 50542
NEPH 50543
NEPH 50545
NEPH 50546
NEPH 50547
NEPH 50548
NEPH 50549
OVRY 58660
OVRY 58661
OVRY 58662
OVRY 58679
OVRY 58720
OVRY 58740
OVRY 58800
OVRY 58805
OVRY 58820
OVRY 58822
OVRY 58825
OVRY 58900
OVRY 58920
OVRY 58925
OVRY 58940
OVRY 58943
OVRY 58950
OVRY 58952
OVRY 58970
PACE 33202
PACE 33203
PACE 33206
PACE 33207
PACE 33208
PACE 33212
PACE 33213
PACE 33214
PACE 33215
PACE 33216
PACE 33217
PACE 33218
PACE 33220
PACE 33221
PACE 33222
PACE 33223
PACE 33224
PACE 33225
PACE 33226
PACE 33227
PACE 33228
PACE 33229
PACE 33230
PACE 33231
PACE 33233
PACE 33234
PACE 33235
PACE 33236
PACE 33237
PACE 33238
PACE 33240
PACE 33241
PACE 33243
PACE 33244
PACE 33249
PACE 33262
PACE 33263
PACE 33264
PACE 33270
PACE 33271
PACE 33272
PACE 33273
PACE 0571T
PACE 0572T
PACE 0573T
PACE 0574T
PRST 55705
PRST 55810
PRST 55812
PRST 55815
PRST 55821
PRST 55831
PRST 55840
PRST 55842
PRST 55845
PRST 55866
PRST 55867
PVBY 33889
PVBY 35501
PVBY 35506
PVBY 35508
PVBY 35509
PVBY 35510
PVBY 35511
PVBY 35512
PVBY 35515
PVBY 35516
PVBY 35518
PVBY 35521
PVBY 35522
PVBY 35523
PVBY 35525
PVBY 35533
PVBY 35556
PVBY 35558
PVBY 35566
PVBY 35570
PVBY 35571
PVBY 35583
PVBY 35585
PVBY 35587
PVBY 35616
PVBY 35621
PVBY 35623
PVBY 35650
PVBY 35654
PVBY 35656
PVBY 35661
PVBY 35666
PVBY 35671
PVBY 35686
REC 45110
REC 45111
REC 45112
REC 45113
REC 45114
REC 45116
REC 45119
REC 45120
REC 45121
REC 45126
REC 45395
REC 45397
REC 45540
REC 45541
REC 45550
REC 45562
REC 45563
REC 57307
SB 43846
SB 43496
SB 44010
SB 44020
SB 44021
SB 44120
SB 44125
SB 44126
SB 44127
SB 44130
SB 44186
SB 44187
SB 44202
SB 44300
SB 44310
SB 44312
SB 44314
SB 44316
SB 44602
SB 44603
SB 44615
SB 44640
SB 44650
SB 44800
SB 45136
SPLE 38100
SPLE 38101
SPLE 38102
SPLE 38115
SPLE 38120
THOR 20101
THOR 21603
THOR 31770
THOR 31775
THOR 32096
THOR 32097
THOR 32100
THOR 32110
THOR 32120
THOR 32124
THOR 32140
THOR 32141
THOR 32151
THOR 32200
THOR 32215
THOR 32220
THOR 32225
THOR 32310
THOR 32320
THOR 32440
THOR 32442
THOR 32445
THOR 32480
THOR 32482
THOR 32484
THOR 32486
THOR 32488
THOR 32491
THOR 32501
THOR 32503
THOR 32504
THOR 32505
THOR 32506
THOR 32507
THOR 32540
THOR 32553
THOR 32607
THOR 32608
THOR 32609
THOR 32651
THOR 32652
THOR 32655
THOR 32662
THOR 32663
THOR 32666
THOR 32667
THOR 32668
THOR 32669
THOR 32670
THOR 32671
THOR 32672
THOR 32800
THOR 32815
THOR 32905
THOR 32906
THOR 32940
THOR 32960
THOR 39000
THOR 39010
THOR 39200
THOR 39220
THOR 39501
THOR 39545
THOR 39560
THOR 39561
THOR 64746
THYR 60200
THYR 60210
THYR 60212
THYR 60220
THYR 60225
THYR 60240
THYR 60252
THYR 60254
THYR 60260
THYR 60270
THYR 60271
THYR 60500
THYR 60502
THYR 60505
THYR 60512
VHYS 51925
VHYS 58260
VHYS 58262
VHYS 58263
VHYS 58267
VHYS 58270
VHYS 58275
VHYS 58280
VHYS 58285
VHYS 58290
VHYS 58291
VHYS 58292
VHYS 58293
VHYS 58294
VSHN 62160
VSHN 62180
VSHN 62190
VSHN 62192
VSHN 62194
VSHN 62220
VSHN 62223
VSHN 62225
VSHN 62230
VSHN 62256
VSHN 62258
XLAP 20102
XLAP 35840
XLAP 39503
XLAP 39540
XLAP 39541
XLAP 43332
XLAP 43333
XLAP 44005
XLAP 44180
XLAP 44700
XLAP 44820
XLAP 44850
XLAP 49000
XLAP 49002
XLAP 49010
XLAP 49013
XLAP 49014
XLAP 49020
XLAP 49040
XLAP 49060
XLAP 49203
XLAP 49204
XLAP 49205
XLAP 49215
XLAP 49220
XLAP 49250
XLAP 49255
XLAP 49320
XLAP 49321
XLAP 49324
XLAP 49325
XLAP 49326
XLAP 49402
XLAP 49412
XLAP 49419
XLAP 49421
XLAP 49425
XLAP 49426
XLAP 49900
XLAP 49905
XLAP 49906
XLAP 58960
Procedure Code Descriptions
Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma,
following unsuccessful endovascular repair; tube prosthesis
following unsuccessful endovascular repair; aorto-bi-iliac prosthesis
following unsuccessful endovascular repair; aorto-bifemoral prosthesis
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with
or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease,
abdominal aorta
or without patch graft; for ruptured aneurysm, abdominal aorta
abdominal aorta involving visceral vessels (mesenteric, celiac, renal)
or without patch graft; for ruptured aneurysm, abdominal aorta involving visceral vessels
(mesenteric, celiac, renal)
abdominal aorta involving iliac vessels (common, hypogastric, external)
or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common,
hypogastric, external)
Interthoracoscapular amputation (forequarter)
Disarticulation of shoulder
Amputation, arm through humerus; with primary closure
Amputation, arm through humerus; open, circular (guillotine)
Amputation, arm through humerus; re-amputation
Amputation, arm through humerus; with implant
Amputation, forearm, through radius and ulna
Amputation, forearm, through radius and ulna; open, circular (guillotine)
Amputation, forearm, through radius and ulna; re-amputation
Disarticulation through wrist
Disarticulation through wrist; secondary closure or scar revision
Disarticulation through wrist; re-amputation
Transmetacarpal amputation;
Transmetacarpal amputation; secondary closure or scar revision
Transmetacarpal amputation; re-amputation
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
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
Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including
neurectomies; with local advancement flaps (V-Y, hood)
Interpelviabdominal amputation (hindquarter amputation)
Disarticulation of hip
Amputation, thigh, through femur, any level;
Amputation, thigh, through femur, any level; immediate fitting technique including first cast
Amputation, thigh, through femur, any level; open, circular (guillotine)

Disarticulation at knee
Amputation, leg, through tibia and fibula;
Amputation, leg, through tibia and fibula; with immediate fitting technique including application
of first cast
Amputation, leg, through tibia and fibula; open, circular (guillotine)
Amputation, leg, through tibia and fibula; secondary closure or scar revision
Amputation, leg, through tibia and fibula; re-amputation
Amputation, ankle, through malleoli of tibia and fibula (e.g., Syme, Pirogoff type procedures), with
plastic closure and resection of nerves
Ankle disarticulation
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg,
osteomyelitis or bossing); phalanx of toe
Resection, partial or complete, phalangeal base, each toe
Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each

Amputation, foot; midtarsal (e.g., Chopart type procedure)
Amputation, foot; transmetatarsal
Amputation, metatarsal, with toe, single
Amputation, toe; metatarsophalangeal joint
Amputation, toe; interphalangeal joint
Incision and drainage of appendiceal abscess, open
Appendectomy
Appendectomy; when done for indicated purpose at time of other major procedure (not as
separate procedure) (List separately in No changeition to code for primary procedure)
Appendectomy; for ruptured appendix with abscess or generalized peritonitis

Laparoscopy, surgical, appendectomy
Unlisted laparoscopy procedure, appendix
Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous,
external (Scribner type)
external revision, or closure
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition
Arteriovenous anastomosis, open; by upper arm basilic vein transposition
Arteriovenous anastomosis, open; by forearm vein transposition
Arteriovenous anastomosis, open; direct, any site (e.g., Cimino type) (separate procedure)
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate

procedure); autogenous graft
procedure); non autogenous graft
Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous
dialysis graft (separate procedure)
Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis
graft (separate procedure)
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal
syndrome)
Hepatotomy; for open drainage of abscess or cyst, 1 or 2 stages
Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal)
cyst(s) or abscess(es
Biopsy of liver, wedge
Hepatectomy, resection of liver; partial lobectomy
Hepatectomy, resection of liver; trisegmentectomy
Hepatectomy, resection of liver; total left lobectomy
Hepatectomy, resection of liver; total right lobectomy
Donor hepatectomy (including cold preservation), from living donor; left lateral segment only
(segments II and III)
Donor hepatectomy (including cold preservation), from living donor; total left lobectomy
(segments II, III and IV)
Donor hepatectomy (including cold preservation), from living donor; total right lobectomy
(segments V, VI, VII and VIII)
Marsupialization of cyst or abscess of liver
Management of liver hemorrhage; simple suture of liver wound or injury
Management of liver hemorrhage; complex suture of liver wound or injury, with or without
hepatic artery ligatio
Management of liver hemorrhage; exploration of hepatic wound, extensive debridement,
coagulation and/or suture, with or without packing of liver
Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency

Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical
Unlisted laparoscopic procedure, liver
Ablation, open, of 1 or more liver tumor(s); radiofrequency
Ablation, open, of 1 or more liver tumor(s); cryosurgical
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

without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty
Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of

calculus (separate procedure)
Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with
or without cholangiography
Portoenterostomy (eg, Kasai procedure)
Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic
Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic
Excision of choledochal cyst
Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract
Anastomosis, of intrahepatic ducts and gastrointestinal tract
Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract
Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract
Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis
U-tube hepaticoenterostomy
Suture of extrahepatic biliary duct for pre-existing injury (separate procedure)
Placement of drains, peripancreatic, for acute pancreatitis;
Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy,
and jejunostomy
Removal of pancreatic calculus
Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy)
Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis
Excision of lesion of pancreas (eg, cyst, adenoma)
Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy
Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy
Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)
Excision of ampulla of Vater

Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy,
choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with
pancreatojejunostomy

choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without
Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and
duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy

duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy
Pancreatectomy, total
Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet
cells
Marsupialization of pancreatic cyst
External drainage, pseudocyst of pancreas; open
Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct
Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y
Pancreatorrhaphy for injury
Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)
Islet cell transplant, includes portal vein catheterization and infusion, including all imaging,
including all guidance, and radiological supervision and interpretation, when performed;
laparoscopic
including all guidance, and radiological supervision and interpretation, when performed; open
Replacement of tissue expander(s) with permanent implant
Biopsy of breast; open, incisional
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 19300), open, male or female, 1 or more lesions
Excision of breast lesion identified by pre-operative placement of radiological marker, open, single
lesion
Excision of breast lesion identified by pre-operative placement of radiological marker, open, single
lesion; each No changeitional lesion separately identified by a preoperative radiological marker
(list separately in No changeition to code for primary procedures) excision of breast lesion
identified by pre-operative placement of radiological marker, open, single lesion
Mastectomy for gynecomastia

Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary
lymphadenectomy
Mastectomy, simple, complete
Mastectomy, radical, including pectoral muscles, axillary lymph nodes
Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes
(Urban type operation)
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor
muscle, but excluding pectoralis major muscle
Mastopexy
Reduction mammaplasty
Mammaplasty, augmentation; without prosthetic implant
Mammaplasty, augmentation; with prosthetic implant
Removal of intact mammary implant
Removal of mammary implant material
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 latissimus dorsi flap, without prosthetic implant
Breast reconstruction with free flap
Breast reconstruction with other technique
Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single
pedicle, including closure of donor site;
pedicle, including closure of donor site; with microvascular anastomosis (supercharging)
Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), double
pedicle, including closure of donor site
Open periprosthetic capsulotomy, breast
Periprosthetic capsulectomy, breast
Revision of reconstructed breast
Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac
Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac
for drainage
Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass
Pericardiotomy for removal of clot or foreign body (primary procedure)
Creation of pericardial window or partial resection for drainage
Pericardiectomy, subtotal or complete; without cardiopulmonary bypass
Pericardiectomy, subtotal or complete; with cardiopulmonary bypass
Resection of pericardial cyst or tumor
Excision of intracardiac tumor, resection with cardiopulmonary bypass
Resection of external cardiac tumor
Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-
White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary
bypass
Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-
White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass
Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)
Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without
cardiopulmonary bypass
Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with
Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac
procedure(s), limited (eg, modified maze procedure) (List separately in No changeition to code for
primary procedure)
procedure(s), extensive (eg, maze procedure), without cardiopulmonary bypass (List separately in
No changeition to code for primary procedure)
procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass (List separately in No
changeition to code for primary procedure)
Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass
Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified
maze procedure), without cardiopulmonary bypass
Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze
procedure), without cardiopulmonary bypass
Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling,
oversewing, ligation, plication, clip)
Exclusion of left atrial appendage, open, performed at the time of other sternotomy or
thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing, ligation,
plication, clip) (List separately in addition to primary procedure)
Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling,
oversewing, ligation, plication, clip)
Repair of cardiac wound; without bypass
Repair of cardiac wound; with cardiopulmonary bypass
Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus);
without bypass
Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with
Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach
(eg, median sternotomy, mediastinotomy)
Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure
(eg, left thoracotomy)
Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy,
debridement, debulking, and/or simple commissural resuspension)
Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension,
leaflet resection, leaflet reconstruction, or annuloplasty)
Construction of apical-aortic conduit
Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than
homograft or stentless valve
Replacement, aortic valve, with cardiopulmonary bypass; with allograft valve (freehand)
Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve
Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus
Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)
Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft

replacement of pulmonary valve (Ross procedure)
Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract
Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis

Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric
septal hypertrophy)
Aortoplasty (gusset) for supravalvular stenosis
Valvotomy, mitral valve; closed heart
Valvotomy, mitral valve; open heart, with cardiopulmonary bypass
Valvuloplasty, mitral valve, with cardiopulmonary bypass;
Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring
Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without
ring
Replacement, mitral valve, with cardiopulmonary bypass
Replacement of aortic valve by translocation of autologous pulmonary valve and transventricular

aortic annulus enlargement of left ventricular outflow tract with valved conduit replacement of
pulmonary valve
Valvectomy, tricuspid valve, with cardiopulmonary bypass
Valvuloplasty, tricuspid valve; without ring insertion
Valvuloplasty, tricuspid valve; with ring insertion
Replacement, tricuspid valve, with cardiopulmonary bypass
Tricuspid valve repositioning and plication for Ebstein anomaly
Valvotomy, pulmonary valve, closed heart; via pulmonary artery
Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass
Replacement, pulmonary valve
Right ventricular resection for infundibular stenosis, with or without commissurotomy
Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection
Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate

procedure)
Myocardial resection (eg, ventricular aneurysmectomy)
Repair of postinfarction ventricular septal defect, with or without myocardial resection
Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg,
ventricular remodeling, SVR, SAVER, Dor procedures)
Closure of atrioventricular valve (mitral or tricuspid) by suture or patch
Closure of semilunar valve (aortic or pulmonary) by suture or patch
Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by
construction or replacement of conduit from right or left ventricle to pulmonary artery
Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical
enlargement of ventricular septal defect
Repair of double outlet right ventricle with intraventricular tunnel repair;
Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right
ventricular outflow tract obstruction
Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and
anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure)
Repair of complex cardiac anomalies (e.g., single ventricle by modified Fontan)

Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic
left heart syndrome) (eg, Norwood procedure)
Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch
Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage
Repair of atrial septal defect and ventricular septal defect, with direct or patch closure
Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or
without atrioventricular valve repair
Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve
repair
Repair of complete atrioventricular canal, with or without prosthetic valve
Closure of multiple ventricular septal defects;
Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection
(acyanotic)
Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or
without gusset
Closure of single ventricular septal defect, with or without patch;
Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or
infundibular resection (acyanotic)
Closure of single ventricular septal defect, with or without patch; with removal of pulmonary
artery band, with or without gusset
Complete repair tetralogy of Fallot without pulmonary atresia;
Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch
Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from
right ventricle to pulmonary artery and closure of ventricular septal defect
Repair sinus of Valsalva fistula, with cardiopulmonary bypass;

Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal
defect
Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass
Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane
Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)

Atrial septectomy or septostomy; open heart with cardiopulmonary bypass
Atrial septectomy or septostomy; open heart, with inflow occlusion
Repair of transposition of the great arteries with ventricular septal defect and subpulmonary
stenosis; without surgical enlargement of ventricular septal defect
Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type)
with cardiopulmonary bypass;
Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type)
with cardiopulmonary bypass; with closure of ventricular septal defect
Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene
type); with closure of ventricular septal defect
Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie,
Nikaidoh procedure); without coronary ostium reimplantation
Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie,
Nikaidoh procedure); with reimplantation of 1 or both coronary ostia
Total repair, truncus arteriosus (Rastelli type operation)
Obliteration of aortopulmonary septal defect; without cardiopulmonary bypass
Obliteration of aortopulmonary septal defect; with cardiopulmonary bypass
Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of
conduit from right or left ventricle to pulmonary artery
Insertion of ventricular assist device; extracorporeal, single ventricle
Insertion of ventricular assist device; extracorporeal, biventricle
Removal of ventricular assist device; extracorporeal, single ventricle
Removal of ventricular assist device; extracorporeal, biventricle
Insertion of ventricular assist device; implantable intracorporeal, single ventricle
Removal of ventricular assist device; implantable intracorporeal, single ventricle
Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy
Replacement or repair of implantable component or components of total replacement heart

system (artificial heart), thoracic unit
Replacement or repair of implantable component or components of total replacement heart
system (artificial heart), excluding thoracic unit
Endoscopic harvest of single upper extremity artery segment for coronary artery bypass
procedure
Coronary artery bypass, vein only; single coronary venous graft
Coronary artery bypass, vein only; 2 coronary venous grafts
Coronary artery bypass, vein only; 6 or more coronary venous grafts
Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, open
Coronary artery bypass, using arterial graft(s); single arterial graft

Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts
Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts
Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts
Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by
neck incision
Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (List
separately in No changeition to code for primary procedure)
Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus
(separate procedure)
Laparoscopy, surgical; cholecystectomy
Laparoscopy, surgical; cholecystectomy with cholangiography
Laparoscopy, surgical; cholecystectomy with exploration of common duct
Laparoscopy, surgical; cholecystoenterostomy
Cholecystectomy;
Cholecystectomy; with cholangiography
Cholecystectomy with exploration of common duct;
Cholecystectomy with exploration of common duct; with choledochoenterostomy
Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or
sphincteroplasty, with or without cholangiography
Cholecystoenterostomy; direct
Cholecystoenterostomy; with gastroenterostomy
Cholecystoenterostomy; Roux-en-Y
Cholecystoenterostomy; Roux-en-Y with gastroenterostomy
Colotomy, for exploration, biopsy(s), or foreign body removal
Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization,
or fistulization; single enterotomy
Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization,
or fistulization; multiple enterotomies
Removal of transplanted intestinal allograft, complete
Colectomy, partial; with anastomosis
Colectomy, partial; with skin level cecostomy or colostomy
Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)
Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula
Colectomy, partial; with coloproctostomy (low pelvic anastomosis)

Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy
Colectomy, partial; abdominal and transanal approach
Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy
Colectomy, total, abdominal, without proctectomy; with continent ileostomy
Colectomy, total, abdominal, with proctectomy; with ileostomy
Colectomy, total, abdominal, with proctectomy; with continent ileostomy
Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop
ileostomy, and rectal mucosectomy, when performed
Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal
reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed
Colectomy, partial, with removal of terminal ileum with ileocolostomy

Laparoscopy, surgical, colostomy or skin level cecostomy
Laparoscopy, surgical; colectomy, partial, with anastomosis
Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy
Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment
(Hartmann type procedure)
Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic
anastomosis)
anastomosis) with colostomy
Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or
ileoproctostomy
Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis,
creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when
performed
Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy
Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with

partial colectomy (List separately in No changeition to primary procedure)
Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and
anastomosis
Colostomy or skin level cecostomy;
Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon)
Revision of colostomy; simple (release of superficial scar) (separate procedure)
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure)
Revision of colostomy; with repair of paracolostomy hernia (separate procedure)
Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture
(single or multiple perforations); without colostomy
Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture
(single or multiple perforations); with colostomy
Closure of enterostomy, large or small intestine
Closure of enterostomy, large or small intestine; with resection and anastomosis other than
colorectal
Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg,
closure of Hartmann type procedure)
Twist drill hole for subdural or ventricular puncture
Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular
catheter, pressure recording device, or other intracerebral monitoring device
Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or
drainage of subdural hematoma
Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive
material)
Burr hole(s) or trephine; with biopsy of brain or intracranial lesion
Burr hole(s) or trephine; with drainage of brain abscess or cyst
Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst
Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural

Burr hole(s); with aspiration of hematoma or cyst, intracerebral
Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording
device, or other cerebral monitoring device (separate procedure)
Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery
Burr hole(s) or trephine, infratentorial, unilateral or bilateral
Craniectomy or craniotomy, exploratory; supratentorial
Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa)
Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural
Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral
Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural
Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar

Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial
Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial
Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of
intracranial hypertension, without evacuation of associated intraparenchymal hematoma;
without lobectomy

intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with
lobectomy
Decompression of orbit only, transcranial approach
Exploration of orbit (transcranial approach); with removal of lesion
Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome)
Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal
cord, with or without dural graft (eg, Arnold-Chiari malformation)
Other cranial decompression, posterior fossa
Craniectomy, suboccipital; for exploration or decompression of cranial nerves
for section of 1 or more cranial nerves
Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial,
except meningioma
Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial
Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial
Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst,
supratentorial
Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma,
cerebellopontine angle tumor, or midline tumor at base of skull
Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma
Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle
tumor
Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of
skull
Craniectomy, infratentorial or posterior fossa; for excision of brain abscess
Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst
Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine
angle tumor;

angle tumor; combined with middle/posterior fossa craniotomy/craniectomy
Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term
seizure monitoring
Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-
term seizure monitoring
Craniotomy with elevation of bone flap; for excision of epileptogenic focus without
electrocorticography during surgery
Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array,
without excision of cerebral tissue (separate procedure)
Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with
electrocorticography during surgery (includes removal of electrode array)
Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without
Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography
during surgery
Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total,
with electrocorticography during surgery
without electrocorticography during surgery
Craniotomy with elevation of bone flap; for transection of corpus callosum
Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy
Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus
Craniotomy with elevation of bone flap; for excision of craniopharyngioma
Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach
Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach,
nonstereotactic
Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy
Craniotomy with elevation of bone flap; for multiple subpial transections, with
Craniectomy or craniotomy; with excision of foreign body from brain
Craniectomy or craniotomy; with treatment of penetrating wound of brain
Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or
excision of lesion;
excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy)
Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy,

ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration
Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital
exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy
Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal

craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa
Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal

craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa
Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge

osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration

osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration
Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or
without internal fixation, without bone graft
Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space,

infratemporal and midline skull base, nasopharynx), with or without disarticulation of the
mandible, including parotidectomy, craniotomy, decompression and/or mobilization
Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous
apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy,
resection of sigmoid sinus, with or without decompression and
Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery,
clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or
intradural elevation of temporal lobe
Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base,
including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without
mobilization
Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of
superior petrosal sinus and/or sigmoid sinus
Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa;
extradural
intradural, including dural repair, with or without graft
Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa,
parapharyngeal space, petrous apex; extradural

parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft
Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous

sinus, clivus or midline skull base; extradural

sinus, clivus or midline skull base; intradural, including dural repair, with or without graft
Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa,
jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural
jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair,
with or without graft
Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa
following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lata,
adipose tissue, homologous or synthetic grafts)
following surgery of the skull base; by local or regionalized vascularized pedicle flap or
myocutaneous flap (including galea, temporalis, frontalis or occi
Surgery of intracranial arteriovenous malformation; supratentorial, simple
Surgery of intracranial arteriovenous malformation; supratentorial, complex
Surgery of intracranial arteriovenous malformation; infratentorial, simple
Surgery of intracranial arteriovenous malformation; infratentorial, complex
Surgery of intracranial arteriovenous malformation; dural, simple
Surgery of intracranial arteriovenous malformation; dural, complex
Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation
Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation
Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation
Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation
Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical

carotid artery (Selverstone-Crutchfield type)
Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and
cervical occlusion of carotid artery
Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial
electrothrombosis
Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial
embolization, injection procedure, or balloon catheter
Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries
Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording
techniques, single or multiple stages; globus pallidus or thalamus
techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or
thalamus
Single-trajectory laser interstitial thermal therapy (LITT) of 1 simple intracranial lesion, including
burr hole, with magnetic resonance imaging guidance
Multiple-trajectory laser interstitial thermal therapy (LITT) of complex intracranial lesion, including
burr hole
Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion
Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with
computed tomography and/or magnetic resonance guidance
Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring
Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for
placement of radiation source
Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical
Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical
Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of

neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic
nucleus, periventricular, periaqueductal gray), without use of intraoperative microelectrode
recording; first array

nucleus, periventricular, periaqueductal gray), with use of intraoperative microelectrode
Craniectomy for implantation of neurostimulator electrodes, cerebellar; cortical
Revision or removal of intracranial neurostimulator electrodes
Elevation of depressed skull fracture; simple, extradural
Elevation of depressed skull fracture; compound or comminuted, extradural
Elevation of depressed skull fracture; with repair of dura and/or debridement of brain
Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea
Repair of encephalocele, skull vault, including cranioplasty

Craniotomy for repair of encephalocele, skull base
Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or

intraventricular cysts (including placement, replacement, or removal of ventricular catheter)
Neuroendoscopy, intracranial; with retrieval of foreign body

Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external
ventricular catheter for drainage
Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal
approach
Ventriculocisternostomy, third ventricle;
Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method
Hysterotomy, abdominal (e.g., for hydatidiform mole, abortion)
Routine obstetric care including antepartum care, cesarean delivery, and postpartum care
Cesarean delivery only;

Cesarean delivery only; including postpartum care
Routine obstetric care including antepartum care, cesarean delivery, and postpartum care,
following attempted vaginal delivery after previous cesarean delivery
Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery;
Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery;
including postpartum care
Induced abortion, by 1 or more vaginal suppositories (e.g., prostaglandin) with or without cervical
dilation (e.g., laminaria), including hospital admission and visits, delivery of fetus and secundines;
with hysterotomy (failed medical evacuation)
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace
(other than for decompression); thoracic
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace
(other than for decompression); lumbar
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without
excision of odontoid process
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy

and decompression of spinal cord and/or nerve roots; cervical below C2
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace

(other than for decompression); cervical below C2
(other than for decompression); thoracic
(other than for decompression); lumbar
Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with
posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1
interspace
Arthrodesis, posterior technique, craniocervical (occiput-C2)
Arthrodesis, posterior technique, atlas-axis (C1-C2)
Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment
Arthrodesis, posterior or posterolateral technique, single level; thoracic (with lateral transverse
technique, when performed)
Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse
technique, when performed)
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare
interspace (other than for decompression), single interspace; lumbar
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique
including laminectomy and/or discectomy sufficient to prepare interspace (other than for
decompression), single interspace and segment; lumbar
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments
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
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments
Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments
Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when
performed
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal
fixation, when performed, includes repair of tuberosity(s), when performed;
fixation, when performed, includes repair of tuberosity(s), when performed; with proximal
humeral prosthetic replacement
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when
performed
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes
internal fixation, when performed
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage
Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without
cerclage and/or locking screws
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation,
when performed; without intercondylar extension
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation,
when performed; with intercondylar extension
Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation,
when performed
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when
performed
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus
and proximal ulna and/or proximal radius);
and proximal ulna and/or proximal radius); with implant arthroplasty
Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna
with dislocation of radial head), includes internal fixation, when performed
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision,
when performed;
when performed; with radial head prosthetic replacement
Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes
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
Open treatment of radial shaft fracture, includes internal fixation, when performed
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open
treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes
percutaneous skeletal fixation when performed
treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal
fixation, when performed, includes repair of triangular fibrocartilage complex
Open treatment of ulnar shaft fracture, includes internal fixation, when performed
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of
radius OR ulna
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of
radius AND ulna
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
fixation of 3 or more fragments
Open treatment of ulnar styloid fracture
Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes
obtaining graft)
Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning
Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type
procedure)
Open treatment of slipped femoral epiphysis; osteotomy and internal fixation
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with
plate/screw type implant, with or without cerclage
intramedullary implant, with or without interlocking screws and/or cerclage
Open treatment of greater trochanteric fracture, includes internal fixation, when performed
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture,
with or without internal or external fixation
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when
performed
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of
intramedullary implant, with or without cerclage and/or locking screws
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar
extension, includes internal fixation, when performed
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension,
includes internal fixation, when performed
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal
fixation, when performed
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when
performed
Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when
performed
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with
or without cerclage
Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with
or without interlocking screws and/or cerclage
Open treatment of medial malleolus fracture, includes internal fixation, when performed
Open treatment of posterior malleolus fracture, includes internal fixation, when performed
Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed
Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when
performed
Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and
posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial
and/or lateral malleolus; without fixation of posterior lip
and/or lateral malleolus; with fixation of posterior lip
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or
tibial plafond), with internal fixation, when performed; of fibula only
tibial plafond), with internal fixation, when performed; of tibia only
tibial plafond), with internal fixation, when performed; of both tibia and fibula
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation,
when performed
Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with
or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without
pyloroplasty (Ivor Lewis)
Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with
or without proximal gastrectomy; with colon interposition or small intestine reconstruction,
including intestine mobilization, preparation, and anastomosis(es)
Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal
gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty
Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal

gastrectomy; with esophagogastrostomy, with or without pyloroplasty
Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and
mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if
performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic
transhiatal esophagectomy)
Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower
performed, with separate thoracoscopic mobilization of the middle and upper mediastinal
esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy,
Ivor Lewis esophagectomy)
Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and
lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic
pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or
esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy,
McKeown esophagectomy, tri-incisional esophagectomy)
Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal

or transthoracic approach
Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or

fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty
Gastrotomy; with exploration or foreign body removal

Gastrotomy; with suture repair of bleeding ulcer
Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)
Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)

Biopsy of stomach, by laparotomy
Excision, local; ulcer or benign tumor of stomach
Excision, local; malignant tumor of stomach
Gastrectomy, total; with esophagoenterostomy
Gastrectomy, total; with Roux-en-Y reconstruction
Gastrectomy, total; with formation of intestinal pouch, any type
Gastrectomy, partial, distal; with gastroduodenostomy
Gastrectomy, partial, distal; with gastrojejunostomy
Gastrectomy, partial, distal; with Roux-en-Y reconstruction
Gastrectomy, partial, distal; with formation of intestinal pouch
Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective
Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y
gastroenterostomy (roux limb 150 cm or less)
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine
reconstruction to limit absorption
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive
device (eg, gastric band and subcutaneous port components)
Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device
component only
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive
device component only
Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric
restrictive device component only
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive
device and subcutaneous port components
Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve
gastrectomy)
Pyloroplasty
Gastroduodenostomy
Gastrojejunostomy; without vagotomy
Gastrojejunostomy; with vagotomy, any type
Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury
Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded
gastroplasty
Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-
banded gastroplasty
Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and
ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with
duodenal switch)
Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine
Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric
restrictive device (separate procedure)
Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without
partial gastrectomy or intestine resection; without vagotomy
partial gastrectomy or intestine resection; with vagotomy
Closure of gastrostomy, surgical
Closure of gastrocolic fistula
Gastric restrictive procedure, open; revision of subcutaneous port component only
Gastric restrictive procedure, open; removal of subcutaneous port component only
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component
only
Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or recurrent
mesh infection or necrotizing soft tissue infection) (List separately in No changeition to code for
primary procedure)
Repair, initial inguinal hernia, preterm infant (younger 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 (younger 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 younger than age 6 months, or preterm infant older
than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or
without hydrocelectomy; reducible
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older
than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or
without hydrocelectomy; incarcerated or strangulated
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without
hydrocelectomy; reducible
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without
hydrocelectomy; incarcerated or strangulated
Repair initial inguinal hernia, age 5 years or older; reducible
Repair initial inguinal hernia, age 5 years or older; 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 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 of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any
approach (ie, open, laparoscopic, robotic), initial, including mesh or other prosthesis when
performed, total length of defect(s); less than 3 cm, reducible
performed, total length of defect(s); less than 3 cm, incarcerated
performed, total length of defect(s); 3 cm to 10 cm, reducible
performed, total length of defect(s); 3 cm to 10 cm, incarcerated
performed, total length of defect(s); greater than 10 cm, reducible
performed, total length of defect(s); greater than 10 cm, incarcerated
Repair of small omphalocele, with primary closure

Repair of large omphalocele or gastroschisis; with or without prosthesis
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
Repair of omphalocele (Gross type operation); second stage
approach (ie, open, laparoscopic, robotic), recurrent, including mesh or other prosthesis when
performed, total length of defect(s); less than 3 cm, reducible
performed, total length of defect(s); less than 3 cm, incarcerated
performed, total length of defect(s); 3 cm to 10 cm, reducible
performed, total length of defect(s); 3 cm to 10 cm, incarcerated
performed, total length of defect(s); greater than 10 cm, reducible
performed, total length of defect(s); greater than 10 cm, incarcerated
Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent,
including implantation of mesh or other prosthesis, when performed; reducible
Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent,
including implantation of mesh or other prosthesis, when performed; incarcerated or
strangulated
Laparoscopy, surgical; repair initial inguinal hernia
Laparoscopy, surgical; repair recurrent inguinal hernia
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)
Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty),
with or without autograft or allograft
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft
Revision of total hip arthroplasty; both components, with or without autograft or allograft
Revision of total hip arthroplasty; acetabular component only, with or without autograft or
allograft
Revision of total hip arthroplasty; femoral component only, with or without allograft
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic
replacement
Heart-lung transplant with recipient cardiectomy-pneumonectomy
Heart transplant, with or without recipient cardiectomy
Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or
without removal of ovary(s)
Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or
without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch)
Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of

tube(s), with or without removal of ovary(s)
Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph
node sampling, with or without removal of tube(s), with or without removal of ovary(s)
Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic
lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of
ovary(s)
Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or

cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with
removal of bladder and ureteral transplantations, and/or abdominoperineal resection of rectum
and colon and colostomy, or any combination thereof
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
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
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of
tubes(s) and /or ovary(s)
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s)
and/or ovary(s)
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of
Laparaoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with
omentectomy including salpingo-oopherectomy, unilateral or bilateral, when performed
Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-
oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-
aortic lymphadenectomy
Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical
dissection for debulking
Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical

dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy
Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for

malignancy
Subtotal or total hysterectomy after cesarean delivery
Arthroplasty, patella; with 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
Arthroplasty, knee, hinge prosthesis (eg, Walldius type)
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment
Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without
patella resurfacing (total knee arthroplasty)
Revision of total knee athroplasty, with or without allograft, one component
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component
Recipient nephrectomy (separate procedure)

Renal allotransplantation, implantation of graft; without recipient nephrectomy
Renal allotransplantation, implantation of graft; with recipient nephrectomy
Renal autotransplantation, reimplantation of kidney
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate
preparation (includes osteophytectomy for nerve root or spinal cord decompression and
microdissection); single interspace, cervical
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare
interspace (other than for decompression), single interspace, lumbar
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single
interspace; cervical
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single
interspace; lumbar
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion,

including image guidance when performed, with open decompression, lumbar; single level
Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method

utilizing needle based technique to remove disc material under fluoroscopic imaging or other
form of indirect visualization, with the use of an endoscope, with discography and/or epidural
injection(s) at the treated level(s), when performed, single or multiple levels, lumbar
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term

medication administration via an external pump or implantable reservoir/infusion pump; with
laminectomy
Endoscopic decompression of spinal cord, nerve root(s), including laminectomy, partial

facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1
interpace, lumbar
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without
facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments;
cervical
thoracic
lumbar, except for spondylolisthesis
facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of
cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure)
facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments;
cervical
thoracic
lumbar
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial

facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical

facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar

facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each No
changeitional interspace, cervical or lumbar (List separately in No changeition to code for primary
procedure)

facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single
interspace; cervical

facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single
interspace; lumbar
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of

spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single
vertebral segment; cervical

vertebral segment; thoracic

vertebral segment; lumbar

vertebral segment; each No changeitional segment, cervical, thoracic, or lumbar (List separately in
Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments;
Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with
reconstruction of the posterior bony elements (including the application of bridging bone graft
and non-segmental fixation devices [eg, wire, suture, mini-plates], when performed)
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg,
herniated intervertebral disc), single segment; thoracic
lumbar (including transfacet, or lateral extraforaminal approach) (eg, far lateral herniated
intervertebral disc
Costovertebral approach with decompression of spinal cord or nerve root(s), (eg, herniated
intervertebral disc), thoracic; single segment
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including
osteophytectomy; cervical, single interspace
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including
osteophytectomy; thoracic, single interspace
Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with
decompression of spinal cord and/or nerve root(s); cervical, single segment
Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with
decompression of spinal cord and/or nerve root(s); cervical, each No changeitional segment (List
Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with
decompression of spinal cord and/or nerve root(s); thoracic, single segment
decompression of spinal cord and/or nerve root(s); thoracic, each No changeitional segment (List
Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar

approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or
lumbar; single segment
Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar

approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or
lumbar; each No changeitional segment (List separately in No changeition to code for primary
procedure)
Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or

retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower
thoracic, lumbar, or sacral; single segment
Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or

retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower
thoracic, lumbar, or sacral; each No changeitional segment (List separately in No changeition to
code for primary procedure)
Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary

approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed
bone fragments); thoracic, single segment

bone fragments); lumbar, single segment

bone fragments); thoracic or lumbar, each No changeitional segment (List separately in No
Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar
Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space

Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space
Laminectomy and section of dentate ligaments, with or without dural graft, cervical; 1 or 2
segments
Laminectomy and section of dentate ligaments, with or without dural graft, cervical; more than 2
segments
Laminectomy with rhizotomy; 1 or 2 segments
Laminectomy with rhizotomy; more than 2 segments
Laminectomy with section of spinal accessory nerve
Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage; thoracic
Laminectomy, with release of tethered spinal cord, lumbar
Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical
Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic

Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord;
thoracolumbar
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural;
cervical
thoracic
lumbar
sacral
Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical
Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic
Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar
Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral
Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical
Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic
Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar
Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar

Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic

Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary,
thoracolumbar
Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion,
any level
Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy
Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy

Posterior vertebral joint(s) arthroplasty (eg, facet joint[s] replacement), including facetectomy,
laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when
performed, including fluoroscopy, single level, lumbar spine
Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and
placement of bone graft(s) or synthetic device(s), single level; cervical
placement of bone graft(s) or synthetic device(s), single level; thoracic
placement of bone graft(s) or synthetic device(s), single level; lumbar
Liver allotransplantation; orthotopic, partial or whole, from cadaver or living donor, any age
Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy
Laryngectomy; total, without radical neck dissection

Laryngectomy; total, with radical neck dissection
Laryngectomy; subtotal supraglottic, without radical neck dissection
Laryngectomy; subtotal supraglottic, with radical neck dissection
Partial laryngectomy (hemilaryngectomy); horizontal
Partial laryngectomy (hemilaryngectomy); laterovertical
Partial laryngectomy (hemilaryngectomy); anterovertical
Partial laryngectomy (hemilaryngectomy); antero-latero-vertical
Pharyngolaryngectomy, with radical neck dissection; without reconstruction
Pharyngolaryngectomy, with radical neck dissection; with reconstruction
Arytenoidectomy or arytenoidopexy, external approach
Epiglottidectomy
Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger
than 12 years of age
Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years
or older
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12
years of age
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or
older
Laryngoscopy, direct, operative, with arytenoidectomy;
Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope
Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion

Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if
performed
Laryngoplasty, cricoid split, without graft placement
Laryngeal reinnervation by neuromuscular pedicle
Laryngoplasty, medialization, unilateral
Cricotracheal resection
Unlisted procedure, larynx
Lymphangiotomy or other operations on lymphatic channels
Dissection, deep jugular node(s)
Cervical lymphadenectomy (complete)
Cervical lymphadenectomy (modified radical neck dissection)
Glossectomy; partial, with unilateral radical neck dissection
Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection
Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck
dissection
Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and
radical neck dissection (Commando type)
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 parotid tumor or parotid gland; total, with unilateral radical neck dissection
Excision of thyroglossal duct cyst or sinus
Excision of thyroglossal duct cyst or sinus; recurrent
Radical excision external auditory canal lesion; without neck dissection
Radical excision external auditory canal lesion; with neck dissection
Incision and drainage of thyroglossal duct cyst, infected
Renal exploration, not necessitating other specific procedures
Drainage of perirenal or renal abscess, open
Nephrostomy, nephrotomy with drainage
Nephrotomy, with exploration
Nephrolithotomy; removal of calculus
Nephrolithotomy; secondary surgical operation for calculus
Nephrolithotomy; complicated by congenital kidney abnormality
Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including
anatrophic pyelolithotomy)
Pyelotomy; with exploration
Pyelotomy; with drainage, pyelostomy
Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum
pyelolithotomy)
Pyelotomy; complicated (e.g., secondary operation, congenital kidney abnormality)
Renal biopsy; by surgical exposure of kidney
Nephrectomy, including partial ureterectomy, any open approach including rib resection;
Nephrectomy, including partial ureterectomy, any open approach including rib resection;
complicated because of previous surgery on same kidney
Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical,
with regional lymphadenectomy and/or vena caval thrombectomy
Nephrectomy with total ureterectomy and bladder cuff; through same incision
Nephrectomy with total ureterectomy and bladder cuff; through separate incision
Nephrectomy, partial
Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound
guidance and monitoring, if performed
Excision or unroofing of cyst(s) of kidney
Excision of perinephric cyst
Donor nephrectomy (including cold preservation); open, from living donor
Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic
operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple
Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic
operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated
(congenital kidney abnormality, secondary pyeloplasty, solitary kidney, calycoplasty)
Laparoscopy, surgical; ablation of renal cysts

Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound
guidance and monitoring, when performed
Laparoscopy, surgical; partial nephrectomy
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 laparoscopic nephrectomy
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
Unlisted laparoscopy procedure, oviduct, ovary
Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)
Lysis of adhesions (salpingolysis, ovariolysis)
Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach

Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach
Drainage of ovarian abscess; vaginal approach, open

Drainage of ovarian abscess; abdominal approach
Transposition, ovary(s)
Biopsy of ovary, unilateral or bilateral (separate procedure)
Wedge resection or bisection of ovary, unilateral or bilateral
Ovarian cystectomy, unilateral or bilateral
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 biopsies, peritoneal washings, peritoneal
biopsies, diaphragmatic assessments, with or without salpingectomy(s), with or without
omentectomy
oophorectomy and omentectomy;
oophorectomy and omentectomy; with radical dissection for debulking (i.e., radical excision or
destruction, intra-abdominal or retroperitoneal tumors)
Follicle puncture for oocyte retrieval, any method
Insertion of epicardial electrode(s); open incision (e.g., thoracotomy, median sternotomy,
subxiphoid approach)
Insertion of epicardial electrode(s); endoscopic approach (e.g., thoracoscopy, pericardioscopy)
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s);

ventricular
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial
and ventricular
Insertion of pacemaker pulse generator only; with existing single lead
Insertion of pacemaker pulse generator only; with existing dual leads
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)
Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right
atrial or right ventricular) electrode
Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator
Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator
Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator
Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator
Insertion of pacemaker pulse generator only; with existing multiple leads

Relocation of skin pocket for pacemaker
Relocation of skin pocket for implantable defibrillator
Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment
to previously placed pacemaker or implantable defibrillator pulse generator (including revision of
pocket, removal, insertion, and/or replacement of existing generator)
Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of
insertion of implantable defibrillator or pacemaker pulse generator (e.g., for upgrade to dual
chamber system) (List separately in No changeition to code for primary procedure)
Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including
removal, insertion and/or replacement of existing generator)
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse
generator; single lead system
generator; dual lead system
generator; multiple lead system
Insertion of implantable defibrillator pulse generator only; with existing dual leads
Insertion of implantable defibrillator pulse generator only; with existing multiple leads
Removal of permanent pacemaker pulse generator only
Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular
Removal of transvenous pacemaker electrode(s); dual lead system

Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system,
atrial or ventricular
Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system
Removal of permanent transvenous electrode(s) by thoracotomy

Insertion of implantable defibrillator pulse generator only; with existing single lead
Removal of implantable defibrillator pulse generator only
Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator

pulse generator; by transvenous extraction
Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s),
single or dual chamber
pulse generator; single lead system
pulse generator; dual lead system
pulse generator; multiple lead system
Insertion or replacement of permanent subcutaneous implantable defibrillator system, with
subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia,
evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing
or therapeutic parameters, when performed
Insertion of subcutaneous implantable defibrillator electrode

Removal of subcutaneous implantable defibrillator electrode
Repositioning of previously implanted subcutaneous implantable defibrillator electrode
Insertion or replacement of implantable cardioverter-defibrillation system with substernal

electrode(s), including all imaging guidance and electrophysiological evaluation (includes
defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia
termination, and programming or reprogramming of sensing or therapeutic parameters), when
performed
Insertion of substernal implantable defibrillation electrode
Removal of substernal implantable defibrillation electrode
Repositioning of previously implanted substernal implantable defibrillator-pacing electrode

Biopsy, prostate; incisional, any approach
Prostatectomy, perineal radical
Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)
Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac,
hypogastric and obturator nodes
Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral

calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages
Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral

calibration and/or dilation, and internal urethrotomy); retropubic, subtotal
Prostatectomy, retropubic radical, with or without nerve sparing;
Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s)
(limited pelvic lymphadenectomy)
Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic
lymphadenectomy, including external iliac, hypogastric, and obturator nodes
Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic
assistance, when performed
Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative
bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal
urethrotomy), includes robotic assistance, when performed
Open subclavian to carotid artery transposition performed in conjunction with endovascular
repair of descending thoracic aorta, by neck incision, unilateral
Bypass graft, with vein; common carotid-ipsilateral internal carotid
Bypass graft, with vein; carotid-subclavian or subcalvian-carotid
Bypass graft, with vein; carotid-vertebral
Bypass graft, with vein; carotid-contralateral carotid
Bypass graft, with vein; carotid-brachial
Bypass graft, with vein; subclavian-subclavian
Bypass graft subclavian-brachial
Bypass graft subclavian-vertebral
Bypass graft, with vein; subclavian-axillary
Bypass graft, with vein; axillary-axillary
Bypass graft, with vein; axillary-femoral
Bypass graft, with vein; axillary-brachial
Bypass graft, with vein; brachial-ulnar or -radial
Bypass graft, with vein; brachial-brachial
Bypass graft, with vein; axillary-femoral-femoral
Bypass graft, with vein; femoral-popliteal
Bypass graft, with vein; femoral-femoral
Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal
vessels
Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial
Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels
In-situ vein bypass; femoral-popliteal
In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery
In-situ vein bypass; popliteal-tibial, peroneal
Bypass graft, with other than vein; subclavian-axillary
Bypass graft, with other than vein; axillary-femoral
Bypass graft, with other than vein; axillary-popliteal or -tibial
Bypass graft, with other than vein; axillary-axillary
Bypass graft, with other than vein; axillary-femoral-femoral
Bypass graft, with other than vein; femoral-popliteal
Bypass graft, with other than vein; femoral-femoral
Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery
Bypass graft, with other than vein; popliteal-tibial or -peroneal artery
Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis)
Proctectomy; complete, combined abdominoperineal, with colostomy

Proctectomy; partial resection of rectum, transabdominal approach
Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)
Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S
or J), with or without loop ileostomy
Proctectomy, partial, with anastomosis; abdominal and transsacral approach
Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)
Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis),

with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed
Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-
through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation)
Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with
subtotal or total colectomy, with multiple biopsies
Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with
removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or
without removal of tube(s), with or without removal of ovary(s), or any combination thereof
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
Proctopexy (eg, for prolapse); abdominal approach (open)
Proctopexy (eg, for prolapse); perineal approach (open)
Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach (open)
Exploration, repair, and presacral drainage for rectal injury
Exploration, repair, and presacral drainage for rectal injury; with colostomy
Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy
Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or
less) Roux-en-Y gastroenterostomy
Free jejunum transfer with microvascular anastomosis
Duodenotomy, for exploration, biopsy(s), or foreign body removal
Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body
removal
Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)
Enterectomy, resection of small intestine; single resection and anastomosis

Enterectomy, resection of small intestine; with enterostomy
Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis
of proximal segment of intestine; without tapering
Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis
of proximal segment of intestine; with tapering
Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate
procedure)
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)
Laparoscopy, surgical; ileostomy or jejunostomy, non-tube
Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis
Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate
procedure)
Ileostomy or jejunostomy, non-tube
Revision of ileostomy; simple (release of superficial scar) (separate procedure)
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure)
Continent ileostomy (Kock procedure) (separate procedure)
Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or
rupture; single perforation
Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or
rupture; multiple perforations
Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal
obstruction
Closure of intestinal cutaneous fistula
Closure of enteroenteric or enterocolic fistula
Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct
Excision of ileoanal reservoir with ileostomy
Splenectomy; total (separate procedure)
Splenectomy; partial (separate procedure)
Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in No
Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy
Laparoscopy, surgical, splenectomy
Exploration of penetrating wound (separate procedure); chest
Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal
lymphadenectomy
Bronchoplasty; graft repair
Bronchoplasty; excision stenosis and anastomosis
Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral
Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional),
unilateral
Thoracotomy; with exploration
Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear
Thoracotomy; for postoperative complications
Thoracotomy; with open intrapleural pneumonolysis
Thoracotomy; with cyst(s) removal, includes pleural procedure when performed
Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed
Thoracotomy; with removal of intrapulmonary foreign body

Pneumonostomy, with open drainage of abscess or cyst
Pleural scarification for repeat pneumothorax
Decortication, pulmonary (separate procedure); total
Decortication, pulmonary (separate procedure); partial
Pleurectomy, parietal (separate procedure)
Decortication and parietal pleurectomy
Removal of lung, pneumonectomy;
Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-
tracheal anastomosis (sleeve pneumonectomy)
Removal of lung, pneumonectomy; extrapleural
Removal of lung, other than pneumonectomy; single lobe (lobectomy)
Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy)
Removal of lung, other than pneumonectomy; single segment (segmentectomy)
Removal of lung, other than pneumonectomy; with circumferential resection of segment of
bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy)
Removal of lung, other than pneumonectomy; with all remaining lung following previous removal
of a portion of lung (completion pneumonectomy)
Removal of lung, other than pneumonectomy; with resection-plication of emphysematous lung(s)
(bullous or non-bullous) for lung volume reduction, sternal split or transthoracic approach,
includes any pleural procedure, when performed
Resection and repair of portion of bronchus (bronchoplasty) when performed at time of

lobectomy or segmentectomy (List separately in No changeition to code for primary procedure)
Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s)
resection(s), neurovascular dissection, when performed; without chest wall reconstruction(s)
resection(s), neurovascular dissection, when performed; with chest wall reconstruction
Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial
Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each No changeitional
resection, ipsilateral (List separately in No changeition to code for primary procedure)
Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List
Extrapleural enucleation of empyema (empyemectomy)
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter),
percutaneous, intrathoracic, single or multiple
Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral
Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional),
unilateral
Thoracoscopy; with biopsy(ies) of pleura
Thoracoscopy, surgical; with partial pulmonary decortication
Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis
Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when
performed
Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass
Thoracoscopy, surgical; with lobectomy (single lobe)
Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral
Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each No
changeitional resection, ipsilateral (List separately in No changeition to code for primary
procedure)
Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List
Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)
Thoracoscopy, surgical; with removal of two lobes (bilobectomy)
Thoracoscopy, surgical; with removal of lung (pneumonectomy)
Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous)

for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed
Repair lung hernia through chest wall

Open closure of major bronchial fistula
Thoracoplasty, Schede type or extrapleural (all stages);
Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula
Pneumonolysis, extraperiosteal, including filling or packing procedures

Pneumothorax, therapeutic, intrapleural injection of air
Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach
Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic

approach, including either transthoracic or median sternotomy
Resection of mediastinal cyst
Resection of mediastinal tumor
Repair, laceration of diaphragm, any approach
Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or
nonparalytic
Resection, diaphragm; with simple repair (eg, primary suture)
Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)
Transection or avulsion of; phrenic nerve
Excision of cyst or adenoma of thyroid, or transection of isthmus
Partial thyroid lobectomy, unilateral; with or without isthmusectomy
Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including
isthmusectomy
Total thyroid lobectomy, unilateral; with or without isthmusectomy
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including
isthmusectomy
Thyroidectomy, total or complete
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection
Thyroidectomy, total or subtotal for malignancy; with radical neck dissection
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of
thyroid
Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach
Thyroidectomy, including substernal thyroid; cervical approach
Parathyroidectomy or exploration of parathyroid(s)
Parathyroidectomy or exploration of parathyroid(s); re-exploration
Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or
transthoracic approach
Parathyroid autotransplantation (List separately in No changeition to code for primary procedure)
Closure of vesicouterine fistula; with hysterectomy

Vaginal hysterectomy, for uterus 250 g or less
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with
repair of enterocele
Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-
Krantz type, Pereyra type) with or without endoscopic control
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele
Vaginal hysterectomy, for uterus 250 g or less;
Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele
Vaginal hysterectomy, radical (Schauta type operation)
Vaginal hysterectomy, for uterus greater than 250 g
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with
Vaginal hysterectomy, for uterus greater than 250 g; with colpo-urethrocystopexy (Marshall-
Marchetti-Krantz type, Pereyra type) with or without endoscopic control
Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele
Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and
attachment to shunt system or external drainage (List separately in No changeition to code for
primary procedure)
Ventriculocisternostomy (Torkildsen type operation)
Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular
Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus
Replacement or irrigation, subarachnoid/subdural catheter
Creation of shunt; ventriculo-atrial, -jugular, -auricular
Creation of shunt; ventriculo-peritoneal, -pleural, other terminus
Replacement or irrigation, ventricular catheter
Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt
system
Removal of complete cerebrospinal fluid shunt system; without replacement
Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other
shunt at same operation
Exploration of penetrating wound (separate procedure); abdomen/flank/back
Exploration for postoperative hemorrhage, thrombosis or infection; abdomen
Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without
creation of ventral hernia
Repair, diaphragmatic hernia (other than neonatal), traumatic; acute
Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic
Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal;
without implantation of mesh or other prosthesis
Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal;
with implantation of mesh or other prosthesis
Enterolysis (freeing of intestinal adhesions) (separate procedure)
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)
Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder
or omentum)
Excision of lesion of mesentery (separate procedure)
Suture of mesentery (separate procedure)
Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)
Reopening of recent laparotomy

Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)
Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local
exploration
Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking,
when performed
Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open
Drainage of subdiaphragmatic or subphrenic abscess, open

Drainage of retroperitoneal abscess, open
Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more
peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm
diameter or less

peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0
cm diameter

peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater
than 10.0 cm diameter
Excision of presacral or sacrococcygeal tumor
Staging laparotomy for Hodgkin's disease or lymphoma (includes splenectomy, needle or open
biopsies of both liver lobes, possibly also removal of abdominal nodes, abdominal node and/or
bone marrow biopsies, ovarian repositioning)
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)
Omentectomy, epiploectomy, resection of omentum (separate procedure)
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 insertion of tunneled intraperitoneal catheter
Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with
removal of intraluminal obstructive material if performed
Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in No
Removal of peritoneal foreign body from peritoneal cavity
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter),
open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if
performed, single or multiple (List separately in No changeition to code for primary procedure)
Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable)
Insertion of tunneled intraperitoneal catheter for dialysis, open

Insertion of peritoneal-venous shunt
Revision of peritoneal-venous shunt
Suture, secondary, of abdominal wall for evisceration or dehiscence
Omental flap, intra-abdominal (List separately in No changeition to code for primary procedure)
Free omental flap with microvascular anastomosis
Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second
look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic
peritoneum, diaphragmatic assessment with pelvic and limited para-aortic lymphadenectomy
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Procedure Code
Operative Procedure
Category
AAA Abdominal aortic aneurysm repair
AMP Limb amputation
APPY Appendix surgery

AVSD AV shunt for dialysis
BILI Bile duct, liver or pancreatic surgery
BRST Breast surgery
CARD Cardiac surgery
CBGB Coronary bypass with chest & donor incisions
CBGC Coronary bypass graft with chest incision
CEA Carotid endarterectomy
CHOL Gallbladder surgery
COLO Colon surgery
CRAN Craniotomy
CSEC Cesarean section

FUSN Spinal fusion
FX Open reduction of fracture
GAST Gastric surgery
HER Herniorrhaphy
HPRO Hip prosthesis

HTP Heart transplant
HYST Abdominal hysterectomy
KPRO Knee prosthesis
KTP Kidney transplant
LAM Laminectomy
LTP Liver transplant

NECK Neck surgery
NEPH Kidney surgery
OVRY Ovarian surgery

PACE Pacemaker surgery
PRST Prostate surgery
PVBY Peripheral vascular bypass surgery

REC Rectal surgery
SB Small bowel surgery
SPLE Spleen surgery
THOR Thoracic surgery
THYR Thyroid and/or parathyroid surgery

VHYS Vaginal hysterectomy
VSHN Ventricular shunt
XLAP Exploratory laparotomy

Procedure Description
Resection of abdominal aorta with anastomosis or replacement

Total or partial amputation or disarticulation of the upper or lower limbs,
including digits
Operation of appendix
Arteriovenostomy for renal dialysis
Excision of bile ducts or operative procedures on the biliary tract, liver or
pancreas (does not include operations on gallbladder only)
Excision of lesion or tissue of breast including radical, modified, or quadrant
resection, lumpectomy, incisional biopsy, or mammoplasty
Procedures on the heart; includes valves or septum; does not include coronary
artery bypass graft, surgery on vessels, heart transplantation, or pacemaker
implantation
Chest procedure to perform direct revascularization of the heart; includes
obtaining suitable vein from donor site for grafting
Chest procedures to perform direct vascularization of the internal mammary
(thoracic) artery
Endarterectomy on vessels of head and neck (includes carotid artery and jugular
vein)
Cholecystectomy and cholecystotomy
Incision, resection, or anastomosis of the large intestine; includes large-to-small

and small-to-large bowel anastomosis; see REC for rectal operations
Excision, repair or exploration of the brain or meninges; does not include taps or
punctures
Obstetrical delivery by cesarean section
Immobilization of spinal column
Open reduction of fracture or dislocation of long bones with our without internal
or external fixation; does not include placement of joint prosthesis
Incision or excision of stomach; includes subtotal or total gastrectomy; does not

include vagotomy and fundoplication
Repair of inguinal, femoral, umbilical, or anterior abdominal wall hernia; does
not include repair of diaphragmatic or hiatal hernia or hernias at other body
sites
Arthroplasty of hip
Transplantation of heart
Abdominal hysterectomy; includes that by laparoscope
Arthroplasty of knee
Transplantation of kidney
Exploration or decompression of spinal cord through excision or incision into
vertebral structures
Transplantation of liver
Major excision or incision of the larynx and radical neck dissection; does not
include thyroid and parathyroid operations
Resection or manipulation of the kidney with or without removal of related
structures
Operations on ovary and related structures
Insertion, manipulation or replacement of pacemaker
Suprapubic, retropubic, radical, or perineal excision of the prostate; does not
include transurethral resection of the prostate
Bypass operations on peripheral arteries and veins
Operations on rectum
Incision or resection of the small intestine; does not include small-to-large bowel
anastomosis
Resection or manipulation of spleen
Noncardiac, nonvascular thoracic surgery; includes pneumonectomy and hiatal
hernia repair or diaphragmatic hernia repair (except through abdominal
approach)
Resection or manipulation of thyroid and/or parathyroid
Vaginal hysterectomy; excludes the use of laparoscope
Ventricular shunt operations, including revision and removal of shunt
Abdominal operations not involving the gastrointestinal tract or biliary system;

includes diaphragmatic hernia repair through abdominal approach
AAA -- Abdominal Aortic Aneurysm Repair - Resection of abdominal aorta with anastomosis or replacement
Procedure Code
CPT Codes
Category
AAA 34830
AAA 34831
AAA 34832
AAA 35081
AAA 35082
AAA 35091
AAA 35092
AAA 35102
AAA 35103
m Repair - Resection of abdominal aorta with anastomosis or replacement
Code Description Code Status
Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial
No change
trauma, following unsuccessful endovascular repair; tube prosthesis
No change
trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis
No change
trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft

insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated No change
occlusive disease, abdominal aorta

No change
insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta

insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated No change
occlusive disease, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)

insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving No change
visceral vessels (mesenteric, celiac, renal)

insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated
No change
occlusive disease, abdominal aorta involving iliac vessels (common, hypogastric,
external)

insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving No change
iliac vessels (common, hypogastric, external)
AMP -- Limb Amputation - Total or partial amputation or disarticulation of the upper or lower limbs, including digits
Procedure Code
CPT Codes
Category
AMP 23900
AMP 23920
AMP 24900
AMP 24920
AMP 24930
AMP 24931
AMP 25900
AMP 25905
AMP 25909
AMP 25920
AMP 25922
AMP 25924
AMP 25927
AMP 25929
AMP 25931
AMP 26235
AMP 26236
AMP 26910
AMP 26951
AMP 26952
AMP 27290
AMP 27295
AMP 27590
AMP 27591
AMP 27592
AMP 27598
AMP 27880
AMP 27881
AMP 27882
AMP 27884
AMP 27886
AMP 27888
AMP 27889
AMP 28124
AMP 28126
AMP 28160
AMP 28800
AMP 28805
AMP 28810
AMP 28820
AMP 28825
tial amputation or disarticulation of the upper or lower limbs, including digits
Interthoracoscapular amputation (forequarter) No change

Disarticulation of shoulder No change
Amputation, arm through humerus; with primary closure No change
Amputation, arm through humerus; open, circular (guillotine) No change
Amputation, arm through humerus; re-amputation No change
Amputation, arm through humerus; with implant No change
Amputation, forearm, through radius and ulna No change
Amputation, forearm, through radius and ulna; open, circular (guillotine) No change
Amputation, forearm, through radius and ulna; re-amputation No change
Disarticulation through wrist No change
Disarticulation through wrist; secondary closure or scar revision No change
Disarticulation through wrist; re-amputation No change
Transmetacarpal amputation; No change
Transmetacarpal amputation; secondary closure or scar revision No change
Transmetacarpal amputation; re-amputation No change
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg,
No change
osteomyelitis); proximal or middle phalanx of finger
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg,
No change
osteomyelitis); distal phalanx of finger
Amputation, metacarpal, with finger or thumb (ray amputation), single, with or
No change
without interosseous transfer
Amputation, finger or thumb, primary or secondary, any joint or phalanx, single,
No change
including neurectomies; with direct closure
Amputation, finger or thumb, primary or secondary, any joint or phalanx, single,
No change
including neurectomies; with local advancement flaps (V-Y, hood)
Interpelviabdominal amputation (hindquarter amputation) No change
Disarticulation of hip No change
Amputation, thigh, through femur, any level; No change
Amputation, thigh, through femur, any level; immediate fitting technique including
No change
first cast
Amputation, thigh, through femur, any level; open, circular (guillotine) No change
Disarticulation at knee No change
Amputation, leg, through tibia and fibula; No change
Amputation, leg, through tibia and fibula; with immediate fitting technique including
No change
application of first cast
Amputation, leg, through tibia and fibula; open, circular (guillotine) No change
Amputation, leg, through tibia and fibula; secondary closure or scar revision No change
Amputation, leg, through tibia and fibula; re-amputation No change
Amputation, ankle, through malleoli of tibia and fibula (e.g., Syme, Pirogoff type
No change
procedures), with plastic closure and resection of nerves
Ankle disarticulation No change
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone
No change
(eg, osteomyelitis or bossing); phalanx of toe
Resection, partial or complete, phalangeal base, each toe No change
Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx,
No change
each
Amputation, foot; midtarsal (e.g., Chopart type procedure) No change
Amputation, foot; transmetatarsal No change
Amputation, metatarsal, with toe, single No change
Amputation, toe; metatarsophalangeal joint No change
Amputation, toe; interphalangeal joint No change
APPY -- Appendix Surgery - Operation of appendix
Procedure Code
CPT Codes
Category
APPY 44900
APPY 44950
APPY 44955
APPY 44960
APPY 44970
APPY 44979
tion of appendix
Incision and drainage of appendiceal abscess; open No change

Appendectomy No change
Appendectomy; when done for indicated purpose at time of other major procedure
(not as separate procedure) (List separately in No changeition to code for primary No change
procedure)
Appendectomy; for ruptured appendix with abscess or generalized peritonitis No change
Laparoscopy, surgical, appendectomy No change

Unlisted laparoscopy procedure, appendix No change
AVSD -- Shunt for dialysis - Arteriovenostomy for renal dialysis
Procedure Code
CPT Codes
Category
AVSD 36800
AVSD 36810
AVSD 36815
AVSD 36818
AVSD 36819
AVSD 36820
AVSD 36821
AVSD 36825
AVSD 36830
AVSD 36832
AVSD 36833
AVSD 36838
rteriovenostomy for renal dialysis
Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein No change

No change
external (Scribner type)
No change
external revision, or closure
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition No change
Arteriovenous anastomosis, open; by upper arm basilic vein transposition No change
Arteriovenous anastomosis, open; by forearm vein transposition No change
Arteriovenous anastomosis, open; direct, any site (e.g., Cimino type) (separate procedure) No change

No change
procedure); autogenous graft
No change
procedure); non autogenous graft
Revision, open, arteriovenous fistula; without thrombectomy, autogenous or
No change
nonautogenous dialysis graft (separate procedure)
Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous
No change
dialysis graft (separate procedure)
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access
No change
(steal syndrome)
BILI -- Bile duct, liver or pancreatic surgery - Excision of bile ducts or operative procedures on the biliary tract, liver or pancreas (does not include operations
on gallbladder only)
Procedure Code
CPT Codes Code Description Code Status
Category
BILI 47010 Hepatotomy; for open drainage of abscess or cyst, 1 or 2 stages No change
Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal)
BILI 47015 No change
cyst(s) or abscess(es)
BILI 47100 Biopsy of liver, wedge No change
BILI 47120 Hepatectomy, resection of liver; partial lobectomy No change
BILI 47122 Hepatectomy, resection of liver; trisegmentectomy No change
BILI 47125 Hepatectomy, resection of liver; total left lobectomy No change
BILI 47130 Hepatectomy, resection of liver; total right lobectomy No change
Donor hepatectomy (including cold preservation), from living donor; left lateral segment only
(segments II and III)
Donor hepatectomy (including cold preservation), from living donor; total left lobectomy
(segments II, III and IV)
Donor hepatectomy (including cold preservation), from living donor; total right lobectomy
(segments V, VI, VII and VIII)
BILI 47300 Marsupialization of cyst or abscess of liver No change
BILI 47350 Management of liver hemorrhage; simple suture of liver wound or injury No change
Management of liver hemorrhage; complex suture of liver wound or injury, with or without
hepatic artery ligatio
Management of liver hemorrhage; exploration of hepatic wound, extensive debridement,
coagulation and/or suture, with or without packing of liver
BILI 47362 Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing No change
BILI 47370 Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency No change
BILI 47371 Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical No change
BILI 47379 Unlisted laparoscopic procedure, liver No change
BILI 47380 Ablation, open, of 1 or more liver tumor(s); radiofrequency No change
BILI 47381 Ablation, open, of 1 or more liver tumor(s); cryosurgical No change
BILI 47400 Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus No change
Procedure Code
Category

without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty

without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty
Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of

calculus (separate procedure)
Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or
without cholangiography
BILI 47701 Portoenterostomy (eg, Kasai procedure) No change
BILI 47711 Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic No change
BILI 47712 Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic No change
BILI 47715 Excision of choledochal cyst No change
BILI 47760 Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract No change
BILI 47765 Anastomosis, of intrahepatic ducts and gastrointestinal tract No change
BILI 47780 Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract No change
BILI 47785 Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract No change
BILI 47800 Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis No change
BILI 47802 U-tube hepaticoenterostomy No change
BILI 47900 Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) No change
BILI 48000 Placement of drains, peripancreatic, for acute pancreatitis; No change
Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy,
and jejunostomy
BILI 48020 Removal of pancreatic calculus No change
BILI 48100 Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) No change
BILI 48105 Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis No change
BILI 48120 Excision of lesion of pancreas (eg, cyst, adenoma) No change

Procedure Code
Category
BILI 48140 Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy No change
BILI 48145 Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy No change
BILI 48146 Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) No change
BILI 48148 Excision of ampulla of Vater No change

BILI 48150 choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with No change

BILI 48152 choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without No change

duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy

duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy
BILI 48155 Pancreatectomy, total No change

Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet
cells
BILI 48500 Marsupialization of pancreatic cyst No change
BILI 48510 External drainage, pseudocyst of pancreas; open No change
BILI 48520 Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct No change
BILI 48540 Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y No change
BILI 48545 Pancreatorrhaphy for injury No change
BILI 48548 Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) No change
BILI 0585T including all guidance, and radiological supervision and interpretation, when performed; No change
laparoscopic
Procedure Code
Category
BILI 0586T No change
including all guidance, and radiological supervision and interpretation, when performed; open
BRST -- Breast Surgery - Excision of lesion or tissue of breast including radical, modified, or quadrant resection, lumpectomy
Procedure Code
CPT Codes
Category
BRST 11970
BRST 19101
BRST 19105
BRST 19110
BRST 19112
BRST 19120
BRST 19125
BRST 19126
BRST 19300
BRST 19301
BRST 19302
BRST 19303
BRST 19305
BRST 19306
BRST 19307
BRST 19316
BRST 19318
BRST 19324
BRST 19325
BRST 19328
BRST 19330
BRST 19340
BRST 19342
BRST 19350
BRST 19355
BRST 19357
BRST 19361
BRST 19364
BRST 19366
BRST 19367
BRST 19368
BRST 19369
BRST 19370
BRST 19371
BRST 19380
of lesion or tissue of breast including radical, modified, or quadrant resection, lumpectomy, incisional biopsy, or mammoplasty
Code Description
Replacement of tissue expander(s) with permanent implant

Biopsy of breast; open, incisional
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 19300), open, male or female, 1 or more lesions
Excision of breast lesion identified by pre-operative placement of radiological marker, open,

single lesion
Excision of breast lesion identified by pre-operative placement of radiological marker, open,

single lesion; each No changeitional lesion separately identified by a preoperative radiological
marker (list separately in No changeition to code for primary procedures) excision of breast
lesion identified by pre-operative placement of radiological marker, open, single lesion
Mastectomy for gynecomastia
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with

axillary lymphadenectomy
Mastectomy, simple, complete
Mastectomy, radical, including pectoral muscles, axillary lymph nodes
Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes
(Urban type operation)
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor
muscle, but excluding pectoralis major muscle
Mastopexy
Reduction mammaplasty
Mammaplasty, augmentation; without prosthetic implant
Mammaplasty, augmentation; with prosthetic implant
Removal of intact mammary implant
Removal of mammary implant material
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 latissimus dorsi flap, without prosthetic implant
Breast reconstruction with free flap
Breast reconstruction with other technique
pedicle, including closure of donor site;
pedicle, including closure of donor site; with microvascular anastomosis (supercharging)
Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), double
pedicle, including closure of donor site
Open periprosthetic capsulotomy, breast
Periprosthetic capsulectomy, breast
Revision of reconstructed breast
isional biopsy, or mammoplasty
Code Status
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
CARD -- Cardiac Surgery - Procedures on the heart; includes valves or septum; does not include coronary artery bypass graft
pacemaker implantation
Procedure Code
CPT Codes
Category
CARD 0051T
CARD 0052T
CARD 0053T
CARD 32658
CARD 32659
CARD 32661
CARD 33020
CARD 33025
CARD 33030
CARD 33031
CARD 33050
CARD 33120
CARD 33130
CARD 33250
CARD 33251
CARD 33254
CARD 33255
CARD 33256
CARD 33257
CARD 33258
CARD 33259
CARD 33261
CARD 33265
CARD 33266
CARD 33267
CARD 33268
CARD 33269
CARD 33300
CARD 33305
CARD 33310
CARD 33315
CARD 33365
CARD 33366
CARD 33390
CARD 33391
CARD 33404
CARD 33405
CARD 33406
CARD 33410
CARD 33411
CARD 33412
CARD 33413
CARD 33414
CARD 33415
CARD 33416
CARD 33417
CARD 33420
CARD 33422
CARD 33425
CARD 33426
CARD 33427
CARD 33430
CARD 33440
CARD 33460
CARD 33463
CARD 33464
CARD 33465
CARD 33468
CARD 33471
CARD 33474
CARD 33475
CARD 33476
CARD 33478
CARD 33496
CARD 33542
CARD 33545
CARD 33548
CARD 33600
CARD 33602
CARD 33608
CARD 33610
CARD 33611
CARD 33612
CARD 33615
CARD 33617
CARD 33619
CARD 33641
CARD 33645
CARD 33647
CARD 33660
CARD 33665
CARD 33670
CARD 33675
CARD 33676
CARD 33677
CARD 33681
CARD 33684
CARD 33688
CARD 33692
CARD 33694
CARD 33697
CARD 33702
CARD 33710
CARD 33720
CARD 33732
CARD 33735
CARD 33736
CARD 33737
CARD 33770
CARD 33774
CARD 33776
CARD 33780
CARD 33782
CARD 33783
CARD 33786
CARD 33813
CARD 33814
CARD 33920
CARD 33975
CARD 33976
CARD 33977
CARD 33978
CARD 33979
CARD 33980
Procedures on the heart; includes valves or septum; does not include coronary artery bypass graft, surgery on vessels, heart transplanta
Code Description
Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy
Replacement or repair of implantable component or components of total replacement heart system (artificial
heart), thoracic unit
Replacement or repair of implantable component or components of total replacement heart system (artificial
heart), excluding thoracic unit
Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac
Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage
Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass

Pericardiotomy for removal of clot or foreign body (primary procedure)
Creation of pericardial window or partial resection for drainage
Pericardiectomy, subtotal or complete; without cardiopulmonary bypass
Pericardiectomy, subtotal or complete; with cardiopulmonary bypass
Resection of pericardial cyst or tumor
Excision of intracardiac tumor, resection with cardiopulmonary bypass
Resection of external cardiac tumor
Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White,

atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass
Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White,

atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass
Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)
Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without
Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary
bypass
Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s),
limited (eg, modified maze procedure) (List separately in No changeition to code for primary procedure)
extensive (eg, maze procedure), without cardiopulmonary bypass (List separately in No changeition to code
for primary procedure)
extensive (eg, maze procedure), with cardiopulmonary bypass (List separately in No changeition to code for
primary procedure)
Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass
Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze
procedure), without cardiopulmonary bypass
Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure),
without cardiopulmonary bypass
Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation,
plication, clip)
Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy
procedure(s), any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) (List
separately in addition to primary procedure)
Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing,
ligation, plication, clip)
Repair of cardiac wound; without bypass
Repair of cardiac wound; with cardiopulmonary bypass
Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass
Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with
Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median
sternotomy, mediastinotomy)
Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left
thoracotomy)
Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement,
debulking, and/or simple commissural resuspension)
Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet
resection, leaflet reconstruction, or annuloplasty)
Construction of apical-aortic conduit
Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft
or stentless valve
Replacement, aortic valve, with cardiopulmonary bypass; with allograft valve (freehand)
Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve
Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus
Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)
Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of
pulmonary valve (Ross procedure)
Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract
Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis
Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal
hypertrophy)
Aortoplasty (gusset) for supravalvular stenosis
Valvotomy, mitral valve; closed heart
Valvotomy, mitral valve; open heart, with cardiopulmonary bypass
Valvuloplasty, mitral valve, with cardiopulmonary bypass;
Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring
Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring
Replacement, mitral valve, with cardiopulmonary bypass
Replacement of aortic valve by translocation of autologous pulmonary valve and transventricular aortic
annulus enlargement of left ventricular outflow tract with valved conduit replacement of pulmonary valve
Valvectomy, tricuspid valve, with cardiopulmonary bypass
Valvuloplasty, tricuspid valve; without ring insertion
Valvuloplasty, tricuspid valve; with ring insertion
Replacement, tricuspid valve, with cardiopulmonary bypass
Tricuspid valve repositioning and plication for Ebstein anomaly
Valvotomy, pulmonary valve, closed heart, via pulmonary artery
Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass
Replacement, pulmonary valve
Right ventricular resection for infundibular stenosis, with or without commissurotomy
Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection
Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure)
Myocardial resection (eg, ventricular aneurysmectomy)

Repair of postinfarction ventricular septal defect, with or without myocardial resection
Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular
remodeling, SVR, SAVER, Dor procedures)
Closure of atrioventricular valve (mitral or tricuspid) by suture or patch
Closure of semilunar valve (aortic or pulmonary) by suture or patch
Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by
construction or replacement of conduit from right or left ventricle to pulmonary artery
Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement
of ventricular septal defect
Repair of double outlet right ventricle with intraventricular tunnel repair;
Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular
outflow tract obstruction
Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis
of atria or vena cava to pulmonary artery (simple Fontan procedure)
Repair of complex cardiac anomalies (e.g., single ventricle by modified Fontan)
Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart
syndrome) (eg, Norwood procedure)
Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch
Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage
Repair of atrial septal defect and ventricular septal defect, with direct or patch closure
Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without
atrioventricular valve repair
Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair
Repair of complete atrioventricular canal, with or without prosthetic valve

Closure of multiple ventricular septal defects;
Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)
Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset
Closure of single ventricular septal defect, with or without patch;

Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular
resection (acyanotic)
Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band,
with or without gusset
Complete repair tetralogy of Fallot without pulmonary atresia;
Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch
Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right
ventricle to pulmonary artery and closure of ventricular septal defect
Repair sinus of Valsalva fistula, with cardiopulmonary bypass;
Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect
Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass

Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane
Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)
Atrial septectomy or septostomy; open heart with cardiopulmonary bypass
Atrial septectomy or septostomy; open heart, with inflow occlusion
Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis;
without surgical enlargement of ventricular septal defect
Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with
cardiopulmonary bypass;
Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with
cardiopulmonary bypass; with closure of ventricular septal defect
Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with
closure of ventricular septal defect
Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh
procedure); without coronary ostium reimplantation
Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh
procedure); with reimplantation of 1 or both coronary ostia
Total repair, truncus arteriosus (Rastelli type operation)
Obliteration of aortopulmonary septal defect; without cardiopulmonary bypass
Obliteration of aortopulmonary septal defect; with cardiopulmonary bypass
Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from
right or left ventricle to pulmonary artery
Insertion of ventricular assist device; extracorporeal, single ventricle
Insertion of ventricular assist device; extracorporeal, biventricle
Removal of ventricular assist device; extracorporeal, single ventricle
Removal of ventricular assist device; extracorporeal, biventricle
Insertion of ventricular assist device; implantable intracorporeal, single ventricle
Removal of ventricular assist device; implantable intracorporeal, single ventricle
n vessels, heart transplantation, or
Code Status
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CBGB -- Coronary artery bypass graft with BOTH chest and donor site incisions - Chest procedure to perform direct
revascularization of the heart; includes obtaining suitable vein from donor site for grafting
Procedure Code
CPT Codes Code Description
Category
Endoscopic harvest of single upper extremity artery segment for
CBGB 33509
coronary artery bypass procedure
CBGB 33510 Coronary artery bypass, vein only; single coronary venous graft
CBGB 33511 Coronary artery bypass, vein only; 2 coronary venous grafts
Coronary artery bypass, vein only; 6 or more coronary venous

CBGB 33516
grafts
Harvest of upper extremity artery, 1 segment, for coronary
CBGB 35600
artery bypass procedure, open
perform direct
Code Status
No change
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No change
No change
No change
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CBGC -- Coronary artery bypass graft with chest incision only - Chest procedures to perform direct vascularization of the inte
mammary (thoracic) artery
Procedure Code
CPT Codes
Category
CBGC 33533
CBGC 33534
CBGC 33535
CBGC 33536
with chest incision only - Chest procedures to perform direct vascularization of the internal
Coronary artery bypass, using arterial graft(s); single arterial graft No change
Coronary artery bypass, using arterial graft(s); 2 coronary arterial

No change
grafts
Coronary artery bypass, using arterial graft(s); 3 coronary arterial
No change
grafts
Coronary artery bypass, using arterial graft(s); 4 or more coronary
No change
arterial grafts
CEA -- Carotid endarterectomy - Endarterectomy on vessels of head and neck (includes carotid artery and jugular vein)
Procedure Code
CPT Codes
Category
CEA 35301
CEA 35390
ctomy - Endarterectomy on vessels of head and neck (includes carotid artery and jugular vein)
Thromboendarterectomy, including patch graft, if performed; carotid, vertebral,

No change
subclavian, by neck incision
Reoperation, carotid, thromboendarterectomy, more than 1 month after original

No change
operation (List separately in No changeition to code for primary procedure)
CHOL -- Gallbladder surgery - Cholecystectomy and cholecystotomy
Procedure Code
Category
Cholecystotomy or cholecystostomy, open, with exploration,
CHOL 47480
drainage, or removal of calculus (separate procedure)
CHOL 47562 Laparoscopy, surgical; cholecystectomy
CHOL 47563 Laparoscopy, surgical; cholecystectomy with cholangiography
Laparoscopy, surgical; cholecystectomy with exploration of common
CHOL 47564
duct
CHOL 47570 Laparoscopy, surgical; cholecystoenterostomy
CHOL 47600 Cholecystectomy;
CHOL 47605 Cholecystectomy; with cholangiography
CHOL 47610 Cholecystectomy with exploration of common duct;
Cholecystectomy with exploration of common duct; with
CHOL 47612
choledochoenterostomy
Cholecystectomy with exploration of common duct; with
CHOL 47620 transduodenal sphincterotomy or sphincteroplasty, with or without
cholangiography
CHOL 47720 Cholecystoenterostomy; direct
CHOL 47721 Cholecystoenterostomy; with gastroenterostomy
CHOL 47740 Cholecystoenterostomy; Roux-en-Y
CHOL 47741 Cholecystoenterostomy; Roux-en-Y with gastroenterostomy
Code Status
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COLO -- Colon surgery - Incision, resection, or anastomosis of the large intestine; includes large-to-small and small-to-large b
rectal operations
Procedure Code
CPT Codes
Category
COLO 44025
COLO 44110
COLO 44111
COLO 44137
COLO 44140
COLO 44141
COLO 44143
COLO 44144
COLO 44145
COLO 44146
COLO 44147
COLO 44150
COLO 44151
COLO 44155
COLO 44156
COLO 44157
COLO 44158
COLO 44160
COLO 44188
COLO 44204
COLO 44205
COLO 44206
COLO 44207
COLO 44208
COLO 44210
COLO 44211
COLO 44212
COLO 44213
COLO 44227
COLO 44320
COLO 44322
COLO 44340
COLO 44345
COLO 44346
COLO 44604
COLO 44605
COLO 44620
COLO 44625
COLO 44626
section, or anastomosis of the large intestine; includes large-to-small and small-to-large bowel anastomosis; see REC for
Code Description
Colotomy, for exploration, biopsy(s), or foreign body removal

Excision of 1 or more lesions of small or large intestine not requiring anastomosis,
exteriorization, or fistulization; single enterotomy
Excision of 1 or more lesions of small or large intestine not requiring anastomosis,
exteriorization, or fistulization; multiple enterotomies
Removal of transplanted intestinal allograft, complete
Colectomy, partial; with anastomosis
Colectomy, partial; with skin level cecostomy or colostomy
Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type
procedure)
Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula
Colectomy, partial; with coloproctostomy (low pelvic anastomosis)

Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy
Colectomy, partial; abdominal and transanal approach
Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy
Colectomy, total, abdominal, without proctectomy; with continent ileostomy

Colectomy, total, abdominal, with proctectomy; with ileostomy
Colectomy, total, abdominal, with proctectomy; with continent ileostomy
Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop
ileostomy, and rectal mucosectomy, when performed
Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal
reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed
Colectomy, partial, with removal of terminal ileum with ileocolostomy

Laparoscopy, surgical, colostomy or skin level cecostomy
Laparoscopy, surgical; colectomy, partial, with anastomosis
Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy
Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment
(Hartmann type procedure)
anastomosis)
anastomosis) with colostomy
Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or
ileoproctostomy
Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal
anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal
mucosectomy, when performed
Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy
Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction

with partial colectomy (List separately in No changeition to primary procedure)
Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and
anastomosis
Colostomy or skin level cecostomy;
Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon)
Revision of colostomy; simple (release of superficial scar) (separate procedure)
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure)
Revision of colostomy; with repair of paracolostomy hernia (separate procedure)
Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or
rupture (single or multiple perforations); without colostomy
Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or
rupture (single or multiple perforations); with colostomy
Closure of enterostomy, large or small intestine
Closure of enterostomy, large or small intestine; with resection and anastomosis other than
colorectal
Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg,
closure of Hartmann type procedure)
l anastomosis; see REC for
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CRAN -- Craniotomy - Excision, repair or exploration of the brain or meninges; does not include taps or punctures
Procedure Code
CPT Codes
Category
CRAN 61105
CRAN 61107
CRAN 61108
CRAN 61120
CRAN 61140
CRAN 61150
CRAN 61151
CRAN 61154
CRAN 61156
CRAN 61210
CRAN 61250
CRAN 61253
CRAN 61304
CRAN 61305
CRAN 61312
CRAN 61313
CRAN 61314
CRAN 61315
CRAN 61320
CRAN 61321
CRAN 61322
CRAN 61323
CRAN 61330
CRAN 61333
CRAN 61340
CRAN 61343
CRAN 61345
CRAN 61458
CRAN 61460
CRAN 61510
CRAN 61512
CRAN 61514
CRAN 61516
CRAN 61518
CRAN 61519
CRAN 61520
CRAN 61521
CRAN 61522
CRAN 61524
CRAN 61526
CRAN 61530
CRAN 61531
CRAN 61533
CRAN 61534
CRAN 61535
CRAN 61536
CRAN 61537
CRAN 61538
CRAN 61539
CRAN 61540
CRAN 61541
CRAN 61543
CRAN 61544
CRAN 61545
CRAN 61546
CRAN 61548
CRAN 61566
CRAN 61567
CRAN 61570
CRAN 61571
CRAN 61575
CRAN 61576
CRAN 61580
CRAN 61581
CRAN 61582
CRAN 61583
CRAN 61584
CRAN 61585
CRAN 61586
CRAN 61590
CRAN 61591
CRAN 61592
CRAN 61595
CRAN 61598
CRAN 61600
CRAN 61601
CRAN 61605
CRAN 61606
CRAN 61607
CRAN 61608
CRAN 61615
CRAN 61616
CRAN 61618
CRAN 61619
CRAN 61680
CRAN 61682
CRAN 61684
CRAN 61686
CRAN 61690
CRAN 61692
CRAN 61697
CRAN 61698
CRAN 61700
CRAN 61702
CRAN 61703
CRAN 61705
CRAN 61708
CRAN 61710
CRAN 61711
CRAN 61720
CRAN 61735
CRAN 61736
CRAN 61737
CRAN 61750
CRAN 61751
CRAN 61760
CRAN 61770
CRAN 61850
CRAN 61860
CRAN 61863
CRAN 61867
CRAN 61870
CRAN 61880
CRAN 62000
CRAN 62005
CRAN 62010
CRAN 62100
CRAN 62120
CRAN 62121
CRAN 62161
CRAN 62163
CRAN 62164
CRAN 62165
CRAN 62200
CRAN 62201
ir or exploration of the brain or meninges; does not include taps or punctures
Code Description
Twist drill hole for subdural or ventricular puncture
Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular
catheter, pressure recording device, or other intracerebral monitoring device
Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or
drainage of subdural hematoma
Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or
radioactive material)
Burr hole(s) or trephine; with biopsy of brain or intracranial lesion
Burr hole(s) or trephine; with drainage of brain abscess or cyst
Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst
Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural

Burr hole(s); with aspiration of hematoma or cyst, intracerebral
Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording
device, or other cerebral monitoring device (separate procedure)
Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery
Burr hole(s) or trephine, infratentorial, unilateral or bilateral
Craniectomy or craniotomy, exploratory; supratentorial
Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa)
Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural
Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral
Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural
Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar
Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial

Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial
intracranial hypertension, without evacuation of associated intraparenchymal hematoma;
without lobectomy

intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with
lobectomy
Decompression of orbit only, transcranial approach
Exploration of orbit (transcranial approach); with removal of lesion
Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome)
Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal
cord, with or without dural graft (eg, Arnold-Chiari malformation)
Other cranial decompression, posterior fossa
Craniectomy, suboccipital; for exploration or decompression of cranial nerves
for section of 1 or more cranial nerves
Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial,
except meningioma
Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial
Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial
Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst,

supratentorial
Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma,
cerebellopontine angle tumor, or midline tumor at base of skull
Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma
Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle
tumor
Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base
of skull
Craniectomy, infratentorial or posterior fossa; for excision of brain abscess
Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst
angle tumor;

angle tumor; combined with middle/posterior fossa craniotomy/craniectomy
Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-
Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-
Craniotomy with elevation of bone flap; for excision of epileptogenic focus without
Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array,
without excision of cerebral tissue (separate procedure)
Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with
electrocorticography during surgery (includes removal of electrode array)
Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without
Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography
during surgery
with electrocorticography during surgery
without electrocorticography during surgery
Craniotomy with elevation of bone flap; for transection of corpus callosum
Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy
Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus
Craniotomy with elevation of bone flap; for excision of craniopharyngioma
Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach
Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach,
nonstereotactic
Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy
for multiple subpial transections, with electrocorticography during surgery
Craniectomy or craniotomy; with excision of foreign body from brain
Craniectomy or craniotomy; with treatment of penetrating wound of brain
excision of lesion;
excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy)
Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy,

ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration
Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital
exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy
Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal

craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa
Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal

craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa

osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration

osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration
Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or
without internal fixation, without bone graft
Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space,

infratemporal and midline skull base, nasopharynx), with or without disarticulation of the
mandible, including parotidectomy, craniotomy, decompression and/or mobilization
Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous
apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy,
resection of sigmoid sinus, with or without decompression and
Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery,
clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or
intradural elevation of temporal lobe
Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base,
including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without
mobilization
Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation
of superior petrosal sinus and/or sigmoid sinus
extradural
intradural, including dural repair, with or without graft
parapharyngeal space, petrous apex; extradural

parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft

sinus, clivus or midline skull base; extradural

sinus, clivus or midline skull base; intradural, including dural repair, with or without graft
jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural
jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair,
with or without graft
following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lata,
adipose tissue, homologous or synthetic grafts)
following surgery of the skull base; by local or regionalized vascularized pedicle flap or
myocutaneous flap (including galea, temporalis, frontalis or occi
Surgery of intracranial arteriovenous malformation; supratentorial, simple
Surgery of intracranial arteriovenous malformation; supratentorial, complex
Surgery of intracranial arteriovenous malformation; infratentorial, simple
Surgery of intracranial arteriovenous malformation; infratentorial, complex
Surgery of intracranial arteriovenous malformation; dural, simple
Surgery of intracranial arteriovenous malformation; dural, complex
Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation
Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation
Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation
Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation
Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical

carotid artery (Selverstone-Crutchfield type)
Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and
cervical occlusion of carotid artery
Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial
electrothrombosis
Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial
embolization, injection procedure, or balloon catheter
Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries
techniques, single or multiple stages; globus pallidus or thalamus
techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or
thalamus
Single-trajectory laser interstitial thermal therapy (LITT) of 1 simple intracranial lesion, including
burr hole, with magnetic resonance imaging guidance
Multiple-trajectory laser interstitial thermal therapy (LITT) of complex intracranial lesion,
including burr hole
Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion
Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with
computed tomography and/or magnetic resonance guidance
Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring
Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for
placement of radiation source
Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical
Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical

nucleus, periventricular, periaqueductal gray), without use of intraoperative microelectrode

nucleus, periventricular, periaqueductal gray), with use of intraoperative microelectrode
Craniectomy for implantation of neurostimulator electrodes, cerebellar; cortical
Revision or removal of intracranial neurostimulator electrodes
Elevation of depressed skull fracture; simple, extradural
Elevation of depressed skull fracture; compound or comminuted, extradural
Elevation of depressed skull fracture; with repair of dura and/or debridement of brain
Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea
Repair of encephalocele, skull vault, including cranioplasty

Craniotomy for repair of encephalocele, skull base
Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or

intraventricular cysts (including placement, replacement, or removal of ventricular catheter)
Neuroendoscopy, intracranial; with retrieval of foreign body
Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external
ventricular catheter for drainage
Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal
approach
Ventriculocisternostomy, third ventricle;
Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method
Code Status
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CSEC -- Cesarean section - Obstetrical delivery by cesarean section
Procedure Code
CPT Codes
Category
CSEC 59100
CSEC 59510
CSEC 59514
CSEC 59515
CSEC 59618
CSEC 59620
CSEC 59622
CSEC 59857
stetrical delivery by cesarean section
Hysterotomy, abdominal (e.g., for hydatidiform mole, abortion) No change

Routine obstetric care including antepartum care, cesarean delivery, and
No change
postpartum care
Cesarean delivery only; No change
Cesarean delivery only; including postpartum care No change
Routine obstetric care including antepartum care, cesarean delivery, and
postpartum care, following attempted vaginal delivery after previous No change
cesarean delivery
Cesarean delivery only, following attempted vaginal delivery after
No change
previous cesarean delivery;
Cesarean delivery only, following attempted vaginal delivery after
No change
previous cesarean delivery; including postpartum care
Induced abortion, by 1 or more vaginal suppositories (e.g., prostaglandin)

with or without cervical dilation (e.g., laminaria), including hospital
No change
admission and visits, delivery of fetus and secundines; with hysterotomy
(failed medical evacuation)
FUSN -- Spinal fusion or refusion - Immobilization of spinal column
Procedure Code
CPT Codes
Category
FUSN 22532
FUSN 22533
FUSN 22548
FUSN 22551
FUSN 22554
FUSN 22556
FUSN 22558
FUSN 22586
FUSN 22590
FUSN 22595
FUSN 22600
FUSN 22610
FUSN 22612
FUSN 22630
FUSN 22633
FUSN 22800
FUSN 22802
FUSN 22804
FUSN 22808
FUSN 22810
FUSN 22812
FUSN 27280
mmobilization of spinal column
Arthrodesis, lateral extracavitary technique, including minimal

discectomy to prepare interspace (other than for decompression); No change
thoracic
Arthrodesis, lateral extracavitary technique, including minimal

lumbar
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2
No change
(atlas-axis), with or without excision of odontoid process
Arthrodesis, anterior interbody, including disc space preparation,
discectomy, osteophytectomy and decompression of spinal cord and/or No change
nerve roots; cervical below C2
Arthrodesis, anterior interbody technique, including minimal

cervical below C2

thoracic

lumbar
Arthrodesis, pre-sacral interbody technique, including disc space

preparation, discectomy, with posterior instrumentation, with image No change
guidance, includes bone graft when performed, L5-S1 interspace
Arthrodesis, posterior technique, craniocervical (occiput-C2) No change

Arthrodesis, posterior technique, atlas-axis (C1-C2) No change
Arthrodesis, posterior or posterolateral technique, single interspace;
No change
cervical below C2 segment

No change
thoracic (with lateral transverse technique, when performed)

No change
lumbar (with lateral transverse technique, when performed)
Arthrodesis, posterior interbody technique, including laminectomy

and/or discectomy to prepare interspace (other than for No change
decompression), single interspace; lumbar
Arthrodesis, combined posterior or posterolateral technique with

posterior interbody technique including laminectomy and/or
No change
discectomy sufficient to prepare interspace (other than for
decompression), single interspace; lumbar
Arthrodesis, posterior, for spinal deformity, with or without cast; up to
No change
6 vertebral segments
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to
No change
12 vertebral segments
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or
No change
more vertebral segments
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3
No change
vertebral segments
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7
No change
vertebral segments
Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or
No change
more vertebral segments
Arthrodesis, open, sacroiliac joint, including obtaining bone graft,
No change
including instrumentation, when performed
FX -- Open Reduction of Fracture - Open reduction of fracture or dislocation of long bones with our without internal or exter
of joint prosthesis
Procedure Code
CPT Codes
Category
FX 23615
FX 23616
FX 23630
FX 23670
FX 23680
FX 24515
FX 24516
FX 24545
FX 24546
FX 24575
FX 24579
FX 24586
FX 24587
FX 24635
FX 24665
FX 24666
FX 24685
FX 25337
FX 25515
FX 25525
FX 25526
FX 25545
FX 25574
FX 25575
FX 25607
FX 25608
FX 25609
FX 25652
FX 27177
FX 27178
FX 27179
FX 27181
FX 27244
FX 27245
FX 27248
FX 27254
FX 27269
FX 27506
FX 27507
FX 27511
FX 27513
FX 27514
FX 27519
FX 27535
FX 27536
FX 27540
FX 27758
FX 27759
FX 27766
FX 27769
FX 27784
FX 27792
FX 27814
FX 27822
FX 27823
FX 27826
FX 27827
FX 27828
FX 27829
- Open reduction of fracture or dislocation of long bones with our without internal or external fixation; does not include placement
Code Description
fixation, when performed, includes repair of tuberosity(s), when performed;
fixation, when performed, includes repair of tuberosity(s), when performed; with proximal humeral
prosthetic replacement
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage
Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without
cerclage and/or locking screws
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when
performed; without intercondylar extension
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when
performed; with intercondylar extension
Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when
performed
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when
performed
and proximal ulna and/or proximal radius);
and proximal ulna and/or proximal radius); with implant arthroplasty
Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna
with dislocation of radial head), includes internal fixation, when performed
when performed;
when performed; with radial head prosthetic replacement
Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes
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
Open treatment of radial shaft fracture, includes internal fixation, when performed
treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes percutaneous
skeletal fixation when performed
treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal
fixation, when performed, includes repair of triangular fibrocartilage complex
Open treatment of ulnar shaft fracture, includes internal fixation, when performed
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius
OR ulna
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius
AND ulna
Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal
fixation
fixation of 2 fragments
fixation of 3 or more fragments
Open treatment of ulnar styloid fracture
Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes
obtaining graft)
Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning
Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)
Open treatment of slipped femoral epiphysis; osteotomy and internal fixation

plate/screw type implant, with or without cerclage
intramedullary implant, with or without interlocking screws and/or cerclage
Open treatment of greater trochanteric fracture, includes internal fixation, when performed
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with
or without internal or external fixation
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of
intramedullary implant, with or without cerclage and/or locking screws
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension,
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension,
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation,
when performed
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed
Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when
performed
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or
without cerclage
Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or
without interlocking screws and/or cerclage
Open treatment of medial malleolus fracture, includes internal fixation, when performed
Open treatment of posterior malleolus fracture, includes internal fixation, when performed
Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed
Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when
performed
Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior
malleoli, or medial and posterior malleoli), includes internal fixation, when performed
and/or lateral malleolus; without fixation of posterior lip
and/or lateral malleolus; with fixation of posterior lip
tibial plafond), with internal fixation, when performed; of fibula only
tibial plafond), with internal fixation, when performed; of tibia only
tibial plafond), with internal fixation, when performed; of both tibia and fibula
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when
performed
on; does not include placement
Code Status
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
GAST -- Gastric Surgery - Incision or excision of stomach; includes subtotal or total gastrectomy; does not include vagotomy
Procedure Code
CPT Codes
Category
GAST 43117
GAST 43118
GAST 43121
GAST 43122
GAST 43286
GAST 43287
GAST 43288
GAST 43320
GAST 43360
GAST 43500
GAST 43501
GAST 43502
GAST 43520
GAST 43605
GAST 43610
GAST 43611
GAST 43620
GAST 43621
GAST 43622
GAST 43631
GAST 43632
GAST 43633
GAST 43634
GAST 43640
GAST 43641
GAST 43644
GAST 43645
GAST 43770
GAST 43771
GAST 43772
GAST 43773
GAST 43774
GAST 43775
GAST 43800
GAST 43810
GAST 43820
GAST 43825
GAST 43840
GAST 43842
GAST 43843
GAST 43845
GAST 43847
GAST 43848
GAST 43860
GAST 43865
GAST 43870
GAST 43880
GAST 43886
GAST 43887
GAST 43888
sion or excision of stomach; includes subtotal or total gastrectomy; does not include vagotomy or fundoplication
Code Description
Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or
without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty
(Ivor Lewis)
Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or
without proximal gastrectomy; with colon interposition or small intestine reconstruction, including
intestine mobilization, preparation, and anastomosis(es)
Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal
gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty
Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal
gastrectomy; with esophagogastrostomy, with or without pyloroplasty
Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal
esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed,
with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal
esophagectomy)
Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower
performed, with separate thoracoscopic mobilization of the middle and upper mediastinal
esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor
Lewis esophagectomy)
Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower
mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric
drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy
(ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-
incisional esophagectomy)
Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or

Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or

fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty
Gastrotomy; with exploration or foreign body removal

Gastrotomy; with suture repair of bleeding ulcer
Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)
Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)

Biopsy of stomach, by laparotomy
Excision, local; ulcer or benign tumor of stomach
Excision, local; malignant tumor of stomach
Gastrectomy, total; with esophagoenterostomy
Gastrectomy, total; with Roux-en-Y reconstruction
Gastrectomy, total; with formation of intestinal pouch, any type
Gastrectomy, partial, distal; with gastroduodenostomy
Gastrectomy, partial, distal; with gastrojejunostomy
Gastrectomy, partial, distal; with Roux-en-Y reconstruction
Gastrectomy, partial, distal; with formation of intestinal pouch
Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective
Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y
gastroenterostomy (roux limb 150 cm or less)
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device
(eg, gastric band and subcutaneous port components)
Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device
component only
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device
component only
Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric
restrictive device component only
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device
and subcutaneous port components
Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)
Pyloroplasty
Gastroduodenostomy
Gastrojejunostomy; without vagotomy
Gastrojejunostomy; with vagotomy, any type
Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury
Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded
gastroplasty
Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded
gastroplasty
Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and
ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with
duodenal switch)
Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine
Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric
restrictive device (separate procedure)
partial gastrectomy or intestine resection; without vagotomy
partial gastrectomy or intestine resection; with vagotomy
Closure of gastrostomy, surgical
Closure of gastrocolic fistula
Gastric restrictive procedure, open; revision of subcutaneous port component only
Gastric restrictive procedure, open; removal of subcutaneous port component only
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only
ndoplication
Code Status
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
HER -- Herniorrhaphy - Repair of inguinal, femoral, umbilical, or anterior abdominal wall hernia; does not include repair of d
hiatal hernia or hernias at other body sites
Procedure Code
CPT Codes
Category
HER 11008
HER 49491
HER 49492
HER 49495
HER 49496
HER 49500
HER 49501
HER 49505
HER 49507
HER 49520
HER 49521
HER 49525
HER 49550
HER 49553
HER 49555
HER 49557
HER 49591
HER 49592
HER 49593
HER 49594
HER 49595
HER 49596
HER 49600
HER 49605
HER 49606
HER 49610
HER 49611
HER 49613
HER 49614
HER 49615
HER 49616
HER 49617
HER 49618
HER 49621
HER 49622
HER 49650
HER 49651
HER 49659
r of inguinal, femoral, umbilical, or anterior abdominal wall hernia; does not include repair of diaphragmatic or
her body sites
Removal of prosthetic material or mesh, abdominal wall for infection (eg, for
chronic or recurrent mesh infection or necrotizing soft tissue infection) (List No change
separately in addition to code for primary procedure)
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at
birth), performed from birth up to 50 weeks postconception age, with or without No change
hydrocelectomy; reducible
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at
birth), performed from birth up to 50 weeks postconception age, with or without No change
hydrocelectomy; incarcerated or strangulated
Repair, initial inguinal hernia, full term infant younger than age 6 months, or
preterm infant older than 50 weeks postconception age and younger than age 6 No change
months at the time of surgery, with or without hydrocelectomy; reducible
Repair, initial inguinal hernia, full term infant younger than age 6 months, or
preterm infant older than 50 weeks postconception age and younger than age 6
No change
months at the time of surgery, with or without hydrocelectomy; incarcerated or
strangulated
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or
No change
without hydrocelectomy; reducible
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or
No change
without hydrocelectomy; incarcerated or strangulated
Repair initial inguinal hernia, age 5 years or older; reducible No change
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated No change
Repair recurrent inguinal hernia, any age; reducible No change

Repair recurrent inguinal hernia, any age; incarcerated or strangulated No change
Repair inguinal hernia, sliding, any age No change
Repair initial femoral hernia, any age; reducible No change
incarcerated or strangulated No change
Repair recurrent femoral hernia; reducible No change
Repair recurrent femoral hernia; incarcerated or strangulated No change
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical,
spigelian), any approach (ie, open, laparoscopic, robotic), initial, including mesh or
No change
other prosthesis when performed, total length of defect(s); less than 3 cm,
reducible

No change
other prosthesis when performed, total length of defect(s); less than 3 cm,
incarcerated
No change
other prosthesis when performed, total length of defect(s); 3 cm to 10 cm,
reducible

No change
other prosthesis when performed, total length of defect(s); 3 cm to 10 cm,
incarcerated

No change
other prosthesis when performed, total length of defect(s); greater than 10 cm,
reducible

No change
other prosthesis when performed, total length of defect(s); greater than 10 cm,
incarcerated
Repair of small omphalocele, with primary closure No change
Repair of large omphalocele or gastroschisis; with or without prosthesis No change
Repair of large omphalocele or gastroschisis; with removal of prosthesis, final
No change
reduction and closure, in operating room
Repair of omphalocele (Gross type operation); first stage No change
Repair of omphalocele (Gross type operation); second stage No change
spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including
No change
mesh or other prosthesis when performed, total length of defect(s); less than 3
cm, reducible

No change
mesh or other prosthesis when performed, total length of defect(s); less than 3
cm, incarcerated

No change
mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10
cm, reducible

No change
mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10
cm, incarcerated

No change
mesh or other prosthesis when performed, total length of defect(s); greater than
10 cm, reducible
No change
mesh or other prosthesis when performed, total length of defect(s); greater than
10 cm, incarcerated
Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial
or recurrent, including implantation of mesh or other prosthesis, when No change
performed; reducible
Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial
or recurrent, including implantation of mesh or other prosthesis, when No change
performed; incarcerated or strangulated
Laparoscopy, surgical; repair initial inguinal hernia No change
Laparoscopy, surgical; repair recurrent inguinal hernia No change
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy No change

Refer to "ICD-10-PCS & CPT Codes -- Guidance for HPRO & KPRO Procedure Details" document found at
https://www.cdc.gov/nhsn/xls/guidance-for-hpro-kpro-procedure-details.xlsx for specific procedure details for reporting H
procedures.
HPRO -- Hip prosthesis - Arthroplasty of hip

Procedure Code
CPT Codes
Category
HPRO 27125
HPRO 27130
HPRO 27132
HPRO 27134
HPRO 27137
HPRO 27138
HPRO 27236
PT Codes -- Guidance for HPRO & KPRO Procedure Details" document found at
sn/xls/guidance-for-hpro-kpro-procedure-details.xlsx for specific procedure details for reporting HPRO
Arthroplasty of hip
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) No change
Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip

No change
arthroplasty), with or without autograft or allograft
Conversion of previous hip surgery to total hip arthroplasty, with or without
No change
autograft or allograft
Revision of total hip arthroplasty; both components, with or without autograft or
No change
allograft
Revision of total hip arthroplasty; acetabular component only, with or without
No change
autograft or allograft
Revision of total hip arthroplasty; femoral component only, with or without
No change
allograft
Open treatment of femoral fracture, proximal end, neck, internal fixation or
No change
prosthetic replacement
HTP -- Heart transplant - Transplantation of heart
Procedure Code
Category
HTP 33935 Heart-lung transplant with recipient cardiectomy-pneumonectomy
HTP 33945 Heart transplant, with or without recipient cardiectomy

Code Status
No change
No change
For the purpose of NHSN SSI reporting, hysterectomy procedure codes that involve an incision made into the abdomen, including trocar
insertion, are listed in the abdominal hysterectomy (HYST) category.
HYST -- Abdominal hysterectomy - Abdominal hysterectomy; includes that by laparoscope
Procedure Code
Category
Total abdominal hysterectomy (corpus and cervix), with or without

HYST 58150 No change
removal of tube(s), with or without removal of ovary(s)
Total abdominal hysterectomy (corpus and cervix), with or without

HYST 58152 removal of tube(s), with or without removal of ovary(s); with colpo- No change
urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch)
Supracervical abdominal hysterectomy (subtotal hysterectomy), with

or without removal of tube(s), with or without removal of ovary(s)
Total abdominal hysterectomy, including partial vaginectomy, with

HYST 58200 para-aortic and pelvic lymph node sampling, with or without removal No change
of tube(s), with or without removal of ovary(s)
Radical abdominal hysterectomy, with bilateral total pelvic

lymphadenectomy and para-aortic lymph node sampling (biopsy),
with or without removal of tube(s), with or without removal of
ovary(s)
Pelvic exenteration for gynecologic malignancy, with total abdominal

hysterectomy or cervicectomy, with or without removal of tube(s),
HYST 58240 with or without removal of ovary(s), with removal of bladder and No change
ureteral transplantations, and/or abdominoperineal resection of
rectum and colon and colostomy, or any combination thereof
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

HYST 58548 pelvic lymphadenectomy and para-aortic lymph node sampling No change
(biopsy), with removal of tube(s) and ovary(s), if performed
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or

less
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or
less; with removal of tubes(s) and /or ovary(s)
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater
than 250 g
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater
than 250 g; with removal of tube(s) and/or ovary(s)
HYST 58570 Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less No change
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or

less; with removal of tube(s) and/or ovary(s)
Laparoscopy, surgical, with total hysterectomy, for uterus greater than
250 g
Laparoscopy, surgical, with total hysterectomy, for uterus greater than
250 g; with removal of tube(s) and/or ovary(s)
Laparoscopy, surgical, total hysterectomy for resection of malignancy

HYST 58575 (tumor debulking), with omentectomy including salpingo- No change
oophorectomy, unilateral or bilateral, when performed
Resection (initial) of ovarian, tubal or primary peritoneal malignancy

with bilateral salpingo-oophorectomy and omentectomy; with total
abdominal hysterectomy, pelvic and limited para-aortic
lymphadenectomy
Bilateral salpingo-oophorectomy with omentectomy, total abdominal
hysterectomy and radical dissection for debulking
Bilateral salpingo-oophorectomy with omentectomy, total abdominal

HYST 58954 hysterectomy and radical dissection for debulking; with pelvic No change
lymphadenectomy and limited para-aortic lymphadenectomy
Bilateral salpingo-oophorectomy with total omentectomy, total

abdominal hysterectomy for malignancy
HYST 59525 Subtotal or total hysterectomy after cesarean delivery No change
Refer to "ICD-10-PCS & CPT Codes -- Guidance for HPRO & KPRO Procedure Details" document found at
https://www.cdc.gov/nhsn/xls/guidance-for-hpro-kpro-procedure-details.xlsx for specific procedure details for reporting KPRO procedures.
KPRO -- Knee prosthesis - Arthroplasty of knee

Procedure Code CPT Codes Code Description Code Status
Category
KPRO 27438 Arthroplasty, patella; with prosthesis No change
KPRO 27440 Arthroplasty, knee, tibial plateau No change
KPRO 27441 Arthroplasty, knee, tibial plateau; with debridement and partial No change
synovectomy
KPRO 27442 Arthroplasty, femoral condyles or tibial plateau(s), knee No change
KPRO 27443 Arthroplasty, femoral condyles or tibial plateau(s), knee; with No change
debridement and partial synovectomy
KPRO 27445 Arthroplasty, knee, hinge prosthesis (eg, Walldius type) No change
KPRO 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral No change
compartment
Arthroplasty, knee, condyle and plateau; medial AND lateral
KPRO 27447 compartments with or without patella resurfacing (total knee No change
arthroplasty)
KPRO 27486 Revision of total knee athroplasty, with or without allograft, one No change
component
KPRO 27487 Revision of total knee arthroplasty, with or without allograft; femoral No change
and entire tibial component
KTP -- Kidney transplant - Transplantation of kidney
Procedure Code
Category
KTP 50340 Recipient nephrectomy (separate procedure)
Renal allotransplantation, implantation of graft;

KTP 50360
without recipient nephrectomy
Renal allotransplantation, implantation of graft;
KTP 50365
with recipient nephrectomy
Renal autotransplantation, reimplantation of
KTP 50380
kidney
Code Status
No change
No change
No change
No change
LAM -- Laminectomy - Exploration or decompression of spinal cord through excision or incision into vertebral structures
Procedure Code
CPT Codes
Category
LAM 22220
LAM 22222
LAM 22224
LAM 22856
LAM 22857
LAM 22861
LAM 22862
LAM 22867
LAM 62287
LAM 62351
LAM 62380
LAM 63001
LAM 63003
LAM 63005
LAM 63011
LAM 63012
LAM 63015
LAM 63016
LAM 63017
LAM 63020
LAM 63030
LAM 63035
LAM 63040
LAM 63042
LAM 63045
LAM 63046
LAM 63047
LAM 63048
LAM 63050
LAM 63051
LAM 63055
LAM 63056
LAM 63064
LAM 63075
LAM 63077
LAM 63081
LAM 63082
LAM 63085
LAM 63086
LAM 63087
LAM 63088
LAM 63090
LAM 63091
LAM 63101
LAM 63102
LAM 63103
LAM 63170
LAM 63172
LAM 63173
LAM 63180
LAM 63182
LAM 63185
LAM 63190
LAM 63191
LAM 63197
LAM 63200
LAM 63250
LAM 63251
LAM 63252
LAM 63265
LAM 63266
LAM 63267
LAM 63268
LAM 63270
LAM 63271
LAM 63272
LAM 63273
LAM 63275
LAM 63276
LAM 63277
LAM 63278
LAM 63280
LAM 63281
LAM 63282
LAM 63283
LAM 63285
LAM 63286
LAM 63287
LAM 63290
LAM 63709
LAM 63740
LAM 0202T
LAM 0219T
LAM 0220T
LAM 0221T
on or decompression of spinal cord through excision or incision into vertebral structures
Code Description
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation
(includes osteophytectomy for nerve root or spinal cord decompression and microdissection); single
interspace, cervical
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other
than for decompression), single interspace, lumbar
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;
cervical
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;
lumbar
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image
guidance when performed, with open decompression, lumbar; single level
Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing
needle based technique to remove disc material under fluoroscopic imaging or other form of indirect
visualization, with the use of an endoscope, with discography and/or epidural injection(s) at the treated
level(s), when performed, single or multiple levels, lumbar
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication
administration via an external pump or implantable reservoir/infusion pump; with laminectomy
Endoscopic decompression of spinal cord, nerve root(s), including laminectomy, partial facetectomy,
foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interpace, lumbar
facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical
facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic
facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except for
spondylolisthesis
facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda
equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure)
facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical
facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic
facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy,

foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical

foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar

foraminotomy and/or excision of herniated intervertebral disc; each No changeitional interspace, cervical or
lumbar (List separately in No changeition to code for primary procedure)

foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervical

foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda
equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; cervical
equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; thoracic
equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar
equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; each additional
vertebral segment, cervical, thoracic, or lumbar (List separately in addition to code for primary procedure)
Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments;
Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with
reconstruction of the posterior bony elements (including the application of bridging bone graft and non-
segmental fixation devices [eg, wire, suture, mini-plates], when performed)
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated
intervertebral disc), single segment; thoracic
lumbar (including transfacet, or lateral extraforaminal approach) (eg, far lateral herniated intervertebral disc
Costovertebral approach with decompression of spinal cord or nerve root(s), (eg, herniated intervertebral
disc), thoracic; single segment
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy;
cervical, single interspace
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy;
thoracic, single interspace
Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression
of spinal cord and/or nerve root(s); cervical, single segment
Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression
of spinal cord and/or nerve root(s); cervical, each No changeitional segment (List separately in No changeition
to code for primary procedure)
decompression of spinal cord and/or nerve root(s); thoracic, single segment
decompression of spinal cord and/or nerve root(s); thoracic, each No changeitional segment (List separately in
Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with
decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single segment
Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with
decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each No changeitional
segment (List separately in No changeition to code for primary procedure)
Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal

approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral;
single segment
Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal

approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral;
each No changeitional segment (List separately in No changeition to code for primary procedure)
Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with
decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic,
single segment
decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); lumbar,
single segment
decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic or
lumbar, each No changeitional segment (List separately in No changeition to code for primary procedure)
Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar
Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space
Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space
Laminectomy and section of dentate ligaments, with or without dural graft, cervical; 1 or 2 segments
Laminectomy and section of dentate ligaments, with or without dural graft, cervical; more than 2 segments
Laminectomy with rhizotomy; 1 or 2 segments
Laminectomy with rhizotomy; more than 2 segments
Laminectomy with section of spinal accessory nerve
Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic
Laminectomy, with release of tethered spinal cord, lumbar
Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical
Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic
Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral
Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical
Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic
Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar
Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral
Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical
Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic
Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar
Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar
Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level
Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy

Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy
Posterior vertebral joint(s) arthroplasty (eg, facet joint[s] replacement), including facetectomy, laminectomy,
foraminotomy, and vertebral column fixation, injection of bone cement, when performed, including
fluoroscopy, single level, lumbar spine
Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone
graft(s) or synthetic device(s), single level; cervical
graft(s) or synthetic device(s), single level; thoracic
graft(s) or synthetic device(s), single level; lumbar
Code Status
No change
No change
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LTP -- Liver transplant - Transplantation of liver
Procedure Code
Category
Liver allotransplantation; orthotopic, partial or whole, from
LTP 47135
cadaver or living donor, any age
Code Status
No change
NECK -- Neck surgery - Major excision or incision of the larynx and radical neck dissection; does not include thyroid and para
operations
Procedure Code
CPT Codes
Category
NECK 31300
NECK 31360
NECK 31365
NECK 31367
NECK 31368
NECK 31370
NECK 31375
NECK 31380
NECK 31382
NECK 31390
NECK 31395
NECK 31400
NECK 31420
NECK 31551
NECK 31552
NECK 31553
NECK 31554
NECK 31560
NECK 31561
NECK 31580
NECK 31584
NECK 31587
NECK 31590
NECK 31591
NECK 31592
NECK 31599
NECK 38308
NECK 38542
NECK 38720
NECK 38724
NECK 41135
NECK 41140
NECK 41145
NECK 41155
NECK 42420
NECK 42425
NECK 42426
NECK 60000
NECK 60280
NECK 60281
NECK 69150
NECK 69155
excision or incision of the larynx and radical neck dissection; does not include thyroid and parathyroid
Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or

No change
laryngocele, cordectomy
Laryngectomy; total, without radical neck dissection No change
Laryngectomy; total, with radical neck dissection No change
Laryngectomy; subtotal supraglottic, without radical neck dissection No change
Laryngectomy; subtotal supraglottic, with radical neck dissection No change

Partial laryngectomy (hemilaryngectomy); horizontal No change
Partial laryngectomy (hemilaryngectomy); laterovertical No change
Partial laryngectomy (hemilaryngectomy); anterovertical No change
Partial laryngectomy (hemilaryngectomy); antero-latero-vertical No change
Pharyngolaryngectomy, with radical neck dissection; without
No change
reconstruction
Pharyngolaryngectomy, with radical neck dissection; with reconstruction No change
Arytenoidectomy or arytenoidopexy, external approach No change

Epiglottidectomy No change
Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent
No change
placement, younger than 12 years of age
Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent
No change
placement, age 12 years or older
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent
No change
placement, younger than 12 years of age
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent
No change
placement, age 12 years or older
Laryngoscopy, direct, operative, with arytenoidectomy; No change
Laryngoscopy, direct, operative, with arytenoidectomy; with operating
No change
microscope or telescope
Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion No change
Laryngoplasty; with open reduction and fixation of (eg, plating) fracture,

No change
includes tracheostomy, if performed
Laryngoplasty, cricoid split, without graft placement No change
Laryngeal reinnervation by neuromuscular pedicle No change
Laryngoplasty, medialization, unilateral No change
Cricotracheal resection No change
Unlisted procedure, larynx No change
Lymphangiotomy or other operations on lymphatic channels No change
Dissection, deep jugular node(s) No change
Cervical lymphadenectomy (complete) No change
Cervical lymphadenectomy (modified radical neck dissection) No change
Glossectomy; partial, with unilateral radical neck dissection No change
Glossectomy; complete or total, with or without tracheostomy, without
No change
radical neck dissection
Glossectomy; complete or total, with or without tracheostomy, with
No change
unilateral radical neck dissection
Glossectomy; composite procedure with resection floor of mouth,

No change
mandibular resection, and radical neck dissection (Commando type)
Excision of parotid tumor or parotid gland; total, with dissection and

No change
preservation of facial nerve
Excision of parotid tumor or parotid gland; total, en bloc removal with
No change
sacrifice of facial nerve
Excision of parotid tumor or parotid gland; total, with unilateral radical
No change
neck dissection
Incision and drainage of thyroglossal duct cyst, infected Moved from THYR
Excision of thyroglossal duct cyst or sinus No change
Excision of thyroglossal duct cyst or sinus; recurrent No change
Radical excision external auditory canal lesion; without neck dissection No change
Radical excision external auditory canal lesion; with neck dissection No change
NEPH -- Kidney surgery - Resection or manipulation of the kidney with or without removal of related structures
Procedure Code
CPT Codes
Category
NEPH 50010
NEPH 50020
NEPH 50040
NEPH 50045
NEPH 50060
NEPH 50065
NEPH 50070
NEPH 50075
NEPH 50120
NEPH 50125
NEPH 50130
NEPH 50135
NEPH 50205
NEPH 50220
NEPH 50225
NEPH 50230
NEPH 50234
NEPH 50236
NEPH 50240
NEPH 50250
NEPH 50280
NEPH 50290
NEPH 50320
NEPH 50400
NEPH 50405
NEPH 50541
NEPH 50542
NEPH 50543
NEPH 50545
NEPH 50546
NEPH 50547
NEPH 50548
NEPH 50549
n or manipulation of the kidney with or without removal of related structures
Renal exploration, not necessitating other specific procedures No change

Drainage of perirenal or renal abscess, open No change
Nephrostomy, nephrotomy with drainage No change
Nephrotomy, with exploration No change
Nephrolithotomy; removal of calculus No change
Nephrolithotomy; secondary surgical operation for calculus No change
Nephrolithotomy; complicated by congenital kidney abnormality No change
Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and
No change
calyces (including anatrophic pyelolithotomy)
Pyelotomy; with exploration No change
Pyelotomy; with drainage, pyelostomy No change
Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy,
No change
including coagulum pyelolithotomy)
Pyelotomy; complicated (e.g., secondary operation, congenital kidney
No change
abnormality)
Renal biopsy; by surgical exposure of kidney No change
Nephrectomy, including partial ureterectomy, any open approach including
No change
rib resection;

No change
rib resection; complicated because of previous surgery on same kidney

rib resection; radical, with regional lymphadenectomy and/or vena caval No change
thrombectomy
Nephrectomy with total ureterectomy and bladder cuff; through same
No change
incision
Nephrectomy with total ureterectomy and bladder cuff; through separate
No change
incision
Nephrectomy, partial No change
Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including

No change
intraoperative ultrasound guidance and monitoring, if performed
Excision or unroofing of cyst(s) of kidney No change

Excision of perinephric cyst No change
Donor nephrectomy (including cold preservation); open, from living donor No change
Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or

without plastic operation on ureter, nephropexy, nephrostomy, No change
pyelostomy, or ureteral splinting; simple
Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or
without plastic operation on ureter, nephropexy, nephrostomy,
No change
pyelostomy, or ureteral splinting; complicated (congenital kidney
abnormality, secondary pyeloplasty, solitary kidney, calycoplasty)
Laparoscopy, surgical; ablation of renal cysts No change
Laparoscopy, surgical; ablation of renal mass lesion(s), including

No change
intraoperative ultrasound guidance and monitoring, when performed
Laparoscopy, surgical; partial nephrectomy No change

Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's
fascia and surrounding fatty tissue, removal of regional lymph nodes, and No change
adrenalectomy)
Laparoscopy, surgical; nephrectomy, including partial ureterectomy No change
Laparoscopy, surgical; donor nephrectomy (including cold preservation),

No change
from living donor
Laparoscopy, surgical; nephrectomy with total ureterectomy No change
Unlisted laparoscopic nephrectomy No change
OVRY -- Ovarian surgery - Operations on ovary and related structures
Procedure Code
CPT Codes
Category
OVRY 58660
OVRY 58661
OVRY 58662
OVRY 58679
OVRY 58720
OVRY 58740
OVRY 58800
OVRY 58805
OVRY 58820
OVRY 58822
OVRY 58825
OVRY 58900
OVRY 58920
OVRY 58925
OVRY 58940
OVRY 58943
OVRY 58950
OVRY 58952
OVRY 58970
erations on ovary and related structures
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis)

No change
Laparoscopy, surgical; with removal of adnexal structures (partial or total
No change
oophorectomy and/or salpingectomy)
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic
No change
viscera, or peritoneal surface by any method
Unlisted laparoscopy procedure, oviduct, ovary No change
Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate
No change
procedure)
Lysis of adhesions (salpingolysis, ovariolysis) No change
Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal
No change
approach
Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure);
No change
abdominal approach
Drainage of ovarian abscess; vaginal approach, open No change
Drainage of ovarian abscess; abdominal approach No change
Transposition, ovary(s) No change
Biopsy of ovary, unilateral or bilateral (separate procedure) No change
Wedge resection or bisection of ovary, unilateral or bilateral No change
Ovarian cystectomy, unilateral or bilateral No change
Oophorectomy, partial or total, unilateral or bilateral; No change
Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or

primary peritoneal malignancy, with para-aortic and pelvic lymph node
No change
biopsies, peritoneal washings, peritoneal biopsies, diaphragmatic assessments,
with or without salpingectomy(s), with or without omentectomy
Resection (initial) of ovarian, tubal or primary peritoneal malignancy with

No change
bilateral salpingo-oophorectomy and omentectomy;
Resection (initial) of ovarian, tubal or primary peritoneal malignancy with

bilateral salpingo-oophorectomy and omentectomy; with radical dissection for
No change
debulking (i.e., radical excision or destruction, intra-abdominal or
retroperitoneal tumors)
Follicle puncture for oocyte retrieval, any method No change
PACE -- Pacemaker Surgery - Insertion, manipulation or replacement of pacemaker
Procedure Code
CPT Codes
Category
PACE 33202
PACE 33203
PACE 33206
PACE 33207
PACE 33208
PACE 33212
PACE 33213
PACE 33214
PACE 33215
PACE 33216
PACE 33217
PACE 33218
PACE 33220
PACE 33221
PACE 33222
PACE 33223
PACE 33224
PACE 33225
PACE 33226
PACE 33227
PACE 33228
PACE 33229
PACE 33230
PACE 33231
PACE 33233
PACE 33234
PACE 33235
PACE 33236
PACE 33237
PACE 33238
PACE 33240
PACE 33241
PACE 33243
PACE 33244
PACE 33249
PACE 33262
PACE 33263
PACE 33264
PACE 33270
PACE 33271
PACE 33272
PACE 33273
PACE 0571T
PACE 0572T
PACE 0573T
PACE 0574T
ertion, manipulation or replacement of pacemaker
Insertion of epicardial electrode(s); open incision (e.g., thoracotomy, median

No change
sternotomy, subxiphoid approach)
Insertion of epicardial electrode(s); endoscopic approach (e.g., thoracoscopy,
No change
pericardioscopy)
Insertion of new or replacement of permanent pacemaker with transvenous
No change
electrode(s); atrial
No change
electrode(s); ventricular
No change
electrode(s); atrial and ventricular
Insertion of pacemaker pulse generator only; with existing single lead No change
Insertion of pacemaker pulse generator only; with existing dual leads No change
Upgrade of implanted pacemaker system, conversion of single chamber

system to dual chamber system (includes removal of previously placed pulse
No change
generator, testing of existing lead, insertion of new lead, insertion of new
pulse generator)
Repositioning of previously implanted transvenous pacemaker or implantable

No change
defibrillator (right atrial or right ventricular) electrode
Insertion of a single transvenous electrode, permanent pacemaker or
No change
implantable defibrillator
Insertion of 2 transvenous electrodes, permanent pacemaker or implantable
No change
defibrillator
Repair of single transvenous electrode, permanent pacemaker or implantable
No change
defibrillator
Repair of 2 transvenous electrodes for permanent pacemaker or implantable
No change
defibrillator
Insertion of pacemaker pulse generator only; with existing multiple leads No change
Relocation of skin pocket for pacemaker No change

Relocation of skin pocket for implantable defibrillator No change
Insertion of pacing electrode, cardiac venous system, for left ventricular

pacing, with attachment to previously placed pacemaker or implantable
No change
defibrillator pulse generator (including revision of pocket, removal, insertion,
and/or replacement of existing generator)
Insertion of pacing electrode, cardiac venous system, for left ventricular

pacing, at time of insertion of implantable defibrillator or pacemaker pulse
No change
generator (e.g., for upgrade to dual chamber system) (List separately in No
Repositioning of previously implanted cardiac venous system (left ventricular)
electrode (including removal, insertion and/or replacement of existing No change
generator)
Removal of permanent pacemaker pulse generator with replacement of
No change
pacemaker pulse generator; single lead system
No change
pacemaker pulse generator; dual lead system
No change
pacemaker pulse generator; multiple lead system
Insertion of implantable defibrillator pulse generator only; with existing dual
No change
leads
Insertion of implantable defibrillator pulse generator only; with existing
No change
multiple leads
Removal of permanent pacemaker pulse generator only No change
Removal of transvenous pacemaker electrode(s); single lead system, atrial or
No change
ventricular
Removal of transvenous pacemaker electrode(s); dual lead system No change
Removal of permanent epicardial pacemaker and electrodes by thoracotomy;
No change
single lead system, atrial or ventricular
Removal of permanent epicardial pacemaker and electrodes by thoracotomy;
No change
dual lead system
Removal of permanent transvenous electrode(s) by thoracotomy No change
Insertion of implantable defibrillator pulse generator only; with existing single
No change
lead
Removal of implantable defibrillator pulse generator only No change
Removal of single or dual chamber implantable defibrillator electrode(s); by
No change
thoracotomy
Removal of implantable defibrillator pulse generator with replacement of

No change
implantable defibrillator pulse generator; by transvenous extraction
Insertion or replacement of permanent implantable defibrillator system, with

No change
transvenous lead(s), single or dual chamber

No change
implantable defibrillator pulse generator; single lead system

No change
implantable defibrillator pulse generator; dual lead system

No change
implantable defibrillator pulse generator; multiple lead system
Insertion or replacement of permanent subcutaneous implantable
defibrillator system, with subcutaneous electrode, including defibrillation
threshold evaluation, induction of arrhythmia, evaluation of sensing for No change
arrhythmia termination, and programming or reprogramming of sensing or
therapeutic parameters, when performed
Insertion of subcutaneous implantable defibrillator electrode No change

Removal of subcutaneous implantable defibrillator electrode No change
Repositioning of previously implanted subcutaneous implantable defibrillator
No change
electrode
Insertion or replacement of implantable cardioverter-defibrillation system

with substernal electrode(s), including all imaging guidance and
electrophysiological evaluation (includes defibrillation threshold evaluation,
No change
induction of arrhythmia, evaluation of sensing for arrhythmia termination,
and programming or reprogramming of sensing or therapeutic parameters),
when performed
Insertion of substernal implantable defibrillation electrode No change

Removal of substernal implantable defibrillation electrode No change
Repositioning of previously implanted substernal implantable defibrillator-
No change
pacing electrode
PRST -- Prostate surgery - Suprapubic, retropubic, radical, or perineal excision of the prostate; does not include
transurethral resection of the prostate
Procedure Code
Category
PRST 55705 Biopsy, prostate; incisional, any approach
PRST 55810 Prostatectomy, perineal radical
Prostatectomy, perineal radical; with lymph node biopsy(s)
PRST 55812
(limited pelvic lymphadenectomy)
Prostatectomy, perineal radical; with bilateral pelvic
PRST 55815 lymphadenectomy, including external iliac, hypogastric and
obturator nodes
Prostatectomy (including control of postoperative bleeding,

PRST 55821 vasectomy, meatotomy, urethral calibration and/or dilation, and
internal urethrotomy); suprapubic, subtotal, 1 or 2 stages
Prostatectomy (including control of postoperative bleeding,

PRST 55831 vasectomy, meatotomy, urethral calibration and/or dilation, and
internal urethrotomy); retropubic, subtotal
Prostatectomy, retropubic radical, with or without nerve

PRST 55840
sparing;
PRST 55842 sparing; with lymph node biopsy(s) (limited pelvic
lymphadenectomy)

PRST 55845 sparing; with bilateral pelvic lymphadenectomy, including
external iliac, hypogastric, and obturator nodes
Laparoscopy, surgical prostatectomy, retropubic radical,

PRST 55866 including nerve sparing, includes robotic assistance, when
performed
Laparoscopy, surgical prostatectomy, simple subtotal

(including control of postoperative bleeding, vasectomy,
PRST 55867
meatotomy, urethral calibration and/or dilation, and internal
urethrotomy), includes robotic assistance, when performed
tate; does not include
Code Status
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
Added
PVBY -- Peripheral vascular bypass surgery - Bypass operations on peripheral arteries and veins
Procedure Code
CPT Codes
Category
PVBY 33889
PVBY 35501
PVBY 35506
PVBY 35508
PVBY 35509
PVBY 35510
PVBY 35511
PVBY 35512
PVBY 35515
PVBY 35516
PVBY 35518
PVBY 35521
PVBY 35522
PVBY 35523
PVBY 35525
PVBY 35533
PVBY 35556
PVBY 35558
PVBY 35566
PVBY 35570
PVBY 35571
PVBY 35583
PVBY 35585
PVBY 35587
PVBY 35616
PVBY 35621
PVBY 35623
PVBY 35650
PVBY 35654
PVBY 35656
PVBY 35661
PVBY 35666
PVBY 35671
PVBY 35686
pass surgery - Bypass operations on peripheral arteries and veins
Open subclavian to carotid artery transposition performed in conjunction

with endovascular repair of descending thoracic aorta, by neck incision, No change
unilateral
Bypass graft, with vein; common carotid-ipsilateral internal carotid No change
Bypass graft, with vein; carotid-subclavian or subcalvian-carotid No change
Bypass graft, with vein; carotid-vertebral No change
Bypass graft, with vein; carotid-contralateral carotid No change
Bypass graft, with vein; carotid-brachial No change
Bypass graft, with vein; subclavian-subclavian No change
Bypass graft subclavian- brachial No change
Bypass graft subclavian-vertebral No change
Bypass graft, with vein; subclavian-axillary No change
Bypass graft, with vein; axillary-axillary No change
Bypass graft, with vein; axillary-femoral No change
Bypass graft, with vein; axillary-brachial No change
Bypass graft, with vein; brachial-ulnar or -radial No change
Bypass graft, with vein; brachial-brachial No change
Bypass graft, with vein; axillary-femoral-femoral No change
Bypass graft, with vein; femoral-popliteal No change
Bypass graft, with vein; femoral-femoral No change
Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal
No change
artery or other distal vessels
Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-
No change
tibial
Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal
No change
vessels
In-situ vein bypass; femoral-popliteal No change
In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal
No change
artery
In-situ vein bypass; popliteal-tibial, peroneal No change
Bypass graft, with other than vein; subclavian-axillary No change
Bypass graft, with other than vein; axillary-femoral No change
Bypass graft, with other than vein; axillary-popliteal or -tibial No change
Bypass graft, with other than vein; axillary-axillary No change
Bypass graft, with other than vein; axillary-femoral-femoral No change
Bypass graft, with other than vein; femoral-popliteal No change
Bypass graft, with other than vein; femoral-femoral No change
Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or
No change
peroneal artery
Bypass graft, with other than vein; popliteal-tibial or -peroneal artery No change
Creation of distal arteriovenous fistula during lower extremity bypass
No change
surgery (non-hemodialysis)
REC -- Rectal surgery - Operations on rectum
Procedure Code
CPT Codes
Category
REC 45110
REC 45111
REC 45112
REC 45113
REC 45114
REC 45116
REC 45119
REC 45120
REC 45121
REC 45126
REC 45395
REC 45397
REC 45540
REC 45541
REC 45550
REC 45562
REC 45563
REC 57307
perations on rectum
Proctectomy; complete, combined abdominoperineal, with colostomy No change

Proctectomy; partial resection of rectum, transabdominal approach No change
Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal
No change
anastomosis)
Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal
No change
reservoir (S or J), with or without loop ileostomy
Proctectomy, partial, with anastomosis; abdominal and transsacral approach No change
Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) No change
Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal

anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting No change
enterostomy when performed
Proctectomy, complete (for congenital megacolon), abdominal and perineal

approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or No change
Soave type operation)
Proctectomy, complete (for congenital megacolon), abdominal and perineal
No change
approach; with subtotal or total colectomy, with multiple biopsies
Pelvic exenteration for colorectal malignancy, with proctectomy (with or without

colostomy), with removal of bladder and ureteral transplantations, and/or
No change
hysterectomy, or cervicectomy, with or without removal of tube(s), with or without
removal of ovary(s), or any combination thereof
Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with

No change
colostomy
Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through
procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J- No change
pouch), with diverting enterostomy, when performed
Proctopexy (eg, for prolapse); abdominal approach (open) Added
Proctopexy (eg, for prolapse); perineal approach (open) Added
Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach (open) Added
Exploration, repair, and presacral drainage for rectal injury No change

Exploration, repair, and presacral drainage for rectal injury; with colostomy No change
Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy No change

SB -- Small bowel surgery - Incision or resection of the small intestine; does not include small-to-large bowel anastomosis
Procedure Code
CPT Codes
Category
SB 43496
SB 43846
SB 44010
SB 44020
SB 44021
SB 44120
SB 44125
SB 44126
SB 44127
SB 44130
SB 44186
SB 44187
SB 44202
SB 44300
SB 44310
SB 44312
SB 44314
SB 44316
SB 44602
SB 44603
SB 44615
SB 44640
SB 44650
SB 44800
SB 45136
or resection of the small intestine; does not include small-to-large bowel anastomosis
Free jejunum transfer with microvascular anastomosis No change

Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150
Moved from GAST
cm or less) Roux-en-Y gastroenterostomy
Duodenotomy, for exploration, biopsy(s), or foreign body removal No change
Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign
No change
body removal
Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) No change
Enterectomy, resection of small intestine; single resection and anastomosis No change

Enterectomy, resection of small intestine; with enterostomy No change
Enterectomy, resection of small intestine for congenital atresia, single resection and
No change
anastomosis of proximal segment of intestine; without tapering
Enterectomy, resection of small intestine for congenital atresia, single resection and
No change
anastomosis of proximal segment of intestine; with tapering
Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy
No change
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) No change
Laparoscopy, surgical; ileostomy or jejunostomy, non-tube No change
Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and
No change
anastomosis
Enterostomy-External Fistulization of Intestines Procedures No change
Ileostomy or jejunostomy, non-tube No change
Revision of ileostomy; simple (release of superficial scar) (separate procedure) No change
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) No change
Continent ileostomy (Kock procedure) (separate procedure) No change

Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound,
No change
injury or rupture; single perforation
Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound,
No change
injury or rupture; multiple perforations
Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for
No change
intestinal obstruction
Closure of intestinal cutaneous fistula No change
Closure of enteroenteric or enterocolic fistula No change
Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct No change
Excision of ileoanal reservoir with ileostomy No change

SPLE -- Spleen Surgery - Resection or manipulation of spleen
Procedure Code
Category
SPLE 38100 Splenectomy; total (separate procedure)
SPLE 38101 Splenectomy; partial (separate procedure)
Splenectomy; total, en bloc for extensive disease, in
SPLE 38102 conjunction with other procedure (List in No changeition to
Repair of ruptured spleen (splenorrhaphy) with or without
SPLE 38115
partial splenectomy
SPLE 38120 Laparoscopy, surgical, splenectomy
Code Status
No change
No change
No change
No change
No change
THOR -- Thoracic surgery - Noncardiac, nonvascular thoracic surgery; includes pneumonectomy and hiatal hernia repair or d
(except through abdominal approach)
Procedure Code
CPT Codes
Category
THOR 20101
THOR 21603
THOR 31770
THOR 31775
THOR 32096
THOR 32097
THOR 32100
THOR 32110
THOR 32120
THOR 32124
THOR 32140
THOR 32141
THOR 32151
THOR 32200
THOR 32215
THOR 32220
THOR 32225
THOR 32310
THOR 32320
THOR 32440
THOR 32442
THOR 32445
THOR 32480
THOR 32482
THOR 32484
THOR 32486
THOR 32488
THOR 32491
THOR 32501
THOR 32503
THOR 32504
THOR 32505
THOR 32506
THOR 32507
THOR 32540
THOR 32553
THOR 32607
THOR 32608
THOR 32609
THOR 32651
THOR 32652
THOR 32655
THOR 32662
THOR 32663
THOR 32666
THOR 32667
THOR 32668
THOR 32669
THOR 32670
THOR 32671
THOR 32672
THOR 32800
THOR 32815
THOR 32905
THOR 32906
THOR 32940
THOR 32960
THOR 39000
THOR 39010
THOR 39200
THOR 39220
THOR 39501
THOR 39545
THOR 39560
THOR 39561
THOR 64746
y - Noncardiac, nonvascular thoracic surgery; includes pneumonectomy and hiatal hernia repair or diaphragmatic hernia repair
nal approach)
Code Description
Exploration of penetrating wound (separate procedure); chest

Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal
lymphadenectomy
Bronchoplasty; graft repair
Bronchoplasty; excision stenosis and anastomosis
Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional),
unilateral
Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge,
incisional), unilateral
Thoracotomy; with exploration
Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear
Thoracotomy; for postoperative complications
Thoracotomy; with open intrapleural pneumonolysis
Thoracotomy; with cyst(s) removal, includes pleural procedure when performed
Thoracotomy; with resection-plication of bullae, includes any pleural procedure when
performed
Thoracotomy; with removal of intrapulmonary foreign body
Pneumonostomy, with open drainage of abscess or cyst
Pleural scarification for repeat pneumothorax
Decortication, pulmonary (separate procedure); total
Decortication, pulmonary (separate procedure); partial
Pleurectomy, parietal (separate procedure)
Decortication and parietal pleurectomy
Removal of lung, pneumonectomy;
Removal of lung, pneumonectomy; with resection of segment of trachea followed by
broncho-tracheal anastomosis (sleeve pneumonectomy)
Removal of lung, pneumonectomy; extrapleural
Removal of lung, other than pneumonectomy; single lobe (lobectomy)
Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy)
Removal of lung, other than pneumonectomy; single segment (segmentectomy)
Removal of lung, other than pneumonectomy; with circumferential resection of segment of

bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy)
Removal of lung, other than pneumonectomy; with all remaining lung following previous
removal of a portion of lung (completion pneumonectomy)
Removal of lung, other than pneumonectomy; with resection-plication of emphysematous

lung(s) (bullous or non-bullous) for lung volume reduction, sternal split or transthoracic
approach, includes any pleural procedure, when performed
Resection and repair of portion of bronchus (bronchoplasty) when performed at time of
lobectomy or segmentectomy (List separately in No changeition to code for primary
procedure)
resection(s), neurovascular dissection, when performed; without chest wall
reconstruction(s)
resection(s), neurovascular dissection, when performed; with chest wall reconstruction
Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial
Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each No changeitional
resection, ipsilateral (List separately in No changeition to code for primary procedure)
Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List
Extrapleural enucleation of empyema (empyemectomy)
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers,
dosimeter), percutaneous, intrathoracic, single or multiple
Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional),
unilateral
Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge,
incisional), unilateral
Thoracoscopy; with biopsy(ies) of pleura
Thoracoscopy, surgical; with partial pulmonary decortication
Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural
pneumonolysis
Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure
when performed
Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass
Thoracoscopy, surgical; with lobectomy (single lobe)
Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial
unilateral
Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each No
changeitional resection, ipsilateral (List separately in No changeition to code for primary
procedure)
Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung
resection (List separately in No changeition to code for primary procedure)
Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)
Thoracoscopy, surgical; with removal of two lobes (bilobectomy)
Thoracoscopy, surgical; with removal of lung (pneumonectomy)
Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-
bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when
performed
Repair lung hernia through chest wall
Open closure of major bronchial fistula
Thoracoplasty, Schede type or extrapleural (all stages);
Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural
fistula
Pneumonolysis, extraperiosteal, including filling or packing procedures
Pneumothorax, therapeutic, intrapleural injection of air
Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical
approach
Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy;
transthoracic approach, including either transthoracic or median sternotomy
Resection of mediastinal cyst
Resection of mediastinal tumor
Repair, laceration of diaphragm, any approach
Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or
nonparalytic
Resection, diaphragm; with simple repair (eg, primary suture)
Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)
Transection or avulsion of; phrenic nerve

pair or diaphragmatic hernia repair
Code Status
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
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No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
THYR -- Thyroid and/or parathyroid surgery - Resection or manipulation of thyroid and/or parathyroid
Procedure Code
Category
THYR 60200 Excision of cyst or adenoma of thyroid, or transection of isthmus
THYR 60210 Partial thyroid lobectomy, unilateral; with or without isthmusectomy
Partial thyroid lobectomy, unilateral; with contralateral subtotal

THYR 60212
lobectomy, including isthmusectomy
THYR 60220 Total thyroid lobectomy, unilateral; with or without isthmusectomy
Total thyroid lobectomy, unilateral; with contralateral subtotal

THYR 60225
lobectomy, including isthmusectomy
THYR 60240 Thyroidectomy, total or complete
Thyroidectomy, total or subtotal for malignancy; with limited neck
THYR 60252
dissection
Thyroidectomy, total or subtotal for malignancy; with radical neck
THYR 60254
dissection
Thyroidectomy, removal of all remaining thyroid tissue following
THYR 60260
previous removal of a portion of thyroid
Thyroidectomy, including substernal thyroid; sternal split or
THYR 60270
THYR 60271 Thyroidectomy, including substernal thyroid; cervical approach
THYR 60500 Parathyroidectomy or exploration of parathyroid(s)
THYR 60502 Parathyroidectomy or exploration of parathyroid(s); re-exploration
Parathyroidectomy or exploration of parathyroid(s); with mediastinal

THYR 60505
exploration, sternal split or transthoracic approach
Parathyroid autotransplantation (List separately in No changeition to

THYR 60512
id
Code Status
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
For the purpose of NHSN SSI reporting, hysterectomy procedure codes that involve an incision made into the abdomen, including trocar insertion, are
listed in the abdominal hysterectomy (HYST) category.
VHYS--Vaginal Hysterectomy - Vaginal hysterectomy; excludes the use of laparoscope
Procedure Code
Category
VHYS 51925 Closure of vesicouterine fistula; with hysterectomy
VHYS 58260 Vaginal hysterectomy, for uterus 250 g or less
VHYS 58262 Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with
VHYS 58263
Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-
VHYS 58267
VHYS 58270 Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele
VHYS 58275 Vaginal hysterectomy, for uterus 250 g or less;
VHYS 58280 Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele
VHYS 58285 Vaginal hysterectomy, radical (Schauta type operation)
VHYS 58290 Vaginal hysterectomy, for uterus greater than 250 g
VHYS 58291 Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s),
VHYS 58292
with repair of enterocele
Vaginal hysterectomy, for uterus greater than 250 g; with colpo-urethrocystopexy (Marshall-
VHYS 58293
VHYS 58294 Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele
luding trocar insertion, are
Code Status
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
No change
VSHN -- Ventricular shunt - Ventricular shunt operations, including revision and removal of shunt
Procedure Code
CPT Codes
Category
VSHN 62160
VSHN 62180
VSHN 62190
VSHN 62192
VSHN 62194
VSHN 62220
VSHN 62223
VSHN 62225
VSHN 62230
VSHN 62256
VSHN 62258
t - Ventricular shunt operations, including revision and removal of shunt
Neuroendoscopy, intracranial, for placement or replacement of ventricular

catheter and attachment to shunt system or external drainage (List separately No change
in No changeition to code for primary procedure)
Ventriculocisternostomy (Torkildsen type operation) No change

Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular No change
Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus No change
Replacement or irrigation, subarachnoid/subdural catheter No change

Creation of shunt; ventriculo-atrial, -jugular, -auricular No change
Creation of shunt; ventriculo-peritoneal, -pleural, other terminus No change
Replacement or irrigation, ventricular catheter No change
Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or
No change
distal catheter in shunt system
Removal of complete cerebrospinal fluid shunt system; without replacement No change
Removal of complete cerebrospinal fluid shunt system; with replacement by

No change
similar or other shunt at same operation
XLAP -- Exploratory laparotomy - Abdominal operations not involving the gastrointestinal tract or biliary system; includes di
repair through abdominal approach
Procedure Code
CPT Codes
Category
XLAP 20102
XLAP 35840
XLAP 39503
XLAP 39540
XLAP 39541
XLAP 43332
XLAP 43333
XLAP 44005
XLAP 44180
XLAP 44700
XLAP 44820
XLAP 44850
XLAP 49000
XLAP 49002
XLAP 49010
XLAP 49013
XLAP 49014
XLAP 49020
XLAP 49040
XLAP 49060
XLAP 49203
XLAP 49204
XLAP 49205
XLAP 49215
XLAP 49220
XLAP 49250
XLAP 49255
XLAP 49320
XLAP 49321
XLAP 49324
XLAP 49325
XLAP 49326
XLAP 49402
XLAP 49412
XLAP 49419
XLAP 49421
XLAP 49425
XLAP 49426
XLAP 49900
XLAP 49905
XLAP 49906
XLAP 58960
rotomy - Abdominal operations not involving the gastrointestinal tract or biliary system; includes diaphragmatic hernia
al approach
Code Description
Exploration of penetrating wound (separate procedure); abdomen/flank/back
Exploration for postoperative hemorrhage, thrombosis or infection; abdomen
Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or
without creation of ventral hernia
Repair, diaphragmatic hernia (other than neonatal), traumatic; acute
Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic
Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except

neonatal; without implantation of mesh or other prosthesis
Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except

neonatal; with implantation of mesh or other prosthesis
Enterolysis (freeing of intestinal adhesion) (separate procedure)
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)
Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg,
bladder or omentum)
Excision of lesion of mesentery (separate procedure)
Suture of mesentery (separate procedure)
Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate
procedure)
Reopening of recent laparotomy
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)
Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including
local exploration
Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including
repacking, when performed
Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess,
open
Drainage of subdiaphragmatic or subphrenic abscess, open
Drainage of retroperitoneal abscess, open
Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or
more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest
tumor 5 cm diameter or less

tumor 5.1-10.0 cm diameter
tumor greater than 10.0 cm diameter
Excision of presacral or sacrococcygeal tumor
Staging laparotomy for Hodgkin's disease or lymphoma (includes splenectomy, needle

or open biopsies of both liver lobes, possibly also removal of abdominal nodes,
abdominal node and/or bone marrow biopsies, ovarian repositioning)
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)

Omentectomy, epiploectomy, resection of omentum (separate procedure)
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 insertion of tunneled intraperitoneal catheter
Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or

catheter, with removal of intraluminal obstructive material if performed
Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in

Removal of peritoneal foreign body from peritoneal cavity
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers,
dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including
image guidance, if performed, single or multiple (List separately in No changeition to
Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally

implantable)
Insertion of tunneled intraperitoneal catheter for dialysis, open
Insertion of peritoneal-venous shunt
Revision of peritoneal-venous shunt
Suture, secondary, of abdominal wall for evisceration or dehiscence
Omental flap, intra-abdominal (List separately in No changeition to code for primary
procedure)
Free omental flap with microvascular anastomosis
Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy
(second look), with or without omentectomy, peritoneal washing, biopsy of abdominal
and pelvic peritoneum, diaphragmatic assessment with pelvic and limited para-aortic
lymphadenectomy
m; includes diaphragmatic hernia
Code Status
No change
No change
No change
No change
No change
No change
No change
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Cpt Pcm Nhsn

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Cpt Pcm Nhsn

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2024 NHSN CPT Operative Procedure Code Mappings (updated 1/2024)

Amputation, thigh, through femur, any level; open, circular (guillotine)

Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each

Appendectomy; for ruptured appendix with abscess or generalized peritonitis

Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate

Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing

Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency

Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or

Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or

Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of

Excision of lesion of pancreas (eg, cyst, adenoma)

Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy

Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy

Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)

Excision of ampulla of Vater

Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy,

Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and

Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma

Mastectomy for gynecomastia

Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction

Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction

Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus

Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft

Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis

Replacement of aortic valve by translocation of autologous pulmonary valve and transventricular

Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection

Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate

Repair of postinfarction ventricular septal defect, with or without myocardial resection

Repair of complex cardiac anomalies (e.g., single ventricle by modified Fontan)

Repair sinus of Valsalva fistula, with cardiopulmonary bypass;

Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)

Replacement or repair of implantable component or components of total replacement heart

Coronary artery bypass, using arterial graft(s); single arterial graft

Colectomy, partial; with coloproctostomy (low pelvic anastomosis)

Colectomy, partial, with removal of terminal ileum with ileocolostomy

Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with

Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural

Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural

Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral

Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural

Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar

Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of

Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial

Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine

Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy,

Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal

Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal

Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge

Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge

Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space,

Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa,

Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous

Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous

Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation

Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation

Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation

Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical

Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical

Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of

Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of

Repair of encephalocele, skull vault, including cranioplasty

Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or

Neuroendoscopy, intracranial; with retrieval of foreign body

Cesarean delivery only;